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DHMH Daily News Clippings
Tuesday, January 6, 2009

 

State looks at cuts in local aid (Baltimore Sun)

Travolta's son suffered from rare, often treatable disease (Baltimore Examiner)

Howard begins health care enrollment campaign (Baltimore Examiner)

Study links breast cancer spread, gene (Baltimore Sun)

Nation's health spending rises, but not so much (Washington Post)

Health put on hold in sickly economy (Washington Times)

In Good Health — Some prescription relief (Frederick News-Post)

KidShape helps families change lifestyles (Hagerstown Herald-Mail)

Poultry waste regulations to take effect Jan. 12 (Salisbury Daily Times)

China says 19-year-old woman dies from bird flu (Baltimore Examiner)


 

 

 

 

State looks at cuts in local aid

Reductions proposed to O'Malley would hit schools, health agencies and local police

 

By Gadi Dechter

Baltimore Sun

Tuesday, January 6, 2009

 

Maryland's budget secretary has proposed about $66 million in additional cuts in funds for local jurisdictions, including reductions in state aid to public schools, community colleges, health departments and local police, according to an internal document obtained yesterday by The Baltimore Sun.

 

Gov. Martin O'Malley, who must close a roughly $415 million gap in the budget year ending June 30, has not made final decisions on the options contained in a spreadsheet dated yesterday, spokesman Rick Abbruzzese said. By law, the state budget must be balanced and O'Malley, a Democrat, has been steadily cutting back on the state's $14 billion operating budget because of plummeting tax receipts.

 

In October, he ushered through more than $300 million in cuts. Last month, he ordered all state workers to take two to five unpaid days off in order to save more than $30 million more.

 

O'Malley considered asking the Board of Public Works to approve another round of cuts at tomorrow's meeting, but has postponed the vote. "The governor is still considering his options ... before making a final decision," Abbruzzese said. "These proposed reductions will be one piece in the puzzle necessary to balance the '09 budget and the 2010 budget."

 

In previous budget-cutting rounds, O'Malley, a former Baltimore mayor, has tried to spare local governments that are also being hammered by the national economic and real estate meltdown. But local officials have been prepared in recent days for a round targeting the counties.

 

"We've been given notice that there will be more reductions proposed," said David Bliden, counsel to the Maryland Association of Counties. "It's just the nature of the deterioration of the economy."

 

Among the proposed cuts is reducing state aid to community colleges to the funding level of fiscal year 2008. That would generate about $8 million in savings, but it might require some colleges to cut out classes, said Clay Whitlow, executive director of the Maryland Association of Community Colleges.

 

Whitlow said he did not think colleges would raise tuition at midyear because of the cuts, but similar cuts next year might force campuses to "think seriously" about such raises. The state faces a projected $2 billion revenue shortfall next year, according to legislative analysts.

 

Michael Pritchard, a spokesman for Frederick Community College, said the campus has been expecting and preparing for more cuts. In addition to shutting the campus down last Friday, "we eliminated out-of-state travel for conferences and workshops."

 

"We've frozen the purchases of furniture and equipment," he said, "and we've delayed hiring of certain positions."

 

O'Malley is also looking at 15 percent reductions to state aid for local health and police departments. State funding accounts for a "small but meaningful" portion of these departments' budgets, Bliden said, and cuts can mean a reduction in essential services.

 

County officials declined to comment on the proposed reductions because they had not seen them. But Dr. Joshua M. Sharfstein, Baltimore's health commissioner, said that in general the demand for public health services increases during times of economic hardship.

 

The largest line item in the proposed reductions is a $38 million cut to many of the state's largest school districts in the middle of the academic year. The money would have come from a state fund used to offset expenses in districts that face the highest costs, such as Baltimore City and Montgomery and Prince George's counties.

 

Barring a major infusion of federal funds, more pain for local governments likely looms in 2009 and 2010. Del. Norman H. Conway, an Eastern Shore Democrat who chairs the House Appropriations Committee, said this week that lawmakers must seriously debate whether counties should permanently share in some costs borne by the state, such as teacher pensions.

