Tag Archives: prevention

Elizabeth Warren Challenges Chris Christie for the Science Behind His Ebola Quarantine

Mother Jones

Sen. Elizabeth Warren (D-Mass.) is demanding Gov. Chris Christie (R-N.J.) reveal the science behind his controversial decision to place all health care workers returning back from Liberia, Guinea, or Sierra Leone to be placed under a mandatory quarantine. Spoiler alert: the science does not exist.

“He should bring out his scientists who are advising him on that, because we know that we want to be led by science,” Warren said Tuesday during an appearance on CBS’s This Morning.

“That’s what’s going to keep people safe,” she added. “Science, not politics.”

Warren, who was promoting her book A Fighting Chance, was responding to a question about Christie’s earlier comments in which he defended the mandatory quarantine against claims the policy is draconian.

“I don’t think it’s draconian,” Christie said on the Today show. “The members of the American public believe it is common sense, and we are not moving an inch. Our policy hasn’t changed and our policy will not change.”

Warren’s criticism joins a widening chorus of politicians–both on the right and left–and health officials who have slammed Christie and Gov. Andrew Cuomo (D-N.Y.) for placing involuntary quarantines in their respective states over the weekend after first Ebola outbreak in New York City last Thursday surfaced.

Both governors have been accused of playing politics at the expense of basic human rights–Christie hoping to recall the image of an unapologetic, bipartisan leader in times of crisis (a la Sandy); Cuomo hoping to exert any level of control.

On Monday, in light of the newly implemented quarantines, the Centers for Disease and Control and Prevention unveiled a new set of federal guidelines for local governments to adopt.

United Nations Secretary General Ban Ki-moon also released a statement praising medical officials as “exceptional people.” Alluding to Christie and Cuomo’s policies, Ban also admonished against “restrictions that are not based on science.”

(h/t Mediate)

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Elizabeth Warren Challenges Chris Christie for the Science Behind His Ebola Quarantine

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Survey: Four Out of Five Nurses Have Gotten No Ebola Training At All

Mother Jones

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A new survey conducted by the National Nurses Union shows US hospitals may not be adequately prepared to handle Ebola patients, should the virus continue to spread. Out of the 2,200 nurses who responded to the union’s questionnaire, 85 percent reported that their hospitals had not provided education on Ebola. 76 percent said their institution had no policy for how to admit and handle patients potentially infected with the virus. More than a third claimed their hospitals didn’t have enough safety supplies, including eye protection and fluid resistant gowns.

The survey results were announced on Sunday, just after the Centers for Disease Control and Prevention confirmed that a health worker in Texas had tested positive for the virus. The CDC’s director, Thomas Frieden cited a “breach of protocol” as the likely reason.

Now—as agency officials scramble to figure out just what that breach was—nurses are pushing back. On Monday, NNU nurses in red shirts rallied in Oakland, Calif. with signs reading, “Stop Blaming Nurses. Stop Ebola.”

“We have been surveying nurses for almost two months about Ebola preparedness,” Charles Idelson, an NNU spokesman, said Monday. “What these survey results clearly indicate is that hospitals are still not doing enough to be properly prepared to respond.”

The CDC has announced plans to deploy an Ebola response team “within hours” at any hospital where an Ebola patient is admitted. At a press conference, Frieden said the agency is responding to calls from hospitals that are underprepared to handle the crisis.

On Monday, Frieden said the the CDC is also working with hospitals to better train health workers on Ebola precautions.”We have to rethink the way we address Ebola infection control,” he said. For example, he said, in some cases health workers may actually be wearing too much protective gear, making it harder to remove and dispose of the material.

The NNU survey showed that, even as the CDC called for more hands-on training, especially on how to properly put on and remove safety equipment, few hospitals have provided it for their employees. Ideslson says most are simply pointing nurses to information on their websites, or linking to CDC information. Staffing is another concern, with 63 percent of nurses reporting that hospital facilities won’t adjust the number of assigned patients per nurse to reflect the additional time required to care for infectious patients.

“We are going to continue to protest the failure of so many of these hospitals to put adequate safety measures in place,” Idelson said; he wouldn’t rule out the potential for healthcare workers to walk out on strike, much as Liberian health care workers have.

