Diberdayakan oleh Blogger.

Popular Posts Today

Best before dates and expiry dates: 5 things you may not know

Written By Unknown on Kamis, 26 Maret 2015 | 22.45

Steak, eggs, canned soup — all kinds of fridge and pantry staples have a best before date on the packaging. People often confuse best before dates with expiration dates, but the two labels tell consumers very different things.

"It's confusing," says Ellie Topp, a professional home economist. "[The best before] date has nothing to do with the safety of the food. It has everything to do with the taste of the food."

Here are five things you may not know about expiration and best before dates.

1. Only 5 types of products have expiration dates

Expiration dates tell consumers the last day a product is safe to consume. A food should never be consumed after the expiry date.

The Canadian Food Inspection Agency mandates that only five types of products need to be labelled with an expiration date:

  • Baby formula and other human milk substitutes.
  • Nutritional supplements.
  • Meal replacements.
  • Pharmacist-sold foods for very low-energy diets.
  • Formulated liquid diets.

Best before dates are found on foods that will only stay fresh for 90 days or less. Some foods may be consumed even if their best before date has passed, unlike an expiry date.

2. Best before dates guarantee freshness

An unopened, properly stored product's best before date tells a consumer how long that food will keep its flavour and nutritional value. It doesn't have anything to do with a food's safety, says Topp.

hi-wdr-egg-yolks

A farm-fresh egg will stay together in 'a nice, little package' when someone tries to fry or poach it. An egg past its best before date is more likely to spread or have the yolk break.

"[With some products]

the taste may have greatly deteriorated, but it's still safe to eat," she says.

If someone fries or poaches a fresh egg, she says, it will stay together in "a nice, little package." If they use an egg beyond its best before date, it will spread out more and the yolk may be more likely to break.

"But, there's nothing wrong with the egg," she says, "as long as it's not cracked."

The manufacturer's nutritional claims may no longer apply after a best before date or if the product isn't properly stored, says Cathy Paroschy Harris, a dietitian and spokeswoman for Dietitians of Canada. Orange juice may not provide as much Vitamin C and milk less riboflavin past the best before date.

Other items may have compromised taste, but still be safe to eat. Ketchups and salsas may be more acidic, dry pasta may break when cooked, and cookies at the back of the pantry may just taste bad. It's generally the taste, not safety that suffers.

However, foods must be properly stored according to package instructions to avoid turning mouldy or sour before their best before date.

3. Opened packages negate best before date

The best before date no longer applies if a package is opened or if the food is frozen, according to Health Canada.

Once a sealed product is exposed to air it can be cross-contaminated, says Brenda Watson, the Canadian Partnership for Consumer Food Safety Education's executive director.

The organization has a chart for how long different foods can be kept in a refrigerator or freezer. Watson recommends people purchase food with a short fridge life, like opened milk or cottage cheese, in quantities they're likely to consume quickly.

If a food is properly frozen two days before its best before date, says Paroschy Harris, it should be edible for another two days at the start of the thawing process.

4. Some foods to keep an eye out for

Even though some food remains edible — just less tasty and nutritionally dense — after its best before date, that doesn't mean all food is safe to eat when that date passes. Health Canada does not recommend eating anything after the best before date. The Canada Food Inspection Agency is more lenient.

'When in doubt throw it out.'— Ellie Topp, professional home economist

Generally, if the food changes colour or appearance, or develops a bad smell, it is no longer safe to eat. Dented, leaking or bulging cans should be discarded.

"When in doubt throw it out," says Topp.

She's most cautious about cured meats, saying she would only keep deli meats, like baloney, a few days after purchase.

Hungry snackers should throw away mouldy cheese, breads, yogurts and other foods. Topp says people used to feel comfortable scraping mould off the top of food and continuing to eat it. Nowadays, that's not considered acceptable, as mould is believed to contaminate food beyond what's visible to the human eye, she says.

li-food-expiry-istock_00001

Once a sealed food product has been opened, the best before date can no longer be relied on, and consumers need to use their own judgment. When in doubt, throw it out. (iStock)

Healthy people are unlikely to suffer any consequences if they fry up a steak one day past its best before date. But people shouldn't toy with the best before date on foods that contain lots of pathogens, says Paroschy Harris. That includes whole, fresh meats — like chicken, steak or ground beef — and dairy.

