{"id":109128,"date":"2019-09-18T12:30:15","date_gmt":"2019-09-18T16:30:15","guid":{"rendered":"https:\/\/madisoncountycourier.com\/?p=109128"},"modified":"2019-09-18T10:32:18","modified_gmt":"2019-09-18T14:32:18","slug":"american-heart-association-news","status":"publish","type":"post","link":"https:\/\/madisoncountycourier.com\/?p=109128","title":{"rendered":"American Heart Association news"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"alignright\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"163\" src=\"https:\/\/madisoncountycourier.com\/wp-content\/uploads\/2018\/11\/image003-300x163.jpg\" alt=\"\" class=\"wp-image-97983\" srcset=\"https:\/\/madisoncountycourier.com\/wp-content\/uploads\/2018\/11\/image003-300x163.jpg 300w, https:\/\/madisoncountycourier.com\/wp-content\/uploads\/2018\/11\/image003-150x81.jpg 150w, https:\/\/madisoncountycourier.com\/wp-content\/uploads\/2018\/11\/image003.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure><\/div>\n\n\n\n<p><strong>AHA is disappointed\nthat the Public Health and Health Planning Council approved the governor\u2019s\nexecutive order without including menthol flavoring for all tobacco products<\/strong><\/p>\n\n\n\n<p>Approval of Gov. Cuomo\u2019s executive order by the Public\nHealth and Health Planning Council, which banned the sale of flavored\ne-cigarettes except for menthol, continues the policy of leaving some groups at\nrisk of the ravages of tobacco products.<\/p>\n\n\n\n<p>\u201cBy leaving menthol out of Gov. Cuomo\u2019s executive order\nbanning some flavors in e-cigarettes and excluding flavored combustible tobacco\nproducts altogether, the state Department of Health\u2019s Public Health and Health\nPlanning continues to put youth and African Americans at risk of taking up\ne-cigarette use or smoking,\u201d said Caitlin O\u2019Brien, state Government Relations\nDirector for the American Heart Association.&nbsp;\u201cMenthol flavoring in all\ntobacco products makes it easier to start using and harder to quit.\u201d<\/p>\n\n\n\n<p>The vote means that flavored e-cigarettes \u2013 except for\nmenthol&nbsp;\u2013&nbsp;will be banned from sales beginning in two weeks. The order\nlasts 90 days.<\/p>\n\n\n\n<p>\u201cWe will continue the fight like we have for the past two\nyears, in order to get permanent legislation in the state that bans all flavors\nin e-cigarettes and combustible tobacco,\u201d O\u2019Brien said. \u201cSmoking remains the\nleading risk factor for heart disease and stroke, and we are learning more and\nmore about the dangers of e-cigarettes. The American Heart Association is\ncommitted to improving the health of all Americans, and we know that\nrestricting the sale of all flavored tobacco product will do that.\u201d<\/p>\n\n\n\n<p>In 2009, flavored combustible cigarettes were banned from\nsale nationally, with the exception of menthol cigarettes. Since then, menthol\ncigarettes have grown in popularity, with more than half of all youth and young\nadult smokers using them, along with 85 percent of African American smokers.<\/p>\n\n\n\n<p><strong>Alarming number of\nheart infections tied to opioid epidemic<\/strong><\/p>\n\n\n\n<p>An alarming number of people nationwide are developing\ninfections of either the heart\u2019s inner lining or valves, known as&nbsp;<a href=\"https:\/\/www.heart.org\/en\/health-topics\/infective-endocarditis?s=q%253Dinfective%252520endocarditis%2526sort%253Drelevancy\" target=\"_blank\" rel=\"noreferrer noopener\">infective\nendocarditis<\/a>, in large part due to the current opioid epidemic. This new\ntrend predominantly affects young, white, poor men who also have higher rates\nof HIV, hepatitis C and alcohol abuse, according to new research published in\nthe&nbsp;<a href=\"http:\/\/jaha.ahajournals.org\/\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Journal of the American Heart\nAssociation<\/em><\/a><em>,&nbsp;<\/em>the open access journal of the American Heart\nAssociation.<\/p>\n\n\n\n<p>Infective endocarditis occurs when bacteria or fungi in the\nblood stream enter the heart\u2019s inner lining or valves. Nearly 34,000 people\nreceive treatment for this condition each year, of which approximately 20\npercent die. One of the major risk factors for infective endocarditis is drug\nabuse.<\/p>\n\n\n\n<p>\u201cInfective endocarditis related to drug abuse is a\nnationwide epidemic,\u201d said the study\u2019s senior author Serge C. Harb, M.D.,\nassistant professor of medicine at Cleveland Clinic Lerner College of Medicine,\nCleveland, Ohio. \u201cThese patients are among the most vulnerable\u2014young and poor, who\nalso frequently have HIV, hepatitis C and alcohol abuse.