Category: Public Health

Sanity Wins in California

California, in response to a measles outbreak in California, the state legislature passed , and now Governor Jerry Brown has singed into law, what is one of the most aggressive vaccine mandates in the nation:

Adopting one of the most far-reaching vaccination laws in the nation, California on Tuesday barred religious and other personal-belief exemptions for schoolchildren, a move that could affect tens of thousands of students and sets up a potential court battle with opponents of immunization.

California’s weakened public health defenses against measles and other preventable diseases led to the adoption of the measure, signed Tuesday by Gov. Jerry Brown, intended to stem the rising number of parents who opt not to inoculate their children.

Public health officials said a proliferation of waivers, many sought because of unfounded concerns about the safety of vaccines, helped fuel a measles outbreak that started at Disneyland in December and quickly spread across the West, infecting 150 people.

………

California joins Mississippi and West Virginia as the only states to ban vaccination waivers based on religion. All 50 states require immunization of children starting school, although about 20 allow exemptions based on personal beliefs.

Beginning with the 2016 school year, the new law could affect more than 80,000 California students who annually claim personal belief exemptions.

Only medical exceptions will be allowed for those entering day care and kindergarten. Children with physician-certified allergies and immune-system deficiencies, for example, will be exempted.

I will mix my victory toast with the tears of anti-vaxxers.

These anti-science ratf%$#s have a lot of blood on their hands.

We May Be Seeing the Beginning of the First Pandemic Caused by Patents

We are seeing a major Middle East Respiratory Syndrome outbreak in Korea:

Two men have died of Middle East respiratory syndrome in South Korea, officials said Thursday. Theirs were the third and fourth confirmed deaths in what has become the largest outbreak of the virus outside the Middle East.

As fear spread, the government of President Park Geun-hye was accused of not doing enough to contain the outbreak and of endangering the public by withholding information about it.

At a news conference on Thursday, the influential mayor of Seoul, Park Won-soon, castigated the national authorities for not disclosing that a doctor at a Seoul hospital who was quarantined on Sunday with symptoms of the syndrome, known as MERS, had attended a gathering of more than 1,500 people in the southern part of the city only the day before.

More than 1,160 schools and kindergartens in South Korea have been shut down temporarily, and many Koreans are wearing surgical masks in public.

It has a fairly high mortality rate (about 40%, down from earlier estimates of over 50%), largely due to “co-morbitities” (Things like diabetes, heart disease, asthma, COPD, etc.).  The mechanism seems to involve a phenomenon known as HLH, which is one of the cytokine storm syndromes (the immune system going haywire), which causes edema in the lungs, and things like secondary pneumonia.

Historical note:  The lethality of Spanish Influenza was also largely caused this cytokine storm/pneumonia mechanism.  (Got your attention now?)

Note also that the cytokine storm tends to effect young adults more than the rest of the population. (I definitely have your attention now.)

One problem with dealing with what is (at this time) a small problem, is that, using purloined samples, the Erasmus Medical Center in Rotterdam sequenced the virus, and filed a patent on the genome, preventing timely research on things like vaccines and antiviral medications:

In the ongoing investigation of the MERS virus, a team from Erasmus Medical Center in Rotterdam received two patient samples from Dr. Ali Mohamed Zaki, an Egyptian scientist working in Jeddah, Saudi Arabia. After sequencing the MERS DNA, EMC claimed ownership of the samples. EMC now requires scientists hoping to work on the MERS problem to sign legal agreements with Erasmus. The U.S. Centers for Disease Control and Prevention (CDC) is still waiting to receive samples of MERS for testing that were collected in October 2012 because the legal teams from the CDC and Erasmus cannot negotiate agreeable terms for a material transfer agreement. As a result of these legal delays during a disease outbreak, Margaret Chan, director-general of the World Health Organization, publicly criticized Erasmus for putting patent laws ahead of protecting “your people.”

I have covered these issues here.

Labs cannot do research because the Erasmus Medical Center has this tied up in patents, even though it is an discovery, and invention which is what has traditionally been required for patents.

Right now, MERS, a coronavirus,  is not that contagious because, unlike some of its near relatives in that viral family like the common cold, because, unlike the cold, it lurks deep in the lungs, as opposed to the nose and sinuses, so coughing and sneezing out virus is far less likely.

At least, it’s not that contagious right now. 

I don’t know about you, but I’d like to see a vaccine, and perhaps some antiviral drugs, before it develops an affinity for sinus tissue, and starts behaving more like measles.

That cannot happen, because of our current insane patent regime.

And Yes, the TTIP, in All Its Bee Killing Glory, Sucks Too

The US, acting on behalf of Monsanto and its ilk, pressured the EU into revoking its common sense pesticide regulations using the TTIP to coerce regulatory forbearance:

EU moves to regulate hormone-damaging chemicals linked to cancer and male infertility were shelved following pressure from US trade officials over the Transatlantic Trade and Investment Partnership (TTIP) free trade deal, newly released documents show.

Draft EU criteria could have banned 31 pesticides containing endocrine disrupting chemicals (EDCs). But these were dumped amid fears of a trade backlash stoked by an aggressive US lobby push, access to information documents obtained by Pesticides Action Network (PAN) Europe show.

On 26 June 2013, a high-level delegation from the American Chambers of Commerce (AmCham) visited EU trade officials to insist that the bloc drop its planned criteria for identifying EDCs in favour of a new impact study.

Minutes of the meeting show commission officials pleading that “although they want the TTIP to be successful, they would not like to be seen as lowering the EU standards”.

The TTIP is a trade deal being agreed by the EU and US to remove barriers to commerce and promote free trade.

Responding to the EU officials, AmCham representatives “complained about the uselessness of creating categories and thus, lists” of prohibited substances, the minutes show.

The US trade representatives insisted that a risk-based approach be taken to regulation, and “emphasised the need for an impact assessment” instead.

On 2 July 2013, officials from the US Mission to Europe visited the EU to reinforce the message. Later that day, the secretary-general of the commission, Catherine Day, sent a letter to the environment department’s director Karl Falkenberg, telling him to stand down the draft criteria.

“We suggest that as other DGs [directorate-generals] have done, you consider making a joint single impact assessment to cover all the proposals,” Day wrote. “We do not think it is necessary to prepare a commission recommendation on the criteria to identify endocrine disrupting substances.”