"It's like playing roulette," she says. "You're putting yourself at risk."

A best before date and proper food handling go hand-in-hand, she says, and even lower-risk foods can become problematic if not handled properly.

Chips past their best before date won't be as crunchy, but they also may become contaminated if people sharing them have dirty hands or double dip in the salsa bowl.

"There's always a risk for something in food to go awry," she says.

5. Frozen veggies may be fresher in winter

Fresh doesn't always mean better.

Topp points out that fresh produce found in Canadian grocery stores during the winter may have less nutritional value than frozen vegetables.

It takes several weeks for produce to be picked and transported from warmer climates. As soon as someone picks a vegetable, its nutrients start to decline, she says.

Frozen vegetables, however, are usually frozen within hours of being picked. It's not a significant nutritional difference, she says, but frozen veggies may be more nutritious in the winter.


22.45 | 0 komentar | Read More

Guinea tests Canadian-developed Ebola vaccine in hot spot

People living in Guinea' s worst Ebola-affected region have started receiving the Canadian-developed experimental vaccine in the hopes it will quell spread.

The World Health Organization and Guinea's government plan to vaccinate about 10,000 adults within a six to eight week period.

The field trial will vaccinate family members and other close contacts of recently infected patients to create a "ring of immunity" to stop the virus from spreading. Doctors used the same strategy of vaccinating those at greatest risk first to eradicate smallpox.

So far, the Canadian-developed Ebola vaccine has been given to some volunteer health-care workers.

Ebola vaccination of health-care workers

Until now, the experimental Ebola vaccine has only been offered to frontline workers and government officials in Guinea. (WHO)

"It is has been demonstrated that it has appropriate safety profile and it induces an antibody response in the bodies of the people who have been immunized, but we don't know if it works," Dr. Marie-Paule Kieny, WHO's assistant director general and the agency's head of research and development for Ebola said from Amsterdam.

"It is the last step for the vaccine before it is used and registered as a commercial product."

The Ebola outbreak in West Africa has killed more than 10,200 people. The outbreak seems to be waning overall but the goal continues to be trying to reach zero cases as soon as possible.

Guinea had 95 new confirmed cases, the country's highest weekly total for 2015, WHO said separately Wednesday.

"Key response indicators for Guinea suggest that there remain significant challenges to overcome before transmission is brought under control."

Sakoba Keita, national coordinator of the fight against Ebola in Guinea, said combining control measures already in place with a safe and effective vaccine "will allow us to close this trying chapter and start rebuilding our country."

The first team arrived in a small village in western Guinea's Coyah prefecture on western Guinea, a viral hot spot, on March 23, where WHO says they received an excellent response from the community.

Kieny said so far people in the village have had excellent discussions and are willing to roll up their sleeves for the shots.

"The community was very welcoming," Kieny said. "They want us to come back because the team didn't have the time to vaccinate all the people who wanted to be vaccinated."

Previously, people in Guinea have attacked health-care workers with stones and machetes amid rumours that they were plotting to contaminate them with the virus.

"The fear and the resistance towards all Ebola-related intervention is still hanging in Guinea," said Jean-Paul Jemmy, medical coordinator of operations with Doctors Without Borders in Geneva. "We hope that with the proper community engagement those can be mitigated."

Jemmy and Kieny said they hope the vaccine will be an important tool to add to behaviour changes and care of patients.

The medical charity, which is helping to coordinate and fund the trial, said participation is voluntary, confidential and free.

WHO is the sponsor of the study. Results could be available as early as July 2015.

The trial is also funded by the Research Council of Norway through the Norwegian Institute of Public Health; the Canadian government through the Public Health Agency of Canada, Canadian Institutes of Health Research, International Development Research Centre and Department of Foreign Affairs, Trade and Development; and WHO, with support from the Wellcome Trust, United Kingdom. 


22.45 | 0 komentar | Read More

Food quantity and affordability not improving, StatsCan suggests

Nunavut Hunger 20150123

A price tag lists the price and subsidy of a 4-litre jug of milk at a grocery store in Iqaluit, Nunavut in 2014. The territory had the highest rate of food insecurity at 36.7 per cent in 2011. (Sean Kilpatrick/Canadian Press)

Being able to afford to enough nutritious food continues to be a struggle for some Canadians, according to a new report.