The American Hospital Association, an organization that represents nearly 5,000 hospitals nationwide, is now calling on hospitals to bolster their training regimens, turned down my request for an interview, but sent a statement saying, “We strongly encourage all hospitals to conduct employee retraining on how to use personal protective equipment to protect themselves from Ebola and other potentially deadly communicable diseases.”

Even if hospitals are prepared, however, it can be difficult to comply with both patient needs and the social blowback that comes with an Ebola diagnosis. The New York Times reported yesterday that Emory University Hospital in Atlanta, a center that had prepared for an outbreak long before the current crisis began, struggled with the county threatening to stop sewer service, couriers refusing to transport blood samples, and pizza delivery services refusing to come to any part of the hospital. And as my colleague Tim Murphy has reported, Louisiana’s attorney general has said the state, which processes a wide variety of hazardous wastes from around the nation, may take legal action to stop the incinerated belongings of deceased Ebola patient Eric Duncan from coming to one of its landfills.

In his press conference, Frieden warned that such fears are unfounded and counterproductive. “The enemy here is a virus. It’s not a person, it’s not a country, it’s not a place, it’s not a hospital—it’s a virus. It’s a virus that’s tough to fight, but together I’m confident that we will stop it.”

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Survey: Four Out of Five Nurses Have Gotten No Ebola Training At All

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Another GOP Candidate Says Migrant Kids Might Have Ebola. (They Don’t.)

Mother Jones

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Arizona Speaker of the House Andy Tobin is the latest Republican politician to suggest migrants from Central America might bring the Ebola virus with them to the United States. Tobin, who is seeking the GOP nomination for the state’s 1st Congressional District in Tuesday’s primary, made the connection in an interview published in the Tucson Weekly on Thursday.

Rep. Phil Gingrey (R-Ga.) started the GOP Ebola fearmongering trend last month when he wrote a letter to the Centers for Disease Control and Prevention stating that “reports of illegal immigrants carrying deadly diseases such as swine flu, dengue fever, Ebola virus and tuberculosis are particularly concerning.” In August, Reps. Todd Rokita (R-Ind.) and Louie Gohmert (R-Texas) leveled the same charge.

Although allegations of disease-ridden migrants are common throughout history, vaccination rates in Central America are higher than in Texas. And Ebola, which is difficult to contract, is not found in Central America. But Tobin was undeterred.

Per the Weekly:

…Tobin says he’s hearing about worries from constituents that the recent wave of undocumented youth from Central America could cause an Ebola outbreak in the United States.

“Anything’s now possible,” Tobin said last week. “So if you were to say the Ebola virus has now entered (the country), I don’t think anyone would be surprised.”

Tobin acknowledged that Ebola has been limited to outbreaks in Africa, “to the extent that they’re really aware of that. I think there is a reason we should be concerned about it and say, ‘Hey, can you assure us the people crossing the border are not from the Middle East?’…So I use that as an example, that the public would not be surprised to hear about the next calamity at the border.”

But even if there were lots of people crossing the border from the Middle East, they still wouldn’t be bringing Ebola, because Ebola is still confined to sub-Saharan West Africa. Here’s a useful map:

Central America is on the left. Google Maps

Fortunately for Tobin, though, the bar for misinformed comments on migrants is high in Arizona’s 1st District. State Rep. Adam Kwasman, Tobin’s chief rival for the nomination, became a late-night punch line in July when he protested a YMCA camp bus he mistakenly believed was filled with undocumented youths.

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Another GOP Candidate Says Migrant Kids Might Have Ebola. (They Don’t.)

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Sorry, Conservatives. The Supreme Court Isn’t Stopping Obama’s Climate Plan.

Mother Jones

“Supreme Court Limits EPA’s Global Warming Rules.”

Supreme Court Ruling Backs Most EPA Emission Controls.”

These are just a couple of the many contradictory headlines in response to Monday’s US Supreme Court ruling in Utility Air Regulatory Group v. EPA, a case filed by industry groups and several states challenging some of the environmental agency’s efforts to restrict greenhouse gas emissions. So what’s going on here?

Despite some applauding headlines from the right—”Supreme Court Hits Obama’s Global Warming Agenda,” claimed the Washington Times—the ruling actually had very little effect. “This is not doing much of anything to hobble EPA,” explains Richard Revesz, director of the Institute for Policy Integrity at the New York University School of Law, adding: “Nothing that is being done today calls into question the EPA’s ability to regulate power plants, both new and existing, under section 111 of the Clean Air Act.”

