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4 Mart 2014 Salı

UN: cannabis law modifications pose "very grave danger to public health"

A cannabis smoker in Uruguay

A cannabis smoker in Uruguay, where cultivation, sale and consumption, inside of permitted limits, is legal. Photograph: Nicolas Celaya/Xinhua Press/Corbis




The UN has launched a counter-offensive against moves to liberalise drug laws close to the globe, warning that cannabis legalisation poses a grave danger to public health.


The UN body for enforcing international drug treaties, the Global Narcotics Control Board (INCB), voiced concern over “misguided initiatives” on cannabis legalisation in Uruguay and the US states of Colorado and Washington that fail to comply with international drug conventions.


The INCB annual report published on Tuesday claims that the introduction of a extensively commercialised “health-related” cannabis programme in Colorado has led to increases in automobile accidents involving “drug drivers”, cannabis-relevant remedy admissions, and optimistic drug exams for cannabis.


“Drug-traffickers will pick the path of least resistance, so it is crucial that worldwide efforts to tackle the drug problem are unified,” mentioned Raymond Yans, INCB president.


“When governments consider their potential policies on this, the main consideration ought to be the prolonged-phrase overall health and welfare of the population.”


He mentioned the UN was concerned about some initiatives aimed at the legalisation of the non-medical and non-scientific use of cannabis that posed “a extremely grave danger to public health and wellbeing” – the quite items international drug conventions had been developed to safeguard.


The UN’s warning follows the vote by Uruguay’s parliament in December to approve a bill to legalise and regulate the sale and manufacturing of marijuana.


The sale of cannabis by licensed suppliers to adults aged more than 21 became legal in Colorado in January, and is due to comply with this summer season in Washington state. This is in spite of it remaining illegal underneath US federal law to cultivate, sell or possess cannabis.


Uruguay’s president, José Mujica, has stated his country’s initiative was an try to undermine the black industry, and find an alternative to the “war on drugs”, which he says has created far more troubles than it solves.


But the INCB report argues against such “alternative drug regimes”, claiming legalisation would not collapse “underground markets”, but rather would lead to much better use of this kind of drugs and larger ranges of addiction.


Pointing to the history of alcohol and tobacco markets, the report says that regardless of legalisation there is still a thriving black marketplace for cigarettes in several countries. It says up to twenty% of Britain’s domestic cigarette industry consists of smuggled cigarettes, whilst they represent 33% of all domestic cigarette consumption in Canada.


Alcohol, despite getting legal, is also responsible for far a lot more arrests than unlawful drugs. In the US there had been 2m alcohol-associated arrests in 2012 in contrast with 1.6m connected to illegal medicines.


“One explanation for these higher alcohol-connected charges is that in numerous countries alcohol abuse is far more prevalent than the abuse of substances below international handle,” the report says.


The UN remains most concerned about the scale of illicit opium poppy cultivation in Afghanistan, which set information in 2013 reaching 209,000 hectares, a 36% increase compared with 154,000 hectares in 2012.


“The nation stays the centre of the illicit manufacture of heroin and its significance as a source of cannabis resin for the planet markets is developing. The situation significantly endangers the aims of the global drug manage treaties,” the INCB report says.


It repeats its warnings on legal highs or new psychoactive substances as they are officially recognized, and says unprecedented numbers and types of these synthetic chemical substances are getting offered in the establishing globe as nicely as Europe.


The UN medication report also highlights the significance of widespread prescription drug abuse in the US and says that “takeback” days selling their secure disposal are not adequate to tackle this expanding trend.




UN: cannabis law modifications pose "very grave danger to public health"

13 Şubat 2014 Perşembe

Study: Feasible Tie Between Massive Climate Modifications And Stroke Risk

Considerable modifications in temperature, higher than regular moisture in the air, and decrease temperatures could be tied to a rise in stroke hospitalizations and deaths, Yale researchers say.


Judith H. Lichtman, Associate Professor of Epidemiology at the Yale College of Public Health, presented the study results yesterday at the Worldwide Stroke Conference held by the American Stroke Association.