Wednesday's report from Statistics Canada used five years of data from the Canadian Community Health Survey to compare rates of food insecurity.

"Food insecurity rates have remained relatively stable over time," the report's authors concluded.

"Every year from 2007 to 2012, approximately five per cent of Canadian children and eight per cent of Canadian adults lived in food insecure households. This means that they did not have access to a sufficient variety or quantity of food due to lack of money."

In 2011 to 2012, about 1.1 million Canadian households experienced food insecurity — saying the quality or quantity of food they ate were inadequate or they reduced their intake.

Researchers are concerned because people who experience food insecurity also tend to report poor or fair health. For children, going without food can harm their healthy growth and development.

A 2003 Canadian study suggested adults often try to shelter their children by reducing how much they eat themselves or the variety of foods at meals.

The report's authors said their findings are consistent with the previous research. About 10.2 per cent of households with children and 7.6 per cent of those without children reported food insecurity in 2011 to 2012.

For the most recent year, Nunavut had the highest rate of food insecurity at 36.7 per cent compared with the national average of 8.3 per cent. The Northwest Territories had the second highest rate at 13.7 per cent, followed by Yukon at 12.4 per cent.

Among provinces, Nova Scotia (11.9 per cent), P.E.I. (10.6 per cent) and New Brunswick (10.2 per cent) had the highest percentages.  

Households that relied on government benefits as their main source of income were three times more likely to experience food insecurity than those with an alternate main source.


22.45 | 0 komentar | Read More

N.S. rejects paying for treatment for girl with rare brain injury

The family of an 11-year-old child with a rare brain injury is upset the province won't pay for treatment recommended by specialists in Halifax and Toronto. 

Nova Scotia won't pay because the therapy is delivered at a treatment centre, not an accredited hospital.

Faith Swinkels bites and lashes out because a brain injury makes her hyper and aggressive. Her mother Jilian says frequent epileptic seizures also keep her out of school.

"Medications aren't effective because they work in the [part of] the brain she doesn't have," Jilian Swinkels said in their Antigonish home.  

"To keep her day full is a big challenge. She's not at school, wakes up at 4:30 in the morning. Every day is different. Medications don't work because she lost all of her frontal lobes."

She's a lively child and her family said she hugs like a Green Bay Packer. 

One in two million

Faith was a healthy seven year old when the common herpes virus that usually shows up as a cold sore attacked her brain and she nearly died. Such attacks happen about once in every two million cases.

The province paid for Faith to be assessed at Toronto's Sick Kids hospital. Doctors there echoed what her IWK team recommended: three months of intense behaviour therapy at Ontario's Child and Parent Resource Institute.

It's financed by the Ontario Ministry for Children and Youth Services. The 60-year-old program has 11 child psychiatrists on staff. Children can stay for up to six months while an inter-disciplinary team works on modifying behaviour.

MSI approved the treatment plan, but Nova Scotia's Department of Health overruled it. The province only covers out-of-province treatments at accredited hospitals.

Seek in-hospital care, province says

Peter Vauaghan, Nova Scotia's deputy health minister, said the institute doesn't qualify for government coverage.

"Hospitals that are doing the same kind of work are the first option," he said.

He said the family should get a referral for a facility that is covered.

But Faith's grandmother, Pam MacLean, said they haven't found a comparable therapy inside a Canadian hospital.

"From what I can glean, they would be willing to spend ten times the amount of money send her to a facility in the U.S.. I don't get it," she said.

Unless the government changes its decision, the family will keep trying to find Faith suitable treatment somewhere the government will cover.


22.45 | 0 komentar | Read More

Ebola pioneer, stem cell researcher honoured with Canada's baby Nobels

Written By Unknown on Rabu, 25 Maret 2015 | 22.45

Ebola The Mistakes

Dr. Peter Piot won the 2015 Canada Gairdner Global Health Award in recognition of his work on the discovery of the Ebola virus in 1976 and his leadership in the global response to the HIV-AIDS epidemic. (David Azia/Associated Press)

One of the co-discoverers of the Ebola virus and a leading Canadian stem cell researcher are among this year's winners of the prestigious Canada Gairdner Awards.

