PTSD + Agent Orange = extra risk of Dementia

Exposure to Agent Orange during the Vietnam War doesn’t seem to increase the risk of dementia on its own, but it may exacerbate the effects of other risk factors like PTSD…

In an analysis of Veterans Affairs data, having been exposed to Agent Orange and having PTSD together was associated with a significantly increased risk of dementia according to Deborah Barnes, PhD, MPH, of the University of California San Francisco and the San Francisco VA Medical Center.

They reported their findings at the Alzheimer’s Association International Conference…

Some 8% of veterans were exposed to Agent Orange during the Vietnam War, where it was used as an herbicide to clear dense areas of forest…

Many other studies have looked at the health effects of Agent Orange exposure, and there have been mixed results regarding its neurological effects. Some studies found no adverse neurologic effects, while several recent studies have found worse cognitive function with greater exposure. Other studies have shown that verbal memory is the most affected neurocognitive region among Vietnam veterans.

Yet there haven’t been any studies specifically looking at the relationship between Agent Orange and the risk of dementia among these veterans, Barnes said.

Consequently, she and colleagues accessed VA electronic medical record data on 46,737 Vietnam veterans over age 55 who had at least one baseline visit and one follow-up visit, and who did not have dementia at baseline.

They looked at Agent Orange exposure alone and in combination with PTSD…

Barnes noted that there was a significant difference between the exposed and unexposed populations at baseline. Veterans exposed to Agent Orange were younger and had more comorbidities including diabetes, hypertension, cerebrovascular disease, depression, and PTSD…

When they looked at PTSD and dementia risk, however, they did find a significant association — and having both Agent Orange exposure and PTSD together was associated with a larger increase in risk of dementia…

“Agent Orange alone doesn’t appear to increase the risk of dementia,” Barnes said, “but it may exacerbate the effects of other risk factors such as PTSD.”

She cautioned that the findings were limited because the researchers weren’t able to measure the actual exposure to Agent Orange; they had to rely on patients’ own reports of exposure…

Soldiers on the line ain’t about to forget exposure to Agent Orange. Until they get Alzheimer’s, anyway.

And, no, that wasn’t meant to be a joke.

#BlackLivesMatter? — unless you’re Homeland Security


Click to enlargePeter Marshall

The Department of Homeland Security has been monitoring the Black Lives Matter movement since anti-police protests erupted in Ferguson, Missouri last summer, according to hundreds of documents obtained by The Intercept through a Freedom of Information Act request.

The documents, released by the Department of Homeland Security’s Office of Operations Coordination, indicate that the department frequently collects information, including location data, on Black Lives Matter activities from public social media accounts, including on Facebook, Twitter, and Vine, even for events expected to be peaceful. The reports confirm social media surveillance of the protest movement and ostensibly related events in the cities of Ferguson, Baltimore, Washington, DC, and New York.

They also show the department watching over gatherings that seem benign and even mundane. For example, DHS circulated information on a nationwide series of silent vigils and a DHS-funded agency planned to monitor a funk music parade and a walk to end breast cancer in the nation’s capital.

The tracking of domestic protest groups and peaceful gatherings raises questions over whether DHS is chilling the exercise of First Amendment rights, and over whether the department, created in large part to combat terrorism, has allowed its mission to creep beyond the bounds of useful security activities as its annual budget has grown beyond $60 billion.

Our government thinks anyone who stands up for equal rights is a potential terrorist.

The surveillance cataloged in the DHS documents goes back to August of last year, when protests and riots broke out in Ferguson the day after the shooting of unarmed black teenager Michael Brown. According to two August 11th, 2014 reports, a DHS FEMA “WatchOps officer” used information from Twitter and Vine to monitor the riots and reproduced a map, originally created by a Reddit user, of conflict zones…

An April 2015 FEMA memo also shows that the DHS appears to have gathered information on anti-police-brutality protests in Philadelphia “organized by members of the Philly Coalition for Real Justice” and in New York on May Day at “Foley Square, start time 1700… Independent factions are being solicited to join in on a full day of demonstration through various open source social media sites, fliers, posters.”…

Baher Azmy, a legal director at the Center for Constitutional Rights, however, argues that this “providing situational awareness” is just another word for surveillance and that creating this body of knowledge about perfectly legal events is a problem in and of itself. “What they call situational awareness is Orwellian speak for watching and intimidation,” said Azmy. “Over time there’s a serious harm to the associational rights of the protesters and it’s an effective way to chill protest movements. The average person would be less likely to go to a Black Lives Matter protest if the government is monitoring social media, Facebook, and their movements.”

