Archive for Medicine

When the Going Gets Tough

The tough make hospital corners:

President Barack Obama on Tuesday called the efforts to combat the Ebola outbreak centered in West Africa “the largest international response in the history of the CDC.”

Speaking from the U.S. Centers for Disease Control and Prevention headquarters in Atlanta, Obama added that “faced with this outbreak, the world is looking to” the United States to lead international efforts to combat the virus. He said the United States is ready to take on that leadership role.

Washington has committed more than $100 million to combat Ebola, according to the U.S. Agency for International Development. Obama plans to call on Congress to approve an additional $88 million as part of a bill to fund the federal government.

Last week, USAID said it would spend $75 million to build treatment facilities and supply them with medical equipment. The Pentagon says it’s working to shift $500 million of not yet obligated funds toward the Ebola effort.

Working through the Defense Department, the United States will plan and construct treatment centers that could house up to 1,700 additional beds. With a U.S. general leading the effort from Monrovia, American military personnel in the region could increase by 3,000, administration officials say, under the name Operation United Assistance.

The expected announcement will also include a plan to send more medical professionals to West Africa. U.S. medics will train up to 500 health care workers per week to identify and care for people with Ebola.

From the halls of Montezuma
To the shores of Tripoli,
We will mop up toxic fluids,
Be they blood, or poop, or pee…

Hey, why not? If we can spend half a billion dollars to stop the Ebola outbreak, shouldn’t we? It’s a cheap (!) fix. Of course, Ebola is a minor cold compared to the major killers in Africa, AIDS and malaria. (Nothing that condoms and DDT couldn’t fix.)

I just wish Obama showed half the resolve against ISIS that he has against Ebola.

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Is Our Children Breathing?

Before I give you my theory, what’s yours?

A respiratory virus that has sent hundreds of children to hospitals in Missouri is causing alarm across the Midwest and beyond.

Ten states have contacted the Centers for Disease Control and Prevention for help investigating clusters of the virus that’s being blamed for the illness.

What’s unusual at the moment is the high number of hospitalizations.

The virus has sent more than 30 children a day to a Kansas City, Missouri, hospital, where about 15% of the youngsters were placed in intensive care, officials said.

“It’s worse in terms of scope of critically ill children who require intensive care. I would call it unprecedented,” said Dr. Mary Anne Jackson, a director for infectious diseases at Children’s Mercy Hospital, where about 475 children were recently treated.

“I’ve practiced for 30 years in pediatrics, and I’ve never seen anything quite like this,” she said.

It was first identified in the 1960s and there have been fewer than 100 reported cases since that time. But it’s possible, Pallansch said, that the relatively low number of reports might be because EV-D68 is hard to identify.

EV-D68 was seen last year in the United States and this year in various parts of the world. Over the years, clusters have been reported in Georgia, Pennsylvania, Arizona and various countries including the Philippines, Japan and the Netherlands.

Experts say they don’t know why it’s flared up this time around.

I think I know. I think the swarm of Mexican and Guatemalan kids on the border, many of whom have been moved to the heartland, brought it with them. It may have started in Asia, but so do many viruses. I think it was brought in by the unvaccinated, unscreened kids from Central America.

Until I hear differently, that’s what I’m going to think.


Ebola! The Musical

I don’t really get a kick out of zombie movies. If 28 Days Later is on, I might settle on it for a while, but the basic plot—that zombies want to eat your brains and turn you into one of them—doesn’t change much from film to film. Same thing happened with Resident Evil the other night. I turned it on in the middle, and stuck around for a while (mostly to see my gal, Michelle Rodriguez, sweaty and toting an automatic weapon). I did like the Body Snatchers movies (the original and the remake), which employ the same devices, but don’t feel the need for an entire franchise of them.

Escape of the Ebola Patients, however, I might pay good money to see. Especially if they can cast Jessica Alba and Scarlett Johannsen as the missionary doctors, wiping sexy strands of sweaty hair from their faces as they bend over to tend to their patients.

Ebola patients fled during an attack at a health care facility in Monrovia, Liberia, on Saturday, Liberian National Police spokesman Sam Collins told CNN on Sunday.

All patients who ran away had Ebola, and some chose to stay at the facility, Collins said.

The assailants stole mattresses and equipment, he said, adding that no one was injured in the incident and the attackers were not trying to free the patients; rather, they did not want the quarantine there. The assailants were using weapons but not wielding guns, according to Collins.

