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We give you many useful information about health

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We give you many useful information about health

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Sabtu, 01 Oktober 2011

The Trouble With Health Problems Near Gas Fracking

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Water plant operator Torrey Jones checks the clarity of a sample of treated water at the Beaver Falls Municipal Authority water treatment plant in Beaver Falls, Pa. Enlarge Keith Srakocic/AP

Water plant operator Torrey Jones checks the clarity of a sample of treated water at the Beaver Falls Municipal Authority water treatment plant in Beaver Falls, Pa.

Water plant operator Torrey Jones checks the clarity of a sample of treated water at the Beaver Falls Municipal Authority water treatment plant in Beaver Falls, Pa. Keith Srakocic/AP Water plant operator Torrey Jones checks the clarity of a sample of treated water at the Beaver Falls Municipal Authority water treatment plant in Beaver Falls, Pa.

Susan Wallace-Babb lived on a ranch in western Colorado. One summer night in 2005, she drove her truck down the road into a field out past her neighbors. She stepped out of her truck, felt woozy and immediately passed out.

"When she came to, she raced out of the area, called fire department officials and sought help. But it began a period of very intense, negative health effects for her," says ProPublica reporter Abrahm Lustgarten. "By the next morning, she felt intense nerve pain in her legs, intense nausea, and eventually within a couple of days had skin rashes over her body. And her health got progressively worse from that point on."

Wallace-Babb was told by local deputies that there was a spillover between a pair of fuel storage tanks that sat next to a natural gas well, located less than half a mile away from her car. Initially she wasn't sure it was related to gas drilling.

"It wasn't until she began talking with other residents of this part of Colorado and learning that others had similar experiences and talking with doctors who had expertise in gas field exposure [that] she did come to believe that, though it is difficult to prove, that her health problems have been caused by exposure to some sort of chemical in the drilling field," he says.

Lustgarten writes about Wallace-Babb and numerous others who have experienced symptoms close to natural gas drilling sites in a feature for the investigative reporting website ProPublica. He tells Fresh Air's Dave Davies that he has heard numerous anecdotal reports of health problems near gas drilling sites since he began reporting on the subject in 2008. But figuring out the cause of their ailments is much more difficult because few data and little evidence exist.

"I hear [stories] thousands of miles apart, in various states, and to me — to an untrained medical professional — they sound alarmingly similar," he says. "But when we go to federal or state health officials, or drilling officials, or any officials, and ask how common these are ... nobody really knows. Nobody has systemically tracked how many health complaints there are, whether the complaints are similar, whether they can be tied to any specific chemical exposure or any environmental cause. It makes it very difficult beyond an anecdotal answer to get a handle on how widespread a problem this might be."

Part of the problem, writes Lustgarten, is that "the drilling companies have complicated efforts to gather pollution data and to understand the root of health complaints."

"The Clean Air Act requires reporting of emissions so that the government can collect the [toxic emissions] data from facilities of a certain size," he says. "The oil and gas facilities often fall under that threshold and an exemption allows them not to be aggregated or counted together. Because these facilities are small, there is no obligation to report to federal authorities what pollutants might be emitted from those facilities ... which means there's no information to paint a bigger picture of what communities are dealing with."

In addition, he tells Davies that states and federal agencies do not currently track anecdotal reports from people living close to drilling sites. Without an accurate measure of possible pollutants or contaminants near drilling sites, or a comprehensive database of population-based health data, it's difficult for epidemiologists to establish any link between gas drilling and ill health, says Lustgarten.

"You have to establish that there is a pollutant to be exposed to, that there is a risk to being exposed to that pollutant and then finally that people were exposed to that pollutant," he says. "And to investigate [this] scientifically would require an enormous study with, for example, a control population of people who aren't exposed to any kind of drilling and then people that are and watching them over time, while measuring air pollutants in the air and people's bloodstreams [to] definitively conclude that the specific contaminants from a specific source are the same ones that are making people sick."

The U.S. Agency for Toxic Substances and Disease Registry, a sister agency to the U.S. Centers for Disease Control and Prevention, told Lustgarten that a comprehensive study could cost upwards of $100 million.

