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WEDNESDAY, April 24 (HealthDay News) ? The number of Americans with heart failure could rise 46 percent, from 5 million in 2012 to 8 million in 2030, new research says.
And the direct and indirect costs of treating the condition could more than double, from $31 billion to $70 billion, over the same time period.
That means that by 2030, every U.S. taxpayer could be paying $244 a year to care for heart failure patients, according to the American Heart Association policy statement. It said the findings highlight the need for strategies to prevent and treat heart failure.
Heart failure ? the leading cause of hospitalization for Americans over age 65, according to the AHA ? occurs when the heart becomes weak and can no longer pump enough oxygen- and nutrient-rich blood throughout the body. Patients often experience fatigue and breathing problems as the heart enlarges and pumps faster in an effort to meet the body?s needs.
The rising number of people with heart failure is the result of an aging population and an increase in the rates of conditions that contribute to heart failure, such as high blood pressure, diabetes and heart disease. Being older, a smoker, poor or a member of a minority group also are risk factors for heart failure.
?If we don?t improve or reduce the incidence of heart failure by preventing and treating the underlying conditions, there will be a large monetary and health burden on the country,? said Dr. Paul Heidenreich in an AHA news release. ?The costs will be paid for by every adult in this country, not just every adult with heart failure.?
?Awareness of risk factors and adequately treating them is the greatest need,? said Heidenreich, a professor of medicine at Stanford University School of Medicine and director of a chronic heart failure research initiative at the VA Health Care System in Palo Alto, Calif.
The statement includes recommendations on how to tackle the issue. These include the following:
The statement was published online April 24 in the journal Circulation: Heart Failure.
?We have the solutions we need to change the course of heart failure in this country, but we must take steps now to reverse the trend,? American Heart Association CEO Nancy Brown said in the news release. ?If we treat patients using existing guidelines, improve care transitions, adequately train our health care workforce and reduce disparities in the health outcomes of specific populations, we can lessen the burdens of heart failure.?
More information
The U.S. National Heart, Lung, and Blood Institute has more about heart failure.
Source: http://news.health.com/2013/04/24/u-s-heart-failure-costs-could-skyrocket-report/
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While there's no shortage of 3DS iterations headed to the market, Nintendo is having a harder time selling its new Wii U. Profits for the year are also half of its own predictions, despite the fact that Nintendo reduced its rosy estimates in the interim. Net sales are down 1.9 percent over the last year, down to 635 billion yen, but most importantly the company has managed to turn its net income into positive figures, netting 7 billion yen over the last year, compared to a 40 billion yen loss the year before. Following its initial launch, Wii U sales have slowed substantially, with only 390,000 units sold since December (now totaling 3.45 million), while the 3DS continues to sell in healthier numbers, with Nintendo shifting 1.25 million handhelds in the same period.
Focusing on the next year, the company maintains that it'll increase net income to 10 billion yen in the next twelve months, with a focus on selling "the compelling nature" of its gaming hardware, as well as pushing its 3DS more in foreign markets. The financial statement adds that the games maker plans to concentrate on "proactively releasing key Nintendo titles" starting the second half of this year "in order to regain momentum." Those key titles will have to hit hard, as certain competitors' new consoles are creeping closer.
Source: Nintendo
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U.S. Secretary of Defense Chuck Hagel is greeted by Saudi Arabia's Deputy Minister of Defense Prince Fahd bin Abdullah, left, upon his arrival at King Khaled International Airport in Riyadh, on April 23, 2013. (AP Photo/Jim Watson, Pool)
U.S. Secretary of Defense Chuck Hagel is greeted by Saudi Arabia's Deputy Minister of Defense Prince Fahd bin Abdullah, left, upon his arrival at King Khaled International Airport in Riyadh, on April 23, 2013. (AP Photo/Jim Watson, Pool)
U.S. Secretary of Defense Chuck Hagel, left, is welcomed by Saudi Crown Prince, Deputy Premier and Minister of Defense Salman bin Abdulaziz , center, during a meeting at his residence in Riyadh, on Tuesday, April 23, 2013. (AP Photo/Jim Watson, Pool)
CAIRO (AP) ? By including Cairo on his first Mideast tour as defense secretary, Chuck Hagel is highlighting the Obama administration's hope of preserving influence with the Egyptian military as the country struggles with its transition to democracy.
After stops in Israel, Jordan and Saudi Arabia, Hagel flew to the Egyptian capital for his first face-to-face meetings with Egypt's top leaders. In their talks Wednesday, he planned to stress the value of close military ties with a country that is deeply divided in the wake of the 2011 revolution that ousted longtime President Hosni Mubarak.
Egypt was the first Arab country to sign a peace treaty with Israel. The U.S. is deeply concerned, however, that continued instability in Egypt will have broader consequences in a region already rocked by unrest, including in the increasingly lawless Sinai Peninsula.
U.S. Secretary of State John Kerry visited Egypt in March and rewarded it for President Mohammed Morsi's pledges of political and economic reform by releasing $250 million in American aid.
Morsi came to power in June 2012 as Egypt's first freely elected president.
Hagel was scheduled to meet with Morsi as well as Defense Minister Abdel Fattah al-Sisi.
On Tuesday the legal adviser to Morsi resigned, alleging that the Muslim Brotherhood has monopolized decision-making and encroached on the governing of the country.
The resignation letter by Mohammed Fouad Gadallah brought the harshest criticism yet from inside the presidency. Opponents of Morsi long have accused the Brotherhood of being the real power behind the president and say the group's attempts to dominate power have fueled the country's turmoil.
Morsi, who hails from the Brotherhood, denied in a TV interview earlier this week that the group intervenes in decision-making.
