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Health - US

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This working group is focused on discussions about health.

The mission of this working group is to focus on discussions about health.

Members

Corey Watts John Girard jonber37 Kathy Gilbeaux Lisa Stelly Thomas Maeryn Obley
mdmcdonald MDMcDonald_me_com mike kraft

Email address for group

health-us@m.resiliencesystem.org

Report Outlines Vast Variations in Hospital Costs

healio.com - May 9, 2013

The amount charged by hospitals for inpatient services varies significantly based on region, and large disparities even exist within individual communities, according to a report released this week by the federal government.

“Consumers don’t know what a hospital is charging them or their insurance company for a given procedure, like a knee replacement, or how much of a price difference there is at different hospitals, even within the same city,” Kathleen Sebelius, secretary of the Department of Health and Human Services, said in a press release. “This data … will help fill that gap.”

The data — available on the CMS website, cms.gov — compares costs for services associated with the 100 most common Medicare inpatient stays.

(READ COMPLETE ARTICLE)

Medicare Provider Charge Data
http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/index.html

Emerging Infections in Perspective: Novel Coronavirus and H7N9 Influenza

Professor David L. Heymann, CBE

chathamhouse.org - by David L. Heymann - April 15, 2013

Since the outbreak of Severe Acute Respiratory infection (SARS) ten years ago, efforts to detect unusual severe respiratory disease have intensified. At the same time, there have been major advances in the development of diagnostic tests. This is a result of a major increase in the research and development budget for tests to diagnose unknown disease, and this investment was driven by the perception that anthrax and other organisms such as the smallpox virus will continue to be a bioterrorism threat.

When disease detection efforts are intensified, surveillance systems often become better at picking up illness that would have otherwise gone undetected until enough people developed the disease that an outbreak occurs and is noticed. Throughout history, mysterious severe respiratory infections that have resulted in death have emerged, but with new diagnostic tests it is also now possible to determine the cause of such disease, often soon after it is detected.

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NEJM - Research as a Part of Public Health Emergency Response

            

nejm.org - March 28, 2013

In the past decade, a succession of public health emergencies has challenged preparedness and response capacities of government agencies, hospitals and clinics, public health agencies, and academic researchers, in the United States and abroad. The epidemic of the severe acute respiratory syndrome (SARS), the 9/11 terrorist attacks, and the anthrax mailings stand out as signal examples in the early years of the decade. In addition to natural disasters such as the 2010 earthquake in Haiti and the 2012 Superstorm Sandy, other recent events — including the 2009 influenza A (H1N1) pandemic, the Deepwater Horizon oil spill, and the Fukushima Daiichi nuclear reactor emergency in Japan — illustrate the diverse and complex forms that threats to public health can assume. Figure 1 displays some examples over the past decade or so and highlights the diversity and frequency of events that can be expected to occur in the foreseeable future.

H7N9 Map


View H7N9 map in a larger map

Click on each balloon for more information on individual patients infected with the avian flu virus: blue, patients infected with the H7N9 virus under treatment; red, those infected with H7N9 who have died; and pink, those infect with the H1N1 avian flu virus.

http://www.scmp.com/news/hong-kong/article/1208847/hong-kong-standby-new-bird-flu-cases-revealed-shanghai
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Is This a Pandemic Being Born?

      

foreignpolicy.com - by Laurie Garrett - April 1, 2013

China's mysterious pig, duck, and people deaths could be connected. And that should worry us.

Here's how it would happen. Children playing along an urban river bank would spot hundreds of grotesque, bloated pig carcasses bobbing downstream. Hundreds of miles away, angry citizens would protest the rising stench from piles of dead ducks and swans, their rotting bodies collecting by the thousands along river banks. And three unrelated individuals would stagger into three different hospitals, gasping for air. . .

. . . the facts delineated are all true, and have transpired over the last six weeks in China.

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Verizon to Introduce Secure E-Mails for Medical Records

bloomberg.com - March 4th, 2013 - Alex Nussbaum

Verizon Communications Inc. (VZ), the second-biggest U.S. telephone company, will introduce the first national service enabling doctors to securely exchange medical records no matter what computer system they use.

The service will begin tomorrow following testing among about a dozen U.S. hospital systems and other clients. Under the program, medical providers who pay a monthly fee will be able to share data, texts and e-mails while still meeting U.S. privacy standards.

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CDC - Patients Face More Lethal Infections from CRE

         

 

 

 

 

 

 

 

 

Centers for Disease Control and Prevention (CDC)

Some germs are beating even our strongest antibiotics. Rapid action by clinicians and healthcare leaders is needed to stop the rise of lethal CRE infections.

A new Vital Signs report shows that antibiotics are being overpowered by lethal germs called carbapenem-resistant Enterobacteriaceae (CRE).These germs cause lethal infections in patients receiving inpatient medical care, such as in hospitals, long-term acute care facilities, and nursing homes.

In their usual forms, germs from the Enterobacteriaceae family (e.g. E. coli) are a normal part of the human digestive system. However, some of these germs have developed defenses to fight off all or almost all antibiotics we have today.When these germs get into the blood, bladder or other areas where germs don’t belong, patients suffer from infections that are difficult, and sometimes impossible, to treat.

In Medical First, a Baby With H.I.V. Is Deemed Cured

http://www.cbsnews.com/video/watch/?id=50142161n

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nytimes.com - by Andrew Pollack and Donald G. McNeil Jr - March 3, 2013

Doctors announced on Sunday that a baby had been cured of an H.I.V. infection for the first time, a startling development that could change how infected newborns are treated and sharply reduce the number of children living with the virus that causes AIDS.

The baby, born in rural Mississippi, was treated aggressively with antiretroviral drugs starting around 30 hours after birth, something that is not usually done. If further study shows this works in other babies, it will almost certainly be recommended globally.

(READ COMPLETE ARTICLE)

Paper #48LB - Functional HIV Cure after Very Early ART of an Infected Infant

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