The results from the OraQuick Mouth-Swab Test show in 20 Minutes, yet false assurance is an issue.
WebMD Health News

More than 2 decades of adverse-events reports did not reveal any odd patterns among pregnant women who received flu vaccinations or their infants.
Medscape Medical News

Research from the Centers for Disease Control and Prevention suggests that some pregnancy and delivery herpes guidelines are not followed correctly.
Medscape Medical News

New data from the US Centers for Disease Control and Prevention suggest that only about 38% of eligible women get recommended chlamydia testing.
Medscape Medical News

First, some recent posts at Our Bodies Our Blog:

Pink Ribbons, Inc. – A Closer Look at Breast Cancer Marketing – I’m really looking forward to seeing this film, especially after all the recent Komen/Planned Parenthood controversy. It’s going to show in several U.S. cities at various events this spring. Pink Ribbons, Inc. people, if you’re reading this, you totally want to hook me up with the showing at the Nashville Film Festival.

Christine also covered Komen and Planned Parenthood and stupid, sexist “barstool sports,” and Judy has something on Planned Parenthood and the Catholic bishops.

Finally, Good Vibrations selected Our Bodies Ourselves as one organization it’s supporting during February and March. If you buy something from their website or in stores, select OBOS during checkout to make a donation that goes entirely to the organization. Go on and buy yourself a Valentine’s present. Or, hey, buy me something, since I don’t otherwise have a tip jar.

Now, onto to other things:

Judy Stone has a great guest post at the Scientific American blogs, Molecules to Medicine: Plan B: The Tradition of Politics at the FDA. Stone ultimately looks at Kathleen Sebelius’s decision to override the FDA’s approval of over-the-counter access to Plan B, but also provides a review of past political decisions and appointees at the FDA, and U.S. government interference in sexual health care and information generally.

Soraya L. Chemaly has something at The Feminist Wire in response to that ridiculous recent piece in the New York Times about girls and “hysteria.”

Flanagan closes with the particularly ironic advice that what girls need is “protection from the most corrosive cultural forces that seek to exploit her when she is least able to resist.”…What girls really need is not to be characterized as inherently mad or inclined to the irrational.

Nick Baumann at Mother Jones writes about The Republican War on Contraception:

…in the past six months, social conservatives have widened their offensive, and their new target is clear: Not satisfied with making it harder to obtain legal abortions, they want to limit access to birth control, too.

I’m pretty sure a lot of women have seen this coming for a while.

I don’t agree with absolutely everything in Nicholas Kristoff’s NY Times piece, “Beyond Pelvic Politics,” but let me just highlight this:

A 2009 study looked at sexually active American women of modest means, ages 18 to 34, whose economic circumstances had deteriorated. Three-quarters said that they could not afford a baby then. Yet 30 percent had put off a gynecological or family-planning visit to save money. More horrifying, of those using the pill, one-quarter said that they economized by not taking it every day.

and this:

If we have to choose between bishops’ sensibilities and women’s health, our national priority must be the female half of our population.

Rachel Maddow has a piece on the birth control nonsense as well.

Nationally, Ohio Rep. Jim Jordan has introduced a national forced ultrasound bill, which I think I’ll start calling a “forced vaginal insertion of an object” bill. We should require all members of Congress to participate in a simulation display of a transvaginal ultrasound, although I’d be kind of afraid of their reactions.

A national forced 24-hour waiting period for abortion has also been introduced, this one by South Carolina’s Jeff Duncan.

Neither of these things is based on medical evidence; both are purely for the purpose of making it more difficult for women to obtain safe, legal, timely abortions. Dr. Jen Gunter talks about what happens to women exposed to inexpert abortion attempts when safe and legal isn’t an option.

