La mise sur le marché de médicaments et leur remboursement sont soumis à des commissions supposées indépendantes. Or, plusieurs mois d'enquête ont permis à Mediapart de découvrir que, pendant des années, des membres éminents de ces commissions (dont un président) ont conseillé secrètement les laboratoires pharmaceutiques. L'affaire, au-delà des questions déontologiques et de conflits d'intérêts, interroge la probité du système sanitaire français.
1. EXPO: FARINETTI, STUPIDAGGINE CONTRARI A COCA COLA-MACDONALD'S
(ANSA) - "Essere contrari alla presenza di Mc Donald's e Coca Cola è una stupidaggine enorme. Il tema di Expo è nutrire il pianeta, è universale. Semmai dobbiamo parlare del perché nel mondo c'è ancora un 20% di malnutriti. Non so cosa faranno Coca Cola e Mc Donald's, che è presente come main sponsor. La presenza non è così forte. Saranno chiamati ovunque nel mondo, io sono amico dell'Ad di Coca Cola e gli rompo le scatole ogni giorno affinchè tolga i coloranti dalla bevanda. Con Mc Donald's li ho incontrati e abbiamo parlato di prodotto sano e pulito. Intanto danno lavoro a tante persone".
Queste sono le belle parole che leggiamo sul sito ufficiale dell’Expo 2015, alla pagina Cos’è. “Per sei mesi Milano diventerà una vetrina mondiale in cui i Paesi mostreranno il meglio delle proprie tecnologie per dare una risposta concreta
Background: Environmental factors may affect adolescents’ eating habits and thereby body weight. However, the contribution of school neighbourhood environment is poorly understood. This study examined the association between proximity of a fast-food outlet or grocery store to school and adolescents’ eating habits and overweight. Methods: Participants were 23 182 adolescents (mean age 15 years) who responded to a classroom survey in 181 lower secondary schools in Finland (2008–09). School location was linked to data on distance from school to the nearest fast-food outlet or grocery store (≤100 m, 101−500 m, >500 m) using global positioning system-coordinate databases. Outcomes were irregular eating habits (skipping breakfast, skipping free school lunch, skipping free school-provided snacks and not having family dinners), the accumulation of these habits and overweight, including obesity (body mass index ≥ 25 kg/m2). Results: Thirteen percentage of the participants were overweight. Having a fast-food outlet or grocery store near school was associated with skipping often breakfast and free school lunch, and the accumulation of irregular eating habits. The proximity of a fast-food outlet or grocery store was associated with a 1.25-fold (95% confidence interval 1.03–1.52) risk of overweight among adolescent with a low socioeconomic status but not among those with higher socioeconomic status. This association was partly (12%) explained by the accumulation of irregular eating habits. Conclusions:Among adolescents from low socioeconomic background, the presence of fast-food retailers near schools is associated with accumulation of irregular eating habits and greater overweight. These findings suggest that obesogenic school neighbourhoods may contribute to social inequalities in overweight.
“PrEP gives me another level of protection”: Lachlan Royce Price explains why he decided to go on PrEP.
Well before my time as being an out gay man, a sex negative culture was bred into me by the hetero-normative society we live in. I was taught gay sex is dirty and anything deemed as adventurous was high-risk behavior. This led to fear and shame dictating my sex life, overshadowing my enjoyment.
So when I first heard of Truvada, I was quite surprised. A friend who had used it as PEP (Post-Exposure Prophylaxis) told me about it. Truvada has been used for treatment of people living with HIV for years. Now, according to the PrELUDE study which I am a part of, Truvada used as PrEP (Pre-Exposure Prophylaxis) can be given to those who are HIV-negative people to prevent an infection with HIV should they be exposed.
L'association Regards citoyens publie une liste de la quasi-totalité des cadeaux offerts aux médecins par les laboratoires, entre janvier 2012 et juin 2014. Ces données confortent l'image d'une profession chouchoutée par l'industrie pharmaceutique.
Household net worth is a major and overlooked factor in adherence to hormonal therapy among breast cancer patients and partially explains racial disparities in quality of care. Several studies have shown that disparities in income contribute to disparities in health care between racial and ethnic groups, but no one had specifically analyzed the effect of household net worth on quality of care in breast cancer patients until now.
"Income inequality" has already become a buzz phrase for the campaigns leading up to the 2016 elections. Likely candidates and pundits on both ends of the political spectrum have begun to talk about how fairness, social justice and -- even after the implementation of the Affordable Care Act -- the cost of health care insurance are contributing to the large and growing gap between the rich and poor.
But a commentary by researchers at the UCLA Fielding School of Public Health points out another disturbing impact of income inequality: its effect on people's health. The article appears in the current online edition of the American Journal of Public Health.
