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Somnia Anesthesia: 3rd Study Confirms Anesthesia Improves Outcomes In Colonoscopies
More pre-cancerous polyps were found in colonoscopies performed with deep sedation primarily using Propofol than with milder sedation in which patients remained conscious, according to a recent study conducted by Katherine Hoda, M.D. of Oregon Health and Science University. This improvement in cancer detection will save lives and reduce the number of patients requiring surgery and chemotherapy.
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Needle Exchange Programs Could Save Texas 'Millions Of Dollars,' Opinion Piece Says
Needle exchange programs (NEPs) "are an inexpensive public health intervention, especially when compared with the social costs of treating individuals with HIV or hepatitis-related chronic liver disease," Maureen Trotter, a pathologist and president of the Taylor-Jones-Haskell County Medical Society, writes in the Abilene Reporter News. She adds that legislation introduced this year in the Texas Legislature "to allow public health departments and organizations to establish disease control programs that provide for the anonymous exchange of used hypodermic needles and syringes for sterile ones, offer education and substance abuse treatment and blood-borne disease testing" failed to come to a floor vote. Trotter further discusses NEPs, citing data on outcomes of NEPs, and writes, "The costs of preventing one case of HIV is estimated between $4,000 and $12,000 via NEPs. The medical cost of treating a person infected with HIV is about $200,000," adding, "These programs, if implemented, could save Texas millions of dollars" (7/12).
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News of the day
Baltimore Churches Participate In Program Providing HIV Testing To Residents
Eleven Baltimore churches on Tuesday provided HIV testing to local residents as part of a larger effort by the JACQUES Initiative, a program at the University of Maryland School of Medicine"s Institute of Human Virology, the Baltimore Sun reports. The JACQUES Initiative launched Project SHALEM in partnership with the Maryland AIDS Administration and several local faith-based and community organizations, according to the Sun. Derek Spencer, the executive director of the JACQUES Initiative, said, "The ultimate goal is to make churches, mosques and synagogues a safe place where people can receive HIV support. We are no longer going to wait for people to come into our academic centers for help." He said organizers hoped to test 1,000 people, noting that at one of the testing sites, within the first hour, four people tested positive with the rapid oral swab tests. Angela Wakhweya, deputy director of the Maryland AIDS Administration, said the goal of the project is to eliminate new HIV cases in the state (Bass, 7/22).
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Protesters Disrupt Democrats' Best-Laid Plans For Health Reform 'Conversations'

Over the weekend, a series of protests at Democratic events meant to promote health reform "organized by loose-knit coalition of conservative voters and advocacy groups, were a raucous start to what is expected to be weeks of political and ideological clashes over the health care overhaul," the New York Times reports. "Republicans said that the protests were just the beginning of spontaneous opposition to the health care proposals and that they would only gain momentum as Americans learn more about the legislation." But Democrats said they were only an effort to block discourse, and were anything but a grass-roots campaign. "This is a very coordinated effort," said one Democratic Congressman who was confronted by protestors at a grocery store (Herszenhorn and Stolberg, 8/3). CBS has video of the protests, which spanned the country (Andrews, 8/3). Here"s a tally of some recent events: Philadelphia Daily News: "[I]t wasn"t just another sporting event in Philadelphia," despite the loud insults and brusque behavior. Sen. Arlen Specter, D-Pa., and Health Secretary Kathleen Sebelius were heckled by opponents of health reform in an evenly divided crowd of about 400 during a town hall Sunday. At one point, Sebelius threatened to leave the stage if both foes and supporters didn"t settle down (Farr, 8/3). Austin American-Statesman: Rep. Lloyd Doggett, D-Texas, left a small town hall meeting at an Austin grocery store Saturday when a group of protesters began chanting "Just say no," and "Don"t vote for Doggett." Doggett called the protest "a desperation tactic," and added "that such a protest "combined with all of the misinformation coming out on cable television and through a number of Web sites is an indication that (advocates of health care reform) have to do a more effective job of communicating"" (Selby, 8/4). Greensboro (N.C.) News-Record: In North Carolina, protesters staged their own rally Monday in a Shoney"s restaurant parking lot. A leader of the state chapter of Americans for Prosperity evoked the slow federal response to Hurricane Katrina, asking "a crowd of more than 100" protestors whether they wanted similar results in "our exam rooms" (Binker, 8/4). WFRV (Wisconsin): Rep. Steve Kagen, D-Wis., encountered hundreds of protesters in at a library in Green Bay Monday. Chants opposing government-sponsored health insurance left the congressman with few opportunities to speak. Police eventually dispersed the gathering (8/03). Bucks County (Pa.) Courier Times: Rep. Patrick Murphy, D-Pa., planned to discuss health reform and other topics with constituents at a one-on-one "Congressman on Your Corner" session Saturday. But, instead he confronted an emotional crowd and at times asked "hecklers to be respectful" (Vineberg, 8/2). Protests at their events are a problem for Democrats, who need to use the upcoming month to sell their plans to the public, Politico reports. "Their ability to make their case on health care at public events during the August recess is mostly in the hands of the people who turn out for the events. And if those people want to be disruptive - especially en masse - there"s not much the Democrats can do about it" (Isenstadt and Phillip, 8/4). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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