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FRIDAY

Curry may help beat childhood cancer
September 10 - New research suggests that turmeric, the spice which makes curry yellow, could offer protection against childhood leukaemia.

This finding comes from a study into the role diet could play in the different rates of the disease in Asia and Western countries. Childhood leukaemia rates in Britain increased dramatically over the last century, mainly affected under-fives. However, rates are significantly lower in Asia.

Study results were presented this week by researchers from the Loyola University Medical Centre, Chicago, USA at a childhood leukaemia conference in London, hosted by the UK charity Children with Leukaemia.

Lead researcher Professor Moolky Nagabhushan explains that turmeric is widely used in Asian cooking.

He said: "Our studies show that turmeric - and its colouring principle, curcumin - in the diet mitigates the effects of some of the risk factors."

He has undertaken many studies into how turmeric could protect against leukaemia, and found that it might reduce the dangers of cigarette smoke and DNA damage from radiation, and prevent the build-up of harmful compounds from eating certain processed foods.

Another leukaemia study, this time by Dr Marilyn Kwan and colleagues of the University of California, Berkeley, USA looked at the effects of food in early life.

Dr Kwan says, "We found that regular consumption of oranges and/or bananas during the first two years of life was associated with a reduced risk of childhood leukaemia. These findings are consistent with the protective role of fruits and vegetables observed in adult cancers."

The protective value is thought to be due to the high vitamin and mineral content of oranges and bananas, particularly vitamin C in oranges and potassium in bananas.

FRIDAY

MMR safe -latest study
September 10 - The latest research on the MMR vaccine adds to the evidence that it does not increase risk of autism or other childhood disorders.

Worries over the link have led to a drop in uptake from around 92 per cent in 1995 to 82 per cent in 2002.

Dr Liam Smeeth and colleagues from the London School of Hygiene and Tropical Medicine, UK, examined rates of MMR vaccination among children who went on to develop autism or other disorders, and those that did not.

They found no statistically significant differences. Results are published in this week's Lancet medical journal.

Dr Smeeth said today: "We have found no convincing evidence that MMR vaccination increases the risk of autism or other developmental disorders.

"No significant association has been found in rigorous studies in a range of different settings.

"These are severe diseases for which very little is known about causation; this absence of knowledge itself might have contributed to the misplaced emphasis on MMR as a cause."

Psychologists from Scotland have investigated how parents' beliefs are linked to uptake of MMR.

The researchers, from Queen Margaret University College in Edinburgh, found that parents who claim to value the findings of research rather than government and GP advice are nine times less likely to allow their child to be vaccinated.

Dr Chris McVittie, a member of the team, explained: "The strongest predicter of non-vaccination was the influence of current research, with parents who rated current research as important nine times less likely to have their children vaccinated."

Further research from Scotland shows that parents who don't take their children to have the MMR may underrate the seriousness of measles, mumps and rubella.

Researcher Binder Kaur of the University of Stirling said: "Non-immunising parents accepted their child was at a greater risk of developing the diseases than other children, but they did not perceive these diseases as serious.

"They also thought that the vaccine and its effects were more dangerous for the child than contracting measles."

The findings of the last two studies will be presented this week at the British Psychological Society's Division of Health Psychology conference in Edinburgh.

Lancet Vol 364(9438) 11-17 September 2004

THURSDAY


Books on Mental Health

Stress of daily diary
September 9 - Pepys started it all but as anybody who has tried knows - keeping a daily diary is quite a commitment.

Some health workers and researchers encourage patients to keep diaries - but new research suggests it may not be good for the health.

Diary writers suffer from high levels of anxiety and aches and pains, according to new research.

Those who write their entries and then file them away may cause themselves enough problems - but serious distress is suffered by those who keep rereading their accounts of daily traumas and adventures.

Psychologists reported their findings to a conference of the British Psychological Society in Edinburgh yesterday.

Researchers Dr Elaine Duncan of Glasgow Caledonian University and Dr David Sheffield of Staffordshire University questioned 94 diary writers and compared them with 41 people who did not keep diaries.

They found that writers had greater levels of anxiety and also higher levels of symptoms such as headaches, aches and pains and feeling run down than non-writers.

Dr Duncan said: "These findings are surprising as they run contrary to existing studies, suggesting the need to do more research of this kind to test whether writing about stressful experiences is actually good for you."

THURSDAY

Electric light link to child cancer?
September 9 - Street lighting, electricity and late nights may all have contributed to rising rates of childhood leukaemia, according to a controversial new theory unveiled yesterday.

According to one theory, children become vulnerable to magnetic fields - such as from electricity pylons - because of exposure to artificial light.

Experts put forward the theory at a conference on Childhood Leukaemia, held in London, UK.

Scientists argued that artificial light is known to interfere with the circadian rhythms of the body - leading to a reduction in levels of melatonin.

Professor Russel Reiter, Professor of Cellular and Structural Biology at the University of Texas, told the conference: "As an anti oxidant, in many studies melatonin has been shown to protect DNA from oxidative damage. Once damaged, DNA may mutate and carcinogenesis may occur."

He added: "If, in fact, melatonin levels are altered by magnetic fields, a potential relationship between these fields and cancer, including leukaemia, would be possible."

And Professor Russell Foster, of Imperial College, London, said: "Embedded within the genes of us, and almost all life on earth, are the instructions for a biological clock that marks the passage of approximately 24 hours.

