Sep 9 2013
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Public Health News Roundup: September 9

Study: E-cigarettes May Be as Effective as Nicotine Patches at Aiding Tobacco Cessation
E-cigarettes may be as effective as nicotine replacement therapy patches at helping people to reduce or quit smoking, according to a new study in the journal The Lancet. E-cigarettes are a hotly contested subject, with some seeing them as a “gateway” to nicotine use, and others seeing them as a way to actually help smoking cessation efforts. Researchers put participants who wanted to quit smoking on e-cigarettes, nicotine patches or placebo e-cigarettes for 13 weeks. After the time period they found that 7.3 percent of the e-cigarette users had successfully quit smoking, followed by 5.8 percent for the nicotine patch users and 4.1 percent for participants on the placebo e-cigarettes. "While our results don't show any clear-cut differences... in terms of quit success after six months, it certainly seems that e-cigarettes were more effective in helping smokers who didn't quit to cut down," said study leader Chris Bullen of New Zealand's University of Auckland. "It's also interesting that the people who took part in our study seemed to be much more enthusiastic about e-cigarettes than patches, as evidenced by the far greater proportion of people...who said they'd recommend them to family or friends." For more information on e-cigarettes, read the recent NewPublicHealth post, "Recommended Reading: A Closer Look at E-Cigarettes." Read more on tobacco.

HHS: $69.7M to Bolster Maternal, Infant, Early Childhood Services in 13 States
The U.S. Department of Health and Human Services (HHS) is providing approximately $69.7 million in grants to 13 states under the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. The funds will expand on each state’s efforts under the program, which helps deliver critical health, development, early learning and family support services to children and families. The program began in 2010 and has since served approximately 15,000 families in all 50 states, the District of Columbia and five territories. “This program plays a crucial role in the national effort to build comprehensive statewide early childhood systems for pregnant women, parents and caregivers, and children from birth to 8 years of age – and, ultimately, to improve health and development outcomes,” said Mary Wakefield, PhD, RN, Administrator, Health Resources and Services Administration. Read more on maternal and infant health.

Most Breast Cancer Deaths in Younger Women, Calling into Question Screening Guidelines
While in 2009 the U.S. Preventive Services Task Force revised its recommendations to say that women ages 50 to 74 should receive screening mammograms once every two years and women under 50 should decide on a schedule only after talking over all the details with their doctors, the American Cancer Society and other organizations continued to recommend screening beginning at age 40. A new study in the journal Cancer seems to support the need to start earlier for women of even average risk. Researchers found that half of all breast cancer deaths occur in women under the age of 50, and 71 percent of all deaths are among unscreened women. About 40,000 U.S. women die of breast cancer each year. One factor in the earlier deaths is that young women tend to have faster-growing, more aggressive tumors. "[The study] presents a very compelling argument in favor of screening beginning at age 40 on an annual basis. It corroborates what we have known for a long time," said Barbara Monsees, MD, chairwoman of the American College of Radiology Breast Imaging Commission, who was not involved in the study, adding “Screening doesn't reduce the risk of getting breast cancer, but it does reduce the risk of dying from it." Read more on cancer.

Tags: Cancer, Maternal and Infant Health, News roundups, Public health, Tobacco