Stroke Drops to Fourth Leading Cause of Death in 2008

/PRNewswire/ -- Stroke is now the fourth leading cause of death in the United States, down from the third place ranking it has held for decades, according to preliminary 2008 death statistics released today by CDC's National Center for Health Statistics. While deaths from stroke and several other chronic diseases are down, deaths due to chronic lower respiratory disease increased in 2008.

There were 133,750 deaths from stroke in 2008. Age-adjusted death rates from stroke declined 3.8 percent between 2007 and 2008. Meantime, there were 141,075 deaths from chronic lower respiratory disease, and the death rate increased by 7.8 percent.

Some of the increase in deaths may be due to a modification made by the World Health Organization in the way deaths from chronic lower respiratory diseases are classified and coded. The National Center for Health Statistics will conduct a thorough analysis on this change and its effect on the chronic lower respiratory disease category before the final 2008 deaths data are released.

"Deaths: Preliminary Data for 2008," also finds that life expectancy at birth dropped slightly to 77.8 years from 77.9 years in 2007. Life expectancy was down by one-tenth of a year (a little over a month) for both men and women. However, black males had a record high life expectancy in 2008 of 70.2 years – up from 70 years in 2007. The life expectancy gap between the white and black populations was 4.6 years in 2008, a decrease of two-tenths of a year from 2007.

The data are based on 99 percent of death certificates reported to NCHS through the National Vital Statistics System from all 50 states, the District of Columbia and U.S. territories.

Other findings:

* Heart disease and cancer, the two leading causes of death, still accounted for nearly half (48 percent) of all deaths in 2008.
* In addition to stroke, mortality rates declined significantly for five of the other 15 leading causes of death: accidents/unintentional injuries (3.5 percent), homicide (3.3 percent), diabetes (3.1 percent), heart disease (2.2 percent), and cancer (1.6 percent).
* In addition to chronic lower respiratory disease, death rates increased significantly in 2008 for Alzheimer's disease (7.5 percent), influenza and pneumonia (4.9 percent), high blood pressure (4.1 percent), suicide (2.7 percent), and kidney disease (2.1 percent).
* The preliminary infant mortality rate for 2008 was 6.59 infant deaths per 1,000 live births, a 2.4 percent decline from the 2007 rate of 6.77 and an all-time record low. Birth defects were the leading cause of infant death in 2008, followed by disorders related to preterm birth and low birth weight. Sudden infant death syndrome (SIDS) was the third leading cause of infant death in the United States.
* Overall, there were 2,473,018 deaths in the United States in 2008, according to the preliminary deaths report -- 49,306 more deaths than the 2007 total.
* The age-adjusted death rate for the U.S. population fell to 758.7 deaths per 100,000 in 2008 compared to the 2007 rate of 760.2.

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Report: Up to 1 in 10 Americans May Suffer From Food Allergies

/PRNewswire/ -- A review published Wednesday in the Journal of the American Medical Association (JAMA) and reported in the New York Times underscores the need for additional research on the prevalence, diagnosis, and treatment of food allergy. One of the most important points suggested by the JAMA study as well as a New York Times article on the subject is that as many as 1 in 10 people may have food allergy.

A May 11 New York Times article regarding JAMA's review states that "true incidence of food allergies is only about 8 percent for children and less than 5 percent for adults."

Between 2 and less than 10 percent of the population has food allergy, according to the JAMA review, "Diagnosing and Managing Common Food Allergies." This figure clearly illustrates the need to increase government commitment to research, testing, and education of a growing problem.

"The systematic review of the food allergy literature published in JAMA is helpful in crystallizing the fact that food allergy is common, affecting millions of Americans, but also points out that we need much more research to better understand the exact prevalence, and how to prevent, more easily diagnose, and treat this life-changing medical problem," said Scott H. Sicherer, M.D., professor of pediatrics, clinician, and clinical researcher at Jaffe Food Allergy Institute, Mount Sinai School of Medicine in New York.

The Centers for Disease Control and Prevention has reported an 18 percent increase in food allergy among children from 1997-2007 and a 3.5-fold increase in hospital admissions related to food allergy among children between the period from 1998-2000 to 2004-2006. The CDC also estimates about 4 percent of U.S. children under the age of 18 have a food allergy.

However, despite these statistics, just $26 million was appropriated last year for research on food allergy, a potentially life-threatening medical condition. The National Institutes of Health last year allocated $175 million for autism funding, which is estimated to affect 1 in 100 children.

JAMA's review was conducted in conjunction with the National Institute of Allergy and Infectious Diseases, which is drafting national Guidelines to the Diagnosis and Management of Food Allergies. The Food Allergy & Anaphylaxis Network (FAAN) and The Food Allergy Initiative (FAI), which have long focused on the need for clinical studies dedicated to food allergy, applaud the government for undertaking these guidelines.

The New York Times article also states that many people who think they have a food allergy actually do not. There is no dispute that many individuals are misdiagnosed with food allergies. Better diagnostic tools are needed. The gold standard for food allergy diagnosis, a double-blinded, placebo-controlled food challenge, is not typically used by allergists because they are not being fully reimbursed for this time-consuming, expensive and potentially dangerous procedure. Funding of this procedure should be addressed by insurance companies.

While improved data on prevalence is necessary, the potential severity of a food allergy reaction is such that individuals should err on the side of caution and assume they have a food allergy and practice avoidance until they are properly diagnosed.

