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Monday, October 15, 2018

CBC earns an incomplete for seat belt story

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The CBC is making a big deal of its investigation into the need for seat belts in school buses. I can see the argument. I often accompany my oldest granddaughter on school outings. I sit in the school bus with the children and I feel weird not wearing a seat belt. It has never felt right and so I did some research.

Finding the definitive answer is not a quick search. It turns out this is a complex problem and a lot of folk have given it a lot of thought. Heck, even the researcher quoted this morning in the CBC report was once featured in a New York Times piece carrying the headline "Study Rejects Requiring School Bus Seat Belts."

Kathleen Weber, the researcher quoted by the CBC, told the Times that all the members of the committee examining the question of seat belts use in school buses were in agreement: the benefits of requiring seat belts were sufficiently small, and the problem itself sufficiently small, that the committee could not justify the cost.

I don't like that answer. If seat belts work, put them in the school buses. Period. End of discussion. Surely, cost does not enter into the equation. We are talking seat belts. How much can seat belts cost? The present system of making school buses safe, compartmentalization, cannot be cheap.

No, the question is: do seal belts work? Or more accurately, do standard seat belts work with little children? Think carefully before answering. If you do, you'll realize little children do not ride in the backseat of the family car restrained only by the three-point seat belts provided. By law a booster seat is required. Why? For safety.

In Canada, over a two-year period, 28 children were reported to have sustained injuries consistent with seat belt syndrome; seven of these children remained paraplegic. Among the 16 injured children eight years of age and older, four were properly restrained with three-point seat belts.

Booster seats are an attempt at preventing maladjusted seat belts from causing serious injuries and even death to improperly restrained children. Ill-fitting seat belts are a big safety concern. Studies show children are especially vulnerable to suffering a seat belt caused injury. Transport Canada has some well founded concerns.

As I mentioned, I have grandchildren. I own two types of booster seats: one a booster cushion and the other a high-backed booster seat that installs using the Universal Anchorage System (UAS/Latch). Both are legal in Canada but not everyone in the world agrees. The use of booster cushions is restricted to older children in Great Britain and Europe. In those places, my grandchildren would be breaking the law by using booster cushions.

Whenever possible, I use the high-back booster seats which attach firmly to the car's UAS system. I leave the booster cushions at home in the garage. My gut feeling is that the high-backed, anchored boosters deliver improved protection. I think the Europeans are making the right decision. I'd like to see this style of booster seat, paired with properly designed seat belts, used in school buses.

The Fifth Estate did one thing right. They found IMMI in Indiana. This is a company developing innovative seat belts for school buses. One product features a five-point system that appears to deal with the biggest dangers posed by traditional three-point seat belts. Kudos to the Fifth Estate for finding the IMMI company and bringing it to our attention.

An independent study of the IMMI product or products may be necessary but surely it could be done quickly. Let's make school buses, already remarkably safe, safer still.

Lastly, one-sided attacks, like the one launched by the CBC, make for attention-holding television but such attacks don't encourage folk to come to the table for an adult discussion. I'm not surprised the minister refused to meet with the CBC Fifth Estate reporter. It appears on the face of it that the CBC folk had an agenda and it wasn't getting at the whole truth and nothing but the truth. It was attacking a government bureaucracy. It was in telling a good story.
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When writing a post for my blog, an immense amount of information must be found and read. I admit it may overwhelm me. A better system would be for journalists to work together and to work longer, ignoring self-imposed, artificial deadlines, to deliver accurate information. Below, is just a very small sample of the info found and examined.

Sixteen passengers died and 13 were injured in the Humboldt Broncos bus crash. The charter bus company involved in the crash had already installed seat belts without a federal rule, but none of the players were wearing one.

Research link: http://www.who.int/roadsafety/projects/manuals/seatbelt/seat_belt_manual_module_1.pdf

The three-point lap and diagonal seat-belt used by adults is not designed for children’s varying sizes, weights, and the different relative proportions of children’s bodies. For example, a smaller portion of a child’s abdomen is covered by the pelvis and rib cage, while a child’s ribs are more likely than an adult’s to bend rather than break, resulting in energy from a collision being transferred to the heart and lungs.

