we have chosen some like african-americ african-american/hypertension. we were required to do an equity measure and we chose that one. and others are based on what we see in the population. h.i.v. is a very salient issue in san francisco. it might not be something tracked as closely in other jurisdiction, probably to their detriment. and other things are clinic-specific. so every entity within our system is doing a slightly different look at their own data and people have some agency around having their own data and each clinic can look at what they, themselves, are doing and then when have both mandated and centrally decided measures that we use. we do have measures that are used across the department to judge quality of work. >> is tracking live births in the city data that you collect? >> yes. that is state mandated data that we and every other medical unit in the city send. and mortality data. hospital admission data. those things are on sfhip site. >> very interesting. look forward to having you back to go deeper into this. any questions or comments

of all the people, they know who has hypertension in the clinic who are african-american, which of theme that hypertension under control under that medical standard and have set goals for themselves about what level all the patients should be at and the goal next to that is that there should not be a disparity between groups. the largest disparity is between black african-american patients and the average and that's what all the clinics are focused on right now. some are quite small. so we know our patient population is really concentrated. in some clinics, it may be just a few people, which is why that line looks so busy. month to month, the clinic judges themselves to get an idea of how you patients are. next slide. for directing programming, i will use our getting to zero program that's care of h.i.v., and prevention for people at risk for h.i.v., very heavily focused on in our clinic sites. the main thrust is out of the research and health education departments or areas within the population health division. th this slide shows what has happened with h.i.v. it's a national model. if

the study published in the american journal of hypertension suggests women who breastfeed more children longer periods of time they are less likely to suffer from hypertension after they reach menopause. >> 5:23 now. in the morning buzz, see why an airline refused to allow a woman to fly with her emotional and very proud support animal. >> people really do push it. >>> firefighters saved a puppy stuck on an icy river. first up here's "gma"'s first look. >> in this morning's "gma" first look, a nearly 38 hour standoff. [gunfire] >>> ending in tear gas and battering rams. a wanted man holding himself up inside this minneapolis hotel for nearly two days. >> he made multiple threats that he was going to kill himself and others. >> police tried to arrest 43-year-old rashaad baumann for a nonviolent white collar crime he allegedly committed in arizona. bowman who claimed to be armed was starting small fires inside the room and didn't want to go easily. initiating the standoff taking a woman hostage and locking them both in the sixth floor hotel room at one point calling abc news station kftp.

have hypertension. a game change ner the treatment of multiple sclerosis. the fda green-lighted ocrevus. >> just slowing down the progression. if nothing else, it, lows you to keep doing the things you're doing longer. >> reporter: cartee removes a patient's t cells, then modifies them in the lab to treat cancer cells. >> this is a brand new way to treat cancer. >> they reported a sharp rise in cancer sale cel -- cancer cells in gen xers. >> i didn't even know young people could get colorectal cancer. >>> a mother had the first boy delivered from a transplanted uterus. >> there was something so excite being this. because the patients are so excited. >> a team of doctors repaired a faulty gene in a human embryo for the first time. the controversial process could help prevent thousands of disorders. and two major studies suggests drinking coffee, caffeinated or decaf, will help you live longer. researchers said the anti- oxidants found in coffee may offer protective benefits. that's a look at this story's top stories. >> 2017 was a big year, with moviegoers s

in the short-term, up ticks, hypertension, diabetes, low back. but where we were at the end of 2016, dropping down in terms of our per 1,000. >> and preventive screenings, the next one. >> and what i would like to call out on the next slide, six again, we don't necessarily have perfect data, but always said if we waited for perfect data, we would never have anything to look at and evaluate and inform where we needed to go. and so on these, for example, you know, if we look at kaiser screening weights, around 90% on the cervical and the mammogram and the colon cancer. those in here are not set to the measure which exists in the engine we have to pay for to make happen, it should be every two years versus one year, just a look at the year and where we are looking at, get a sense of are our members taking advantage of the preventive screenings, do we see variability by plan, just a caution how we are consuming this information. and lastly, i know stephanie presented last month in terms of where she's at with her wellness programs and i loved that pi