Hagel flew to Cairo from Riyadh, where he met Tuesday evening with top officials, including Crown Prince Salman bin Abdulaziz al-Saud, who serves as the kingdom's defense minister as well. Hagel also held talks Tuesday in Jordan and Israel.
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High-risk areas might include Shandong province (where the first case of 104 among humans was reported April 23) and a belt extending around the Bohai sea to Liaoning province in the north. But cases beyond China might be just a matter of time
By Declan Butler and Nature magazine
CLICK MAP FOR DATA: Flight routes from the outbreak regions would quickly carry any human-transmissible virus to huge population centers in Europe, North America and Asia. Estimated numbers of people residing within two hours' travel time of destination airport calculated using gridded population-density maps and a data set of global travel times. Image: A. J. Tatem, Z. Huang and S. I. Hay (2013). Unpublished data. (A.J.T., University of Southampton, UK; Z.H., University of Florida, Gainesville; S.I.H., University of Oxford, UK.)
Scientists do not yet fully understand how the H7N9 avian influenza virus is spreading in China, or why the pattern of sporadic human cases looks like it does. But mapping the risks of known factors in the past geographical spread of avian flu viruses and human infections might provide some clues.
The first known cases of human infection with H7N9 were reported in China on 31 March, with two cases in Shanghai on the eastern seaboard and one in the neighboring province of Anhui. As of 22 April, the World Health Organization (WHO) has tallied 104 confirmed cases, including 21 deaths, and the virus has expanded its geographical range to neighboring Jiangsu and Zhejiang provinces, as well as Beijing in the north and Henan in the center of the country.
On 23 April, China's state news agency, Xinhua, reported a 36-year-old man in serious condition in the city of Zaozhuang, midway between Shanghai and Beijing ? the first case from Shandong province (not shown on map). The biggest number of cases has been reported in Shanghai, with 32, and Hangzhou in Zhejiang province, with 27; Huzhou in Zhejiang province has reported 10 cases, as has Nanjing in Jiangsu province.
To stem the current surge of human cases, scientists must identify the sources of the virus, and the route by which it infects humans. Birds at live markets have been suspected as one source, but tens of thousands of tests in poultry and other animals elsewhere have so far failed to turn up significant levels of the virus.
It is far from easy to devise effective ways to sample birds and animals for testing in a country with some 6 billion domestic birds and 0.5 billion pigs ? not to mention a vast population of wild birds, including many migratory species. Although the risk factors for the spread of H7N9 are not known, voluminous research on its cousin, the H5N1 virus that has caused 622 confirmed cases and 371 deaths since 2003, may help inform analyses. This, in turn, would help scientists and health officials to target their surveillance and control efforts.
For H5N1, researchers integrate large data sets that combine information on many potentially important factors, such as poultry trade routes, the numbers of birds being transported, the distribution of live-bird markets and their supply routes, waterfowl numbers, land use and human population densities. To these, they add the distribution of H5N1 cases in poultry, and as well as positive H5N1 results from active surveillance in markets.
Marius Gilbert, a co-author of one such study published in PLoS Pathogens in 2011 paper, and an expert in the epidemiology and ecology of avian flu viruses at the Free University of Brussels, says that although the risk factors for H7N9 may be different, given the current dearth of information, H5N1 risk maps are probably a good starting point for identifying areas most at risk.
Indeed, when human cases of H7N9 are overlaid on a risk map that Marius and his co-authors supplied to Nature, they seem to fall within the highest risk areas for H5N1. The map suggests that high-risk areas for H7N9 might include Shandong province (which reported its first case on 23 April) and a belt extending around the Bohai Sea to Liaoning province in the north.
Gilbert was one of more than 30 international experts who gathered at the Food and Agriculture Organization of the United Nations in Rome for a two-day meeting last week to discuss the current H7N9 outbreaks. At that meeting, he says, risk modeling and mapping were discussed as one means to devise targeted surveillance. Such information could also be used to help to modify farming and trade practices to reduce the risk of human exposure to the virus. As more is learned about H7N9, such models can be further refined.
Source: http://rss.sciam.com/click.phdo?i=9eb6c68df5180939780c04aa702b7033
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PARIS (Reuters) - The publisher of a French celebrity magazine was placed under formal investigation for breach of privacy over the publication of topless pictures of the Duchess of Cambridge, a judicial source said on Wednesday.
The photographer who snapped the pictures of the Duchess, or Kate Middleton, in the summer last year and a regional daily were also put under investigation, the last step in France before being charged, the source said.
Closer magazine, a weekly round-up of celebrity gossip, published in September a series of photos of the Duchess, the wife of Prince William, topless on holidays in southern France, something that incensed much of the British public.
The photos showed Kate slipping off her bikini top, relaxing on a sun lounger and at one point pulling down the back of her bikini bottoms. Buckingham Palace had called the photo spread a "grotesque" invasion of the royal couple's privacy.
The publisher of the magazine - the French branch of Italy's Mondadori - and the paparazzi who snapped the photos from a distance were put under formal investigation earlier this month, the judicial source said, speaking on condition of anonymity.
Mondadori in a statement said the company "was not aware of any new developments in addition to what is already known on this matter".
The regional daily La Provence, which published pictures of Prince William and his wife in swimming suits during the same holiday, was put under formal investigation this week, the source said.
An investigation does not necessarily lead to formal charges.
The office of Prince William and the Duchess of Cambridge could not be reached for comment.
(Corrects that publisher, not editor, of Closer put under investigation)
(Reporting by Nicolas Bertin in Paris; Additional reporting by Antonella Ciancio in Milan and Sarah Young in London; Writing by Ingrid Melander; Editing by Michael Roddy)
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