Dr. Peter Piot is the recipient of the Canada Gairdner Global Health Award, recognizing his work on the discovery of the Ebola virus in 1976 and his leadership in the global response to the HIV-AIDS epidemic.

Dr. Janet Rossant, chief of research at Toronto's Hospital for Sick Children, is the recipient of the 2015 Canada Gairdner Wightman Award, which honours a Canadian who has demonstrated outstanding leadership in medicine and medical science.

Five international scientists are also being honoured with Canada Gairdner Awards, two each from the United States and Japan and one from Switzerland.

The Gairdners are among the world's most esteemed medical research prizes and each carries a prize of $100,000.

They are awarded annually by the Gairdner Foundation; 82 Gairdner winners have gone on to receive Nobel Prizes.

"The Canada Gairdner Awards distinguish Canada as a leader in biomedical research, raising the profile of science both nationally and on the world stage," Dr. John Dirks, the foundation's president and scientific director, said in a statement announcing the 2015 honourees.

"This year's winners are an exceptional example of the wide implications basic cellular discovery can have on future translational discoveries."

The international winners are:

  •  Dr. Lewis Cantley, of Weill Cornell Medical College, New York, N.Y., for research that illuminates the pathways that regulate normal cell growth and the defects that cause cell transformation leading to cancer.
  •  Dr. Michael Hall, of the University of Basel, in Basel, Switzerland, for his discovery of an enzyme that controls cell growth, which is critical to development and aging and widely implicated in cancers, diabetes, cardiovascular and immune diseases.
  • Dr. Lynne Maquat of the University of Rochester (N.Y.) School of Medicine and Dentistry for her discovery of nonsense-mediated messenger RNA decay, a quality control mechanism that removes flawed messenger RNA molecules that could trigger disease.
  •  Dr. Yoshinori Ohsumi of Tokyo Institute of Technology in Tokyo, Japan, for elucidating autophagy, a process in which cells clean up the garbage within themselves.
  •  Dr. Shimon Sakaguchi of Osaka University in Osaka, Japan, for his discovery of regulatory T cells, which keep the immune system from attacking healthy cells.

The selection committee honoured Rossant for work which has contributed to the understanding of human embryo development and stem cell origins.

Piot, currently the director of the London School of Hygiene and Tropical Medicine, is a former executive director of UNAIDS, the Joint United Nations Program on HIV-AIDS. The award credits his work in identifying the link between tuberculosis and HIV in Africa as well as his role on Ebola.

"Dr. Piot played a leading role in bringing the AIDS epidemic to the forefront of global attention, raising international commitments to its funding and building scientifically grounded responses to its control and treatment," the foundation's statement said.

At the beginning of his career, Piot was a researcher at the Institute of Tropical Medicine in Antwerp, Belgium when the laboratory in which he worked received a sample of blood from a Belgian nun who had died in a mysterious outbreak in Zaire, now the Democratic Republic of the Congo.

The Antwerp lab and another in Britain saw filoviruses in blood from the sample — Ebola is a filovirus — but could not do the tests to determine if this was Marburg virus, an already known filovirus, or a brand new pathogen.

Scientists at the U.S. Centers for Disease Control did that work and confirmed the outbreak was caused by a never before seen virus, which was later named Ebola. The Belgian, British and U.S. teams are all credited with the discovery of the new disease. Later, Piot travelled to Zaire as part of an international team that investigated the first known Ebola outbreak.


22.45 | 0 komentar | Read More

Are pharmacists turning into salespeople?

Pharmacy

Some pharmacists feel that business pressures to push billable services turn them into salespeople. (iStock)

​ Do you think of your pharmacist as a health-care professional or a salesperson?

Internal emails from top Canadian chain drugstores show the pressures that pharmacists say they get from companies to push billable services in order to boost revenue.

The emails were shared with CBC's Marketplace by pharmacists who are speaking out about increasing business pressures to perform extra services that can be billed to patients or to provincial governments. These services include medication reviews, flu shots, smoking cessation programs and food intolerance testing kits.