The result was that legislation planned for 2014 was kicked back until at least 2016, despite estimated health costs of €150bn per year in Europe from endocrine-related illnesses such as IQ loss, obesity and cryptorchidism – a condition affecting the genitals of baby boys.

A month before the meeting, AmCham had warned the EU of “wide-reaching implications” if the draft criteria were approved. The trade body wanted an EU impact study to set looser thresholds for acceptable exposure to endocrines, based on a substance’s potency.

“We are worried to see that this decision, which is the source of many scientific debates, might be taken on political grounds, without first assessing what its impacts will be on the European market,” the chair of AmCham’s environment committee wrote in a letter to the commission.

These could be “dramatic” the letter said.

In a high-level internal note sent to the health commissioner, Tonio Borg, shortly afterwards, his departmental director-general warned that the EU’s endocrines policy “will have substantial impacts for the economy, agriculture and trade”.

The heavily redacted letter, sent a week before the EU’s plans were scrapped continued: “The US, Canada, and Brazil [have] already voiced concerns on the criteria which might lead to important repercussions on trade.”

The series of events was described as “incredible” by the the Green MEP Bas Eickhout. “These documents offer convincing evidence that TTIP not only presents a danger for the future lowering of European standards, but that this is happening as we speak,” he told the Guardian.

Even without a signed deal, it appears that the two big “Free Trade” deals being negotiated have already been used to subvert consumer and environmental safeguards.

Of course, this is precisely what Obama said wouldn’t happen, but I guess that he’s looking forward, not back.

What the F%$#ing F%$#?

I understand that HIV remains a major public health image, but this is nuts:


The newest battle against HIV/AIDS stigma is being waged in blood and ink.

This month, the small Austrian magazine Vangardist will release a special-edition issue printed entirely in ink that has been infused with HIV-positive blood, in an effort to force readers to confront — and break — taboos that persist around the virus. The magazine, which is marketed toward “progressive” urban young men, plans to release 3,000 print copies of the spring “Heroes of HIV” issue, a theme inspired by the three donors who contributed their blood to the project, as well as people living publicly with HIV.

“We believe that as a lifestyle magazine it is our responsibility to address the issues shaping society today,” Vangardist publisher Julian Wiehl said. “With 80 percent more confirmed cases of HIV being recorded in 2013 than 10 years previously, and an estimated 50 percent of HIV cases being detected late due to lack of testing caused by social stigma associated with the virus [sic]. This felt like a very relevant issue for us to focus on not just editorially but also from a broader communications standpoint.”

As Wiehl explained to the Washington Post, the print edition will be packaged in a sealed wrapper, so the reader must “break the seal to break the stigma.” While it is well-known that HIV can only be transmitted through direct contact with bodily fluids such as blood and semen, and there is no health or safety risk posed by handling the blood-infused ink, Vangardist hopes to make a statement that challenges the public. (The magazine did take extra measures to ensure the ink would be sterile, and autoclaved the donated blood before using it.)

 I have no words.

A Bonza Idea from the Aussies

Parents who are “conscientious objectors” to childhood vaccination will have their childcare and family tax payments stopped from 1 January next year as the federal government attempts to crack down on the anti-vaccination movement.

Prime Minister Tony Abbott announced on Sunday a loophole would be closed to stop payments to parents worth up to $15,000 per child.

“Parents who vaccinate their children should have confidence that they can take their children to childcare without the fear that their children will be at risk of contracting a serious or potentially life-threatening illness because of the conscientious objections of others,” Mr Abbott said.

Although Australia’s overall childhood vaccination rates remain high – about 97 per cent – the numbers of people who are registered conscientious objectors has risen in the past 10 years.

There are now 39,000 children aged under seven who are not vaccinated because their parents are registered, according to the Australian Childhood Immunisation Register.

This is an increase of more than 24,000 children over the past 10 years.

This is a very good idea.

First, having unvaccinated children in childcare facilities is like smoking exploding cigars at an oil refinery.

Second, the science has thoroughly debunked Dr. Andrew Wakefield’s vaccination-autism link.

Third, much of the anti-vaxx movement is about relying on herd immunity from the rest of society, and so they are moochers.

Forth, it puts those with compromised immune systems, who are medically unable to be vaccinated, at risk.

Finally, children should not  be held hostage to their parents’ idiocy:

Writing on The ScentificParent blog, a chagrined Canadian mom announced that she is leaving the anti-vaxx movement after all of her seven children — four of them completely unvaccinated — have come down with whooping cough.

Writing from quarantine, and surrounded by sick kids, Tara Hills wrote she is “emotionally, a bit raw. Mentally a bit taxed. Physically I’m fine,” before admitting that not only are her own kids sick, but they may have exposed her five-month-old niece who is too young to be fully vaccinated.

What began with a cold brought into her home by her brother-in-law, turned into coughing by her kids leading to full-blown whooping cough in all seven children.

“My youngest three children were coughing so hard they would gag or vomit. I’d never seen anything like this before,” she wrote. ” Watching our youngest struggle with this choking cough, bringing up clear, stringy mucus – I had heard of this before somewhere. My mom said I had it when I was a kid. I snapped into ‘something is WRONG’ mode.”

Jumping onto her computer, she discovered her children’s symptoms matched — almost perfectly — all the symptoms of whooping cough in a household that was woefully under-vaccinated.

“We had vaccinated our first three children on an alternative schedule and our youngest four weren’t vaccinated at all. We stopped because we were scared and didn’t know who to trust,” she explained. ” Was the medical community just paid off puppets of a Big Pharma-Government-Media conspiracy? Were these vaccines even necessary in this day and age? Were we unwittingly doing greater harm than help to our beloved children? So much smoke must mean a fire so we defaulted to the ‘do nothing and hope nothing bad happens’ position.”

Hills explained that she had a hard time overcoming her biases and mistrust of “Big Pharma,” asking herself, “Could all the in-house, independent, peer-reviewed clinical trials, research papers and studies across the globe ALL be flawed, corrupt and untrustworthy?”

Now Hills says that years spent “frozen” out of fear of vaccinating her kids has the whole family frozen: confined to their home by a quarantine.

She said she hopes her mea culpa will make other families who have held back from getting their children vaccinated rethink what they are doing.

