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Sound Medicine -- November 22, 2003

Hosts Barbara Lewis and Dr. Kathy Miller talk to physicians and researchers about:

Youth Smoking in Indiana

International Adoption

Celiac Disease

Real Media | Windows Media

Youth Smoking in Indiana

At least 38% fewer Hoosiers participated in the Great American Smokeout on Thursday. For the Indiana Tobacco Cessation Program, that's good news -- because that 38% represents the number of Indiana middle-school and high-school students who are not lighting up. Karla Sneegas, executive director of the Indiana Tobacco Cessation Program, describes the success of the Voice Campaign, the agency’s grassroots campaign that targets Indiana kids.

Following its first two years in existence, the Voice Campaign reported a 26% decline in high school smokers and a 12% decline in middle school smokers. These numbers place Indiana below the national average for youth smokers. This is good news, considering that Indiana has the fifth highest smoking rate for adults in the United States.

Resources:

WhiteLies.tv strives to uncover the falsehoods of the tobacco industry.

Indiana Tobacco Prevention and Cessation is responsible for developing programs to prevent and reduce the usage of tobacco in Indiana.

View statistics related to smoking and tobacco use in Indiana, including numbers of deaths and monetary costs.

International Adoption

Last year, there were over 20,000 international adoptions. Most of the children hailed from Russia, China or Guatemala. But wherever the children come from, most arrive with special health concerns. They commonly suffer from poor nutrition and health care. For 75% of these children, their first home was an orphanage or other institution, which can lead to additional medical and behavioral challenges.

Along with the many wonderful experiences that await the adoptive parents, there are also challenges that they must prepare for. November is International Adoption Month, and so we talk with Dr. James Conway. Dr. Conway is director of the International Adoption Clinic at Riley Hospital for Children in Indianapolis. He and his staff are some of the first people who meet adoptive children once they reach their new homes in Indiana.

Resources:

Riley Hospital for Children maintains an International Adoption Clinic, which unites families with experts in infectious disease, geographic medicine and general pediatrics.

There are many special pediatric concerns unique to international adoptees. This webpage from Children's Hospital in Boston addresses many of these issues.

The US Department of State has a thorough guide to the legal concerns of adopting internationally, including country-specific information.

Celiac Disease

Have you heard of the gluten-free diet? It is not the latest weight-loss craze, but rather a very precise and strict diet followed by people who have celiac disease, also called celiac sprue. Gluten is a protein, and people with celiac disease cannot tolerate it. When they eat gluten, their immune system attacks the small intestine by interfering with absorption of nutrients. Gluten is found in wheat, barley, rye and possibly oats – meaning most breads, pastas, cereals, baked goods and processed foods are off limits for celiac sufferers. In fact, gluten is also found in many foods you would never expect, such as yogurt.

While approximately one in 4700 people have been diagnosed with celiac disease in the United States, the actual number of people with the disease may be closer to one in 250 people by some estimates. Complicating the celiac disease equation is the fact that its symptoms can mimic other digestive diseases, and sometimes, there may be no visible symptoms at all. Dr. Joseph Fitzgerald teaches us about celiac disease. Dr. Fitzgerald is professor of pediatrics and director of pediatric gastroenterology, hepatology and nutrition at the IU School of Medicine and Riley Hospital for Children. He is also director of the nutritional support team at Riley Hospital.

Resources:

Celiac disease is explained further by the National Digestive Diseases Information Clearinghouse.

Children who suffer from celiac disease have special needs and concerns. This guide provides information for children and their families.

The Celiac Disease Foundation provides support, information and assistance to people affected by celiac disease, and increases awareness among the general public.