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WHO Maintains That 2B Worldwide Could Get H1N1
The WHO on Tuesday maintained that roughly two billion people could become infected with the H1N1 (swine flu) virus, Reuters reports. "By the end of a pandemic, anywhere between 15-45 percent of a population will have been infected by the new pandemic virus," WHO spokeswoman Aphaluck Bhatiasevi said, adding that 30 percent, or 2 billion people worldwide, is the mid point of that estimate. "But the estimate comes with a big health warning: no one knows how many people so far have caught the new strain ... and the final number will never be known as many cases are so mild they may go unnoticed," the news service writes (Lynn, 8/4).
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States To Pursue New Integrated Care Approaches For Dual Eligibles
As the nation debates health reform options, the Center for Health Care Strategies (CHCS) is launching Transforming Care for Dual Eligibles , a state initiative to test innovative care models for people who are dually eligible for Medicare and Medicaid ("dual eligibles"). Colorado, Maryland, Massachusetts, Michigan, Pennsylvania, Texas, and Vermont will implement strategies to improve care and control costs for dual eligibles, a high-need population with health care costs nearly five times those of other Medicare beneficiaries. The program is made possible through support from The Commonwealth Fund.
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Supreme Court Nominee Sotomayor Prepares For Meetings With Key Senators
Supreme Court nominee Judge Sonia Sotomayor is scheduled to meet with key senators today as Republican leaders indicate that they will try to slow her confirmation process over the summer, the Washington Post reports. Sotomayor, in preparation for her meetings, has been working with White House lawyers to complete a 10-page Senate questionnaire, which aims to reveal details of her legal work, professional associations, personal finances, speeches, and legal and other writings. White House officials said the document will be finished "in the next couple of days." Senate Majority Leader Harry Reid (D-Nev.) said that he will provide Sotomayor"s background information to Republicans "as quickly as possible," adding that he "want[s] to make sure she"s ready to go" when the next Supreme Court term begins in October. Sotomayor is scheduled to meet today with Reid, Senate Minority Leader Mitch McConnell (R-Ky.), Senate Judiciary Committee Chair Patrick Leahy (D-Vt.) and the panel"s ranking member, Jeff Sessions (R-Ala.). She also is scheduled to meet with Sens. Jon Kyl (R-Ariz.), Richard Durbin (D-Ill.), and New York Democrats Charles Schumer and Kirsten Gillibrand, the Post reports.While Sotomayor prepares for her meetings, Republican leaders indicated that they will try to impede President Obama"s push to confirm her before the Senate leaves for summer recess on Aug. 7. McConnell said that the GOP will determine its own schedule regarding Sotomayor"s confirmation, adding that although the GOP will "insist that the confirmation process be conducted in a fair and professional manner, ... respectful doesn"t mean rushed." Senior Senate aides from both parties said that a deal to expedite the confirmation process is unlikely, despite informal negotiations between Sessions and Leahy (Fletcher/Murray, Washington Post, 6/2). Sessions said it would be his "preference" for a confirmation after the August recess but before October. He added that there are "some things that have been raised that we need to explore" and that Sotomayor "deserves an opportunity to deal with the complaints against her" (Rushing, The Hill, 6/1).Conservative Groups Push for Filibuster According to the New York Times "The Caucus," a coalition of conservative groups recently sent a letter to McConnell urging Republicans to filibuster Sotomayor"s confirmation. The letter, which was obtained by the Times, is signed by a range of conservative groups, including antiabortion-rights groups, gun-rights advocates, evangelical leaders and others. Manuel Miranda, a former judicial adviser to former Senate Majority Leader Bill Frist (R-Tenn.), organized the letter. Although Miranda has criticized Democratic filibusters in the past, he said that a Republican filibuster of Sotomayor would help the GOP promote its differences with the Democratic Party on judicial philosophy and the role of the courts. However, Senate Republican leaders thus far have shown little interest in a filibuster, according to the "The Caucus" (Savage, "The Caucus," New York Times, 6/1). The Post reports that the GOP likely does not have enough votes to block Sotomayor"s confirmation with a filibuster, but Republicans could be able to slow the process until September. In this case, Sotomayor still would be able to take her place on the bench when the court reconvenes Oct. 1 (Washington Post, 6/2).The AP/USA Today reports that Republicans are taking a "two-sided strategy" in which they are urging for a respectful debate against Sotomayor while still allowing conservative commentators -- such as Rush Limbaugh and former House Speaker Newt Gingrich (R-Ga.) -- to criticize her, the AP/USA Today reports. By allowing the political attacks from commentators, Republicans who are facing re-election "can avoid potential backlash if they derail a historic nomination," the AP/USA Today reports (AP/USA Today, 6/1).
Sexual Health

Younger Men With Advanced Prostate Cancer Have Shorter Survival Times

While young men with prostate cancer have a low risk of dying early, those with advanced forms of cancer do not live as long as older men with similar forms of the disease. That is the conclusion of a new study published in the July 1, 2009 issue of CANCER, a peer-reviewed journal of the American Cancer Society. The paradoxical findings indicate that there may be biological differences between prostate cancers that develop in younger men and those that develop in older men, and that uncovering these differences may help tailor screening and treatment strategies for patients based on age. In general, a younger cancer patient has a better prognosis than an older patient with the same type of cancer. Few studies have analyzed the health of younger vs. older men after diagnosis and treatment for prostate cancer, though. To investigate the impact of age on prostate cancer prognosis, Daniel Lin, M.D., of the University of Washington and colleagues designed a study to examine the association between age at diagnosis and health outcomes in men diagnosed with prostate cancer in the United States. Mining the National Cancer Institute"s Surveillance, Epidemiology, and End Results (SEER) database, the investigators identified 318,774 men diagnosed with prostate cancer between 1988 and 2003. Men aged 35 to 74 years were stratified by age at the time of diagnosis, and the researchers examined differences in tumor characteristics, treatment, and survival within each age group. The analysis revealed that, over time, men are being diagnosed with prostate cancer at younger ages, likely due to more extensive screening. Also, younger men are more likely to be treated with prostatectomy, have less aggressive cancers, and have a better chance of survival after 10 years compared with older men. However, among men with advanced prostate cancers, the youngest men (aged 35 to 44 years) have a particularly poor prognosis compared with older men. These young men are more likely to die from cancer or another cause sooner than older men with similar forms of cancer. While the reasons for this unexpected finding are not clear, the researchers suspect that young men with advanced prostate cancer may have biologically more aggressive forms of the disease than the forms that are diagnosed in older men. Additional studies are needed to determine what, if any, underlying differences exist between advanced prostate cancer found in young men vs. those found in older men. These studies may help clinicians improve screening in young men and could ultimately lead to the development of better treatment strategies for these patients. Article: "Treatment and survival outcomes in young men diagnosed with prostate cancer: a population based cohort study." Daniel W. Lin, Michael Porter, and Bruce Montgomery. CANCER; Published Online: May 22, 2009 (DOI: 10.1002/cncr.24324); Print Issue Date: July 1, 2009. David Sampson American Cancer Society


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