NATION IN BRIEF New data: Heroin deaths increasing 2012, deaths atuuted 19 ineoin have increas for the thd yearina ow sccording to ew gun feom the Center for Disease Contol and ‘eleased in Jamar, the 2013 drug overdose and ‘morality data found 239 lewolving hewoin since 2012, wile deaths lava ing peeseripsion opioid Palnkllers increase by 1 Percent an! dea avo: percent, Overall drug pot ‘Soning deaths increased by ‘percent since 2012 Death frm drug over ‘elon and teatment of diction” sid CDC break tried to December sts to Disneyland and Calicenia, ‘According 10 the Cal fornia Department of Pub- He TNeatn a of Jan. 21,59, tases of measles had Ben ‘nfimed in the ate ‘Soe the end of Decen thr with 42 canes ined to nial exposure ae te theme pare The Calor pation ange in age rom even months t0 70, OF the 34 measles cases in which ihe patents vaccination history was documented, 2a were unvaccinated, one dose and five had rccived two oe more doses ofthe ‘measles, mumps and marked ie greatest nu ber of measles cases since the disse was designated fs climinated inthe US. tn "i e was a ohn a se = ten Bite Geet eee le mo at as heroin.” wor “CDC note that neatly 68 percent af people who hein sing preseision| “opioids for nore! ‘eons fst obtain the ‘ug fom 3 family mem ber or end, However, sore requent or conic thes ae more likely to ‘blain the prescription from the ic deus visi wwede gov Measles outbreak tied to theme parks ‘Sate and federal health ‘offal ae ating 4 measles outbreak hnked to December vnts to theme parks in California. rom Janta Ja, 30, repomed in 14 sats, according to the Centers for Disease Contvel and fea were pat OF a out ‘on tet foe the poteraly US youth missing out on adequate sleep iting enowgh of hey Ingredient for god ea seep ecording 0 sy published in the Devember Feu of Preeti Cron Disee only 62 povent to 72 percent of eae igh Scholten and 8 pe. ene 1094 percent of ale ih shoo! sadn ‘epomet geting neo ‘nore hours of iy Sp ewe 2007 and “ihe study, which was bus on dt mn the “Youth Rk Behavior Sue teilnce sytem aso found that as students rade, hours of sep ‘Secrest, with 2015, sigitieamly higher percentage of Tith and Ttvaraders reported set ‘ily sleep ‘Overall, 4 preater pro postion of black male and Female students got five oF fewer hours of sleep per school nigh than ther ‘white counterpars. The ‘ends adolescents gt ‘ine to 10 hours of sep Sach dy fo ina sed foc early tater thom, bh lore and dr Ing high shook” the study ated NIM: Better care for chronic pain Indiv, patent centered care is needed 0 treat the estate 109 mended an independent atonal isttes of eal pane Janay. pain patients ae p= Sed prescription pk Sid the NIN pa expressed concer abut ‘es of opioids on pai, finesion and quality of Ite The panel noted that prescription opiod use omes with serious ik flor, sich as action chev is recommenda thon of patienscentered Care the panel called for Sukional esearch on palin, mulidseipinary “Persons ving th chronic pain have often ier grouped nt a ingle Steyr, and treatment Snproaches have bees fenerzed with ite ev fence to support this pra tie” sald APHIA member Davi Reuben, MD pane a and potesor of Imeene at the David Get fen School of Medicine a Alina Pastren Gueia, ARNP-NP-C, adit a fa ee ‘on 1 Ras! Wadd at a CVS Minute Cleon De. 4, 2012" Mian. Thi season ‘csne ans’ complete atc esas ofa inane ofthe ruses But til es op conditions, presents in i ferent ways and requires visi wor go. Expanded Medicaid benefits clinies i states that expanded Mesa eligi com sunt health centers ae experiencing a decrease i “uninsured patient wists find an increase in iis Sccording to a std pub lished inthe fanuay/ Pe fy isu of Anal of| analy sii Tr staying 156 clinics in nine states from a year before Medicaid expansion to st months ater expan ‘on, researchers and thar nie i expansion states experienced 4 0 percent decease inthe rate Of ninsured isis and $36 percent increase ia the ‘ate of Medicrs-covered| sks On the ether hand, ‘nics im states that ci ‘aparece Dili experienced a 16 percent deine in uni fred vii, but no change Inthe rte of Medicaid ‘covered visit, i 2022, the Supreme cou ruled that states. ‘ould ne be penalized for ‘expanding elility, as ‘mandated inthe Aor sin about haf of sates Ihave decided against, expanding Medea Season's flu vaccine effectiveness lags “This seasons faa cine didnot provide 3s some proeton accom CDC tna study published in the fa. 16 issue of Mer Diy end Morality Woy Raper escarchers et sated that the 2014-2015 fu vaccine reduced a per doctor det aby 23, eros emoug people of fee stale since 2008 4005, with he redced fisk of experencing 4M {elated doctor vis ranging From 10 perent to 60 poe ‘eat A contbuting factor torly vaccine effectiveness |S whether the Mi viruses ‘sed in producing a tr son's fh vacelne match he ‘rine of flavins that end ‘accne ae wellmatched, ‘reported. Ths years ve ‘ine did ot offer serch protection because of = fence dit in erculating HSN2 viruses, which secounted For most Fepote cass of "Physics should be aware tht al hospitalird patents an all outpatients thigh sk for serious complications shoul be ions inftuensa iss nd without waiting for onfiematry testing.” aid Joe Beesee, MD, FAAP, branch chet in coc Influenza Divison, or moe, Vit ww cele gow/mieee kin Krberg 8 |THE NATION'S HEALTH MARCH 2015