E-cigarettes…What Do We Know About Their Safety ?

e-cigerettes

In an effort to quit,many people who smoke, are turning to e-cigarettes to help ease the process of giving up cigarettes entirely. Adolescents are experimenting with e-cigarettes. Yet little is known about the long term effects of using e-cigarettes.

What follows is a press release that speaks to the concerns of The  American Association for Cancer Research (AACR) and the American Society of Clinical Oncology (ASCO) with regard to e-cigarettes.

 Press release... The American Association for Cancer Research (AACR) and the American Society of Clinical Oncology (ASCO), in a joint letter responding to a proposal by the U.S. Food and Drug Administration (FDA) to extend its regulatory authority over tobacco products, today urged the agency to regulate electronic cigarettes (e-cigarettes), cigars, and all other tobacco products and to strengthen the proposed regulations for newly deemed products.

“There is no safe form of tobacco use,” said Margaret Foti, PhD, MD (hc), chief executive officer of the AACR. “Tobacco is the leading cause of preventable deaths in the United States, and among its dire health consequences are 18 different types of cancer. It is imperative that the FDA takes action to regulate all tobacco products. The future health of the American people, in particular our nation’s children, depends on it.”

The AACR and ASCO applauded the FDA’s proposal to regulate e-cigarettes. “We believe it is vitally important for the FDA to begin regulating these products,especially because we don’t know much about the health effects of e-cigarette use. We are also quite concerned that e-cigarettes may increase the likelihood that nonsmokers or former smokers will use combustible tobacco products or that they will discourage smokers from quitting,” said Peter P. Yu, MD, FASCO, president of ASCO.

“There are insufficient data on the long-term health consequences of e-cigarettes, their value as tobacco cessation aids, or their effects on the use of conventional cigarettes. Any benefits of e-cigarettes are most likely to be realized in a regulated environment in which appropriate safeguards can be implemented,” said Roy S. Herbst, MD, PhD, chair of the AACR Tobacco and Cancer Subcommittee and chief of medical oncology at Yale Comprehensive Cancer Center.

The AACR and ASCO support many of the FDA’s proposals for regulating e-cigarettes and other products, but urge the agency to do more. Specifically, preventing children from using tobacco products is crucial and can be achieved by efforts such as banning youth-oriented advertising and marketing, self -service product displays, and tobacco company sponsorship of youth-oriented events, in addition to restricting sales to minors and implementing age-verification procedures for internet sales.

Expressing grave concern about the proliferation of flavored e-cigarettes, the AACR and ASCO encouraged the agency to ban e-cigarette flavors or flavor names that are brand names of candy, cookies, soda, and other such products, and to prohibit e-cigarettes containing candy and other youth-friendly flavors, unless there is evidence demonstrating that they do not encourage young people to use these products.

The AACR and ASCO strongly discouraged the FDA from exempting “premium” cigars from regulation, an option the agency is considering. “All cigars pose serious health risks,” said Graham Warren, MD, PhD, chair of ASCO’s Tobacco Cessation and Control Subcommittee. “As the FDA itself noted in the proposed rule, even cigar smokers who do not inhale have a seven to 10 times higher overall risk of mouth and throat cancer compared with individuals who have never smoked.Exempting these dangerous products from FDA regulation is clearly not in the best interest of public health.”

Noting that both large and small cigars are of increasing interest to youth and adult users, the AACR and ASCO underscored that the continued availability of premium cigars in an unregulated market, compounded with the ability of the tobacco industry to strategically market its products to youths and young adults, could reverse the progress made in reducing youth tobacco use.

Finally, the AACR and ASCO urged the FDA to drop the “consumer surplus” discount used to assess the net impact of the proposed deeming rule. This discount allows the FDA to only consider 30 percent of the benefits achieved via tobacco cessation due to the costs associated with this proposed regulation, including the “lost pleasure” of smoking. The AACR and ASCO stressed that addiction is an unwelcome burden for many tobacco users and that many consumers are not making rational and fully informed choices when initiating and continuing their use of tobacco products.

Digital Devices and Eye Problems

According to the American Optometric Association (AOA), parents severely underestimate the time eyetheir children spend on digital devices. What follows is a press release issued by AOA that speaks to the need to monitor your child’s use of digital devices and suggests the guidelines to help prevent or reduce eye and vision problems associated with digital eye strain.

ST. LOUIS (July 22, 2014) — An AOA survey reports that 83 percent of children between the ages of 10 and 17 estimate they use an electronic device for three or more hours each day. However, a separate AOA survey of parents revealed that only 40 percent of parents believe their children use an electronic device for that same amount of time. Eye doctors are concerned that this significant disparity may indicate that parents are more likely to overlook warning signs and symptoms associated with vision problems due to technology use, such as digital eye strain.

Eighty percent of children surveyed report experiencing burning, itchy or tired eyes after using electronic devices for long periods of time. These are all symptoms of digital eye strain, a temporary vision condition caused by prolonged use of technology. Additional symptoms may include headaches, fatigue, loss of focus, blurred vision, double vision or head and neck pain.