 

That kind of talk worries Bliden. "We are now dealing with a cyclical problem ... and there will be a recovery," he said. "So reductions to local governments should be temporary and not permanent."

 

Copyright 2008 Baltimore Sun.


 

 

 

 

 

Travolta's son suffered from rare, often treatable disease

 

By Sara Michael

Baltimore Examiner

Tuesday, January 6, 2009

 

John Travolta's son, who died Friday, suffered as a child from Kawasaki syndrome, an unusual but often treatable disease, local doctors say.

 

"It is fairly rare," said Rakhee Palekar, a medical epidemiologist at the Maryland Department of Health and Mental Hygiene. "We suspect it's underreported because of the nature of the syndrome."

 

About 20 to 25 cases have been reported in Maryland each year for the last few years, Palekar said.

 

More than 4,000 cases of the disease are diagnosed each year in the United States, and less than 1 percent of those who get it die, according to the American Heart Association.

 

Kawasaki syndrome, named after Tomisaku Kawasaki who first described the disease in Japan in 1967, shows up as a collection of symptoms involving inflammation of blood vessels. There are no specific tests for it, and the cause is not known, health officials said.

 

Jett Travolta, 16, had a history of seizures and was found unconscious in a bathroom Friday at a family vacation home in the Bahamas. Bahamian officials performed an autopsy on Monday, but the cause of death was not immediately disclosed.

 

The teen's mother, actress Kelly Preston, has blamed household cleaners and fertilizers for the Kawasaki syndrome, for which he was diagnosed at the age of 2.

 

Some studies have looked at carpet cleaners or a particle in dust mites found in homes, but none conclusively found a cause for the disease, said Dr. Stacy Fisher of the Mid-Atlantic Cardiovascular Associates.

 

"People have always looked toward that type of bacteria, but it has never been found what it is or why some get it or why it's not contagious," she said.

 

The syndrome occurs mainly in children under the age of 5 and affects the skin and mucus membranes, said Dr. Getachew Teshome, assistant professor of pediatrics at the University of Maryland School of Medicine and medical director for pediatric emergency medicine at the University of Maryland Hospital for Children.

 

Symptoms include a fever that lasts more than five days; red eyes without a discharge; a red, swollen tongue called "strawberry tongue;" a severe rash on the hands and feet; and swollen lymph nodes around the neck, Teshome said.

 

"It's not a debilitating disease. Most children recover from it," said Teshome, who has treated a child with Kawasaki syndrome in the last month.

 

Treatment for the disease includes intravenous immunoglobulin, which is a blood product that helps prevent future heart complications. About a quarter of children with the syndrome develop a coronary aneurysm, which can later lead to heart attacks, he said.

 

However, Palekar said, "Most children don't likely suffer any long term complications from it."

 

The Associated Press contributed to this report.


 

 

 

 

 

Howard begins health care enrollment campaign

 

By Josh Kowalkowski

Baltimore Examiner

Tuesday, January 6, 2009

 

Howard's health care access plan -- the first of its kind in the nation to provide coverage for thousands of county residents -- has enrolled 66 participants, leaving officials searching for more qualified candidates.

 

The Healthy Howard Access Plan, set apart with its personalized health action plans and health coaches for enrollees as well as its outreach to the working-class population, has counties and cities nationwide waiting to see if the plan proves to be successful.

 

Since enrollment began in October, about 1,050 residents have been placed in health care programs; but, only 66 qualified for Healthy Howard. The enrollment goal for the Healthy Howard's first year is 2,000.

 

The projected cost to implement the program in its first fiscal year is $2.8 million.

 

"Instead of casting a wide net, we're now going to target a much more specific audience," said Health Officer Dr. Peter Beilenson on Monday.

 

"But we've had a lot of research of the demographics and needs and have already shown a success in insuring people in Howard County."

 

In the next few months, officials will be targeting contracted and contingent employees who work for the county and don't receive benefits, other contracted employees from a database of employers, subsidized housing residents, Howard Community College staff and students, and parents of children in the Maryland Children's Health Insurance Program.

