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      <title>Englemed Health News</title>
      <description>Worldwide health and medical news - only on-line!</description>
      <link>http://www.englemed.co.uk/</link>
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	  <item> 
        <title>Population-wide gene map row</title>
        <description><![CDATA[
    <p>Powerful modern techniques should make it possible to map every individual's 
        personal genes - and improve medical care, according to one expert.</p>
      <p><img src="http://www.englemed.co.uk/graphics/shutterstock_dna.jpg" width="300" height="263" align="right" class="photos" />Professor 
        John Burn of Newcastle University, UK, writes in the <span class="italics">British 
        Medical Journal</span> that doing so &quot;would give us unparalleled 
        knowledge to prevent, diagnose, and treat disease&quot;.</p>
      <p>He explains that the cost of gene sequencing has fallen 10,000-fold in 
        a decade, and continues to fall. &quot;We can have a whole genome for 
        the price of a family package holiday,&quot; he writes.</p>
      <p>Everyone carries about three million sequence variants, of which about 
        400 contribute to disease predisposition, and one or two would cause a 
        severe disease if both parents pass them to a child. &quot;The bioinformaticians 
        need to know it all&quot; to develop better diagnostic tests, he says.</p>
      <p>Linking genome sequencing to clinical outcomes will boost drug discovery 
        and development, expose the weaknesses of pathogens in order to tackle 
        epidemics, and prevent drug resistance, he states.</p>
      <p>However in the same journal Professor Frances Flinter of Guy's &amp; 
        St Thomas' NHS Foundation Trust, London, UK, points out the disadvantages.</p>
      <p>&quot;The cost and challenges of analysing, interpreting, and storing 
        the data are substantial,&quot; he writes. But more important are the 
        ethical issues it raises.</p>
      <p>What will be the nature of the consent given by patients? He asks. What 
        happens if they change their mind? How will implications for relatives 
        be handled? What secondary uses of the data will be allowed? What about 
        people with mental health disorders or learning difficulties? What about 
        possible commercial gain by the private sector?</p>
      <p>&quot;Possessing the technical ability to do something new is not an 
        immediate justification for going ahead with it,&quot; he writes, especially 
        in such an ethically complex area.&quot;</p>
      <p class="reference">Burns, J. Should we sequence everyone's genome? Yes. 
        <span class="italics">BMJ</span> 22 May 2013 doi: 10.1136/bmj.f3133 <a href="http://www.bmj.com/cgi/doi/10.1136/bmj.f3133">[abstract]</a></p>
      <p class="reference">Flinter, F. Should we sequence everyone's genome? No. 
        <span class="italics">BMJ</span> 22 May 2013 doi: 10.1136/bmj.f3132 <a href="http://www.bmj.com/cgi/doi/10.1136/bmj.f3132">[abstract]</a></p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may241_gene_map.php</link>
		<guid>http://www.englemed.co.uk/13/13may241_gene_map.php</guid>
		<pubDate>Fri, 24 May 2013 09:16:29 GMT</pubDate>
		</item>
		<item> 
        <title>Alzheimer's drug hopes dashed</title>
        <description><![CDATA[
    <p>Hopes for a new drug for Alzheimer's disease were dashed by researchers 
        last night.</p>
      <p><img src="http://www.englemed.co.uk/graphics/bart_de_strooper.jpg" title="Learning - Bart De Strooper" width="231" height="337" align="right" class="photos" />Researchers 
        in Belgium and the USA revealed findings of separate pieces of research, 
        which failed to find benefits from the drug bexarotene.</p>
      <p>The drug is a retinoid developed to treat cutaneous T-cell lymphoma.</p>
      <p>A year ago researchers said it had shown promise against Alzheimer's 
        disease in tests on laboratory mice.</p>
      <p>But writing in <span class="italics">Science</span> last night Bart De 
        Strooper, of Katholieke Universiteit Leuven, Belgium, says the drug should 
        not be tested on patients with Alzheimer's disease.</p>
      <p>He said: &quot;Science is a learning process and one learns by trial 
        and error and by starting again and correcting mistakes. Therefore, it 
        is logical that conclusions from scientific research &#8211; even in prestigious 
        journals &#8211; need to be re-evaluated from time to time.</p>
