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Rising Lifestyle Illnesses And Potential Swine Flu Catastrophe For Indigenous Populations

The first of two reviews in this week"s edition of The Lancet discusses the standards of health and lifestyles of Indigenous people. It is the work of Professor Michael Gracey, of the Unity of First People of Australia, Perth, WA, Australia, and Professor Malcolm King, of the University of Alberta, Edmonton, Canada. There are almost 400 million Indigenous people in the world with low standards of health that are usually linked to malnutrition, poverty, environmental contamination, and prevalent infections. However, as those people shift to more modern or "western" lifestyles, conditions such as obesity, cardiovascular diseases, and type 2 diabetes have been on the rise. Physical, social and mental disorders related to misuse of alcohol and other drugs are also increasing. Indigenous people must be encouraged and given the means to take responsibility for issues that affect their health. In this review, the authors discuss indigenous people worldwide but focus on Aboriginal Australians.
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Washington, D.C., Officials Expand STI Testing Program To All Public High Schools

Washington, D.C., officials are planning to make testing for sexually transmitted infections available at all public high schools in the coming school year, adding D.C. to a growing list of cities that test students for STIs, the Washington Post reports. All 50 states and the district allow minors older than age 12 to be tested for STIs without parental consent.The new program requires all students to attend a lecture about STIs, after which they are escorted into restroom areas in groups of 15 to 20. They are then given paper bags with urine collection cups and go into the stalls, at which point they can decide whether to provide a sample. All students return the paper bags, regardless of whether they provided samples. Students give a password and can call a week later to receive their confidential results and, if necessary, treatment at the school or an STI clinic, which is paid for by the city. The district first offered the program two years ago at two charter schools, and eight high schools were included during the past school year.A 2007 study by the D.C. public school system found that 60% of high school students and 30% of middle school students reported having sex. According to the study, 20% of high school students reported having sex with four or more partners and 12% of middle school students reported having three or more partners.According to the D.C. Department of Health, the program at eight high schools last year found that 13% of 3,000 students tested positive for an STI, most commonly chlamydia or gonorrhea. Fifty percent of the chlamydia and gonorrhea cases in the district are among teenagers.According to the D.C. Appleseed Center for Law and Justice, the new program is an important step toward curbing the district"s HIV/AIDS rate, which is among the highest in the U.S. Walter Smith, executive director of D.C. Appleseed, said, "If 13% of these students are testing positive for [STIs], those same kids could get HIV," adding, "A lot needs to be done to get the message out to the schools, ... and this very high [STI] rate is an indication that what we"ve been doing is not effective" (Fears/Hernandez, Washington Post, 8/5).