“It was an attack from people afraid of Ebola,” Collins told CNN. “Everybody is afraid.”

Any good therapist would tell you to confront your fears, not hide from them. Which is why it makes perfect sense to steal the mattresses of people with a fatal disease communicable through bodily fluids.

PS: This is not the first example of “intolerance” toward ebola victims.


You Idiot

I admire someone doing God’s work, I really do.

But use the brain God gave you!

Dr. Kent Brantly said in a statement that he is receiving “the very best care possible” and “growing stronger every day.”

Brantly and the Writebols talked about what led them to Liberia, where they thrust themselves into the midst of poverty and disease with a mission focusing on those in need. They also spoke about their struggles now to overcome Ebola.

Brantly, 33, went to Liberia with his wife and two children last year to serve a two-year fellowship through a Samaritan’s Purse post-residency program to practice general medicine.

But everything changed when Ebola started to sweep through West Africa. Brantly got a new role as medical director for the Samaritan’s Purse Ebola Consolidated Case Management Center in Monrovia.

“I held the hands of countless individuals as this terrible disease took their lives away from them,” he said Friday. “I witnessed the horror firsthand and I can still remember every face and name.”

You did what?

You held their hands? It’s not all that easy to get the disease, I’m told, but holding their hands might just be the way.

It was in Monrovia where Brantly said he “immediately isolated” himself after first feeling ill. Three days later, his Ebola diagnosis was confirmed, though it didn’t trigger the emotional response one might expect.

“When the result was positive, I remember a deep sense of peace that was beyond all understanding,” he said. “God was reminding me of what he had taught me years ago, that he will give me everything I need to be faithful to him.”

He was reminding you to wash your hands and wear surgical gloves, dummy! Pardon me for saying so, but it was the CDC, Emory University Hospital, Mapp Biopharmaceutical that developed the miracle drug, and, yes, even President Obama that gave you “everything you need”. God would say so himself. Just as, I believe, He didn’t send you over there to get sick and cost however many thousands of dollars are being spent to save your life.

Or does God care only about the lives of white Americans? The mortality rate among black African victims of Ebola would suggest so.


War on Children Update Update

A companion piece to our War on Children Update from this morning:

Erez is Gaza’s only pedestrian gateway into Israel, and throughout Operation Protective Edge more than 400 Palestinians have crossed through it in local ambulances seeking medical treatment in Israeli and West Bank hospitals.

On July 21, the IDF opened a military field hospital in the enormous border terminal, meant to provide emergency treatment for civilians injured in Gaza and unable to seek medical care in the Strip’s failing medical installations. Two weeks later, the Government Press Office invited a busload of foreign journalists to view the hospital for the first time, striving to show the efforts of the Israeli army to protect Palestinian civilians’ lives.

With a permanent staff of 20 doctors, nurses and medics on location, the Erez field hospital boasts advanced resuscitation equipment, a delivery room, a pharmacy, and lab services. Specialists include a pediatrician, an ophthalmologist and a gynecologist. Yet despite the apparent eagerness of the Israeli professionals to treat Palestinians in need, on Friday the hospital was completely empty.

Colorful stuffed animals rested untouched atop a clean hospital bed in the pediatric room; doctors in military uniforms and white cloaks paced the empty corridors, stethoscopes around their necks.

“We encounter deep suspicion from patients,” said Lt. Col. Sharon Biton of the Coordinator of Government Activities in the Territories (COGAT), the IDF branch entrusted with Palestinian civilian affairs, which set up the hospital together with the Medical Corps. Since its establishment, the hospital has treated some 50 Palestinians, providing life-saving treatment to a few, he said.

“At first people refuse treatment, but later they calm down and understand that we are completely on their side. We are entirely detached from the fighting going on inside [the Gaza Strip],” Biton told The Times of Israel.

One would expect more activity in the state-of-the-art field hospital, given the high number of injured Palestinians just kilometers away in Gaza’s understaffed and under-equipped hospitals. Biton said the primary force keeping Palestinians away was Hamas.

In one case cited by Biton, a seven-year-old child was brought to the hospital and quickly diagnosed with leukemia. Before being referred to Shiba Hospital outside Tel Aviv, his grandmother was asked to sign Israeli admission forms.

“At first the grandmother said she couldn’t read or write, but then she told us she’s a school headmistress, so apparently she could,” said Biton, who oversees the Arabic-Hebrew translation at the hospital. “When I asked her why she had told us that, she said that I must understand the basic fear and mistrust, which I indeed do.”