“Right now my family is living the consequences of misinformation and fear. I understand that families in our community may be mad at us for putting their kids at risk. I want them to know that we tried our best to protect our kids when we were afraid of vaccination and we are doing our best now, for everyone’s sake, by getting them up to date. We can’t take it back … but we can learn from this and help others the same way we have been helped.”

Preach it, sister.

First Measels, and now Mumps, Thanks Jenny

A mumps outbreak in Idaho has spread to Washington state:

An outbreak of mumps that started at an Idaho university and infected 21 people across the state has now spread to neighboring Washington state, health officials said on Monday.

The spread of mumps, a highly contagious virus that leads to painful swelling of the salivary glands, comes as a wider measles outbreak has infected more than 100 people in California and over a dozen more in 19 other U.S. states and Mexico since December.

The mumps outbreak began in September at the University of Idaho campus in Moscow, near the border with Washington state, and later spread to the capital, Boise, the Idaho Department of Health and Welfare said.

Mumps, which leads to painful swelling of the salivary glands, spreads easily from sharing saliva through kissing, shared eating utensils or water bottles, public health officials said.

So far, there have been 21 confirmed and probable cases, including six around Boise, the state’s most populous city, a statement said. Then on Friday, two infections were reported in Washington state, the statement added.

Public health officials were urging students on the Moscow campus and anyone who might have come into close contact with an infected person to ensure their vaccinations are up to date. Mumps and measles can be prevented through a single vaccine, the MMR vaccine that also covers rubella, health officials said.

I would note that mumps can also cause sterility in adults and adolescents, as well as meningitis, pancreatitis,  encephalitis, deafness, and the occasional death.

It’s less lethal than measles, but it’s still dangerous and avoidable.

Let me send a big f%$# you to Jenny McCarthy, Andrew Wakefield, and the fraudsters, liars and stupid people who are endangering the rest of society.

One Can only Hope that California will foll of the Example of ……… Mississippi


H/t Neo at Stellar Parthenon for the Pic

In California, a state with one of the highest rates of unvaccinated children in the nation, multiple schools have been sending non-inoculated children home in the wake of the Measles outbreak:

A California high school barred dozens of non-vaccinated students from school on Wednesday over concern that a classmate may have contracted measles in a rare outbreak of the highly contagious disease that began at a Disneyland resort last month.

The order, which affects 66 students at Palm Desert High School near the resort community of Palm Springs, marks at least the second time a California school has prohibited non-vaccinated students from classes since the outbreak began.

Earlier this month, a school in the Los Angeles suburb of Huntington Beach ordered non-vaccinated children to stay home until this Thursday. And in nearby Arizona, officials in Maricopa County asked non-vaccinated students who were potentially exposed to the disease to stay home.

“We are simply responding, being very careful and making sure we’re taking the best care of students and staff,” said Mary Perry, a spokeswoman for the Desert Sands Unified School District, which overseas Palm Desert High. She said the non-vaccinated students have been ordered to stay home until Feb. 9.

All the while, Mississippi has the best child vaccination rate in the nation:

It’s tough being a child in Mississippi. The state has the nation’s worst rates for infant mortality and low-weight newborns. Its childhood poverty rate ranks as the nation’s second worst. Overall, the residents of Mississippi are the unhealthiest in the country.

But there is one notable exception to these dour health stats: Mississippi has the highest vaccination rate for school-age children. It’s not even close. Last year, 99.7 percent of the state’s kindergartners were fully vaccinated. Just 140 students in Mississippi entered school without all of their required shots.

Compare that with California, epicenter of the ongoing Disney measles outbreak, where last year almost 8 percent of kindergartners — totaling 41,000 children — failed to get the required immunizations against mumps, measles and rubella. In Oregon, that number was 6.8 percent. In Pennsylvania, it was nearly 15 percent, or 22,700 kindergartners. And each of these states has suffered measles outbreaks in the last two years.

“It’s nice not having measles in Mississippi,” said Mary Currier, Mississippi state health officer.

The secret of Mississippi’s success stems from a strong public health program and — most importantly — a strict mandatory vaccination law that lacks the loopholes found in almost every other state.

I am not quite sure just why Mississippi has the best policy in the nation, no exemption except for real medical issues, things like compromised immune systems.

The antivaxxers endanger all the rest of us on the basis of myths promulgated by a doctor who was paid off by lawyers who wanted a ready pool of rubes plaintiffs.

The final word of the day has to come from Nigerian writer and lawyer Elnathan John:

Our thoughts are also with the measles-ravaged country America. I hope we are screening them before they come to Africa.
— Elnathan John (@elnathan) February 1, 2015

So Much for “Safe” Vaping

It turns out that E-Cigs are pumping outs lots of formaldehyde.

So much for safe smokes:

Vapor produced by electronic cigarettes can contain a surprisingly high concentration of formaldehyde — a known carcinogen — researchers reported Wednesday.

The findings, described in a letter published in the New England Journal of Medicine, intensify concern about the safety of electronic cigarettes, which have become increasingly popular.

………

He [David Peyton, one of the researchers] calls it “masked” formaldehyde because it’s in a slightly different form than regular formaldehyde — a form that could increase the likelihood it would get deposited in the lung. And the researchers didn’t just find a little of the toxicant.

“We found this form of formaldehyde at significantly higher concentrations than even regular cigarettes [contain] — between five[fold] and fifteenfold higher concentration of formaldehyde than in cigarettes,” Peyton says.

And formaldehyde is a known carcinogen.

“Long-term exposure is recognized as contributing to lung cancer,” says Peyton. “And so we would like to minimize contact (to the extent one can) especially to delicate tissues like the lungs.”

So, yes, FDA regulations is a good idea, and applying the same smoking bans to E-cigs as for the old fashioned cigarettes is an even better one.

F%$# Me! I Agree With a Fox News Doctor!


He’s right, you know

Fox Doc Marc Siegel has condemned the anti-vaxxer movement over the Measels outbreak in Disney Land:

Fox News medical correspondent Marc Siegel lashed out on Thursday at parents who refused to give their kids vaccines for putting everyone else at risk.

Reports this week said that at least 70 cases of measles had been confirmed at Disney theme parks, with 62 of those cases occurring where the anti-vaccination movement is thriving in Orange Country, California.