      <p>&quot;If results cannot be reproduced, it is very important that this 
        is mentioned so that other scientists can also determine the value of 
        a publication (reproducible science is the only true science). This is 
        the only way that we can learn from our mistakes and hopefully one day 
        develop a drug.&#8221;</p>
      <p>And Professor David Borchelt, of Florida University, USA, said: &quot;We 
        thought it was important that something like this, which got a lot of 
        publicity and patients were immediately looking to try to get access to 
        this drug, that it was important to publish the fact that we couldn&#8217;t 
        reproduce the most exciting part of the study.</p>
      <p>&quot;Maybe there should be some caution going forward in regard to patients.&#8221;</p>
      <p class="reference">&quot;Technical comment on ApoE-Directed Therapeutics Rapidly Clear b-Amyloid 
        and Reverse Deficits in AD Mouse Models&#8221;, Ina Tesseur et al., Science 
        24 May 2013</p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may242_alzheimers_bexarotene.php</link>
		<guid>http://www.englemed.co.uk/13/13may242_alzheimers_bexarotene.php</guid>
		<pubDate>Fri, 24 May 2013 09:16:29 GMT</pubDate>
		</item>
		<item> 
        <title>Diabetes puzzle from cholesterol drugs</title>
        <description><![CDATA[
    <p>Some people who take the cholesterol-lowering drugs, statins, may face 
        a small increased risk of developing diabetes, researchers warned today.</p>
      <p><img src="http://www.englemed.co.uk/graphics/cholesterol_test.jpg" width="300" height="200" align="right" class="photos" />The 
        Canadian research links particular kinds of statins to risk of diabetes. 
        One kind was linked with a 22% increased risk - while others were linked 
        to slightly reduced odds of developing the disease.</p>
      <p>One possibility is that people who take statins are less concerned to 
        maintain a healthy lifestyle than others.</p>
      <p>But researchers said it was possible there were also direct biological 
        causes.</p>
      <p>Writing in <span class="italics">The BMJ</span> , the researchers report 
        a study of 1.5 million people in Ontario, Canada, all over the age of 
        66 and all were taking statins.</p>
      <p>The researchers only compared people taking statins - potentially eliminating 
        the effect on lifestyle of taking the drugs.</p>
      <p>All the kinds of statin were compared with the drug pravastatin as other 
        research has suggested this might help prevent diabetes. The researchers 
        say their findings suggest that this drug might continue to be a better 
        choice than other kinds of statin.</p>
      <p>British experts said statin users should not be worried about the findings.</p>
      <p>Maureen Talbot, of the British Heart Foundation, said: &quot;Statins 
        are taken safely by millions in the UK and protect those at high risk 
        of developing coronary heart disease.</p>
        <p>&quot;Although this study suggests an increased risk of older people developing 
        diabetes when taking certain statins, other risk factors like being overweight, 
        family history and ethnicity may have played their part.</p>
      <p>&quot;There are benefits and risks with all medicines so if you&#8217;re 
        worried, discuss your concerns with your GP.&quot;</p>
      <p class="reference">Aleesa A Carter et al. Risk of incident diabetes among 
        patients treated with statins: population based study. <span class="italics">BMJ</span> 
        24 May 2013;346:f2610 doi: 10.1136/bmj.f2610</p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may243_statins_diabetes.php</link>
		<guid>http://www.englemed.co.uk/13/13may243_statins_diabetes.php</guid>
		<pubDate>Fri, 24 May 2013 09:16:29 GMT</pubDate>
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		<item> 
        <title>Disease genes prove elusive</title>
        <description><![CDATA[
    <p>A major study has concluded that there are no major genetic causes of 
        six common diseases, including diabetes and multiple sclerosis.</p>
      <p><img src="http://www.englemed.co.uk/graphics/barts.jpg" title="London researchers study genes" width="283" height="308" align="right" class="photos" />The British 
        researchers say patients suffer from a &quot;complex combination&quot; 
        of hundreds of small, weak changes in genes - with each change being found 
        widely in the population.</p>
      <p>The researchers at Queen Mary, University of London, say the findings 