 

The goal now is to sign up between 150 and 200 people a month for the rest of the year, which would approach the 2,000-resident goal at the end of 2009.

 

A focus will be placed on those earning between 185 and 300 percent of the federal poverty level, or with incomes between about $18,000 and $31,200 for a single person and between about $35,000 and $63,600 for a family of four, Beilenson said.

 

As to why enrollment hasn't been higher, Beilenson said the reasons range from residents simply being uninformed to unqualified candidates sending applications.

 

"Going into a more intense marketing effort really makes a lot of sense -- a lot of people don't focus on what's available," said Dr. Richard Krieg, president of the Horizon Foundation, Howard largest philanthropy with a mission to promote health and wellness.

 

Staff members also need time to acclimate to the plan, he explained.

 

"If they were swamped with people on day one, it wouldn't be as good as a steady build up," he said.

 

Howard Councilman Greg Fox, whom Beilenson directly mentioned as one with concerns about the plan, said he didn't want officials to neglect helping others find insurance they need.

 

"Who are [officials] serving -- themselves or the citizens?" Fox asked.

 

In the coming weeks, Healthy Howard enrollees will begin their actual visits with physicians and health coaches. Men are afforded up to six annual primary care visits and women, seven. Monthly costs range from $50 for a single resident to $115 for couples.

 

Other Baltimore-area counties, like Anne Arundel and Baltimore, praised Howard's model, but said they have comparable programs with low costs for the uninsured residents.

 

"Any jurisdiction that provides health care to the uninsured puts us all one step closer to the goal of providing health care coverage to all Americans," said Della Leister, deputy health officer for the Baltimore County Department of Health."

 

"In addition, providing preventative health care will reduce [emergency room] visits and subsequent health care costs for everyone."

 

Copyright 2008 Baltimore Examiner.


 

 

 

 

 

Study links breast cancer spread, gene

Hopkins expert cautions of need for further research

 

By Stephanie Desmon

Baltimore Sun

Tuesday, January 6, 2009

 

Researchers have identified a gene that appears crucial to the spread of breast cancer while making the disease resistant to chemotherapy.

 

The discovery, if confirmed in further studies, could pave the way for new drugs that could save lives by keeping the disease from invading the lungs, liver or other vital organs, the places where it kills.

 

"What this tells us is we can really focus on this one gene," said Dr. Yibin Kang, a Princeton University molecular biologist and lead author of a study being published today in the journal Cancer Cell. "I will be betting this one will be a major target."

 

A striking 40 percent of breast cancer patients studied were found to have this "bad-prognosis" gene, meaning that any new therapies could potentially help a lot of people stricken with particularly deadly forms of the disease.

 

Dr. Ben Park, a Johns Hopkins breast cancer researcher who was not involved with the study, praised the work done by Kang and his colleagues and noted that a discovery like this would be game-changing if it is borne out.

 

But he cautioned that the research - using samples from human breast cancer tumors and checking the information through experiments with laboratory mice - is not ready for use in clinical practice and might not be for many years, if at all.

 

"This is not prime time yet and it may never get to prime time," Park said. "This is the type of stuff that gives one hope we're making progress in the war on breast cancer. But it's the beginning and hypothesis-generating ... not hypothesis-proving."

 

Researchers have long believed that solving metastasis could be a key to solving breast cancer because localized breast cancer rarely kills. The five-year survival rate for localized breast cancer is 98 percent.

 

But when, at diagnosis, the cancer has metastasized, or spread to other parts of the body, the five-year survival rate is just 27 percent.

 

"Over 99 percent of [women who die from breast cancer] die because they have metastatic disease," Kang said. "The tumor in the breast doesn't kill the patient. It's the tumor that spreads to the liver or lung or brain that kills the patient."

 

The gene discussed in the journal article is called "metadherin," or MTDH. It appears to make tumor cells sticky so they adhere to blood vessels in distant organs, allowing them to penetrate surrounding tissue. The gene is found normally in the lungs and in bone marrow, but is not typically found in breast tissue, researchers said. Researchers found that many copies of the gene were present in a high percentage of aggressive and deadly cancers.