The decision, authored by Antonin Scalia, is actually the latest in a series of rulings by the Supreme Court on the ability of the EPA to regulate greenhouse gas emissions. The most important of these, 2007’s Massachusetts v. EPA, found that the agency had the authority to regulate these emissions under the Clean Air Act. In 2011, the court went further in American Electric Power v. Connecticut, ruling that states, cities, and other entities could not independently sue greenhouse gas emitters because the Clean Air Act and the EPA “displace” their ability to do so. It’s on the basis of such rulings that President Obama’s EPA has stepped forward to regulate greenhouse gas emissions from a variety of sources, including automobiles, newly constructed power plants, and, most recently, existing or older power plants.

Headlines notwithstanding, those regulatory actions weren’t really at issue in Monday’s decision. Rather, the latest case involved something called the EPA’s Prevention of Significant Deterioration (PSD) program, which issues permits for major new sources of air pollution, or for higher levels of emissions from existing sources. Permitted emitters are required to use the best technology available to mitigate their emissions.

As part of the EPA’s initiatives to combat global warming, the agency had tried to “tailor” this preexisting program, which covered other pollutants, to apply to large greenhouse gas emitters, while simultaneously ruling out smaller emitters like hospitals. Industry groups and some states sued in objection. The Supreme Court ruled that the EPA can’t target emitters based on their greenhouse gases under this program, but the court also said the agency can require major emitters already permitted under the PSD program for other types of emissions to curtail their greenhouse gas emissions, too. And by these lights, the EPA can still regulate 83 percent of all stationary sources of these emissions.

So we certainly shouldn’t be worried that the EPA can’t go forward on regulating greenhouse gases now, explains Sierra Club attorney Pat Gallagher. “There’s a slight ding in their program,” Gallagher says. But as he adds, “you’re still capturing most facilities, like 83 percent of the facilities.”

So, don’t freak out. The EPA is still taking major action on global warming. The latest Supreme Court ruling is no catastrophe. The fact that the court is tweaking such minor details in a sense affirms that the EPA’s broad approach to global warming is on track.

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Sorry, Conservatives. The Supreme Court Isn’t Stopping Obama’s Climate Plan.

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The Truth About Bug Spray

Mother Jones

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John W. Tomac

If you’re planning on spending time outdoors this summer, you’ll find that the insect repellent aisle of your local pharmacy offers a dazzling array of options to protect you from hungry bugs. Hardcore DEET-based sprays like Off! Deep Woods ($6.79 for 6 oz.) promise to ward off ticks, mosquitoes, flies, chiggers, and gnats for an entire day. Other products—such as Avon Skin So Soft Bug Guard Plus ($6.99 for 4 oz.)—contain sunscreen in addition to insect repellent. There are plenty of plant-based potions—Aromaflage ($30 for 8 ml) claims that its proprietary blend of “citrus fruit, warm cedarwood, and silken vanilla” makes for “a sophisticated, uplifting fragrance that also repels insects.” So do any of them get the job done? And do they cause problems for more than just bugs?

What’s the big deal? I can handle a few mosquito bites.
Scientists believe that mosquitoes choose their human victims by the scent of the bacteria on our skin and in our sweat. Because our bacterial communities vary, some of us are more prone to bites than others. To anyone who has scratched herself silly after a camping trip, the importance of an effective repellent is obvious. But even if you’re lucky enough to be unappetizing to mosquitoes, there’s another reason to choose your bug defense carefully: Insect-borne illnesses are on the rise, and some can be serious, even deadly. Lyme disease, which is transmitted by deer ticks, causes debilitating symptoms in more than 20,000 people every year. In 2013, 2,374 people in 48 states contracted the mosquito-borne disease West Nile virus, and 114 of them died. As climate change intensifies, public health experts expect that more breeds of mosquito will thrive in the United States. As a result, they predict an uptick in West Nile and other insect-borne illnesses, such as yellow fever. Since 2001, Florida, Hawaii, and Texas have had outbreaks of dengue, another mosquito-borne disease that had been considered eliminated in the United States since 1945.

