Friday, January 27, 2012

The Brittle Star's Apprentice (preview)

Feature Articles | More Science Cover Image: February 2012 Scientific American MagazineSee Inside

Chemist Joanna Aizenberg mines the deep sea and the forest wetlands for nature's design secrets and uses them to fashion new materials that may change the world


Image: Photograph by Jared Leeds

In Brief

  • Who: Joanna Aizenberg
  • Vocation|Avocation: Runs a biomimetics lab
  • Where: Harvard University
  • Research Focus: Takes inspiration from nature for designing new types of materials.
  • Big Picture: ?What we do, then, is study interesting biological systems, but with the eyes of a physical scientist.?

Among the first things you notice when you step into the corner office of Harvard University professor Joanna Aizenberg are the playthings. Behind her desk sit a sand dollar, an azure butterfly mounted in a box, a plastic stand with long fibers that erupt in color when a switch is pulled, and haphazard rows of toys. Especially numerous are the Rubik?s cubes?the classic three-by-three, of course, but also ones with four, five, six and even seven mini cubes along each edge. An eight-year-old would be in heaven.


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Thailand elephants now poached for their meat

A new taste for eating elephant meat ? everything from trunks to sex organs ? has emerged in Thailand and could pose a new threat to the survival of the species.

Wildlife officials told The Associated Press that they were alerted to the practice after finding two elephants slaughtered last month in a national park in western Thailand.

"The poachers took away the elephants' sex organs and trunks ... for human consumption," Damrong Phidet, director-general of Thailand's wildlife agency, said in a telephone interview. Some meat was to be consumed without cooking, like "elephant sashimi," he said.

Poachers typically just remove tusks, which are most commonly found on Asian male elephants and fetch thousands of dollars on the black market. A market for elephant meat, however, could lead to killing of the wider elephant population, Damrong said.

"If you keep hunting elephants for this, then they'll become extinct," he said.

Consuming elephant meat is not common in Thailand, but some Asian cultures believe consuming animals' reproductive organs can boost sexual prowess.

Damrong said the elephant meat was ordered by restaurants in Phuket, a popular travel destination in the country's south. It wasn't clear if the diners were foreigners.

The accusation drew a quick rebuttal from Phuket Governor Tri Akradecha, who told Thai media that he had never heard of such restaurants but ordered officials to look into the matter.

Poachers seek 'big money'
Poaching elephants is banned, and trafficking or possessing poached animal parts also is illegal. Elephant tusks are sought in the illegal ivory trade, and baby wild elephants are sometimes poached to be trained for talent shows.

"The situation has come to a crisis point. The longer we allow these cruel acts to happen, the sooner they will become extinct," Damrong said.

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The quest for ivory remains the top reason poachers kill elephants in Thailand, other environmentalists say.

Soraida Salwala, the founder of Friends of the Asian Elephant foundation, said a full grown pair of tusks could be sold from 1 million to 2 million baht ($31,600 to $63,300), while the estimated value of an elephant's penis is more than 30,000 baht ($950).

"There's only a handful of people who like to eat elephant meat, but once there's demand, poachers will find it hard to resist the big money," she cautioned.

Thailand has fewer than 3,000 wild elephants and about 4,000 domesticated elephants, according to the National Parks, Wildlife and Plant Conservation Department.

The pachyderms were a mainstay of the logging industry in the northern and western parts of the country until logging contracts were revoked in the late 1980s.

Domesticated animals today are used mainly for heavy lifting and entertainment.

Copyright 2012 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Source: http://www.msnbc.msn.com/id/46159448/ns/us_news-environment/

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Thursday, January 26, 2012

Dispute over additive limits US meat exports

Michaela Rehle / Reuters

Fed to an estimated 60 to 80 percent of pigs in the United States, ractopamine has sickened or killed more of them than any other livestock drug on the market.

?

