SpaceX is defending its rocket performance during Sunday night’s launch of a secret U.S. satellite, responding to media reports that the satellite codenamed Zuma was lost.

SpaceX President Gwynne Shotwell says the Falcon 9 rocket “did everything correctly” and suggestions otherwise are “categorically false.”

Northrop Grumman — which provided the satellite for an undisclosed U.S. government entity — says it cannot comment on classified missions.

The rocket’s first stage completed its job and landed back at Cape Canaveral following liftoff. But no second-stage information was provided because of all the secrecy surrounding the flight.

The Wall Street Journal quotes unidentified congressional officials as saying the satellite apparently did not separate from the rocket’s upper second stage, and plunged through the atmosphere and burned up.

 
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Children who eat restaurant carry-out, or “takeaway,” meals once a week or more tend to have extra body fat and long-term risk factors for heart disease, suggests a UK study.

In the study of 9- and 10-year-olds, the kids who ate carry-out most often also consumed more calories but fewer vitamins and minerals compared with kids who rarely or never ate carry-out food, the authors report in Archives of Disease in Childhood.

“Frequent consumption of takeaway foods could potentially be increasing children’s risk of future coronary heart disease and type 2 diabetes by increasing their LDL cholesterol and body fat,” lead author Angela Donin told Reuters Health in an email.

“Takeaway outlets are increasing, as is consumption with more than half of teenagers reporting eating takeaways at least twice a week,” said Donin, a researcher at St. George’s, University of London.

In adults, regular consumption of carry-out meals is associated with higher risk of obesity, coronary heart disease and type 2 diabetes, but little is known about the effects it may be having on children’s health, Donin said.

“We, therefore, wanted to see how much takeaway food children were eating and if there were any effects on their health.”

The researchers analyzed data from the Child Heart and Health Study in England, which looked at potential risk factors for heart disease and diabetes in pre-teens. Participants included about 2,000 kids aged 9 and 10 years at 85 primary schools in three cities: London, Birmingham and Leicester.

The children answered questions about their usual diets, including how often they ate carry-out meals purchased from restaurants. Foods purchased at convenience stores or grocery stores were not included in the category. Photos of common foods were provided to help the kids recall and estimate portion sizes.

About one quarter of the children said they never or rarely ate carry-out meals and nearly half said they ate carry-out less than once per week. Just over one quarter said they ate these kinds of meals at least once per week.

Boys were more frequent consumers of carry-out meals than girls, as were children from less affluent backgrounds.

The study team used the kids’ dietary responses to calculate calorie counts and nutrient intake. Among regular consumers of carry-out meals, the foods eaten were higher-calorie and higher-fat, while protein and starch intake was lower and intake of vitamin C, iron, calcium and folate was also lower compared with kids who didn’t eat these types of meals.

Researchers also measured the children’s height, weight, waist circumference, skinfold thickness and body-fat composition. In addition, they measured blood pressure and took blood samples for cholesterol levels.

There were no differences in blood pressure or how well the kids’ bodies used insulin based on who regularly ate carry-out meals. But skinfold thickness, body fat composition and blood fats like LDL (bad) cholesterol all tended to be higher in regular consumers of carry-out meals.

“Children who ate more takeaway meals had higher total and LDL cholesterol (both important risk factors for coronary heart disease) and body fat.,” Donin said.

“Most people who order takeout usually purchase fast food, which is high in sodium, fat, and calories,” noted Sandra Arevalo, who wasn’t involved in the study.

”Fast-food also has low nutritional value, which means it is low in vitamins, minerals, fiber and sometimes protein,” said Arevalo, a registered dietician who directs Nutrition Services and Community Outreach at Community Pediatrics, a program of Montefiore and The Children’s Health Fund, in New York. “If you eat these meals over a long period of time you can start seeing the health consequences associated with it.”

Arevalo recommends parents who need to bring home a meal, call the restaurant ahead of time to order salads, vegetables, brown rice, grilled meats and to provide a healthier meal for their children.

