"Health & Medical News"

From:
Treatment Research Institute
600 Public Ledger Building, 150 S. Independence Mall West
Philadelphia, PA 19106
Tel: (215) 399-0980
http://www.tresearch.org

Paying substance abuse treatment providers for results, not services, may lead to improved quality of care, according to the first published study of a novel performance-based contracting system implemented by the State of Delaware in 2002.

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This week’s KaiserNetwork report just hit the two hottest topics for me on HIV right now: male circumcision (Rwanda now has a formal program) and the flattening of vertical HIV funds into primary care, 30 years after the Alma Atta conference had called for a universal primary care package.

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A parasite that is the leading cause of heart failure in Latin American countries appears to be far more common here than previously thought. Public health officials and physicians are now struggling to devise strategies for detecting, treating and preventing transmission, according to a series of papers published over the past year and symposiums at recent infectious disease meetings.

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Buprenorphine (Suboxone) was developed as an alternative to methadone that would be equally effective in treating opiate addiction but less likely to be abused. But Baltimore officials say that a black market for the drug has developed, leading to “bupe” abuse and some deaths, the Baltimore Sun reported Dec. 16.

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A multibillion-dollar anti-drug pact between the U.S. and Mexico could fail unless it includes action against the cartel’s money supplies and improvements in police intelligence, Reuters reported Oct. 23.

Much of the $1.4 billion that the Bush administration wants to send to Mexico would be spent on helicopters and other equipment. But Ernesto Mendieta, a former Mexican prosecutor and security advisor, said, “More helicopters won’t make a difference because you are only dealing with the armed side of the cartels. You’ve got to go after their finances and find out where their banks accounts are. That is the way to weaken them.”

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