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Report Identifies New HIV Cases In Central Florida; County Official Discusses Findings
An annual report by the Health Council of East Central Florida released on Wednesday said that nearly 800 new cases of HIV were reported in Central Florida in 2008 and blacks and Hispanics remain disproportionately affected, the Orlando Sentinel reports. The report was presented to the Ryan White Planning Council, according to the Sentinel. The report said that there are now more than 4,000 people living with HIV in the area, and another 4,400 living with AIDS. In addition, a majority of the new cases of HIV were among blacks and Hispanics, according to the report (Maza, 7/29). In an interview with the Sentinel, Debbie Tucci, the Orange County Health Department"s HIV/AIDS program coordinator, discussed the findings. She said, "HIV/AIDS is not in the forefront the way it used to be. We"ve been talking about this for a long time, and people just don"t think it"s going to happen to them." She added, "The disease doesn"t care what your race or ethnicity is. Now we target minorities more, and what"s happened is that they"re getting tested more. Prevention strategies are absolutely working. There"s always room for improvement, but we"ve come a long way - especially among minorities" (Maza, 7/30).
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Blogs Comment On Supreme Court Decisions, Obama Administration, Other Topics
The following summarizes selected women"s health-related blog entries. ~ "Just Released: Gains and Losses for Women in 2008-09 Supreme Court Decisions," National Women"s Law Center"s "Womenstake": The Supreme Court"s 2008-2009 term, which concluded Monday, included "several crucial decisions that demonstrate the impact of the court on women"s lives," according to the blog post, which summarizes a new analysis from NWLC on the cases. For example, the blog post says that the rulings in Fitzgerald v. Barnstable School Committee and Crawford v. Metropolitan Government of Nashville and Davidson County, Tenn., increased employees" protections against discrimination in the workplace. However, the rulings in Ricci v. DeStetano -- which overturned an appellate court"s anti-discrimination ruling -- and AT&T Corp. v. Hulteen -- which "permitted AT&T to pay women lower pension benefits for the rest of their lives" -- were "not as positive," the blog entry says. NWLC Co-President Marcia Greenberger said that the Supreme Court "ignored the realities of the workplace and the intent of Congress and ruled against female workers" in AT&T v. Hulteen. Greenberger also said that such cases "underscore why every seat on the Supreme Court is of paramount importance to women," adding that it is "absolutely critical" that Supreme Court nominees have "a strong commitment to upholding and enforcing women"s basic legal rights and protections" ("Womenstake," National Women"s Law Center, 6/29).~ "Waldman and Saletan: Oh What a Fine Bromance!" Jodi Jacobson, RH Reality Check: In a recent bloggingheads.tv chat on "common ground" in the abortion-rights debate, Slate columnist Will Saletan and Beliefnet Editor-in-Chief Steve Waldman "spent as much time as possible complimenting each other"s work" and "as little as possible on any real substance regarding reproductive health and choice issues," Jacobson writes. It is "clear that the Obama administration"s stated intention to create "a common ground platform"" on abortion rights has become "a full employment program for both Waldman and Saletan," she writes. Jacobson continues, "So perhaps the most striking thing about the conversation was that, in the end, they both effectively concluded that the common ground enterprise was a "just for show" political strategy," and that the "real strategies" necessary to reduce the need for abortion "are the very prevention programs least likely to be supported by the far right. (Revelation!)." She adds, "However, they came to this conclusion through the same faux-expert uninformed arguments that characterize their columns." During the "Will-interviews-Steve format," Saletan "revealed once again that there is no core philosophy or framework underlying his ever-shifting positions on choice and abortion," according to Jacobson. She adds that "Waldman, for his part, several times underscored what is clear from reading his work": that he "just throws things "out there" without considered thought" about what "might be good versus bad data, not understanding how to read evidence," and "oblivious or uncaring about the effects his free-form moralistic misinformation and opinions might actually have on an already polarized debate." According to Jacobson, "Public policies affecting sexual and reproductive health issues" should be "based first and foremost on public health and on promoting individual rights balanced by individual responsibilities," but "as anyone living on Planet Earth knows, sex and reproduction have become the front in a war waged by ultra-conservative religious and political forces for which Waldman serves as a paid flacky." She continues, "In fact, Waldman himself stated during the program: "I have a corporate interest in injecting religion into every debate."" Jacobson states, "Reading and watching this duo is like buying the OK! magazine version of the culture wars at the grocery store; they put whatever sells on the front cover, no matter the truth or consequences.
News of the day
Michigan Legislature Considering Insurance Reform Bills
"There"s support in Michigan"s Legislature for eliminating insurance practices that deny coverage and charge high rates for people with chronic health problems. But the Michigan reforms face a tight timetable as lawmakers focus on the state"s worsening budget crisis," The Detroit Free Press reports. One Republican plan in the state Senate would address the problem of lost coverage from rising unemployment in Michigan by requiring "businesses -- including self-insured enterprises such as General Motors Corp. and Chrysler Group LLC, now exempt from state regulations, -- to pay to expand health care for poor people. The Detroit Regional Chamber and others oppose new taxes in the Senate plan, particularly when so many businesses are hurting" (Anstett, 7/6).
