News - Head-to-head: Voluntary health checks
Posted on December 31, 2007
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“It has been presented in a very populist way,” he said.
“If we had infinite resources and we weren’t suffering, if my patients didn’t come to me and say ‘did you know they have just cancelled my operation again’ I would probably think this was not such a bad thing,” he said. But there were real questions over how much you would actually gain by such screening, people needed more information about it, and in the end the people most likely to take up the voluntary checks were the “worried well”, he said. One example was the PSA test for prostate cancer.
“The vast majority of people who have a positive test do not have prostate cancer,” he said.
“The test also has a high ‘false negative’ rate, which means it doesn’t pick up all the ones with cancer either.”
Also the progression of prostate cancer was very slow and treatment could lead to impotence and incontinence. A very old man was likely to die of something else first, so it begged the question would this be best. “Patricia Hewitt must be, in medical terms, almost like a child armed with a gun, making pronouncements. She should come and see what happens at local level,” he said.
“It just shows a lack any real understanding of healthcare.”
In the meantime, GPs were still routinely checking people, whether it was “” such as taking blood pressure when prescribing the pill, if people requested a check and it was non-invasive, or whether the surgery was holding a specific health programme.
At the same time smear tests for women were routine, as was breast screening for women over 50.
“Where there is a high need for screening, the high need is currently covered. These resources could be put into something more important.
“Instead of ‘choice’ forced on us, my patients say they’d prefer good local services.”
Unhappy at the treatment his asthmatic wife was getting from their GP, Carl Thomson decided to change the family doctor.
It was a decision which changed the 35-year-old’s life.
As a new patient he was given a health check, part of which was a blood test.
He was diagnosed with Type 2 diabetes, and all his health worries of the past few years fell into place. Two years previously he had complained to his then GP he was feeling depressed, exhausted and was having trouble . It was diagnosed as depression.
“I was off work for six months and having all sorts of pills and potions thrown at me to cure depression,” he said.
After six months he knew the medication was making no difference, so decided to “pick himself up” and return to work, but was still plagued by health worries
“My new GPs are great believers that prevention is better than cure,” he said.
“It has really turned my life around, I am back on top of my game again. I am so much in their debt.”
And because his diabetes was diagnosed fairly early on, he is able to control it through medication and diet, without having to resort to insulin injections. “They have saved me a great deal of problems and health troubles,” he said.
If left he would have faced an uncertain future, while his condition would have been far more costly to the NHS, he said.
“If I had had a heart attack I would have ‘bed blocked’ for several months, there would have been all sorts of complications and problems.
“It would have been far more expensive for the NHS than it is treating it now. “These checks will save us the tax payer a lot more money in the long-term and also get people’s health back on track.” But there are other things far more important.
“I have a six-year-old son, and I am going to see him grow up. If this hadn’t been diagnosed then there would have been a serious risk that I would not have seen him grow up long-term.” How do yo think, is it true about ?
It just shows a lack any real understanding of healthcare
Instead of ‘choice’ forced on us, my patients say they’d prefer good local services
It has really turned my life around, I am back on top of my game again.
I have a six-year-old son, and I am going to see him grow up
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News - Reward for sleep disorder experts
Posted on December 30, 2007
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| A help scheme for people suffering from a sleeping disorder has brought a commendation for hospital .
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News - Older men ‘happy with sex lives’
Posted on December 29, 2007
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| Men in their 50s have more satisfying sex lives than men in their 30s, a survey suggests.
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News - Eye warning call for cigarettes
Posted on December 28, 2007
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Experts are calling for cigarette packets to carry a warning that smoking can cause blindness.
The move comes as new evidence suggests smoking - and passive smoking - can cause age-related macular degeneration - the UK’s leading cause of blindness.
The, as yet, unpublished European Eye Study of 5,000 AMD patients in the EU found 27% had disease that was directly attributable to smoking.
The Royal College of Ophthalmologists said urgent action was needed.
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It is time that smokers understand that they at least double their risk of going blind Mr Nick Astbury
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It called for the government to add a ‘Smoking causes blindness’ warning to others currently carried on cigarette packets, which include ‘Smoking kills’ and ‘Smoking may cause impotence’.
The move is backed by the AMD Alliance and the Royal National Institute for the Blind.
Age-related macular degeneration (AMD) affects 500,000 people in the UK.
It is marked by a progressive loss of central vision due to degeneration of the macula - a region of the retina responsible for fine, central vision.
condition
Mr Nick Astbury, president of the College said: “Blindness is one of the most health conditions possible - the prospect of losing one’s sight - and putting the sight of family members at risk - purely because of a smoking habit, is a compelling reason for tobacco users to quit.