And in Tennessee, Planned Parenthood has sued the state, which previously awarded the organization grants for STI and HIV prevention, but in December yanked the funding without providing an explanation, or an alternative route for those services. One of the affected Memphis sites was reportedly the only place around to get HIV testing done after daytime work hours. Pressed on the issue, Tennessee Governor Bill Haslam refused to provide any real explanation of the decision, saying, “The commissioner felt like there were other people who could provide that service just as well.” There was no explanation about why, if that were the case, those others didn’t get the grant during the competitive process last year, and as far as I know, none of those other “just as well” services have actually been awarded the funding.

Mary at Hoyden About Town has a cool post on soliciting research participants, with a lot of good points on what should be communicated to potential study participants and what researchers owe them for their participation.

And completely unrelated to anything, I cannot stop looking at these underwater dogs.

[note: I modified the title after I realized a possible mis-reading of it]

Filed under: Abortion, Access, Rights, & Choice, Cancer, Contraception, Drugs, Government, HIV/AIDS, Infectious Diseases, Laws, Legislation, & Courts, News Round-Ups, Sex & Sex Education

A recommendation from you is the most important factor in a patient’s decision to have a flu shot.
CDC Expert Commentary

A recommendation from you is the most important factor in a patient’s decision to have a flu shot.
CDC Expert Commentary

Paul A. Offit, MD, discusses new research on the safety and side effects of the HPV vaccine.
Medscape Infectious Diseases

The results are disappointing for many, but some see it as a step toward success.
WebMD Health News

In China, hygiene stations in rural areas have been identified as one source of the problem.
Medscape Medical News

Dr. William Schaffner reviews the vaccine news of greatest interest to clinicians from this year’s IDSA meeting.
Medscape Infectious Diseases

We asked an expert from IDSA to offer perspective on recent reports on the influenza vaccine.
Medscape Infectious Diseases

Although several jet-injection devices are approved for delivering vaccines and other medications, no influenza vaccine has been cleared for this method of administration.
Medscape Medical News

Vaccine to prevent pertussis recommended for pregnant women during the second trimester and for people in contact with infants.
Medscape Medical News

Cantaloupes from Rocky Ford, Colorado, should be avoided by individuals at high risk for listeriosis.
Medscape Medical News

Data from the CDC indicate that rates for vaccinations in teenagers are increasing, but rates for the HPV series have increased the least and may fall short of national goals.
Medscape Medical News

At what point does problematic or excessive sex become pathological? Learn to recognize hypersexual disorder in the sexual health clinic setting.
Sexually Transmitted Infections

I haven’t done one of these in a while, having been distracted by the heat, the carless situation, dad’s cancer, mom’s hip replacement re-replacement, work, leveling my first character in Warcraft (now a level 71 undead frost mage – I don’t want to duel you!), and life in general. Tonight, though, I’m at my parents’ house (sitting with mom after said re-replacement), in a town with <30 thousand people that gets really, truly dark at night, World of Warcraft won't run on this computer, and I think I've reached the end of the internet. Might as well do something.

The FDA has issued a warning not to use emergency contraception labeled as Evital. The agency says,

These products may be counterfeit versions of the “morning after pill” and may not be safe or effective in preventing pregnancy. Evital has not been approved by the FDA for use in the United States. This potentially ineffective and suspect counterfeit emergency birth control may also be in distribution in some Hispanic communities in the United States.

The FDA announcement linked above has an image of the packaging for the drug in question and further details.

The FDA is also proposing guidelines for mobile medical apps (like you use on a smart phone). I haven’t fully parsed the implications of the proposal yet, but public comment is being accepted through October 19.

CNN has a piece on breast ironing in Cameroon. This is not a custom I know much about, and I’m always hesitant to jump in where I know so little, but I feel comfortable saying that this must be a painful procedure that doesn’t achieve the apparently desired goal of preventing sex ad pregnancy.

The New York Times talks about Title IX, the law requiring that women and girls have equal access to participation in school sports, focusing on a lack of investigation and enforcement when schools are thought to not be following the law.

Washington became the first state to specifically provide for offspring from donated eggs and sperm to access the donors’ medical history and names once the offspring turn 18. This is an issue I’ve written a tiny bit about at Our Bodies Our Blog.