Consequently three-point lap and diagonal seat-belts may lead to abdominal injuries among children, and will not be optimally effective at preventing ejection and injury among them. Appropriate child restraint systems are specifically designed to protect infants and young children from injury during a collision or a sudden stop by restraining their movement away from the vehicle structure and distributing the forces of a crash over the strongest parts of the body, with minimum damage to the soft tissues.

Child restraints are also effective in reducing injuries that can occur during non-crash events, such as a sudden stop, a swerving evasive manoeuvre or a door opening during vehicle movement.

Seatbelt Syndrome in Children: This is an interesting paper. Seat belts are good but, when it comes to their use with children, proper booster seats are an excellent addition to increase safety. It should be noted that there are a number of opinions on what exactly constitutes a proper booster seat. For instance, look up what is demanded in Great Britain.

http://www.roadsafetyobservatory.com/HowEffective/vehicles/seat-belts
http://www.roadsafetyobservatory.com/HowEffective/vehicles/child-restraints (The researchers found that abdominal injuries mainly occurred in children using only a seat belt, emphasising the need for belt-positioning boosters. (Jakobssen, 2005))

(The main system for safely restraining occupants in vehicles is, of course, seat belts. However, seat belts do not fit children properly, and do not fit babies at all. This means they are less effective in protecting children, and in some circumstances, could even cause injury.

Children are not simply smaller adults; they are proportioned differently, their bones are not fully formed and their skeletal structure does not cover and protect their internal organs in the way it does in adults. All of these things change as children grow older, meaning that the type of restraint system they use also needs to change, until they reach the point where the seat belts can provide the same protection as for adults. (Burdi and Huelke, 1969, WHO, 2009))

Child Car Restraints Compared with Seatbelts
A USA study of 2 to 3 year old rear seat child passengers in crashes that resulted in at least one vehicle being towed away between 1998 and 2004 concluded that the odds of injury were 81.8% lower for toddlers in child seats than for toddlers wearing seat belts. (Zaloshnja, 2007)
Another American study comparing the use of child restraints with seat belts by 2 to 6 year old children involved in vehicle crashes between 1998 and 2003 found that compared with seat belts, child restraints (when not seriously misused) were associated with a 28% greater reduction in the risk for death in children of that age group. When including cases of serious misuse, the effectiveness was slightly lower, at 21%. (Elliot, 2006)

A study of crashes in 15 states in America between December 1998 and May 2002 involving 1,207 children aged 12 and 47 months, seated in the rear of vehicles, found that the risk of serious injury was 78% lower, and the risk of hospitalisation was 79% lower, for children in forward facing child restraints than for those in seat belts. (Arbogast, 2004)

A study of 17,980 children under 16 years old involved in crashes in 15 states between December 1998 and November 2002 found that the risk for inappropriately restrained (defined as using a seat belt rather than a child safety seat or booster seat) children was almost double that of appropriately restrained children. (Durbin, 2005)

An analysis of fatal car accidents in the USA between 1982 and 1987 estimated that children in child safety seats were 50% less likely than unrestrained children to be killed, but those using the car’s adult seat belts were only 36% less likely to be killed. (NHTSA, 1998)

When these estimates were updated in 1996, the estimates for the effectiveness of seat belts on their own had increased to 47% in cars and 48% in light trucks or vans. The effectiveness of child restraints had also increased from 69% to 71% for under one year olds and from 50% to 54% for one to four year olds. (NHTSA, 1996)

https://www.researchgate.net/publication/11366925_Are_seat_belt_restraint_use_effective_in_school_age_children_A_prospective_crash_study

Thursday, September 27, 2018

The Crisis of Living

I was directed to the Globe and Mail opinion piece by a tweet by a journalism professor. The piece? The Crisis of Living Too Long.

He was right. It was a good piece of writing but a bit too maudlin for my liking. The author tells us that she and her husband aim to "stockpile sleeping pills" as they get deeper into their senior years. I suppose today suicide is an option for those finding life too tough. But it wasn't always so.

When my dad died, suicide was not a good way to leave this world of blood, sweat, toil and tears. For one thing, killing oneself left one's life insurance in question. It left one's spouse and children possibly in a tougher-than-need-be financial crisis.