It has long been recognized that, even beyond access to high quality health care, people's income is a key factor in determining how healthy people are. But the commentary provides evidence that the degree of income inequality also can lead to a long list of health issues, including shortened life expectancy and poorer self-reported health status.
Un manager cinque informatori scientifici i rappresentanti dei farmaci per conto delle ditte nelle strutture sanitarie pubbliche e negli ambulatori privati e 12 medici pediatri Sono le 18 persone finite
Despite having the most expensive health care system, the United States ranks last overall among 11 industrialized countries on measures of health system quality, efficiency, access to care, equity, and healthy lives, according to a new Commonwealth Fund report.
Objective To examine the nature of media coverage of vitamin D in relation to its role in health and the need for supplements.
Design Media content analysis.
Setting Print articles from elite newspapers in the UK, the USA and Canada.
Participants 294 print newspaper articles appearing over 5 years (2009–2014).
Results Newspaper coverage of vitamin D generally supported supplementation. The most common framing of vitamin D in print articles was “adequate vitamin D is necessary for good health.” Articles also framed vitamin D as difficult to obtain from food supply and framed vitamin D deficiency as a widespread concern. In discussions of supplementation, 80% articles suggested supplementation is or may be necessary for the general population, yet almost none of the articles discussed the potential harms of vitamin D supplementation in any detail.
Print articles named 40 different health conditions in relationship to vitamin D. The most commonly cited conditions included bone health, cancer and cardiovascular health. Although print articles referred to a wide range of scholarly research on vitamin D with varying degrees of endorsement for supplementation, a general tone of support for vitamin D supplementation in media coverage persisted.
Conclusions Newspaper articles conveyed overall support for vitamin D supplementation. News articles linked vitamin D to a wide range of health conditions for which there is no conclusive scientific evidence. Media coverage downplayed the limitations of existing science and overlooked any potential risks associated with supplementation.
Drug companies have made incremental improvements to insulin that have kept it as a patented medicine in the United States for more than 90 years, shows a study tracing the drug’s history.
“The history of insulin highlights the limits of generic competition as a public health framework,” said the study authors, Jeremy Greene and Kevin Riggs, of Johns Hopkins University School of Medicine in Baltimore, USA, writing in the New England Journal of Medicine. They warned, “Nearly a century after its discovery, there is still …
From 2016, pharma will have to make public its payments to doctors and healthcare organisations in Europe: it will be not just a huge technical challenge, but also a major cultural shift. Just how transparent and 'above board' are the...
Overdiagnosis occurs when a true abnormality is discovered, but detection of that abnormality does not benefit the patient. It should be distinguished from misdiagnosis, in which the diagnosis is inaccurate, and it is not synonymous with overtreatment or overuse, in which excess medication or procedures are provided to patients for both correct and incorrect diagnoses. Overdiagnosis for adult conditions has gained a great deal of recognition over the last few years, led by realizations that certain screening initiatives, such as those for breast and prostate cancer, may be harming the very people they were designed to protect. In the fall of 2014, the second international Preventing Overdiagnosis Conference will be held, and the British Medical Journal will produce an overdiagnosis-themed journal issue. However, overdiagnosis in children has been less well described. This special article seeks to raise awareness of the possibility of overdiagnosis in pediatrics, suggesting that overdiagnosis may affect commonly diagnosed conditions such as attention-deficit/hyperactivity disorder, bacteremia, food allergy, hyperbilirubinemia, obstructive sleep apnea, and urinary tract infection. Through these and other examples, we discuss why overdiagnosis occurs and how it may be harming children. Additionally, we consider research and education strategies, with the goal to better elucidate pediatric overdiagnosis and mitigate its influence.
A study by University of Toronto researchers looking at homeopathic treatment of children and adolescents with attention-deficit/hyperactivity disorder (ADHD) has been criticised in a letter signed by 90 scientists and doctors. They say they are concerned that “the mounting of such a study by a highly reputable researcher at a top notch university will be used by homeopaths to justify diverse aspects of their practice, including steering patients away from evidence-based treatments.”
The trial, which is registered with the US National Institutes of Health,1 is being conducted by a team led by the dean of the Leslie Dan Faculty of Pharmacy, Heather Boon. It is currently recruiting 177 patients aged 6 to 16 years into three double blinded treatment arms: homeopathic consultation and medicine, homeopathic consultation and placebo, and a no treatment group.
The worst measles epidemic in 20 years is now spreading outward from Disneyland in California. The anti-vaccine movement has created the conditions for the epidemic by spreading fear and misinformation, ever since a flawed 1998 study that mistakenly claimed vaccines might cause autism. Parents are finally starting to fight back.
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