Shockingly, Bill O’Reilly is kind of an uninformed jerk about unintentional pregnancy and birth control. The professional blowhard stated that “Many women who get pregnant are blasted out of their minds when they have sex and are not going to use birth control anyway.” Right. Half of all pregnancies in this country are unplanned, and it’s obviously just because women are too drunk and high to use contraception. A lot of attention has been paid to this comment, but O’Reilly also stated in the same segment that HHS should pay for “everybody’s birth control, all the women in the world, or here in the United States, or maybe both.” Yeah, we’re going to pay for birth control for *all the women in the world* – even those women in the many countries with lower rates of teen and unplanned pregnancy. Sure, that seems likely and logical and fact-based, doesn’t it? *headdesk* Media Matters has more, including response from the National Women’s Law Center.

C-section rates apparently hit an all-time U.S. high of 34%. I feel like “new high” is the news we get every year now on c-sections.

Al Jazeera English has a short piece on the ethics of clinical pharmaceutical research in India, where research participants may not clinically benefit from drugs being tested and may be vulnerable to exploitation.

Max Barry has a nice piece about gender through the lens of how we gender animals and the gender of Smurfs.

Kari Paul at the Ms. Blog explores the topic of sexual assault on campuses and the lack of arrests or serious addressing of this problem.

Connecticut added gender identity and expression to the state’s anti-discrimination laws. Good job, Connecticut!

Anita Sarkeesian talks about the “mystical pregnancy trope,” especially in sci fi/fantasy, in which women are used for their reproductive capacity and often forcibly impregnated. I hadn’t really noticed it as much as I should, maybe you haven’t either – check out the video (via Sociological Images).

Hey, it’s World Breastfeeding Week.

Honestly, I can watch True Blood as a bit of fluff and as somebody who likes to see on-screen adaptations of books. There are a lot of problems with it. Watching tonight’s episode, I really wondered how many gratuitous rape scenes one show can possibly have, especially after Alan Ball’s comment on the serial rape of Jason that he’s basically getting what he deserved for his sexual history. Feminist Frequency also has some TB commentary and links to more.

Relatedly but not surprisingly, the blogger at The Frisky wrote critically today about how True Blood handles rape, and the very first comment is of the “relax/don’t watch then” variety. Don’t worry your pretty little head! *predictable-but-disappointing-argh*

I’m proud of our Nashville students who came out to protest stupid, offensive, and mean “don’t say gay” legislation in Tennessee.

Apparently one place in Minnesota has similar “don’t say gay” rules in its schools; CNN covered the issue and the National Center for Lesbian Rights has a letter you can sign onto to express your support for students in the affected school district who are trying to change the policy.

The CDC is talking about antibiotic-resistant gonorrhea.

Somebody threw a Molotov cocktail into a Planned Parenthood of North Texas clinic. The clinic provides health care, including birth control and screenings, but doesn’t even provide abortions. Alex Pareene at Salon’s War Room points out that nobody seems to care about this form of domestic terrorism.

Last but not least, everybody wish Hilary luck on her last board exam and subsequent residency application process.

1) It’s the attack kitty edition because, in noting on Facebook that I am away from home, I told the Internet not to get any ideas – the house is guarded by the spouse, attack kitties, and weirdly commandable suits of armor.
2) Yes, I suspect there are some conversations we could have about gender and Warcraft. If you want to talk about that, we can do so in the comments.

Filed under: Abortion, Abuse, Rape, & Safety, Access, Rights, & Choice, Birth, Breastfeeding, Contraception, Drugs, Ethics, Events & Observances, Global Issues, Government, Infectious Diseases, Laws, Legislation, & Courts, Miscellaneous, News Round-Ups, Pregnancy, Products, Technology, & Devices

Gonorrhea’s possible emerging resistance to cephalosporins means treatment options could dwindle to zero.
Medscape Medical News

Meta-analysis shows that antenatal screening for syphilis is “worthwhile.”
Medscape Medical News

A study showed that the cell phones of hospital patients and their visitors carry a higher risk for nosocomial pathogen colonization than do the cell phones of healthcare workers.
Medscape Medical News

Today marked the release of the 2011 Tennessee Women’s Health Report Card, a publication which provides a snapshot of the health status of women in our state, and the disparities they experience. It’s a handy resource for anyone interested in making a case – or understanding the need – for improved health services and community programs, and includes statistics that clearly illustrate some of the challenges we face.

