Cardiovascular Care Costs Rising

Cardiovascular Care Costs Rising, Report Says Download Complimentary Source PDF

By Crystal Phend, Senior Staff Writer, MedPage Today Published: December 17, 2009 Reviewed by Zalman S. Agus, MD; Emeritus Professor University of Pennsylvania School of Medicine. Action Points Note that the report was based on projections from data reported in the prior year and the most recent nationally-representative studies. The new year will ring in record high costs for treating heart disease and stroke, according to an American Heart Association report that projects a 5.8% increase over 2009 spending. Costs for cardiovascular care will rise to $503.2 billion in the U.S. next year, Donald Lloyd-Jones, MD, ScM, of Northwestern University, and colleagues predicted in the AHA statistics update. Direct costs will reach an estimated $324.1 billion, putting cardiovascular disease ahead of all other diagnostics groups, they wrote online in Circulation: Journal of the American Heart Association. Digestive diseases came in second, with $225.2 billion for 2010, with mental, nervous system, and injury and poisoning closely bunched between $172 billion and $178 billion each. The biggest contributor to cardiovascular care costs was expected to be coronary heart disease, which at $177.1 billion for direct and indirect costs, was more than double that of stroke or hypertensive disease ($76.6 billion and $73.7 billion, respectively). Direct costs incurred at the hospital were the biggest component in cardiovascular care, at an estimated $155.7 billion. The authors said they based their projections on the most recent, nationally-representative data (largely the 2003-2006 National Health and Nutrition Examination Survey) and relevant literature from the past year. The report was a collaboration with the CDC, the National Institutes of Health, and other government agencies. Lloyd-Jones' group attributed the rising costs, in part, to poorly controlled risk factors, particularly obesity. Among the notable findings: Physical inactivity is rife, with 59% of adults in the 2008 National Health Interview Survey reporting no vigorous activity. Cholesterol control is poor: fewer than half of treatment candidates, or even of the highest-risk, symptomatic heart disease patients receive lipid-lowering treatment, and only a third of treated patients reach their LDL goal. Obesity has reached at least 34% prevalence in adults and will likely continue to rise, given that 11.3% of children ages 2 to 19 were at or above the 97th percentile of BMI-for-age in the 2003-2006 NHANES. Obesity now accounts for almost 10% of all medical spending, an estimated $147 billion per year in 2008, according to Lloyd-Jones' group. "If current trends in the growth of obesity continue, total healthcare costs attributable to obesity could reach $861 to 957 billion by 2030, which would account for 16% to 18% of U.S. health expenditures," they wrote. The economic consequences of physical inactivity may account for 1.5% to 3.0% of total direct healthcare expenditures, according to World Health Organization data cited in the report.

The Top 10 Medical Advances of the Decade: Med Page today

The Top 10 Medical Advances of the Decade

By Lauren Cox, ABC Medical News Unit, Peggy Peck, Executive Editor, MedPage Today Published: December 17, 2009 Dr. John Sulston, Director of the Sanger Centre near Cambridge takes part in the Human Genome Project. (Ho New/Reuters) The first decade of the 21st Century brought a number of discoveries, mistakes, and medical advances that have influenced medicine from the patient's bedside to the medicine cabinet. In some cases these advances changed deep-seated beliefs in medicine; in others, they opened up possibilities beyond what doctors thought was possible years ago. ABC News, in collaboration with MedPage Today reached out to more than 800 specialists as well as a distinguished panel of medical historians to put together a top 10 list of medical advances one decade into this century.

BMJ Video; Sir Richard Doll

The evidence

The stories - tales from the archive

Colin Blakemore presents the BMJ's new video series, told in seven parts over the next seven weeks. These stories delve into the BMJ's 169 year old archive to unearth some of the leading thinkers of their time, and show the contribution they have made to modern medicine.

In this first video, Colin introduces the series and shows a sneak preview of what will follow in the coming weeks. Stories will include the birth of anaesthetic, the discovery of the anopheles mosquito as the vector for malaria, and the studies that hailed the link between smoking and lung cancer.

General Messages by Mr. Kawaldip Sehmi
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This is going to be a great series of 7 videos about keynote papers submitted to the BMJ in great discoveries in epidemiology of disease, new drug therapies etc.cures Doll study is looked at :http://www.bmj.com/video/stories.dtl Sir Richard Peto recalls the inside track- a great insight!