The warning would like to see
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“The scientific evidence for the link between smoking and blindness is now similar to the evidence linking smoking and lung disease.
“It is time that smokers understand that they at least double their risk of going blind through age-related macular degeneration.”
Tom Brembridge, of the Macular Disease Society, said other research had suggested a link between smoking and AMD.
He said: “I am in favour of pointing out to people that their eyes are made vulnerable by smoking.”
The Royal College of Ophthalmologists annual congress in Manchester heard how sight loss was difficult for many to bear.
Dr Peter Elton, of Bury Primary Care Trust, revealed the results of a survey of more than 4,000 residents of the town which found that people with visual impairment were twice as likely to suffer from depression than people with good eyesight.
The conference also heard that both ophthalmologists and could could improve the advice they give to patients about giving up smoking.
A Department of Health said it was important to raise awareness of the effect smoking could have on sight, but said warnings on cigarettes packets were determined by the European Commission.
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News - Prostate therapy benefits doubted
Posted on December 27, 2007
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The researchers calculated that, even without treatment, only about 1% of men aged 55-59 with diagnosed low-grade disease would die within 15 years.
Side effects of radical treatment such as surgery and can include incontinence and impotence.
The Department of Health said its advisers would consider the Institute of Cancer Research findings.
The study appears in the British Journal of Cancer.
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The decision whether to have radical treatment can be difficult for the patient Dr Chris Parker
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Prostate cancer is the most commonly diagnosed male cancer in the UK.
Nearly 32,000 new cases are diagnosed, and around 10,000 men die from the disease, each year.
At present, men diagnosed with the disease may undergo radical treatment - either surgery to remove the prostate or radiotherapy.
Alternatively, they may simply be managed by - a technique known as watchful waiting.
The Institute of Cancer Research team found that radical treatment was only effective for men with high-grade disease.
In those cases they calculated that, without treatment, up to 68% could die from prostate cancer.
Difficult decision
Researcher Dr Chris Parker said: “Most men with prostate cancer detected by PSA screening will live out their natural span without the disease ever causing them any ill effects.
“The decision whether to have radical treatment can be tremendously difficult for the patient.
“The results of trials looking at the long-term survival benefit of radical treatment are several years away.
“So, this new information on the potential impact of treatment on overall survival will be of great interest to men faced with this decision.”
Dr Parker said his team was trialling a new prostate cancer management technique called active surveillance.
This aims to target treatment only at those who need it by closely monitoring patients for signs of disease progression.
Preliminary results of this technique have been encouraging.
Types of cell
High-grade prostate cancers are made up of undifferentiated cells, which can reproduce quickly, speeding growth of the tumour.
Low-grade tumours are made up of differentiated cells which do not reproduce at the same speed.
Chris Hiley, from the Prostate Cancer Charity, said: “Decision making on treatment for prostate cancer is not straightforward for anyone involved, but we hope that these results might make explaining options and possible outcomes to patients easier for doctors.
“Clearly, some men with a prostate cancer diagnosis will always prefer an operation to cut it out or radiotherapy to treat the cancer.
“This new evidence shows men mustn’t be left to overestimate the survival advantage that such an option would give them.”
Dr Emma Knight, of Cancer Research UK, said: “It is important to stress that these results are only .
“Data from ongoing clinical trials should, in time, portray the pros and cons of treatment versus monitoring more accurately.”
The Department of Health said the findings would be considered by its Prostate Cancer Advisory Group.
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News - Stress at work makes men ill
Posted on December 25, 2007
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| Read more on British men are suffering high rates of stress and depression due to overwork, a survey suggests.
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News - Over-the-counter Viagra piloted
Posted on December 24, 2007
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| The anti-impotence drug Viagra will be available on the High Street without a from 14 February.
See related site about Erectile dysfunction pills. |
News - The dilemma for US car workers
Posted on December 23, 2007
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The headquarters of the United Auto Workers (UAW) Local Branch 600 stands in the shadow of the giant River Rouge plant, once the largest industrial complex in the world.
Located on a mile-long tributary of the Detroit river, the Rouge once employed 100,000 men who built every Ford manufactured in the US when it opened in 1928.
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GLOBALISATION SERIES
How Detroit lost its dominance in the global car industry
Friday: Photo Journal
Tuesday: Lean Production
Key facts: Global Car Industry
Guide to globalisation
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Henry Ford, the inventor of mass production, aimed to control every aspect of the production process - and he didn’t like unions.
Even when other big companies like GM recognised the union after a bitter sit-down strike in 1937, Henry Ford vowed to close his plant rather than give in - and his security staff beat up union organisers who came near the plant.
