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Greater Risks For Patients With Heart Attacks Posed By Crowded Emergency Departments
Patients with heart attacks and other forms of chest pain are three to five times more likely to experience serious complications after hospital admission when they are treated in a crowded emergency department (ED), according to a new study published in the journal Academic Emergency Medicine. The authors say that this dramatic difference in rates of serious complications underscores the need for action on the part of hospital administrators, policymakers and emergency physicians to find solutions to what has been termed "a national public health problem." More than six million patients per year come to U.S. emergency departments with chest pain.
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European Paediatric Influenza Analysis (EPIA) Group Formed To Quantify The Burden Of Seasonal Influenza In Children In Europe
The Netherlands Institute for Health Services Research (NIVEL) and SDI, a U.S. private-sector healthcare information company, announced the formation of the European Paediatric Influenza Analysis (EPIA) group, created to generate data needed to inform the decision process about paediatric influenza vaccination policy in individual European countries. Researchers from Denmark, England, Finland, Italy, the Netherlands, Scotland, Spain and Wales are participating; it is hoped that other countries will also join. EPIA was formed to address knowledge gaps highlighted in a recent European Centre for Disease Prevention and Control (ECDC) report that concluded that a key barrier to decision-making about paediatric flu vaccines is the lack of high-quality, European-specific data on disease burden, especially for young children. It is estimated by ECDC that at least 40,000 people die each year from influenza in the European Union (EU). EPIA will present the initial results from their research project at the 27th annual meeting of the European Society for Paediatric Infectious Diseases (ESPID) in June.
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Kenya Malaria Study Shows One-Third Of Patients Receive ACTs

Just about one-third of people seeking malaria treatment in Kenya received the recommended artemisinin-based combination therapies (ACTs) and some people are being treated with ineffective drugs like chloroquine, which was phased out almost 10 years ago, according to the recently launched 2007 Kenya Malaria Indicator Survey - the country"s "first ever comprehensive malaria study," the Daily Nation reports (Gathura/Cheboi, 6/30). Elizabeth Juma, the head of the Division for Malaria Control in the Ministry of Public Health and Sanitation, said the survey focused on children younger than age five because of their vulnerability to the transmission of malaria, Capital News reports. (Karong"o, 6/30). The survey also found that prescription drugs were being sold over the counter, and it calls on the Pharmacy and Poisons Board to ensure medicines are regulated, according to the Daily Nation. The report also recommends that children presenting with fever be tested for malaria and treated accordingly, "which is bound to raise debate given that most health clinics do not have the facilities and equipment to undertake such tests," writes the Daily Nation (6/30). According to Capital News, "[t]he report further indicated that at least 61 percent of Kenyan children do not sleep under Insecticide Treated Nets (ITNs), which are recommended for preventing malaria spread." Juma said efforts to promote the use of bed nets must be scaled up (6/30). Kenya Broadcasting Corporation reports that Kenya National Bureau of Statistics Director Anthony Kilele said the country needs to increase ITN usage by pregnant women to reach a 60 percent coverage target. "The survey results indicate that areas where two mass net distribution campaigns were conducted reported a higher ITN usage among children under five than areas in which there were no such campaigns," he said. Kikele also said the survey showed that up to 30 percent of outpatient health facility visits and 19 percent of admissions to health facilities in Kenya are due to malaria (Kamau/KNA, 6/30). "The delay in releasing the report was blamed on the post 2007 election crisis," Capital News writes (6/30). This information was reprinted from globalhealth.kff.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Global Health Policy Report, search the archives and sign up for email delivery at globalhealth.kff.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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