 

"This is likely to have implications beyond breast cancer," said Dr. Michael Reiss, another of the paper's authors and director of the breast cancer research program at the Cancer Institute of New Jersey. "Very often these processes are not unique to one cancer type."

 

Kang said his research shows the gene also might play a role in 20 percent of prostate cancer patients.

 

Most of the talk about breast cancer and genes has focused on the BRCA1 and BRCA2 genes, mutations of which increase the likelihood that their carriers will develop breast or ovarian cancer.

 

The new gene is different. This wouldn't aid doctors in preventing cancer from developing. It would predict whether the patient's breast cancer is likely to spread and kill.

 

Among the next steps for researchers are larger trials to see whether the MTDH gene and its apparent role in the spread of breast cancer hold true. At the same time, Kang and Reiss hope that drug companies will fund research into therapies that could turn off the gene in these cancer patients.

 

Park said he would be surprised if further research showed that so many cases of deadly cancer could be traced back to one gene. He has seen a lot of studies in the past claiming to "be the biggest thing since sliced bread" that, in the end, don't "pan out."

 

"To say you can actually prognosticate someone's breast cancer recurrence by a single gene is a little bit of a hard sell in this business," he said. "Biology tends to be more complicated [in the body] than it is in the laboratory."

 

Copyright 2008 Baltimore Sun.


 

 

 

 

 

Nation's health spending rises, but not so much

 

Associated Press

By Kevin Freking

Washington Post

Tuesday, January 6, 2009

 

WASHINGTON -- Health care continued to take up a greater share of the economy in 2007, as spending on hospitals, doctors and other services increased 6.1 percent to $2.2 trillion.

 

There was a silver lining in the numbers the government reported Monday: The increase in health spending was the smallest since 1998, thanks largely to the growing use of generic drugs.

 

Officials worry that devoting more resources to health care makes it harder for families to meet other priorities and for businesses to compete internationally.

 

Overall, health spending came to $7,421 per person for the year.

 

About 67 percent of medications dispensed in 2007 were generic drugs _ up from 63 percent the year before. Generics can cost as little as one-third the price of brand-names.

 

Several factors helped drive the trend. First, insurers are steering consumers to lower-priced medicines by charging low co-payments for certain drugs. Meanwhile, they charge higher co-payments for medicines they want consumers to avoid for safety and financial reasons.

 

Large retailers and grocers are enticing consumers into their stores with low-priced generics.

 

Also, several blockbuster brand-name drugs lost their patent exclusivity in 2006, generating competition. Notable examples include Flonase, an allergy medicine; Zocor, a medicine used to lower cholesterol; and Zoloft, which is used to treat depression.

 

Federal officials said safety concerns also probably influenced spending on medicine as the Food and Drug Administration issued more of its most serious warnings than in previous years _ 68 in 2007 versus 58 the year before and 21 in 2003.

 

The overall spending slowdown in 2007 came also from a decrease in administrative expenses for the new Medicare drug benefit. When the program kicked in during 2006, it generated a substantial uptick in administrative expenses.

 

Officials emphasized that the good news about slowing the increasing costs of health care extended only to prescription drugs. All other major health sectors _ such as hospitals, physicians, nursing homes and home health _ grew at the same rate or slightly faster than the year before.

 

Since prescription drugs generate only about 10 percent of all health spending, officials question how much longer the transition to generics would dampen the growth in health care costs.

 

"I wouldn't expect the good news to continue," said Richard Foster, chief actuary for the Centers for Medicare and Medicaid Services.

 

Historically, health spending has been somewhat insulated from the effects of a slowing economy, which means health care makes up an even greater share of the overall economy during recessions. In 2007, the health sector's share came to 16.2 percent, up from 16 percent the year before.

 

On the Net:

Health Affairs: http://www.healthaffairs.org

 

Centers for Medicare and Medicaid Services: http://www.cms.hhs.gov

 

© 2009 The Associated Press.