It was only in 1941, when the Federal government intervened - and his wife threatened to leave him - that Henry Ford finally recognised the union.
‘Meltdown’
Now, that bitter legacy may come back to haunt Ford as it enters a key round of contract negotiations with the unions, with a deadline of 15 September.
“Ford is going through a meltdown and will ask the union for deep concessions in pay and benefits during contract talks set to begin this summer,” says Sean McAlinden, chief economist for the Center for Automotive Research.
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 Ford workers at River Rouge explain why they won’t give up their benefits without a fight
 In pictures |
Ford, like GM and Chrysler, has been losing market share to Japanese companies such as Toyota in the US market for three decades.
But recently its position has become critical.
Ford lost $12.7bn last year, the largest annual loss in its history, and says it will not be profitable until 2010 - despite cutting 35,000 jobs.
Mark Fields, president of Ford North America, says there is no longer any place to hide. “We face competition in every segment and in every market,” he says.
Legacy costs
Ford and GM are at a crucial compared with Toyota. They are burdened with the extra costs of paying benefits to all of their retired workers, who now far outnumber those still working for the company.
These legacy costs, which include both pension and retirement health care plans, cost the companies billions of dollars a year. Health care costs alone could add an additional $1,700 to the cost of each vehicle they make, Mr McAlinden estimates.
According to labour historian Nelson Licthenstein, when these contracts were first negotiated, UAW president Walter Reuther warned car companies in the 1940s that they were courting trouble by making long-term promises they might not be able to keep, and urged them to support national health insurance instead.
Walter Reuther won the battle for union recognition from GM in 1937
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But in the end Reuther signed the “treaty of Detroit,” in which GM and Ford gave workers health and pension benefits and cost-of-living wage adjustments in return for industrial peace.
Now GM is down to 80,000 US workers, compared with 450,000 25 years ago.
And the companies say they cannot afford to pay the pension and health care costs of their 500,000 retirees.
Cuts in the workforce
When Ford and GM began to get into trouble in the 1980s and 1990s, the union signed away some of its gains in order to keep the companies afloat.
But with US workers having no right to state-financed health benefits until they reach 65, there is resistance from the workers to any more concessions.
Jerry Sullivan, the president of Local 600, reckons that this will be an even tougher sell than in 2003 - when earlier UAW health concessions were accepted by the workforce by a vote of only 51%-49%.
Some rank-and-file activists, like Ron Lare, argue that the UAW actually lost the Ford vote over these concessions, and are pursuing the matter with the union.
Ford built a modern truck plant on the site of River Rouge,
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Mr Sullivan agrees that the workers are tired of “give, give, give” and says “it is no good cutting if you can’t make cars people want”.
But he hopes that the commitment made by Bill Ford to build a new factory on the site of River Rouge - with an on-site museum on Ford’s history - will save his workers.
Company break-up
The financial community is closely watching the union battle with Ford and GM.
Mark Oline, of Fitch Ratings, says that both companies need concessions on legacy costs if they are to survive the next two to three years.
Toyota’s younger workforce costs less in benefits
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His company now rates their corporate bonds as junk bonds, signalling to investors that there is a significant risk that they will default on their borrowings.
“It is going to be a difficult year for the Big Three automakers,” he says. “They have to continue to cut costs, but they also need to invest in models to increase their revenues.”
The continuing battles over these huge, uncosted liabilities to pay health care costs far into the future may be one reason that so far, no private equity firm has tried to break up Ford and GM - although both companies have assets worth 10 times their stock market price.
Union blues
However, some rank-and-file activists are not sure the union - or the workers - have the stomach for a fight.
The UAW is losing members fast, dropping from 1.6 million to 550,000 in the last two decades, and may be forced to merge with another union to survive.
Dean Braid says Flint is now an industrial wasteland
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And many activists, Mr Lare, and Dean Braid, a former Buick worker in Flint who was laid off in 1999, have taken the generous company redundancy buyouts.
Dean, who was active in the rank-and-file movement in the 1980s and 1990s, says that such organisations is not as strong as it used to be - and says that the lack of union democracy has disillusioned workers.
Alienated workers
Sociologist Ruth Milkman is not surprised by the workers’ attitudes.
When she studied the GM plant in Linden, NJ, in the 1980s, she was struck by the worker’s hostility to the company and to their jobs - and by the alacrity with which they accepted company buyouts.
Gary Cowger, GM global for manufacturing and labor, is confident that the company can reach a deal this year.
“We have to get more concessions, but we have been working constructively with the union over the past few years, and have already reached a deal to take $15bn out of our health care costs,” he says.