My dad had a poor heart but excellent doctors. He endured coronary after coronary and after a stay in the hospital he was back home, gulping nitroglycerin pills and waiting for the next major heart attack, the next trip to the hospital and the trip home.

After his last attack, life threw him a changup. He suffered a stroke instead of a heart attack. He lost the sight in one eye, all was a blur. He found himself forced to have one lens of his glasses completely frosted. If he wasn't wearing his glasses, he wore an eye patch. He took no pleasure in his new I'm-a-pirate look. I believe he felt humiliated.

He sold his car. His first new car in decades. It was a small, four-door, Vauxhall with leather seats. It broke his heart to part with that car. But the stroke that damaged his vision also left him slightly paralyzed on one side. The car had to go. In one sense, it was not a big loss as he no longer had a job. The car had become just an expense, a drain on the family finances.

One morning my dad appeared at the breakfast table in his best blue suit. He wore a bright, almost jaunty, tie held firmly in place by a fancy, gold clip. His white shirt was pressed with just the right amount of sleeve extending below the cuffs of his suit jacket. His patent leather Oxfords were perfectly polished. Not a scuff to be seen.

His bald head glistened from the Wildroot used to slick back the dozen or so long hairs he carefully tended. Those hairs were all that protected him from facing the fact he was bald. The world saw him as bald; he saw himself as thinning.

Dad had his usual bacon and eggs breakfast with two pieces of well-buttered toast. He mopped up the dark orange-yellow yolk with a scrap of toast, downed the last dregs of his peculator-brewed coffee, kissed both me and my mother good-bye and walked out of our home and out of our lives.

My dad died in the Prince Edward Hotel.
That was the last either of us saw my dad. Apparently, he took the bus downtown, checked into the Prince Edward Hotel and died. His heart pills, mostly nitroglycerin, were found sitting on the dresser on the other side of the room from the bed in which he was found.

It appeared my dad had died shortly after leaving home but we'll never know for sure. His body was found by the hotel cleaning staff. The hotel called the police, the police, using the information on his pill bottles, called his heart doctor and he, in turn, called us. His doctor identified the body, filled out all necessary forms, and contacted the funeral home.

My dad had a closed coffin, as he wished. Neither my mom nor I ever saw my dad's dead body. His death was from natural causes, a major coronary event unmitigated by medication. His doctor claimed that his death had come so suddenly, so quickly, with such power he had been unable to reach his pills left on the side of the room from where he had stretched himself out seeking relief from the pain.

My dad's death is a story that could be told as I've told it and then left, but to do so would be to tell an incomplete story. My dad died the way he had lived. He was born ill. His mother blamed a sick cow used to provide all the milk given the newborn. In his twenties he had three fourths of his stomach removed: ulcers. In his thirties had had hernias: numerous hernias. He had gall bladder, appendix, bowel operations and more. His health issues in old age, if dying in one's early 60s is old age, were a continuation of health problems that plagued him his whole life.

I'm ending this with a wonderful bit of advice from Monty Python's Life of Brian. And yes, I have considered the jarring note added by this song written by Eric Idle. But, please trust me, as a fellow alive only thanks to my second pacemaker I take great pains to smile. I see no hotel room in my future.

Saturday, September 22, 2018

It's NOT Baby Aspirin; it's low-dose.

As children stopped taking Aspirin, Reye's syndrome almost disappeared.
Reye's syndrome posed a danger to children when I was young. It was rare but lethal. Today? We rarely hear of Reye's. Why? The relationship between Aspirin (ASA), its use in children and Reye's syndrome was recognized.

The orange-flavoured chewable labeled Baby Aspirin disappeared from drugstore shelves. The powerful drug is now known as low-dose Aspirin.

And yet, today, we still encounter folk using the former name. Even doctors are known to fall into the trap, referring to low-dose Aspirin by it now out-dated-for-a-reason moniker. What puzzles and appalls me is that journalists, those purveyors of truth and accuracy constantly get the name wrong. Where are the editors? In forced retirement, I'd guess.

Aspirin is a drug, a powerful drug and, as with all powerful drugs, taking it comes with risks as well as rewards. If one is healthy, taking even a low-dose Aspirin once a day has always been a questionable practice. As they say: "If it isn't broken, don't fix it."

