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Vaping injuries and deaths on the rise — Augusta University experts talk health risks

As the nationwide death toll due to vaping-related lung disease rose to 17 this week, this topic has been making headlines lately as concerned medical providers, parents and even politicians are now demanding action. This week, Augusta University Medical Center reported its first patient with a vaping-related lung injury was admitted to the ICU. More than 500 cases of lung damage and seven deaths linked to vaping have been reported across the U.S. in the last few weeks, according to the Centers for Disease Control and Prevention. “It took decades and decades of smoking for us to realize that we had a lot of older people carrying around oxygen tanks and that they were doing damage to their lungs over an extended period of time,” said Dr. Phillip Coule, vice president and chief medical officer for Augusta University Health System. “My concern is we have people thinking that this is safe and we’re not going to know that true effect of this, in terms of the damage occurring to people’s lungs, for years.” Augusta University experts are available to discuss the wide range of questions related to vaping, including: Rise of vaping-related illnesses/deaths Known and unknown health risks Misnomer that vaping is safer High rate of teen/young adult usage “The CDC made a landmark statement: That all of our efforts to get children and adolescents and young adults to move away from nicotine have been ‘erased’ – that’s a very powerful word,” said Dr. Martha Tingen, associate director of Cancer Prevention, Control and Population Health at the Georgia Cancer Center. The health risks related to e-cigarette use are impossible to ignore, she said. “Some students are having a major experience immediately after they smoke, that they are having shallow breathing and they can’t get their breath. When they are admitted into the hospital and go to the emergency room, they are seeing that they actually have some lung damage and they are setting themselves up for future, more intensive lung disease problems,” Tingen said. Dr. Coule serves as vice president and chief medical officer for AU Health System and associate dean for clinical affairs at the Medical College of Georgia at Augusta University. Dr. Tingen is a behavioral nurse scientist targeting the prevention of tobacco use in children. She can speak with media regarding the problems e-cigarettes pose for our society. Our experts are available to discuss the wide range of topics concerning e-cigarettes and vaping – simply click on either expert’s icon to arrange an interview.

Experts available to discuss vaping and new tobacco products

A host of new tobacco products, including e-cigarettes like JUULs, have entered the market in recent years, bringing new public health concerns with them. Researchers at the University of North Carolina at Chapel Hill are studying the health and societal impacts of emerging tobacco products. UNC-Chapel Hill experts are available to discuss topics including e-cigarettes’ health impacts, their failure as smoking cessation tools, the differences in how smoking and vaping affect the body, and e-cigarette explosions and the resulting chemical burn injuries. If you’d like to speak with an expert, call (919) 445-8555 or email mediarelations@unc.edu. Dr. M. Bradley Drummond is an associate professor of medicine at UNC School of Medicine and the director of the Obstructive Lung Diseases Clinical and Translational Research Center. He can discuss the health consequences of these new tobacco products and how they vary from traditional cigarettes. He can also discuss how these products exacerbate other conditions like chronic obstructive pulmonary disease, asthma and other chronic lung diseases. Dr. Adam Goldstein is a professor in the UNC department of family medicine, the director of tobacco intervention programs at UNC School of Medicine, and a member of UNC Lineberger Comprehensive Cancer Center. He can discuss the potential drawbacks versus any potential benefit of using these products as smoking cessation tools and can share evidence-based strategies to stop smoking. He can also speak to trends in teen tobacco use.   Dr. Ilona Jaspers is a professor of pediatrics and microbiology & immunology, director of the Curriculum in Toxicology, and deputy director of the Center for Environmental Medicine, Asthma and Lung Biology all at the UNC School of Medicine, and professor of Environmental Sciences and Engineering at the UNC Gillings School of Global Public Health. She can discuss the current scientific understanding of the health effects of vaping or juuling, a subject on which she has published widely. Kurt Ribisl is a professor and chair of the department of health behavior at UNC Gillings School of Global Public Health and the program leader for Cancer Prevention and Control at UNC Lineberger Comprehensive Cancer Center. Ribisl specializes in tobacco policy and regulation and can speak to taxation, advertising and marketing of new tobacco products and recommendations for preventing youth access.  Robert Tarran is a professor of cell biology and physiology at UNC School of Medicine, a member of UNC Marsico Lung Institute, and a member of UNC Lineberger Comprehensive Cancer Center. He can discuss the science of vaping, including how e-cigarettes impact a person’s lungs, including their genes and what happens to the lung’s immune system. He can also speak to the varying toxic effects of different e-cigarette flavors. Rebecca Williams is a research associate at UNC Lineberger Comprehensive Cancer Center. She is a leading expert on internet tobacco sales, age verification, technology and emerging tobacco products, including the wide variety of vaping devices available today. Her research has shown that online e-cigarette vendors routinely sold to minors, a finding that underscores the need for regulations requiring and enforcing age verification for the online sale of e-cigarettes. She can discuss the sales and marketing practices of websites that sell emerging tobacco products, and underage access to these online products. 