He is clear, however, that GM will continue to cut jobs in the US while it expands into Asia.
So the UAW, once the most powerful, and most politically progressive union in the US, is now facing a choice of a continuing slow decline into impotence, or a confrontation that could destroy both the union and the companies it bargains with.
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News - Pressure grows against khat trade
Posted on December 22, 2007
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For decades, khat, or miraa as it is popularly known across East Africa, has been the lifeline for farmers in eastern Kenya, but pressure to convince them to abandon the trade is now mounting. The growing numbers of young adults chewing the mild stimulant has become a major concern among anti-drugs campaigners who fear dependency could ruin a generation. Some 30 tonnes of khat are harvested each day by both small- and large-scale khat farmers who cultivate the crop in Meru District. Most of the crop is consumed in Kenya, but some is exported to Somalia and United Kingdom. Somalia Traders say some 3,000kg of khat are flown to Somalia’s capital everyday where its chewing has become the norm at social gatherings across Mogadishu.
Some blame it for Somalia’s misfortunes. During Islamist rule last year it was banned and the streets were the calmest for decades, but there was resistance. Most militiamen have a high dependence on the stimulant and it is argued that it causes them to be irrational and easily provoked. When the Islamist militia seized a consignment worth about $40,000 and set it on fire to mark the beginning of the ban, there was a riot and a curfew had to be imposed to contain the upheaval. But since the Islamists were defeated at the turn of the year, exports of khat from Kenya have resumed and so has its consumption. Kenya Now the pressure to have khat banned is being stepped up in Kenya, where its consumption is on the rise.
A survey done by the government drug watchdog, National Campaign Against Drugs Abuse, shows a big rise in new users on the coast and in the capital, Nairobi. “Reports by our officers show that when a khat ban was enforced in Somalia the local dealers become very aggressive and were off loading the surplus products into the local market,” the watchdog’s national co-ordinator Jennifer Kimani told the BBC. Now her organisation is advising the government to initiate a process where khat farmers are gradually encouraged to switch to other cash crops. Apart from the negative health effects to the user, which include loss of appetite, lack of sleep, , mental health issues and sometimes impotence, khat is also blamed social problems. For instance in khat-growing areas, cases of boys dropping out of school are rampant. “Boys choose to work at khat plantations or sell the stimulant instead of going to school because there they make quick money,” Ms Kimani says. Casual workers at a khat farm can earn up to $20 a shift while small-scale traders in markets across Kenya may earn 10 times that in daily sales. Problems In Mombasa, special restaurants, as seen in Yemen, have been designated as khat joints where groups of adults converge daily to chew the shoots and chat or cut business deals.
But women complain of the long hours their husbands spend in these joints. Imam Arshad Salim Imam says that numerous cases have been brought before religious leaders by women who report that their husbands have abandoned their family responsibilities. “We have women who complain that they do not get their conjugal rights because their husbands remain occupied most of the night chewing khat,” says Imam Salim He further notes that a lot of family income is committed to the habit at the expense of other needs like education, food and health. For this reason, Imam Salim insists that the government should impose a ban on khat just like neighbouring Tanzania where it illegal to sell or consume the stimulant. Defence
But Dr Samuel Murega, a medic and khat farmer in Maua, eastern Kenya, believes calls to ban the stimulant are misguided. Instead of banning the plant, he thinks the government should license and encourage its growth. He also denies negative health claims. “I run an active health clinic here… but I have not treated anybody suffering from ailments caused by its use,” says Dr Murega. “Some people mix khat with other narcotic drugs to get high and they end up in undesirable state. And since they were chewing it openly then the blame goes on the stimulant and not the drugs they have taken which is unfair,” argues Dr Murega. At present the trade is probably too lucrative for an imminent ban, but the remarkable changes in behaviour seen in Mogadishu when khat was banned has given officials plenty of food for thought. What do you think? Should khat be banned? Tell us your experiences using the postform below. The effects of khat chewing are less than those of smoking. Therefore before considering imposing ban on khat chewing, we should ban tobacco smoking first. Secondly, it’s a major cash crop and only income earner in some parts of Kenya. Myself I don’t see any problem in its consumption and I have friends who routinely chew it with no notable side effects. Banning khat overnight is completely unrealistic - the reality is that many people in eastern Ethiopia rely on khat production for financial support, and would suffer if they did not have this means of income. It is true that for the many men, women and children who chew khat, it can be incredibly destructive to their health (an estimated 80% of ‘psychotic’ patients in Ethiopia’s only mental hospital are the result of khat-induced psychosis), as well as their productivity, and the health of their marriages and relationships. But banning the addictive substance will not solve anything - if khat is eradicated, it will happen with the support of the Ethiopian government, (which incidentally takes in millions in khat taxes each year).