During his Thursday appearance on Fox News, Siegel, who is an associate professor of medicine at NYU Langone Medical Center, wasted no time in blaming anti-vaxxers for the outbreak.

“Let me be clear on this, I see no debate whatsoever. Period,” Siegel said. “This is the greatest vaccine that has ever been created in the history of vaccines.”

The doctor pointed out that “measles is the most contagious virus known to man.”

Your mouth to God’s ear, Doctor Siegel.

I cannot believe that I am posting a Fox News clip with approval.

The Fix Was In All Along

Three weeks ago, Vermont Governor, Peter Shumlin, having failed to secure an absolute majority in the election, throwing the results to the state house, announced that he was scrapping his plans for single payer.

While he claimed that politics had nothing to do with it, a subsequent analysis appears to indicate that he deliberately cast the numbers for single payer in the worst possible light:

Gov. Peter Shumlin could have proposed a financing plan for single payer health care that cost $1 billion less than the one he presented to the public Dec. 17.

Instead, demoralized after a stunning near defeat in the General Election, Shumlin scrapped his long awaited, universal, publicly financed health care plan because he said it would shock Vermont’s fragile economy.

………

But critics say now Vermonters won’t know if single payer could have succeeded in 2015, because after Shumlin decided it wasn’t feasible, he found a way to mitigate the inevitable wave of political backlash and appease his main constituencies: liberal advocates, business leaders, providers, and teacher and state employee unions.

Shumlin had said he would present a menu of options to the Vermont Legislature in the two year run up to the announcement, but instead he presented one plan that Vermonters could not afford.

One of the alternative plans proposed by his health care reform team that was not considered in the final analysis was a much less expensive, $1.6 billion option, that would have offered a universal, publicly financed insurance plan with benefit levels on par with what is available to most Vermonters in the commercial insurance market today, according to documents provided by the Shumlin administration.

“I don’t know exactly when he made that decision, but once it was made, there is no question in my mind that Shumlin pivoted to his roots and his instincts, which are purely political,” said Hamilton Davis, a journalist and longtime observer of Vermont health reform.

“He hung everything he could on it and walked away.”

John Franco, a prominent Burlington attorney who has been involved health care reform for two decades, says that Shumlin purposely chose a plan that covered 94 percent of individuals’ health care costs. Proposing an overly expensive option, Franco says, was a political calculation.

If you build an airplane out of lead, it’s not going to fly,” Franco said.

………

But buried on the 260th page of the appendices to his report released just before New Year’s Day, is a financing plan that might have been a reasonable starting point for going forward.

This plan would have offered insurance at a level that is equal to the average employer plan now on the market and would have cost $1 billion less than the Cadillac level plan Shumlin rejected.

It appears that he overstated the costs by about $1 billion, which is over $3000 per resident of the state, over $5000 per worker, and that is not including the fact that he, “The Shumlin administration assumed there would be zero administrative savings to the program in year one.”

Why did this happen?

Perhaps because the legislature is voting on who gets the next term of Governor tomorrow, and some of the business and medical interests in the state cut a deal not to lobby for his opponent?

There is a part of me that is hoping that the legislature elects the Republican, because Shumlin has been a portrait in cowardice.

It’s Good to be a Jew

The Centers for Disease Control and Prevention have found circumcision to be unambiguously medically beneficial:

On Tuesday, the Centers for Disease Control and Prevention released new guidelines regarding the safety and benefits of circumcision. While the CDC won’t actually instruct parents to get their sons snipped (since it is a personal decision that could be influenced by culture and religious beliefs), the report makes it clear that it is a very good idea to do so, and urges teenage boys to elect to have the surgery if they have not already.

“The scientific evidence is clear that the benefits outweigh the risks,” said the CDC’s Dr. Jonathan Mermin. “The first thing it’s important to know is that male circumcision has been associated with a 50 to 60 percent reduction of H.I.V. transmission, as well as a reduction in sexually transmitted infections such as herpes, bacterial vaginosis and the human papilloma virus (H.P.V.), which causes penile and cervical cancer,” he continued.

They also ignore the role that a traditional Brit Milah in preventing alcoholism:  You get your very first taste of wine, then ……… Whack!!!!.

It kinds of puts one off of boozing too much.

Quote of the Day

“I didn’t exchange any bodily fluids with anyone, so I’m not worried about it,” he said. “I’m much more likely to be mistakenly killed by a police officer in this country than to be killed by Ebola, even if you were in the same bridal shop.”

Peter Pattakos, who is suitably unconcerned by the fact that he spent 2 hours in a bridal shop while Ebola Nurse Amber Joy Vinson was there.

This is such a nice counterpoint to the freakout from the numerous politicians.

It Appears that Our Canadian Terrorists Weren’t

Terrorists, I mean.  They were Canadians.

What they were was seriously mentally ill, and rather unsurprisingly, they were attracted to the batsh%$ insane world view of ISIS an their ilk.

The one that shot up the parliament?  He attempted to rob McDonalds with a pointed stick because he wanted to go to jail:

Ottawa shooter Michael Zehaf-Bibeau attempted to confess to a historical armed robbery that the RCMP believed didn’t happen, then attempted an armed robbery at a McDonald’s to go to jail, court recordings provided to CTV News show.

It was all part of a bizarre plan by the man who attacked Parliament Hill to get to jail to atone for his sins and get clean from a crack addiction, the audio recordings show.

“Perfect, perfect,” a Zehaf-Bibeau says with a French accent on the tapes, when he is finally allowed to be incarcerated. “The RCMP are investigating.”

Zehaf-Bibeau visited the Burnaby detachment of the RCMP to claim he had committed an armed robbery in Quebec 10 years ago, but an officer could find no evidence of the crime. Instead, the RCMP arrested Zehaf Bibeau under the B.C.’s Mental Health Act, and released him the next day.

Zehaf-Bibeau then attempted to rob a Vancouver McDonald’s with a pointed stick, the recording reveals.

His grin unnerved the McDonald’s clerk, who asked if the man was serious. Zehaf-Bibeau said, “Yes, hand over the money, homeboy.”

The McDonald’s clerk refused, telling Zihaf-Bibeau that he had already phoned the police.

“Beat it,” the clerk said.

Zehaf-Bibeau walked out of the McDonald’s, and dropped his stick on the pavement to wait for police to arrive.

