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Physician Groups Support Comparative Effectiveness Provisions In Proposed Legislation
The American College of Physicians (ACP) have joined with two other physician groups to offer strong support for the Comparative Effectiveness Research (CER) provisions included in the Tri-Committee health reform bill about to be considered in the House. The Tri-Committee, which unveiled its proposed legislation on June 19, is made up of the House Ways and Means, Energy and Commerce, and Education and Labor Committees.

New Labor Ads Focus On Health Benefits Tax
"Much of the TV advertising on health care so far has focused on the controversial public, or government-run insurance program that Democrats say would compete with private insurers and Republicans say would drive them out of business," but the Laborers" International Union of North America "will begin airing ads in two states Tuesday that deal with an equally explosive issue: Taxing health benefits," USA Today reports. The union will "run the ads at least through Thursday in North Dakota and Montana," home states of "the two most important senators on the issue, Senate Finance Chairman Max Baucus, D-Mont., and Senate Budget Committee Chairman Kent Conrad, D-N.D." The ads reveal the "fine line labor is walking" on health care: "The ads first praise Congress for taking up the health care debate but then criticize an idea that could be included in one draft of the legislation to tax health care premiums" (Fritze, 6/29).
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Veterinary Practices In UK Need Good Access To Occupational Health
Staff working in UK veterinary practices lack access to good occupational health advice warns a new study published in the scientific journal, Occupational Medicine. The research, the first published benchmark of occupational health risk management by vet practices in the UK, showed that despite veterinary surgeons and nurses being exposed to many occupational hazards less than a third of practices had trained staff in health and safety and only 14% sought advice from occupational health professionals.
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Somalia: Majority Of North Mogadishu Population Flees As Fighting Escalates

The resumption of fighting in Mogadishu, Somalia"s capital, has forced the majority of people living in the Yaqshid, Karan, and Abdul Azziz districts in the north of the city to flee, according to the international medical humanitarian organization Doctors Without Borders/Mç©decins Sans Frontiç¨res (MSF). Continuous shelling, explosions, and open combat among various armed groups have claimed the lives of dozens of civilians and plunged the city into chaos. As a consequence, MSF has been forced to close its medical centers in the area. Last week, MSF closed a pediatric hospital and three health clinics in the north of Mogadishu. MSF staff-like the rest of the population-have had to flee to safeguard their own lives and those of their families. This is the first time in the 17 years that MSF staff working in north Mogadishu have had to flee for their lives. The MSF teams were performing an average of 2,500 outpatient consultations per week, and were treating nearly 400 malnourished children when they were forced to cease operations. In Daynile Hospital, located on the western edge of Mogadishu, MSF medical teams have treated 869 wounded people and performed 49 operations since the beginning of May. Among those receiving emergency treatment, 162 were children under the age of 14, and 156 were women. Twelve patients have died from their wounds. "In the past two months, an estimated 200,000 people have had to flee towards Afgooye and Jowhar," said Monica Camacho, general coordinator of the MSF mission in Somalia, based in Nairobi. "The population is terrorized, and in the past two weeks the number of dead and wounded has drastically increased. It has become impossible to provide medical and humanitarian assistance to those in need," added Camacho. Along the road to Afgooye, west of Mogadishu, half a million people are living in temporary shelters made from sticks and plastic sheeting and there is very limited access to health care. There is a desperate shortage of food and water, and settlements of internally displaced people are overcrowded, posing a serious risk for epidemics, such as measles and cholera. MSF calls on all parties to the conflict to respect the organization"s medical structures and the work of Somali staff-health professionals who have managed to provide vital medical and humanitarian aid in some of the worst conditions imaginable. "Some of the medical structures in the north of Mogadishu had been taken over by armed men," said Alfonso Verdu, operations manager for MSF in Somalia. "All the patients who were being treated in MSF medical structures over the past two weeks have fled or have had to be evacuated. Many of them have had to interrupt their treatment, which is extremely worrying. Practically no one remains on the streets of North Mogadishu". In the past three months, MSF has experienced numerous security incidents. In April, two staff members were kidnapped in Huddur, in the Bakool region. On June 18, an MSF employee died in an explosion which killed 30 other people. Later in June, an MSF vehicle in North Galcayo was attacked, resulting in the death of the mother of a patient. These recent incidents, and the general deteriorating security environment of the past two years, have made the work of MSF in Somalia increasingly difficult. "Despite all that has happened, we want to continue working in the country," said Benoit Leduc, head of operations for MSF in Somalia. "The needs are huge and the main victims of this conflict are civilians. We can see it in our hospital in Daynile, where most of the patients are women and children. We are again calling on all the parties to the conflict to respect the safety of civilians and guarantee the humanitarian space necessary to treat the wounded." Doctors Without Borders/Mç©decins Sans Frontiç¨res


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