 

 

 

 

 

Health put on hold in sickly economy

 

By Jennifer Harper

Washington Times

Tuesday, January 6, 2009

 

A tough economy has created a health hazard of its own. Strapped for cash, thousands of Americans are skipping medication doses, shunning doctor visits and forgoing diagnostic tests to save money.

 

It's sickening. For real.

 

Almost half of the public - 47 percent - have postponed health care, did not fill a prescription, or skipped a medical test, immunization or mental health treatment because of the cost, according to the Kaiser Family Foundation.

 

Health care is as daunting to consumers as job insecurity, mortgage payments and credit card debt, the nonpartisan group says.

 

Self-neglect, however, is no solution.

 

"Your health is your most important asset, not your money," said Dr. Mark Fendrick, a professor of internal medicine and health management at the University of Michigan Medical School.

 

"Cutting back on health care without consulting your clinician is a very risky decision. It may not only have an impact on your health, but also have a worsening economic consequence that will lead to greater costs down the road when minor health concerns become major health issues," Dr. Fendrick added.

 

His own research at the campus confirmed that purse-minded Americans are not taking care of themselves. One in nine people are cutting pills in half, taking them less frequently or "doing something" their doctor did not recommend.

 

On a larger scale, the American Hospital Association reported in November that among 736 hospitals nationwide, 30 percent saw a decline in elective procedures and nearly 40 percent had a drop in admissions overall because of the economic downturn.

 

The economy also has taken its toll in the vanity realm. The American Society of Plastic Surgeons reported a 62 percent overall decrease in cosmetic surgery last year.

 

The belt-tightening trends have not gone unnoticed in the private sector, prompting a goodwill war of sorts among commercial rivals.

 

Giant Food, for example, will offer free generic antibiotics to needy customers until March 21. Wal-Mart offers $4 prescription deals on 300 drugs, while Walgreens' Prescription Savings Club gives member discounts on more than 5,000 brand-name and generic medications for $20 a year. Target and Wegmans offer similar deals.

 

Dr. Fendrick recommended some common-sense countermeasures, meanwhile, urging Americans to take pre-emptive strikes against illness with healthy diet and exercise. Screening tests like mammograms and immunizations should be up to date, and doctor-patient relationships should be productive, he said.

 

"You should really think about going to your primary-care physician who knows your medical history, coordinates your follow-up care and interacts with other doctors to make sure you´re getting the highest quality care possible at the lowest cost," Dr. Fendrick said.

 

Copyright 2008 Washington Times.


 

 

 

 

 

In Good Health — Some prescription relief

Originally published January 06, 2009

 

 

By Ashley Andyshak

Frederick News-Post

Tuesday, January 6, 2009

 

People who are struggling to pay for prescription drugs can rest a little easier, as several grocery chains now offer free or reduced cost drugs to people with a prescription.

 

If you need antibiotics, head for Giant Food. Just in time for cold season, the chain, which has four stores in Frederick County, is offering generic antibiotics like amoxicillin, penicillin and ciprofloxacin, free until March 21.

 

For other prescriptions, check out either Giant or Weis Markets. Both chains are offering a 90-day supply of more than 350 generic prescription drugs for $9.99. Neither chain has announced an end date for the price cuts.

 

The grocery chains follow in the footsteps of retail chains like Wal-Mart and Target, as well as some smaller drug stores, which offer 30-day supplies of generic prescriptions for $4 (a 90-day supply is $10).

 

These reductions should relieve some of the pressure on the thousands of families who can't afford the drugs they need.

 

Although prescriptions account for only 10 percent of national health care spending, it's growing more rapidly than spending on hospital and physician services, according to the Henry J. Kaiser Family Foundation. Americans spent nearly $217 billion on prescription drugs in 2006, more than five times the amount spent in 1990, the foundation reported last year.

 

Access to health insurance obviously plays a role in whether people can get the drugs they need. According to a Kaiser report on prescription drug trends released in September, almost half of uninsured adults say they did not fill a prescription because of cost, compared to about 20 percent of insured adults. Nearly 40 percent of uninsured adults said they have cut pills in half or skipped doses to make prescriptions last longer, compared to about 20 percent of those with health insurance.