"I think as a pharmacist, it's embarrassing," Derek Jorgenson, a pharmacist and professor at the University of Saskatchewan's College of Pharmacy and Nutrition, told Marketplace co-host Erica Johnson.

Derek Jorgenson

'I think a quota makes it feel like you must sell 10 cars today, or you're going to be fired,' says Derek Jorgenson, a professor at the University of Saskatchewan's College of Pharmacy and Nutrition. (CBC)

"I think it makes you feel like you're not a health professional. It makes you feel like a door-to-door salesman or a used car salesman," he said. "We as pharmacists didn't go into this profession to do that."

An ongoing investigation by CBC News and Marketplace found that some pharmacists feel that pressure to meet business quotas increases the likelihood that they could make mistakes. With no mandatory national tracking of pharmacy errors, there is little data on why and how often mistakes happen.

Several pharmacists spoke out about how the expectation to perform as many billable services as possible means that services like medication reviews are done quickly and not always directed at patients who need those services.

'Continue driving those numbers'

The pharmacists approached Marketplace after the initial investigation to show how corporate pressures negatively affect their work.

"What we're becoming is salesmen," one former Rexall pharmacist told Marketplace.

Marketplace agreed to protect the identity of the pharmacists who spoke out because they fear retribution in the industry.

"They want us to sell med checks, flu shots, Hemocode tests, A1C tests, things that don't cost the store anything, but make money for the store," she said.

The pharmacists shared internal emails from management that discuss daily targets for medication reviews.

hi-generic-drugs

The College of Pharmacists of BC is set to become the first regulatory body in Canada to propose new regulations that would ensure that if quotas are in place they do not compromise patient safety. (CBC)

"Our ask is that you all work towards a goal of 7 per day per store unit," one email from a Rexall regional manager reads.

Medication reviews are free for the patient, but the province pays for the service. Fees for medication consultations range from $52.50 to more than $150 for an initial assessment, depending on the type of review and province. There's another lower fee for a followup review.

Another internal email shared with Marketplace says:

"Below, you will see how much your store needs to do next week in order to be 'on track' for the quarter so far. In order to help us get back on track, this Tuesday we will have a PFS [patient-focused services] focus day: The goal for Tuesday will be $500 or more PFS revenue for each store…. Reminder, each store must do a minimum of $500 in revenue."

The email also details financial incentives for pharmacies that perform billable services.

"For every hemocode you do — the store will get $30 to use towards a meal or activity of their choice," the email says.

Pharmacists also shared emails from Shoppers Drug Mart management.

"Be sure to remind your entire team as to your expectations with respect to MedsChecks. Are your assistants and technicians pre-printing the profile report? Are your staff pharmacists meeting your goals?" says one email from a Shoppers Drug Mart pharmacy operations specialist.

li-pharmacists-prescriptions

'They want us to sell med checks, flu shots, Hemocode tests, A1C tests, things that don't cost the store anything, but make money for the store,' one pharmacist told Marketplace. (CBC News)

"Celebrate early success and challenge those on your team who aren't contributing."

Marketplace also obtained an internal chart where stores that were underperforming on medication reviews targets were highlighted in red.

"I encourage you all to continue driving those numbers," one of the Shoppers Drug Mart emails reads.

The United Association of Pharmacist Franchisees, an organization that supports Shoppers Drug Mart franchisees, also confirmed that quotas are an issue.

"Let us be clear; associates have targets for professional services placed on them from corporate office," the association wrote on its website.

The group says that these targets have consequences and are tied to bonuses based on district and provincial goals. The post also says that "associates who do not reach their targets are also potentially penalized financially."

"There have also been some aggressive emails from some district managers to their district associates who were not achieving targets on professional services."

Jorgenson said that medication reviews should be conducted only for patients who need that service and that it is unethical to use billable services as a means to drive revenue.

"As a health professional, as all health professionals, we're trained to identify when our services are needed and how we provide them," he says.

"I think a quota makes it feel like you must sell 10 cars today, or you're going to be fired. And that may be reasonable in that industry, but as a health professional that's not how we're trained and that's not how we're trained to utilize the health system resources."

Pharmacies respond

Marketplace reached out to the pharmacies about the concerns raised by pharmacists. Both Shoppers Drug Mart and Rexall declined to speak about these issues on camera.