At a Dec. 19, 2011 bail hearing, Zehaf-Bibeau told the court that he didn’t want to be on the outside.

“I wanted to come to jail,” he said. “The RCMP couldn’t do the work fast enough.”

“I warned them that if you can’t keep me in I will do something right now to put me in.”

And the guy who ran down the soldiers in St-Jean-sur-Richelieu, near Montreal the day before? 

Just as nuts:


The tragic death on Monday of Canadian Forces Warrant Officer Patrice Vincent, run over by a recently “radicalized” 25-year-old from St-Jean-sur-Richelieu, was not an act of terror as much as it was an indictment of our ineffectiveness in dealing with mental illness.

Martin Couture-Rouleau, who up until two years ago was a normal pseudo-Catholic Québécois kid, a recent father struggling to keep his new pressure-washing business afloat, changed seemingly overnight into someone obsessed with the illuminati and conspiracy theories, one friend told La Presse.

It was in that period he converted to Islam and underwent such a significant personality change that it was his own father who reported him to the RCMP as a possible threat. Put on a federal watch list, he was prevented from carrying out his plan to travel to Turkey when he was arrested last summer and had his passport taken away.

His alienation from family and friends became even more pronounced in the past year. “People turned away from him, thinking he was crazy,” a friend told La Presse. His wife had also recently taken steps to gain sole custody of their child because of the changes in Couture-Rouleau’s behaviour.

Sûreté du Québec officers had even met with Couture-Rouleau and his imam just two weeks ago to try to turn him away from the radical thoughts he had been muttering about to friends and on his social networks. Although that’s the kind of talk that can get you put on watch lists, rambling about God and punishment and hell and paradise isn’t a crime, or else our jails would be full of preachers and pundits of every stripe.

No terrorism.  No ties to anyone outside of Canada.

The real concern is not terrorism.  It is how Canada’s mental health system failed, and how it can be fixed.

What Can I Say About Ebola and Fox News that Hasn’t Already been said by America’s most Influential Writer*

I am referring, of course to Edgar Allan Poe.

What I catch about the Fox News coverage of the epidemic (Mostly via The Daily Show and Crooks and Liars) is very similar to that of the main character Poe’s short story, The Masque of the Red Death, Prince Prospero.

The impetus of cowards (Fox News and our Prince) to wall themselves off, and cower behind a facade of bombast is rather illuminating.

Damn, that U Va dropout could write.

It is kind of creepy just how much the Red Death is like Ebola.

I post the story in its entirety, it is in the public domain, after the break:

*Poe can reasonably be credited with creating both the genres of the horror story, and the detective story. The most, the prestigious award for Mystery writing in the United States is called Edgar Allan Poe Awards are named after him for just such a reason.

The Masque of the Red Death

THE “Red Death” had long devastated the country. No pestilence had ever been so fatal, or so hideous. Blood was its Avatar and its seal — the redness and the horror of blood. There were sharp pains, and sudden dizziness, and then profuse bleeding at the pores, with dissolution. The scarlet stains upon the body and especially upon the face of the victim, were the pest ban which shut him out from the aid and from the sympathy of his fellow-men. And the whole seizure, progress and termination of the disease, were the incidents of half an hour.

But the Prince Prospero was happy and dauntless and sagacious. When his dominions were half depopulated, he summoned to his presence a thousand hale and light-hearted friends from among the knights and dames of his court, and with these retired to the deep seclusion of one of his castellated abbeys. This was an extensive and magnificent structure, the creation of the prince’s own eccentric yet august taste. A strong and lofty wall girdled it in. This wall had gates of iron. The courtiers, having entered, brought furnaces and massy hammers and welded the bolts. They resolved to leave means neither of ingress or egress to the sudden impulses of despair or of frenzy from within. The abbey was amply provisioned. With such precautions the courtiers might bid defiance to contagion. The external world could take care of itself. In the meantime it was folly to grieve, or to think. The prince had provided all the appliances of pleasure. There were buffoons, there were improvisatori, there were ballet-dancers, there were musicians, there was Beauty, there was wine. All these and security were within. Without was the “Red Death.”

It was toward the close of the fifth or sixth month of his seclusion, and while the pestilence raged most furiously abroad, that the Prince Prospero entertained his thousand friends at a masked ball of the most unusual magnificence.

It was a voluptuous scene, that masquerade. But first let me tell of the rooms in which it was held. There were seven — an imperial suite. In many palaces, however, such suites form a long and straight vista, while the folding doors slide back nearly to the walls on either hand, so that the view of the whole extent is scarcely impeded. Here the case was very different; as might have been expected from the duke’s love of the bizarre. The apartments were so irregularly disposed that the vision embraced but little more than one at a time. There was a sharp turn at every twenty or thirty yards, and at each turn a novel effect. To the right and left, in the middle of each wall, a tall and narrow Gothic window looked out upon a closed corridor which pursued the windings of the suite. These windows were of stained glass whose color varied in accordance with the prevailing hue of the decorations of the chamber into which it opened. That at the eastern extremity was hung, for example, in blue — and vividly blue were its windows. The second chamber was purple in its ornaments and tapestries, and here the panes were purple. The third was green throughout, and so were the casements. The fourth was furnished and lighted with orange — the fifth with white — the sixth with violet. The seventh apartment was closely shrouded in black velvet tapestries that hung all over the ceiling and down the walls, falling in heavy folds upon a carpet of the same material and hue. But in this chamber only, the color of the windows failed to correspond with the decorations. The panes here were scarlet — a deep blood color. Now in no one of the seven apartments was there any lamp or candelabrum, amid the profusion of golden ornaments that lay scattered to and fro or depended from the roof. There was no light of any kind emanating from lamp or candle within the suite of chambers. But in the corridors that followed the suite, there stood, opposite to each window, a heavy tripod, bearing a brazier of fire that protected its rays through the tinted glass and so glaringly illumined the room. And thus were produced a multitude of gaudy and fantastic appearances. But in the western or black chamber the effect of the fire-light that streamed upon the dark hangings through the blood-tinted panes, was ghastly in the extreme, and produced so wild a look upon the countenances of those who entered, that there were few of the company bold enough to set foot within its precincts at all.

