If you look at the list--what you see are ways that HCPs, and in 
particular the drug companies can make money. Even something like 
quitting smoking is framed in the context of seeing the doc. BTW, I 
wonder how "brief counseling" by a doctor is going to help a problem 
drinker or a smoker. This is not about prevention, nor personal 
responsibility. If it were, then the primary focus would be 
nutrition--beginning with pregnancy and breastfeeding and throughout 
life, exercise, and behaviours that promote wellness and well-being 
beginning with secure attachment (co-sleeping, baby-wearing, etc) and 
continuing with the development of healthy lifetime practices like 
yoga, meditation, martial arts, bodywork and holistic therapies as the 
first line of treatment for any condition. Sorry, but this is more of 
the same self-serving drivel we always see.
Jennifer Tow, IBCLC, CT, USA

in this morning's paper, the headline "20 things we could do to be
healthier" caught my eye. I expected breastfeeding promotion, 
education, and
support would be at the top of the list. it wasn't even on the list:
20 things we could do to be healthier

By Frank Greve

WASHINGTON - What preventive measures would keep us healthiest for the 
least
money?

Former Surgeon General David Satcher led an alliance of health 
insurers,
state health departments, academics and trade groups as they tried to 
answer
that question by reviewing more than 8,000 preventive-medicine studies.

Below are their top 20 preventive measures in order of rank. Preventive
measures that are ignored by more than half of those who would benefit 
from
them are indicated by asterisks.

1. Daily aspirin to prevent heart attacks and stroke in men older than 
40
and women older than 50.*

2. Childhood immunizations for diphtheria, tetanus, whooping cough, 
measles,
mumps, rubella, polio, hepatitis B, etc.

3. Tobacco-use screening and brief counseling by doctors.*

4. Routine colorectal-cancer screening for adults 50 and older by any
recognized method.*

5. Hypertension screening via routine blood-pressure tests and 
medication if
necessary.

6. Annual flu shots for adults 50 and older.

7. Immunization of adults 65 and older against bacteria that cause 
pneumonia
and related diseases.*

8. Screening of problem drinkers and brief counseling by doctors.*

9. Vision screening for adults 65 and older.*

10. Cervical-cancer screening for sexually active women and women older 
than
21.

11. Cholesterol screening for men 35 and older and women 45 and older.

12. Routine breast-cancer screening for women 50 and older, and 
discussion
with women ages 40 to 49 to set an age to begin screening.

13. Routine chlamydia screening for sexually active women younger than 
25.*

14. Calcium-supplement counseling for adolescent girls and women.

15. Vision screening for children younger than 5.

16. Routine folic-acid-supplement counseling for women of childbearing 
age
to prevent birth defects.

17. Obesity screening for adults and high-intensity diet and exercise
counseling for the obese.

18. Depression screening for adults.

19. Hearing-impairment screening for adults 65 and older.

20. Promotion of child-safety measures such as car seats, pool fences,
bicycle helmets, poison control and curbs on scalding-water burns.
  

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