Lichtman and her colleagues analyzed the healthcare data of 134,500 people who had strokes among 2009 and 2011 employing Medicare, Medicaid, and private insurance coverage data from hospitals all above the U.S. They then cross-referenced the health care information with weather information at the county level for the exact same time period. What they discovered:



  1. Bigger every day temperature alterations and larger humidity – as indicated by dew stage – were related with an enhance in stroke hospitalizations, but not with an increased death threat.

  2. Reduce typical annual temperatures were linked the two with a lot more stroke hospitalizations and with greater stroke death charges.

  3. With each and every average  temperature improve of one degree Fahrenheit, the likelihood of becoming hospitalized for stroke dropped by .86 percent and the likelihood of dying from stroke dropped by one.one %.


The blizzards of February 2014 - could dramatic weather changes be tied to stroke risk? (photo: google)

The blizzards of February 2014 – could dramatic climate alterations be tied to stroke danger? (photo: Google weather)



The stroke sufferers studied have been 18 or older and had ischemic strokes, which are induced by blood clots that reduce off blood flow to the brain.


“This is a really timely and intriguing paper provided the varieties of changes in temperature that we’re seeing,” commented American Stroke Association representative and epidemiologist Daniel Lackland, incorporating that the analysis is “very, very preliminary.”


“They have some extremely, quite good numbers – this was a national survey that went over the United States and there appeared to be a constant pattern that individuals places that had large alterations in temperature seemed to be associated with larger stroke hospitalization.”


Preceding study has shown that reduce temperatures are connected with better hospitalizations for angina, said Lackland, who is Professor and Director of Graduate Instruction at the Health-related University of South Carolina.


“Is the connection worthy of even more investigation? Certainly,” mentioned Lackland, who said far more study is required to confirm the findings and determine a cause-and-result mechanism.


According to Lichtman, “This research suggests that meteorological variables such as every day fluctuations in temperature and enhanced humidity may be stressors that improve stroke risk. People at chance for stroke could want to steer clear of being exposed to substantial temperature alterations and substantial dew point and, as constantly, be ready to act swiftly if they or a person they know experiences stroke indications and signs.”


People indicators of stroke to observe for are:



  • Drooping face

  • Arm weakness

  • Speech difficulty

  • Serious headache

  • Sudden numbness in legs, arms, encounter

  • Sudden confusion

  • Issues comprehending speech

  • Difficulty seeing out of a single eye


Just as crucial a get-away, says the American Heart Association, is to lessen your threat factors for stroke by:



  • Controling your blood strain

  • Lowering your cholesterol

  • Controlling diabetes

  • Shedding fat

  • Exercising often

  • Not smoking


Lastly, you can check out out the stroke risk of your state on Weather.com’s state-by-state stroke chance slideshow.


For far more wellness news, follow me here on Forbes.com, on Twitter, @MelanieHaiken, and subscribe to my posts on Facebook.



Study: Feasible Tie Between Massive Climate Modifications And Stroke Risk

20 Ocak 2014 Pazartesi

Why you must be angry about modifications to NHS patient information policy | Alice Bell

A medical records department

‘People might believe in the NHS with their data now, but have been frightened about what may take place in the long term.’ Photograph: Phil Mccarten/Reuters




If you reside in England, a leaflet entitled “Far better Data Indicates Greater Care” must land on your doormat some time this month.


It truly is from the NHS and announces changes to the way that overall health officials will manage confidential health care data. Overall health policy nerds may also know it as “care.information”.


From the spring, health-related info about you that was previously only kept to help understand you as an personal – information from consultations, notes on prescriptions – will be uploaded to a central database to grow to be one particular of the world’s most complete overall health databases. Our records are getting linked to make them stronger.


This is, in numerous ways, amazing. Many medical researchers are thrilled at the prospect of all this information (eg function on superbugs like MRSA). And they ought to be. Evaluation of NHS patient information 1st unveiled the dangers of thalidomide and aided track the affect of the smoking ban. There is so much more it can do underneath care.data. This new era of socialised huge NHS information could be quite effective indeed. I like the notion that my healthcare therapy will, in the future, be a lot more robustly based on this kind of a big evidence base. I like offering components of myself to society since I get way more back out of it in return.


But there are reasons to be sceptical. Here are three.