It was in this apartment, also, that there stood against the western wall, a gigantic clock of ebony. Its pendulum swung to and fro with a dull, heavy, monotonous clang; and when the minute-hand made the circuit of the face, and the hour was to be stricken, there came from the brazen lungs of the clock a sound which was clear and loud and deep and exceedingly musical, but of so peculiar a note and emphasis that, at each lapse of an hour, the musicians of the orchestra were constrained to pause, momentarily, in their performance, to hearken to the sound; and thus the waltzers perforce ceased their evolutions; and there was a brief disconcert of the whole gay company; and, while the chimes of the clock yet rang, it was observed that the giddiest grew pale, and the more aged and sedate passed their hands over their brows as if in confused reverie or meditation. But when the echoes had fully ceased, a light laughter at once pervaded the assembly; the musicians looked at each other and smiled as if at their own nervousness and folly, and made whispering vows, each to the other, that the next chiming of the clock should produce in them no similar emotion; and then, after the lapse of sixty minutes, (which embrace three thousand and six hundred seconds of the Time that flies,) there came yet another chiming of the clock, and then were the same disconcert and tremulousness and meditation as before.

But, in spite of these things, it was a gay and magnificent revel. The tastes of the duke were peculiar. He had a fine eye for colors and effects. He disregarded the decora of mere fashion. His plans were bold and fiery, and his conceptions glowed with barbaric lustre. There are some who would have thought him mad. His followers felt that he was not. It was necessary to hear and see and touch him to be sure that he was not.

He had directed, in great part, the moveable embellishments of the seven chambers, upon occasion of this great fete; and it was his own guiding taste which had given character to the masqueraders. Be sure they were grotesque. There were much glare and glitter and piquancy and phantasm — much of what has been since seen in “Hernani.” There were arabesque figures with unsuited limbs and appointments. There were delirious fancies such as the madman fashions. There was much of the beautiful, much of the wanton, much of the bizarre, something of the terrible, and not a little of that which might have excited disgust. To and fro in the seven chambers there stalked, in fact, a multitude of dreams. And these — the dreams — writhed in and about, taking hue from the rooms, and causing the wild music of the orchestra to seem as the echo of their steps. And, anon, there strikes the ebony clock which stands in the hall of the velvet. And then, for a moment, all is still, and all is silent save the voice of the clock. The dreams are stiff-frozen as they stand. But the echoes of the chime die away — they have endured but an instant — and a light, half-subdued laughter floats after them as they depart. And now again the music swells, and the dreams live, and writhe to and fro more merrily than ever, taking hue from the many-tinted windows through which stream the rays from the tripods. But to the chamber which lies most westwardly of the seven, there are now none of the maskers who venture; for the night is waning away; and there flows a ruddier light through the blood-colored panes; and the blackness of the sable drapery appals; and to him whose foot falls upon the sable carpet, there comes from the near clock of ebony a muffled peal more solemnly emphatic than any which reaches their ears who indulge in the more remote gaieties of the other apartments.

But these other apartments were densely crowded, and in them beat feverishly the heart of life. And the revel went whirlingly on, until at length there commenced the sounding of midnight upon the clock. And then the music ceased, as I have told; and the evolutions of the waltzers were quieted; and there was an uneasy cessation of all things as before. But now there were twelve strokes to be sounded by the bell of the clock; and thus it happened, perhaps, that more of thought crept, with more of time, into the meditations of the thoughtful among those who revelled. And thus, too, it happened, perhaps, that before the last echoes of the last chime had utterly sunk into silence, there were many individuals in the crowd who had found leisure to become aware of the presence of a masked figure which had arrested the attention of no single individual before. And the rumor of this new presence having spread itself whisperingly around, there arose at length from the whole company a buzz, or murmur, expressive of disapprobation and surprise — then, finally, of terror, of horror, and of disgust.

In an assembly of phantasms such as I have painted, it may well be supposed that no ordinary appearance could have excited such sensation. In truth the masquerade license of the night was nearly unlimited; but the figure in question had out-Heroded Herod, and gone beyond the bounds of even the prince’s indefinite decorum. There are chords in the hearts of the most reckless which cannot be touched without emotion. Even with the utterly lost, to whom life and death are equally jests, there are matters of which no jest can be made. The whole company, indeed, seemed now deeply to feel that in the costume and bearing of the stranger neither wit nor propriety existed. The figure was tall and gaunt, and shrouded from head to foot in the habiliments of the grave. The mask which concealed the visage was made so nearly to resemble the countenance of a stiffened corpse that the closest scrutiny must have had difficulty in detecting the cheat. And yet all this might have been endured, if not approved, by the mad revellers around. But the mummer had gone so far as to assume the type of the Red Death. His vesture was dabbled in blood — and his broad brow, with all the features of the face, was besprinkled with the scarlet horror.

When the eyes of Prince Prospero fell upon this spectral image (which with a slow and solemn movement, as if more fully to sustain its role, stalked to and fro among the waltzers) he was seen to be convulsed, in the first moment with a strong shudder either of terror or distaste; but, in the next, his brow reddened with rage.

“Who dares?” he demanded hoarsely of the courtiers who stood near him — “who dares insult us with this blasphemous mockery? Seize him and unmask him — that we may know whom we have to hang at sunrise, from the battlements!”

It was in the eastern or blue chamber in which stood the Prince Prospero as he uttered these words. They rang throughout the seven rooms loudly and clearly — for the prince was a bold and robust man, and the music had become hushed at the waving of his hand.

It was in the blue room where stood the prince, with a group of pale courtiers by his side. At first, as he spoke, there was a slight rushing movement of this group in the direction of the intruder, who at the moment was also near at hand, and now, with deliberate and stately step, made closer approach to the speaker. But from a certain nameless awe with which the mad assumptions of the mummer had inspired the whole party, there were found none who put forth hand to seize him; so that, unimpeded, he passed within a yard of the prince’s person; and, while the vast assembly, as if with one impulse, shrank from the centres of the rooms to the walls, he made his way uninterruptedly, but with the same solemn and measured step which had distinguished him from the first, through the blue chamber to the purple — through the purple to the green — through the green to the orange — through this again to the white — and even thence to the violet, ere a decided movement had been made to arrest him. It was then, however, that the Prince Prospero, maddening with rage and the shame of his own momentary cowardice, rushed hurriedly through the six chambers, while none followed him on account of a deadly terror that had seized upon all. He bore aloft a drawn dagger, and had approached, in rapid impetuosity, to within three or four feet of the retreating figure, when the latter, having attained the extremity of the velvet apartment, turned suddenly and confronted his pursuer. There was a sharp cry — and the dagger dropped gleaming upon the sable carpet, upon which, instantly afterwards, fell prostrate in death the Prince Prospero. Then, summoning the wild courage of despair, a throng of the revellers at once threw themselves into the black apartment, and, seizing the mummer, whose tall figure stood erect and motionless within the shadow of the ebony clock, gasped in unutterable horror at finding the grave-cerements and corpse-like mask which they handled with so violent a rudeness, untenanted by any tangible form.

