Showing posts with label AMA. Show all posts
Showing posts with label AMA. Show all posts

Friday, September 12, 2008

HEALTH NEWS: Returning Veterans At Higher Risk For Alcoholism And Stress Disorder

(previously published here at www.thebulletin.us)

New research supports ongoing observations that military deployment into combat zones puts young men and women at greater risk of developing mental health issues, including post-traumatic-stress-disorder (PTSD) and heavy drinking.

The two studies were presented in a themed issue on violence and human rights by the Journal of the American Medical Association, as was a study that found suicide rates for returning combat veterans were no higher than rates for the general U.S. population.

In the study on alcohol abuse, returning service members who had seen combat were 63 percent more likely to experience new-onset heavy and binge drinking than those who were in non-combat areas.

The rates for new-onset heavy weekly drinking was 8.8 percent, with it being 25.6 percent for binge drinking, and 7.1 percent for other alcohol-related problems.

Binge drinking rates were 31 percent higher for combat veterans than for those not exposed to the same level of violence.

The results also showed a higher risk for younger service members compared to older personnel, and a higher incidence rate for Reserve or National Guard members compared to members in other military branches.

Surveys were taken of 48,400 military personnel before and after assumed deployment (between 2001-2003 and again in 2004-2006), setting a pre-deployment precedent for drinking levels and alcohol-related issues. Only 5,500 were actually deployed into combat zones, with 5,661 deployed into non-combat areas. The rest remained on active duty in the Reserve or National Guard.

The researchers suggested in their report that alcohol use likely serves as a coping mechanism for returning soldiers, as it does for individuals in the general populace. To combat this unhealthy response, the building and provision of familiar and stable support networks of trusted family, friends or fellow veterans is best - anywhere that doesn't involve meeting at a bar.

A separate study on excess alcohol intake lists additional dangers as including a greater chance of developing metabolic syndrome, which includes obesity, high blood pressure and diabetes.

This study by the CDC's National Center for Chronic Disease Prevention and Health Promotion defines excess drinking as more than two drinks daily for men and one drink a day for women, as well as binge drinking.

In the U.S., 58 percent of drinkers fall into this "excess" category and a majority had engaged in at least one instance of binge drinking, according to a recent survey cited by the researchers in their report.

Researchers suggest that public health messages emphasize the cardiometabolic risk of excess drinking. This study will be published in the Journal of Clinical Endocrinology & Metabolism.


Heather J. Chin can be reached at hchin@thebulletin.us.

©The Evening Bulletin 2008

Saturday, June 28, 2008

Big Pharma Agrees To Stricter Ad Rules


(previously published here at thebulletin.us)

Washington - Top drug manufacturers including Johnson & Johnson, Merck and Pfizer agreed last Monday to a six-month moratorium on direct-to-consumer television advertising for new prescription drugs and limitations on how doctors are used in their ads.

The agreements came amid increasing pressure from the Congressional House Energy and Commerce Committee and the American Medical Association (AMA) following earlier controversy surrounding deceptive advertising for anti-cholesterol drugs such as Lipitor, Procrit and Vytorin.

In signed letters, the executive directors of Johnson & Johnson, (J&J), Merck & Co., Merck/Schering-Plough, and Pfizer agreed to take steps towards implementing these recommendations.

Meanwhile, the Pharmaceutical Research and Manufacturers of America (PhRMA) agreed to further meetings with the committee before agreeing to any particular changes at the moment.

All of the companies agreed to adhere to the AMA's guidelines as to the use of actors and health professionals. Specifically, they will continue to identify instances in which an actor portrays a physician, as well as whether the actor was compensated for their appearance. Johnson & Johnson will discontinue use of doctors entirely to discuss the benefits of a drug.

In the letters, each company also stated that the six-month moratorium simply formalized their existing practice of educating doctors before moving to consumer communications.

"We have adopted internal guiding practices on direct-to-consumer advertising for prescription drugs [that] requires our operating companies spend at least six months after approval of a new medicine educating health professionals before commencing a direct-to-consumer advertising campaign," wrote William C. Weldon, chairman-CEO of J&J.

He added that since the advertisements are in line with FDA approved labeling and measures of outcomes, they are an important tool to provide information to patients and physicians, and "a particular fixed period of time for an advertising moratorium is appropriate in all circumstances."

Rep. John Dingell, D-Mich., and Rep. Bart Stupak, D-Mich., chairmen of the committee's oversight and investigations panel, said they were pleased with this response, but wanted the drug companies to adopt the recommended two-year moratorium.

According to Mr. Stupak, he and Mr. Dingell called for the May 8 hearing of the House Energy and Commerce Committee, entitled "Direct to Consumer Advertising: Marketing, Education or Deception?", to both renew pressure and renew the struggle within Congress to strengthen government regulation over such TV commercials. It was also a step towards granting the Food and Drug Administration the right to force changes in the ads before they air.

"Although we appreciate the drug companies' willingness to change some of their business practices, they have not agreed to all of our requests, which would protect consumers from misleading and deceptive advertising," said Mr. Stupak.

Even with these agreements and the potential for future legislation, the debate will go on. Part of that debate lies in the fact that running these ads is mutually beneficial for both the pharmaceutical companies and the TV industry.

Since 1997, when the government relaxed rules on TV and radio ads, pharmaceutical companies shortened the warnings on side effects in their commercials and spent about $14 million on broadcast and cable TV ads for prescription drugs.

In 2007, drug makers spent over $5 billion on direct-to-consumer ads, according to Nielsen Monitor-Plus; more than half of that on television.

"The drug and TV and cable industries have formed a cabal here to protect their revenues," said Gene Kimmelman of Consumers Union, an advocacy group in favor of stricter limits on direct-to-consumer drug marketing.

Ken Johnson, a PhRMA vice president, challenged that in a May article in the Wall Street Journal. He insisted that consumer advertising for prescription drugs "brings patients into their doctors' offices and helps start important doctor-patient conversations about conditions that might otherwise go undiagnosed or untreated."

Still, many consider the ads to be intentionally misleading. "Direct-to-consumer ads often portray drugs through rose-colored glasses by including more information about a drug's benefits than risks," said Dr. Nancy Nielsen, AMA President-elect, in testimony at the congressional hearings.

"Imbalances in these ads can diminish patient understanding of certain drug risks, and increase the need for an ongoing dialogue between patients and physicians about the benefits and risks of prescription drugs," Dr. Nielsen added.

Reporting contributed by AdAge.com and The Wall Street Journal.

Heather Chin can be reached at heather.jean.chin@gmail.com

©The Evening Bulletin 2008