A new HIV treatment aimed at women could be on the horizon – let our experts explain for your stories.

Did you know? 18.8 million women and girls are living with HIV AIDS-related illnesses are the leading cause of death among females between the age of 15 and 49 1.8 million children are born with HIV, contracted from their mothers In sub-Saharan Africa, 3 in 4 new HIV infections in teenagers are among girls There are 5,000 new HIV infections per day Women continue to be disproportionally affected by HIV around the world, but particularly in sub-Saharan Africa, where three in four new HIV infections are among young girls. For women seeking care in developing countries, preventing and managing HIV is an expensive proposition. Truvada, the pre-exposure HIV treatment drug commonly known as PrEP, costs about $1,500 a month and must be taken daily for continual HIV protection. Likewise, the antiretroviral therapies that attempt to control HIV infection are costly at nearly $20,000 a year. These oral medications as therapy are a non-starter in developing nations like Africa, where nearly 30 million people are infected with HIV. But Phil Santangelo, biomedical engineering professor at Georgia Tech, has another approach in mind. He’s working on an aerosolized RNA-based HIV preventative that eventually could protect women against the disease. It’s applied vaginally and, currently, the aerosol has been tested in pre-clinical trials. The early results are promising; it’s been shown to create HIV antibodies that ward off the infection. It also has the potential to protect against genital herpes and other pathogens, depending on what protein the RNA encodes for. “A single administration of this aerosol is showing expression of antibodies against HIV for up to three months in pre-clinical trials,” said Santangelo. “Our hope is that this will be more affordable, granting easier access to women in developing countries, especially. With women’s health at the forefront of many conversations today, this has the potential to revolutionize disease prevention.” Eventually, Santangelo says RNA could be used for contraception as well – the RNA would express antibodies that inhibit sperm. Again, if birth control can’t be accessed in developing countries, a self-administered, inexpensive aerosol could change the lives of many women. Are you a journalist covering this very important topic? If you have questions or would like to know more about the research being conducted at the Georgia Tech College of Engineering – then let our experts help. Dr. Philip J. Santangelo is an Assistant Professor in the Wallace H. Coulter Department of Biomedical Engineering. Dr. Santangelo is an expert in the areas of therapeutics and vaccines and HIV/SIV and hRSV. He is available to speak with media regarding this emerging discovery - simply click on his icon to arrange an interview.