“The price might be a deterrent but you can cut portions in half and get two meals out of one large one,” she said by email. Another idea is to learn to prepare quick and healthy meals.

“For example, hummus, carrots, and crackers make a great lunch, as well as a tuna or turkey sandwich with lettuce and tomatoes. Eggs are an excellent source of protein, you can scramble an egg with spinach, onions, and tomatoes and have it with a toast,” she said.
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One of the most common New Year’s resolutions is to lose weight and get fit. Faith Lapidus takes a look at how some people are trying to keep that commitment.
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From gritty neighborhoods in New York and Los Angeles to clinics in Kenya and Brazil, health workers are trying to popularize a pill that has proven highly effective in preventing HIV but which – in their view – remains woefully underused.

Marketed in the United States as Truvada, and sometimes available abroad in generic versions, the pill has been shown to reduce the risk of getting HIV from sex by more than 90 percent if taken daily. Yet worldwide, only about a dozen countries have aggressive, government-backed programs to promote the pill. In the U.S., there are problems related to Truvada’s high cost, lingering skepticism among some doctors and low usage rates among black gays and bisexuals who have the highest rates of HIV infection.

“Truvada works,” said James Krellenstein, a New York-based activist. “We have to start thinking of it not as a luxury but as an essential public health component of this nation’s response to HIV.”

A few large U.S. cities are promoting Truvada, often with sexually charged ads. In New York, “Bare It All” was among the slogans urging gay men to consult their doctors. The Los Angeles LGBT Center – using what it called “raw, real language” – launched a campaign to increase use among young Latino and black gay men and transgender women.

“We’ve got the tools to not only end the fear of HIV, but to end it as an epidemic,” said the center’s chief of staff, Darrel Cummings. “Those at risk have to know about the tools, though, and they need honest information about them.”

Truvada in the U.S.

In New York, roughly 30 percent of gay and bisexual men are using Truvada now, up dramatically from a few years ago, according to Dr. Demetre Daskalakis, a deputy commissioner of the city’s health department.

However, Daskalakis said use among young black and Hispanic men – who account for a majority of new HIV diagnoses – lags behind. To address that, the city is making Truvada readily available in some clinics in or near heavily black and Hispanic neighborhoods.

“We like to go to the root of the problem,” said Daskalakis, who personally posed for the “Bare It All” campaign.

According to the U.S. Centers for Disease Control and Prevention , Truvada would be appropriate for about 1.2 million people in the U.S. – including sex workers and roughly 25 percent of gay men. Gilead Scientific, Truvada’s California-based manufacturer, says there are only about 145,000 active prescriptions for HIV prevention use.

Under federal guidelines, prime candidates for preventive use of Truvada include some gay and bisexual men with multiple sexual partners, and anyone who does not have HIV but has an ongoing sexual relationship with someone who has the virus.

An international approach 

Abroad, a few government health agencies – including those in France, Norway, Belgium, Kenya, South Africa, Brazil and some Canadian provinces – have launched major efforts to promote preventive use of Truvada or generic alternatives, providing it for free or a nominal charge. In Britain, health officials in Scotland and England recently took steps to provide the medication directly through government-funded programs, though in England it’s in the form of a trial limited to 10,000 people.

Truvada was launched in 2004, initially used in combination with other drugs as the basic treatment for people who have HIV, the virus that causes AIDS. It is primarily spread through sex.

Controversy arose in 2012 when the U.S. Food and Drug Administration approved Truvada to reduce the risk of getting HIV in the first place, for what’s called pre-exposure prophylaxis, or PrEP. It blocks the virus from making copies and taking hold. Critics warned that many gay men wouldn’t heed Truvada’s once-a-day schedule and complained of its high cost – roughly $1,500 a month.

Gilead offers a payment assistance plan to people without insurance that covers the full cost. Some cities and a few states – including Illinois, Massachusetts and Washington – also help cover costs. Activists have pressed Gilead to make its copay program more generous in light of its profits from Truvada.

“There’s no reason it has to cost so much,” said Krellenstein.

