MKSAP: 25-year-old man positive for hepatitis B surface antigen
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 25-year-old man is evaluated in follow-up after recently testing positive for hepatitis B surface antigen. He underwent testing as part of the immigration process from Somalia. Two other siblings also have hepatitis B virus (HBV) infection.
On physical examination, he is a young, healthy-appearing man. Vital signs are normal. No jaundice is noted, and the abdominal examination is unremarkable.
Laboratory studies:
Alanine aminotransferase
Normal
Aspartate aminotransferase
Normal
α-Fetoprotein
Normal
H...
Source: Kevin, M.D. - Medical Weblog - December 2, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Gastroenterology Oncology/Hematology Source Type: blogs
Prior Presidents ’ “Travel Bans” Are Different From President Trump’s Ban
President Trump ’stravel ban Proclamation that bans immigration and travel from seven countries (and limits it from an eighth) is based on authority in immigration law that other presidents have used. But all but one of these bans were quite different from President Trump ’s. They banned at most a few thousand—almost always specifically named—individuals based on their personal conduct, not their nationality. In the one exception, not all nationals were banned, and the requirements to end the ban were very clear. Neither of which can be said for the Trump ban.Different in ScaleNo president has attempted to ban as m...
Source: Cato-at-liberty - November 16, 2017 Category: American Health Authors: David Bier Source Type: blogs
Adding Uzbeks to the Travel Ban Will Further Expose its Phony Criteria
Sayfullo Saipov, an Uzbek national,killed at least eight people with a truck in New York yesterday. Uzbekistan is a central Asian country north of Afghanistan ofalmost 30 million people—88 percent of whom are Muslim. President Trump did not include Uzbeks inhis travel ban released last month, but he is already sounding bellicose,writing that he will not allow ISIS to “enter our country” andthat he “ordered Homeland Security to step up our already Extreme Vetting Program,” a phrase which hesometimes uses as shorthand for the travel ban.But adding Uzbekistan to the travel ban would be unwise for a president whose...
Source: Cato-at-liberty - November 1, 2017 Category: American Health Authors: David Bier Source Type: blogs
Make “Enhanced” Vetting Great Again
ConclusionThe enhanced vetting procedures for refugees are modest extensions of current vetting procedures. Before President Trump took office, refugee vetting was already extreme and difficult to further enhance. The eleven countries singled out for intensive new refugee scrutiny make little sense from a national security perspective and even less sense if the goal is to secure the public safety of Americans. No refugee from any of those nations has murdered an American in a terrorist attack on U.S. soil and their incarceration rates, except for Somalis, are all well below those of native-born Americans. (Source: Cato-at-liberty)
Source: Cato-at-liberty - October 31, 2017 Category: American Health Authors: Alex Nowrasteh Source Type: blogs
Travel Ban Is Based on Executive Whim, Not Objective Criteria
ConclusionFor countries on the list, and for any country wishing to remain off the list, it is vitally important that they understand which factors led to their inclusion or exclusion. If the United States is acting in good faith —seeking to change behavior as opposed to looking for an excuse to ban people—its criteria should be clearly explained and understood. The Iran nuclear deal, for example, hasvery precise requirements for Iran to avoid sanctions, down to the exact percentage of purity for its enriched uranium. This is very far from the case here.No consistent combination of factors or mitigating factors trigger...
Source: Cato-at-liberty - October 9, 2017 Category: American Health Authors: David Bier Source Type: blogs
There is No Public Safety Justification for the " Travel Ban "
The Trump administration ’snewest argument in favor of the travel ban is that foreigners from the eight banned countries are disproportionately crime prone. Indeed, the administration ’s new travel banproclamation references “criminal” risks or “public safety threats” from foreigners from those eight banned countries a total 34 times. However, the incarceration rate for people from the travel ban countries is below that of native-born Americans and foreign-born folks from countries that were not on the travel ba n list.The average incarceration rate for those born in the travel ban countries is 0.32 percent, al...
Source: Cato-at-liberty - October 7, 2017 Category: American Health Authors: Alex Nowrasteh Source Type: blogs
New Travel Ban Would Not Have Prevented the Entry of Any Terrorists Since 9/11
President Trump signed anew proclamation this weekend that bans or restricts the travel and immigration of nationals from eight countries. This order drops the pretext of being a temporary measure and includes no end date. Inour amicus brief for the Supreme Court case challenging his prior executive order banning travel from six countries, we criticized the ban as lacking a basis in the evidence regarding terrorism threats and terrorism vetting failures. This new order fares no better. It is even further divorced from threats of terrorism to the United States than the prior order.The new targets are the nationals of the fo...
Source: Cato-at-liberty - September 25, 2017 Category: American Health Authors: David Bier Source Type: blogs
President Trump's New Travel Executive Order Has Little National Security Justification
President Trump issued anew proclamation that expanded a list of the so-called “travel ban” countries that were the subject of an executive order he issued early in his administration. His first order temporarily banned the entry of nationals from six countries fordubious national security reasons. His new order expands the list to eight countries (as Isomewhat predicted). They include Chad, Iran, Libya, North Korea, Somalia, Syria, Venezuela, and Yemen. From the original six, he subtracted Sudan and added Chad, North Korea, and Venezuela. The new executive order is also not a complete ban for all of those countries. A...