What should I look for in a repellent?
Good question. Despite massive industry lobbying, sunscreen manufacturers must now state clearly on the packaging how well and how long a product works. Repellent companies, however, are hardly required to follow any rules at all. In 2013, when the health watchdog Environmental Working Group analyzed various repellents, researchers found that manufacturers’ claims about how long products last varied widely—even with the same active ingredient in the same concentrations. Some manufacturers claimed that their products were waterproof, even though—beachgoers beware—they did not offer proof. Others boasted exotic active ingredients—like clove oil and lemongrass oil—that have not been adequately tested and may contain high concentrations of allergens. “There should be a way for consumers to compare products,” says EWG senior scientist David Andrews. “And right now, there is really not.”

Doesn’t the government have some basic rules about what they can put on the labels?
Not really. Last year, the Environmental Protection Agency drafted a label template that tells consumers what kinds of insects a product protects against and how often it needs to be reapplied. But it’s completely voluntary. What’s more, the graphic will only apply to repellents that you apply to your skin, not wristbands, patches, candles, sonic devices, or any other products that claim to deter bugs.

So do those wristbands work?
Not as well as skin-applied repellents. In 2011, Australian medical entomologist Cameron Webb tested mosquito repellent wristbands and found them much less effective than skin-applied products containing DEET; they only offered protection in a very small area around the wrist. “There is no product—candles, fans, coils, patches, or anything else—that I am aware of that provides comparable protection to a DEET skin-based repellent,” he says. “Even if they work a little bit, they’re not going to protect all of your exposed skin.” Spatial products such as candles, coils, and smoke do drive away bugs, though the Centers for Disease Control and Prevention notes that they “have not yet been adequately evaluated in peer-reviewed studies for their efficacy in preventing vectorborne disease.”

Wait, isn’t DEET toxic?
No. In the ’80s, there were reports of children having seizures after using DEET-based products, but the exact cause of the seizures was never determined. Subsequent studies have found virtually no health risks associated with the ingredient at the concentrations found in commercial repellents.

Anything else I should steer clear of?
EWG suggests skipping products with plant-based active ingredients, even though they sound greener; the EPA does not require registration of these substances, and no one knows how safe or effective they are. The CDC recommends avoiding combined sunscreen-repellents because sunscreen requires much more frequent application than repellent—and the effect of overapplication of repellent hasn’t been well studied. And don’t trust label claims about how long a product can last. That’s determined by the percentage of its active ingredients—but without any way to compare, consumers are left to trial and error.

So what does work? For the best protection against both mosquitoes and ticks, the CDC recommends products containing DEET. For just mosquitoes, the agency also approves of products with the active ingredients picaridin (the active ingredient in most Avon Skin So Soft products), IR3535, and oil of lemon eucalyptus—which, despite its natural-sounding name, is actually a synthetic formulation. EWG found all three of these ingredients to be just as effective as DEET. “You don’t really want to mess around with a product that might or might not work,” says Webb, the Australian entomologist. “Where insect-borne diseases are concerned, it only takes one bite.” And as for the sheer itchy misery of being a mosquito’s idea of a five-star restaurant? Well, you probably don’t want to mess around with that, either.

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The Truth About Bug Spray

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Is Monsanto’s Roundup linked to a deadly kidney disease?

Is Monsanto’s Roundup linked to a deadly kidney disease?

Emma Rothaar

Entire communities of sugar-farm laborers in Central America are being crippled by a sometimes deadly kidney malady — and nobody knows why. But some think the herbicide glyphosate, sold by Monsanto under the name Roundup, may be connected to the epidemic.

NPR reports on the rash of illnesses:

The first reports of this disease date back at least 20 years. At first the clusters of men dying of kidney failure was dismissed as a fluke. Then it was written off as diabetes or some other underlying health problem that hadn’t been correctly diagnosed.

Despite years of research all over the world, scientists still can’t definitively pinpoint the cause.

“We don’t know. That’s the unfortunate part, and we do desperately need to find some answers,” says Reina Turcios-Ruiz, a medical epidemiologist with the U.S. Centers for Disease Control and Prevention’s office in Guatemala City.

This form of kidney failure, known as insuficiencia renal cronica in Spanish (or chronic kidney disease of unknown origin in English), is now found from southern Mexico to Panama, Turcios-Ruiz says. But it occurs only along the Pacific coast.