Gilead spokesman Ryan McKeel, in an email, said the company is reviewing the copay program.

“Like those in the advocacy community, we are committed to expanding access to Truvada for PrEP to as many people as possible,” he wrote.

In June, the FDA approved a generic version of Truvada, which is likely to push the price down, but it won’t be available in the U.S. for a few years.

The Truvada debate has taken many twists, as exemplified by the varying stances of the Los Angeles-based AIDS Healthcare Foundation – a leading HIV/AIDS service provider. In 2012, the group unsuccessfully petitioned the FDA to delay or deny approval of Truvada for preventive use. The foundation’s president, Michael Weinstein, belittled Truvada as “a party drug” and warned it would increase the spread of sexually transmitted infections by encouraging men to engage in sex without condoms.

But last year, the foundation, while still skeptical about some Truvada-related policies, urged Gilead to cut its price to make it more available.

“We have no dispute about its ability to prevent HIV transmission,” said spokesman Ged Kenslea. He noted that the organization’s 40 pharmacies across the U.S. handle many Truvada prescriptions.
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Three people in South Sudan have died of a suspected viral hemorrhagic fever and 60 of their contacts are being monitored for any infection, the World Health Organization said Monday.

Ebola, Marburg and yellow fever are among viral hemorrhagic fevers that have caused deadly outbreaks in Africa. More than 11,300 people died during the worst outbreak of Ebola, a highly contagious disease, which mainly affected Guinea, Liberia and Sierra Leone from 2013 to 2016.

The three people in South Sudan — a pregnant woman, a teenage girl and a boy — all died in December and were from the same village in Yirol East county in the eastern Lakes State. But there had been no known contact among them.

No tissue or blood samples were collected from their bodies for analysis, and South Sudan health authorities reported the cases on Dec. 28, the WHO said in a statement.

“The outbreak of suspected viral hemorrhagic fever in South Sudan could rapidly evolve, and critical information including laboratory confirmation of the etiology of disease is needed to direct response efforts,” it said.

National health authorities and WHO are investigating and have found evidence of zoonotic hemorrhagic illness in goats and sheep in the area, including some deaths, as well as deaths among wild birds at the time, it added.
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The death toll from an outbreak of listeria in South Africa has jumped beyond 60 in the past month, health authorities said Monday, adding they had closed a poultry abattoir where the bug that causes the disease had been detected.

Since monitoring of the outbreak began last January, 720 laboratory-confirmed cases of food poisoning due to the disease, also known as listeriosis, have been reported, the National Institute of Communicable Diseases (NICD) said.

That was up from 557 in December, since when recorded deaths had risen to 61 from 36.

A food microbiologist said the “alarming” outbreak appeared to be the biggest ever recorded and could spread further if it was not tackled urgently.

“Of the documented outbreaks globally that we know of … our numbers are way above any of those other cases,” said Dr. Lucia Anelich, who runs her own food safety consultancy.

The Department of Health said it had closed a poultry abattoir operated by Sovereign Foods in the capital Pretoria after detecting listeria there, and had banned the facility from preparing food in December.

The department said it did not yet know whether this abattoir was the source of the outbreak, which the NICD said was still unknown.

Sovereign Foods, which delisted from the Johannesburg stock exchange in November, said the prohibition on the abattoir was lifted Monday after the listeria bacterium was not found in the latest samples from the plant.

“Despite being declared clean and free of the listeria bacterium, we are further strengthening steps to render products safer than they already are,” said Sovereign Foods head of production Blaine van Rensburg.

Listeria food poisoning is a bacterial infection that can be treated with antibiotics if diagnosed in time. The bacteria can be found in animal products including cold cut meats, poultry and unpasteurized milk, as well as fresh fruits and vegetables.

The disease can cause flu-like symptoms and diarrhea, and in more severe cases spread from the intestine to the blood, causing bloodstream infections, or to the central nervous system, causing meningitis.