Among them:

• 18.4% of us – or almost 1 in 5 – smoked while we were pregnant. The rate is highest (21.4%) among white women, and lower among African American (10.3%) and Hispanic (2.4%) women.
• African American women experience tremendous disparities in their infant mortality rate, with 16 infant deaths per 1,000 live births, compared to 6 for white women and 6.6 for Hispanic women.
• About a third of us have high blood pressure, high cholesterol, are obese, and do not “engage in leisure time activity,” or exercise.
• 16.9% of us live below the poverty line, with disparities here as well – 13.9% of white women, 28.2% of African American women, and 42.1% of Hispanic women meet this depressing criteria.

I would encourage to take a look at the full report [PDF], especially if you are interested in working to improve the health of women and Tennesseans. Just browsing the statistics on reproductive health, sexually transmitted infections, causes of death, risky behaviors, preventive health practices (like cancer screening), and barriers to health care is sure to give you ideas for possible actions to take in your family, neighborhood, county, and state.

This year, I had the privilege of attending the release event for the report at the downtown branch of the Nashville Public Library, and so got to hear some really smart and engaged folks speak about the report and its implications for our communities. Action, or what we do in response to this report, was a major theme.

First up, Dr. Katherine Hartmann of Vanderbilt made a clear call to action, stating that this must be the year we look at this report and say, this is not just public health data, it’s us and our families, and represents many challenges that we must address.

Next, Dr. Jeffrey Balser of Vanderbilt, noted the responsibility of large employers in contributing to the health of their employees and, by extension, the community. He challenged people in places of authority to do active and visible things to improve the health of those around them.

Third up, Dr. Charles Mouton of Meharry Medical College observed that some of his peers have grown weary of hearing about health diaparities and how we have failed to fully addreas them. He then challenged us all to work to eliminate them, calling it our duty to the women this report card represents to eliminate those disparities. He asked the audience to look at the report card as a roadmap for where we have not done well, and where we can and should work to improve health care and access to care for all Tennesseans.

Next, Dr. Stephaine Hale Walker of Vanderbilt began with a review of the good and bad grades on the report card, noting the good news that deaths from diabetes continue to decline, more than 80% of women over 50 had a mammogram in the last two years, and deaths from colorectal cancer are at a low. She also noted that stroke and heart disease rates are very slowly showing trends toward improvement.

The bad news, as we’ve touched on, is that disparities continue for many health issues, such as our African American women being at a much higher risk of having a very low birthweight infant, having an infant die before its first birthday, dying from cervical or breast cancer, or having a sexually transmitted infection. Likewise, social barriers such as poverty, unemployment, and lack of healthcare coverage continue to challenge us.

From there, Dr. Hale Walker moved to an inspiring discussion of the need to ask ourselves “now what?” We can’t just talk about these problems, she said, we need to ask what we can do to be part of the solution, form collaborations, and act to make change.

As an example of her own committment to acting for change, Dr. Hale Walker spoke about the Full Circle organization which works to connect people with the great organizations in Nashville offering free and sliding scale healthcare resources. She also is married to Bishop Joseph Walker of prominent Mount Zion Baptist Church, where the church has implemented the ChurchFit program to provide access to fitness classes to the member community, and health education programs on a variety of topics, partially inspired by the statistics in the 2009 edition of the report card. I had the opportunity to speak to one of Mount Zion’s congregants at the reception after the report release, and found her attitude, story, and words inspiring and motivating as well. Stories shared by other women in conjunction with the report are available on this page.