The disease is killing relatively young men, sometimes while they’re still in their early 20s. Researchers at Boston University have attributed about 20,000 deaths to this form of kidney failure over the past two decades in Central America.

Chronic kidney disease has also shown up in rice-farming communities of Sri Lanka, leading the country’s government to restrict the use of Roundup and similar herbicides earlier this year.

Shortly before the Sri Lankan restrictions were imposed, a study published in the International Journal of Environmental Research and Public Health hypothesized a link between glyphosate and the kidney disease in areas with hard ground water that contains certain metals. “Although glyphosate alone does not cause an epidemic of chronic kidney disease, it seems to have acquired the ability to destroy the renal tissues of thousands of farmers when it forms complexes with a localized geo environmental factor (hardness) and nephrotoxic metals,” the researchers concluded.

The NPR reporter interviewed a victim of the mystery disease who is convinced that agricultural chemicals are to blame. “It was the chemicals, the chemicals at the plantation,” sickened Nicaragua sugar worker Manuel Antonio Tejarino said. “I feel like I’m burning. My blood pressure goes down. I get dizzy. Someone has to help me walk. If I’m alone I’ll fall down.”


Source
Mysterious Kidney Disease Slays Farmworkers In Central America, NPR
Glyphosate, Hard Water and Nephrotoxic Metals: Are They the Culprits Behind the Epidemic of Chronic Kidney Disease of Unknown Etiology in Sri Lanka?, International Journal of Environmental Research and Public Health
Sri Lankan President Bans Sale of Roundup Over Chronic Kidney Disease Study, Sustainable Pulse

John Upton is a science fan and green news boffin who tweets, posts articles to Facebook, and blogs about ecology. He welcomes reader questions, tips, and incoherent rants: johnupton@gmail.com.

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Is Monsanto’s Roundup linked to a deadly kidney disease?

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Meet the Doctor Who Gave $1 Million of His Own Money to Keep His Research on Gun Violence Going

Mother Jones

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UC Davis

This story was originally published in ProPublica.

Federal funding for research on gun violence has been restricted for nearly two decades. President Obama urged Congress to allocate $10 million for new research after the Newtown school shooting. But House Republicans say they won’t approve it. The Centers for Disease Control and Prevention’s budget still lists zero dollars for research on gun violence prevention.

One of the researchers who lost funding in the political battle over studying firearms was Dr. Garen Wintemute, a professor of emergency medicine who runs the Violence Prevention Research Program at the University of California, Davis. Wintemute is, by his own count, one of only a dozen researchers across the country who have continued to focus full-time on firearms violence.

To keep his research going, Wintemute has donated his own money, as the science journal Nature noted in a profile of him last year. As of the end of 2013, he has donated about $1.1 million, according to Kathryn Keyes, a fundraiser at UC Davis’ development office. His work has also continued to get funding from some foundations and the state of California.

We contacted Wintemute to talk about his research, the politics of studying firearms, and how much we really know about whether gun control laws work.

At the end of one of our conversations, Wintemute volunteered that he is also a donor to ProPublica, something the editorial staff had not known. (He and his family’s foundation have donated less than $1,500 over four years.)

Here is the condensed version of our conversations, edited for length and clarity.

What research were you doing when the CDC ended your funding?

We were looking at risk factors for criminal activity among people who had legally purchased handguns. A person can have a misdemeanor rap sheet as long as his arm and still be able to purchase firearms legally in most parts of the country.

In California, there is an archive of handgun transfers. You could draw a random sample of people who purchased handguns and see their overall risk of committing crimes later. We found people who had misdemeanor convictions for nonviolent offenses were five times as likely to commit violence in the future than people with no criminal records. People who had multiple prior misdemeanor convictions for violent crimes like simple assault and battery or brandishing a firearm were 15 times as likely to be arrested down the road for crimes like murder and rape and robbery and aggravated assault.

What happened when the CDC cut off your funding?

As I recall, we were in the middle of our project period. We had the expectation that we would be continuing the funds according to the initial award.

When CDC’s funding went away, some private foundations stepped up. But there was a growing sense that little or nothing was going to be done about the problem, at least at the federal level. Why put your money into this one when Congress won’t be doing anything about it?

When did you start donating your own money to keep your research going, and what does the money support?