Rexall denied that head office issues specific quotas for these services.

In a statement, Rexall wrote that: "Rexall and Rexall Pharma Plus pharmacies have a long and proud history of being a pharmacy first. Health care is the core of our business."

Rexall says that pharmacists' roles are about more than just dispensing medication, and that they play an important role in patient care by performing additional services such as immunizations, medication reviews, monitoring blood pressures and helping patients quit smoking.

medical-expenses-tax-season

Chain pharmacies contacted by Marketplace say they put patient care above business. (Mark Blinch/Reuters)

"Our pharmacists use their professional judgment when a patient-focused service should be provided."

Shoppers Drug Mart denied that the company has quotas for pharmacists or that pharmacists are punished for failing to perform a set number of billable services.

"We support our pharmacists to exercise their professional judgment in the delivery of appropriate care," the statement reads.

"We do not exercise punitive measures to pressure our pharmacies to provide services that would be counter to optimal patient care. Working with our pharmacist-owners, we measure the delivery of pharmacy services so that we can plan appropriately for the labour needs required to deliver those services. This planning is based on industry-wide standards set for each type of pharmacy service."

BC college cracking down

The College of Pharmacists of BC is set to become the first regulatory body in Canada to propose new regulations that would ensure that if quotas are in place they do not compromise patient safety.

According to a survey conducted by the college and the University of British Columbia, 59 per cent of pharmacists who work in chain drugstores who responded say they have quotas for medication reviews.

Surveyed pharmacists who said they have quotas were more likely to report inadequate staffing at their pharmacy and "a work environment that was not conducive to safe and effective patient care," an executive summary of the survey said.

  • Based on a Marketplace investigation by Lynn Burgess and Lindsay Sample

22.45 | 0 komentar | Read More

Ovary removal 'a huge benefit' for those with BRCA mutation like Angelina Jolie

Angelina Jolie's decision to have her ovaries and fallopian tubes removed given her family history of cancer greatly reduces her risk of developing ovarian cancer, say experts who welcome the awareness she's raised.

Jolie revealed Tuesday she had a laparoscopic bilateral salpingo-oophorectomy last week after a marker on a blood test signalled what could be a sign of early cancer. She previously had a preventative mastectomy after her French-Canadian mother, Marcheline Bertrand, died of ovarian cancer. Her maternal grandmother also had the disease and an aunt died of  breast cancer.

'The medical community thanks Angelina Jolie for doing what she has done.'- Dr. Marcus Bernardini, surgical oncologist

BRCA mutations account for about five per cent of all breast cancers and four to 11 per cent of all ovarian cancers, according to the Canadian Cancer Society.

The average woman has a 12 per cent risk of developing breast cancer sometime during her life. Jolie carries the BRCA1 mutation, which bumps the lifetime risk for breast cancer about five times higher.

In the general population, the lifetime risk for ovarian cancer is one per cent. For women with the BRCA 1 or BRCA 2 mutation, the lifetime risk of ovarian cancer can be as high as 60 per cent.

Unlike breast cancer, ovarian cancer is often diagnosed at a late stage when the chance of surviving is low.

Ovary removal has benefits

"It's definitely a recommendation that we give women with a BRCA 1 or 2 mutation that they should strongly consider having their ovaries removed between the ages of 35 and 40 or after they've completed child bearing. It's the option available to women that's going to reduce their risk of developing ovarian cancer as most as we possibly can," said Kelly Metcalfe, a nursing professor at the University of Toronto and an adjunct scientist at Women's College Hospital.

"It's a huge benefit to these women to have their ovaries out."

Jolie's 2013 decision to have a preventive double mastectomy increased demand for genetic testing, known as the "Angelina effect."

Canadian research suggested the Angelina effect increased awareness and referral among women truly at high risk for hereditary breast cancer who may have put testing on the back burner until then.

Germany Movie Unbroken

Angelina Jolie's decision to publicize her surgeries to prevent cancer has helped raise awareness of BRCA 1 and 2 mutation testing and options. (Michael Sohn/Associated Press)

In Canada, BRCA testing is available to women who meet certain risk criteria, including family history of breast cancer and ethnicity.

