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Thursday, November 21, 2019
  1. Wedding Planning: The Ring, Our Vendors, and More!
  2. Instant Pot Vegan Cream of Mushroom and Wild Rice Soup
  3. Healthy Vegetarian Meal Plan: Week of 11-16-2019
  4. Healthy Vegetarian Meal Plan: Week of 10-26-2019
  5. Healthy Vegetarian Meal Plan: Week of 11-02-2019
  6. Roasted Potato, Mushroom, and Lentil Kale Salad
  7. Healthy Vegetarian Meal Plan: Week of 11-09-2019
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  9. Healthy Vegetarian Meal Plan
  10. What I Wednesday: FNCE in Philly!
  11. Potato, Mushroom, and Lentil Kale Salad
  12. Healthy Vegetarian Meal Plan
  13. Unearthing Evidence-Based Integrative Remedies to Stress
  14. Scribble Anxiety Away
  15. Best Hostess Gift Ever
  16. What I Ate Wednesday: Fiancé Edition!
  17. Pumpkin Walnut Burgers with Chipotle Yogurt Sauce
  18. Favorite Fluffy Whole Wheat Pancakes
  19. Healthy Vegetarian Meal Plan
  20. Vegan Chili Cornbread Casserole
  21. Healthy Vegetarian Meal Plan
  22. Orca Conservation
  23. Fall’s Functional Foods
  24. Healthy Vegetarian Meal Plan
  25. Healthy Pumpkin Cheesecake Dip
  26. Simple Swaps for Your Zero Waste Journey
  27. Lessons on Food and Farming in Monterey, California
  28. Healthy Vegetarian Meal Plan
  29. Quick and Easy-One Pan Veggie Red Curry
  30. Healthy Vegetarian Meal Plan: Week of 09-21-2019
  31. Here’s How to Live a more Colourful Life
  32. Cooking with CBD
  33. Eco-friendly Food Storage
  34. Bento Box Recipes
  35. How to Make Sushi Sandwich
  36. Healthy Vegan Buffalo Cauliflower Dip
  37. Healthy Vegetarian Meal Plan: Week of 09-14-2019
  38. 5 lunchbox ideas
  39. 17 Free and Easy Ways to Be a Self-Care Expert
  40. Fluffy Vegan Pumpkin Muffins
  41. Healthy Vegetarian Meal Plan: Week of 09-07-2019
  42. 33 Mouthwatering Healthy Vegetarian Recipes for Dinner Tonight
  43. What I Ate Wednesday
  44. The Best Apple Cider Vinegar Salad Dressing
  45. VOTE TODAY!
  46. Veggie Stir Fry with Peanut Sauce
  47. Twilight Time: Reading With Kids
  48. Keep your cool
  49. Tart Cherry Crumble Pie
  50. Healthy Vegetarian Meal Plan
  51. Healthy Vegetarian Meal Plan
  52. Your brain on… air pollution?
  53. Brain Boosters
  54. MCT oil Coconut’s healthful gift
  55. Hot right now
  56. Cupcakes for breakfast?
  57. Vegan Chocolate Zucchini Muffins
  58. What is CBD? A Guide to Health Benefits, Usage, and More!
  59. Healthy Vegetarian Meal Plan
  60. Hummus Toast – 4 Ways!
  61. What I Ate Wednesday
  62. Fluffy Vegan Blueberry Banana Muffins
  63. Advances in Colorectal Cancer Research
  64. Advances in Breast Cancer Research
  65. Cleft Palate With Cleft Lip
  66. What is CPR?
  67. What Is Dementia? Symptoms, Types, and Diagnosis
  68. Cushing Syndrome (For Parents)
  69. Do Memory Problems Always Mean Alzheimers Disease?
  70. Manganese
  71. Study Shows that Disrupted Gut Bacteria May Contribute to the Spread of Breast Cancer
  72. She Faced Breast Cancer At 16 With Little Help From Doctors. Now She’s Speaking Out On Behalf Of Black Women
  73. What Do We Know About Healthy Aging?
  74. Participating in the Arts Creates Paths to Healthy Aging
  75. Setting Goals to be More Active Slows Memory Decline in Older African Americans
  76. Study Shows Music Eases Pain and Other Symptoms for Patients Undergoing Breast Cancer Treatment