Anelich said a listeriosis strain known as ST6 had been identified in nine out of 10 of the South African cases. That should make tracing the source easier, “because now we know that it probably originates from one processing facility.”

A health department official said the strain was not drug-resistant and that the deaths were due to delays in diagnosis, meaning cases were not treated in time.
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In 2012, Britons delighted in the spectacular opening ceremony of the London Olympics celebrating British history. One of the curtain-raiser’s most popular sequences, drawing loud applause, involved 1,800 dancers and 320 hospital beds honoring the country’s National Health Service.

Six years on, and Britons are more likely to moan about the world’s largest single-payer health care system than praise it.

According to patients, doctors and analysts, the NHS is buckling and close to collapse, with emergency departments over-burdened, hospital wards full and all nonessential operations — more than 55,000 of them — suspended because of a winter surge in demand.

Fueled in part by unseasonably cold weather, an especially virulent flu strain and cuts in social care, leaving hospital beds occupied by the elderly who have nowhere else to go, the winter crisis has brought home to the country the fragile state of the NHS.

Last week, an 81-year-old pensioner suffering chest pains died after waiting four hours for the ambulance service to respond to her emergency call. Patients are being left on gurneys for hours in drafty corridors waiting for beds to become free, and hospitals in the northeast are reporting an outbreak among patients of the gastroenteritis norovirus, dubbed the vomiting bug.

Politics involved

Norman Lamb, a former health minister, blames “tribal politics” for failing to deliver “a solution to the existential challenges facing the NHS and social care.”

“The winter crisis of the past few weeks is unfortunate proof that the current situation is unsustainable, and these pressures will only get worse as we contend with an aging population and rising demand for care and treatment,” he said.

British Prime Minister Theresa May has apologized for the suspension of non-urgent operations and for some emergency departments having to turn away all but the most grave cases, but she insists there isn’t a crisis and the government is on top of things.

Asked during a BBC interview Sunday if she could remember a worse winter crisis, May said, “The NHS has actually been better prepared for this winter pressures than it has been before.” She added, “You mentioned operations being postponed. That was part of the plan.”

May pointed to top-up funding of $450 million announced last month. But her own health minister, Jeremy Hunt, has hinted much more needs to be done to restore the world’s fifth largest employer, and argues it would be better if NHS funding were set on a 10-year time frame.

More than 90 lawmakers have signed a letter calling for a cross-party convention to discuss how the NHS can be funded to cope with a graying population that lives longer. The Center for Policy Studies warned Sunday that money from general taxation won’t be enough to fund the growing pressures of an aging population and increasing demand. “Alternative, additional sources of revenue for the NHS” need to be identified, it argued.

Long view needed

Lord Saatchi, a coauthor of the CPS report, said a long-term funding plan not tied to short-term political objectives is needed.

“The wonderful dream of the NHS is turning into a recurring winter nightmare, and leaving it alone is a recipe for long-term catastrophe,” he said.

The NHS lags behind many of Europe’s other health systems — most funded by a mixture of private and public means — when it comes to medical outcomes. Britain has the most overweight young adults in Europe, with 29 percent of women under 25 classified as obese. Obesity, depression and dementia are all on the rise.

Analysts say the NHS can take partial credit for the rise by about 10 years in life expectancy during the past half century. But it is ill-equipped to deal with one of the spin-offs of increased life expectancy — chronic ill-health.

The service’s annual budget has risen over a hundredfold since its founding in 1948 — its annual budget is $170 billion, about 10 percent of the country’s GDP. But chronic care costs now account for more than 80 percent of the NHS budget. Some analysts are forecasting that treating patients suffering Type 2 diabetes alone will account for 25 percent of the NHS budget by 2025.

The frontline NHS emergency departments are taking more of the strain as other services are cut, including walk-in clinics — 40 percent of which have been closed in recent years. The service is woefully short of family doctors and nurses, whose salaries have been cut, and it is finding it hard in the wake of the Brexit referendum to recruit more from Europe, which supplies a large proportion of the NHS’s junior doctors and nurses.

 
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