By Helena Bottemiller
The Food and Environment Reporting Network

A drug used to keep pigs lean and boost their growth is jeopardizing the nation?s exports of what once was known as ?the other white meat.??

The drug, ractopamine hydrochloride, is fed to pigs and other animals right up until slaughter and minute traces have been found in meat. The European Union, China, Taiwan and many others have banned its use, citing concerns about its effect on human health, limiting U.S. meat exports to key markets.

Although few Americans outside of the livestock industry have ever heard of ractopamine, the feed additive is controversial. Fed to an estimated 60 to 80 percent of pigs in the United States, it has sickened or killed more of them than any other livestock drug on the market, an investigation of Food and Drug Administration records shows. Cattle and turkeys have also suffered high numbers of illnesses from the drug.

Growing concern over sick animals in the nation's food supply sparked a California law banning the?sale and slaughter of?livestock unable to walk, but that law?was struck down by the Supreme Court Monday. Meat producers had sued to overturn California?s ban, arguing that the state could not supercede federal rules on meat production. The court agreed.

The FDA,?which regulates livestock drugs in the United States, deemed ractopamine safe 13 years ago and approved it, setting a level of acceptable residues in meat. Canada and 24 other countries approved the drug as well.

U.S. trade officials are now pressing more countries to accept meat from animals raised on ractopamine -- a move opposed by China and the EU. Resolving the impasse is a top agricultural trade priority for the Obama administration, which is trying to boost exports and help revive the economy, trade officials say.

U.S. exports of beef and pork are on track to hit $5 billion each for the first time, the U.S. Meat Export Federation estimates. Pork exports to China quadrupled from 2005 to 2010 to $463 million but are still only 2-3 percent of the market.

?China is a potentially huge market for us,? said Dave Warner, spokesman for the National Pork Producers Council.

Part of a class of drugs called beta-agonists, ractopamine mimics stress hormones, making the heart beat faster and relaxing blood vessels. Some beta-agonists are used to treat people with asthma or heart failure, but ractopamine has not been proposed for human use.

In animals, ractopamine revs up production of lean meat, reducing fat. Pigs fed the drug in the last weeks of their life produce an average of 10 percent more meat, compared with animals on the same amount of feed that don't receive the drug. That raises profits by $2 per head, according to the drug's manufacturer, Elanco, a division of Eli Lilly. It sells the drug under the brand name Paylean.

Ractopamine leaves animals' bodies quickly, with pig studies showing about 85 percent excreted within a day. But low levels of residues can still be detected in animals more than a week after they've consumed the drug.

While the Department of Agriculture has found traces of ractopamine in American beef and pork, they have not exceeded levels the FDA has determined are safe.

But because countries like China and Taiwan have no safety threshold, traces of the drug have led to rejection of some U.S. meat shipments. The EU requires U.S. exporters to certify their meat is ractopamine-free, and China requires a similar assurance for pork.

Some U.S. food companies also avoid meat produced with the feed additive, including Chipotle restaurants, meat producer Niman Ranch and Whole Foods Markets.

The FDA ruled that ractopamine was safe and approved it for pigs in 1999, for cattle in 2003 and turkeys in 2008. As with many drugs, the approval process relied on safety studies conducted by the drug-maker -- studies that lie at the heart of the current trade dispute.

Elanco mainly tested animals -- mice, rats, monkeys and dogs -- to judge how much ractopamine could be safely consumed. Only one human study was used in the safety assessment by Elanco, and among the six healthy young men who participated, one was removed because his heart began racing and pounding abnormally, according to a detailed evaluation of the study by European food safety officials.

When Elanco studied the drug in pigs for its effectiveness, it reported that "no adverse effects were observed for any treatments." But within a few years of Paylean's approval, the company received hundreds of reports of sickened pigs from farmers and veterinarians, according to records from the FDA's Center for Veterinary Medicine.

USDA meat inspectors also reported an increase in the number of "downer pigs" -- lame animals unable to walk -- in slaughter plants. As a result of the high number of adverse reactions, the FDA requested Elanco add a warning label to the drug, and it did so in 2002.