\u201d<\/p>\n\n\n\n<p>Researchers analyzed data in the National Inpatient Sample Registry\nfrom 2002\u201316 on nearly 1 million hospitalized patients diagnosed with infective\nendocarditis to compare patients with heart infections related to drug abuse to\nthose with heart infections from other causes. The registry is the largest\npublicly available database of U.S. hospitalizations.<\/p>\n\n\n\n<p>During the 14 years studied, researchers found that the\nprevalence ratio for drug-abuse-related heart infections nearly doubled in the\nUnited States, from 8 to 16 percent. All geographic regions saw increases, and\nthe highest jump occurred in the Midwest at nearly 5 percent per year.<\/p>\n\n\n\n<p>They also found those with infective endocarditis related to\ndrug abuse:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Were predominantly young, white men (median age 38 years old);<\/li><li>Were poorer, with nearly 42 percent having a median household income in the lowest national quartile, and about 45 percent are covered by Medicaid;<\/li><li>Had higher rates of HIV, hepatitis C and alcohol abuse compared to patients with infective endocarditis who are not drug-abusers;<\/li><li>Had longer hospital stays and higher health care costs; and<\/li><li>Were more likely to undergo heart surgery, yet less likely to die while hospitalized. Lower death rates are likely due to their significantly      younger age.<\/li><\/ul>\n\n\n\n<p>\u201cNationwide public health measures need to be implemented to\naddress this epidemic, with targeted regional programs to specifically support\npatients at increased risk,\u201d Harb said. \u201cSpecialized teams, including but not\nlimited to cardiologists, infectious disease specialists, cardiac surgeons,\nnurses, addiction specialists, case managers and social workers, are needed to\ncare for these patients.<\/p>\n\n\n\n<p>\u201cAppropriately treating the cardiovascular infection is only\none part of the management plan. Helping these patients address their addictive\nbehaviors with social supports and effective rehabilitation programs is central\nto improving their health and preventing drug abuse relapses.\u201d<\/p>\n\n\n\n<p>Diseases that occurred more frequently among patients with\nheart infections from causes other than drug abuse included&nbsp;<a href=\"https:\/\/www.heart.org\/en\/health-topics\/high-blood-pressure\" target=\"_blank\" rel=\"noreferrer noopener\">high blood\npressure<\/a>,&nbsp;<a href=\"https:\/\/www.heart.org\/en\/health-topics\/diabetes\" target=\"_blank\" rel=\"noreferrer noopener\">diabetes<\/a>,&nbsp;<a href=\"https:\/\/www.heart.org\/en\/health-topics\/heart-failure\" target=\"_blank\" rel=\"noreferrer noopener\">heart failure<\/a>,\nkidney disease and lung disease. A study limitation is that the registry relies\nsolely on diagnostic codes (ICD codes) and does not include hospital transfers.\nAnother limitation is that the registry provided only general information by\nregion, without details specific to states, cities and rural towns.<\/p>\n\n\n\n<p>Co-authors are Amer N. Kadri, M.D.; Bryan Wilner, M.D.;\nAdrian V. Hernandez, M.D., Ph.D.; Georges Nakhoul, M.D.; Johnny Chahine, M.D.;\nBrian Griffin, M.D.; Gosta Pettersson, M.D., Ph.D.; Richard Grimm, D.O.; Jose\nNavia, M.D.; Steven Gordon, M.D.; and Samir R. Kapadia, M.D. Author disclosures\nare in the manuscript.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>AHA is disappointed that the Public Health and Health Planning Council approved the governor\u2019s executive order without including menthol flavoring for all tobacco products Approval of Gov. Cuomo\u2019s executive order by the Public Health and Health Planning Council, which banned the sale of flavored e-cigarettes except for menthol, continues the policy of leaving some groups [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":97983,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23810,8],"tags":[],"class_list":["post-109128","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-wellbeing","category-top-story"],"_links":{"self":[{"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=\/wp\/v2\/posts\/109128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=109128"}],"version-history":[{"count":0,"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=\/wp\/v2\/posts\/109128\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=\/wp\/v2\/media\/97983"}],"wp:attachment":[{"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=109128"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=109128"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/madisoncountycourier.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=109128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}