Researchers throughout the world are working diligently to find treatments and a cure for food allergy. FAAN and FAI call upon the federal government to help find a cure for food allergy by providing the necessary funding for quality research.

ABOUT FAAN

Founded in 1991 by Anne Munoz-Furlong, the Food Allergy & Anaphylaxis Network (FAAN) is the world leader in information about food allergy, a potentially life-threatening medical condition that afflicts approximately 12 million Americans, or one out of every 25. A nonprofit organization based in Fairfax, Va., FAAN has approximately 25,000 members in the U.S., Canada, and 58 other countries. It is dedicated to increasing public awareness of food allergy and its consequences, to educating people about the condition, and to advancing research on behalf of all those affected by it. FAAN provides information and educational resources about food allergy to patients, their families, schools, health professionals, pharmaceutical companies, the food industry, and government officials. For more information, please visit FAAN at www.foodallergy.org.

ABOUT FAI

The Food Allergy Initiative (FAI) is a national 501(c)(3) nonprofit organization that funds research seeking a cure for food allergies. FAI was founded in 1998 by concerned parents and grandparents to support basic and clinical research worldwide; public policies to make the world safer for those afflicted; and educational programs to make the hospitality industry, schools, day care centers, and camps safer. The largest private source of funding for food allergy research in the United States, FAI has contributed more than $65 million toward the fulfillment of its mission. For more information, visit www.faiusa.org, call 212-207-1974, or e-mail info@faiusa.org.

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Preterm Births Rise 36 Percent Since Early 1980s

/PRNewswire-USNewswire/ -- New government statistics confirm that the decades-long rise in the United States preterm birth rate continues, putting more infants than ever at increased risk of death and disability according to the March of Dimes.

Nearly 543,000 babies were born too soon in 2006, according to the National Center for Health Statistics, which today released "Births: Final data for 2006," National Vital Statistics Reports; Vol. 57, No. 7. The nation's preterm birth rate (birth before 37 completed weeks gestation) rose to 12.8 percent in 2006 -- that's a 36 percent increase since the early 1980s.

The report attributed much of the increase to the growing number of late preterm infants (those born at 34 to 36 weeks gestation), which increased 25 percent since 1990. The report also noted an increase in preterm births to Hispanic women, while rates were unchanged for non-Hispanic whites and blacks. However, black women continue to have the highest preterm birth rate, at 18.5 percent.

The preterm birth rate continued to rise despite the fact that multiple births, a known risk factor for preterm birth, have begun to stabilize. The rate of twin births was unchanged in 2005 and 2006, and triplets and higher order multiples declined 5 percent in 2006.

"The health consequences for babies who survive an early birth can be devastating and we know that preterm birth exacts a toll on the entire family -- emotionally and financially," said Dr. Jennifer L. Howse, president of the March of Dimes.

"We've are committed to raising public awareness about premature birth, and we believe there are concrete steps we can take to solve this problem, including ensuring that all women of childbearing age have access to health insurance and expanding our nation's investment in research into the causes and strategies to prevent preterm birth" Dr. Howse continued.

Preterm birth is the leading cause of death in the first month of life and a contributing cause in more than a third of all infant deaths. Babies who survive an early birth face the risk of serious lifelong health problems and even late preterm infants have a greater risk of breathing problems, feeding difficulties, temperature instability (hypothermia), jaundice, delayed brain development and an increased risk of cerebral palsy and mental retardation.

Last month, the March of Dimes issued its first-ever Premature Birth Report Card, which gave the United States a "D" -- and not a single "A" to any state -- by comparing 2005 preterm birth rates to the national Healthy People 2010 objective of 7.6 percent. The report card is online at www.marchofdimes.com/petition.

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CDC Releases New Infant Mortality Data

The United States ranked 29th in the world in infant mortality in 2004, compared to 27th in 2000, 23rd in 1990 and 12th in 1960, according to a new report from CDC's National Center for Health Statistics (http://www.cdc.gov/nchs).

The U.S. infant mortality rate was 6.78 infant deaths per 1,000 live births in 2004, the latest year that data are available for all countries. Infant mortality rates were generally lowest (below 3.5 per 1,000) in selected Scandinavian (Sweden, Norway, Finland) and East Asian (Japan, Hong Kong, Singapore) countries. Twenty-two countries had infant mortality rates below 5.0 in 2004.

The findings are published in a new Data Brief "Recent Trends in Infant Mortality in the United States." The data come from the Linked Birth/Infant Death Data Set and Preliminary Mortality Data File, collected through the National Vital Statistics System.

The report shows the U.S. infant mortality rate did not decline from 2000 to 2005. However, preliminary data for 2006 show a significant 2 percent decline between 2005 and 2006. Other findings include:

-- The current U.S. infant mortality rate is about 50 percent higher than
the national goal of 4.5 infant deaths per 1,000 births.
-- The infant mortality rate for non-Hispanic black women was 2.4 times
the rate for non-Hispanic white women. In 2005, the infant mortality
rate for non-Hispanic black women was 13.63 infant deaths per 1,000
live births, compared to a rate of 5.76 for non-Hispanic white women.
Rates were also higher for Puerto Rican and American Indian women,
8.30 and 8.06 respectively.
-- Increases in preterm birth and preterm-related infant mortality
account for much of the lack of decline in the United States' infant
mortality rate from 2000 to 2005.

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