Although DHS spokesman S.Y.Lee says…that the department “does not provide resources to monitor any specific planned or spontaneous protest, rally or public gathering,” some of the documents show that the DHS has produced minute-by-minute reports on protesters’ movements in demonstrations…

The documents also elaborate on DHS’s response to riots and militant protests in Baltimore following the death of Freddie Gray, a 25-year-old African American man who in April died from injuries sustained while in police custody…the DHS’ Federal Protective Service placed more than 400 officers on duty in Baltimore after Gray’s death…

Raven Rakia, a journalist who investigates state surveillance and policing, said that the DHS’ decision to monitor Black Lives Matter is hardly surprising, given the federal government’s well documented history of spying on and suppressing black social movements and groups like the Black Panthers. “There’s a long history of the federal agencies, especially the FBI, seeing black resistance organizations as a threat to national security,” says Rakia…

Same as it ever was. A government that isn’t serious about equal rights for all Americans, a Congress afraid of attempts to guarantee voting rights, civil rights, expected in a democratic nation – sets the stage for activists to be an automatic target for suppression.

How wealthy are the rest of us?

We seem to really enjoy contemplating the money and lifestyles of the top 0.01 percent. The wealthiest Americans garner immense mind-share in the imaginations of the rest of the populace. We incessantly track the incomes of hedge-fund managers and other finance stars, the heirs to the Wal-Mart fortune and other $100 billion families. Don’t forget the Bloomberg Billionaires Index and the Forbes 400 and the wealthiest New Yorkers.

We are in short fascinated with other people’s wealth.

What about the rest of the income strata? As it turns out, there is a fascinating story there as well. It may not be as glitzy and luxe as the Billionaires Index, but it is a tale of gradual improvement. So says a recent data analysis on the global middle class by the Pew Research Center.

The good news is that during the first decade of the 21st century, about 700 million people were lifted out of poverty. That is a 14 percent reduction in poverty. The bad news is that moving into, and staying within, the global middle class is a significant challenge.

The study found that 71 percent of the global population is either poor (15 percent) or low-income (56 percent). The middle class is only 13 percent of the total population. To put some hard numbers on those percentages, with a world population of 7.2 billion humans, about 936 million are middle-class. A little more than a billion (1.08) are impoverished, and more than half the world’s population, a giant 4.03 billion people, are low-income.

PG-2015-07-08_globalClass-03

The Pew report contains some astonishing data points: 84 percent of the world’s population, including those defined as middle-class, live on less than $20 a day. Surviving on the maximum in the U.S. or Europe would be difficult for an individual — about $7,300 a year…

Think of it another way. More than fourth-fifths of world’s population live on less than $20 a day. In other words, how well this vast swath of humanity is doing will have important implications for industry, from health care and finance to agriculture and energy.

Income growth in these groups in both the developing and developed world will alter the economic and political landscape.

Not to be too optimistic, but the economic state of world is getting better. As more people move into the global middle class, they are able to buy more consumer goods, save and invest. That creates a long-term self-interest in political stability and, one can hope, democratic institutions.

Barry Ritholtz is justified in his positive outlook for the global population – even if the “we” in the industrial western civilization aren’t doing as well. The United States, Canada and Western Europe – with conservative governments very often – have a declining middle class. So, we feel the squeeze of Republican-style economics.

It’s your choice, folks. In my view as someone who’s a citizen of the planet Earth, I’m pleased the struggles of so many people around this globe are moving forward towards better opportunities for themselves, their children. The ennui of ignorant North Americans, of Europeans who have stepped into the bipolar trap of two-party politics continues to drag down what always has been the most dynamic and creative segment of our economy.

You can keep on with the obvious foolishness of believing you alone can make it – while the fat cats at the top stack the deck – or you can fight for independent thought and action and try for change that starts with education, healthcare, social security – and, did I say, education.

Going for a record: 204 mass shootings in 204 days — in 2015, so far


Never Forget

…The headlines all start to sound the same after awhile. Seven people shot inside Louisville nightclub. Four men shot in Suffolk early Sunday morning. Two dead, two hospitalized in Brice Street shooting.

The shootings happen so often, the circumstances become so familiar, that we tune them out. One dead, five injured in west Columbus shooting. Four shot in grocery store ambush. One dead, four injured in Stockton shooting.