        suggest the diseases result from combinations of genetic and environmental 
        factors.</p>
      <p>They say there is no evidence that any of the diseases are caused by 
        small numbers of rare genetic mutations.</p>
      <p>The researchers set out to study six autoimmune diseases - thought to 
        be caused by the immune system going awry and attacking the body.</p>
      <p>These were coeliac disease, Crohn's disease, multiple sclerosis, the 
        skin disease psoriasis, type 1 diabetes and autoimmune thyroid disease.</p>
      <p>Their findings were reported in the journal <span class="italics">Nature</span>.</p>
      <p>The researchers compared some 25,000 people with these diseases with 
        another 17,000 people free from them, studying variants in some 25 genes 
        previously linked to the diseases.</p>
      <p>Researcher Professor David van Heel said: &quot;These results suggests 
        that risk for these autoimmune diseases is not due to a few high-risk 
        genetic variations but seems rather due to a random selection from many 
        common genetic variants which each have a weak effect.</p>
      <p>&quot;For each disease there are probably hundreds such variants and 
        the genetic risk is likely to come from inheriting a large number of these 
        variants from both parents.&quot;</p>
      <p>He added: &quot;If this is the case then it may never be possible to 
        accurately predict an individual's genetic risk of these common autoimmune 
        diseases.&quot;</p>
      <p>One of the researchers was Professor Richard Trembath, vice-principal 
        of the Barts and The London School of Medicine.</p>
      <p>He said: &quot;The results prompt a re-assessment of the genetic architecture 
        that determines risk for development of common auto-immune disorders and 
        will fuel future careful assessment of regions of the human genome beyond 
        those presently known to confer susceptibility to these important medical 
        conditions.&quot;</p>
      <p class="reference"><span class="italics">Nature</span> 22 May 2013</p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may231_autoimmune_disease_genes.php</link>
		<guid>http://www.englemed.co.uk/13/13may231_autoimmune_disease_genes.php</guid>
		<pubDate>Thu, 23 May 2013 09:14:41 GMT</pubDate>
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        <title>Humans unprotected against new bird flu</title>
        <description><![CDATA[
    <p>Most people probably have little innate immunity against the new bird 
        flu virus in China, according to alarming new findings.</p>
      <p><img src="http://www.englemed.co.uk/graphics/water_birds.jpg" title="How far can birds spread the new virus?" width="299" height="166" align="right" class="photos" />British 
        researchers conducted a study in the nearby country of Vietnam and found 
        the level of immunity was &quot;very low.&quot;</p>
      <p>So far 36 deaths from the H7N9 virus have been reported in south-east 
        China from an outbreak thought to centre on pigeon and poultry markets 
        in Shanghai. Another 95 cases of infection have been identified.</p>
      <p>The researchers from the Wellcome Trust Oxford University Clinical Research 
        Unit, based in Vietnam, tested people in rural and urban Vietnam.</p>
      <p>They say that Vietnam would be especially vulnerable if the flu outbreak 
        were to jump the Chinese borders.</p>
      <p>The findings, which used new techniques developed in the Netherlands, 
        show that the new virus is not widely found in south-east Asia. they have 
        been reported in the <span class="italics">Journal of Infectious Diseases</span>.</p>
      <p>Researcher Dr Maciej Boni said: &quot;H7N9 is a virus that until now 
        has only infected birds so it's not surprising that we don't find much 
        evidence of humans having been exposed to it.</p>
      <p>&quot;It is reassuring that in Vietnam we don't see any evidence that 
        the current outbreaks represent a tip-of-the iceberg observation of widespread 
        H7N9 infection in people.</p>
      <p>&quot;On the other hand, the low antibody levels indicate that there 
        is likely to be very little immunity to this virus.&quot;</p>
      <p>Dr Boni added: &quot;It has been suggested that people who live in closer 
        proximity to chickens and other birds will have higher levels of immunity 
        to bird flu viruses simply because their exposure is likely to be greater. 