That said, if you get your medical knowledge from the main-stream media, you might be forgiven for thinking otherwise. The media has a history of presently the taking of low-dose Aspirin as relatively innocuous, almost risk free. To underscore this point, the media often refer to low-dose Aspirin as Baby Aspirin. What could be safer?
This is NOT news. The recent report simply confirms common concerns.

The media should not link babies and Aspirin for the same reason that Bayer changed the name: it was found that parents, especially new parents, thought the low-dose product was made for use by children and infants. It's not. Not today.

I take low-dose Aspirin and it  frightens me. As the Harvard Medical School pointed out:

If taking Aspirin was risk free, it might make sense for everyone worried about heart disease to take it. But Aspirin does have risks.

It can potentially lead to hemorrhagic stroke (bleeding inside the brain). In the stomach, Aspirin can aggravate bleeding ulcers. Severe gastrointestinal bleeding can be lethal.

Aspirin is NOT for babies nor children no matter how low the dose. Nor is taking Aspirin completely risk free even for healthy, adult folk. It's a powerful drug and deserves to be treated as one.

I knew that. How? Because my doctors made the risks associated with taking a daily low-dose Aspirin very clear to me. Why doesn't my daily newspaper, and the rest of the MSM, get the story right? It's not difficult and it would lessen the danger of children mistakenly being given low-dose Aspirin.

Sunday, August 5, 2018

I don't understand. This story left me confused.

A young Londoner came down with a illness that left his doctors stumped. And according to The London Free Press, this "experience is all too typical in a country in which Lyme disease has grown to epic proportions, a crisis that neither doctors nor public health officials have adequately addressed..."

One problem: The young boy did not have Lyme disease. A Maryland specialist discovered the boy had Bartonella, commonly called Cat Scratch Disease. According to the CDC (Centers for Disease Control and Prevention in the States) people get CSD from the scratches of domestic cats, particularly kittens. The disease occurring most frequently in children under 15. The boy in the story was 12 when he came down with his illness.

Which bring us to my second problem: The CDC and many other official sources claim ticks may carry some species of Bartonella bacteria, but "there is currently no convincing evidence that ticks can transmit Bartonella infection to humans."

The young man had an illness that went undiagnosed. Why? The story does not give us enough information to understand why this terrible thing happened.

I sense a bias against the Canadian healthcare system in this story. If it was simply the shoddy Canadian system at fault, why did the boy have to travel to Maryland, a nine hundred kilometre trip. If the American system is so great, why didn't the boy simply cross the border and immediately get help? There are a lot of American doctors closer to London, Ontario, than the specialist in Maryland.

I can feel for this young man. I had a somewhat similar experience. I had a V-tach event while vacationing in California. After running up a bill approaching $30,000, the American heart specialists found nothing to explain what had happened. I was released from the hospital to drive to Vancouver and on home to London, Ontario.

Although one should wait six months before getting behind the wheel after such a cardiac event, I drove some fifty six hundred kilometres immediately after having my heart reset by two paddles pressed tightly to my chest to deliver a jolt of 200 joules. Unlike my Canadian doctors, the American ones failed to discuss driving after being released from the hospital.

When it came to finding a cause for my V-tack event, my London doctors didn't fare much better than their American counterparts but the Canadians persevered, discovered I had a relatively rare form of heart disease and installed a pacemaker/ICD in my chest. I'm now on my second pacemaker/ICD. Thanks to the Canadian system, I have a life. (And thanks to my granddaughters, I have a good life.)

Should the American doctors with all their sophisticated testing equipment have been so easily stumped by my heart disease. I don't know. But what I do know is that I owe my life to my Canadian doctors.
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To keep the above post short I did not examine the newspaper's criticism of the Canada's supposedly out-of-date approach to testing for Lyme disease, but, if interested, read the following.

The story informs readers that in Ontario "doctors won't use a test well-established in the United States and Europe, a Western Blot test, unless patients first test positive using a method known to miss many cases, an Elisa (sic) test."

This would be very damning if it were true. But, it isn't. The CDC (Centers for Disease Control and Prevention) in the States recommends performing an ELISA, or similar EIA test, first and a Western Blot test second. If the first test is negative, no further testing of the specimen is recommended. The American CDC approach and the Canadian one are in agreement. (The respected Mayo Clinic also agrees with the Canadians and the CDC.)