Every now and then a particularly heinous crime makes us pause and reflect. Nine dead in shooting at black church in Charleston. Four marines, one sailor killed in attacks on Chattanooga military facilities. Gunman opens fire on Louisiana movie theater.

The Mass Shooting Tracker, a crowd-sourced project of the anti-gun folks at the Guns Are Cool subreddit, lists 203 mass shooting events so far in 2015. Add in the shooting at a Louisiana movie theater last night and you get 204. Incidentally, yesterday was the 204th day of the year…

The Mass Shooting Tracker is different from other shooting databases in that it uses a broader definition of mass shooting. “The old FBI definition of Mass Murder (not even the most recent one) is four or more people murdered in one event,” the site’s creators explain. “It is only logical that a Mass Shooting is four or more people shot in one event.”…

These shootings have become so common that they typically don’t even make national news. Do you remember the four people shot in Cincinnati earlier this month? How about the seven in Cleveland, or the nine in Fort Wayne? Unless you live in these areas, you probably didn’t even hear about them…

Will anything change? Probably not. The Charleston shooting did produce a fruitful national conversation — not on guns, but on the symbolism of the Confederate flag, which the shooter adopted as a banner of his racist beliefs. It took 150 years and a national tragedy for the country to reach something like a consensus on the meaning of a battle flag.

“Those who live in America, or visit it, might do best to regard [mass shootings] the way one regards air pollution in China: an endemic local health hazard which, for deep-rooted cultural, social, economic and political reasons, the country is incapable of addressing,” The Economist wrote in response to the Charleston massacre. “This may, however, be a bit unfair. China seems to be making progress on pollution.”

Agreed.

Life sentence demanded for company owner who killed 9 with salmonella

Prosecutors recommended a life sentence for a former peanut company owner convicted in September for a salmonella outbreak that killed nine people in 2008.

Federal prosecutors filed a motion Thursday recommending Stewart Parnell, the former owner of Peanut Corp. of America, spend the rest of his life in prison. He was convicted on dozens of counts including conspiracy and fraud.

He and his brother, Michael Parnell, were each charged with 76 counts for intentionally shipping out salmonella-laced peanut products. Federal prosecutors said the brothers and Mary Wilkerson — a former quality control manager at the plant — cut corners to boost profits for Peanut Corp. of America.

They were also accused of covering up positive test results for salmonella in their products.

In addition to the nine deaths linked to the peanut products, more than 700 people were reportedly sickened.

William Marler, a Seattle-based food safety lawyer representing the victims told the Wall Street Journal, “it was an extraordinary verdict that could result in an extraordinary amount of time in jail for a food crime.”

Anyone who would commit murder using peanut butter deserves life without parole.

Less tongue-in-cheek, the creep is responsible for the deaths of nine people. I hope he gets what he deserves. And his lawyer deserves some time in jail for preventing a timely trial.

Vietnam War vets still suffering from PTSD

A small, but significant, portion of Vietnam War veterans still experience symptoms of post-traumatic stress disorder (PTSD) even 40 years after the war ended, according to the results of a survey-based study.

When examining veterans over the course of a 25-year period, 10.8%, or about 271,000, of male “theater veterans” – those who served in the Vietnam theater of operations – reported experiencing current clinical and subthreshold war-zone PTSD symptoms based on CAPS-5 criteria, said Charles Marmar, MD, of New York University’s Langone Medical Center…

More than a third (36.7%) of all veterans with PTSD directly related to the war also experienced comorbid major depression. In addition, 30.9% met the criteria for current major depressive disorder…

Marmar told MedPage Today that he was surprised at the persistence of symptoms for veterans over the course of time.

“We did know that PTSD symptoms could persist in a minority of war fighters, or civilians for that matter, but it was surprising to find that 11% of those who served in the Vietnam theater had either PTSD or significant symptoms of PTSD that interfered with their functioning,” he said. “So the persistence was an important finding…”

Marmar said he did the study not only to honor the Vietnam generation and answer some questions for them, but to see what the road ahead may look like for veterans of the Iraq and Afghanistan wars.

“Nobody has known before this study what the true lifetime effects of military service are on psychological health in an epidemiologically drawn, representative sample,” he said. “People have done studies of longer term effects of war, but not in a proper sampling frame where you’re getting a picture of every man and every woman from all branches of the services in all levels of combat…”

While not involved with the study, Gary J. Kennedy, MD…told MedPage Today…that the results demonstrated the majority of veterans did not suffer from PTSD or depression. However, he pointed out that for those who were impacted, there may be inadequate resources to offer assistance.