Optometrists are also growing increasingly concerned about the kinds of light everyday electronic devices give off – high-energy, short-wavelength blue and violet light – and how those rays might affect and even age the eyes. Today’s smartphones, tablets, LED monitors and even flat screen TVs all give off light in this range, as do cool-light compact fluorescent bulbs. Early research shows that overexposure to blue light could contribute to eye strain and discomfort and may lead to serious conditions such as age-related macular degeneration (AMD), which can cause blindness.

When it comes to protecting eyes and vision from digital eye strain, taking frequent visual breaks is important. Children should make sure they practice the 20-20-20 rule: when using technology or doing near work, take a 20-second break, every 20 minutes and view something 20 feet away. According to the survey, nearly one-third (32 percent) of children go a full hour using technology before they take a visual break instead of every 20 minutes as recommended.

Additionally, children who normally do not require the use of eyeglasses may benefit from glasses prescribed specifically for intermediate distance for computer use. And children who already wear glasses may find their current prescription does not provide optimal vision for viewing a computer screen. An eye doctor can provide recommendations for each individual patient.

The AOA recommends every child have an eye exam by an optometrist soon after 6 months of age and before age 3. Children now have the benefit of yearly comprehensive eye exams thanks to the Pediatric Essential Health Benefit in the Affordable Care Act, through age 18.

“Parents should know that vision screenings miss too many children who should be referred to an optometrist for an eye examination to correct vision,” added Dr. Roberts. “Eye exams performed by an eye doctor are the only way to diagnose eye and vision diseases and disorders in children. Undiagnosed vision problems can impair learning and can cause vision loss and other issues that significantly impact a child’s quality of life.”

Keeping Your Child Safe From the 3H’s of Heat Illness

heat

It is still hot in many parts of the U.S. and heat illness is a health concern, especially for children.

The following press release speaks to protecting your child from heat induced illnesses.

Source Newsroom: Cincinnati Children’s Hospital Medical Center

Doctors at Cincinnati Children’s Hospital Medical Center want to give tips to parents and guardians on how they can keep their kids safe during the hot weather.

Dr. Eric Kirkendall, Hospital Medicine, Cincinnati Children’s, explains that there are three major illnesses that heat can trigger. “Heat stroke, heat exhaustion and heat cramps are reactions caused by exposure to high temperatures combined with high humidity,” he explains. “The most serious of these is heat stroke.”

Heat stroke symptoms include hot flushed skin, high fevers (over 104° F), altered mental states such as confusion, and can be accompanied by seizures. Heat stroke is a life-threatening emergency and needs to be treated promptly.

Heat exhaustion is less severe, than heat stroke but is still dangerous and requires medical attention. Symptoms include pale skin; profuse sweating; nausea, dizziness, fainting, or weakness.

Heat cramps are most common in the abdomen and legs, especially the calf or thigh muscles. Tightness or hand spasms can also occur, but none of these symptoms are accompanied by a fever.

Dr. Kirkendall advises that parents and caregivers should limit outdoor play time when it is extremely hot outside to early morning or late afternoon. “Keep them well hydrated with water, and take frequent breaks to allow them to come inside and cool off,” he says.

The American Academy of Pediatrics and Dr. Kirkendall give the following tips on how to keep children safe during extreme hot weather:

Treating Heat Stroke

• Call 911 immediately.
• Cool the child off as rapidly as possible while waiting for Emergency Medical Services to arrive. Move the child to a cool shady place or an air-conditioned room; sponge the entire body surface with cool water (as tolerated without causing shivering); and fan the child to increase evaporation.
• Keep the feet elevated to counteract shock.
• If the child is awake, give him as much cold water to drink as he can tolerate.
• Fever medicines are of no value for heat stroke.

Treating Heat Exhaustion

• Put the child in a cool place. Have him lie down with the feet elevated.
• Undress the child (except for underwear) so the body surface can give off heat.
• Sponge the entire body surface continuously with cool water without causing shivering. Fan the child to increase heat loss from evaporation.
• Give the child as much cool, not cold water to drink as is tolerable until he feels better.
• Move the child to a shaded area.
• For persistent or severe symptoms, take the child to be seen by a physician.

Avoiding Heat Cramps

• Monitor the child’s physical activity and make sure that he does not overly exert himself.
• Make sure the child drinks plenty of water and rehydrates often.
• Encourage frequent breaks from physical activity so the child can cool down and gently stretch his muscles.

About Cincinnati Children’s Hospital
Cincinnati Children’s Hospital Medical Center ranks third in the nation among all Honor Roll hospitals in U.S.News and World Report’s 2014 Best Children’s Hospitals. It is also ranked in the top 10 for all 10 pediatric specialties. Cincinnati Children’s, a non-profit organization, is one of the top three recipients of pediatric research grants from the National Institutes of Health, and a research and teaching affiliate of the University of Cincinnati College of Medicine. The medical center is internationally recognized for improving child health and transforming delivery of care through fully integrated, globally recognized research, education and innovation. Additional information can be found at www.cincinnatichildrens.org. Connect on the Cincinnati Children’s blog, via Facebook and on Twitter.