Firstly, this expertise isn’t going to just have a social very good, or several personal health ones. It has financial value as well. Without a doubt, a cynic may possibly argue that the explanation the government is pressing this policy through now is exactly due to the fact such data will supply fiscal positive aspects, and that any to wellbeing are merely pleasant side-effects. (The very same cynic may well argue that there are parallels with the government policy on open access. I would have some sympathy with that cynic.) It is about boosting the United kingdom existence sciences sector, not patient care. This is science policy – in which science lies underneath the auspices of the Division for Enterprise, Innovation and Skills – not just health policy.


I suggest, why are we socialising well being information at a time when we are also breaking up the core of a socialised healthcare program? Isn’t that a bit weird?


As the Guardian science correspondent Ian Sample place it, the task “redefines what it means to be an NHS patient”. But is it redefining us because it asks us to give some of our info, or simply because it is turning nevertheless one more part of us into a monetary asset? This is an invitation to have a new social contract with respects to our health, one particular that is very distinct from the sort of social contract we were offered with the emergence of the NHS.


Secondly, it is worth asking no matter whether we are comfy giving this kind of individual info out to a collective pot, because it is different from paying out taxes. Privacy organisations are understandably concerned.


The Wellcome Believe in undertook some intriguing public attitudes investigation on the topic last year. In some respects, the outcomes are not surprising in that it suggests their considerations above sharing overall health information comes down to questions of trust in institutions. What was striking, however, was that the men and women the researchers talked to felt their trust in main institutions was especially reduced: with the banking crisis, MPs’ expenditures, mobile phone hacking, police spies and so on. The researchers discovered considerable fear of being a victim of fraud, with a good deal of cynicism in direction of the government, companies and press. The analysis was conducted ahead of the NSA scandal broke, which in some methods dates it, but also implies the outcomes aren’t tainted by the dominance of that story.


Despite the fact that a couple of anecdotal data breaches inside the NHS had been mentioned, faith in the NHS itself seemed reasonably robust. Even so, there was some uncertainty and concern expressed about the future ownership of well being providers. Individuals may believe in the NHS with their information now, but had been scared about what may possibly happen in the long term. There had been issues that, as far more of the NHS is sold off, personal wellness information may get into the “incorrect hands” outdoors the NHS, and must be heavily protected from employers, advertisers, insurance providers and even drug producers. Worries were also expressed that with far more funding cuts, the NHS may lower corners, or be a lot more probably to use data against individuals to withhold treatment method (eg you as soon as smoked, we won’t ever give you cancer treatment).


Most interesting perhaps were the variations among the people interviewed, specially class. Basically, the poorer research subjects felt much less effective when it came to dealing with any difficulties that may arise arguing their case on identity theft, for illustration, or fighting unfair use of information by employers. Simply because that’s what transpires when you minimize and sell off social programs like the NHS or legal aid. Society stops working as properly as it did. And then you can reap the different benefits of that society be they financial or some thing far more ambitious.


Thirdly, we should be asking why this policy is getting pushed by way of with so small debate. As the leaflet and internet site say, you have the decision to opt out. It is there in daring in the cover. But go searching for how to opt out, and it really is more difficult to find. You have to contact your local doctor. It really is not simple. The government is aware of most will not bother. It really is also really worth noting that the Wellcome research identified several gaps in public comprehending of the issue. It might well be a great idea, but if we’re not ready for it, is it genuinely honest to implement it?


As a powerful editorial in Nature last week place it, this entire method is a public-relations exercise that is far too reassuring. It glosses over data protection “overly reassuring the population that its personal information are safe is an invitation to public disillusionment in the technique down the street” in approaches that may easily backfire. It would, I believe, be awful if we lost public trust in the notion of NHS data sharing since we end up shedding believe in in the way this certain policy has been built and the institutional context close to it (actually, have they learned practically nothing from BSE, GM et al?).


Need to you go by means of the bother to opt out? It really is up to you. I suspect the time would be much better spent fighting other “reforms” to the NHS, as properly as individuals to training and legal assist. But there are huge motives to be angry about this policy, and I consider it says a lot about the government’s method to science, healthcare and the wellbeing of the folks.




Why you must be angry about modifications to NHS patient information policy | Alice Bell