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CMA Commends Dept. Of Insurance Regulations That Will Protect Patients From Losing Their Health Insurance, California
The California Medical Association today praised the state Department of Insurance (DOI) for conducting a public hearing this week on its proposed regulations to prevent private insurers from unjustly canceling health coverage for patients after they get sick and file an expensive claim. The DOI released the proposed regulations last month.
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Alzheimer, Headache & Co.: Detecting Neurological Illnesses Better And Earlier
The rapid development of modern neuroimaging has made a decisive improvement in the diagnosis of neurological illnesses. As Professor Filippi notes: "Neuroimaging makes new diagnostic tools available with the potential to quantify the extent of CNS injury, to define the nature of the different pathological substrates of the various CNS affections and to assess the functional changes following tissue damage with the ability to limit the clinical consequences of injury."
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Breast MRI Detects Additional "Unsuspected" Cancers Not Seen On Mammography Or Ultrasound
Nearly 20% of patients with recently diagnosed breast cancer had additional malignant tumors found only by MRI, according to a study performed at Dartmouth Hitchcock Medical Center.
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Eastern Equine Encephalitis Again Detected In Baldwin County, USA

The Baldwin County Health Department announced that a sentinel chicken from the Lillian area has tested positive for Eastern Equine Encephalitis, or EEE. In June, EEE was detected in a sentinel chicken in the Orange Beach area. Ongoing public health surveillance has detected no mosquito-borne virus activity in humans in Baldwin County this year. "With summer in full swing and many people enjoying outdoor activities, it is imperative that residents take every effort to reduce their exposure to mosquitoes," said Baldwin County Health Department Environmentalist Rachel Beck. "Keep your mosquito repellent with you at all times when you are working or recreating outdoors." EEE, West Nile virus and other mosquito-borne viruses are transmitted from bird to mosquito to bird. Occasionally, when bird hosts are scarce, the same mosquitoes will take blood from mammals, including humans and horses. Humans and horses can sometimes become ill from the infection. The likelihood of transmission to humans and horses can be decreased by personal mosquito avoidance and the use of EEE and WNV vaccine in horses. There is no vaccine available for humans, health officials said. Baldwin County Health Department established a mosquito control program in 2003 that includes surveillance activities such as mosquito trapping and testing and sentinel chicken surveillance. These activities are conducted to monitor for mosquito-borne diseases and track mosquito populations. Serum samples taken each week from the 16 sentinel chicken flocks are tested for the presence of EEE, WNV and St. Louis Encephalitis. In addition to surveillance activities, the department also works to eliminate mosquito breeding sites and conducts larvicide and adulticide applications. Larvicide is also available free to the public for application in low-lying areas that retain water and in ornamental ponds. "It is reasonable to assume that mosquito-borne viruses are likely circulating between mosquitoes and birds in all parts of Baldwin County," Beck said. "Everyone should try to avoid exposure to mosquitoes." Mosquitoes that can spread these viruses among birds are commonly found in urban and suburban communities as well as rural, freshwater swamp areas. They will breed readily in storm sewers, ditches, waste lagoons and in artificial containers around one"s home. Health officials said it is imperative that homeowners make a careful inspection around their homes to be sure nothing holds water for longer than three days. Mosquito-borne virus surveillance has been conducted statewide for the past five years. During that time, EEE, WNV, St. Louis Encephalitis virus, and La Crosse Encephalitis virus have been detected. Epidemiologists point out that EEE can be more dangerous to people and other mammals than other mosquito-borne viruses, but that the same mosquito prevention measures reduce exposures to both. The health department will continue to notify local officials of test results and recommend methods of prevention. Since mosquitoes are commonly found throughout much of Alabama, health officials offer practical strategies for the mosquito season: Personal Protection; Clothing And Aromatics Wear loose-fitting, light-colored clothes to help prevent mosquitoes from reaching the skin and to retain less heat, making yourself less "attractive" to mosquitoes. Mosquitoes are more attracted to dark colors. When possible, wear long sleeves and long pants. Avoid perfumes, colognes, fragrant hair sprays, lotions and soaps, which attract mosquitoes. Personal Protection; Repellents Follow the label instructions when applying repellents. Permethrin repellents are only for clothes - not for application on the skin. When using repellents avoid contact with the eyes, lips and nasal membranes. Use concentrations of less than 10 percent when applying DEET-containing products on children Apply DEET repellent on arms, legs and other exposed areas but never under clothing. After returning indoors, wash treated skin with soap and water. Citronella candles and repellents containing citronella can help, but their range is limited. Herbals such as cedar, geranium, pennyroyal, lavender, cinnamon and garlic are not very effective. Personal Protection; Around The Home Mosquito activity peaks at dusk and again at dawn; restrict outdoor activity during these hours. Keep windows and door screens in good condition. Replace porch lights with yellow light bulbs that will attract fewer insects. Mosquitoes breed in standing water; empty all water from old tires, cans, jars, buckets, drums, plastic wading pools, toys and other containers. Clean clogged gutters. Remove the rim from potted plants and replace water in plant/flower vases weekly. Replenish pet watering dishes daily and rinse bird baths twice weekly. Fill tree holes and depressions left by fallen trees with dirt or sand. Stock ornamental ponds with mosquito fish (fish which eat mosquitoes in their larval and pupal stages) or use larvicidal "doughnuts" which gradually kill mosquitoes. Alabama Department of Public Health


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