Who is Drinking all the Diet Beverages?

dietGiven all the concerns about drinking sugary beverages, let’s take a look at who is consuming diet drinks across the U. S.

The following information, posted by the Centers for Disease Control , comes from the National Health and Nutrition Examination Survey, 2009-2010 describes the consumption of diet beverages among the U.S. population during 2009-2010 by sex, age, race and ethnicity, and income, and details trends in diet drink consumption from 1999-2000 through 2009-2010.

About 20% of the U.S. population aged 2 years and over consumed diet drinks on a given day during 2009-2010. The percentage consuming diet drinks was similar for females and males at all ages except among adolescents aged 12-19. The percentage consuming diet drinks increased with age for both males and females. On a given day, about 3% consumed some but no more than 8 fluid ounces (fl oz) of diet drinks, and 11% consumed 16 fluid ounces or more.

Although 15.3% of non-Hispanic white children and adolescents consumed diet drinks, only 6.8% of non-Hispanic black and 7.5% of Hispanic children and adolescents consumed any diet drink on a given day during 2009-2010. Similarly, 27.9% of non-Hispanic white adults consumed any diet drink on a given day compared with 10.1% of non-Hispanic black and 14.1% of Hispanic adults.

The percentage of higher-income persons who consumed diet drinks on a given day was greater than that of lower-income persons. A total of 18.3% of children and adolescents living in households with income at or above 350% of the poverty line consumed diet drinks, compared with 11.5% of those living between 130% and 350% of the poverty line, and 8.0% of those living below 130% of the poverty line. A similar pattern was observed for adults: Although 32.6% of adults living at or above 350% of the poverty line consumed diet drinks, only 20.1% of those living between 130% and 350% of the poverty line, and 12.2% of those living below 130% of the poverty line, consumed diet drinks.

Summary:

Overall, the percentage consuming diet drinks was higher among females compared with males. Diet drink consumption differed by age, race and ethnicity, and income. For example, the percentage of non-Hispanic white children and adults who consumed diet drinks was higher than those for non-Hispanic black and Hispanic children and adults, and the percentage of higher-income persons who consumed diet drinks was higher than that for lower-income persons.

The percentage of females and males who consumed diet drinks increased between 1999 and 2010 and was mirrored by a decrease in consumption of added sugar calories in regular soda over a similar time period. These results suggest that sugar drinks may have been replaced with diet drinks during that time.

Although substituting sugar drinks with diet drinks may promote weight loss in the short term it is unclear if long-term consumption leads to weight loss, weight maintenance, or even weight gain.

 diet

Make it a Happy and Healthy 4th of July!

4th

Here comes the 4th with its promise of fun. But we all need to take precautions to insure that it is a fun day.

Outdoor activities and fireworks are the biggest pastimes for 4th of July celebrations. Here are some tips on making it a safe, happy 4th.

  •  Never swim alone on the 4th or any other day, and make sure that any time kids are in the water someone is watching them closely.
  • Cover food and beverages outdoors to discourage uninvited guests such as bees and wasps. Wearing shoes, long sleeves, and long pants outdoors and avoiding perfumes and scented lotions, and sugary drinks can also help prevent bee stings.
  • Apply sunscreen both before and during your party on the 4th. The American Academy of Dermatology recommends using sunscreen with a minimum sun protection factor (SPF) of 15.

  • Check prescription medications you are taking to assure you will not have a reaction from being out in the sun or heat for an extended period of time
  • If you’ll be hiking or camping over the 4th,wear long-sleeved, light-colored shirts and long pants tucked into socks or boots to protect yourself from diseases caused by ticks.
  • Keep children away from campfires and grills. Gas leaks, blocked tubes, and overfilled propane tanks can be a cause of grill fires and explosions.
  • Don’t leave the picnic foods out all day. Allowing food to sit in outdoor temperatures can invite illness. The U.S. FDA suggests never leaving food out for more than one hour when the temperature is above 90 F and not more than two hours at other times.
  • If you live where fireworks are legal and they will be part of your 4th of July celebration be sure to store them where the kids can’t get into them. Keep the kids away from the fireworks at all times, and keep spectators at a safe distance. Professional fireworks displays are always a safer choice than putting on your own show.

A special note on using sparklers on the 4th;

  • Children under five are too young to safely hold a sparkler and don’t really understand why they might be dangerous. Avoid giving them one to hold.

  • Babies or children can wriggle in your arms and reach out unexpectedly. Avoid holding a baby or child when you have a sparkler in your hand.

  • Children over five will still need you to supervise them when they use sparklers. It’s safest if they wear gloves when they’re holding them. They might seem like ‘fireworks lite’ but sparklers can reach a temperature of 2000ºC. Have a bucket of water handy to put them in so that no-one can pick up a hot one off the ground. Teach them not to wave sparklers near anyone else or run with them.

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REFERENCES:

CPSC.gov. Fireworks Safety.

USDA