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La. Gov. Jindal Signs Law Expanding Protections For Health Workers Who Refuse Services
Louisiana Gov. Bobby Jindal (R) on Tuesday signed into law a bill (HB 517) that expands health care provider "conscience" protections beyond abortion to also include refusals to provide emergency contraception or participate in certain other procedures, the New Orleans Times-Picayune reports. The law provides job protection and legal immunity to "any person" who refuses to provide abortion services, distribute "abortifacient drugs," work on research involving embryonic stem cells or cloning, or participate in physician-assisted suicide or euthanasia. According to the Times-Picayune, the provision that refers to abortifacient drugs is intended to include EC but not other forms of birth control.Jindal"s administration said the law is necessary to protect the individual rights of doctors, nurses, pharmacists and other health care workers whose personal beliefs might conflict with their professional duties. Opponents of the law, including the Planned Parenthood Federation of America and the American Civil Liberties Union, argue that it will restrict patient access to accurate information and timely services (Barrow/Anderson, New Orleans Times-Picayune, 7/8).
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Health Lobbying Means Cash Infusion For Candidates, TV StationsKaiser
"Health care groups working feverishly to shape -- or kill -- an industry-wide reform bill are lavishing campaign cash on the politicians at the center of the debate," The Salt Lake (Utah) Tribune reports. Sens. Orrin Hatch and Max Baucus, both major health reform players on the Senate Finance Committee, are among those benefiting form the uptick in contributions. One lobbyist for the watchdog group Public Citizen said, "A person can reach no other conclusion than this is quid pro quo activity" (Canham, 7/27).
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NYT Examines Effects Of Illegal Abortion On Maternal Mortality In Tanzania
The New York Times on Tuesday examined how botched abortion procedures contribute to maternal mortality in Tanzania, in the second of a three-part series on pregnancy- and childbirth-related deaths in the country. The Times reports that the lack of abortion rights in Tanzania -- where the procedure is illegal except in cases where the woman"s life or health is at risk -- has prompted pregnant women and girls to seek the procedure from people who have not been trained to perform such procedures. In some cases, these untrained providers give the pregnant women herbs before performing abortions by punching the pregnant women"s stomachs or inserting objects into the vagina and uterus. Local hospitals in Tanzania often have to correct mistakes made by the untrained abortion providers. For example, during the month of January, 17 of the 31 minor surgical procedures performed at one Tanzanian hospital were to correct the results of "incomplete abortions."Africa has the world"s highest maternal mortality rate -- at least 100 times that of developed countries -- making pregnancy and childbirth among the most serious health dangers that African women face, according to the Times. Abortion accounts for a significant portion of those deaths. Tanzania has a maternal mortality rate of 950 deaths for every 100,000 births, a figure that is "neither the best nor the worst in Africa," the Times reports.Because most abortions in Tanzania are performed illegally, there are no reliable abortion figures for the country. However, the World Health Organization estimates that Eastern Africa, where Tanzania is located, has the world"s second-highest rate of unsafe abortions. Abortion rates typically decrease with increased contraceptive use, the Times reports. Only about one-quarter of Tanzanians use contraception in part because of misinformation that girls receive about the safety of condoms and hormonal contraceptives. By comparison, Kenya and South Africa both have higher contraception use and lower maternal mortality. However, in countries such as Sierra Leone and Nigeria, where abortion is not available on request, contraception use is lower than in Tanzania, and maternal mortality is much higher (Grady, New York Times, 6/2).
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Link Between Vitamin D And Reduction In Multiple Sclerosis Risk

Could a holiday in the sun reduce the risk of developing multiple sclerosis? In a recent review for F1000 Medicine Reports, Bridget Bagert and Dennis Bourdette highlight recent advances in potential treatments. Multiple sclerosis (MS) results from a failure of the body to recognize itself. The immune system attacks and destroys the sheath that protects nerve fibres, as if it were a foreign body or infection. Vitamin D, which is produced in the skin in response to natural sunlight, is an immune system regulator. This might explain why MS is less common in sunnier countries. Giving MS sufferers vitamin D pills - or encouraging them to spend more time in the sun - might be a cheap and easy treatment. Bagert and Bourdette point out that oral vitamin D therapy is now in phase II clinical trials, to see how well it works and how much would be needed. They say "The arrival of effective oral agents will give MS patients more therapeutic options and will be a major advance in the global effort to alter the natural history of this chronic disease". Dennis Bourdette, Faculty Member for F1000 Medicine, is chairman of the Department of Neurology and director of the Multiple Sclerosis and Neuroimmunology Center at Oregon Health and Science University, USA. Bridget A Bagert is a member of the Department of Neurology, Louisiana State University Health Sciences Center, USA The full text of this article is available at http://www.f1000medicine.com/reports/10.3410/m1-34/. Kathleen Wets Faculty of 1000: Biology and Medicine


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