"Until we turned our nights into days, and began to travel in aircraft across multiple time zones, we were largely unaware of these internal clocks.

"These clocks drive or alter our sleep patterns, alertness, mood, physical strength, blood pressure and every other aspect of our physiology and behaviour."

WEDNESDAY


Books on Diabetes

Weight, fitness, diabetes and the heart
September 8 - Weight is more directly related to the development of diabetes than inactivity - while the reverse applies to heart disease, according to two major studies reported last night.

A study of people with type 2 - or late onset - diabetes found that obesity is closely linked to the illness.

But another study, of heart disease, found that activity and fitness are more directly related to the illness than losing weight.

Both studies were reported in the Journal of the American Medical Assocation.

Nearly 38,000 women took part in the diabetes study led by Dr Amy Weinstein, of the Brigham and Women's Hospital, Boston, Massachusetts, USA.

The study found that physical activity helped to reduce the risk of develop diabetes - but losing weight made a massive difference.

The study of heart disease involved more than 900 women undergoing investigative procedures for suspected heart disease.

Researchers kept track of the women to see if they had heart attacks or developed other symptoms - and found that this was least likely to happen to women who kept fit.

They could find no direct connection between the weight of the women and their risk of having a heart attack.

Researcher Dr Bairey Merz, of the Cedars-Sinai Hospital, Los Angeles, USA, said: "Because physical fitness has beneficial effects on many factors related to cardiovascular risk – including obesity – increased activity appears to be an ideal therapy for women with coronary heart disease.

"Physical fitness assessment and intervention should be included in the management of all women at risk for heart disease."

JAMA. 2004; 292:1188-1194, 1232-1233, 1179- 1187

TUESDAY

Warning against herbs
September 7 - An expert has warned that widespread use of herbal medicines is putting thousands of people at risk.

According to Professor Peter Houghton, of King's College, London, many people believe herbs are safe because they are natural.

In fact, he said, some plants may contain toxic material.

Speaking to the British Association Festival of Science, Professor Houghton, a professor of pharmacognosy, said herbs tended to encourage people to diagnose and treat their own illnesses - placing themselves at risk of getting it wrong.

He said: "Patients should buy herbal medicines from somewhere where they can receive health advice from a professional, such as a pharmacist."

He added: "A large amount of risk associated with these situations can be reduced by checking the identity and composition of the herb by scientific methods."

The professor told festival goers: "Although your risk of dying from taking a herbal remedy is extremely small, some do interact with other medicines with serious consequences.

"For instance, St John’s Wort makes many prescription drugs used to treat conditions such as heart disease, depression, seizures, certain cancers or to prevent conditions such as transplant rejection or pregnancy (oral contraceptives) less effective."

Last week British regulators urged the public to beware of traditional Chinese medicines after uncovering evidence of widespread contamination with substances such as mercury.

MONDAY

Compulsory vaccination against bioterrorism?
September 6 - Anti-terror vaccination programmes may be risky because the treatments do not meet modern standards, an expert has warned.

A vaccine expert writing in this week's British Medical Journal argues against the compulsory use of vaccines to prevent the effects of a bioterrorist attack.

In his editorial, Dr Tom Jefferson, co-ordinator of the Cochrane Vaccines Field and former UK GP, writes that the suggestion is based on an unproved threat.

Dr Jefferson said the US began a compulsory anthrax vaccination programme for 2.4 million military personnel in 1997. And in 2002, a similar programme involving civilians as well was started against smallpox.

He warned: "These programmes rely on old vaccines for which relatively few data exist.

"Mass use of both vaccines in an antiterrorist role is justified only in the presence of a credible threat - the capacity to produce and deliver large quantities to susceptible populations, and the will to carry out such an action," he writes.

He goes on to say that no large scale trial of the US anthrax vaccine (AVA) has ever been conducted, and trials of the current smallpox vaccine have recently been halted because of safety concerns.

"Although field trials are expensive and complex, investment in evaluation and in better and safer vaccines surely must be a requisite to have credible compulsory immunisation programmes involving huge numbers of adults of reproductive age," adds the author.

"Until such time, the choice of whether to be vaccinated or not should be left to the individual."

BMJ Volume 329, pp 524-5

MONDAY

Conference explores child leukaemia mystery
September 6 - Rates of childhood leukaemia are rising - and the cause is a mystery, a conference will be told today.

The two day conference in London is set to explore theories about the rising incidence of leukaemia.

These include theories about changes in the modern environment - such as increasing levels of radiation - as well as more technical medical theories.

Professor Michael Coleman, of the London School of Hygiene and Tropical Medicine, was set to tell the conference that improved treatment and survival rates have masked growing rates of disease.

He said: "The marked disparity between incidence and mortality trends crystallises the problem posed by childhood leukaemia from a public health standpoint: we have become steadily better at treating it – at least in the sense of preventing children dying from it – but we have made little or no progress in preventing it.

"Rational approaches to prevention are difficult to formulate when so little is known about the cause."

He said one theory was that improved survival of infants had led to vulnerable children surviving.

The conference has been organised by a charity, Children with Leukaemia.

Conference chairman Professor Denis Henshaw, said: "If the increased risk facing today’s children is at least partly caused by modern lifestyle factors, as is suggested by the increasing incidence, then it may be possible to take some preventive measures. But, first we need to determine what these factors are."

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