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Thursday, September 29, 2011

LM Import & Export Recalls Toy Cars Due to Violation of Lead Paint Standard

Connecticut Department of Public Health
410 Capitol Avenue, MS#51 LED
Hartford, CT 06134-0308
Message Cover Sheet
DATE: September 29, 2011
TO: Directors of Health
Chief Sanitarians
Regional Lead Treatment Centers
Lead Contacts
FROM: Rhonda Wisniewski, Health Program Assistant PHONE: (860) 509-7299
FAX: (860) 509-7295
RE: LM Import & Export Recalls Toy Cars Due to Violation of Lead Paint Standard
cc: LPPCP and HH Staff, Suzanne Blancaflor, Francesca Provenzano and CT DCP
Number of pages including cover sheet: 3
Please see the attached product recall issued by CPSC. The products (toy cars) are
manufactured by LM Import & Export, Inc., of Miami, Fla. Surface paint on the toy cars contains
excessive levels of lead, a violation of the federal lead paint standard. Lead is toxic if ingested
by young children and can cause adverse health effects.
The products are sold in packages of four or six toy cars which are painted in silver, black or
blue with red stickers with “super,” “max” and “racing” labeled on the top and sides of the cars.
The 4” plastic car sets have item numbers “43835” and “43836” printed on a white label on the
back of the cardboard packaging. “Gallop X” or “RACING CARS” is also printed on the product
packaging.
The recalled items were sold at Mega Wholesale stores throughout Miami, Florida from
September 2010 through January 2011 for between about $2 and $3 per set. They were
manufactured in China.
Please see the recall notice for specific information for consumers and contact information for
the company. You may also contact the CT Department of Public Health Lead Poisoning
Prevention & Control Program at 860-509-7299.

Wednesday, September 28, 2011

FDA Phases Out Inhaler Due to Environmental Impact

FDA Phases Out Inhaler Due to Environmental Impact


WASHINGTON – Federal health officials are alerting asthma patients that a type of inhaler sold over-the-counter will be phased out at year's end because it uses carbon gas that depletes the Earth's atmosphere.

The Food and Drug Administration says patients who use the epinephrine inhalers will need to switch to other types of inhalers which are only available with a doctor's prescription. The Epinephrine inhalers subject to the ban use chlorofluorocarbons to propel medication into the patient's airways.

The FDA finalized plans to phase out the products in 2008 and currently only Armstrong Pharmaceutical's Primatene mist is still available in the U.S. Other manufacturers have switched to an environmentally-friendly propellant called hydrofluoroalkane. These inhalers treat the same asthma symptoms but are only available via prescription.

Thursday, September 22, 2011

Indiana Schools IAQ Regulations

As students and teachers head back to school, state health officials have implemented tougher indoor air quality requirements for Indiana classrooms. The new rules bring immediate changes for schools across the state, and they come on the heels of an Eyewitness News investigation showing serious air quality problems inside hundreds of Indiana schools. 13 Investigates shows you what schools are now required to do, and how it will impact students, teachers and even parents.

13 Investigates found classrooms across Indiana have an invisible problem.

They are filled with high levels of carbon dioxide, which can have a big impact on students.

"Higher levels of carbon dioxide make a person sleepy and it also decreases their learning ability," said David Gettinger, a facilities manager who monitors CO2 levels for Perry Township Schools. "More carbon dioxide means there's not enough oxygen in the classroom and you don't think as straight."

Ron Clark, who conducts school indoor air quality inspections for the state health department, says elevated CO2 levels are one of the most common problems he finds in schools.

"It means they aren't bringing in enough fresh air for students," Clark said. "It would impact their education and their learning level."

For most students and teachers, high levels of CO2 won't make them sick, but it signals a problem with a school's air circulation, and the consequences can be devastating.

Students and teachers suffering

Students with asthma struggle to breathe in classrooms filled with high concentrations of carbon dioxide and often miss many school days as a result.

Poor air quality in schools takes a toll on many teachers, too.

"I go past a school building and I'll think there are people in there and they're having class and they're working. Why aren't I doing that?" asks Arlana Smith.

Smith taught adult education classes for Indianapolis Public Schools for 20 years before taking a medical disability leave three years ago. She says high levels of mold and pesticides tainted her classroom and destroyed her health.

"I've been diagnosed with multiple chemical sensitivity disorder, asthma, auto immune dysfunction, I have chronic pain, chronic fatigue," explained Smith, who spends much of her week traveling to doctor appointments. "I miss the students. I miss everything about having a normal life."

Smith's story is not unique.

Eyewitness News obtained state indoor air quality inspection reports for schools all over Indiana. They show many schools have elevated levels of bacteria and fungus, even visible mold. And 66% of Indiana schools inspected by the Indiana State Department of Health have too much carbon dioxide.

Even when problems are found, 13 Investigates discovered some schools go years without fixing them.