Finally, Commisioner Susan Cooper of the Tennessee Department of Health spoke, calling for us to be smarter about how we spend our resources, and to focus them in areas of highest risk. She reminded us that significant improvements are not going to happen overnight or on their own, and require time and dedicated action. She highlighted state programs acting to make a difference, like the tobacco Quit Line, and Get Fit Tennessee, the website of which includes a free healthy cookbook I need to check out.

Cooper asked us to think about small personal changes we can make, but to also think about policy. Her vision of policy extends beyond whatever the legislature is or isn’t doing – we are asked to think about how university, urban design, and other policies affect the health of our community, and to ask for these policies to be formed in ways that promote our health.

All of this is a very long-winded way of saying – I left today’s report card launch inspired, and hope seeing the disparities and room for major improvement of the full report inspires you, too.

*Disclosure: Vanderbilt is my larger place of work, and people I’ve worked with worked on this report.

Filed under: Birth, Cancer, Events & Observances, Heart Health, Infectious Diseases, Mental Health, Pregnancy, Women’s Health

This post is late because I was busy taking the bus to get here.*

I wrote several times in 2008 about the case of Juana Villegas, an immigrant in Nashville who was arrested as the result of a traffic stop and ultimately ended up shackled to a hospital bed during labor, separated from her newborn for two days without seeing him, and denied a breast pump or cream for lactating women. This past week, a federal judge ruled in her favor that the shackling during labor and after delivery violated her civil rights. I have a full post up at Our Bodies Our Blog on this topic.

I also have a full post up at the OBOS blog on the Skin Deep database, which provides info on the safety and ingredients of skin care and cosmetic products.

I spent the last few days at the IHA Health Literacy conference. I intend to post on this separately later, including a list of a lot of good resources I learned about, but Siobhan has a few things up at her place. One thing I need to think about is the level at which this blog is written, and whether it is useful and helpful to make some adjustments so posts are more readable for a wider audience, and whether there would be interest in that.

The National Resource Center on LGBT Aging, which I think I also found out about from Siobhan, has information and guidance for providers, patients, and organizations on a number of topics, including ageism, HIV and aging, housing, legal support, Medicare, homelessness, and more.

Jodi Jacobson at RH Reality Check (which has a new look) asks, “What does it mean to be pro-choice?“

NPR, on Morning Edition and Talk of the Nation, aired several pieces on the local Magdalene/Thistle Farms, a residential program in Nashville, TN for women who have experienced violence, sex work, and addiction, and a bath and body products enterprise through which the women work and earn money. You can buy from them online at http://store.thistlefarms.org/.

A question at Good: Why isn’t birth control getting better?

Relatedly, I talked briefly with a representative of the California Family Health Council at the health literacy conference, and was told that they are trying to promote some longer term methods of birth control. This is among their other work, which includes the development of patient education materials on contraception, violence, cancer prevention, pregnancy, STIs, and other sexual and reproductive health topics. I always kind of get the willies when people talk about “promoting” long term contraception, because of the problematic history of how it has been used to assert control over the reproduction of women of color and poor women – regardless of what may be good methods, ethics and intent from whoever is talking about it. I’ll have to contact them and find out what the motivation for this is and how they are approaching it, because I didn’t have time to follow up at the event. In the meantime, anybody familiar with this group?

In the comments at Aunt B’s place, the topic of “gender parties” comes up. I have an appeal to saucy bakers to incorporate the message, “Now you know the sex, not the gender” into the design of these ill-conceived “gender party” cakes.

Here in Tennessee, Stacey Campfield has been pushing his “don’t say ‘gay’” bill, which – despite an intro that talks generally about home being the appropriate place for discussions of sexuality – provides specifically that “no public elementary or middle school shall provide any instruction or material that discusses sexual orientation *other than heterosexuality*” – which is not at all the same as “teachers shouldn’t be discussing sexuality in schools at all.