And now was acknowledged the presence of the Red Death. He had come like a thief in the night. And one by one dropped the revellers in the blood-bedewed halls of their revel, and died each in the despairing posture of his fall. And the life of the ebony clock went out with that of the last of the gay. And the flames of the tripods expired. And Darkness and Decay and the Red Death held illimitable dominion over all.

Huh, It Wasn’t the Polio Vaccine

One of the theories about the origin of HIV/AIDS, related to my by my younger brother, Daniel, well over a decade ago, was that its origins began with an early variant of the Polio vaccine, the Salk vaccine, which grown in monkey kidney cultures, provided an avenue for SIV (Simian Immunodeficiency Virus) to become HIV (Immunodeficiency Virus).

Well, if the result of a recent DNA sequencing is accurate, the jump to humans occurred well before the first tests of any of the Polio vaccines:

The deadly virus responsible for the global HIV/AIDS pandemic emerged around 1920 in the city of Kinshasa, the capital of the Democratic Republic of the Congo, according to new research that has relevance to the effort to understand how another deadly virus, Ebola, reestablished itself in West Africa.

The study, published in the journal Science, reveals that the HIV virus was already established and spreading in Africa long before the U.S. Centers for Disease Control and Prevention first took note of it. The CDC’s first record of the illness occurred on June 5, 1981, when an unusual type of “pneumonia” was detected in five homosexual men from Los Angeles.

No one then knew that the deadly strain of the virus, which has since killed an estimated 39 million people, had already taken hold in the Congo some 60 years earlier.

“It seems a combination of factors in Kinshasa in the early 20th century created a ‘perfect storm’ for the emergence of HIV, leading to a generalized epidemic with unstoppable momentum that unrolled across sub-Saharan Africa,” co-author Oliver Pybus, an Oxford University zoologist, said.

Lead author Nuno Faria, also from Oxford University’s Department of Zoology, explained that “by the end of the 1940’s, over one million people were traveling through Kinshasa on the railways each year.” At the time, what is now the Democratic Republic of the Congo was under Belgian colonial rule and experiencing steady urban growth.

Faria and his team examined the genetics of 348 “HIV-1 group M” samples from the former Belgian Congo, and 466 additional samples from nearby regions. This particular viral strain, “M,” has proven to be the deadliest in humans, but virologist Beatrice Hahn of the University of Pennsylvania explained to Discovery News that it represents just one of several different instances where the illness jumped from a non-human primate to people — likely by the consumption or handling of bushmeat.

That’s about 30 years before the Polio vaccine tests.

BTW, I would also note that while AIDS attracted the attention of medical authorities in the early 1980s, the earliest case in the US, though the doctors at the time did not know it, was the death of a teen in St. Louis in 1969.

Soldiers, Is That Our Answer to Everything?

Obama is sending 3000 soldiers to Africa to deal with the Ebola outbreak in Africa.

Am I the only one who thinks that it might be a better idea to send doctors, nurses, lab technicians, and construction workers?

The Obama administration is ramping up its response to west Africa’s Ebola crisis, preparing to assign 3,000 US military personnel to the afflicted region to supply medical and logistical support to overwhelmed local healthcare systems and to boost the number of beds needed to isolate and treat victims of the epidemic.

Seriously? We need to send in the military to deal with an epidemic?

I am coming to believe that no one in Washington believes that any agency but the Pentagon can do anything, ever!

Israel Chooses the Stupid

I’m not talking about the Gaza campaign, I’m talking about the Health Ministry banning Fluoridation in drinking water:

Contrary to the advice of public health and dentistry experts in her own ministry and academia, Health Minister Yael German has decided to prohibit the fluoridation of drinking water around the country.

She also issued her decision Sunday in contravention of a letter written exactly two years ago by Prime Minister (and then-official health minister) Binyamin Netanyahu, who told Knesset Interior Committee chairman MK Amnon Cohen that he [Netanyahu] “could not agree to the cessation of fluoridation” of potable water. Netanyahu continued that municipalities had requested to continue their fluoridation of water and that they should be allowed to do so.

The Health Ministry introduced mandatory water fluoridation in 1970 in cities, towns and settlements with over 5,000 residents, and indeed, 70 percent of Israelis have received fluoridated water delivered to their taps. But German opposed it as Meretz-Party mayor of Herzliya and stopped it in her city. Just weeks after entering office as health minister, she declared that she would stop fluoridation and, encountering fierce criticism from critics in leading Israeli schools of public health and dentistry and from her own ministry experts, she wavered and suggested as late as June that fluoridation could be an option instead of being outlawed.

German’s spokesmen said that only Ireland and Israel require fluoridation of drinking water, but her critics responded that everywhere else is it an option open to all local authorities except where barred completely only in Holland, Sweden and the Czech Republic.

You know, the Purity of Essence folks really get on my years.

H/t Crooks & Liars.

Dear Morning Edition, the Problem is Not the Taliban it is the CIA

Over at NPR, they had a story about how hostility to vaccination efforts in Pakistan is hobbling the Polio eradication program.

The problem is that they finger the Pakistani Taliban as the source of the problem, while soft pedaling the fact that the whole country of Pakistan has been made hostile by the CIA’s use of vaccinations in the operation to hund down Osama bin Laden:

The edict by the Islamic militants to ban immunization was in response to the CIA’s setting up a fake hepatitis vaccination campaign in Pakistan. The covert operation was part of an attempt by the U.S. spy agency to verify whether Osama bin Laden was holed up in the city of Abbottabad.
A polio vaccination booth in Rawalpindi.

The polio problem in Pakistan right now is a result of the CIA’s actions in the country, says , a prominent and moderate cleric in Pakistan. He personally accepts the polio vaccine. He encourages people at his mosque to get their kids vaccinated.