Heart Disease and Stroke Statistics—2010 Update

Heart Disease and Stroke Statistics—2010 Update. A Report From the American Heart Association

Donald Lloyd-Jones MD, ScM, FAHA, Robert J. Adams MD, FAHA, Todd M. Brown MD, Mercedes Carnethon PhD, FAHA, Shifan Dai MD, PhD, Giovanni De Simone MD, T. Bruce Ferguson MD, Earl Ford MD, MPH, Karen Furie MD, Cathleen Gillespie , Alan Go MD, Kurt Greenlund PhD, Nancy Haase , Susan Hailpern DPH, P. Michael Ho MD, PhD, Virginia Howard PhD, FAHA, Brett Kissela MD, Steven Kittner MD, Daniel Lackland PhD, FAHA, Lynda Lisabeth PhD, Ariane Marelli MD, Mary M. McDermott MD, James Meigs MD, Dariush Mozaffarian MD, PhD, FAHA, Michael Mussolino PhD, Graham Nichol MD, FAHA, Veronique Roger MD, FAHA, Wayne Rosamond PhD, FAHA, Ralph Sacco MD, FAHA, Paul Sorlie PhD, Randell Stafford MD, Thomas Thom , Sylvia Wasserthiel-Smoller PhD, Nathan D. Wong PhD, Judith Wylie-Rosett EdD, on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee

Saúde Ambiental

Representando o GT do Departamento de Saúde

Comunitária da FAMED UFRGS, Dra. Maria Inês Reinart Azambuja, Dra. Valderês Robinson e eu estivemos na Comissão de Saúde da Assembléia Legislativa do Estado para a formação de um GT lá com

objetivos muito semelhantes ao nosso da UFRGS. Obviamente pretendemos trabalhar em parceria, num esforço agregador de todos que temos objetivos comuns para tentar ir além do discurso e estimular a ação.

Criamos um novo Blog específico para o qual todos estão convidados:

http://saudeambiental-rs.blogspot.com

Assembléia Legislativa do Estado do Rio Grande do Sul

Comissão de Saúde e do Meio Ambiente

Apresentação e Convite

Tche Liga!...

Este Blog pretende servir como instrumento de ligação entre pessoas e entidades interessadas em Saúde e Meio Ambiente - Ambos os conceitos em seu sentido mais amplo: Saúde=Vida, e Meio Ambiente=Bio-Físico-Psico-Social-Universal.

Parte de um Grupo de Trabalho da Comissão de Saúde da Assembléia Legislativa do Estado do Rio Grande do Sul, sob a presidência do Deputado GILMAR SOSSELLA.

Está em desenvolvimento e receptivo para toda a contribuição que puder nos agregar e transformar discurso em ação e qualidade de vida.

Early life stress 'changes' genes

By Victoria Gill Science reporter, BBC News A study in mice has hinted at the impact that early life trauma and stress can have on genes, and how they can result in behavioural problems. Scientists described the long-term effects of stress on baby mice in the journal Nature Neuroscience. Stressed mice produced hormones that "changed" their genes, affecting their behaviour throughout their lives. This work could provide clues to how stress and trauma in early life can lead to later problems. Mice that are abandoned as pups have behavioural problems later on life

Population Health: The New Agenda

Sunday, May 24, 2009 Filed in: Videos

What determines your health? Genetics? Doctors? Drugs? But what about the neighborhood you live in? Your job? The amount of money you earn? These are called the social determinants of health, and they can expose more than you think. /.../

CT scans will lead to new cancer death

Each year that today's scanners are used, 14,500 deaths could result, researchers say. When healthy people are exposed to the radiation, the imaging may create more problems than it solves.

• Related
• 4 patients say Cedars-Sinai did not tell them they had received a radiation overdose
• Cedars-Sinai finds more patients exposed to excess radiation

By Thomas H. Maugh II

December 15, 2009

• 
  

Widespread overuse of CT scans and variations in radiation doses caused by different machines -- operated by technicians following an array of procedures -- are subjecting patients to high radiation doses that will ultimately lead to tens of thousands of new cancer cases and deaths, researchers reported today.

Global Tobacco Epidemic, 2009

WHO Report on the Global Tobacco Epidemic, 2009: Implementing smoke-free environments The report is the second in a series about the extent of the global tobacco epidemic and measures to stop it. It includes the latest global and country figures on the prevalence of tobacco use and on the measures' impacts. The report's theme is "smoke-free environments". WHO chose the theme because of the serious harmful effects of second-hand smoke, which include about 600,000 premature deaths per year, numerous crippling illnesses and economic losses in the tens of billions of dollars. Download the full report | Further information and media materials | Press Release

Fome de ar, água e comida

Especial Fome de ar, água e comida Os donos do mundo e seus sábios reunidos em Copenhague ainda não se entenderam sobre como salvar o planeta. A COP15 já funcionou, porém, como uma martelada na cabeça dos líderes alertando-os para a superlotação da Terra e a dramática escassez de recursos naturais.Índice da edição

METHODOLOGICAL TOOLBOX ON THE RIGHT TO FOOD

The purpose of the Methodological Toolbox is to provide a practical aid for the implementation of the Right to Food Guidelines. It contains a series of analytical, educational and normative tools that offer guidance and hands-on advice on the practical aspects of the right to food. It covers a wide range of topics such as assessment, legislation, education, budgeting and monitoring. It emphasises the operational aspects of the right to food and contributes to strengthening in-country capacity to implement this right.