Some gynecological specialists applauded Jolie's decision to go public.

"The medical community thanks Angelina Jolie for doing what she has done because it does increase awareness. Ovarian cancer is a terrible disease," said Dr. Marcus Bernardini, a surgical oncologist at Toronto's Princess Margaret Cancer Centre.

"The most important message that needs to get out there is there is no effective screening for the type of ovarian cancer that she was at risk for."

Symptoms associated with ovarian cancer tend to be vague, such as bloating or urinary changes. Ovarian Cancer Canada advises women to see a doctor if symptoms are frequent, persistent or new. The most common and most serious form of ovarian cancer is now thought to originate in the fallopian tubes.

Other options include birth control pills and frequent checks, such as with the CA-125 blood test Jolie had yearly because of her family history. Unfortunately, Metcalfe said, the CA-125 marker doesn't always provide useful information and ovarian cancer can develop without any warning signs.

Transvaginal ultrasounds are also offered to women at high risk, Metcalfe said, but they may also fail to pick up early ovarian cancer.

Procedure likely to have side-effects

Jolie wrote about how she prepared herself to enter menopause and mapped out her estrogen and progesterone replacement options.

The decision to pursue a preventive salpingo-oophorectomy comes with side-effect risks. In the short-term, these include hot flashes and sexual dysfunction. Longer term, Metcalfe said, preliminary evidence suggests there can be effects on the bones, heart function and cognitive function.

Women who have the surgery are monitored and the longer-term effects are being studied to try to develop better interventions.

The Canadian Cancer Society estimates 2,700 women are diagnosed with ovarian cancer every year and 1,750 women  die from it annually. 


22.45 | 0 komentar | Read More

Food quantity and affordability not improving, StatsCan suggests

Nunavut Hunger 20150123

A price tag lists the price and subsidy of a 4-litre jug of milk at a grocery store in Iqaluit, Nunavut in 2014. The territory had the highest rate of food insecurity at 36.7 per cent in 2011. (Sean Kilpatrick/Canadian Press)

Being able to afford to enough nutritious food continues to be a struggle for some Canadians, according to a new report.

Wednesday's report from Statistics Canada used five years of data from the Canadian Community Health Survey to compare rates of food insecurity.

"Food insecurity rates have remained relatively stable over time," the report's authors concluded.

"Every year from 2007 to 2012, approximately five per cent of Canadian children and eight per cent of Canadian adults lived in food insecure households. This means that they did not have access to a sufficient variety or quantity of food due to lack of money."

In 2011 to 2012, about 1.1 million Canadian households experienced food insecurity — saying the quality or quantity of food they ate were inadequate or they reduced their intake.

Researchers are concerned because people who experience food insecurity also tend to report poor or fair health. For children, going without food can harm their healthy growth and development.

A 2003 Canadian study suggested adults often try to shelter their children by reducing how much they eat themselves or the variety of foods at meals.

The report's authors said their findings are consistent with the previous research. About 10.2 per cent of households with children and 7.6 per cent of those without children reported food insecurity in 2011 to 2012.

For the most recent year, Nunavut had the highest rate of food insecurity at 36.7 per cent compared with the national average of 8.3 per cent. The Northwest Territories had the second highest rate at 13.7 per cent, followed by Yukon at 12.4 per cent.

Among provinces, Nova Scotia (11.9 per cent), P.E.I. (10.6 per cent) and New Brunswick (10.2 per cent) had the highest percentages.  

Households that relied on government benefits as their main source of income were three times more likely to experience food insecurity than those with an alternate main source.


22.45 | 0 komentar | Read More

Measles found in 2 passengers on Air China flight CA991 to Vancouver

Written By Unknown on Selasa, 24 Maret 2015 | 22.45

Two passengers on Air China flight CA991 from Beijing have tested positive for measles, prompting Vancouver Coastal Health to issue a public advisory. 

Reka Gustafson​, VCH medical health officer, said the two passengers arrived in Vancouver on March 21 and would have been infectious on the flight. 

"It was an astute family physician who called us suspecting measles," she said Monday night. "As soon as the tests came back positive, we alerted the public."

The health authority is also contacting passengers on the flight.