There came a point when I decided that the work we do is as important as the work of the other nonprofits to which I gave donations. I decided, I’m going to keep the lights on. I told our small staff—three people besides me—I will make that happen personally if need be.

A million dollars is a lot of money. Where does it come from?

Some of it is gifts from stock that was given to me by my father. He’s a businessman. He ran a small company that did well and that’s done well in his retirement. I didn’t earn that. I’ve always seen myself as the steward of that resource.

Some of it is my cash. It boils down to this: I earn an ER doc’s salary. I lead a very simple life. I’m not married, I don’t have kids, I don’t have a television. My rent is $840 a month. It’s easy to save. I don’t drive a fancy car. I don’t go out to eat.

One recent study from Harvard researchers found that there were lower gun death rates in states with more restrictive gun laws. The study got a lot of press. But you’ve been very critical of its conclusions. What’s wrong with this kind of analysis?

Almost all the effects they had seen from mortality in the study had to do with suicide. But the laws were largely intended to prevent homicide.

Number two: Correlation is not causation. Rates of gun deaths are lower where rates of gun ownership are lower. That’s true. We know that. It’s also easier to pass laws like this where the rates of gun ownership are lower. There aren’t that many guns around, there isn’t that large a constituency of gun owners.

States with lots of laws have lower firearm death rates, but the fact that two things occur at the same time does not mean that one of those things caused the other.

So is there any evidence that denying people the right to legally purchase guns has an impact on crime?

In 1991 California began denying people who had been convicted of violent misdemeanors. Our group took advantage of this natural experiment. Everyone in the study tried to buy a handgun from a licensed seller. One group tried to do it under the terms of the new policy, and their purchases were denied. The other group tried it in the two years before the policy, and their purchases were approved.

The people who got their guns were 25 to 30 percent more likely to be arrested for crimes involving firearms or violence. There was no difference in arrests for crimes that did not involve violence. The difference was specific to the types of crimes the law was supposed to affect.

We also looked at denial for felons and found the same effect. Felons who were denied had a lower risk of being arrested for crimes of violence down the road than were people with felony arrests who were able to purchase their guns.

So do we know whether background checks for all purchases—as President Obama has proposed—would actually prevent violence?

There are not hard data on whether universal background checks work better than what we have at the moment. But there’s lots of suggestive evidence.

One piece of that evidence we have comes from the state of Missouri, a new study by Daniel Webster. Missouri had universal background checks and repealed them. In very short order, there was evidence of increasing gun trafficking. The guns that were recovered after use in crime were getting newer. The inference was it was much easier for people to acquire guns for criminal purposes.

You are planning a broad study about whether comprehensive background checks work. What will that research look like?

Six states—Colorado, Connecticut, Delaware, Maryland, Illinois and New York—have just adopted comprehensive background checks, and they’ve all taken effect already. The provisions of their laws vary, and they started from different places.

The intent of our study is to come as close as possible to determining whether there is a causal relationship between comprehensive background check policies and important measures like crime and mortality.

Do you think there’s any chance the CDC will get new funding to resume gun violence research?

I think hell will freeze over before this Congress gives them money. The good news is that funding from other sources is starting to pick up. The National Institute of Health—it’s the first time in their history that they have issued a formal program announcement, a request for proposals on firearms violence.

The NRA has been critical of your work, and says you’re funded by anti-gun groups.

I won’t take money from advocacy organizations.

So, what groups would be on that list?

The National Rifle Association, The Second Amendment Foundation, Citizens Committee for the Right to Keep and Bear Arms, the Brady Campaign, Moms Demand Actions, Mayors Against Illegal Guns.

Have you ever accepted funding from former New York Mayor Michael Bloomberg?

I have not.

How do you draw the line between nonprofits whose funding you do accept, and “advocacy organizations”?

I’ve been offered money to do studies where the conclusion was basically determined from the design of the study. It wasn’t really science. The organization that was offering to fund the study was also going to control the interpretation of what the analysis meant. They were going to make the decision of whether or not the study got published. As a scientist, I just can’t enter into such an agreement. We have to let people know what the truth is, even if the truth makes someone uncomfortable.

Has your research ever made gun control advocates uncomfortable?

I did a gun show study. When I started crunching numbers on gun show sales, and looking at the surveys, I came to realize—as interesting as this is, gun shows themselves are not a big part of the problem. I felt obligated to add this into my report.

