Good Morning All Soon to be afternoon

1
Good Morning All!(Soon to be afternoon)
2
Potential World Population issue or just a
current event in Japan?One of the only drugs in
the world that fights the Bird Flu Tamiflu
3
FDA to parents Watch for 'abnormal behavior' on
Tamiflu

• Over 100 new cases and most of them are coming
  from Japan
• These cases involve children experiencing
  hallucinations, unusual psychiatric behavior, and
  leads them to a state of delirium.
• 103 new cases occurred between August 29, 2005
  and July 6, 2006.

4
FDA to parents Watch for 'abnormal behavior' on
Tamiflu
But Joe didnt the FDA place notice of the
affects of this drug on the label? Seriously!?
Whats going on here?

• Yes the FDA did initially place a notice of what
  side affects could be expected but what was
  initially expected was seizure and confusion.
• They have updated the label since this situation
  has occurred. According to the FDA, severe
  cases of the flu can spark the abnormal
  behavior.
• On the other hand, US and Canadian studies have
  shown that death rates of influenza patients who
  took Tamiflu were lower than patients who did not.

5
FDA to parents Watch for 'abnormal behavior' on
Tamiflu
How does this relate to the world Joe?

• The FDA does not want to dissuade folks from
  using this drug because although it is a problem
  there is an even bigger potential problem.
• If the bird flu were to mutate into a form where
  it could be transmitted from person to person we
  would have a pandemic on hand which could
  potentially decrease the size of the earths
  population on a large scale.

6
Health Issues Crackdown on industry
drives STDs through the Roof.
sex

• According to Mainichi Daily News, an estimated
  6.5 million folks in Japan are believed to have
  contracted one type of venereal disease.
  Statistics are showing that the people
  contracting the diseases are getting younger.
• The crackdown on the sex industry is forcing the
  sex business underground and this makes it
  difficult to tackle the STD problems folks are
  getting before they spread them or get any worse.

7
Health Issues Crackdown on industry
drives STDs through the Roof.
sex

• Head of Japanese Foundation for Sexual Health
  Medicine, Seji Matsuda, reports that some part
  time female sex workers dont get checked up
  since it will show up on their insurance records
  or their parents will find out since some of the
  women are school girls.
• When this line of work was permitted to operate
  openly there was encouragement from sex service
  managers to get checked up. Now that the option
  is gone, fewer people are getting checked up,
  when less clients are around there is less money
  (hence I can do without a checkup this time
  around), and/or some workers know that they
  have a disease yet they keep working while being
  treated.

8
Health Issues Crackdown on industry
drives STDs through the Roof.
sex

• Urologists say that the pattern for STD
  contraction has been changing over the past 10
  years to where folks are contracting from their
  friends and lovers rather than sex workers.
• Many students are losing their virginity in high
  school or college and then spread it once they
  get into the workforce.
• It has been documented in a study that girls as
  young as 10 years of age contracted chlamydia.
• There was a forum on this article and one of the
  online users stated that the Japanese are now
  catching up to the US. What do you think?

9
Hibakusha

• meaning Explosion affected people

The burns you see is from the kimono (Japanese
traditional female dress) she was wearing on the
day of the bombing. It has etched into her skin.
10
Hibakusha

• There are a series of articles dating back to
  October 2006 that tells the story of some of the
  survivors from the atom bomb attack in Hiroshima
  and Nagasaki.
• The survivors who are sharing their stories are
  doing this to educate the world on the known
  affects of radiation. This is in light of the
  current events dealing with nuclear testing by
  North Korea.
• This article dealt with the health of the cohort
  population of folks
• who are now in their 60s, 70s, and 80s. Also
  the article shows the effects of nuclear war
  aside from increased death rates.
• (Im surprised they are still alive although
  Japan has a high life expectancy.)

11
Hibakusha

• Many of the Hibakusha deal with discrimination
  since the consequences of radiation exposure are
  not truly known. They receive government monthly
  allowance but as you will see, some have a hard
  time just living.

Whats life like after Atom?
12
Hibakusha
Problem SOCIALLY ISOLATED

• He was 20 when the a bomb was dropped and
  suffered massive burns to the body but survived.
  He became a math teacher and married one of his
  former students.
• Her family was against this because they felt
  that he would die soon. Either way, they had 3
  children and their second daughter continuously
  keeps having miscarriages.
• Although he fell ill 3 times over the cycle
  of their marriage, he outlived his wife. She died
  at the age of 59. Currently he is 81.
• Currently he furthers the cause of the Hibakusha
  Project.

Sunao Tsuboi
13
Hibakusha Lifelong agony borne from the womb

• Her mother was 3 months pregnant with her when
  the bomb fell.
• Side affects?
• Her toes curve inward, she has a dislocated
  groin (which is now an artificial one), and she
  has microphaly (being born with an abnormally
  small head).
• Like many survivors she takes many pills a day
  to deal with medical issues. She takes 20 pills
  every day.