The company also received a warning letter from the FDA that year for failing to disclose all data about the safety and effectiveness of the drug.

Since it was introduced, ractopamine had sickened or killed more than 218,000 pigs as of March 2011, more than any other animal drug on the market, a review of FDA veterinary records shows. Pigs suffered from hyperactivity, trembling, broken limbs, inability to walk and death, according to FDA reports released under a Freedom of Information Act request.

"I've personally seen people overuse the drug in hogs and cattle," said Temple Grandin, a professor at Colorado State University and animal welfare expert. "I was in a plant once where they used too much ractopamine and the pigs were so weak they couldn't walk. They had five or six people just dedicated to handling the lame pigs."

But she noted that producers have since scaled back use in response to the rash of illnesses.

"Our company takes adverse event reporting very seriously and is overly inclusive on the information we submit to ensure we're meeting all requirements," Elanco spokeswoman Colleen Par Dekker said. She said the label change in 2002 resulted from an ongoing process of evaluating adverse effects of the drug, adding that an industry trend towards heavier pigs contributed to rising numbers of lame animals in this period.

By 2003, with ractopamine rolling out across the livestock industry, U.S. trade officials began pressing to open world markets for meat produced with the feed additive. Their effort focused on a relatively obscure corner of the trade world -- the U.N.'s Codex Alimentarius Commission, which sets global food-safety standards.

Setting a Codex standard for ractopamine would strengthen Washington's ability to challenge other countries' meat import bans at the World Trade Organization.

The issue has reached the last step in Codex's approval process, but since 2008 the commission has been deadlocked over one central question: What, if any, level of ractopamine is safe in meat?

The EU and China, which together produce and consume about 70 percent of the world?s pork, have blocked the repeated efforts of U.S. trade officials to get a residue limit. European scientists sharply questioned the science backing the drug's safety, and Chinese officials were concerned about higher residues in organ meats, which are consumed in China.

?The main problem for us is that the safety of the product could not be supported with the data,? said Claudia Roncancio-Pe?a, a scientist who led the European food safety panel studying the drug.

U.S. trade officials say China wants to limit competition from U.S. companies, and the EU does not want to risk a public outcry by importing meat raised with growth-promoting drugs, which are illegal there.

The issue also has strained the U.S.-Taiwan trade relationship, since Taiwan -? the sixth-largest market for U.S. beef and pork ?- began testing for ractopamine last year. It found traces in?American beef and pork and pulled meat from store shelves, according to local press reports.

In the U.S., residue tests for ractopamine are limited. In 2010, for example, the U.S. did no tests on 22 billion pounds of pork; 712 samples were taken from 26 billion pounds of beef. Those results have not yet been released.

This article was produced by the Food and Environment Reporting Network, an independent, non-profit news organization providing investigative reporting on food, agriculture and environmental health.

More from the Food & Environment Reporting Network:

Finding drugs in food?

Behind the trade dispute

Milk and water don't mix?

?

Source: http://bottomline.msnbc.msn.com/_news/2012/01/23/10220221-dispute-over-drug-in-feed-limiting-us-meat-exports

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In Death Valley, ancient volcano gives scientists a surprise

The Ubehebe crater in Death Valley National Park is much younger than previously thought, and represents a more significant volcanic hazard than previously thought, according to a new study.

A half-mile-wide crater in Death Valley National Park may represent a more significant volcanic hazard than previously thought, according to a new study ? though not enough to cancel your next visit to the park.

Skip to next paragraph

The crater, Ubehebe, formed in an enormous explosion between 800 and 2,100 years ago, the research team estimates ? far more recently than earlier studies suggest.

Moreover, the scientists involved in the work suggest the precursors for an eruption ? a supply of magma and an underground source of water the magma could turn to steam in a flash ? may still lurk beneath the nearly 800-foot deep crater.