I picked up a weekly paper in Orange County this week and noticed that Dan Savage mentioned the bill in his 5/4 column, pointing readers to wesaygay.com, a site ostensibly set up by a couple of teenagers opposing the bill and gathering petition signatures in opposition – it’s nice to see students being active in this way.

The bill passed the House committee and is scheduled for a full Senate vote on May 9, although it has been reported that the state Senate will not take it up this year.

The wonderful Rev. Chris Buice of Knoxville argues in a commentary on the bill that prohibiting teachers from discussing homosexuality in school hinders them in acting against bullying and prevents them from having many educational discussions related to current events and legislation.

Apparently this coming week is National Women’s Health Week.

From the FDA:

The U.S. Food and Drug Administration (FDA) and the Federal Trade Commission (FTC) today announced a joint effort to remove products from the market that make unproven claims to treat, cure, and prevent sexually transmitted diseases (STDs). Among the products targeted in today’s action are Medavir, Herpaflor, Viruxo, C-Cure, and Never An Outbreak.

The Harper Collins controversy has escaped the boundaries of libraryland. tigtog at Hoyden notes it, and Andy’s change.org petition got sent out on a huge scale. Short version of the controversy – Harper Collins wants to make libraries buy new copies of ebooks after they’ve been read 26 times. You know, because libraries are rolling in money and typically discard books after 26 reads. *eyeroll* There’s a ton of writing on this in the library blogosphere, just google it with some combination of Harper Collins, libraries, 26, ebooks.

The Abortioneers are talking about the stigma of multiple abortion, and there is some really good discussion in the comments, including from those gently pushing back against the OP for certain attitudes expressed in the post.

The Utah AIDS Drug Assistance Program is closing to new applicants due to a funding shortfall; supporters of the program are encouraged to contact their state and federal legislators.

This week’s title: I was in a car accident a couple of weeks ago, car three in a five-car wreck. I’m fine, although I was a little rattled and had a seatbelt bruise for about a week. The car, which is older and was in a previous accident, is totaled. The spouse and I are planning to go without a car, at least for the next few months. Tips and strategies for doing so are welcome. Depending on my mood, the situation gets framed as “car free” or “carless.”

Filed under: Abortion, Abuse, Rape, & Safety, Access, Rights, & Choice, Adolescent Health, Birth, Contraception, Drugs, Ethics, Government, HIV/AIDS, Infectious Diseases, Laws, Legislation, & Courts, Libraryland, Miscellaneous, News Round-Ups, Pregnancy, Sex & Sex Education, Women’s Health

This post is late because I was busy taking the bus to get here.*

I wrote several times in 2008 about the case of Juana Villegas, an immigrant in Nashville who was arrested as the result of a traffic stop and ultimately ended up shackled to a hospital bed during labor, separated from her newborn for two days without seeing him, and denied a breast pump or cream for lactating women. This past week, a federal judge ruled in her favor that the shackling during labor and after delivery violated her civil rights. I have a full post up at Our Bodies Our Blog on this topic.

I also have a full post up at the OBOS blog on the Skin Deep database, which provides info on the safety and ingredients of skin care and cosmetic products.

I spent the last few days at the IHA Health Literacy conference. I intend to post on this separately later, including a list of a lot of good resources I learned about, but Siobhan has a few things up at her place. One thing I need to think about is the level at which this blog is written, and whether it is useful and helpful to make some adjustments so posts are more readable for a wider audience, and whether there would be interest in that.

The National Resource Center on LGBT Aging, which I think I also found out about from Siobhan, has information and guidance for providers, patients, and organizations on a number of topics, including ageism, HIV and aging, housing, legal support, Medicare, homelessness, and more.

Jodi Jacobson at RH Reality Check (which has a new look) asks, “What does it mean to be pro-choice?“

NPR, on Morning Edition and Talk of the Nation, aired several pieces on the local Magdalene/Thistle Farms, a residential program in Nashville, TN for women who have experienced violence, sex work, and addiction, and a bath and body products enterprise through which the women work and earn money. You can buy from them online at http://store.thistlefarms.org/.

