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For America's Aged, Surgery At Any Price?
When doctors decide whether or not to go ahead with an expensive surgery, "age is no longer the deciding factor, even for invasive treatment such as open-heart surgery," The Philadelphia Inquirer reports. One question is "whether this never-too-old approach is an example of U.S. medical progress, or an example of why Medicare -- federal health insurance for people over 64 -- is headed for insolvency. The answer, experts say, is both. Which is why the current debate over expanding federal coverage to all uninsured Americans is an ethical and economic minefield. "Forty years ago, it was taken for granted that the elderly were not good candidates for organ transplantation, dialysis, or advanced surgical procedures. That has changed," Daniel Callahan, cofounder of the Hastings Center, a bioethics research institute in Garrison, N.Y., wrote recently. "Under the best of circumstances, age should be irrelevant in the Medicare program. But so far, the cost of care has not been considered, and it can hardly remain irrelevant in a program strapped for money.""
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WHO And EFA Call For Global Action On Chronic Respiratory Disease
The World Health Organisation (WHO) and European Federation of Allergy and Airways Diseases (EFA) today announced that they are bringing together over 150 international delegates to discuss the growing epidemic of Chronic Respiratory Diseases (CRD) that affects one billion people worldwide1, [2], [3] and is responsible for four million deaths annually1. The conference which will discuss the implementation of a five-year initiative to unite policy makers, providers and patient groups will be hosted by the Italian Ministry of Health in Rome on June 12 and 13.
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ANU Immunology Pioneer Elected To The Royal Society
Immunology pioneer Professor Chris Goodnow from The Australian National University has been elected as a Fellow of the prestigious UK and Commonwealth academy of science, The Royal Society.
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U.N. Program Has Little Effect In Reducing Deaths Among Children In Bangladesh, Study Finds

"The U.N. unveiled a multimillion dollar strategy a dozen years ago to save children worldwide, but a new [Lancet] study has found the program had surprisingly little effect in Bangladesh, one of the world"s poorest countries," the Associated Press reports. Since 1997, when the WHO and UNICEF launched the Integrated Management of Childhood Illness (IMCI) Program to help reduce the numbers of deaths in children under age 5 from diarrhea, pneumonia, measles and malnutrition, more than 100 countries have adopted the program, drawing upon "millions" in aid, according to the news service. The three main components of the IMCI strategy are health worker training, health system improvement --including access to drugs -- and training the community in the importance of child hygeine and immunization. "In Bangladesh, international researchers found the strategy improved the skills of health workers and convinced more people to seek treatment when they got sick" and increased the prevalence of breast-feeding while decreasing the numbers of children suffering from stunted growth by 20 percent (Cheng, 7/30). "Despite improvements in intermediate indicators, the study shows no evidence of significant accelerations in reductions of mortality in children younger than 5 years in the IMCI area compared with the comparison area," the study authors conclude (Arifeen et al., 8/1). In a Lancet comment, Trevor Duke of the Royal Children"s Health explains, "In many countries, during the early period of strong donor funding of IMCI in the mid-to-late 1990s, governments, donors, and international agencies made little effort to incorporate IMCI training in schools and colleges of nursing, community health, and medicine. For IMCI to evolve into a sustainable part of the health culture, programme simplification and increased support for local health-training colleges and existing systems for maternal and child health must occur." He continues, "An estimated $5-8 billion in additional development aid for maternal, newborn, and child health per year would enable the scale-up of the child survival interventions in more than 40 of the poorest countries in the world" (Duke, 8/1). According to the AP, Philip Stevens, a director at the International Policy Network, "said the U.N. should first prove its strategies work. "If a private company produced results like this, it would rapidly go out of business. Yet in U.N. land, failure is used as a justification to ask for more money to do more of the same."" This study was funded by the Bill & Melinda Gates Foundation, WHO"s Department of Child and Adolescent Health and Development and USAID (7/30). This information was reprinted from globalhealth.kff.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Global Health Policy Report, search the archives and sign up for email delivery at globalhealth.kff.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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