task force, it came out this week and basically what they are saying is you are asymptomatic and havemptoms, no chest pain or cardiac issues and are at a low risk, meaning you don't have diabetes or high blood pressure you don't need ekgs every year and so you don't need to be screened and the reason is because sometimes, we may be overdoing it. and we may be getting too many ekgs and we find things that can lead to cardiac problems and other things and there is a discussion from cardiology standpoint, we don't want people to go on and get chest pain and die because coronary heart disease is one of the leading causes of death in this country and 40% of deaths have to do with this and how do we go about this? i think of common sense, things we talked about, mammograms an psa tests, screening, and ekg follows the same pattern. if you are at low risk, get a baseline at the age of 30 and talk to your physician, every five years and follow up on that and why is that important? because you want to compare any abnormal ekg in the future with a baseline and see what has changed. that is reall

, et cetera and not everybody has to panic about this. 80% of the people who get the virus are asymptomatic and are perfectly fine and 20%, have flu-like symptoms. headache, nausea, rash, pain, et cetera, just like flu and about 1 in 150 are the ones that will get some sort of meningitis, stiff neck and you have to go to the emergency room immediately and not now. how do we protect ourselves? which is a question you are asking. make sure you get the spray that has -- there are five "d", you need to remember. first something in the spray with d.e.e.t. and the second one is to dress up, the second "d" and cover yourself until you figure out what is going on with this and mosquitoes show up in dusk and dawn and if you don't have to be out there, stay indoors and cover and finally, drainage. any sitting water, swimming pool, drainage that can attract mosquitoes you want to be careful about. one of the big questions that came up, on twitter, is can i get the virus from casual sexual activity, kissing or anything else? and the answer is no, it is from a mosquito and it carries to it a humans. >>

don't do the blood chemistry panels in asymptomatic, healthy adults. don't do the annual electrocardiograms, again, in asymptomatic, low-risk patients x. don't do the bone screening for osteoporosis sis in women under age 65. these are recommendations coming from the evidence from primary care physicians. we'll talk more ant this later -- about this later, about what we can do to try to curb the inexorable rise in health care spending so we can have health care reform that lasts for generations to come. this is a millman medical index of the annual cost for a family of four for medical care. and note in 2012, 20,728 dollars. it's been rising a thousand dollars a year. you can see that. i don't know if that's showing. that's where we are in health care today, and there's nothing to stop that trajectory. and meanwhile, the median family income in the u.s. in 2011 was $50,000. so how for a family of four the average annual spending is $20,000, how do you do that? and are there even enough federal subsidies, is there enough money in the federal government

i read that something like 80% of cases are asymptomatic. >> or they have such mild symptoms they wouldn't know to go to the doctor or get it checked out. and you're right. three times the cases as is average this time of year so far in 2012. there are going to be a smaller minority of patients anderson who develop symptoms who are more characteristics. they will get fever, swollen lymph nodes. as the body is trying to respond to the infection. they can sometimes get a characteristic rash around their chest or back. the most rare situations, the on that people are talking about that can result in death is about 1 in 150 cases and it's known as the neuroinvasive form of west nile virus and it is exactly what it sounds like, anderson. it actually invades the area around the spinal cord, around the brain. people will become comatose. they may become weak or paralyzed in their legs. it's very frightening but rare. that's typically what happens when they die. >> so who's at most risk for the severe symptoms? and also, obviously it's spread from a mosquito but does it spread person to person at

they become completely asymptomatic with medications or other treatments. and about a third of patients don't seem to respond very well at all to the meds. now unfortunately, there are these other symptoms. the negative symptoms it of schizophrenia and the cognitive symptoms. and these are the most pernicious and difficult symptoms to treat. its medicines don't work very well at all for these symptoms. so negative symptoms refer to the absence of normal behaviors that most normal people, healthy people experience. a lack of energy, app pathy-- apathy, lack of motivation, patients with schizophrenia sometimes don't have ambition or drive. and this can, unfortunately, be misconstrued as laziness when in fact it's really part and parcel to the core sim to mattology of the disease -- sim-- very difficult symptoms to treat. and finally we have the cognitive symptoms of the disorder. the dementia. and patients with schizophrenia have inabilities sometime to gather their thoughts, to follow a train of thought. they also have memory impairment. if we give them a me

others probably were asymptomatic and carried the bacteria as well. the total number of deaths in the children was probably in the teens. but still, for us, it was devastating to watch a child expire. the death of a child generated a whole new set of challenges. the somali people are moslem, and they're very particular about their ceremonies and their burial ceremonies. but unfortunately, the remains of the children were very infectious and we had to isolate them. so we came up with a compromise. we would clean the child after the child expired and then put them in a body bag. and we'd hand them to the families and they would bury them in the body bag which was somewhat of a protection for the community. at times, the situation was frustrating for dr. achar and his team, knowing that they really couldn't do everything they were trained to do. when the children became the most severely ill and we didn't have a way to manage them, to measure their electrolytes, to measure their fluid balance in their body most accurately, to culture their infectious dis

asymptomatic. 20%, it can be deadly. >>> questions this morning about the fate of the wikileaks foundertical asylum in his country, but a decision is expected within a week. he's been held up in the ecuador london embassy since june. trying to avoid extradition on sexual misconduct allegations. >>> to syria now where the people of aleppo are enduring a day of deadly fighting and a high-ranking political defector is speaking out for the very first time. here is abc's martha raddatz. >> reporter: a furious volley of firepower in the streets of aleppo. [ girlfrieunfire ] >> reporter: as assad's forces appear to move street to street leaving dead and wounded in their path. but beneath the show of force, the cracks only grow. speaking for the first time since his defection, the former prime minister of syria said assad's control is crumbling. the regime is spiritually, financially and militarily cracked, rihad hajib claimed and it controls 30% of syrian land. it is not clear those claims are true, but what is clear is that the u.s. is not interested in establishing a no-fly zone over the ski

them medically, but from a public health perspective the number of false positives you get in an asymptomatic population doesn't justify testing that group of people. the bigger worry was the subtle incapacitation. there's a per tseng that there's cognitive decline -- actually, it's a fact -- that there is cognitive decline with aging, and you gave me a good study, a good paper on that from a gentleman from the naval air medical institute who had done that. the question is, where do you draw the line, and do you do testing, and does the testing that's available give you relevant aero medical information? and our information was that the training process was a better proxy than doing testing on individuals because of the variability. and as fred said, if you instituted that as a requirement, you would have some 35-year-olds that wouldn't qualify. they wouldn't meet the standards where you couldn't have people who were 75 or 80 years old exceed those standards. so it was a very difficult situation, and i was very pleased to see that the faa essentially kept the standards identical to what they

test for the cally, b from a public health perspecti thember false positives that you get in an asymptomaticpulation doesn't justify testing that group of people. the bigger worry was the subtle incapacitation. it is not a perception come as a fact that there is some cognitive decline with aging. you gave me a good study in paper on that. the gentleman from the naval air of medical institute. the question is do you draw the line and do you testing, tng that is vle,oe it give you relevant medical cognition? our recommendation was thatthe training process was a better proxy than doing testing on individuals because of the variability. and if you instituted that is a requirement, you would have some 35-year-olds who would not qualify and they would not meet the cognitive standards where you can have people who were 75 or 80 years old. they couldn't exceed those standards. it was a very difficult situation and i was very pleased to see that the faa essentially kept the standards identical to what they are. and there our airmen who are 80 years old and even in her 90s hold a first class medical c