Fair Play: Sexual Violence and College Athletes

Since the 1990s, we have seen multiple high-profile, even fatal, cases of violence against women at the hands of male intercollegiate athletes. These events and others prompted the Office of Civil Rights to call upon universities to more appropriately investigate and sanction perpetrators of sexual assault. In April 2011, using Title IX as an imperative, the Office for Civil Rights issued a “Dear Colleague Letter” (DCL) as a call for universities to more swiftly and adequately address incidences of sexual violence by students. As universities started implementing or revamping programs to reduce sexual violence on campus, it became obvious there was a lack of current research on college athletics to inform their decisions. This led me to conduct my own research on sexual assault within intercollegiate athletics. I wanted to understand the ways in which former college athletes understand sexual assault, as well as their perceptions of their athletic department’s response to occurrences and prevention.  My research on sexual violence was first published in 2015 and again in 2018. Based on this research, in 2017-2018, I implemented a sexual violence prevention program with athletes from a variety of sports: men’s and women’s basketball, wrestling, softball, football, and women’s golf and tennis. That program, Fair Play: Sexual Violence Prevention for Athletes, was created because many athletes are leaders on their campuses and in their communities. While some research shows that some male athletes may be at higher rates for perpetrating sexual assault, we know that the vast majority of athletes are good students who want to help keep their fellow teammates, students, and community members safe. Fair Play teaches athletes about sexual assault, consent, and rape culture in sports, helps them re-examine traditional gender norms and roles, and gives them tools and skills to intervene and stop sexual violence before it happens. With grant funding from the Ohio Department of Higher Education, we collaborated with Sexual Assault Response Network of Central Ohio (SARNCO) to facilitate Fair Play. Research done to assess the efficacy of the program is forthcoming in two journals. However, data indicates that, after participating in Fair Play, athletes are less likely to believe in rape myths, have a better understand of consent, and are able to identify and stop the spread of rape culture. In addition, Fair Play participants reported increased knowledge and ability to engage in bystander intervention, which is aimed at preventing violence before it happens. Fair Play is effective in its depth and breadth – participants attend 10 hours of programming – as well as the unique and active learning environment targeted specifically for athletes.  Kristy McCray, Ph.D., is an Otterbein assistant professor in sport management and a former rape crisis center executive director. McCray’s program focuses on college athletes as some research indicates that male intercollegiate athletes are more likely to hold sexually aggressive attitudes and behaviors. Click on her icon at the top to get in touch with Kristy. 

Nutrition Science Is Increasing Our Life Spans

Consumers are inundated daily with the latest nutrition findings popping up in their newsfeed or in advertisements touting the benefits of the latest food trend. Yet, in a recent magazine cover story, "Why Everything You Know About Nutrition is Wrong," the takeaway is that the science behind dietary guidelines is not an exact one. It can lead to confusion for the general public regarding topics such as the use of vitamins, eating wholegrain foods, low-saturated fat and low-carb foods, for example. "Nutrition science, and the interpretation of it, is not without its flaws," says Rebecca Shenkman, MPH, RDN, LDN, director of the MacDonald Center for Obesity Prevention and Education at Villanova University's M. Louise Fitzpatrick College of Nursing. "While we would like to believe that eating healthy is a straightforward concept, it is far from it." Many variables affect nutrition science—both the fundamental research and then consequently how it is communicated to the public—which is different from other forms of science, says Shenkman. The U.S. Department of Health and Human Services (HHS) reports that about half of all American adults have one or more preventable, diet-related chronic diseases, including cardiovascular disease, type 2 diabetes and obesity. The HHS' 2015-2020 Dietary Guidelines are recommendations to combine healthy foods from all four food groups while paying attention to calorie limits. Nutrition science is relatively new, and while vitamin and mineral deficiencies were discovered starting in the mid-1800s, it was not until the 1970s that research began linking diet and specific elements of the diet (i.e., cholesterol) to health risks and chronic disease. "The nutrition field is a young and evolving science," Shenkman says. "And without the field's advancements, we would not see longer life spans or fewer public health concerns related to nutrient deficiencies." Eating a healthful diet can mean something different for each person, and it is important to find the right food balance that works best for one's body, lifestyle and emotional well-being. While there is evidence to support that a diet rich in fruits, vegetables, whole grains, healthy fats and limited red meat can promote health and prevent diet-related chronic diseases (e.g., type 2 diabetes, hypertension and obesity), many variables go into food choices, and it is necessary for healthcare providers, governmental agencies and the public health community to help make the healthy choice the easy choice. Shenkman offers these simple tips: Focus on the quality of food, not on the amount of food. And try to slow down and eat with purpose. Eat food such as fresh vegetables, fruits and whole grains. These non-processed foods are found on the perimeter of most supermarkets. Try not to skimp on sleep. Proper sleep, in combination with other healthy lifestyle habits, helps promote a healthy metabolism.

