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The Meat Industry Consumes Four Times The Amount Of Antibiotics As Sick Americans Do

The meat industry uses a considerable amount of antibiotics to fight bacteria on its livestock farms — so much so that it actually far outpaces the amount of antibiotics used to treat sick people in the country. According to FDA data compiled by Pew Charitable Trusts, the livestock industry is consuming almost four-fifths of the total amount of antibiotics used in the U.S.:

And, as Mother Jones points out, that points to a dangerous trend in the meat industry. As livestock in close quarters breed bacteria, and the industry uses more and more antibiotics to contain those pathogens, common bacteria are developing a resistance to drugs. For example, more than 75 percent of the salmonella found on ground turkey in 2011 was resistant to at least one antibiotic used to treat it — and over half were resistant to three or more different antibiotics. Unless the meat industry changes its practices, the FDA will have a difficult time continuing to ensure that meat products are safe to consume.

And even though Americans are consuming considerably fewer antibiotics than the meat industry, antibiotic resistance isn’t just an issue among lifestock farms. Diseases that affect humans — such as whooping cough, tuberculosis, and gonorrhea — are also growing increasingly resistant to the drugs used to treat them. Since testing and marketing new antibiotics isn’t as profitable for the pharmaceutical industry as selling the drugs that are already on the market, production has lagged behind over the past few decades, and global health officials warn that an impending “antibiotic apocalypse” could make even the most common infections incurable.

Senators Introduce Bipartisan Bill To Strengthen America’s Mental Health System

As part of a wide-ranging effort to address gun violence in the wake of December’s mass shooting in Newtown, Connecticut, a bipartisan group of senators has introduced the Excellence In Mental Health Act, legislation that aims to strengthen America’s mental health safety net by providing behavioral health care facilities more access to federal funding and consolidating disparate elements of the U.S. mental health safety net.

When introducing the legislation, Sen. Roy Blunt (R-MO) explained, “[W]e must work together to spend federal dollars more wisely when treating people who are mentally ill. This bill will help address our fragmented mental health system and ensure that more patients have access to the care they need by offering current Community Mental Health Centers a chance to expand their services and obtain the Federally Qualified Community Behavioral Health Center designation.” Such a move would provide qualifying behavioral health centers parity with physical health centers by giving them access to prospective — rather than retrospective — Medicaid reimbursements. Modern Healthcare reports that the legislation would also require the federal health centers to offer more expansive services to mentally ill Americans and their families:

The new criteria established by the bill… would require such things as 24-hour crisis care, the increased integration of mental and substance abuse care with other kinds of medical care, as well as expanded support for families of mental health patients.

Mark Covall, president and CEO of the National Association of Psychiatric Health Systems, said increased standardization and integration are both worthwhile goals (though the association doesn’t take an official stand on the bill). Whether it is adding mental health services to federally qualified health centers or adding medical care to mental health centers, integration is important because that is the direction the industry is moving toward, Covall said.

In its current iteration, the Excellence In Mental Health Act represents a solid step in the right direction when it comes to bridging the illogical gap between the ways that physical and behavioral health issues are treated in America. But while the increased funding provisions are good news, the bill still does not go quite as far as the Wellstone-Domenici Mental Health Parity And Addiction Equity Act, which would require most private insurers to treat mental health coverage the same way they treat any other coverage.

It is also encouraging that the bill includes mental health resources for veterans and substance abusers. Military suicides reached a record high in January, and substance abusers — as a group — are among the most likely to suffer from a co-occurring mental illness. Alongside Sen. Al Franken’s (R-MN) recently-introduced Mental Health In Schools Act — which encourages early intervention and community resources for mentally ill American children — the new legislation suggests that the Senate is serious about plugging the gaping holes in America’s mental health safety net.

Health Workers Gunned Down In Nigeria, Threatening Global Effort To Combat Polio

Child receives polio vaccine in Nigeria

Several health workers administering vaccines were shot dead in Nigeria today, part of a spread in violence threatening the tantalizingly close eradication of polio.

While the exact number of those dead is unclear — estimates on the ground vary from as many as twelve to as few as nine — there is a consensus growing about the identity of the group behind the attack:

No one claimed responsibility but the Islamist militant group Boko Haram, which has condemned the use of western medicine, has been blamed for a spate of assaults on security forces in the city in recent weeks.

[...]