The few patients who did arrive at Erez were either picked up by IDF fighting units in the field, or referred by UNRWA or the Red Cross. A 75-year-old woman was left behind by her fleeing family in Khan Younis and brought to Erez in a state of dehydration and fatigue by Israeli soldiers. A 21-year-old man arrived in serious condition with shrapnel in his lung. Both were referred to Israeli hospitals.

“Our capabilities await the residents of the Gaza Strip to come and receive medical treatment,” said Lt. Col. Rachel Mezan, chief nurse of the Medical Corps and head of the field hospital. “We are very experienced in this type of mission. We set the hospital up quickly and adapt to the changing needs. In some cases we’ve definitely managed to save lives.”

To paraphrase Hamass, they love dead children more than Jews and Christians love life.


War on Children Update

Hamass may be looking to surrender to Israel, but their onslaught against their own children continues unabated:

Hamas is preventing three Gazan children, who desperately need medicine they could only get in Israel, from leaving the Strip to Israel. The three children, aged 5, 10 and 12, are suffering from systemic arthritis and are all in mortal peril.

A year ago, the Palestinian children joined a study conducted by the Sheba Medical Center in Tel HaShomer and the pharmaceutical company Novartis AG, which requires the children to receive a monthly injection to treat the diseases. The study itself has ended, but the children need to continue receiving their medication in order to continue their treatment.

The children’s situation has significantly improved while receiving the treatment. But now that the treatment has been stopped, the children are at risk of a renewed inflammation of the disease that could cause liver failure, disabilities and at some cases death.

Say it with Uncle Ismail and Uncle Khaled, kiddies: “We love death more than you love life!” I knew that you could.

The treatment costs NIS 70,000, but the Palestinian children receiving it free of charge.

Not anymore, they’re not.



Back from my travels, I lifted my jet-lagged head off the pillow at 5 am. Needing coffee (as I always do upon rising), I zipped down to the nearest Dunkin’ Donuts shop for a medium hazelnut (hot, cream no sugar) and a couple of Old-Fashioned (plain) doughnuts—breakfast of champions. These are the fleeting moments I permit myself to listen to NPR.

A reporter from Sierra Leone described the hell that is the Ebola outbreak there. Sensing that this story might be free of slander toward Israel (though you can never be certain), I listened on. Damned if I didn’t learn something.

The audio/transcript won’t be online for a few hours yet, but the reporter called in with a similar take yesterday:

NPR’s Jason Beaubien is in Sierra Leone, covering the Ebola outbreak that began in March in Guinea and has spread to neighboring countries. We’ll be speaking with him throughout the week about what he’s seeing on the ground. Today he’s in Kailahun, the largest town in the country’s eastern province, with a population of about 18,000, and the epicenter of Sierra Leone’s outbreak. In the past week, Doctors Without Borders staff in Kailahun have treated more than 70 patients with Ebola-like symptoms.

When we called, Beaubien was with a team driving to the treatment center to pick up the body of a 70-year-old woman who died of Ebola. Burial was scheduled for this afternoon.

What will happen at the burial?

The Ministry of Health is handing over body management to the Red Cross. This is one of the first bodies they’re going out to do, so there’s a whole bunch of people [who will be at the burial]. It may turn into a bit of a mob scene. And there’s a lot of anger in the community; there’s a potential that family members might not be happy that such a large group of people are showing up at the burial.

That’s where this morning’s story picked up the trail. The poor woman who died wanted only to be buried behind her simple house. Her son had dug her grave. Before her body arrived, however, the “mob” filled in the grave, in the presence of the regional chief, who forbid the burial of an infected body so near other people. Bury it deep in the bush, he counseled, where it won’t infect the drinking water.

Was he right? Can ebola (which is transmitted by bodily fluids) seep out of a body bag (two, out of an abundance of caution) and into the water table, infecting whole towns? I certainly don’t know.

But doesn’t this sound eerily similar to the AIDS crisis of the 1980s? An unknown disease that seemed to effect only intravenous drug users, homosexuals, and Haitians with terrifying afflictions, before the inevitable death. Nobody wanted to have anything to do with that. We shunned, we turned our backs, we kept our hands in our pockets.

As who would not?

Ebola spreads by contact with bodily fluids. What precautions are people taking?