 

As more people find themselves out of a job and subsequently without health insurance, these figures can only have grown in recent months. Kudos to these stores for helping more families get the medications they need.

 

Coming up

*Two Frogs Healing Center, 170 W. Patrick St., Frederick, will host a free lecture, "Freedom from Irritable Bowel Syndrome Pain," Monday from 6 to 8 p.m.

 

The lecture is limited to 12 people; to register, call speaker Amy Cater at 301-605-3855

 

*The Frederick County Health Department will host a series of four "Guiding Good Choices" workshops for families beginning Jan. 14.

 

Topics include setting guidelines, avoiding trouble, managing conflict and involving everyone in family decisions. Sessions will be held Wednesday evenings from 6:30 to 8:30 at the health department, 350 Montevue Lane, Frederick.

 

Registration is required; call 301-600-3357.

 

Please send comments to webmaster or contact us at 301-662-1177.

 

Copyright 1997-09 Randall Family, LLC. All rights reserved.


 

 

 

 

 

KidShape helps families change lifestyles

 

By Janet Heim

Hagerstown Herald-Mail

Monday, January 5, 2009

 

WASHINGTON COUNTY - Evening activities at Washington County Public Schools might have been canceled on Dec. 16 due to weather, but that didn’t prevent some of the families participating in Washington County Hospital’s KidShape program from turning out at Elgin Station to keep their commitment to better health.

 

That night’s session marked the eighth weekly session of the nine-week KidShape program, designed for families of overweight children ages 6 to 13. Each session is broken up into segments such as nutrition/food demonstration, behavioral aspects of eating and time for activity.

 

“Our whole thing is about lifestyle changes. What are some of the changes families can make? We don’t just emphasize weight loss, but it’s nice if it happens,” said Andrew Bokman, 25, who coordinates the fitness portion of the program.

 

“I’m enjoying it. The kids are having fun, too,” said Bokman, who is in his second year of teaching physical education at Cascade Elementary and Williamsport elementary schools.

 

Other leaders of the program include a registered dietitian, registered nurse, outpatient therapist and program coordinator.

 

On this night in mid-December, the food segment focused on healthy holiday snacks and how to handle special-occasion eating. Participants tried samples of angel food cake with fresh strawberries, pretzels, baked chips, 94 percent fat-free microwave popcorn and water.

 

Bokman then engaged the youth in 30 minutes of continuous aerobic activity, which can consist of warming up or playing a game. Two of the weeks, parents join in on the activity time instead of meeting with one of the health professionals.

 

“I try to mix it up as best as I can. They’re happy to get up and get moving. They love working out with their parents,” said Bokman, who talks to his students about the amount of time they spend in front of a TV and computer.

 

The program

The Outreach Department at Washington County Hospital started a pilot program, Fit & Fun, in April 2008. The program was developed in response to requests from local physicians who were frustrated because there were no similar programs to which they could refer young patients and their families.

 

Those coordinating the local program decided to switch from the 12-week program to the similar nine-week KidShape program, which had measurable results.

 

Families are referred to the program by physicians or school nurses. They must have permission from their doctors to participate.

 

Locally, the funding for the materials comes from Maryland Physicians Care, and Washington County Hospital pays the salaries.

 

“We empower families to eat healthy, move more and feel good,” according to the program’s Web site at www.kidshape.com. Through the national program, “more than 12,000 kids and their families have graduated from KidShape. Eighty-seven percent of those have lost weight, and 80 percent of those who lost weight have kept it off for at least two years,” the Web site notes.

 

Height, weight, pulse, blood pressure and body mass index are monitored throughout, followed by quarterly checkups after families complete the program. By the middle of this last session, the weight and BMI of half of the children had gone down.

 

Participating families keep food diaries and use a fitness tracker to monitor their progress.

 

Ben Forrest, 10, of Maugansville, said he enjoys exercising with Bokman, even though he doesn’t agree with his taste in football. Bokman is a Baltimore Ravens fan.

 

Ben’s younger brother, Thomas, 8, and parents Beth and Mark Forrest, also are participating in the program. Beth Forrest said the family has begun making better food choices.