Download the pdf publications:

1. Guide on legislating for the right to food (4 MB)
2. Methods to monitor the human right to adequate food - Vol I (565 KB)
2. Methods to monitor the human right to adequate food - Vol II (1,2 MB)
3. Guide to conducting a right to food assessment (1.7 MB)
4. Right to food curriculum outline (2.3 MB)
5. Budget work to advance the right to food (3.9 MB)

'tempo real' desmatamento de florestas: Google

Ferramenta do Google permite que ambientalistas acompanhem em 'tempo real' desmatamento de florestas

Publicada em 11/12/2009 às 13h18m

O Globo

• R15

RIO - Cientistas e ambientalistas poderão acompanhar a destruição de florestas em todo o planeta quase em tempo real, graças a uma nova ferramenta revelada pelo Google nesta quinta-feira. A tecnologia, apresentada durante a convenção da ONU em Copenhague, permite a análise de imagens de satélite online e a medição de áreas degradadas ou mesmo reflorestadas em escala global./.../

Environmental and societal influences

Environmental and societal influences acting on cardiovascular risk factors and disease at a population level: a review

Clara Kayei Chow^1,*, Karen Lock², Koon Teo¹, SV Subramanian³, Martin McKee² and Salim Yusuf¹

¹ Population Health Research Institute, McMaster University and Hamilton Health Sciences, 237 Barton Street East, Hamilton, ON, L8L 2X2, Canada.
² LSHTM, Keppel Street, London WC1E 7HT, UK.
³ Department of Society, Human Development and Health, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.

* Corresponding author: Dr Clara Kayei Chow, Senior Research Fellow, Population Health Research Institute, Hamilton General Hospital, 237, Barton Street East, Hamilton, ON L8L 2X2, Canada. E-mail: clara@phri.ca

	Abstract

It has long been known that cardiovascular disease (CVD) rates vary considerably among populations, across space and through time. It is now apparent that most of the attributable risk for myocardial infarction ‘within’ populations from across the world can be ascribed to the varying levels of a limited number of risk factors among individuals in a population. Individual risk factors (e.g. blood pressure) can be modified with resulting health gains. Yet, the persistence of large international variations in cardiovascular risk factors and resulting CVDincidence and mortality indicates that there are additional factors that apply to ‘populations’ that are important to understand as part of a comprehensive approach to CVD control. This article reviews the evidence on why certain populations are more at risk than others./.../

Saúde emprega milhares no país

De MARIA INÊS REINERT AZAMBUJA

Até que enfim este país começa a se dar conta que saúde não é só consumo, mas também é produção, que, aliás é a fase que gera saúde.

Do Correio do Povo de hoje

Saúde emprega milhares no país

ANO 115 Nº 71 - PORTO ALEGRE, QUINTA-FEIRA, 10 DE DEZEMBRO DE 2009

Saúde emprega milhares no país

Pesquisa do IBGE indica que o segmento da saúde vem se destacando no mercado de trabalho brasileiro. Em 2007, o setor ocupou 4,2 milhões de pessoas no país, aproximadamente 400 mil a mais que em 2005. A saúde pública é a que mais emprega na área, envolvendo, em 2007, 1,4 milhão de trabalhadores. Outras atividades relacionadas com atenção à saúde aparecem com 1,1 milhão de ocupações, seguido do comércio de produtos farmacêuticos, médicos, ortopédicos e odontológicos, que registrou 786,4 mil trabalhadores. O segmento comercial foi o que mais abriu postos desde 2005, sendo responsável por 105,3 mil novas vagas. Mais da metade das ocupações na área são feitas por meio de vínculo formal e o número de autônomos chegou a 638 mil. Os remédios foram os protagonistas das importações do segmento de saúde, atingindo R$ 5,7 bilhões do total de R$ 11,6 bilhões registrado em 2007. Os aparelhos e instrumentos para usos médico-hospitalar e odontológico representaram R$ 2,7 bilhões e, os produtos farmoquímicos, R$ 2,1 bilhões.

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Infelizmente continuamos promovento políticas que aumentam a consumo cronico de medicamentos, com os quais transferimos para o exterior mais do que gastamos com todos os trabalhadores empregados no setor.

A solução tem que ser outra. Praças, bicicletas e ciclovias, transporte coletivo de boa qualidade, esporte, estímulo à produção local de alimentos saudáveis, restaurantes comunitários, ou seja, tudo o que faça o dinheiro ficar aqui.

Maria Inês Azambuja