Source: Cato-at-liberty - September 25, 2017 Category: American Health Authors: Alex Nowrasteh Source Type: blogs
Very Few Immigration Vetting Failures of Terrorists Since 9/11
President Trump ’sexecutive order attempted to temporarily ban all refugees and all travelers or immigrants from six African and Middle Eastern countries due to a concern over widespread vetting failures. The purpose of the temporary ban was to give the administration time to “improve the screening and vetting protocols and procedures.” The order grounded this concern in one fact:Recent history shows that some of those who have entered the United States through our immigration system have proved to be threats to our national security. Since 2001, hundreds of persons born abroad have been convicted of terrorism-relate...
Source: Cato-at-liberty - August 31, 2017 Category: American Health Authors: David Bier Source Type: blogs
Trolling the antivaccine trolls
Craig Egan is a man with a mission. He's trolling the antivaccine trolls to promote science, and he's been very successful at it. (Source: Respectful Insolence)
Source: Respectful Insolence - August 31, 2017 Category: Surgery Authors: Orac Tags: Antivaccine nonsense Complementary and alternative medicine Quackery Skepticism/critical thinking Andrew Wakefield Craig Egan Polly Tommey Somali vaccines Vaxxed Source Type: blogs
Despite the massive measles outbreak in the Minnesota Somali community, antivaxers double down
American antivaccine activists have contributed to a massive measles outbreak among the Minnesota Somali immigrant community by spreading Andrew Wakefield's misinformation. In the wake of the harm they've caused, they're not apologetic. They're doubling down. (Source: Respectful Insolence)
Source: Respectful Insolence - August 23, 2017 Category: Surgery Authors: Orac Tags: Antivaccine nonsense Medicine Politics Quackery Andrew Wakefield measles Minnesota Minnesota Vaccine Freedom Coalition MMR Somali Vaccine Safety Council of Minnesota Source Type: blogs
Minnesota and measles: Andrew Wakefield targets refugees
I had the pleasure of traveling to Rochester, Minnesota for a wedding this summer. Minnesota is home to more people from Somalia than any other state. My home of Columbus, Ohio is also a hub for people from Somalia. As a pediatric resident, I take care of Somali-American children and work with Somali American healthcare providers every day.
It was surreal, then, to set foot in a state recovering from a measles outbreak with more cases than the entire country saw last year. I was only ninety minutes away from Minneapolis, the center of the outbreak. Former physician and academic fraud Andrew Wakefield traveled there...
Source: Kevin, M.D. - Medical Weblog - August 20, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/sean-gallagher" rel="tag" > Sean Gallagher, MD < /a > Tags: Physician Neurology Pediatrics Public Health & Policy Source Type: blogs
Anti-Paper Prophet: Comments on The Curse of Cash
ConclusionRogoff raises many other interesting issues in his response, and trying to cover them all would make this article much too lengthy. His arguments are generally sophisticated and sometimes challenging, even when I disagree with him or believe he hasn’t adequately addressed my concerns. Our most fundamental difference remains our analysis of the State. Rogoff unreflectively adopts what Harold Demsetz characte rizes as the“nirvana” approach to public policy. This makes him far more optimistic than is justified about the overall benevolence and competence of governments, particularly in developed countries. H...
Source: Cato-at-liberty - August 15, 2017 Category: American Health Authors: Jeffrey Rogers Hummel Source Type: blogs
UNICEF Vaccinates African Refugee Children with Combination OPV/IPV Vaccines as Part of Vaccination Experiment
In 2014, a report published by UNICEF revealed that, due to an outbreak of polio in Kenya, the charity had decided it was time to step up their efforts to contain the disease. According to their reports, the most effective way to increase the children’s immunity was to vaccinate them with a combination of both the oral (OPV) and the injectable polio vaccine (IPV) simultaneously. [1]
According to the Centers for Disease Control and Prevention (CDC), “There are two types of vaccines that protect against polio: inactivated poliovirus vaccine (IPV) and oral poliovirus vaccine (OPV). IPV is given as an injection in the leg ...
Source: vactruth.com - July 31, 2017 Category: Allergy & Immunology Authors: Christina England, BA Hons Tags: Christina England Interviews Recent Articles Top Stories Bill Gates Polio Vaccine truth about vaccines vaccine-induced polio Source Type: blogs
Heritage Report Shows Refugees Are Not a Major Threat
ConclusionTheHeritage Backgrounder makes a valuable and interesting contribution to the debate over the future of the American refugee program. As a side effect, it shows just how small and manageable the refugee terrorist threat is. (Source: Cato-at-liberty)
Source: Cato-at-liberty - July 13, 2017 Category: American Health Authors: David Bier, Alex Nowrasteh Source Type: blogs
