Addis Ethiopia Weblog

Ethiopia's World / የኢትዮጵያ ዓለም

Archive for October 22nd, 2014

What Surgery and Police Have in Common: Both Kill a Disproportionate Number of Black Men

Posted by addisethiopia / አዲስ ኢትዮጵያ on October 22, 2014

Robert_Knox72We seldom think of medicine and law enforcement as professions with parallels. While many exist — both are predominantly white, male and fiercely loyal to their own — the most remarkable attribute they share is a unique brand of public trust that provides them license to cause harm: one with weapons, the other with scalpels.

Surprisingly, by certain counts, the damage is similar.

The FBI estimates that approximately 96 black men die each year in police homicides, deemed justifiable by circumstance. Black men undergoing heart bypass suffer approximately 95 fatalities statistically, after taking account of other factors affecting surgical survival.

In spite of the numbers, the public focuses laser-like on the former and pays minimal attention to the latter.

It’s too bad. Police and surgeons can help each other develop new tools to scrutinize these deaths and hold people accountable. Good data can help.

In the case of bypass surgeries, health researchers have amassed and analyzed mountains of data to understand what leads to fatalities. In a complex process, known as risk adjustment, they consider a vast array of patient-specific factors, such as insurance coverage, presence of other diseases, smoking status, weight, age and income, along with aspects of the surgery itself, such as number of complications, to determine what predicts death.

Identifying and investigating these factors have led to risk-reducing interventions, such that bypass fatalities have fallen substantially, but highly disparately. Over the last decade, the rate for white males declined by 33 percent, while that for black males remained stubbornly steady and fell by only 3 percent, a tenfold difference.

Researchers also use risk-adjustment when comparing mortality rates between groups to account for systematic differences between them. Advanced analyses find that the risk-adjusted mortality rate from bypass surgery for black men is 11 percent higher than that for white men of similar health status.

It’s possible, of course, that these current measures don’t adequately account for key differences in physiology or for the subtle, cumulative effects of differences in access to care. Refinements to the process, however, have yet to eliminate the persistent disparity. It is time to rethink our efforts.

A starting point is examining two key factors omitted from analyses to date: the characteristics of surgeons themselves, such as where and when they trained, and the specific settings in which they operate. Both warrant investigation, as data show that the impact of race on the risk of death is not constant across operating rooms.

Reluctance to delve into this area reflects understandable concerns about malpractice. However, it also reflects a social deference to this group, whose members, like the police, mostly police themselves. Both these factors must be overcome. Identifying whether physician and hospital features play a role in generating the racially disparate bypass outcomes is a step on the road to eliminating them.

Continue reading…

__

Posted in Curiosity, Infos, Life | Tagged: , , , , , , , | Leave a Comment »

OBAMA’S EBOLA CZAR THINKS THERE’S TOO MANY PEOPLE IN AFRICA

Posted by addisethiopia / አዲስ ኢትዮጵያ on October 22, 2014

Who will rise up for me against the evildoers? or who will stand up for me against the workers of iniquity?” ―[Psalm 94:16]

Klain’s role in overseeing the United States’ response to a virus that has killed thousands of Africans and threatens to infect up to 10,000 a week by December 1st is somewhat disconcerting given his views on overpopulation.

In a recent interview, Klain said the top leadership issue challenging the world today was “how to deal with the continuing growing population in the world” including “burgeoning populations in Africa and Asia.”

Critics have attacked Obama’s decision to appoint Klain as a political smokescreen, pointing out that the former Chief of Staff to Al Gore has no medical experience or expertise.

Although Klain is by no means championing Ebola as a means of reducing world population, other prominent individuals have done precisely that – most notably award-winning Texas scientist Dr. Erik Pianka, the UT professor who in 2006 advocated the use of weaponized airborne Ebola as a means of wiping out nine tenths of the earth’s population to save the planet from humanity’s wrath.

The Obama administration’s link to authoritarian ideas about population control was firmly established back in 2009 when it was revealed that White House science czar John P. Holdren had co-authored a 1977 book in which he advocated the formation of a “planetary regime” that would use a “global police force” to enforce totalitarian measures of population control, including forced abortions, mass sterilization programs conducted via the food and water supply, as well as mandatory bodily implants that would prevent couples from having children.

Many on the left continue to embrace hysteria about overpopulation, but the figures just don’t back up the hype.

The UN Population Division’s own figures show that by 2020, population is set to stabilize and then drop dramatically after 2050. In reality, underpopulation is going to be the real long term issue.

As the Economist reported, “Fertility is falling and families are shrinking in places— such as Brazil, Indonesia, and even parts of India—that people think of as teeming with children. As our briefing shows, the fertility rate of half the world is now 2.1 or less—the magic number that is consistent with a stable population and is usually called “the replacement rate of fertility”. Sometime between 2020 and 2050 the world’s fertility rate will fall below the global replacement rate.”

Source

Kenyan Bishops Fear Tetanus Vaccine Campaign is Aimed to Sterilize Women

The Kenya Conference of Catholic Bishops is demanding answers about a national tetanus vaccine campaign that they say is suspiciously like campaigns run in other countries where a birth control agent was covertly mixed in.

Run by the World Health Organization and UNICEF, the Kenya campaign exclusively targets Kenyan women of childbearing age (14-49), and excludes boys and men and younger girls who are also at risk from tetanus infection.

The bishops’ statement notes that in the Philippines, Nicaragua, and Mexico, the tetanus vaccine was “laced with Beta human chorionic gonadotropin (b-HCG) sub unit … to vaccinate women against future pregnancy.”

When injected as a vaccine to a non-pregnant woman, this Beta HCG sub unit combined with tetanus toxoid develops antibodies against tetanus and HCG so that if a woman’s egg becomes fertilized, her own natural HCG will be destroyed rendering her permanently infertile, the bishops explain. In this situation tetanus vaccination has been used as a birth control method.

“The ongoing tetanus vaccination campaign bears the hallmarks of the programmes that were carried out in Philippines, Mexico and Nicaragua. We are not certain that the vaccines being administered in Kenya are free of this hormone,” the bishops state.

  • The bishops are seeking answers to the following questions:
  • Is there a tetanus crisis on women of child bearing age in Kenya? If this is so, why has it not been declared?
  • Why does the campaign target women of 14 – 49 years?
  • Why has the campaign left out young girls, boys and men even if they are all prone to tetanus?
  • In the midst of so many life threatening diseases in Kenya, why has tetanus been prioritized?

Continue reading…

__

Posted in Curiosity, Ethiopia, Infos | Tagged: , , , , , , , , , , , | 1 Comment »

 
%d bloggers like this: