In an investigation of 113 cases of clenbuterol poisoning in Catalonia, Spain, in 1992, more than 50 percent of those affected were found to have had symptoms of nervousness, tachycardia, muscle tremors, myalgia, and headache. There was no significant difference in the distribution of symptoms according to sex (P = 0.97). The period of incubation varied between 15 minutes and 6 hours and the duration of symptoms between 90 minutes and 6 days. Clenbuterol was detected in 47 urine samples in amounts ranging from 11 to 486 parts per billion. No traces of clenbuterol were found in serum samples. Intoxication occurred in association with the ingestion of veal liver, irrespective of the way in which the liver had been cooked. The association between consuming liver and falling ill was statistically significant (P < 0.0001). In one family, the suspected source of intoxication was meat (veal tongue) and in another canneloni. None of the patients died as a result of the intoxication. The findings reinforce the need to uphold the prohibition of the use of clenbuterol in cattle farming in those countries and communities where it already exists and to contemplate a stricter regulation of its therapeutic use.
Scott, D E; Hu, D J; Hanson, I C; Fleming, P L; Northup, T;
Published Date:
1995 May-Jun
Source:
Public Health Rep. 110(3):355-356
Description:
The early referral of HIV-exposed children and their mothers to coordinated medical and social services has become increasingly important. In July 1989, the Missouri Department of Health initiated the Service Coordination Program to provide individua...
Raising fees is one of the primary means that State Medicaid Programs employ to maintain provider participation. While a number of studies have sought to quantify the extent to which this policy retains or attracts providers, few have looked at the i...
Numerous children of migrant and seasonal farm workers live in rural areas of our country. The lifestyles and living conditions of farm workers place the children of these families at high risk for many health problems. However, few studies have focu...
Previous studies have suggested using school-based surveillance to monitor epidemic influenza-like illness in a community. Since the late 1970s, no studies have sought to evaluate this public health measure. The Boulder County Health Department devel...
Rafferty, A P; Thrush, J C; Smith, P K; McGee, H B;
Published Date:
1995 May-Jun
Source:
Public Health Rep. 110(3):282-288
Description:
The validity of self-reported data on the presence of guns in the home obtained in a telephone survey was assessed in samples of households where a hunting license had been purchased or a handgun registered. The survey was conducted among a random sa...
Schuster, M; Cohen, B B; Rodgers, C G; Walker, D K; Friedman, D J; Ozonoff, V V;
Published Date:
1995 May-Jun
Source:
Public Health Rep. 110(3):246-250
Description:
Massachusetts has developed the first State profile of the causes and costs of injury based on the national study, "Cost of Injury in the United States: A Report to Congress." Incidence of fatal injuries is based on Massachusetts data; nonfatal hospi...
The purpose of this study was to develop intrauterine growth curves in a predominantly Hispanic population of low socioeconomic status near sea level and to compare them with published intrauterine growth curves. Infants born at Los Angeles County-Un...
Latino communities bear a disproportionate share of violence-related morbidity and mortality, yet little attention has been given to ethnic-cultural differences and their implications for violence prevention research and health promotion efforts. To ...
Difficulty with recall of injuries can result in underestimates of injury incidence and bias in risk estimates in surveys based on self-reports. This study examined the effect of recall on estimates of at-work injury obtained from the 1988 Occupation...
E codes classify causes of injury as unintentional, intentional, and undetermined. E-coded discharge data from hospitals provide an opportunity to use this source of morbidity data for planning, implementation, and evaluation of injury and violence p...
Based on a claims experience that was extremely low and malpractice insurance rates that remained at "commercial" rates, the Congress concluded in 1992 that coverage of malpractice actions against these grantees and their health care practitioners wo...
The "Rating the States" (RTS) Program of Mothers Against Drunk Driving (MADD) is designed to bring public attention to the status of State government efforts to combat alcohol-impaired driving. MADD's 1993 report, which evaluated each State with a gr...
An inadequate number of trained primary care clinicians limits access to care at Community Health Centers. If family practice residents working in these centers can provide care to patients at a cost that is comparable to the center's hiring its own ...
Although many studies have documented patterns of emotional distress in persons undergoing radiation treatment for cancer, there have been few controlled evaluations of counseling or psychotherapy outcomes with these persons. In this research, the ef...
Grass, Julian E.; Gould, L. Hannah; Mahon, Barbara E.;
Published Date:
Feb 04 2013
Source:
Foodborne Pathog Dis. 10(2):131-136.
Description:
Clostridium perfringens is estimated to be the second most common bacterial cause of foodborne illness in the United States, causing one million illnesses each year. Local, state, and territorial health departments voluntarily report C. perfringens o...
Non-typhoidal Salmonella is estimated to be the most common bacterial cause of foodborne illness in the United States, causing an estimated one million domestically acquired foodborne illnesses annually. Recent, large outbreaks have highlighted the i...
Bogard, April K.; Fuller, Candace C.; Radke, Vincent; Selman, Carol A.; Smith, Kirk E.;
Published Date:
Dec 2013
Source:
J Food Prot. 76(12):2132-2140
Description:
Eating in table-service restaurants has been implicated as a risk factor for Escherichia coli O157:H7 infection. To explore this association and learn about the prevalence of risky ground beef preparation practices in restaurants, the Environmental H...