Subject: Child Abuse During Deployment / Tainted Chili

From: Physician's First Watch <[email-masked]>
Date: Wed, 1 Aug 2007 07:41:01 -0400 (EDT)

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PHYSICIAN'S FIRST WATCH for August 1, 2007
David G. Fairchild, MD, MPH, Editor-in-Chief

- Abuse More Likely During Parents' Deployment to Combat Areas
- Tainted Chili Still on Shelves

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Abuse More Likely During Parents' Deployment to Combat Areas

Maltreated children of soldiers are more likely to have suffered abuse during the soldiers' deployment to combat areas, according to a report in JAMA. The journal devotes most of the issue to research on violence against children worldwide.

The report focuses on children of enlisted soldiers in the U.S. Army. Researchers examined incidents of maltreatment (neglect, physical abuse, emotional abuse, or sexual abuse) in 1771 families between September 2001 and December 2004. They found that rate ratios for maltreatment were 42% higher during periods of a parent's combat deployment. Rates of neglect by mothers increased almost fourfold during a husband's deployment, while physical abuse rates nearly doubled.

In covering a similar study in June, Joel Yager wrote in Journal Watch Psychiatry that "clinicians working with military families should be aware that these major family transitions might provoke child mistreatment and other family violence."

Link(s):
JAMA article (Free abstract; full text requires subscription) http://click2.nejm.org/cts/click?q=227%3B294807%3BPchLp5XKWWnsnSuaVYwO4IhMfYqYe5T7d2aZONOPdfQ%3D

Related Journal Watch link(s):
Journal Watch General Medicine summary (Free) http://click2.nejm.org/cts/click?q=227%3B294807%3BPchLp5XKWWnsnSuaVYwO4ANERfOZgf5Jd2aZONOPdfQ%3D
Earlier Journal Watch Psychiatry coverage of related research (Free) http://click2.nejm.org/cts/click?q=227%3B294807%3BPchLp5XKWWnsnSuaVYwO4PyIOUWdHq3Wd2aZONOPdfQ%3D

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Tainted Chili Still on Shelves

The FDA urged consumers to throw away 91 recalled products from Castleberry's Food Company after four confirmed cases of botulism in people who had eaten the company's hot dog chili sauce.

The CDC asked physicians to "be vigilant for symptoms of botulism, including symmetric cranial nerve palsies, especially if accompanied by descending flaccid paralysis."

Retailers have continued to sell the recalled products well after the recall was announced on July 19, according to an AP story. Spot checks by the FDA and state agencies found recalled items for sale in 250 of the more than 3700 stores screened. The potentially tainted products are sold in 49 states.

Link(s):
MMWR article (Free) http://click2.nejm.org/cts/click?q=227%3B294807%3BPchLp5XKWWnsnSuaVYwO4CeSVuO0nEI0d2aZONOPdfQ%3D
Castleberry's recalled products (Free) http://click2.nejm.org/cts/click?q=227%3B294807%3BPchLp5XKWWnsnSuaVYwO4HpIRsgtGievd2aZONOPdfQ%3D
AP story (Free) http://click2.nejm.org/cts/click?q=227%3B294807%3BPchLp5XKWWnsnSuaVYwO4I%2FmvcBb0rPhd2aZONOPdfQ%3D

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