        However we find no evidence for this.&quot;</p>
      <p>Centre director Professor Jeremy Farrar said the findings should be treated 
        with caution - as it was not clear how much immunity the new technique 
        measured. The technique measures levels of antibodies.</p>
      <p>He said: &quot;These new techniques do allow for much higher throughput 
        of samples, ease of use and once validated may allow much more rapid assessment 
        of the spread of infection and levels of population immunity than do traditional 
        assays.&quot;</p>
      <p class="reference">M. Boni et al. Population level antibody estimates 
        to novel influenza A/H7N9. <span class="italics">Journal of Infectious 
        Diseases</span> 17 May 2013 <a href="http://jid.oxfordjournals.org/content/early/2013/05/16/infdis.jit224.abstract?keytype=ref&ijkey=zkHyYWrrQmx6znj">[abstract]</a></p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may232_bird_flu_immunity.php</link>
		<guid>http://www.englemed.co.uk/13/13may232_bird_flu_immunity.php</guid>
		<pubDate>Thu, 23 May 2013 09:14:41 GMT</pubDate>
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        <title>Hope for E.coli vaccine</title>
        <description><![CDATA[
    <p>Swedish researchers have announced the successful development of a vaccine 
        against E.coli infection.</p>
      <p><img src="http://www.englemed.co.uk/graphics/ecoli_vaccine.jpg" title="Tackling deadly tummy bug" width="300" height="389" align="right" class="photos" />Researchers 
        at the University of Gothenburg say they have successfully tested the 
        vaccine on healthy volunteers.</p>
      <p>They hope the vaccine will help prevent hundreds of thousands of child 
        deaths in poor countries - as well as dozens of people who fall ill after 
        travelling to these countries.</p>
      <p>It can be administered by mouth.</p>
      <p>The researchers say it has been developed from four strains of E.coli 
        and a protein found in the enterotoxigenic Escherichia coli bacteria.</p>
      <p>Some 129 volunteers took part in the study, with some of them receiving 
        placebo vaccine. The researchers say there was no sign of serious side-effects 
        and that 75% of the volunteers showed signs of developing immune protection 
        against E.coli.</p>
      <p>The findings are due to be reported later this year at international 
        conferences on vaccines in Copenhagen, Denmark, and in Bangkok, Thailand.</p>
      <p>A university spokesman said: &quot;Based on these very encouraging results, 
        additional clinical studies are planned to document protective efficacy 
        in travellers, and to study the safety and immunogenicity of the vaccine 
        when given to children living in areas endemic for enterotoxigenic Escherichia 
        coli bacteria.&quot;</p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may233_ecoli_vaccine.php</link>
		<guid>http://www.englemed.co.uk/13/13may233_ecoli_vaccine.php</guid>
		<pubDate>Thu, 23 May 2013 09:14:41 GMT</pubDate>
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        <title>Flying during pregnancy 'usually safe'</title>
        <description><![CDATA[
    <p>Air travel is safe for pregnant women, even in late pregnancy, experts 
        say today.</p>
      <p><img src="http://www.englemed.co.uk/graphics/flying2.jpg" title="No problem for pregnancy" width="299" height="226" align="right" class="photos" />Professor 
        Ian Greer of Liverpool University, UK, and colleagues say that pregnant 
        women are often unclear about the safety of air travel, as many airlines 
        prohibit pregnant women over 36 weeks gestation from flying.</p>
      <p>Although environmental and physiological changes occur at high altitudes, 
        Professor Greer and his team believe these changes pose no direct risk 
        to healthy pregnant women. Body scanners also pose no hazard, say the 
        team.</p>
      <p>However they point out that motion sickness may exacerbate morning sickness, 
        and as with all passengers, immobility during long flights may raise the 
        risk of deep vein thrombosis (DVT).</p>
      <p>The team also recommend that pregnant women may wish to avoid air travel 
        from 37 weeks gestation, which is classed as full term. They add that 
        pregnant women who have complications, are carrying more than one baby, 
        or who have other risk factors for preterm labour probably should not 
        fly from 32 weeks of pregnancy.</p>
      <p>Their paper is published today (22 May) by the Scientific Advisory Committee 
        of the Royal College of Obstetricians and Gynaecologists.</p>
      <p>Pregnant women on medium to long-haul flights (four-plus hours) may choose 
        to use compression stockings, and those with significant DVT risk factors 
        should take low-molecular-weight heparin for a few days starting on the 
        day of travel.</p>
      <p>&quot;For uncomplicated pregnancies there is no reason to give advice 
        against commercial air travel, and specifically there is no issue with 
        travel in early pregnancy as the main consideration is risk of labour,&quot; 
        says Professor Greer.</p>
      <p>&quot;However if the woman has a history of miscarriage or ectopic pregnancy 
        it would be sensible to suggest ultrasound prior to travel to confirm 