Furthermore, the two steps should be done as designed. The CDC does not recommend skipping the first test and just doing the Western blot. The CDC warns, "Doing so will increase the frequency of false positive results and may lead to misdiagnosis and improper treatment."

Since writing this, I've encountered some criticism. I've decided to post some info from the Mayo Clinic in the States.

Lab tests to identify antibodies to the bacteria can help confirm the diagnosis. These tests are most reliable a few weeks after an infection, after your body has had time to develop antibodies. They include:
  • Enzyme-linked immunosorbent assay (ELISA) test. The test used most often to detect Lyme disease, ELISA detects antibodies to B. burgdorferi. But because it can sometimes provide false-positive results, it's not used as the sole basis for diagnosis. This test might not be positive during the early stage of Lyme disease, but the rash is distinctive enough to make the diagnosis without further testing in people who live in areas infested with ticks that transmit Lyme disease.
  • Western blot test. If the ELISA test is positive, this test is usually done to confirm the diagnosis. In this two-step approach, the Western blot detects antibodies to several proteins of B. burgdorferi.
The above has a reference date of May 16, 2018. The above is not stale-dated information.

Saturday, June 30, 2018

In hot weather, should we drink copious amounts of water even if we're not thirsty?

Even without considering the scientific evidence related to this essential question, one would have to believe it remarkable that the human species would exist if thirst were inadequate to guide drinking during exercise. Martin D. Hoffman M.D., et al.

It may seem like a small matter: who cares if one drinks too much water to avoid dehydration? No one ever died from too much water, right? Wrong. But there's more going on here: if drinking a lot of water during hot weather is not a good idea, if it can, in some cases be dangerous, why are so many reporters getting the story wrong?

I read newspapers and watch television news to learn. And I expect the stuff that I learn to be right, to be checked for accuracy by professional reporters, professional fact-gatherer. When I discover a reporter did little more than unquestioningly repeat what he or she had been told, possibly because it was a good story, I feel cheated. Information in newspapers should be vetted; it should be accurate; it should be right.

There are lots of myths out there. There's even a successful television program based on questioning these stories. It's amazing how many stories are revealed by MythBusters to be just that: stories.

Which bring us to the question of how much and of what should we be drinking during hot spells. Do you believe the news stories? Do you drink a lot of water without waiting until you feel thirsty. Do you try to belt back eight glasses of water a day?

If you question the accepted story, a reporter might respond by sending you a link to Oregon Occupational Safety and Health. The OOSH claims in a hot environment one should drink water frequently, even when not thirsty.

It may seem straight forward but wait. In response, you can site the Loyola Stritch School of Medicine:

In recent years, at least 14 deaths of marathon runners, football players and other athletes have been attributed to exercise-associated hyponatremia, a condition that results from drinking too much water or sports drinks.

But there’s an easy way to prevent hyponatremia, according to Loyola University Medical Center sports medicine physician James Winger, MD. Drink only when you’re thirsty.

Whom do you believe? And why should you even have to ask? Some years ago, I got very ill during a trip to the Sahara desert in southern Tunisia. I followed all the hydration advice. I made sure I drank even when not thirsty. And I got damn sick. When I got home my doctors told me I may well have had hyponatremia or water intoxication.

Since then, the doctors I have talked to have told me much of the advice surrounding the drinking of fluids during heatwaves is wrong. The media reports are often urban myths, I'm told. My doctors have warned me, excessive water intake can be dangerous for folk like, folk with a heart condition.

They remind me that I get water from many sources. Vegetables are often mostly water. For instance, cauliflower is about 92% water. If you drink coffee, I like a brew made from a mix of caffeinated and
decaffeinated, then each cup of coffee is equal to a eight ounces of water. And yes, the warning about not drinking coffee during hot weather is another myth but I'll leave that for another post.

Drinking to quell thirst is the correct way to go in almost all situations. A conference in California found there was an overemphasis on high fluid consumption. Athletes should be advised of the risks associated with over drinking. Decreasing the number of fluid stations at long distance running events might be counter intuitive but it might be necessary to reduce the number of incidences of exercise associated hyponatremia (EAH).