"We were able to get a flight manifest ... and a list of passengers who were sitting closest to the individuals infected and we've spent time trying to reach them, as well as flights crews," she said. 

She added that while measles is rare in Canada, unimmunized people are at risk of contracting the viral infection. Passengers who are not up-to-date on their measles vaccinations should get the MMR vaccine as possible, she said.

Individuals born before 1957 are considered immune and do not need a vaccine, but those born betwee‎n 1957 and 1970 should have one dose and those born after 1970, should have two doses of measles-containing vaccine. 

Gustafson wouldn't say how the two infected passengers were connected or their ages, but she did say they were travelling together and live in the Lower Mainland. 


22.45 | 0 komentar | Read More

Angelina Jolie reveals preventive cancer surgery to remove ovaries

Oscar-winning actress Angelina Jolie revealed Tuesday that she has undergone more preventive surgery, having her ovaries and fallopian tubes removed in hopes of reducing her risk of cancer.

Writing in the New York Times, the filmmaker and philanthropist said that a recent blood test showed a possible early sign of cancer. The news came as a blow to the star, as she has already had a double mastectomy.

"I went through what I imagine thousands of other women have felt," she wrote. "I told myself to stay calm, to be strong, and that I had no reason to think I wouldn't live to see my children grow up and to meet my grandchildren."

The acclaimed filmmaker, who is raising six children with her husband, Hollywood film star Brad Pitt, said she underwent the procedure, called a laparoscopic bilateral salpingo-oophorectomy, last week.

Carries cancer gene

Jolie, 39, revealed two years ago that she carries a defective breast cancer gene that puts her at high risk of developing breast and ovarian cancer.

Her mother died of ovarian cancer, and her maternal grandmother also had ovarian cancer — strong evidence of an inherited, genetic risk that led the actress to have her healthy breasts removed to try to avoid the same fate.

Only a small percentage of women inherit the same faulty gene as Jolie, known as BRCA1 — the name stands for breast cancer susceptibility gene. These mutations are most commonly found in women of Eastern European Jewish descent, though other groups, including the Norwegian, Dutch and Icelandic, also have slightly higher rates of these mutations.

The average woman has a 12 per cent risk of developing breast cancer sometime during her life. Women who have inherited a faulty BRCA gene are about five times more likely to get breast cancer.

Family influenced her decision

Brad Pitt and Angellina Jolie

Angelina Jolie and Brad Pitt, seen here with their family in 2011, are raising six children. (Toru Yamaaka/AFP/Getty Images)

Jolie said that while having the gene mutation alone was not a reason to resort to surgery — other medical options were possible — her family history influenced her decision to have further surgery now. The surgery puts a woman in menopause and Jolie wrote she was researching alternative medicine and hormone replacement treatment.

Her courageous decision to publicly announce her double mastectomy was praised as a watershed moment in efforts to persuade women to get breast cancer screening — and to raise awareness of the need for early detection. The same sense of mission led her to write about her follow-up care, although she said her decision wasn't necessarily the right one for everyone.

"There is more than one way to deal with any health issue," wrote Jolie. "The most important thing is to learn about the options and choose what is right for you personally."

"I wanted other women at risk to know about the options," she said.

Coming forward to tell her story will play a vital role in raising awareness, those who work for cancer charities say. They hope other women at risk will be encouraged to speak with their doctors.

"Angelina Jolie has made a really brave decision," Katherine Taylor, acting chief executive of Ovarian Cancer Action.

"It immediately puts the person into surgical menopause so it is not a decision to take lightly."

Brad Pitt rushed to her side

Jolie's article makes plain the anguish the results of the new blood tests brought. She said she immediately called her husband, the actor Brad Pitt, who flew home from France within hours.

"The beautiful thing about such moments in life is that there is so much clarity," she wrote. "You know what you live for and what matters. It is polarizing, and it is peaceful."

The Hollywood star, who took home an Academy Award for her 1999 performance in the psychiatric drama Girl, Interrupted, also works as a special envoy of the United Nations High Commissioner for Refugees.

In her time with the agency, Jolie has been on 50 field missions to more than 30 counties including Sierra Leone, Pakistan, Afghanistan and Syria.


22.45 | 0 komentar | Read More
techieblogger.com Techie Blogger Techie Blogger