People have been told not to shake hands. But this is West Africa. People usually grab your hand in both their hands and don’t let go, especially someone who really wants to engage with you. It’s very hard for people not to shake hands. You go into an office, and people have their hands in their pockets just to keep from pulling them out and shaking hands.

America needs no remind of its shortcomings. Slavery, Jim Crow, mistreatment of native peoples, homophobia—ours is not a spotless record. But that doesn’t make America racist, genocidal, or otherwise intolerant, it makes us human. If these Sierra Leone villagers succumb to panic—from one of their own, one whom must have been known by all—they are only human too.

Arthur Miller’s The Crucible is playing in London at the moment (to excellent reviews). Miller’s merciless tale of the Salem witch trials is universally seen as an allegory for the anti-red witch hunts of his own time. But would the “brave”, “heroic” Mr. Miller have the nerve to set a modern Crucible on West Africa?

I don’t think so, either.

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Apartheid State Update

As long as Israel prevents Arabs from becoming heart surgeons, there will be no true equality:

David Mishali, was interviewed on TV Channel 10 along with his wife, journalist Yael Mishali, who expressed their feelings of frustration following the abduction of three yeshiva boys – two of whom study alongside their son at Mekor Haim yeshiva high school.

Dr. Mishali, an expert on heart defects, told the television reporter that he has been operating on patients of all nationalities for decades and it never mattered to him where the patient was from. But after the abduction, he said, he no longer feels the same way. His wife, Yael, who identifies as on the left end of the political spectrum, opined that Israel must stop treating Palestinian Authority (PA) children until the Jewish kids who were abducted are handed back.

Dr. Mishali explained that he suddenly finds himself going to work with a heavy heart, knowing that he has to treat Palestinian children, many of whom, come from Hevron – the very city the kidnapped Israeli teens are thought to be held.

“I’m tired of being the bleeding heart who helps the needy,” he said. “It’s hypocritical,” he added, and said that instead of his usual joy at work, he currently feels depressed there.

You will note that he hasn’t stopped treating Arabs, that he’s been treating them without question or second thoughts for decades—during intifadas, suicide bombings, wars—only that he’s sick and tired of their [bleep]. As who is not?

At least one MK is not:

The Knesset erupted in angry invective Thursday when MK Ahmed Tibi, a former aide to the late PLO chief Yasser Arafat, slammed an Israel heart surgeon who expressed his mixed feelings in treating Palestinian Authority children.

Minister Uri Orbach (Jewish Home) took to the Knesset podium to defend Mishali, in response to Tibi’s parliamentary query on the matter. He told Tibi that Dr. Mishali did not say that he would stop treating Palestinian children – only that he would do so with a heavy heart and frustration. Tibi, he said, was purposely twisting Mishali’s words to make it seem that he had refused to treat Arabs. He also reminded Tibi that his own ethics could be questioned, in view of his long working relationship with Arafat.

In response, Tibi told Orbach that he has “a twisted head” and is “a fascist.”

“Arafat’s shoe is worth 10 people like you,” Tibi screamed. As Tibi was escorted out of the plenum, Orbach told him to leave his shoe behind, because it is worth more than he is.

Arabs and their shoe fetishes—I don’t get it. However, an interesting debate ensued:

Israel prides itself on treating Palestinian Authority Arabs in its hospitals, but some believe this policy goes too far.

Israeli media reports shortly after the abduction of the yeshiva boys said that the wife of Palestinian Authority chief Mahmoud Abbas was convalescing in a top Tel Aviv hospital after undergoing surgery. The reports said that Abbas’ wife was being held under heavy security in a private room, with no roommates.

In November, it was reported that a granddaughter of Gaza’s Hamas leader Ismail Haniyeh had been hospitalized in Israel in critical condition.

How many times have we reported on Israel’s treatment of Syrian wounded? Several.

Israel’s ethics are Israel’s to live with. If treating your sworn enemy—sworn to your annihilation—is part of your moral code, who am I to dissuade you? Similarly, if having your sworn enemy—sworn to your annihilation—serving in your Parliament (MK Tibi, MK Zoabi), calling you fascist, defaming a doctor who has saved countless Arab lives, is part of your moral code, don’t let me tell you otherwise.

But shame on Israel for limiting Hamass to terrorist summer camps. Imagine the benefit to Arab “society” (ha!) if the “terrorist entity” held medical summer camps, or even Bible study camps. More Arab doctors, Israel, fewer Arab terrorists: it’s up to you.

