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Blogs Comment On Planned Parenthood Ad Campaign, Sex-Selective Abortion, Other Topics
The following summarizes selected women"s health-related blog entries.~ "A Radical Notion: Women"s Health Care as Mainstream," Cecile Richards, Huffington Post blogs: "To hammer ... home" the message that "Planned Parenthood and other essential community providers are the affordable, local access to basic preventive care that saves lives," the Planned Parenthood Action Center has introduced advertisements "educating the policy folks involved in fixing our health care system" about "why women"s health care needs to be taken care of in this mega-reform effort," Richards writes. She writes, "From cancer screenings to contraception to immunizations, the majority of women who go to women"s health care centers consider them their primary health care provider," adding, "In fact, more than 90% of what Planned Parenthood health centers do is preventive and primary care." According to Richards, "Essential community providers, including those who provide women"s health care, need to be part of any newly established health care system." She adds that "the three million patients who came to Planned Parenthood health centers last year can testify to it." Richards writes that "[f]amily planning and reproductive health care are unfortunately still not fully part of mainstream health care, even though 98% of women use contraception at some point in their lives -- there"s nothing more universal!" The "fact that women reproduce and, therefore, have different types of health care needs makes some folks on Capitol Hill go pale and start to sweat," Richards writes. She concludes, "Maybe one day we won"t need a special campaign to support women"s health," but "until then, Planned Parenthood is here to make sure women aren"t worse off after health care reform than before" (Richards, Huffington Post blogs, 6/18).~ "The Role of Medical Education in Preserving Abortion Access," Our Bodies, Our Blog: In response to a recent Salon opinion piece that examined whether there will be a next generation of abortion providers, the blog post discusses a few organizations that are "working to increase access to (accurate) abortion-related training." The blog includes links to Medical Students for Choice -- a group that "does student organizing and advocacy to influence medical school curricula, workshops ... and lectures on abortion techniques" -- and The Ryan Program -- which offers "funding, technical expertise, curriculum, workshops and other res to support training opportunities in abortion and contraception for ob-gyn residents." The blog entry also highlights the work of Physicians for Reproductive Choice and Health, which partners with members of the American Medical Student Association "to provide "project in a box" materials for medical students wanting to access and influence their schools" curricula on sexual and reproductive health" (Our Bodies, Our Blog, 6/18). ~ "Regulating Abortion May Be OK But Not To Avoid Sex-Selection," Marianne Mollmann, Huffington Post blogs: "Sex-selective abortion raises a multitude of overlapping ethical concerns regarding eugenics, population control and provider privilege or knowledge," according to Mollmann, advocacy director for the Human Rights Watch"s Women"s Rights Division. Mollmann writes that recent media reports indicating that sex-selective abortion occurs among some ethnic communities in the U.S. "has generated new discussion about what to do -- indeed what to think -- about the practice here." She continues that the "effect of abortion regulations depends on the context and motivation," adding that "[f]rom a human rights perspective, the regulation of medical procedures and interventions is legitimate and indeed often necessary so long as they are based on full respect for the full range of human rights." It is "perhaps tempting to hope that banning sex-selective abortions would safeguard the gender balance of future generations," but the "criminalization of abortion for whatever reason has in the past led only to underground and unsafe prac

Trapping Immune Cells In The Uterus Prevents Anti-fetal Immunity
Why the immune system of a pregnant woman does not attack her developing fetus is one of most remarkable features of pregnancy, and several underlying mechanisms have been described. However, Adrian Erlebacher and colleagues, at the New York University School of Medicine, New York, have now identified a new mechanism to explain why the mouse maternal immune system does not attack the fetuses.
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The Bazelon Center Welcomes President Obama's Pledge To People With Mental Disabilities On Olmstead's 10th Anniversary
The Bazelon Center for Mental Health Law welcomes President Obama"s announcement today of his commitment to the promise of the landmark Supreme Court case, Olmstead v. L.C., on its 10th anniversary. In a statement released by the White House today the President launched a "Year of Community Living" and tasked the Departments of Health and Human Services (HHS) and Housing and Urban Development (HUD) to identify initiatives that will develop and improve services and supports to assist people with disabilities who wish to live in the most integrated settings possible.
Diagnostics

Leading Health Organizations Launch New Accreditation Process For Laboratories Across Africa