  77. 49-Year-Old Breast Cancer Patient Grateful She Didn’t Wait Until 50 for a Mammogram
  78. Teen’s Innovative “SMART Armour” Protects Breast Cancer Patients from Radiation
  79. New Drug Improves 3-Year Survival by 50% for Young Women with Stage IV Breast Cancer
  80. Young Mother’s Life Tragically Taken by Breast Cancer After She Refused Traditional Treatments
  81. NIH Study Tracks Exercise with Mobile Apps to Improve Heart Health
  82. Lion With Skin Cancer Has Received Radiation Therapy In Hospital
  83. 3rd Grader Writes Note for Teacher Battling Breast Cancer to Read Right Before Treatment
  84. Skin Care
  85. Have Back Pain? These Are the Basic Spinal Structures You Need to Know
  86. The Final Word on Whether Alcohol Actually Has Any Health Benefits
  87. New One-Time “Seed” Treatment for Breast Cancer Being Used in Philadelphia
  88. Julia Louis-Dreyfus Talks About The Side Effects of Chemotherapy
  89. Teacher on Leave for Breast Cancer Treatment Forced to Pay for Her Own Substitute
  90. 27-Year-Old Thought She Was Injured Falling Off A Horse, But Then She Learned She Had Breast Cancer
  91. Should Surgery And Radiation Be The Standard Treatment For DCIS? The COMET Study Is Finding Out
  92. Judge Rules That 3-Year-Old Child With Leukemia Must Get Chemo Against Parents’ Wishes
  93. This Charcoal Powder Drastically Whitens Teeth Without Any Chemicals
  94. These Black Cherry-Flavored Shots Help Accelerate Weight Loss
  95. Olivia Newton-John Talks About How She Stays Positive Amid Cancer Battle
  96. This Army Captain Mom Was Diagnosed with Breast Cancer When She Was Just 8 Weeks Pregnant
  97. High-Deductible Health Plans Linked to Delayed Diagnosis and Treatment of Breast Cancer
  98. Antibiotic shortages are putting Aboriginal kids at risk – The Conversation AU
  99. Cuddle beds bringing some physical comfort to end-of-life patients – ABC News
  100. People who skip breakfast are five times more likely to die after a heart attack – Daily Mail
  101. Yale researchers revive cells in dead pig brains – Yale Daily News
  102. Scientists revive cellular activity in brain of dead pigs: report – Fox News
  103. High-Deductible Health Policies Linked To Delayed Diagnosis And Treatment – NPR
  104. After Breast Cancer Diagnosis, Technology Professor Teaches Computers to Read Mammograms
  105. Fact or Fiction: What to Know About Smoking Cessation and Medications
  106. If Soap and Water Are Not Available, Hand Sanitizers May Be a Good Alternative
  107. Autism: Beware of Potentially Dangerous Therapies and Products
  108. One side of your brain might be giving you nightmares – Cosmos
  109. What Personality Tests Tell Us About Ourselves – NPR
  110. Having a resting heart rate of 75 beats per minute DOUBLES your risk of an early death – Daily Mail
  111. Wear protective goggles to play badminton
  112. Herbal drug kratom linked to almost 100 overdose deaths, CDC says – USA TODAY
  113. Ability to lift weights quickly can mean a longer life – EurekAlert
  114. Climate change is making allergy season worse – CNN
  115. 11 Unexpected Ways You Can Relieve Headaches – HuffPost
  116. New Jersey preschoolers have highest autism rates in the nation, researchers say
  117. Auburn gymnast who suffered severe injuries: My pain is not your entertainment
  118. A four-day work week could improve our health and cut carbon emissions
  119. Promising treatment for chronic fatigue syndrome fails large trial