July 28 is World Hepatitis Day – let our experts help with your coverage

Later this month, countries across the planet will acknowledge World Hepatitis Day in an effort to locate the “missing millions” and one day find a cure for this potentially debilitating and sometimes deadly disease. “Worldwide, 300 million people are living with viral hepatitis unaware. Without finding the undiagnosed and linking them to care, millions will continue to suffer, and lives will be lost. On World Hepatitis Day, we call on people from across the world to take action and raise awareness to find the ‘missing millions.’” WorldHepatitisDay.org According to the Centers for Disease Control and Prevention, 25 states in the U.S. have seen Hepatitis A outbreaks since 2017, with 22,028 confirmed cases and 216 deaths. Twenty-three of those outbreaks are still considered ongoing, including in Georgia, which has seen two deaths and 487 cases. Are you a reporter covering health, infectious diseases or outbreaks? Do you need to know more about the signs, symptoms and causes of hepatitis? How is it spread, who is most affected and what are the treatments? There is a lot to learn and that’s where our experts can help. Dr. Jose Vazquez is Chief of the Division of Infectious Diseases at the Medical College of Georgia at Augusta University and AU Medical Center. He studies and treats infectious diseases, including hepatitis. A leader in his field and a go-to expert for media regarding this topic, Dr. Vasquez is available to speak with media – simply click on his icon to arrange an interview.

Anyone can experience PTSD – let our experts help answer questions about PTSD Awareness Month

June is PTSD Awareness Month. It’s not just an affliction that affects soldiers and first responders – it can also impact anyone who may have been in an accident, experienced abuse or witnessed a tragedy. According to the U.S. Department of Veterans Affairs, “Post-traumatic stress disorder (PTSD) can occur after you have been through a trauma. A trauma is a shocking and dangerous event that you see or that happens to you. During this type of event, you think that your life or others' lives are in danger.” According to Veteran’s Affairs: About 7 or 8 out of every 100 people (or 7-8% of the population) will have PTSD at some point in their lives. About 8 million adults have PTSD during a given year. This is only a small portion of those who have gone through a trauma. About 10 of every 100 women (or 10%) develop PTSD sometime in their lives compared with about 4 of every 100 men (or 4%). There is nothing new about PTSD, other than its terminology. In World War 1, it was labeled “shell shock” and many perceived it as a sign of weakness as opposed to an injury. Since then it has been called “combat fatigue” and in the 1970s, “post-Vietnam syndrome.” But what about now? With so many veterans returning from overseas and the public now being more informed of those who may have been afflicted domestically, questions include: Is acceptance of PTSD improving? Does the stigma still stick with those looking to return to their careers? Are there new and innovative ways to treat PTSD and how do they work? As we round out PTSD awareness month, let our experts help with your stories. Dr. Nagy Youssef is an associate professor of psychiatry at Augusta University and is a leading expert in PTSD and suicide prevention who treats civilians, active duty military and veterans. His research focuses on mechanistic and therapeutic innovation for treatment-resistant psychiatric disorders and suicide prevention. Dr. Youssef is also in the early stages of forming a study to better detect genetic markers associated with PTSD and resilience to trauma. Participation in this study is voluntary. Learn how to participate in “Epigenomics Association Study of PTSD and Resilience” at https://www.augusta.edu/research/studies/list.php.