"We can't require them to fix what we find," Clark told WTHR in January. We make recommendations, but they're not enforceable."

New rules finally here

Indiana lawmakers ordered the state health department to change that two years ago, requiring the agency to establish new rules for school indoor air quality. The rules were supposed to be in place by summer 2010. After WTHR exposed a statewide problem with school indoor air quality earlier this year – highlighting health department delays in implementing tougher air quality standards – ISDH officials finally issued new rules, and they'll impact students and teachers right away.

"I think it's possible there will be more inspections because of the new rules," said Jennifer House, who oversees indoor air quality issues for ISDH. She says the new rules mean state inspectors can now act more quickly to investigate problems.

"Parents or teachers who are concerned about the quality of air don't need to actually fill out a specific complaint. Now if we get word that there could be a problem we can act, go in without someone putting their name to a piece of paper that they're complaining," House said.

Under the new indoor air rules, schools have to take action right now. They are required to:

--Implement a policy to limit vehicle idling when you pick up and drop off your kids at school.

--Implement policies to reduce allergens in classrooms such as air fresheners, chemicals and live animals.

--Implement a policy for routine cleaning of heating and air conditioning equipment, carpeting and furniture within each school.

--Fix all water leaks and mold problems identified inside the school within 48 hours.

--Tell students, teachers and parents exactly who's in charge of air quality within each school building.

"It gives [schools] a basis for what they need to be done to provide the right environment," House said.

Forgotten committee meets

The state health department is also going a step further. After years of delays and inaction, ISDH is reconvening a committee to help schools improve their air quality.

Lawmakers mandated the School Indoor Air Quality Panel in 2003 to help keep kids safe. Earlier this year, 13 Investigates discovered most seats on the committee were vacant and the group hadn't met in almost seven years.

13 Investigates contacted most original appointees of the 12-member panel. Nearly all of them expressed interest in meeting to discuss strategies that would improve air quality in schools, but all said the state health department had not contacted them in years.

"I haven't heard anything," panel appointee Jay Potesta said in March. "I think the health department was the wrong department to put in charge of this. Frankly, they haven't done much and we still have sick schools."

"There's been no communication whatsoever," added Mary Tanis, a teacher in the Lake Central School Corporation who was also appointed to the air quality panel. "For years, I tried e-mailing the governor. I wrote letters to him saying this was really important for schools and I never heard anything. I tried writing letters to the health department and finally I just gave up because it was not a priority."

13 Investigates obtained internal emails from ISDH that suggest state health officials were not eager to convene the committee. An August 2008 e-mail from John Ruyack, who was then serving as the health department's chief of indoor air quality, stated "there are not any issues [for the panel] to discuss," and efforts to implement a new indoor air quality rule for schools was not a high priority. "The rule is apparently on the back burner," he wrote. Ruyack told panel members he would schedule a panel meeting for early 2009, but there are no written documents to show that attempt ever happened.

Three years later -- soon after WTHR's investigation -- the health department officially reconvened the state's indoor air quality panel. The group met in May, although only five panel members attended and five of the panel's twelve seats had not been filled. The governor's office, health department and State Department of Education have yet to fill all of the vacancies left by disillusioned committee members who resigned during the past seven years.

"Really good progress"

Indoor Air Quality Panel members present at the May meeting approved a set of guidelines to help schools assess and improve their indoor air quality. The guidelines are supposed to be sent to all Indiana schools, and the panel is scheduled to meet again this fall.

Efforts of the panel combined with new, tougher air quality rules for schools should help teachers, parents and students breathe a little easier in classrooms all across Indiana.

"We're making some really good progress, but there is still a lot of room for improvement," Tanis said. "There is a lot more Indiana can do."

Tuesday, September 13, 2011

CO2 and Nasal Allergies

A shot of carbon dioxide to the nose may bring some quick, though short-lived, relief to people with nasal allergies, a preliminary study suggests.

So-called intranasal carbon dioxide (CO2) is not yet an approved treatment for nasal allergies. The new study is one of a number of clinical trials being funded by Capnia, Inc., a Palo Alto, California-based company that is developing a hand-held device that, if approved, would allow people to administer the CO2 therapy to themselves.

In the new study, researchers recruited 348 adults with year-round nasal allergies, to irritants like dust, mold or pet dander.

They randomly assigned participants to have either one dose of CO2, delivered via a nosepiece attached to a CO2 cylinder, or a placebo "treatment" where nothing was delivered through the nosepiece.

Those receiving the real treatment were further divided into four groups, receiving either a lower or higher CO2 dose for either 10 seconds or 30 seconds.

About 30 minutes later, one of the CO2 groups, the one getting the higher dose for 10 seconds, reported bigger improvements in nasal congestion, itching, sneezing and watery eyes than those getting the placebo.

The advantage lasted about four hours, according to findings published in the Annals of Allergy, Asthma & Immunology.