And here is where it gets interesting: dissemination of appropriate drinking advice alone has been shown to reduce the incidence of EAH. It's time journalists spent some time getting this story right. It should not be that hard for a professional fact-gatherer, professional story detective, a finder, a discerner and teller of truths.

And then these journalists can employ these investigative methods, honed tracking down the truth when it comes to water consumption during heatwaves, to uncovering the truths going unrevealed in other, more important, stories. Look out Donald Trump question-asking journalists could soon be on your trail.
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Would you like to read more? Try this article:  Is Drinking to Thirst Adequate to Appropriately Maintain Hydration Status During Prolonged Endurance Exercise? Yes.

Do you need to drink 8 glasses of water a day?

Saturday, April 21, 2018

Journalists should not be storytellers

Recently, I read a tweet from a former newspaper editor who now expounds on journalism to students taking his class at a nearby college. He tweeted that he was training young people to be storytellers. I replied: Journalists are not storytellers but reporters.

He disagreed. A story lies at the heart of what a reporter tries to convey, he tweeted. Who's right?

According to Lee Wilkins, professor and communications department chair at Wayne State University in Detroit, faculty emeritus and curator’s teaching professor at the University of Missouri:

Journalists are not storytellers but reporters.

According to Wilkins, a local government reporter before she began teaching: "When we started thinking of ourselves as storytellers was when we ran into a problem." The problem? Journalism changed from an "objective process" to one focused on "storytelling." Wilkins believes this emphasis on story over reporting entered American newsrooms in the 1980s. And I concur.

Sadly, when a journalist puts the story first, all too often it means facts become subservient to the story. I can give a solid example of this but, if I do, I risk losing you. You will immediately know I am wrong because you have seen and heard the story on television, maybe on 60 Minutes, or CBC Marketplace. You have read it in your local paper and in magazines. You know the truth. You know the story. And I will have a damn near impossible time changing your mind.

The story? The threat posed by the urea formaldehyde foam insulation or UFFI was created by the media. Before you quit reading, think about this:

Source: The London Free Press, Saturday Homes Section

When homes with UFFI were tested, the tested homes were found, on average, to have formaldehyde levels only slightly less than that of homes of similar age without UFFI. Also, there was no UFFI caused damage to house framing nor were other UFFI-caused defects found.

Why was the true story not told until years after the damage had been done? Because stories, good stories have legs and when told by good storytellers, by journalists, such stories are hard to resist. I believe it was 60 Minutes in the States that originally broke the erroneous scare story. Then CBC's Marketplace, not to be outdone, did their take on the same story. And the UFFI wildfire was lit and fanned. Newspapers across North American felt forced to run UFFI stories as well.

I covered a lot of UFFI stories and I am ashamed of the part I played in promoting that story. I met a lot of people, many seniors, who had massive amounts of their life savings tied up in their homes and the media-spread myth destroyed much of the equity that had accumulated in the family home. All too sad. Now, there is a story. Will it displace the mythical stories? I doubt it. Marketplace is still bragging about their major contribution to the original UFFI coverage.

Marketplace is proud of the part it played in the banning of urea formaldehyde foam insulation.

As I edited this, I wondered if scare stories involving UFFI were still being printed. It took but a moment to turn up this story from the Cornwall-Standard Freeholder on "toxic spray foam insulation."

I shake my head and a feeling of shame washes over me. I had a hand in pushing this story and the story is still influencing decision making. This is despite the fact that, and this is from the Freeholder story, "Canada is one of the only countries in the world that bans the use of UFFI . . . it (is) being used widely in many other countries including the United States."

If the reporter every decides to focus on that last sentence and explain why a "toxic" foam is only toxic in Canada, the reporter might have an award winning story and an easy one to tell.

According to CMHC, "UFFI is not a source of over-exposure to formaldehyde . . . Houses with UFFI show no higher formaldehyde levels than those without it."

So, are high levels of formaldehyde ever found in homes in Canada today? Not often but, again according to CMHC, "in new or other well-sealed houses, significant indoor formaldehyde levels may still occur (thanks to) new carpets." If the folk in the justice building are worried, maybe they should concentrate on new carpeting and not decades-old insulation.