        the location and viability of the pregnancy.&quot;</p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may221_pregnancy_flying.php</link>
		<guid>http://www.englemed.co.uk/13/13may221_pregnancy_flying.php</guid>
		<pubDate>Wed, 22 May 2013 08:54:22 GMT</pubDate>
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		<item> 
        <title>Heart rate key to fever danger</title>
        <description><![CDATA[
    <p>Heart rate is a key indicator of whether a childhood fever could represent 
        a serious threat, according to guidance issued today.</p>
      <p><img src="http://www.englemed.co.uk/graphics/shutterstock_13408954_child_examination.jpg" title="Checking heart rate" width="263" height="196" align="right" class="photos" />Experts 
        have added recommendations about heart rate to guidelines prepared by 
        the UK's National Institute for Health and Care Excellence.</p>
      <p>The guidance seeks to help doctors identify which of hundreds of childhood 
        fevers are likely to represent serious illness.</p>
      <p>They also give advice on using common drugs to treat fever.</p>
      <p>About a third of parents of young children will contact the health services 
        about a case of fever every year.</p>
      <p>The problem represents the second most common reason for hospital admission 
        - as a few cases may indicate serious diseases such as meningitis or pneumonia.</p>
      <p>The guidance says drugs such as paracetamol and ibuprofen will not prevent 
        febrile convulsions - and should not be given together.</p>
      <p>It says doctors can tell parents to switch drugs if one has no impact.</p>
      <p>Paediatrician Dr Martin Richardson said: &quot;The updated guideline 
        has two major changes. The first is a revision of the well respected traffic 
        light table of symptoms and signs. In particular, the inclusion of raised 
        heart rate should lead to further improvements in the recognition of seriously 
        ill children.</p>
      <p>&quot;The second major change is that the section on the treatment of 
        fever has been rewritten to encourage the rational, stepwise use of drugs 
        such as paracetamol and ibuprofen.&quot;</p>
      <p>GP Dr John Crimmins added: &#8220;While dealing with children with fever 
        is an everyday encounter in general practice, identifying the small number 
        of those children who are in the early stages of a serious bacterial illness 
        remains a difficult and challenging problem.</p>
      <p>&quot;As outcomes are largely dependent on early intervention, the initial 
        assessments of these children, which can also occur in a variety of other 
        settings including telephone advice lines, A&amp;E and out-of-hours services, 
        are crucial.&quot;</p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may222_child_fever_heart.php</link>
		<guid>http://www.englemed.co.uk/13/13may222_child_fever_heart.php</guid>
		<pubDate>Wed, 22 May 2013 08:54:22 GMT</pubDate>
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		<item> 
        <title>Cancer survival may not be wake-up call</title>
        <description><![CDATA[
    <p>People who survive cancer do not adopt healthy lifestyles, new findings 
        suggest today.</p>
      <p><img src="http://www.englemed.co.uk/graphics/unhealthy_man.jpg" title="Has he had a wake up call?" width="186" height="189" align="right" class="photos" />Instead 
        former cancer patients tend to be less active and more sedentary than 
        other people of the same age, according to a major British study.</p>
      <p>Specialists said the findings showed the idea that a diagnosis of disease 
        would prove a &quot;wake-up&quot; call was wrong.</p>
      <p>Researcher Professor Jane Wardle, of University College London, said 
        the findings showed reductions in use of alcohol and tobacco among cancer 
        survivors and the general public at about the same rate.</p>
      <p>She said: &quot;Anecdotally, we often hear that a cancer diagnosis is 
        a wake-up call - but the results from our large study show that this is 
        not the general rule.</p>
      <p>&quot;People who received a cancer diagnosis during the time we were 
        studying them were no more likely to quit smoking, drink less or become 
        more active than those who remained cancer-free.&quot;</p>
      <p>Sara Hiom, of Cancer Research UK, said: &#8220;More needs to be done 
        to encourage cancer survivors to take a look at their lifestyle choices 
        and support them in making improvements that could increase their chances 
        of survival and sense of wellbeing.</p>
      <p>&quot;Patients and health professionals could be made more aware of the 
        information and evidence on these issues and supported in how to make 
        manageable changes after diagnosis and treatment.&#8221;</p>
      <p class="reference">Williams K. at al. Is a cancer diagnosis a trigger for health behaviour 
        change? Findings from a prospective, population-based study. <span class="italics">British 
        Journal of Cancer</span> 22 May 2013.</p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may223_cancer_behaviour.php</link>
		<guid>http://www.englemed.co.uk/13/13may223_cancer_behaviour.php</guid>
		<pubDate>Wed, 22 May 2013 08:54:22 GMT</pubDate>
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        <title>Bed sharing link to cot death</title>