"We were really surprised by the youthfulness of the eruption," says Brent Goerhing, a paleoclimatologist at Purdue University and a member of the team. "We always had in the back of our heads that it could be young, within the past few thousand years. But we didn't think it could be that young."

The results appear in the Jan. 18 issue of the journal Geophysical Review Letters.

Ubehebe is the largest in a grouping of small craters ? all thought to have formed the same way: magma rising through the crust to encounter groundwater. The searing magma instantly turned the water to steam, blasting out the crust above it.

The steam and ejected rock would have risen in an expanding column, only to fall back to the valley floor once it ran out of energy to keep rising. The collapse would have sent a hot flow of material with a consistency of just-mixed concrete spreading in all directions at speeds up to 200 miles an hour. Larger rocks the blast lofted would have pummeled the ground.

The best spot for viewing the event would have been several miles away, Dr. Goehring quips.

Death Valley, with its parched climate, represents a prime location for studying the geological forces that shape the continent's basin-and-range region.

The region covers most of the US West, and is characterized by short, generally north-south trending mountain ranges separated by dry valleys.

Into Death Valley rode Goerhing, Columbia University professor Nicholas Christie-Blick, and a group of students in March 2008 on a field trip to use the valley as an outdoor teaching lab.

As the group walked along Ubehebe's rim, they talked about the crater's age and how it formed. How it formed "is pretty well-known," Goehring says. But estimates of its age ranged as far back as 20,000 years. Some researchers had found native American artifacts buried in the explosion's ash fall. That suggested Ubehebe's eruption came no earlier than 10,000 years ago, when humans are thought to have first moved into the valley.

Source: http://rss.csmonitor.com/~r/feeds/csm/~3/vx46O4q3QTg/In-Death-Valley-ancient-volcano-gives-scientists-a-surprise

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Wednesday, January 25, 2012

Lara Logan says Egypt assault left her with PTSD

Given the horrific sexual assault she survived at the hands of a mob in Cairo, Egypt, it's no surprise Lara Logan is still dealing with the aftermath.

The CBS News correspondent has revealed that she suffers from post-traumatic stress disorder and that memories of the incident continue to haunt her nearly a year after the Feb. 11 attack.

MORE: Lara Logan Released From Hospital in "Remarkably Good Spirits"

"People don't really know that much about [post-traumatic stress disorder]," she told the New York Daily News. "There's something called latent PTSD. It manifests itself in different ways. I want to be free of it, but I'm not."

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The 40-year-old journalist said the nightmares come at unexpected times, for instance, when she's tucking her infant daughter in for bed at night.

"It doesn't go away," Logan noted. "It's not something I keep track of. It's not predictable like that. But it happens more than I'd like."

The battle-hardened war reporter was covering the celebrations in Tahrir Square the night the government of Egyptian president Hosni Mubarak fell when she was surrounded by a group of men who tore her clothes off and, as she told "60 Minutes" in April, for more than 25 minutes "raped me with their hands." Logan admitted she thought she was going to die a "torturous death" and was only saved by some quick-thinking, courageous women who surrounded her until soldiers could pull her to safety.

MORE: Five Things to Know About Lara Logan

"When I'm lying there, waiting for my daughter to go to sleep, I have time to think about things. Those can be dark moments," the South African native recalled. "You ranger through, you have to. You're aware of how much you have and it's so much more than what you've lost. You have a responsibility. Life is not about dwelling on the bad."

After spending four days in the hospital and months recovering, Logan told the paper her family has been her greatest source of comfort and support, particularly her U.S. government defense contractor husband, Joe Burkett.

"He understands, he doesn't hide from it, from what happened. He knows everything, more than anyone, what they did to me," she noted.

Here's hoping she can put it all behind her one day.

PICS: Dangerous Reality TV

? 2012 E! Entertainment Television, Inc. All Rights Reserved.