Kimie Kishi, 60
Problem Abnormal Physical Ailments
14
Hibakusha Dont Turn your Eyes Away

• "Living," he says, "is a burden."
• He cannot sleep on his back without waking up in
  pain.

Warning this next slide is graphic. It shows
the skin of persons back burned worse than the
lady with the kimono burns or Tsuboi.
Problem Physical Ailments
3,000-degree heat emanating from the bomb seared
the skin of his back.
The photo was taken by U.S. army personnel six
months after the Nagasaki bombing, and under it
is printed, "I want you to understand, if only a
little, the horror of nuclear weapons."
Sumiteru Taniguchi, 77
15
Race and Health Issues Among the Population
16
Oklahoma Hispanics Face Greater Health Care
Barriers in New Growth

• Only 43 of Hispanics in new growth communities
  live within 5 miles of a community health center,
  compared with 71 in major Hispanic centers.
• Hispanics have a very high uninsured rate and
  also face language barriers and other cultural
  barriers to their care.
• Major reasons for their moves out of these
  Hispanic centers are to pursue employment and
  other opportunities.
• However, health care is rarely called into
  account when deciding to move.
• Of 60 communities surveyed, findings indicated
  that between 1996 and 2003 the Hispanic
  population grew by 3.7 million, up from about 4
  million, a 93 increase.

17
Continued

• This means that the share of the total U.S.
  Hispanic population living in new growth
  communities increased from about 14 in 1996 to
  about 20 in 2003.
• About 31 are uninsured, compared with 30 in
  major Hispanic centers.
• This was up from 25 in 1996 reflecting a drop in
  private insurance coverage among Hispanics sue to
  higher poverty and lack of health coverage among
  recent immigrants.
• This was said to be due to Hispanics working for
  employers that are less likely to offer health
  insurance and more likely to visit emergency
  rooms for care.
• Source ProQuest Information and Learning Company

18
The 10 Biggest Killers of Blacks

• Heart disease, cancer, stroke, AIDS, accidents,
  homicide, diabetes, pneumonia and influenza,
  chronic pulmonary disease (asthma and bronchitis)
  and infant mortality.
• Many of these health threats can be prevented
  with regular checkups and simple changes in
  lifestyle.
• The top 3 diseases are the same leading health
  threats among Whites as well. However, by the
  time Blacks are diagnosed, they are more likely
  to die.
• The top killers vary by gender and age.
• For the age group 25-44 the leading threat is
  AIDS, a disease this group contracts 4 times more
  often than Whites.
• The death-rate of middle aged to elderly
  African-American women from coronary heart
  disease is more than 70 than that for White
  women.
• Blacks have twice as many strokes than as Whites.
• Black men have the highest rate of prostate
  cancer in the world.

19
Continued

• As for life expectancy, the average
  African-American is living to an all-time high of
  age 70.
• Whereas, Whites live an average of 6 years more.
• Regular examinations and honest communication
  with the doctor could reduce the number of deaths
  by disease Blacks face.
• In addition, education is the best cure, to
  prevent growing ills among African-Americans.
• Starting to exercise and eating healthier are
  also proactive measures one can take to improve
  their health status as well.
• Source Gale Group, 2006.

20
Asian Americans Not Necessarily a Model-Minority
for Health

• When a Harvard study on life expectancy made the
  news last month, headline proclaimed that Asians
  are the Most Healthy and Asian women Live the
  Longest.
• While true in some cases, these headlines are
  also misleading.
• The Asian population was then split into 8
  categories based on region and analyzed for
  health.
• Research found that Asian womens life expectancy
  was 86.7 years which is an extraordinary
  advantage over other Americas for mortality.
• However, other research found that in specific
  areas of health relating to gender and age Asians
  did not have the same advantage.
• These fluctuations varied depending upon their
  level of English, diet, and lifestyle which
  affect their health care, risk of cancer and
  diabetes, and unhealthy habits such as smoking.

21
The Non-English Disadvantage

• Resulted in fewer preventive services.
• They were less likely to follow directions for
  medications.
• Children with language barriers were more likely
  to require breathing tubes ad be placed into
  intensive care.
• Less communication is also a barrier to better
  health and disease prevention and can contribute
  to the continuation of risky behaviors.

22
Cancer Among Asians

• Asians and Pacific Islanders are the only group
  in the U.S. for which cancer is the leading cause
  of death.
• Japanese have the highest incidence and death
  rates from colorectal cancer as well as uterine
  cancer.
• Japanese women have the highest number of new
  cases of breast cancer.
• For lung and bronchial cancers, Vietnamese have
  the highest prevalence but Chinese have the
  highest death rates.

23
Diabetes High Among Asians

• Asian Americans have type 2 diabetes at a rate
  that is 50 to 200 higher than for the general
  population in the U.S.
• What is so strange for the Asian population is
  the idea that they can become diabetic even
  without excess weight or obesity, the typical
  precursors to diabetes in other groups.
• As Asians eat more saturated fats they may have
  higher incidences of diabetes and cardiovascular
  disease.
• Source Sampan News Report, 2006.