Category Archives: Diseases

FDA allows first test to check for stomach bug

FDA permits marketing of first test for most common cause of gastroenteritis outbreaks

Test can aid in identifying and containing norovirus outbreaks

The U.S. Food and Drug Administration allowed marketing of the first test for the preliminary identification of norovirus.

The Ridascreen Norovirus 3rd Generation EIA assay is for use when a number of people have simultaneously contracted gastroenteritis and there is a clear avenue for virus transmission, such as a shared location or food.

Norovirus is a leading cause of food-borne disease outbreaks in the United States.

Acute gastroenteritis is an inflammation of the stomach and intestine that can cause diarrhea, vomiting and stomach pain. Norovirus contamination usually occurs in settings where there is close group contact, such as cruise ships, hospitals, long-term care facilities, and schools or child-care centers. It is a highly contagious virus that spreads rapidly through direct person-to-person contact, contaminated food or water, and by touching contaminated surfaces.

“This test provides an avenue for early identification of norovirus,” said Jeffrey Shuren, M.D., J.D., director of the FDA’s Center for Devices and Radiological Health. “Early intervention can halt the spread of an outbreak.”

The test is not sensitive enough for use when only a single person has symptoms and should not be used for diagnosing individual patients.

The manufacturer demonstrated the performance of the Ridascreen test by comparing results of it to the results of a norovirus reference standard for 609 fecal samples. When the fecal samples were tested with Ridascreen, overall results on average were less sensitive than those of standard reference tests, detecting norovirus across samples about 2/3 of the time it was present.

The FDA reviewed data for Ridascreen via the de novo pathway, an alternative path to market for devices that are lower risk and may not require premarket approval (PMA), but are of a new type, and therefore may not be able to be cleared in a ’510(k)’ premarket notification.

In March, the U.S. Centers for Disease Control and Prevention will be updating management and disease prevention guidelines for norovirus outbreaks. These guidelines will likely reflect substantial advances made in norovirus epidemiology, immunology, diagnostic methods and infection control.

Ridascreen is made by R-Biopharm AG, located in Darmstadt, Germany.

http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm244331.htm

iPod touch withdrawal syndrome

There is a new diagnosis  which I would like to name.  It is being described in honor of my son  Bob ( note: the name has been changed to protect  my son, Josh’s identity).

It is called the iPod touch withdrawal syndrome.  However, realize that it can occur with just about any other handheld electronic device which prevents a child or adult from “being able to live comfortably” in their environment.

While I have not personally seen this occur with Blackberry  or  Androids, I have heard cases of such madness occurring.

When one loses their electronic gadget privileges, there is usually an irrational fear associated with not being able to update  one’s facebook status  or not being able to view the whereabouts of friends and family in real time. There may even be some doodle jump withdrawal symptoms (more about this game later)

“What if someone comments on my post, I will not know about it for over 12 hours”, the victim may claim.

Abrupt withdrawal usually results in comments such as,

“What am I supposed to do?”..

“Oh my god! that is not fair”,

or perhaps even,

“How am I supposed to wake up in the morning- that is my alarm clock. I may oversleep, miss my test, get a bad grade which will hurt my chances for college and I will probably be homeless and it will be all your fault”- the unenlightened youth may retort.

The loving parent or the concerned friend will bravely intervene and attempt to reassure the distressed individual that they will be ok  without their electronic device for one night.

“It will only be one night”,

the concerned person will tell the ipod/droid addict.

Despite many attempts to change the overseer’s mind, the gadget-0-penic (one who lacks their gadget) will attempt to rationalize how they can not go even a few hours without device.

Excuses may include,

“You can’t take it, I bought it with my own money”

or possibly,

“This is my only form of communication and my cell phone is retarded (or mentally challenged for those who desire political correctness)”

There may even be an attempt to barter…

“Dad, I will give you my cell phone and you can sell it on Ebay”… the “underprivileged” youth tells his parent.

In either care, those of us who grew up needing to have a dime or quarter in our pocket at all times in case of an emergency will clearly have little concern for the pre-teens of today and their iPod withdrawal symptoms.