“The optimistic finding of rather remarkable resilience is contrasted by the complicated needs of those who do not recover,” he said. “Just as in the post Vietnam era, the VA is not adequately funded to meet the mental health needs of returning service personnel…”

He concluded that similar to World War II veterans, Vietnam war veterans also deserve quality care for their physical and mental well-being, both from clinicians and from the nation itself.

Overdue.

My closest friend till his death was a WW2 vet who still had occasional bouts with PTSD – and little substantive help from the VA. Fortunately, one of his main areas of study – courtesy of the GI Bill – was in psychology and he did a pretty good job of managing things on his own. Still, I’ll never forget a couple of times when he was roused unexpectedly from a sound sleep and thought he was back in Bastogne.

Oops! No need to go to Cape Canaveral to watch a rocket explode on launch

#gottaleaveamark
Click to enlarge

The USS The Sullivans got more than it expected during a test launch of a SM-2 “Standard” missile…The DDG-68 ship was sailing off the coast of Virginia performing when the missile was boosted out of the Arleigh Burke Class Destroyer’s Vertical Launch System cell and the SM-2 detonated in spectacular fashion…

Here is the official Navy statement:

On July 18 at approximately 9 a.m. (EDT) a Standard Missile-2 (SM-2) test missile exploded after suffering a malfunction as it was fired from the guided-missile destroyer USS The Sullivans (DDG 68) during a planned missile exercise off the coast of Virginia. There were no injuries and only minor damage to the port side of the ship resulting from missile debris. The ship returned to Naval Station Norfolk for assessment. An investigation into the malfunction has been ordered and is being conducted by the Navy’s Program Executive Office for Integrated Warfare Systems, which is part of Naval Sea Systems Command. It is too early to determine what, if any, effect this will have on the ship’s schedule.

get the wieners
Click to enlarge

I like the understated style of that last sentence. Wonder what they’d say if it took out the aft end of the ship?

Nosferatu Lives

It reads like the script from one of his horror films; a stolen head, burnt black candles and satanic symbols – but this week they became elements of Berlin police department’s latest case.

The head in question belonged to Friedrich Wilhelm Murnau, the director of the iconic early-20th-Century Dracula film adaptation ‘Nosferatu – a Symphony of Horror’, taken from his grave near the German capital.

And officers have have already turned their attention to Germany’s darker sects as they search for those who took the well-preserved body part from a grave site often scrawled with pentangles and other symbols of devil worship.

Murnau’s ‘Nosferatu’ was and remains one of the most important milestones in cinema.

Based upon Bram Stoker’s 1897 novel ‘Dracula’, it told the story of Count Orlok of the undead, and its moody scenes and clever camera angles influenced generations of fans and filmakers alike.

But death was at the heart of the movie and death has continued to stir the passions of vampire lovers ever since it was made in 1922.

Indeed, his own death in 1931 aged 41 was enough to elicit some fascination of its own: openly homosexual, he was engaging in oral sex with his 14-year-old Filipino houseboy on the Pacific Coast Highway at Santa Barbara when he lost concentration and slammed into a telegraph pole.

His corpse was embalmed and placed in a metal coffin, and the following year it was shipped to Germany for burial in Stahnsdorf’s south-west cemetery.

And down the years the lovers of the undead – goths, ghouls and living vampires who get their sexual thrills from the drinking of human blood – have made the pilgrimage to the grave of Murnau to pay their respects to a man…

Stahnsdorf cemetery warden Olaf Ihlefeldt found the head missing as he slid the lid of the coffin away while investigating minor damage he had spotted on mausoleum number 22.

‘The body is still in pretty good condition,’ he said.

Murnau’s head was still recognisable and had its hair and teeth, he added, ‘the last time I saw it‘.

RTFA for tidbits and collateral tales of Satanism, vampire cults and other slightly disturbing religious rationales for often-demented, sometimes fanciful behavior.

Good enough for today’s TV series.

I must admit when my parents convinced the head librarian of our neighborhood Carnegie Library that I – 8-years-old – had exhausted the offerings for teens and pre-teens and required an adult library card, I almost blew it when the first book I went to borrow was Bram Stoker’s “Dracula”.

Murnau’s “Nosferatu” has long been my favorite silent film. If you require a soundtrack, try the version by Werner Herzog, “Nosferatu the Vampyre”, starring Klaus Kinski and Isabelle Adjani.

Woo hoo!