Source: http://today.msnbc.msn.com/id/46116972/ns/today-entertainment/

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Maine 7 percent December jobless rate unchanged (AP)

AUGUSTA, Maine ? The Maine Labor Department says the state's December unemployment rate was 7 percent, unchanged from the November figure.

Labor Commissioner Robert Winglass said Tuesday the preliminary 7 percent figure for December is also lower than the 7.5 percent rate a year earlier.

The number of unemployed totaled 48,700, down 3,800 from a year ago.

Maine's unemployment rate for December is lower than the national rate of 8.5 percent, down from 8.7 percent in November and 9.4 percent one year ago.

The Labor Department says the state figures continue to be volatile from month to month and are subject to significant revisions.

Source: http://us.rd.yahoo.com/dailynews/rss/business/*http%3A//news.yahoo.com/s/ap/20120124/ap_on_bi_ge/us_maine_unemployment_maine

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Tuesday, January 24, 2012

Cost of 10 leading causes of death to US: $1.1 trillion

By?Baxter B. Allen, 24/7 Wall St.

Last week, the Centers for Disease Control and Prevention released its estimated causes of death for 2010. The 10 leading causes of death in the U.S. accounted for 75 percent of the nearly 2.5 million deaths in 2010. Overall costs for the top 10 causes of death topped $1.1 trillion in 2007, the last fully reported year for all causes. 24/7 Wall St. reviewed the causes to determine how much they cost and to reflect how efficiently they are being treated.

The overall cost for the top 10 causes of death, which includes direct medical care and the indirect loss of productivity, is far greater when the lost wages of family members are taken into account. Since 2000, the overall cost of the top 10 causes of death has increased by an estimated 35 percent. During this same time, the death rate from these diseases and injuries has decreased by 13.5 percent.

In some of the areas, spending to treat the disease has been very efficient. For example, the costs attributable to heart disease and stroke (two closely related diseases) have declined both due to decreasing deaths and improvements in the efficiency of care.

In other areas, however, costs have gone up disproportionately compared to the decreases in death rate. For example, while the cost to treat diabetes has risen by 30 percent, the death rate dropped by only 11 percent. Of course, when taking lives saved into account, it is tough to decide how much is too much to spend.

Finally, some areas continue to increase in both cost and rate of death. Alzheimer?s disease deaths have increased by more than 50 percent over the past decade, and total costs have more than doubled. This is likely a function of an aging population and very limited success in treatment.

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24/7 Wall St. reviewed the 10 leading causes of death to determine how much they cost and how effectively they?re being treated. We used yearly estimates from the CDC to examine changes in death rates between 2000 and 2010. We also examined data from the National Institutes of Health, CDC and several national health organizations focused on individual diseases, to determine the direct costs for medical care and procedures and the indirect cost of death and lost productivity, as well as to reflect how the leading causes of death individually affect the U.S. economy. The costs for each cause of death are based on the last fully reported year for all causes, 2007. More recent estimates on costs were also referenced when available.

These are the 10 leading causes of death and what they cost the American economy.

10. Suicide

  • Deaths: 37,793
  • Change since 2000: 15 percent increase in death rate
  • Total cost: $36 billion

The age-adjusted suicide rate in America has been steadily increasing over the past decade, and the costs associated with successful and unsuccessful suicide attempts continue to rise. In successful suicide attempts, more than 99.6 percent of the costs are due to lost wages and work productivity.?In 2010, the most recent available estimate, suicides cost the economy approximately $34 billion. The overall cost is even higher when all intentionally inflicted self-harm is included. In 2010, there were more than 450,000 injuries in this category, which cost the economy an additional $3 billion in direct medical care costs and $5.1 billion in indirect costs due to lost wages and productivity. The rate of self-inflicted injuries increased by 36 percent since 2000, a greater increase than suicide itself.