Before we released the study, I had a conference call with a bunch of organizations that I knew were interested in working to close the gun show loophole, and I told them what we were saying. That was a very uncomfortable conversation. People got very angry. It was going to make it more difficult for them to do what they wanted, which was to close the gun show loophole.

You recently did a large survey of federal firearms dealers. What was the most interesting finding?

We learned that a majority—not a large majority, but a majority—of gun dealers and pawn brokers are in favor of comprehensive background checks.

Do you know why some dealers supported background checks and others didn’t?

There is a sense in the country that retailers who have lots of traced guns i.e. guns that show up at crime scenes are themselves bad guys, and I just don’t believe that is always the case.

Retailers who had higher frequencies of attempted straw purchases, higher frequencies of attempted off-the-books-purchases, were more in favor of comprehensive background checks. They’re in the business. They know that when they say “no” to somebody, that guy is just going to go somewhere else to someone who says, “yes,” and they don’t want it to happen. They said “no,” so they want the system to say, “No.”

One of the policy proposals you’ve been looking at is whether people with a history of alcohol abuse should also be banned from purchasing firearms. Is this ever going to be a realistic policy — that two DUIs could mean that someone could lose their legal right to buy guns?

Yes. Last year, I floated the idea to the California legislature, and the legislature passed it. The governor vetoed it, or we’d have it now. His veto message said there’s not enough evidence. There’s tons of evidence of alcohol as a risk factor of violent activity. I think he meant evidence specific to gun owners. We’ve started one study, and are in the process of another. We’ll come back with the evidence.

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Meet the Doctor Who Gave $1 Million of His Own Money to Keep His Research on Gun Violence Going

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Why Is This Year’s Flu So Dangerous for Young Adults?

Mother Jones

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You’ve probably heard by now that this year’s flu season is a bad one. Below is a guide to the viruses that are going around now, plus a refresher on flu basics.

Is the flu widespread where I live?
Probably:

Centers for Disease Control and Prevention

How many people have died so far this year?
Twenty-eight children have died so far. The Centers for Disease Control and Prevention does not keep track of adult deaths. That’s because states are not required to report flu deaths to the CDC. Older adults often die of flu complications or secondary infections rather than the flu itself, so tracking flu deaths is not an exact science. That said, in California, the death toll is currently at 146, including 95 people under the age of 65. At this time last year, just 9 Californians under 65 had died of the flu, and by the end of the season, a total of 106 people had died.

How does this year’s season compare to last year’s?
As the chart below shows, so far, this season is milder in terms of number of cases. However, CDC spokesperson Jason McDonald notes that more people between the ages of 18 and 64 have been hospitalized for flulike symptoms this year than in previous years. This season’s predominant virus strain is H1N1—which, when it originated in 2009, also sent an unusually high number people in the 18-to-64 age range to the hospital. Epidemiologists don’t know why H1N1 hits younger people hard, but one theory, says McDonald, is that older adults have built up more immunity to it. H1N1 is similar to the virus that caused the Spanish Flu of 1918, and also to strains that circulated in the ’60s and ’70s. Another possible factor: Only about 30 percent of younger adults get flu shots, compared to about 40 percent of older adults.

Centers for Disease Control and Prevention

Is there a cure for the flu?
Doctors sometimes use antiviral medications to treat the flu—but it’s worth noting that, according to McDonald, about 1 percent of the H1N1 strains that the CDC has tested are resistant to a common antiviral drug. Although over-the-counter medications can make flu symptoms less severe, a recent study found that fever reducers like ibuprofen and acetaminophen actually help spread the flu by making people feel well enough to leave the house before they’ve kicked the virus.

How do I even know I have the flu? How can my doctor tell?
To know for certain, you’d need to have a blood test. But most doctors won’t do that, since it won’t really change the treatment (rest, drink fluids). But there are some key differences between a bad cold and a flu, CDC spokesman Curtis Allen told me last flu season. “You will be running a high temperature for several days, and it will keep you in bed for a week or more,” he said. But the most distinctive feature of the flu is its sudden onset. “You could be feeling fine at 10 and very sick at noon.”