Abrahm Lustgarten Enlarge Lars Klove

Abrahm Lustgarten won the 2009 George Polk Award for his reporting at ProPublica on natural gas drilling.

Abrahm Lustgarten Lars Klove Abrahm Lustgarten won the 2009 George Polk Award for his reporting at ProPublica on natural gas drilling.

"When we talked in very loose terms about what it would take to do a study about the kinds of symptoms we're seeing in the gas fields and look at these areas, they threw out this $100 million cost," he says. "And they presented it as something that needs to be done and that it's time to do, but they really don't have the capacity, staffing or bandwidth to undertake it at this point."

The oil and gas companies have also stressed the need for research over individual anecdotal accounts, he says.

"In general, they tend to be dismissive of individual complaints while expressing an understandable need for further research and concern for the health of individuals, but really shying away from any connection with their own activities," he says. "You won't hear the drilling industry say, 'This isn't an issue and we don't have to study this.' You won't hear them say they don't care about Susan Wallace-Babb. But you will hear them say 'Susan Wallace-Babb appears to not like the industry and maybe she has health issues and maybe she wants the industry to leave [where she lives]. And by the way, we need to do a whole lot more research and it's a decade-long effort and let's just get started and not talk about blame at this point.' "

Abrahm Lustgarten won the 2009 George Polk Award for his reporting at ProPublica on natural gas drilling. He has also written for Fortune, Salon, Esquire and The New York Times.

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Peliculas Online

Sabtu, 24 September 2011

Very preterm kindergartners face learning trouble

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By Anne Harding

NEW YORK | Fri Sep 23, 2011 3:56pm EDT

NEW YORK (Reuters Health) - Kindergartners who were born extremely prematurely are much more likely to have learning problems than their peers who were born at term, even if they do not have overall intellectual impairment, new research shows.

Yet more than a third of children in the study with learning problems were not enrolled in special education programs, Dr. H. Gerry Taylor of the University Hospitals Case Medical Center in Cleveland and his colleagues found.

The results underscore the importance of continuing to track these children as they reach preschool and school age, to monitor them for learning difficulties and provide interventions as needed, Dr. Taylor told Reuters Health.

Children born before 28 weeks of pregnancy or weighing less than 1,000 grams now routinely survive, but with a high risk of developmental problems, the researchers write in the Archives of Pediatrics & Adolescent Medicine.

Their study focused on 148 extremely preterm children born at their center from 2001 to 2003 and a comparison group of 111 classmates who were born at term and at normal birth weight.

The preemies had lower average scores on spelling and math tests, the researchers found.

Just over half of them weren't testable or did not reach basic levels in arithmetic, compared to 21 percent of the kindergartners in the comparison group. And teachers were four times as likely to rate the preterm kids as having substandard learning progress in written languages, and seven times as likely to give them substandard learning progress reports in math.

Among the 70 preemies who scored below 85 -- with 85 to 115 considered the "normal" range -- on one or more achievement tests, 26 did not have an individual education plan.

In the extremely preterm kids, delayed development at 20 months was a risk factor for learning problems in kindergarten, Taylor noted. Other risk factors for learning problems in these children included a poorer family and being born before 25 weeks of pregnancy.

"The study was designed to really focus on kindergarten because of the importance of identifying problems early and hopefully intervening to stave off problems that might develop," Taylor said.

He added that performance in kindergarten is the best way to predict future academic success. "I'd prefer that we go back even further and start working with these kids on their developmental skills as preschoolers."

Frequently, Taylor said, health providers stop following preemies by the time they are two or three years old.

"There can occur a kind of disconnect at that point," he added. "Families may not always be aware of the need for continued follow-up as the kids approach school age."

Taylor said one way to ensure continued monitoring for these children is to make sure they have a "medical home." And keeping track of them at school would not be difficult.

"Teachers are actually quite aware of children's learning problems," he explained. "A very effective way to screen would be simply to ask how children are progressing in the curriculum."

SOURCE: bit.ly/pk58K8 Archives of Pediatrics & Adolescent Medicine, September, 2011.



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