PS: You do get the sarcasm, don’t you?


Supporting the Troops, Democrat Style

I confess I let the VA health system story pass without comment. To my discredit, I assumed it was but another in a too-long series about shabby care for the country’s military veterans.

Take this PBS story from 2007:

“The Veterans Affairs Department, which is chronically under- funded and under-resourced, and is already crying out for help in the country.”

“Jon Town is a war hero. And he has to beg, plead, scrap and claw to get results. And ultimately the only way he’s going to get results is because he’s gone to the press and he’s shamed the people in power into some sort of action.”

Or the series in the Washington Post from the same time, during the Bush administration.

But I was wrong. This is far worse:

An outraged Sen. John McCain, R-Ariz., slammed the “systemic” problems plaguing Veterans Affairs health care centers around the country on Saturday, saying the Obama administration has “failed” to respond to the mismanagement and delays that have been linked to dozens of deaths nationwide.

“Decent care for our veterans is among the most solemn obligations a nation incurs, and we will be judged by God and history by how well we discharge ours,” McCain said in the weekly Republican address. “That’s why I’m so deeply troubled by the recent allegations of gross mismanagement, fraud and neglect at a growing number of Veterans Administration medical centers across the country.”

“It’s been more than a month since allegations that some 40 veterans died while waiting for care at the Phoenix VA were first made public,” he said. “To date, the Obama Administration has failed to respond in an effective manner. This has created in our veterans’ community a crisis of confidence toward the VA – the very agency that was established to care for them.”

The Phoenix facility reportedly worked to disguise patients’ long wait times by creating a secret waiting list and later destroying the evidence. Reports suggest the same practice of using secret waiting lists may be happening elsewhere across the country.

One rogue office is bad enough—say, an IRS outpost in Cincinnati, to pluck an example. But multiple reports of secret waiting lists begins to sound like a conspiracy. Who and how high are the next questions.

Germaine Clarno is a VA social worker and employee representative in Chicago. She alleges there are multiple secret waiting lists of veterans kept at the Hines VA Medical Center.

Asked which divisions of the hospital kept the secret waiting lists, Clarno says, “Employees are coming to me from all over the hospital, from outpatient, inpatient, surgery, radiology.”

Clarno says the purpose of the lists was “to make numbers look better for their own recognition and for bonuses.”

The VA grants bonuses to executives and doctors, partly based on short wait times. Whistleblowers — including Dr. Sam Foote, who revealed the scandal in Phoenix, where up to 40 veterans may have died — believe bonuses give an incentive to conceal delays in care.

Clarno says it is easier for bosses to claim short wait times — and collect the reward — than it is to explain why the target can’t be met. She says she believes that throughout the VA, people are faking the wait time data in order to receive bonuses.

But you know why I think I overlooked this story?

It sounds so much like other stories of government-run health care, I assumed I already had covered it:

Nurses, midwives and other carers battered by David Cameron’s assault on NHS wages are night furious at revelations their bosses’ pay packets have risen by 36%.

Senior managers pocketed £166million in bonuses and other extras last year – as the Tory-led Coalition slashes £20billion in costs from the beleaguered service.

That is up 36% from £122million the year before.

The rise, on top of their annual salaries, could have paid for an extra 4,000 nurses, who have suffered a 1% cut.

See what I mean?

An investigation into the deaths of five cancer patients has found the surgeons involved were ‘dysfunctional’ and ‘secretive’.

Keyhole surgery for stomach and throat cancer was only stopped at Maidstone Hospital in Kent last July, despite whistleblowers raising concerns about patient care three years ago.

At least our American victims os socialized medicine have been trained to defend themselves, unlike others I could name:

A sex attack victim yesterday hit out at the ‘disgusting’ contrast between the care given to a Latvian who tried to rape her and her own treatment by the authorities.

While Rolands Brize has cost taxpayers an estimated £150,000 including psychiatric help at a private hospital, his victim has suffered delays getting NHS treatment for the scars inflicted during the terrifying assault.

The 23-year-old graphic designer has also been distressed by having to wait 13 months to see Brize jailed since he pleaded guilty to attempted rape because sentencing was repeatedly adjourned.

She is currently in an ‘NHS queue’ awaiting treatment.

She is also furious that UK authorities were helpless to stop Brize moving here despite him having been sent to a mental hospital in Latvia for burning down his family home.