Sunday, March 4, 2018

How not to report a story: The Current goes for false balance with negative overtones

Weight Watchers promotes healthy eating. The accent is not on weight loss.
The Current on CBC radio, featuring host Anna Maria Tremonti, recently claimed to be examining the offer of six weeks of free Weight Watchers memberships to teens between the ages of 13 and 17 this summer..

It was not much of an examination. To learn more, I googled the offer, but I failed to find the original announcement. It would have been nice if CBC had thought to post a link.

Weight Watchers apparently stated right up front that this offer was not about dieting and not about weight loss. No, Weight Watchers was offering to help teens develop the healthy eating habits so necessary at there time of life. And let's make one thing clear: today, this is very important. There is a serious problem with how our kids are learning to eat.

For the most part, the CBC and Anna Maria Tremonti ignored this very important and very believable claim by WW. I can understand why; there was a time that I, too, believed Weight Watchers was just a dieting program, a weight loss program.

Then, in 2010 I had a heart event that changed my life forever. I suffered a V-tach event, my heart went into overdrive hitting 300 beats per minute and I was rushed to the hospital. There, doctors placed defibrillator paddles on my chest and jolted my heart back into sinus rhythm. I now have an ICD/pacemaker in my chest. ICD stands for implantable cardioverter defibrillator. If my heart rate heads for the stratosphere again, and it has, my ICD shocks it back into its proper rhythm.

Roasted Madras Curry Cauliflower with Raita
I take oodles of meds and watch my diet carefully. At one point, I weighed almost 220 pounds. Not good. My doctors told me to get my weight down. Something under 170 pounds would be a fine goal.

My stroke doctor gave me a package of recipes and told me not to think of this not as a diet but as a whole new way of eating and quite possibly a better, more enjoyable, way of eating.

Coincidentally my wife was starting Weight Watchers at the same time. It was immediately clear that her diet and mine were quite similar. We embarked on the Weight Watchers approach to dining well together.

We counted points, don't ask, and slowly we lost weight. It took a lot of months, more than a year, but I got down to 165 pounds and I've stayed close to this weight ever since. And this success is, in no small measure, thanks to the Weight Watchers program. We didn't feel we had to cutback on our food but instead we expanded our food choices. We learned to eat wisely and well.

Following my doctors' and Weight Watchers instructions, we have discovered  a whole new way of eating, just as promised. I wish I'd been offered this program when I was a teen. I've always loved food and I find our new approach to dining is for food lovers.

So, how did CBC handle this story. Well, the broadcaster almost immediately cut to an interview with a holistic health coach, trained at the Institute for Integrative Nutrition. And what exactly is the IIN? I googled it and learned many call the online school a diploma mill.

The accusations must be awfully common as the IIN defends itself by stating clearly online that they are not a scam. They point out that much of the criticism of the school is of the strawman variety. Their health coach graduates are not registered dietitians and do not claim to be. A search of the U.S. Dep't of Education database confirms the IIN is telling the truth: its graduates are not registered dietitians.

There is a story here. The Weight Watchers offer deserves examination. That said, I don't find the debate, if not manufactured by the CBC, certainly promoted by it, to be the correct angle. Journalists can do better. I know. I worked for almost four decades in the media.

This is an important matter and our public broadcaster let us down. Just today I saw an article in The Harvard Gazette: a "comprehensive national strategy (is needed) across all relevant segments of society to prevent a looming public health disaster." This was written for Americans but the problem is also prevalent in Canada. In my lifetime, obesity among the young has increased two, possibly even three fold in Canada.

The CBC should have sent reporters to numerous Weight Watcher centres across the country. They could have learned whether or not a consistent approach is going to be taken by all WW leaders. As the Harvard article points out:

We have deep knowledge of the biological drivers of obesity, which include:

  • poor diet quality
  • excessive sedentary time
  • inadequate physical activity
  • stress
  • leep deprivation
  • perinatal factors
  • and probably environmental endocrine-disrupting chemicals


What is lacking is an effective strategy to address these drivers with sufficient intensity, consistency, and persistence, according to David Ludwig, professor in Department of Nutrition at Harvard T.H. Chan School of Public Health and founding director of the Optimal Weight for Life program at Boston Children’s Hospital.

CBC had a chance to be part of the solution; they chose to be part of the problem.