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9. Pneumonia and the flu

  • Deaths: 50,003
  • Change since 2000: 32 percent decrease in death rate
  • Total cost: $40 billion

Despite widespread use of vaccinations, influenza continues to be a major cause of death in the United States. While the death rate due to both pneumonia and flu has fallen by 32 percent over the past decade, the impact of the flu itself varies widely from year to year. In 2000, flu directly accounted for 1,765 of the 65,313 deaths in the category, compared to 494 of 50,003 in 2010. Much of this variation is due to the differing severity of the flu strains each year, as well as the success of the yearly flu vaccine. Until a better flu vaccine is invented, this wide variation is likely to continue. Pneumonia and the flu cost $6 billion in direct medical care and another $34.2 billion in projected lost earnings in 2007, according to the American Lung Association. This represented an increase of nearly 50 percent from 2003, the previously reported year.

8. Renal disease

  • Deaths: 50,472
  • Change since 2000: 21 percent increase in death rate
  • Total cost: $61 billion

Not only do kidney diseases cause an increasing number of deaths every year, their total cost has also been rising at an even faster pace. Dialysis, the process of filtering the blood of a patient with failing kidneys, is an enormously expensive medical procedure. In 2007, direct medical treatments cost the U.S. economy $54 billion.?Between 2000 and 2009, the direct costs of kidney diseases doubled in the Medicare budget, from $12 billion to $24 billion, according to the U.S. Renal Data System. As diabetes and obesity rates continue to rise, the costs of damaged kidneys will continue to skyrocket.

7. Diabetes mellitus

  • Deaths: 68,905
  • Change since 2000: 11 percent decrease in death rate
  • Total cost: $112 billion

Deaths attributable to diabetes have been falling because of increased awareness and treatment of the disease complications. But even as deaths from the disease decline, more and more Americans are diagnosed and the costs of the disease continue to rise. In 2002, the American Diabetes Association estimated that the 12.1 million Americans diagnosed with the disease cost twice as much per person in direct medical expenses compared to otherwise similar people without diabetes. That same year, they estimated $92 billion in direct costs and an additional $40 billion in losses to the U.S. economy. By 2007, there were 17.5 million Americans diagnosed with diabetes. That year, according to the ADA, costs jumped to $116 billion in direct costs and $58 billion in lost wages and productivity, for an inflation-adjusted increase of $21 billion over five years. According to the World Diabetes Foundation, 80 percent of type 2 diabetes, which represents roughly 90 percent of all cases, is preventable by changing eating habits, increasing physical activity, and improving living situations. Unless people start living a healthier lifestyle, this disease will continue to be a major drain on the U.S. economy.

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6. Alzheimer?s disease

  • Deaths: 83,308
  • Change since 2000: 50 percent increase in death rate
  • Total cost: $70 billion

As of 2011, an estimated 5.4 million Americans are living with Alzheimer?s disease. This number is projected to hit 13.2 million by 2050, according to the Alzheimer?s Association. Alzheimer?s is a very expensive disease with high direct medical costs, as well as lost productivity from patients and unpaid care given by the family and friends. This last category is not counted in government reports as part of the disease?s cost, but was estimated at more than $200 billion in 2010 for over 17 billion hours of unpaid care. As of 2004, total medical costs for Medicare beneficiaries with Alzheimer?s disease were three times the cost of similarly aged people without the disease. From 2005 to 2011, the total direct costs of Alzheimer?s disease increased from $91 billion to $183 billion, according to the Alzheimer?s Association. By 2050, this is projected to increase to $1.1 trillion (in 2011 dollars).

5. Accidents

  • Deaths: 118,043
  • Change since 2000: 7.6 percent increase in death rate
  • Total cost: $308 billion

The rate of accidental injury and death has remained fairly constant over the past decade. It has also remained incredibly expensive. Accidental deaths alone accounted for $91 billion in lost earnings and productivity in 2010. The direct medical costs of all accidental injuries, fatal and nonfatal, accounted for $78 billion. Additional costs due to death, disability and lost productivity accounted for another $233 billion. Despite rather stable costs, accidental death, injury and poisoning account for a greater share of medical spending and indirect losses than all other diseases on the list.