Calling for him to be deported, she added: ‘Personally I feel he should never have been allowed into this country in the first place. There are seemingly no controls about stopping criminals. I feel as if the victim has been forgotten. It’s appalling.’

Don’t get me started in immigration. We’ll revisit the VA disgrace over the coming days and weeks. We apologize for having missed it for so long.

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The Odessa File

You know what happens when Israelis around in a crisis.

The doctor (or medical student) is in:

A few hundred Israelis studying abroad in Ukraine have been treating victims of the violence between government forces and pro-Russian militants.

Gonen, a 25-year-old from southern Israel studying medicine in Odessa, described the mayhem that has engulfed the city since Friday. “Yesterday noon the hostilities started. An activist friend of mine asked me and my friends to help treat the wounded.

“We set up a command and control center just like Magen David Adom (emergency personnel) and brought in the victims. We were three Israelis and four Turkish nationals. We treated about 30 people across the city.”

Gonen, a second-year medical students who served as a medic in the IDF, said local residents bought the team bandages and disinfectants: “You can’t rely on the Ukrainian authorities from a medical point of view. There were few ambulances so we arrived at different places and simply treated people in the street.

“We treated them until nighttime. We saw fatalities; this usually-pastoral scene became a war zone. I treated one wounded man while he was surrounded by corpses and people crying and screaming.”

“I felt safe until now, but I won’t walk around the city anymore. There are pro-Russian militants carrying Israeli flags to provoke the population. The Israelis here just want to go home,” said Gonen.

Sadly, in this world we live in, home is where you belong.


Hypothetical Question

Say you’re out for a jog. Then say, just say, you get shot in the back by a trained sniper. Hey, it could happen.

What would you do?

Gennady Kernes, the mayor of Kharkiv in the Ukraine who was critically injured Monday, has been flown to Israel for medical treatment, reports Arutz Sheva’s Ian Gold.

Gold reports from Kharkiv that Ukrainian authorities asked Israel to assist in treating Kernes, who was shot in the back by unknown assailants while on a morning jog. The authorities reportedly believe that Israeli doctors have more experience than Ukrainian ones in treating gunshot injuries of the type Kernes has suffered.

Gosh, wonder why?

The fact that Kernes is Jewish may have factored into the decision as well.

I’ll bet.

The investigation into the attack indicates thus far that the mayor was shot by a “skilled” assassin who possessed an accurate weapon. An unexploded hand grenade was also found near the scene of the crime.

Kernes was injured in the lungs, stomach, liver and spine, and doctors are fighting for his life.

The rabbi of Kharkiv, Rabbi Moshe Moskowitz, told Arutz Sheva that the mayor is “a very dear Jew, with a warm and loving connection to the community, and we are shocked by the assassination.”

“We are praying for his health,” he said, and urged those who wish to pray for him to mention “Moshe son of Hana.”

Whether the assassin was pro-Ukraine or pro-Russia may matter to some, but not to Moshe Kernes. Aggie asked why Jews even lived there anymore. Jews should be allowed to live anywhere, but this story suggests they’d be wiser to move to Israel before they’re shot, not after.

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We Get Results

Yesterday, we learned and reported that the state of Oregon was burning dead Canadian babies (technically, “fetal tissue”) that Canadians could not be bothered to burn.

That ends today:

An Oregon county commission has ordered an incinerator to stop accepting boxed medical waste to generate electricity after learning the waste it’s been burning may include tissue from aborted fetuses from British Columbia.

Sam Brentano, chairman of the Marion County board of commissioners, said late Wednesday the board is taking immediate action to prohibit human tissue from future deliveries at the plant that has been turning waste into energy since 1987.

They are shocked—shocked!—to learn that they may have been burning discarded human tissue for more than a quarter century. What did they think, that the baby rattle and Tickle-Me Elmo doll in the fuel were made of quarter-sawn oak?

Kristy Anderson, a British Columbia Health Ministry spokeswoman, told The Associated Press that regional health authorities there have a contract with a company that sends biomedical waste, such as fetal tissue, cancerous tissue and amputated limbs, to Oregon, where it’s incinerated in the waste-energy plant.

Did they not read the contract? Of course they did. They just saw nothing wrong with the practice (though, reportedly, those living around the plant were queasy about what came out of the smokestacks).

In the future, Oregon, do with the “biomedical waste” what other cultures do with it: make sausage.


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