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Wales Will Not Join National Pandemic Flu Service At This Stage

Health Minister Edwina Hart is reminding people that Wales will not be part of the National Pandemic Flu Service (NPHS) when it goes live in England. Wales, along with Scotland and Northern Ireland, will still be able to plug into the service if and when it is required. The NPFS will be made up of a dedicated website and a central call centre that assesses people on symptoms of swine flu and authorises antiviral treatments. It is being introduced in England in response to operational pressure. Mrs Hart said that existing primary care routes would continue to be used to manage treatment in Wales as this provides the opportunity for clinical engagement using familiar services. Mrs Hart said: "Wales is well behind the curve compared to areas of England in terms of the numbers of swine flu cases. "While there has been an increase in the number of swine flu cases over the last week, it is comparable to what we would see with normal seasonal flu. "In terms of access to advice and treatment, the advice remains the same in Wales. "If you have flu-like symptoms, stay home, and check symptoms on the NHS Direct Wales website at www.nhsdirect.wales.nhs.uk or by phoning the swine flu information line on 0800 1 513 513. If you have these symptoms, follow good respiratory and hand hygiene - catch it, bin it, kill it. "If the symptoms are causing concern, or people are in an at-risk group such as those with a chronic condition like heart or lung disease, children under 5 or pregnant women, they should phone their GP or NHS Direct Wales on 0845 46 47 as they are a priority for early antiviral treatment. "For those who need antiviral treatment, there are plenty of supplies available across Wales. People in the high risk groups will benefit from antivirals most if taken within the first 48 hours of the onset of symptoms. "People with flu-like symptoms should not go to their A&E, local GP or pharmacy in case they spread the virus to others. Such visits cause undue pressure and potential delay for other patients who are in need of emergency services. "We will continue to focus on providing care and support to people through existing services that they are more familiar with and comfortable with using for as long as possible. "I want to thank NHS staff for their hard work. In an effort to reduce pressure on the NHS, particularly GPs, the local NHS in Wales is developing patient contact arrangements through GPs, out of hours and call centres to support GPs who are getting an increase in swine flu-related calls. "As of Monday, 20 July, we have improved the access to antiviral treatment by enabling GPs to write prescriptions which can be dispensed in Community Pharmacies in the normal way. Access to the solution for the treatment for the under one year infants remains via hospital pharmacy and the GP Out of Hours service for the time being. "As part of our preparation for further increases in cases, we are also training more call handlers for NHS Direct, as Scotland did to cope with their recent cases, and arrangements will be made to filter calls quickly when patients ring NHS Direct Wales so that people with swine flu symptoms - as well as those phoning in with other calls - are dealt with as effectively as possible. "In Wales, the local NHS has always planned on responding to a pandemic with up to 50 per cent attack rate, and we have no requirement to join the NPFS at this point in time." The Chief Medical Officer for Wales, Dr Tony Jewell, said: "We are seeing an increase in the number of cases in Wales as we would expect given the community spread in other parts of the UK. This will no doubt increase over the coming weeks and months. We estimate that up to 30 per cent of the population could catch swine flu at some point over the next 12-18 months. "The virus is proving to be mild for most people and so most can self-care and will recover without the need for antivirals within five to seven days. "In Wales, at the moment, the number of cases is comparable to what we would see in seasonal flu epidemic. We are therefore enhancing existing services that people know and understand. We are continually monitoring the situation closely." Swine Flu symptoms - Sudden fever - Sudden cough - Headache - Chills - Aching muscles - Limb or joint pain - Diarrhoea or stomach upset - Sore throat - Loss of appetite - Runny nose What to do If you have flu-like symptoms stay at home. You can check your symptoms by calling the Swine Flu Information Line on 0800 1 513 513 or by visiting the website at http://www.nhsdirect.wales.nhs.uk Paracetamol can help with the aches and pains and reduce the temperature and fluids can help with the fever If you are still concerned, contact your or NHS Direct Wales on 0845 46 47 or your GP. If you are in the following risk groups and have flu like symptoms, please contact your GP practice for further advice: - People with chronic lung disease - People with chronic heart disease - People with chronic kidney disease - People with chronic liver disease - People with chronic neurological disease - People with weakened immune systems - People with diabetes mellitus - People who have had drug treatment for their asthma within the past three years - Pregnant women - Children under five years old In addition to the at risk groups, doctors will continue to use their clinical discretion and judgement and may prescribe antivirals to those they have specific concerns about, such as those with moderate or severe symptoms. If you have flu-like symptoms and need to collect medicines, please make arrangements for a healthy family member or friend to collect on your behalf or, where available, use the home delivery service. What not to do Do not go into your Accident and Emergency Department, GP or pharmacy unless you are advised to do so or are seriously ill, as you may spread the illness to others. Welsh Assembly Government


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