The degree of symptom improvement was similar to what's typically seen with standard treatments like antihistamine nasal sprays, according to lead researcher Dr. Thomas B. Casale, a professor of medicine at Creighton University in Omaha, Nebraska.

If approved, intranasal CO2 could offer an alternative to people with seasonal or year-round nasal allergies, Casale told Reuters Health.

Prescription nasal sprays with anti-inflammatory corticosteroids, taken regularly, are the most effective treatment out there, Casale said. But some people, including parents of young children with nasal allergies, are reluctant to use steroids, even though the low doses in allergy nasal sprays are generally considered safe.

"There are still a lot of people who don't like to take medication," Casale said, "and might view this as a 'natural' treatment."

Because the treatment is still experimental, it is not clear how much it would cost if it makes it to the market.

An allergy expert not involved in the study was unimpressed with the results.

Even if the symptom reduction is around what's seen with antihistamine nasal sprays, the latter have longer-lasting effects, according to Dr. Harold Nelson, an allergist at National Jewish Health, a Denver hospital that specializes in respiratory diseases.

One dose is good for 24 hours, Nelson said in an interview with Reuters Health, whereas the benefits of intranasal CO2 wore off after 4 to 6 hours in this study.

On top of that, he added, intranasal CO2 "seems uncomfortable."

Of all CO2 patients in the study, upwards of 80 percent said they had nasal discomfort during the treatment, versus just about eight percent in the placebo group. Around one-quarter became teary-eyed, and 14 percent to 20 percent developed headaches.

"I must say, it's not a very attractive treatment," Nelson said.

He also pointed to what he saw as a weakness in the study: the placebo. Instead of comparing CO2 against some other gas, the researchers only gave placebo patients a nosepiece to insert.
That makes it unclear, Nelson said, if CO2 has some distinct effect, or if it was simply the intranasal pressure that somehow brought some people relief.

But Casale said that in an earlier study, this one of people with seasonal allergies, the researchers did use air in the placebo group, and the CO2-treated patients had greater symptom improvement.

Casale also pointed out that an advantage CO2 may have over antihistamines (both nasal spray and pill) and corticosteroids is that it works quickly. So the therapy might best fit into the nasal-allergy armament as an occasional, "as-needed" fix.

But that's still under study, Casale said. It also remains unclear why intranasal CO2 would be helpful against allergy symptoms, if that turns out to be the case.

Besides nasal steroids and antihistamines, some other nasal allergy treatments include nasal washes, which remove allergens from the nostrils, and allergy shots, which may be recommended for specific allergies that do not improve with medication.



Fox News

Thursday, September 8, 2011

Mold and Hurricane Irene

Hurricane Irene and Tropical Storm Lee Flooding Cause Millions of Homeowners to Respond Quickly to Mold and Mildew Concerns
Catastrophe modeling agency Eqecat said that it estimates U.S. insured losses from Irene of $1.5 billion to $2.8 billion. In addition to filing insurance claims homeowners must also start the cleanup of any water damage quickly. The Federal Emergency Management Agency (FEMA) confirms that “mildew and mold will develop within 24-48 hours of water exposure.” To assist homeowners the website http://www.MoldnMildewRemoval.com provides free access to a comprehensive source of mold and mildew tips for homeowners.
Email PDF Print .Washington, DC (PRWEB) September 05, 2011

Catastrophe modeling agency Eqecat said that it estimates U.S. insured losses from Irene of $1.5 billion to $2.8 billion. In addition to filing insurance claims homeowners must also start the cleanup of any water damage quickly. The Federal Emergency Management Agency (FEMA) confirms that “mildew and mold will develop within 24-48 hours of water exposure.” To assist homeowners the website http://www.MoldnMildewRemoval.com provides free access to a comprehensive source of mold and mildew tips for homeowners.

In a report published by the Federal Emergency Management Agency (FEMA) the agency confirms that mold and mildew are very serious issues that should be immediately take care. There are very serious health affects that can result from exposure to mold and mildew.

Mold and mildew can destroy a homes interior due to how it attaches itself to various objects. They are basically the same in how they cause damage. The difference is that mold can grow on walls and floors while mildew only grows on fabrics.

Individuals that suffer from allergies and asthma will that find that symptoms get significantly worse when exposed to mold and mildew. There have been reports of people not being able to breathe well for periods of time and yet their doctor can’t find what is causing it. The underlying culprit ends up being mold and mildew that is either in their home or office.

Not everyone has the same reaction to mold and mildew. That is why several people can live in the same home or work in the same office, yet only one or two of them is affected by the mold and mildew that is present.

Many doctors and health inspectors have become more aware and quicker to diagnose mold as a possible reason for a person’s deteriorating health.
Using a dehumidifier and having homes inspected on a regular basis by a professional can help to reduce the chances of mold and mildew developing