4. Strokes

  • Deaths: 129,180
  • Change since 2000: 31 percent decrease in death rate
  • Total cost: $34 billion

While the total costs of all cardiovascular disease have declined slightly over the past decade, costs attributable to stroke have decreased an impressive inflation-adjusted 46 percent, according to data from the American Heart Association. Direct and indirect costs have both dropped significantly. These declines have been linked to increased awareness and treatment of major risk factors, including high blood pressure, diabetes and smoking, as well as to improvements in acute stroke care, which appears to decrease both death and long-term disability from stroke. Despite these improvements, stroke remains the leading cause of serious long-term disability in the United States.

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3. Chronic lung disease (chronic lower respiratory diseases)

  • Deaths: 137,789
  • Change since 2000: <1 percent increase in death rate
  • Total cost: $65 billion

Chronic lung disease is the third leading cause of death in the U.S., but unlike the top two causes of death, heart disease and cancer, it is not seeing any significant improvement in the death rate. The main contributors to this category of disease are asthma and chronic obstructive pulmonary disease. As of 2008, there were 23.3 million Americans with asthma, which cost approximately $14.7 billion in direct health care and $5 billion in lost productivity, according to the American Lung Association. Prescription drugs constituted $6.2 billion alone. Another 12.1 million adults have COPD. COPD cost the U.S. economy $42.6 billion in 2007, including $26.7 billion in direct health care expenditures, $8 billion in decreased productivity and $7.9 billion in costs related to death. Smoking remains the number one cause of COPD.

2. Cancer

  • Deaths: 573,855
  • Change since 2000: 7.5 percent decrease in death rate
  • Total cost: $227 billion

In the next five years, cancer is likely to become the number one killer of Americans, if current trends continue. Despite major advances in treatments and increases in the number of people who survive for five years or more, few true ?cures? have been found. Real progress is being made, but there is still a long way to go. Direct costs of medical treatments will continue to rise, more than offsetting any gains due to decreased mortality rates. In 2004, direct medical costs to the U.S. economy were $69.4 billion. By 2007, costs were $104 billion, and by 2020, they are projected to range between $160 billion to $200 billion, according to the American Cancer Society. The vast majority of these increases in cost are driven by new medical treatments, usually highly tailored and difficult-to-manufacture drugs that cost $5,000/month on average. One such drug, Gleevec, increased five-year survival rates to 95 percent (from 70 percent) for one blood cancer and has been used to varying degrees of success in a different cancers since.

1. Heart disease

  • Deaths: 595,444
  • Change since 2000: 25 percent decrease in death rate
  • Total cost: $190 billion

Heart disease remains the number one killer of Americans. But deaths due to the disease have been declining at a rapid rate over the past several decades, despite the ever-increasing issues of obesity and diabetes in America. The indirect costs of heart disease due to death have declined from an inflation-adjusted $114 billion in 2000 to $94.8 billion in 2008. Over the same time period, direct costs of medical interventions and care have decreased from an inflation adjusted $129 billion to $96 billion. These declining costs are likely due to major improvements in care. For example, in 2001, only 43 percent of heart disease patients were counseled on smoking cessation compared to 99 percent in 2010, according to the American Heart Association. Similarly, only 60 percent to 85 percent of patients were discharged from the hospital on all recommended medications in 2001, compared to 92 percent to 99 percent in 2010. Additionally, there was a decrease in the number of bypass surgeries, stent placements, angioplasties and diagnostic cardiac catheterizations between 2002 and 2009, likely contributing to the decrease in direct medical costs. Despite the recent trends, total costs are likely to rise over the next couple decades due to an aging population and increased rates of obesity and diabetes.

Source: http://bottomline.msnbc.msn.com/_news/2012/01/18/10183578-11-trillion-what-the-10-leading-causes-of-death-cost-the-economy

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