At any time, almost one in two Aboriginal children living in remote areas will have a school sore. That means right now, there are an estimated 15,000 children needing treatment.

School sores can be painful and itchy. But left untreated, they can lead to rheumatic fever, bone infections or sepsis.



The most effective and tolerable antibiotic to treat school sores is in short supply, and this is putting Aboriginal kids at risk of life-threatening infections.




Read more:
Why simple school sores often lead to heart and kidney disease in Indigenous children


What are school sores?

School sores (or Impetigo) are common in Aboriginal children living in remote areas due to the association with scabies, tinea and head lice, which are also very common.

When their skin or scalp is itchy, children may scratch and break the skin, allowing the bacteria that cause school sores to enter. Insect bites and minor trauma can also become a site for a school sore to develop.

School sores are caused by the bacteria Staphylococcus aureus and Group A Streptococcus. These bacteria are highly contagious and spread easily from child to child.

What are the treatment options?

School sores are usually treated with an antibiotic cream when only a few kids have them. But because these sores are so common in remote communities, it’s recommended that an oral antibiotic or an injection is used to prevent the development of antibiotic resistance.

Both the oral antibiotic and the injection work well to treat school sores, but we know many kids won’t want the needle.

Current guidelines recommend treating school sores with the antibiotic trimethoprim-sulfamethoxazole (known by the brand names Bactrim and Septrin).

Most kids under eight years old need to take a liquid antibiotic. The Bactrim brand antibiotic syrup tastes good and is easy to swallow. Naturally, kids prefer it to a painful injection.

In September 2018, Bactrim syrup was withdrawn from the market, possibly due to a company merger, leaving the Septrin brand as the only remaining brand of this antibiotic in syrup form.

It’s much easier to get kids to take a flavoured syrup than swallow a crushed up tablet, or have an injection.
From shutterstock.com

This put a lot of pressure on the company making Septrin to increase the supply needed for kids all over Australia. But they couldn’t keep up with demand. The Septrin syrup has now been out of stock for eight months, which has affected the treatment of a large number of Aboriginal children with school sores.

The alternative for younger children is to crush the trimethoprim/sulfamethoxazole tablets, which tastes terrible and is not recommended by antibiotic regulators. It’s not very accurate for getting the dose right, particularly in the smallest kids.




Read more:
What are school sores and how do you get rid of them?


For example, a two-year-old will weigh about 12kg. The recommended dose of trimethoprim/sulphamethoxazole for a child of this weight is 48mg trimethoprim. The tablets only come as 40mg trimethoprim or 80mg trimethoprim, making it tricky to get the required dose for this child. And guidelines have not anticipated this situation, so there is little to inform dosing decisions.

In recent months, we’ve heard the crushable tablets in another brand of the same medicine, known as Resprim, are now also out of stock.

How can antibiotics that kids need just disappear?

Drug shortages are a huge problem in health care.

Information about these stock outs filters to doctors and pharmacists haphazardly. There’s no coordinated process for this in Australia, and it can take weeks or months for the information to get to the health-care workers. Often they’ll only become aware of the shortfall when they have a patient who needs the antibiotic.

Mandatory reporting of drug stock outs to the Therapeutic Good Administration (TGA) by the manufacturers commenced in 2018 to address this. Time will tell whether it helps the flow of information.




Read more:
Why are Aboriginal children still dying from rheumatic heart disease?


These problems are never simple. Old, cheap antibiotics are no longer on patent and not generally profitable for the manufacturers. These antibiotics are usually prescribed for short courses of three to five days, and so are rarely prioritised in comparison to the long-term medications required for the older population (such as diabetes or heart medications).

In a developed country with world-class health care, it’s unacceptable if an antibiotic needed to treat an infection is not available because we don’t have a national system for coordinating and maintaining antibiotic supply.

Why this drug shortage is a particularly concerning one

Skin sores are more than a nuisance condition. They make kids feel sick, take weeks to heal and may lead to absences from school.

The long-term problems of rheumatic fever, sepsis and kidney disease result in lifelong chronic ill health and are a much higher cost to the health system than a simple, cheap course of oral antibiotics to treat the skin sores before they become a bigger problem.




Read more:
How discrimination and stressful events affect the health of our Indigenous kids


With 15,000 Aboriginal children at any one time needing this antibiotic to treat school sores, the demand is real.

Zoy Goff, antimicrobial stewardship pharmacist at the Perth Children’s Hospital, and Hannah Mann, regional pharmacist in the Kimberley and research partner for the Kimberley-based skin health trials, contributed to this article.

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