A question at Good: Why isn’t birth control getting better?

Relatedly, I talked briefly with a representative of the California Family Health Council at the health literacy conference, and was told that they are trying to promote some longer term methods of birth control. This is among their other work, which includes the development of patient education materials on contraception, violence, cancer prevention, pregnancy, STIs, and other sexual and reproductive health topics. I always kind of get the willies when people talk about “promoting” long term contraception, because of the problematic history of how it has been used to assert control over the reproduction of women of color and poor women – regardless of what may be good methods, ethics and intent from whoever is talking about it. I’ll have to contact them and find out what the motivation for this is and how they are approaching it, because I didn’t have time to follow up at the event. In the meantime, anybody familiar with this group?

In the comments at Aunt B’s place, the topic of “gender parties” comes up. I have an appeal to saucy bakers to incorporate the message, “Now you know the sex, not the gender” into the design of these ill-conceived “gender party” cakes.

Here in Tennessee, Stacey Campfield has been pushing his “don’t say ‘gay’” bill, which – despite an intro that talks generally about home being the appropriate place for discussions of sexuality – provides specifically that “no public elementary or middle school shall provide any instruction or material that discusses sexual orientation *other than heterosexuality*” – which is not at all the same as “teachers shouldn’t be discussing sexuality in schools at all.

I picked up a weekly paper in Orange County this week and noticed that Dan Savage mentioned the bill in his 5/4 column, pointing readers to wesaygay.com, a site ostensibly set up by a couple of teenagers opposing the bill and gathering petition signatures in opposition – it’s nice to see students being active in this way.

The bill passed the House committee and is scheduled for a full Senate vote on May 9, although it has been reported that the state Senate will not take it up this year.

The wonderful Rev. Chris Buice of Knoxville argues in a commentary on the bill that prohibiting teachers from discussing homosexuality in school hinders them in acting against bullying and prevents them from having many educational discussions related to current events and legislation.

Apparently this coming week is National Women’s Health Week.

From the FDA:

The U.S. Food and Drug Administration (FDA) and the Federal Trade Commission (FTC) today announced a joint effort to remove products from the market that make unproven claims to treat, cure, and prevent sexually transmitted diseases (STDs). Among the products targeted in today’s action are Medavir, Herpaflor, Viruxo, C-Cure, and Never An Outbreak.

The Harper Collins controversy has escaped the boundaries of libraryland. tigtog at Hoyden notes it, and Andy’s change.org petition got sent out on a huge scale. Short version of the controversy – Harper Collins wants to make libraries buy new copies of ebooks after they’ve been read 26 times. You know, because libraries are rolling in money and typically discard books after 26 reads. *eyeroll* There’s a ton of writing on this in the library blogosphere, just google it with some combination of Harper Collins, libraries, 26, ebooks.

The Abortioneers are talking about the stigma of multiple abortion, and there is some really good discussion in the comments, including from those gently pushing back against the OP for certain attitudes expressed in the post.

The Utah AIDS Drug Assistance Program is closing to new applicants due to a funding shortfall; supporters of the program are encouraged to contact their state and federal legislators.

This week’s title: I was in a car accident a couple of weeks ago, car three in a five-car wreck. I’m fine, although I was a little rattled and had a seatbelt bruise for about a week. The car, which is older and was in a previous accident, is totaled. The spouse and I are planning to go without a car, at least for the next few months. Tips and strategies for doing so are welcome. Depending on my mood, the situation gets framed as “car free” or “carless.”

