Measles in 2019 — Going Backward

 

_Measles

This article SHOULD wake everyone up. Measles is no laughing matter – and it is highly contagious. You can access the article by clicking HERE.

In 2000, the United States achieved a historic public health goal: the elimination of measles, defined by the absence of sustained transmission of the virus for more than 12 months.

This achievement resulted from a concerted effort by health care practitioners and families alike, working to protect the population through widespread immunization.

Unfortunately, that momentous achievement was short-lived, and localized measles outbreaks have recently been triggered by travel-related introductions of the virus by infected persons, with subsequent spread through undervaccinated subpopulations.

According to the Centers for Disease Control and Prevention, 555 cases of measles in 20 states had already been confirmed from January 1 through April 11, 2019 (see graph). The increase in measles cases in the United States mirrors patterns elsewhere: several other countries that had eliminated measles are now seeing resurgences.

Why Are Mothers Still Passing Syphilis to Their Babies?

Rita Rubin in the February 26, 2019 issue of the Journal of the American Medical Association writes an interesting and somewhat disturbing article.

She writes, “In 2017, according to the US Centers for Disease Control and Prevention (CDC) a record 918 US neonates—64 of them stillborn—were infected in utero or at delivery by their mothers with syphilis.

Nearly eliminated more than a decade ago, syphilis has been making an alarming comeback in recent years in women, men, and newborns. While men account for more than 90% of cases, only women can pass Treponema pallidum, the bacterium that causes syphilis, on to their offspring, and the rise in congenital syphilis cases has paralleled the increase in syphilis cases in women of reproductive age.”

You can access the JAMA article by clicking HERE.

Yoga Feasible, Provides Modest Benefits For Women with Urinary Incontinence

Lucas Franki writes an interesting article in the December 2018 edition of Ob.Gyne.News.

Yoga may be useful for incontinent women in the community who lack access to incontinence specialists, are unable to use clinical therapies, or wish to enhance conventional care.

You can access the article by clicking HERE.

SOURCE: Huang AJ et al. Am J Obstet Gynecol. 2018 Oct 26.

Physician Burnout – Is This a “Doom Loop” Problem?

Burnout continues to be a pervasive issue among physicians. The annual Lifestyle Report by Medscape focuses on physician responses to an extensive survey about burnout and depression. How prevalent are these factors, how do they affect physicians’ lives, and how does this affect the quality of health care?  This article, by Carol Peckham in the January 17, 2018 issue of Medscape provides details. You can access the survey article by clicking HERE.

Is this a “Doom Loop” problem? Attitude and behavioral change occurs over time when an individual is in the same job and performs essentially the same tasks over and over again for an extended period of time. Read about how this happens by clicking HERE to go to the Doom Loop site.