• Apr11

    We are mostly water.  That doesn’t mean we’re dear or deeply sought…though we are.

    It does mean that we are what we drink.  And the quality of our water helps determines our health.

    Stewards of water quality, the Environmental Working Group (EWG) found that carcinogenic hexavalent chromium, the “Erin Brockovich chemical”,  is present in 88% of the U.S. water supply. Ore refining, chemical and refractory processing and cement factories appear to be the main culprits.

    Hexavalent chromium causes lung and intestinal cancer in lab animals. The EPA says it is likely to be carcinogenic to humans and will now try to help water suppliers and municipalities detect the chemical.

    California proposes a state-wide standard for hexavalent chromium in drinking water of 0.06 parts per billion (ppb) to reduce cancer risk.  California has the highest levels in the country: 25 of 35 tested cities exceed the proposed limits.

    What can you do while the government begins to explore the issue?

    You can

    1. Use an EPA-tested reverse osmosis system that will filter out hexavalent chromium: Watts Premier is effective and so is Cuno reverse osmosis.

    2. If you cannot afford a RO system, or already have one that doesn’t remove hexavalent chromium, use a Zerowater pitcher (Brita doesn’t remove chromium). It is slower than Brita, but effective.

    3. Find your town on the EWG map and detect your risk.

     
  • Apr6

    Return-to-work (RTW) coordination programs are successful in reducing long-term work disability.  But they vary a lot from one employer to the next.

    What doesn’t vary is why employers undertake them: to save money and boost productivity.  And they do save money: 94% of savings coming from reduced medical expenditures, with even a modest effort at coordination.

    Coordination is the key–not medical training or medical assessment. Caring, job accommodation, communication and conflict resolution are part of successful RTW coordination. It’s about problem solving much more than diagnosis and treatment.

    It’s well known that a brief psychological intervention can reframe a person’s impression of the heart attack they just had, and make it less severe: fonder, in a way.

    It’s less well known that functional restoration significantly and consistently reduces sick-leave days, much more than for physical therapy for chronic back pain.

    Or that cancer interventions for RTW are being seriously studied.

    Absence (short term disability, long term disability, workers’ compensation, Family Medical Leave and absenteeism) is even more of a hot button with job insecurity rampant in America.

    Millions of Americans have lost their jobs, and many of those who have had a long absence want to return to productivity.  And their employers want them to.

    The core questions are “What will most help them do so, cost-effectively?” and “How should employers keep employees healthy and safe at work, so they don’t become disabled?

     
  • Mar15

    The Ides of March bring not just wind but winnowing.

    This month, a new gluten sensitivity (GS) study by celiac disease pioneer Dr Fasano shows that gluten sensitivity affects about 6% of U.S. adults.

    GS is a different form of immune dysfunction than celiac disease (CD), which affects about 1% of U.S. adults.

    The WSJ gluten piece notes that the higher gluten wheat in production now may trigger GS. There is 4x as much CD in the U.S as 50 years ago.

    GS is something patients have noticed, but clinicians have not had a way to pick up on.  Celiac testing can rule out CD, but can be expensive.

    Many readers are starting with the secure Gluten Free Quiz to identify their symptoms.

    They get their Should You Be Gluten Free Score, and then speak with their doctors and get tested. That’s progress.

    In the last 10 days, over 1800 people have taken Gluten Free Quiz: here are several results from that time:

    • 84% female
    • 68% with abdominal bloating
    • 65% with fatigue (the most common symptom of CD)
    • 20% with irritable bowel syndrome (may be GS in disguise)
    • 14% with a past or present diagnostic rash of CD, dermatitis herpetiformis: these are people who must get tested, now.
    • 8% with a first or second degree relative with CD
    • 26% with high scores, indicating the need for testing

    CD untreated can mean osteoporosis, infertility, neurological conditions, other autoimmune conditions and rarely, intestinal cancer.

    GS symptoms: abdominal pain similar to irritable bowel syndrome, fatigue, headaches, “foggy mind”. Here is a good explanation.

    

     
  • Feb5

    The new Lancet report on food and ADHD advances culinary medicine from prevention to treatment in kids.

    ADHD kids ages 4-8 ate five weeks of unprocessed food–a strictly supervised elimination “oligoantigenic” diet – foods least likely to cause an allergic reaction -rice, meat vegetables, pears, and water, complemented with potatoes, fruits, and wheat.

    But by the end of week 2, 17 of 41 children had no behavioral response to the diet. So it was further restricted to rice, meat, vegetables, pears and water.

    41 of 50 children finished the diet phase. 32, or 78%, responded favorably by having fewer symptoms. Overall, 32 of 50, or 64%, responded favorably.

    But 36% did not, including the 18% of kids and parents who didn’t participate.  So it is not a cure. And it does require cooking.

    Because when the offending foods were reintroduced, symptoms returned. And there was no IgG trigger food, meaning an allergic reaction per se was not present.

    Beginning in 1975, the Feingold Diet which was chemical-free, was prescribed for hyperactivity: the video explains how to avoid additives and colors in food.

    Lancet reported in 2007 that several food artificial colors and additives worsened hyperactivity in kids without ADHD. In July 2008 the European Parliament voted in favor of labeling foods with these additives “may have an adverse effect on activity and attention in children.” The additives are

    • Tartrazine
      Quinoline yellow
      Sunset yellow
      Carnosine
    • Allura red
      Sodium benzoate

    In the U.K., according to the Chicago Tribune, Kellogg’s strawberry Nutri-Grain Cereal Bars now contain natural alternatives: beet root red, annatto and paprika extra. Those sold in the U.S. contain Red No. 40, Yellow No. 6 and Blue No. 1.

    Five weeks of diet should be tried first in kids with ADHD, instead of Adderal. Adults with ADHD might consider a supervised therapeutic trial of unprocessed food for their symptoms as well.

     
  • Feb2

    To build a culture of health, develop policy, engage stakeholders, focus on healthy lifestyle changes, recognize success and measure impact is a long, worthwhile, profitable journey. So, it’s best tackled in bite sized portions.

    There are several great places to look.

    • The National Business Group on Health makes a business case for prevention and provides resources to members.
    • HERO has assembled a large, retrospective multi-employer health promotion research database.
    • PeopleMetrics has broadened corporate wellness (a poor sister, underfunded idea) to Employee Engagement, a robust notion of passion, retention, effort and advocacy.
    • The 3rd Corporate Health, Wellness & Benefits Summit just concluded.
    • The American Psychological Association (APA) celebrates psychological health in the workplace with annual awards and honorees. And #cohealth has a terrific monthly tweetchat.

    Among the 2010 APA honorees are Leaders Bank, which has amazingly kept people on course with a “comprehensive Adapting to Change and Effective Stress Management program, motivated from the ground up and endorsed by senior management.”

    I’m going to help Lincoln Financial later this month and next with starter-tips, and a unique How Job-Stressed Are You? Now quiz now in beta. It’s bite-sized, tasty and I hope really fun. Try it.