Filed under: Abortion, Abuse, Rape, & Safety, Access, Rights, & Choice, Adolescent Health, Birth, Contraception, Drugs, Ethics, Government, HIV/AIDS, Infectious Diseases, Laws, Legislation, & Courts, Libraryland, Miscellaneous, News Round-Ups, Pregnancy, Sex & Sex Education, Women’s Health

Research suggests a Lactobacillus crispatus intravaginal suppository probiotic may reduce the rate of recurrent urinary tract infection in women prone to these infections.
Medscape Medical News

What are the treatment options for resistant UTIs? What antibiotics may work? Paul G. Auwaerter, MD, offers an ID consult.
Medscape Infectious Diseases

Lengthening the time between doses of the HPV vaccine from 2 months to 3 or 6 months was found to be noninferior to standard dosing in a randomized study.
Medscape Medical News

Although the rate of shedding is lower, people who are HSV2-positive but asymptomatic shed virus on about 10% of days when no lesions are present.
Medscape Medical News

The New England Journal of Medicine published a freely available Clinical Practice article, “Care of Transsexual Persons.” It covers hormones, surgery, and adolescents. Note that it does use the problematic gender identity “disorder” language as included in the DSM and it also promotes the standard psychological counseling hoops that transgender persons must jump through prior to obtaining treatment – Julia Serano‘s “Whipping Girl” provides a good primer on why those hoops can be problematic. It might be worth checking out what kinds of materials health care providers are seeing regarding these topics, including how they’re problematic.

Relatedly, there’s a possibility that “gender identity disorder” will be renamed “gender incongruence” in the DSM-V.

Laura Chapin at a US News politics blog asks why anti-choice extremism is so commonplace and continuous threats against providers are considered acceptable:

It’s the acceptance of a level of hatred directed at women, especially poor women, seeking reproductive healthcare and abortions. And it’s the acceptance of threats and violence directed at the doctors, staff, and healthcare workers trying to provide it to them.

The Boston Globe has a very brief story illustrating the problem of giving obesity too much focus and attention when diagnosing a patient.

In The Crocodile Tears of Anti-Choice Billboarders, Gaylon Alcarez outlines the failures and disingenuousness of anti-choice billboards targeting Black women. Just read it.

Relatedly, NARAL and SisterSong have partnered to fight such billboards in Texas.

The CDC notes April as STD Awareness Month (can we get that changed to STI?), including some resources for providers and for finding testing.

Studies presented at meetings always have the caveat that they need to be peer-reviewed and have the methods and data published in order for the public to fully review and understand them. However, I wanted to note this recent news item:

New Orleans residents were found to have three times the rate of heart attacks four years after the devastation of Hurricane Katrina than before the storm and levee break that flooded the city, according to a study presented at a major heart meeting on Sunday.

I’ll be interested to see the paper when published; the news item focuses on psychiatric illness, stress, and employment, but I wonder how much people with more financial resources leaving the area and access to care generally play a role.

Via TransTalk, U.S. Department of Health and Human Services Recommended Actions to Improve the Health and Well-Being of Lesbian, Gay, Bisexual, and Transgender Communities, which includes a summary of actions taken and recommendations for future actions. What do you think? Will this make a difference? Have they focused the right way?

The Institute of Medicine released a new report, The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. It’s freely available if you read the PDF online; I haven’t read it yet, so I can’t vouch for how truly inclusive or useful it is.

Note to self: don’t ever move to the Dakotas. Most recently, North Dakota approved abstinence-only sex education.

A worthy rant from tigtog at Hoyden: Don’t mistake expressing contempt for taking offense.

Via Siobhan (who I’ll get to see at a health literacy conference in May – yay!) at BHIC, HHS Launches New Consumer-Focused Immunization Website. The new site is vaccines.gov.

Shameless Self-Promotion: at work, we’re posting staff profiles to our Facebook page leading up to an open house event; here’s mine. I’d appreciate if any personal comments were left here or on my own Facebook page instead of there.

Unrelated to health, except for the insurance aspect: an employer of 500+ people in my hometown is closing. The employees (largely hourly, relatively low wage) of this furniture factory were called together and basically told that – in addition to the upcoming closing – their health insurance was ending effective immediately. If that doesn’t illustrate a major problem with employer-based insurance, I don’t know what does. The county already has an unemployment rate over 10% so I expect those folks will have a hard time finding work; the company had been in town for more than 70 years.

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The shorter treatment regimen should improve compliance.
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