Fortunately, it is just for one night! However if the grades don’t live up to his abilities, then the absence of such device may be even longer…

Now  son, before you go to bed,  tell your sister to give me my iPad back so I can check ESPN and give me back my  Amazon kindle charger so I can be prepared for tomorrow, and finish reading my book!

Good night my son!

Love,

Dad

Do you have a cough, fever, chills, sore throat, post nasal drip, bodyaches?

Health Tip: Consider a Strawberry Banana Cabbage smoothie  to help increase your immunity. Smoothies are a great alternative for young children and help create healthy dietary habits while prevent disease.  Learn more about the Industrial Vitamix Smoothie Blender designed for home use.

————————————–

Do you have a head cold, cough, body aches and it body aches all over- does this sound familiar?

Do you have a bad cough that is leading to vomiting?  if so, you may have whooping cough (read more about this here).

This is influenza season and virus season. Some become dehydrated and may need intravenous fluids.  Even though   you may have had your flu shot, you can still get flu-like illnesses. No one is 100% protected against infections.

I have seen many patients with stuffy noses, post nasal drip (you know you have this if your are clearing your throat all the time), sore throat, cough, body aches and a few with  vomiting and diarrhea.   A visit to your doctor may be of benefit.

Fortunately, only a few will  develop bacterial sinus infections, bacterial bronchitis or even pneumonia.  For some, this virus may prove fatal.

Generally, less than 10% of those with a viral infection will need antibiotics, most just need time and fluids.

Also, its real important to note that the only  throat infection that needs antibiotics is strept throat.  No matter how bad your throat hurts, antibiotics won’t help unless you test positive for strept. See your doctor  if you are not sure.

If my patient does not have a bacterial infection, I simply recommend acetaminophen (Tylenol) or ibuprofen (Motrin, Advil).

How can you prevent these from occurring in the first place? First, make sure your vitamin D levels are adequate. Most people need to take 2,000-4,000 IU of Vitamin D3 daily. Ask your doctor to check your vitamin D blood levels before taking in excess of 2,000 IU daily. To learn more about vitamin D and how it can strengthen you immune system, read Vitamin D Prescription on Kindle.

Also, consider zinc supplementation which has been shown to be beneficial according to recent studies.

Also, consider influenza vaccination, which may also decrease risk.   However, the studies are not as clear cut as one thinks.

Cochrane reviewers, an independent research group concluded this when asked whether vaccines were helpful in preventing the flu for healthy people. “Influenza vaccines have a modest effect in reducing influenza symptoms and working days lost. There is no evidence that they affect complications, such as pneumonia, or transmission.”(cochrane). Ask  your doctor if the flu shot is right for you.

FYI: The above  symptoms are generally caused by a virus called, adenovirus. In addition to the above symptoms, adenovirus can cause gastroenteritis, conjunctivitis (pink eye), rash and whole body aches.  Another type of virus that can cause infection and common cold symptoms are known as the corona virus (no relation to the beer).

* Always consult your physician if you have a medical problem, the above it not my medical advice..

From the CDC website: Adenoviruses are medium-sized (90-100 nm), nonenveloped icosohedral viruses containing double-stranded DNA. There are 49 immunologically distinct types (6 subgenera: A through F) that can cause human infections. Adenoviruses are unusually stable to chemical or physical agents and adverse pH conditions, allowing for prolonged survival outside of the body.

FDA Advises Women with Breast Implants about breast cancer

The FDA has warned that having breast implants may be associated with a rare type of breast cancer called ALCL (Anaplastic Large Cell Lymphoma). The FDA will require breast implant manufacturers to add these to the package inserts as a potential side effect.

Removal of the implants are not recommended. Anytime a women feels a lump in her breast, she should consult with her doctor.

Consumer Updates FDA Advises Women with Breast Implants.

Food Inc., Explore how the food industry works.

This is a must see movie for anyone interested in learning how the food industry works and functions.  This video streams live on Netflix.com. Below is a trailer.