The government must condemn khat use and conduct research and spread public health messages about the negative health ramifications of khat, but must support farmers and coffee growers so they do not have to rely on khat to produce a sustainable income, support education so children will have a greater incentive to go to school, rather than sell khat on the street, and support widows who are the sole bread winners of the family, so they do not have to resort to the khat trade to support their families. Only through a comprehensive approach to this region-wide addiction will there be any progress in the growing fight against khat. There is no need of banning khat. Instead, the Kenya government should regulate and market it as a cash crop since it has the potential of earning substantial foreign exchange. In spite of the negative publicity it is receiving here, khat is not even listed in the handbook of recreational drugs. As compared with synthetic and processed hard drugs like cocaine, heroine, LSD and amphetamines, khat is but a mild stimulant. Nacada has always justified its existence by spreading alarmist messages and recommending solutions that are not only impractical, but also out of touch with reality. Maybe we can liken the propensity to chew khat to the huge appetite for beer in the Western world. Which is the better of the two evils? At least khat is not . Temperance, however, would be an essential if not critical element here to consider. Having lived in Ethiopia I enjoyed the ceremony surrounding khat consumption. It was nice for the community to somewhat shut down on Saturday afternoon and sit with friends to enjoy their company. For me it’s good news if it’s true that miraa is about to be banned. It is the major source of social problem in Mombas, Kenya as well in Yemen. I personally saw from my father. He would chew khat the whole night and sleep during the day. And when he woke up every body was his enemy till he got another supply and life went on like that. A huge loss to the family income. Terms & Conditions
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and $80 (41)News - On the hustings
Posted on December 21, 2007
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Mr Leslie said that by challenging the Conservative Party to promise to change the structures of the Assembly if they win the next general election, the DUP’s Peter Robinson was actually the political impotence of local unionist parties.
In making this plea he is acknowledging that, when all is said and done, the only two parties in UK politics which really matter are the Conservatives and Labour - as one of them always controls the government in Westminster.
People in Northern Ireland should stop letting themselves be treated as second class citizens in the UK. We shouldn’t be restricted to NI-only parties because only by electing candidates from mainstream UK parties can we exert some real influence over government.
I, and my fellow Conservatives, have put the case for the removal of the designation system to the Conservative Leadership and they have accepted this in principle.
“Peter Robinson should understand that as part of a UK-wide party, when we issue a manifesto in Northern Ireland it has been agreed with our leadership.
Daithi McKay, Sinn Fein North Antrim candidate
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Mr McKay said that the behaviour of the Electoral Office is discouraging many young people from voting.
The hassle that many young people have had to go through to get on the Electoral Register is nothing short of scandalous and judging from our own party’s canvas it appears that the Electoral Office is responsible for many people losing their vote.
It is quite clear that numerous people, including entire families, have been taken off the Electoral Register unnecessarily or because of examples of poor work.
The Electoral Office must start taking radical measures to ensure that people can register right up until an election and they must become pro-active in seeking to put new voters on the Electoral Register - not bar them from it.
I would urge young people to go out and exercise their right to vote this week, and I would also urge those young people who have lost their vote this time round to fight to secure their right to vote.
Naomi Long, Alliance East Belfast candidate
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Ms Long hit out at those responsible for an attempted robbery in East Belfast on Saturday night.
I am appalled by this incident.
This must have been a very distressing event for the proprietors of the shop.
The fact that a gun of some description was used in this attempted robbery is extremely disturbing.
I would appeal to anyone with information on this attempted robbery to contact police immediately, so that those involved can be brought to justice.
Kenny Donaldson, Ulster Unionist Fermanagh and South Tyrone candidate
Mr Donaldson expressed deep concern at the ‘Young Life and Times’ Survey which found that almost 30% of 16-year-olds within Northern Ireland were bullied at school within a two month period.
I am all too well aware from personal experience that bullying is a serious problem within our schools. What the bullies do not seem to understand is that their actions can have impact upon their victim.
Bullying is a problem throughout our society, whether in schools, the workplace or indeed in civic life and there are obviously multiple forms of bullying; with physical, verbal name-calling and psychological amongst the weapons used by aggressors.
Bullying policies have been found to be effective in combatting the scourge of bullying and I would call upon school boards of governors to give the issue of bullying the attention it deserves.
Bullying within sSchools isn’t confined to pupils: the Irish National Teachers Organisation has claimed there has been a 10-fold increase in the bullying of teachers in recent years and I support their call for a commitment by the Department of Education and employers to give support to teachers.
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