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FDA Approves Multaq(R) For Patients With Atrial Fibrillation Or Atrial Flutter
Sanofi-aventis (EURONEXT: SAN and NYSE: SNY) announced that the U.S. Food and Drug Administration (FDA) has approved Multaq(R) (dronedarone) 400 mg Tablets. Patients with atrial fibrillation (AF) or atrial flutter (AFL) soon will have a new treatment option to help improve current management of their disease. Multaq(R) is the first drug approved in the United States that has shown a clinical benefit to reduce cardiovascular hospitalization in patients with AF/AFL.

Health Overhaul Issues Fill The Sunday Talk Shows
Health experts and politicians filled Sunday talk shows as Obama administration officials push for reform.
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HIV/AIDS Advocates React To Obama's Proposed Global Health Initiative
Some HIV/AIDS advocates have voiced disappointment with the level of HIV/AIDS funding in President Obama"s proposed $63 billion, six-year global health initiative, VOA News reports. According to VOA News, the advocates say that Obama has not met pledges he made as a presidential candidate, while other say that the "picture is more complicated." According to the Global AIDS Alliance, Obama previously pledged to dedicate $50 billion over five years to HIV/AIDS, TB and malaria, but has instead proposed $51 billion over six years. GAA Executive Director Paul Zeitz said this proposal translates into significantly less annual funding for PEPFAR (Kilner, VOA News, 5/19). Zeitz said, "President Obama has a moral obligation to demonstrate global leadership on behalf of the poorest and most marginalized people of the world, especially in Africa," adding, "But by turning his back on those needs, the president is betraying the trust of tens of millions of people" (Pflanz, Daily Telegraph, 5/18). Advocates estimate that the funding shortfall could result in about one million people going without HIV/AIDS treatment and about 2.9 million women going without treatment to prevent mother-to-child HIV transmission. James Kamau, coordinator for the Kenya Treatment Action Movement, said that one effect of Obama"s proposal is that other donor countries could take similar actions, leading to additional cuts. "In Kenya here we say when the lead sheep limps then it does not get the others to the pastures," Kamau said, adding, "Now if [Obama] cuts back funding on the Global Fund, then the rest of the people will follow suit" (VOA News, 5/19). Some have welcomed Obama"s proposal, saying that it has expanded the focus of global health initiatives to include other health issues that can be treated at a low cost but have not received as much attention, VOA News reports. Obama"s proposal includes $12 billion for these additional areas of focus, including more emphasis on maternal health and health infrastructure, according to VOA News.According to VOA News, Obama"s proposal might be more than Congress is willing to allocate during the economic crisis. The current budget resolution under consideration by Congress would allocate $51 billion for foreign aid in FY 2010, almost $3 billion less than what Obama requested (VOA News, 5/18). African Government Spending on Health
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Sudden Collapse In Ancient Biodiversity: Was Global Warming The Culprit?

Scientists have unearthed striking evidence for a sudden ancient collapse in plant biodiversity. A trove of 200 million-year-old fossil leaves collected in East Greenland tells the story, carrying its message across time to us today. Results of the research appear in this week"s issue of the journal Science. The researchers were surprised to find that a likely candidate responsible for the loss of plant life was a small rise in the greenhouse gas carbon dioxide, which caused Earth"s temperature to rise. Global warming has long been considered as the culprit for extinctions--the surprise is that much less carbon dioxide gas in the atmosphere may be needed to drive an ecosystem beyond its tipping point than previously thought. "Earth"s deep time climate history reveals startling discoveries that shake the foundations of our knowledge and understanding of climate change in modern times," says H. Richard Lane, program director in the National Science Foundation (NSF)"s Division of Earth Sciences, which partially funded the research. Jennifer McElwain of University College Dublin, the paper"s lead author, cautions that sulfur dioxide from extensive volcanic emissions may also have played a role in driving the plant extinctions. "We have no current way of detecting changes in sulfur dioxide in the past, so it"s difficult to evaluate whether sulfur dioxide, in addition to a rise in carbon dioxide, influenced this pattern of extinction," says McElwain. The time interval under study, at the boundary of the Triassic and Jurassic periods, has long been known for its plant and animal extinctions. Until this research, the pace of the extinctions was thought to have been gradual, taking place over millions of years. It has been notoriously difficult to tease out details about the pace of extinction using fossils, scientists say, because fossils can provide only snap-shots or glimpses of organisms that once lived. Using a technique developed by scientist Peter Wagner of the Smithsonian Institution National Museum of Natural History in Washington, D.C., the researchers were able to detect, for the first time, very early signs that these ancient ecosystems were already deteriorating--before plants started going extinct. The method reveals early warning signs that an ecosystem is in trouble in terms of extinction risk. "The differences in species abundances for the first 20 meters of the cliffs [in East Greenland] from which the fossils were collected," says Wagner, "are of the sort you expect. "But the final 10 meters show dramatic loses of diversity that far exceed what we can attribute to sampling error: the ecosystems were supporting fewer and fewer species." By the year 2100, it"s expected that the level of carbon dioxide in the modern atmosphere may reach as high as two and a half times today"s level. "This is of course a "worst case scenario,"" says McElwain. "But it"s at exactly this level [900 parts per million] at which we detected the ancient biodiversity crash. "We must take heed of the early warning signs of deterioration in modern ecosystems. We"ve learned from the past that high levels of species extinctions--as high as 80 percent--can occur very suddenly, but they are preceded by long interval of ecological change." The majority of modern ecosystems have not yet reached their tipping point in response to climate change, the scientists say, but many have already entered a period of prolonged ecological change. "The early warning signs of deterioration are blindingly obvious," says McElwain. "The biggest threats to maintaining current levels of biodiversity are land use change such as deforestation. "But even relatively small changes in carbon dioxide and global temperature can have unexpectedly severe consequences for the health of ecosystems." The paper, "Fossil Plant Relative Abundances Indicate Sudden Loss of Late Triassic Biodiversity in East Greenland," was co-authored by McElwain, Wagner and Stephen Hesselbo of the University of Oxford in the U.K. Cheryl Dybas National Science Foundation


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