 

Ben has discovered a new snack, apples with peanut butter, through the program.

 

“I would say Andrew’s part is what they all look forward to the most. He’s fantastic with the kids,” Beth Forrest said.

 

Debbie Fritz of Spring Mills, W.Va., attends with her 11-year-old son, Jake.

 

Jake said Bokman tries to make exercising fun, with new activities each week.

 

Fritz said she hopes Jake improves his eating habits. He mentions pomegranates as one of the new foods he’s tried as a result of the program. She likes the suggestion to thin ranch dressing with fat-free buttermilk to cut calories.

 

Self-esteem also factors in.

 

“I liked the night they taught them to walk tall. They came back from the gym walking tall,” Debbie Fritz said.

 

More information about KidShape can be obtained by calling Carol Grove, R.N., at 301-790-8907.

 

The next session begins Jan. 20.

 

Copyright 2008 Hagerstown Herald-Mail.


 

 

 

 

 

Poultry waste regulations to take effect Jan. 12

 

Associated Press

Salisbury Daily Times

Tuesday, January 6, 2009

 

BALTIMORE (AP) -- Maryland officials have released the final version of regulations intended to curb the amount of poultry waste that ends up in the Chesapeake Bay.

 

Under regulations that take effect Jan. 12, about 200 of the state's largest chicken farms will face greater scrutiny and potential fines.

 

The regulations were proposed by the Maryland Department of the Environment in September and were revised after public hearings.

 

The largest poultry operations will have to pay for discharge permits and comply with reporting requirements.

 

Recent changes will allow permit transfers between owners.

 

Information from: The (Easton, Md.) Star Democrat, http://www.stardem.com

 

© 2009 The Associated Press. All rights reserved.


 

 

 

 

 

China says 19-year-old woman dies from bird flu

 

Associated Press Writer

By Gillian Wong

Baltimore Examiner

Tuesday, January 6, 2009

 

A relative, right, mourns for a family loss of 19-year-old Huang Yanqing who died from bird flu in Beijing, China, Tuesday, Jan. 6, 2009. The official Xinhua News Agency said Huang became ill after buying and cleaning nine ducks last month at a market in Hebei province, which borders Beijing. (AP Photo/Alexander F. Yuan)AP

 

A Chinese woman has died from bird flu in a Beijing hospital, the government reported Tuesday, but the World Health Organization said the case did not appear to signal a new public health threat.

 

China's Ministry of Health said Huang Yanqing, 19, died Monday and tests confirmed she had the H5N1 bird flu virus. The official Xinhua News Agency said Huang became ill after buying and cleaning nine ducks in December at a market in Hebei province, which borders Beijing.

 

It was the first reported death in China from the illness in nearly a year.

 

Her father, Huang Jinxian, told reporters that the family tried to treat Yanqing at home first with store bought medicine. "It was useless, so we sent her to Guanzhuang hospital" in the eastern suburbs of Beijing, he said.

 

The WHO said Huang's case was similar to others reported worldwide, in that it did not appear to involve human-to-human transmission.

 

"This single case, which appears to have occurred during the slaughtering and preparation of poultry, does not change our risk assessment," the organization's Beijing office said in a statement.

 

Officials worry the virus could mutate into a much-feared form that could spread easily among people. But, for now, it remains hard for people to catch, with most human cases linked to contact with infected birds.

 

According to the latest WHO tally, bird flu has killed 248 people worldwide since 2003, including 21 in China.

 

In northern Vietnam, meanwhile, an 8-year-old girl has tested positive for the disease _ the first human case reported there in almost a year, health officials said Tuesday.

 

The girl from Thanh Hoa province was admitted to a hospital on Dec. 27 with a high fever and other symptoms after eating a sick goose raised by the family, said Nguyen Ngoc Thanh, acting director of the provincial health department. The girl is recovering.

 

The H5N1 bird flu virus continues to devastate poultry stocks around the world. China, which raises more poultry than any other country, has vowed to aggressively fight the virus.

 

Copyright 2008 Baltimore Examiner.

 


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