“But there are certain areas in Pakistan where the people resist [the polio vaccine] because the CIA used the polio campaign for intelligence purposes,” he says.

Like many Pakistanis, Ur Rehman erroneously says the CIA operation against bin Laden used a polio campaign for cover, even though it actually used a fake hepatitis B campaign. “The one who can use hepatitis for intelligence,” he says, “they can use polio for intelligence.”

When (and I do mean when) Polio returns to the United States, and kids end up in iron lungs, it will be largely because of this operation.

Yet another reason why the US state security apparatus needs adult supervision.

The Answer is Price Controls, Not Generics

The New York Times has a story showing how consolidation in the generic drug market led to skyrocketing prices:

The first sign of trouble came when Dr. Barry Lindenberg, a cardiologist, received a three-page insurance form in January, demanding he get preapproval to prescribe one of the oldest known heart medicines.

His patient had been on the drug, digoxin, for many years. A mainstay of treating older patients with rapid rhythm disturbances, it was first described in the medical literature in 1785. Millions of Americans still use it every day, and many had long paid just pennies a pill.

“I wrote on the form: ‘ARE YOU KIDDING ME?’ ” said Dr. Lindenberg, who practices in Schenectady, N.Y.

What the cardiologist did not know then was that the price of generic digoxin was rapidly rising. The three companies selling the drug in the United States had increased the price they charge pharmacies, at least nearly doubling it since late last year, according to EvaluatePharma, a London-based consulting firm.

………

Large price increases in the United States for vital medicines for the young, such as vaccines, have been mirrored by similar rises in some of the most basic treatments for older patients, like digoxin. Though there are many newer types of drugs to treat heart disease, for some patients there are no effective substitutes; digoxin is on the World Health Organization’s list of essential medicines.

………

But increasingly, experts say, the costs of some generic drugs are going the other way. The prices paid by pharmacies for some generic versions of Fiorinal with codeine (for migraines) and Synthroid (a thyroid medicine) as well as the generic steroid prednisolone have all more than doubled since last year, EvaluatePharma found. In January, the National Community Pharmacists Association called for a congressional hearing on generic drug prices, complaining that those for many essential medicines grew as much as “600, 1,000 percent or more” in recent years. The price jumps especially affected smaller pharmacies, which do not have the clout of big chains to bargain for discounts.

Digoxin provides a telling case study. There was no drug shortage, according to the Food and Drug Administration, that might explain the increase. There was no new patent or new formulation. Digoxin is not hard to make. What had changed most were the financial rewards of selling an ancient, lifesaving drug and company strategies intended to reap the benefits.

Though generic medicines are far cheaper to bring to market than brand-name drugs because they involve little research and development, they also are priced lower because generics typically face intense competition. But Dr. Aaron Kesselheim, a professor of health economics at the Harvard School of Public Health, noted, “Studies show it is not until you have four or five generics in the market that the prices really are down.”

By late 2013, a number of generic manufacturers had largely stopped producing and distributing digoxin, then a cheap medicine whose use had declined, leaving only two companies dominant in the market. Both businesses — the Lannett Company and Global Pharmaceuticals, a division of Impax Laboratories — are small companies whose bottom line can rise and fall on the sales of a single drug.

It’s very simple.

The drug companies, or for that matter most companies, competition is not a good, but it is cross that they have to bear.

If you have 5 products, and one has a highly competitive market, you are inclined to leave the market and move to more lucrative one.  It’s Econ 101.

It also f%$#s the rest of us.

We need a dose of government interference in this market.

Our Broken Healthcare System: Vaccine Edition

Not it appears that vaccine prices are the latest case of looting by corporate medicine:

There is little that Dr. Lindsay Irvin has not done for the children’s vaccines in her office refrigerator: She remortgaged her home to afford their rising prices. She packed them in ice chests and moved them when her office flooded this year. She pays a company to monitor the fridge in case the temperature rises.

“The security company can call me any time of the day or night so I can go save my vaccines,” said Dr. Irvin, a pediatrician. Those in the refrigerator recently cost $70,000, she said — “more than I paid for four years of medical school.”

Vaccination prices have gone from single digits to sometimes triple digits in the last two decades, creating dilemmas for doctors and their patients as well as straining public health budgets. Here in San Antonio and elsewhere, some doctors have stopped offering immunizations because they say they cannot afford to buy these potentially lifesaving preventive treatments that insurers often reimburse poorly, sometimes even at a loss.

Childhood immunizations are so vital to public health that the Affordable Care Act mandates their coverage at no out-of-pocket cost and they are generally required for school entry. Once a loss leader for manufacturers, because they are often more expensive to produce than conventional drugs, vaccines now can be very profitable.

Old vaccines have been reformulated with higher costs. New ones have entered the market at once-unthinkable prices. Together, since 1986, they have pushed up the average cost to fully vaccinate a child with private insurance to the age of 18 to $2,192 from $100, according to data from the Centers for Disease Control and Prevention. Even with deep discounts, the costs for the federal government, which buys half of all vaccines for the nation’s children, have increased 15-fold during that period. The most expensive shot for young children in Dr. Irvin’s refrigerator is Prevnar 13, which prevents diseases caused by pneumococcal bacteria, from ear infections to pneumonia.

And Prevnar started expensive, and the cost has gone up from there, and it had to nothing to do with the cost of the product:

The value of that “school mandate” is also apparent in the pricing. When Singapore’s national vaccine advisory group evaluated Prevnar 7 for mandated use, its price was about $80, said Karen Tyo, a researcher from Brandeis University, who was advising the government. After the government included it in the required national schedule, “the price jumped immediately” to about $120, she said. “Nothing had changed,” she noted. “It didn’t make any sense.”

………

The Swiss Agency for Therapeutic Products pays $101, a price that has not changed over time. In Britain, the small private health care market sells prefilled syringes of Prevnar 13 for an average of $82 at pharmacies; the National Health Service pays even less, experts say. Prefilled syringes cost an average of $136 in the United States, and even the C.D.C. — which buys vaccines for the Medicaid program at a discount — pays $112.84.

If the US government grants a monopoly in the form of patents, perhaps compulsory licensing, something allowed for in all of international IP agreements.

It might be a good for the US government to take advantage of this.

Simply paying for price gouging is not working.