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New Measures To Promote Quality In Darzi's One Year On Progress Report, UK
Plans to scrap some centrally driven targets and proposals for giving doctors and nurses control of their budgets were announced by Health Minister Lord Darzi today.

FDA Approves Samsca To Treat Hyponatremia
The U.S. Food and Drug Administration has approved Samsca tablets (tolvaptan) to treat hyponatremia, an abnormally low concentration of sodium in the blood.
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Washington Times Examines Proposed Teen Pregnancy Prevention Initiative In Obama Budget Plan
The Washington Times recently included a two-part series examining President Obama"s proposed reallocation of abstinence-only sex education funding in his 2010 budget plan. The proposal would redirect funding toward a new Teen Pregnancy Prevention Initiative that uses comprehensive sex education curriculums. Summaries of the series appear below.~ Part 1: Obama"s budget proposal states that funds for the Teen Pregnancy Prevention Initiative should go to programs that are proven to help delay first sex, increase contraceptive use or reduce teen pregnancy, though a few advocates of comprehensive sex education say such goals are laudable but too narrow, the Times reports. William Smith -- vice president for public policy for the Sexuality Information and Education Council of the United States -- and James Wagoner -- president of Advocates for Youth -- wrote in a June 17 blog entry that preventing unintended pregnancy among teens is "incredibly important" but that it is "not the only sexual and reproductive health issue facing our nation"s youth." They continued that it would be more beneficial to "expand the scope" of the initiative so it can serve "all young people in all communities, including lesbian, gay, bisexual, transgender and questioning youth, whose needs fall wholly outside of the narrow teen-pregnancy-prevention framework." According to the Times, Smith said in an interview that money allotted for the initiative would be best used if it went to programs focused on "good outcomes" for youth, "not these disaster-aversion silos that don"t serve us well." Wagoner said that advocates have been "very clear in giving the president credit for shifting tracks here in a big way" by ending funding for abstinence-only sex education. However, he added that it is "our job to press for the right destination" and to see the changes implemented into law (Wetzstein, Washington Times, 6/28).~ Part 2: Some supporters of Obama"s proposal argue that it is "exactly the right idea, at the right time," as the U.S. teen birth rate has increased in the last two years after 14 years of decline, the Times reports. Sarah Brown, CEO of the National Campaign To Prevent Teen and Unplanned Pregnancy, said that Obama"s proposal is the "first really focused expenditure on effective teen pregnancy prevention programs." Brown noted that the U.S. has the highest rates of teen pregnancy and birth in the industrialized world. She said that the best programs will address one or more of the three goals of the initiative -- delaying first sex, increasing contraceptive use or reducing teen pregnancy. Last month, about 175 organizations sent a letter to Obama and members of Congress calling for an expanded initiative that would include subjects such as sexually transmitted infections and abusive relationships. However, Brown said that many teen pregnancy prevention programs include discussion of STIs and other areas, "[s]o we really don"t see much tension here" (Wetzstein, Washington Times, 7/5).
Mental Health

British Medical Association Scotland Calls For An End To The Ridiculous Pricing Of Alcohol

Doctors leaders called for an end to the ridiculous pricing of alcohol for off sales in light of findings from the Scottish Schools Adolescent Lifestyle and Substance Use Survey (SALSUS). The survey shows that 52% of 13 year olds and 82% of 15 year olds have had at least one alcoholic drink and that shops and off-licences were the second most common for purchasing alcohol. Dr Peter Terry, Chairman of BMA Scotland said: "When alcohol is cheaper than bottled water, we have to worry about what message we are sending our children. "Alcohol costs our economy around ÷£1 billion every year, but the human cost is much higher. One death every six hours in Scotland is caused by alcohol. "There is no single solution to Scotland"s alcohol problem, but evidence shows that there is a direct relationship between the price of alcohol and the amount consumed. BMA Scotland supports the introduction of minimum pricing to stop retailers from selling alcohol at very low prices." British Medical Association


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