“Gunmen opened fire on a health centre in the Hotoro district, killing seven, while an attack on the Zaria Road area of the city claimed two lives,” said a police spokesman, Magaji Musa. “[The health workers] were working for the state government giving out polio vaccinations at the time of the attack.”

Boko Haram — which has referred to itself as the “Nigerian Taliban” — has been a thorn in the side of the Nigerian government for over a year now, launching attacks against government facilities and bombing multiple churches. Should they be behind today’s murders, it would be the first instance of their targeting health workers.

The attacks seem close in nature to a rash of killings that swept through Pakistan last month, killing over a dozen. Much as in that case, current reports indicate all of those killed in Nigeria on Friday were women. Unlike in Pakistan, however, there’s no CIA program to blame the workers for colluding with. Instead, the militants have blamed the vaccines for being a Western plot to sterilize young girls and causing AIDS, neither of which is remotely true.

Nigeria is one of the last remaining holdouts of polio on Earth, with only Pakistan and Afghanistan joining it in having regular significant outbreaks. In 2012, Nigeria had at least 121 cases of polio, by far the most in the world. Facilitating a drop in those numbers will require a near universal vaccination rate, one that is unlikely to occur with the threat of violence.

The Stem Cell Breakthrough That Could Help Solve America’s Organ Transplant Shortfall

In a technological breakthrough that holds special promise for the future of stem cell research, researchers at Heriot Watt University have successfully used a 3D printer to create viable human stem cells of a predetermined shape and size, CNET News reports.

The development — which constitutes a novel and unprecedented application of an already-nascent technology — has researchers considering its implications for the future, including the possibility of full scale organ and tissue printing that would make organ donations and transplants less vital for public health:

The printer creates 3D spheroids using delicate embryonic cell cultures floating in a “bio ink” medium. They end up looking like little bubbles. Each droplet can contain as few as five stem cells. Basically, this comes down to the printer “ink” being stem cells rather than plastic or another material.

Dr. Will Shu is part of the research team working on the project. “In the longer term, we envisage the technology being further developed to create viable 3D organs for medical implantation from a patient’s own cells, eliminating the need for organ donation, immune suppression, and the problem of transplant rejection,” Shu said in a release from Heriot-Watt.

Perhaps most importantly, the stem cells survived the printing process and remained viable. Shu says this is the first time human embryonic stem cells have been 3D printed. Printing out organs may be far down the line, but it’s just one potential application. The method could also be used to print out human tissue for drug testing.

Research into the use of embryonic stem cells has long been considered by scientists to have life-saving — even revolutionary — potential. While some public figures have used stem cells as a platform for political demagoguery, the Heriot Watt researchers’ achievement highlights the gulf between the overheated rhetoric and the promising reality of stem cell research.

The eventual goal of using the technology for organ and tissue printing — including the direct printing of organs into the human body — is particularly significant given America’s shortfall of organs available for transplants. There are approximately 113,000 Americans on waiting for an organ donor at any given time, but only 30,000 transplants are performed every year.

Why Addressing Mental Health Issues Means Reforming The U.S. Prison System

In the wake of the Sandy Hook shootings, national mental illness debates have taken center stage alongside gun regulation conversations. Liberals and conservatives alike have acknowledged that our current mental health system is highly flawed — currently, millions of Americans are unable to access the care they need, instead forced to bear the burden of their illnesses alone and without treatment. Yet little attention has been paid the role our criminal justice system plays in this web of issues.

Over half of the U.S. prison population is mentally ill, and people who suffer from mental illnesses are represented in the criminal justice system at rates between two and four times higher than in the general population. Given that studies find people with mental illnesses to be no more prone to violence than those without mental illnesses, the root of this overrepresentation in prison clearly lies in our mental health system’s shortcomings. Instead of treating the underlying biological and environmental causes of these disorders, we are criminalizing and incarcerating the mentally ill:

“Most people [with mental illness] by far are incarcerated because of very minor crimes that are preventable,” says Bob Bernstein, the Executive Director of the Bazelon Center for Mental Health Law. “People are homeless for reasons that shouldn’t occur, people don’t have basic treatment for reasons that shouldn’t occur and they get into trouble because of crimes of survival.”

The U.S. boasts the highest incarceration rate in the world; we imprison more of our own citizens than any society in human history. Of the 2.3 million people that occupy our jails and prisons, over 60 percent of inmates are nonviolent offenders. These are people who pose no threat to society and would benefit much more from rehabilitation programs, mental health treatment, and/or other social services than from spending years behind bars.