Government health officials from 13 African countries today launched the first-ever push for accreditation of the continent"s medical laboratories, starting a process that the World Health Organization (WHO) and the U.S. Government believe will be an historic step to strengthen health systems and lead to better care for patients. Just a handful of Africa"s laboratories are now accredited, in part because the existing international accreditation process is so time-consuming. Many laboratories lack equipment, proper funding, adequate training for lab workers, and systematic management of work. This new effort will operate under the guidance of the WHO Regional Office for Africa (WHO/AFRO) and the U.S. President"s Emergency Plan for AIDS Relief (PEPFAR), implemented through the U.S. Department of Health and Human Services/Centers for Disease Control and Prevention (HHS/CDC). The American Society for Clinical Pathology (ASCP) will assign dozens of volunteer American lab professionals and the Clinton HIV/AIDS Initiative will help implement action-oriented training programs to boost and standardize the quality of African laboratories. WHO-AFRO has established a five-step accreditation process structured around its core standards for laboratories, which will allow labs to gradually receive credit for improvement - and eventually attain accreditation. For many laboratories that employ top-notch workers, this extra help is seen as critical to reach a consistent high standard of work. "It"s time for Africa to go in this direction - accreditation is the only way to be sure a laboratory is a good laboratory," said Agnes Binagwaho, Rwanda"s Permanent Secretary in the Ministry of Health. "We cannot provide high quality care - no matter what type of disease we"re fighting - without strong laboratories. This will greatly strengthen our health systems in the short term and long term. This is all about building sustainable health systems." Laboratories form the backbone of health systems around the world, providing doctors and other health care workers with results of a battery of tests for deadly diseases. Sub-Saharan Africa carries a huge burden of disease - it is estimated that the continent has more than 2 million deaths annually from AIDS, nearly 2 million deaths from tuberculosis, and roughly 1 million deaths from malaria - and yet its laboratories are among the most ill-equipped and poorly red facilities anywhere. If laboratories function properly, doctors and nurses will not only get correct diagnoses of diseases and an indication of when and how to begin treatment, but they will also know when drugs fail and when people develop resistance to medications. This is a critical component of monitoring patients infected with HIV, tuberculosis, and malaria, as well as a host of other diseases. In addition, an efficient laboratory can dramatically reduce waiting time to get results - allowing patients in parts of Africa who often travel a day or more for testing to receive the laboratory results sooner. Studies have shown that when patients need to return for a second visit to a hospital or clinic for test results, significant percentages fail to do so. The work to improve laboratories began to gain momentum nearly a decade ago; the intensified fight against HIV/AIDS represented by PEPFAR and others provided funding and demand to improve laboratory services. Two of the integral partners in this process have been the WHO-AFRO and PEPFAR through HHS/CDC. "Supporting governments" efforts to strengthen national health care systems, including laboratory quality management, is essential to ensuring sustainability of country-driven HIV/AIDS interventions," said Ambassador Eric Goosby, U.S. Global AIDS Coordinator. "Efforts like this new lab accreditation process are essential to equipping countries and communities with the tools necessary for progress on health." El-hadj Belabbes, HIV Lab Officer for the WHO Inter-country Support Team, Central Africa, said the outcome is the result of efforts initiated by WHO-AFRO and HHS/CDC eight years ago, leading to meetings with partners in Zimbabwe, Ghana, South Africa, Ethiopia, and Senegal. "Following these meetings, WHO-AFRO, in collaboration with its partners, has initiated the first phase of laboratory accreditation but also has started the implementation of comprehensive Quality Management Systems and laboratory management training," Belabbes said. At the Kigali meeting, which runs from July 27 to 29, participants include 120 experts and policymakers from Rwanda, Botswana, Cameroon, Cote d"Ivoire, Ethiopia, Kenya, Malawi, Nigeria, Senegal, Tanzania, Ghana, Uganda, and Zambia. The meeting will have three goals: unveil a blueprint toward the path of accreditation; obtain key stakeholders" support for accreditation; and showcase a task-based training program in support of laboratory improvement required for accreditation. "This is a tremendous leap forward for diagnostic laboratory services in Africa," said Dr. Lee H. Hilborne, past president of the American Society for Clinical Pathology, which helped design the training program and will send volunteers from U.S. laboratories to assist the training. "The commitment of laboratories, Ministries of Health, and international partners, including ASCP, speaks to the realization that investments in infrastructure to date have matured to the point where it is now possible to explicitly commit to having Africa"s laboratories aspire to and achieve compliance with international standards. The people of Africa and the world will benefit from this essential step forward." "Every patient deserves "access to accurate and reliable diagnostics that meaningfully inform the care and treatment they receive. The laboratory accreditation process is an important means to encourage, evaluate and recognize competence, quality and reliability in medical laboratory testing. We consider laboratories to be a gateway to the management and treatment of priority diseases," said Philip Rotz, Training Coordinator of the Laboratory Services Team for the Clinton HIV/AIDS Initiative. Connie Wilkins, a hospital laboratory director in Joplin, Missouri, in the United States and one of ASCP"s volunteers, said that the process will be critically important in helping laboratories run more efficiently. Much of the effort will be focused on training laboratory managers and other administrative staff to improve the management of the facilities. After the laboratories go through the five-stage process for WHO-AFRO, they will be closer to applying for international accreditation as well. "Anything we can do in education, including in improving laboratories is not just about saving a life but about improving quality of life," Wilkins said. "We"re improving healthcare starting with being able to deliver to doctors a more accurate diagnosis of the problem and by allowing doctors to see how well treatments are working through periodic testing. It"s just a huge deal." Preeti Singh Burness Communications


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