Learn the facts – and falsehoods -- about ‘curing’ cancer

When it comes to cancer awareness, any news, promotion and exposure is good news. The goal of those on the frontlines of the battle against this disease is to inform the public, every message encouraging healthier living, prevention methods and hopefully, inspiring more people to support cancer research.   Doctors can successfully treat cancer. However, there is no cure. Just this month, as the political rhetoric continues ramping up for the 2020 election, former Vice President Joe Biden used cancer as a platform. "A lot of you understand what loss is and when loss occurs, you know that people come up to you and tell you 'I understand' if you lose a husband, a wife, a son, a daughter, a family member," he said. "That's why I've worked so hard in my career to make sure that — I promise you if I'm elected president, you're going to see the single most important thing that changes America, we're gonna cure cancer." – USA Today, June 12 For Biden, cancer is an issue that is close to him. He lost his son to brain cancer in 2015. He’s passionate and deeply invested in those who have also lost a loved one to the disease. But his messaging was not accurate. If you are covering cancer research, prevention and the quest for the best possible outcomes for those diagnosed and being treated for the disease, the Georgia Cancer Center at Augusta University has experts who can help with your stories. Dr. Daniel Albo is able to discuss the fact that yes, there are highly successful treatments for a variety of different cancers. But, there is no “single bullet” that will cure every kind of cancer there is. This is the mistake Biden made during his speech. For some cancer patients, it’s about working with their doctor to find ways to manage their disease during the entirety of their life, similar to high blood pressure, diabetes, etc. To find new treatment options and therapies for all kinds of cancer, it will take investment from multiple levels of government. But money is not all that is needed. It will take basic science researchers working with clinicians to make new “bench-to-bedside” treatment discoveries. Also, public health and prevention, as well as improving access to health care, are essential to ending the burden cancer puts on patients, their family and their friends. Dr. Albo serves as Chair in the Department of Surgery for the Medical College of Georgia, the Surgeon-in-Chief for Augusta University Health System and associate director of surgical services for the Georgia Cancer Center. He is available to speak with media – simply click on his icon to arrange an interview.

Man up…and get screened for cancer – June is Men’s Health Month.

June is Men’s Health Month and doctors are urging men, especially those over the age of 40, to get screened for cancers such as testicular, prostate and colorectal cancer. “The purpose of Men’s Health Month is to heighten the awareness of preventable health problems and encourage early detection and treatment of disease among men and boys. This month gives health care providers, public policy makers, the media, and individuals an opportunity to encourage men and boys to seek regular medical advice and early treatment for disease and injury. The response has been overwhelming with thousands of awareness activities in the USA and around the globe.” Men’sHealthMonth.org These cancers and other diseases are treatable if detected early; however, a lot of men still seem reluctant to book that visit and get checked. So why are men so slow to get checked? Do people realize early prevention can save lives? Do men know how devastating these diseases, if not caught early, can be on their life, sexuality and well-being? There are a lot of questions and answers that need to be addressed this June during Men’s Health Month and that’s where the experts from Augusta University can help. Dr. Jigarkumar Parikh is co-leader of AU Health’s Genito-Urinary Oncology Program and a medical oncologist specializing in kidney cancer, prostate cancer, bladder cancer and melanoma. Dr. Martha Terris is AU Health’s Witherington Distinguished Chair, Urology, and specializes in urologic cancers, including prostate cancer, bladder cancer and testicular cancer. Both experts are available to speak with media regarding Men’s Health Month – simply click on either profile to arrange an interview.

Covering World No Tobacco Day – Let our experts help!

May 31 is the WHO’s World No Tobacco Day. And despite all the awareness campaigns, education and advice – people are still lighting up. In fact, according to the CDC: More than 16 million Americans are living with a disease caused by smoking. Cigarette smoking is responsible for more than 480,000 deaths per year in the United States, including more than 41,000 deaths resulting from second-hand smoke exposure. This is about one in five deaths annually, or 1,300 deaths every day. On average, smokers die 10 years earlier than non-smokers. If smoking continues at the current rate among U.S. youth, 5.6 million of today’s Americans younger than 18 years of age are expected to die prematurely from a smoking-related illness. This represents about one in every 13 Americans aged 17 years or younger who are alive today. With marketing toward youth increasing and e-cigarettes and vaping now a part of the mainstream – is the fight against big tobacco becoming even harder? There’s a lot there to cover and that’s where our experts can help. Dr. Martha Tingen is a behavioral nurse scientist targeting prevention of tobacco use in children. She is available to speak with media any time – simply click on her icon to arrange an interview.