        <description><![CDATA[
    <p>Parents of babies were being urged today not to share beds with their 
        babies.</p>
      <p><img src="http://www.englemed.co.uk/graphics/mother_with_baby.jpg" title="Just don't fall asleep" width="320" height="206" align="right" class="photos" />A 
        new study has linked bed-sharing to a five times increased risk of cot 
        death.</p>
      <p>The increased risk of sudden infant death syndrome (SIDS) to breastfed 
        babies under three months old remains the same, regardless of whether 
        or not the parents are non-smokers and the mother does not use illegal 
        drugs and has not drunk alcohol.</p>
      <p>Writing online in <span class="italics">BMJ Open</span>, Professor Bob 
        Carpenter, of the London School of Hygiene and Tropical Medicine, UK, 
        and colleagues estimate that about 88% of all SIDS cases that happened 
        while the parents and babies bed shared would not have happened if the 
        babies had slept alone.</p>
      <p>Professor Carpenter said today: &quot;If parents were made aware of the 
        risks of sleeping with their baby, and room sharing was instead promoted 
        in the same way that the 'Back to Sleep' campaign was promoted 20 years 
        ago to advise parents to place their newborn infants to sleep on their 
        backs, we could achieve a substantial reduction in cot death rates in 
        the UK.</p>
      <p>&quot;Annually there are around 300 cot death cases in babies under a 
        year old in the UK, and this advice could save the lives of up to 40% 
        of those. Health professionals need to make a definite stand against all 
        bed sharing, especially for babies under three months.&quot;</p>
      <p>The researchers say: &#8220;The current messages saying that bed sharing 
        is dangerous only if you or your partner are smokers, have been drinking 
        alcohol or taking drugs that make you drowsy, are very tired or the baby 
        is premature or of low-birth weight, are not effective.&quot;</p>
      <p>Midwives today said there might be circumstances when parents had a baby 
        in bed with them - but they should ensure they do not fall asleep.</p>
      <p>Janine Stockdale, of the UK Royal College of Midwives, said the safest 
        place for a baby was in a cot in the parents' room.</p>
      <p>She said: &quot;The RCM is not against parents taking their child into 
        bed with them, for example, for breastfeeding and to comfort the child. 
        However, even when doing this parents need to be organised and very sensitive 
        to how tired they are when they do this, for example it is easy to fall 
        asleep when breastfeeding especially in the middle of the night.&quot;</p>
      <p>Combining individual data from five published data sets from the UK, 
        Europe and Australasia, this is the largest individual level study of 
        SIDS, including data on 1,472 SIDS cases and 4,679 controls.</p>
      <p>The results showed that even when neither parent smoked and the mother 
        did not drink alcohol or take drugs, breastfed babies under three months 
        old had a five times higher risk of SIDS than babies who had slept in 
        a cot next to their parents&#8217; bed.</p>
      <p>The risk of SIDS decreased as baby grew older, but if either parent was 
        a smoker or the mother had drunk more than two units of alcohol in the 
        previous 24 hours or had used illegal drugs at any time since the child 
        was born, the risk was greatly increased.</p>
      <p>Prof Carpenter&#8217;s study found that of the 22.2% of babies who had 
        died from SIDS, both parents had been sleeping with their child at the 
        time of death, while 9.6% of the parents in the control group had awoken 
        the morning of the interview in the same bed as their child.</p>
      <p>Over the past 10 years, there has been an increase in bed sharing and 
        the authors believe about half of SIDS cases occur while bed sharing &#8211; 
        more than double the figure found in the study.</p>
      <p> &#8220;88% of the deaths that occurred while bed sharing would probably 
        not have occurred had the baby been placed on its back in a cot by the 
        parents&#8217; bed,&#8221; write the authors.</p>
      <p>Even in very low-risk breastfed babies, where there were no risk factors 
        for SIDS other than that they had slept in their parents&#8217; bed, 81% 
        of SIDS deaths in infants under three months of age could have been prevented 
        by not bed sharing, they add.</p>
      <p>SIDS is still one of the major causes of death among babies from 28 days 
        to their first birthday in developed countries.</p>
      <p><a href="http://www.open.bmj.com/lookup/doi/10.1136/bmjopen-2012-002299">Carpenter 
        C, McGarvey C et al. Bed sharing when parents do not smoke: is there a 
        risk of SIDS? An individual level analysis of five major case&#8211;control 
        studies. <span class="italics">BMJ Open</span> Online First. doi:10.1136/bmjopen-2012-002299</a></p>
         ]]></description>
        <link>http://www.englemed.co.uk/13/13may211_infant_death_syndrome.php</link>
		<guid>http://www.englemed.co.uk/13/13may211_infant_death_syndrome.php</guid>
		<pubDate>Tue, 21 May 2013 08:58:14 GMT</pubDate>
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