Because prisons were never designed to serve as mental health facilities, today they find themselves entirely unprepared to handle the mass quantity of people with mental illnesses that populate the system. Prisons generally fail to address the underlying issues that confront people with mental illnesses, often even exasperating these conditions.

Moreover, our broken prison system is a huge drain on America’s economy. The government currently spends over $70 billion per year on corrections, a figure that has risen at six times the rate of education spending over the past two decades.

Fortunately, the most recent data shows that America’s prison population has declined for the first time in nearly 40 years. If politicians are truly committed to addressing mental health issues, perhaps they’ll support a concerted societal effort to change the way we perceive the correctional system — as well as the way we understand mental illness — in order to turn this small victory into an ongoing trend.

Our guest blogger is Rachel Howard, a Health policy intern with the Center for American Progress.

North Dakota’s War On Women: The State’s Top 5 Attacks On Women’s Health So Far This Year

Women’s health is under attack all across the country — in fact, at this point, every single state except for Oregon has enacted at least one abortion restriction to limit access to reproductive services. But some states seem to be competing for the dubious title of the very worst state for women. Right now, North Dakota is pulling into the lead.

North Dakota Republicans have wasted no time so far this year attempting to roll back women’s reproductive rights. Just barely over a month into 2013, North Dakota’s lawmakers are already pushing at least five serious attacks on women’s health:

1. Threatening to close the state’s last abortion clinic. On Thursday, state senators advanced legislation that threatens to close down North Dakota’s only remaining abortion clinic, the Red River Women’s Clinic in Fargo. The legislation would require all doctors who perform abortion services to have hospital-admitting privileges — a complicated and unnecessary step that will likely prevent abortion doctors from continuing to practice in the state. It’s incredibly similar to the GOP-led effort in Mississippi, another state that has just one abortion clinic left, where abortion doctors have been unable to gain hospital privileges and women may soon be left without many options for their reproductive care.

2. Advanced a “personhood” amendment. Republican senators also advanced a personhood measure on Thursday that would amend the state’s constitution to endow zygotes with the full rights of U.S. citizens. If the measure passes, fetuses would be granted all of the legal rights and protections of North Dakota residents — which would ultimately ban abortion, some forms of contraception, and even invitro fertilization. Personhood initiatives are so radical that they haven’t seen much success even within the anti-abortion community.

3. Considering a “fetal heartbeat” bill. Just to hedge their bets in case the extreme personhood amendment doesn’t work out, North Dakota lawmakers are also considering the next best thing: a “heartbeat” ban to outlaw abortion as soon as a fetal heartbeat can be detected, which can occur as early as six weeks of pregnancy. At that point, some women don’t even know they’re pregnant yet — but North Dakota’s heartbeat ban would criminally prosecute them for having an abortion by the time they figured it out.

4. Could mandate transvaginal ultrasounds. The other conservative states that are beginning to propose “heartbeat” bills are quickly learning that this type of legislation may be even more hostile to women’s rights than they first imagined. Because the measures would require doctors to check for a fetal heartbeat before proceeding with an abortion, they would necessitate a transvaginal ultrasound — an unnecessary, invasive procedure — since that’s the only way to detect a fetal heartbeat so early in the pregnancy. The sponsor of Arkansas’ heartbeat bill has amended his legislation to specify that it wouldn’t ban abortion until the fetal heartbeat can be detected with an abdominal ultrasound, but North Dakota’s Republicans haven’t made any similar accommodations to their own measure yet.

5. Blocked sex ed resources for at-risk youth. And on top of legislators’ recent flurry of proposed abortion restrictions, the rest of the anti-choice community in North Dakota is also doing its best to remain hostile to women’s health. Even though North Dakota State University won a three-year federal grant to partner with Planned Parenthood to provide a sex education program for at-risk teenagers in the state, the school may be backing out of it after pressure from anti-abortion activists. The proposed sex ed program would have been voluntary, taken place outside of public school hours, required parental consent, and offered family planning resources. But anti-abortion activists decried the initiative, calling Planned Parenthood “an overt abortion industry that we don’t want to be a part of” — despite the fact that the Planned Parenthood affiliate in North Dakota doesn’t even perform abortion services.

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