If the flu season has peaked, should I still get a flu shot?
Yes. A typical flu season is 10 to 12 weeks long—so if it just peaked, that means there’s still another 5 or 6 weeks left. The caveat: The shot takes about two weeks to kick in, so even if you got the shot today, you could still come down with the flu, said Allen. Even if you think you’ve already had the flu this year, you should get a shot; it’s possible (though unlikely) that you could still come down with a different strain.

Can you get the flu from the flu shot itself?
No. That’s impossible, since the virus in the shot is not alive. You might get soreness, irritation, or even a fever after the shot, but that’s your body reacting to the shot, not the flu.

Why is there a “season” for the flu?
Last flu season, Jeffrey Shaman, a flu researcher and assistant professor in the department of environmental health sciences at Columbia University’s Mailman School of Public Health, told me that there are several reasons. Some have to do with us humans: In the winter, we spend more time indoors sneezing on each other. During this time of short days and long nights, we don’t get as much vitamin D or melatonin—both thought to be essential for healthy immune system function. Then there’s the virus itself: It seems to thrive when absolute humidity is low, a common condition in cold winter weather.

So that’s why the flu is so bad this year—the drought! So climate change actually made the flu worse, right?
Wouldn’t it be nice if epidemiology were that easy? Unfortunately, it’s not. If that were the case, you’d never see the flu in hot, humid places. Other variables make it impossible to predict flu seasons based on weather alone.

It’s worth noting, though, that in a 2012 paper, Shaman and his colleagues did document that each of the four flu pandemics of the 20th century were preceded by La Niña cycles, likely because birds mingled with each other differently during these unusual weather patterns. The flu strains that they were carrying probably hybridized and created a strain so new that humans had no immunity to it. Since, as we recently learned from this Climate Desk video, climate change does interact with El Niño/La Niña cycles, it’s not completely out of the question that global warming could affect flu transmission, at least indirectly.

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Why Is This Year’s Flu So Dangerous for Young Adults?

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How the West Virginia Spill Exposes Our Lax Chemical Laws

Mother Jones

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The West Virginia chemical spill that left some 300,000 people without access to water has exposed a gaping hole in the country’s chemical regulatory system, according to environmental experts.

Much the state remains under a drinking-water advisory after the spill last week into the Elk River near a water treatment facility. As much as 7,500 gallons of the chemical 4-methylcyclohexane methanol, which is used in the washing of coal, leaked from a tank owned by a company called Freedom Industries.

A rush on bottled water ensued, leading to empty store shelves and emergency water delivery operations. According to news reports, 10 people were hospitalized following the leak, but none in serious condition.

The spill and ensuing drinking water shortage have drawn attention to a very lax system governing the use of chemicals, according to Richard Denison, a senior scientist at the Environmental Defense Fund who specializes in chemical regulation. “Here we have a situation where we suddenly have a spill of a chemical, and little or no information is available on that chemical,” says Denison.

An empty West Virginia store shelf Foo Conner/Flickr

The problem is not necessarily that 4-methylcyclohexane methanol, or MCHM, is highly toxic. Rather, Denison says, the problem is that not a great deal about its toxicity is known. Denison has managed to track down a description of one 1990 study, conducted by manufacturer Eastman Chemical, which identified a highly lethal dose, in rats, of 825 milligrams per kilogram of body weight. But how that applies to humans at much lower doses in water isn’t necessarily clear.

In response to the crisis, the Centers for Disease Control and Prevention and the Environmental Protection Agency have determined that a level of 1 part per million in water is safe. The drinking water advisory is now slowly being lifted on an area-by-area basis.

So why do we know so little? All of this traces back to the 1976 Toxic Substances Control Act, or TSCA, the law under which the Environmental Protection Agency regulates the production of chemicals. According to EPA spokeswoman Alisha Johnson, MCHM is one of a large group of chemicals that were already in use when the law was passed, and so were “grandfathered” under it. This situation “provided EPA with very limited ability to require testing on those existing chemicals to determine if they are safe,” she says.

There are more than 60,000 such grandfathered chemicals, according to Johnson. A leak involving any of them into water could trigger to a similar situation of uncertainty—meaning that this spill has served to underscore a major gap in how we regulate chemicals.

“What we have now is a situation where because our system, our policies, and regulations don’t require this information be developed, we’re left scrambling when something like this happens,” says Denison.

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How the West Virginia Spill Exposes Our Lax Chemical Laws

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