than our ideas on a heart condition hypertension and bleeding just want a kidney disease no ma'am and we haven't been exposed to. any venereal i sexually transmitted disease and i'm around on a time when i'm out. health questionnaire is a brand new concept in louisiana prisons. the prison is proud of it but the procedure is still in its trial phase. it's not the sheriff but a prison spokesman who receives us. well the budget has changed it used to be based on what we called a per d.m. meaning that we would receive a certain amount from the city which supplies our budgie for the state when we had stayed in maids of so many dollars per inmate. that system we no longer use we received a budget just like many other agencies too and so we must operate within that budget should you. take care of all of our operations here under the osa system there was an incentive to have more inmates because the more you have the more money to get. outdated and inhumane. and ambiguous indictments of the state's other prisons. with its new system new orleans wants to set a positive example but where they c

more than 3,000 women found women who nursed infants for -- were up to 51 percent less to have hypertensionder. women who breastfeed more children and for longer periods of time are less likely to suffer from hypertension once they get to menopause. >> a service animal ruffled some feathers at newark international airport in new jersey. the passenger tried to fly with a peacock. according to a post in the airline blog live and let's fly, the woman tried to bring the peacock on board a recent united airlines flight. she offered to pay for a second seat for the oversized bird while claiming she had a right to bring it on board as her emotional support animal. the spokesperson for united tear lines proudly informed the woman that the peacock did not meet their guidelines for an emotional service animal. >> peacock said thank goodness, this is getting out of hand. >> buy a puppy. >> yeah. 6:27. when we come back wind chills will warm up, then some snow. dave murphy is tracking a little bit of everything in your seven-day forecast. >> philadelphia police outline their strategy for super bowl sun

best that hypertension is a problem hemorrhage a surprise so you had your baby yes yesterday elise is just fifteen years old get up to. that plant and find out. that one and a half of this is. her little boy is now in intensive care with respect tree problems a common issue for babies born to teenage mothers a leader says she got pregnant to her first boyfriend but that the twenty five year old left his soon after allegedly on the other side of the ward is eighteen year old julie know is this your first baby. a second baby an apple. and what about you personally what happened and pretty much. the feeling that was. she says after her first pregnancy she had a contraceptive implant but had it removed when her twenty one year old patna wanted a baby i think really the. education is key for solving the problems here. like having a curriculum in. rep or the in health and sexuality our stand is to let. teenagers have options regarding contraception. but with no comprehensive sex education curriculum in schools the catholic church has a loud voice when it comes to what's taught to teenagers

we didn't know what hypertension was and how critical it was too treated until that came along.art of this is also drugs. stefan isknow about because of basic science research done 30 years ago by noble laureates figuring out that there is a critical pathway to control cholesterol and you can interfere with that with the development of a particular drug. caseen humans emerged from -- the average life expectancy was 20. itay in the developed world, is maybe around 80. we have increased our life expectancy roughly four times, how much can people keep increasing longevity? >> much of that happened over the last 100 years. if you look at 1900, the average lifespan was only in the late 40's. you have dramatically extended that. zip extendable beyond the age 100? it is not clear that if we don't tinker with biology that will get much beyond that point, because there seems to be a program here of limited lifespan, and evolution cares about that. if to get one generation out of the way so the next one has a chance. but we are getting pretty smart in understanding what are the aging,mole

we did not know how important hypertension was and how critical it was to treat it until that came alongthis is drugs -- statins, the most commonly prescribed drugs these days. why do we know about statins? it is because of basic science research done 30 years ago by nobel laureates brown and goldstein figuring out there was a critical pathway that controlled cholesterol and you could interfere with that with the development of a particular drug. david: when humans emerged from caves 200,000 years ago or so, or homo sapiens emerged, the average life expectancy was 20. more or less. today it is more or less, in the developed world, the united states, maybe around 80, so we have increased our life expectancy by four times. how much longer do you think people really can keep increasing their longevity? dr. collins: so, much of that happened in the last hundred years. if you look at around 1900, average lifespan in the united states was late 40's, so we have dramatically extended that. is human life extendable beyond about age 100? it is not clear that if we don't tinker with biology, that w

respiratory problems, hypertension... cancer. ...diabetes, cancer.e ptsd, post-traumatic stress disorder, here right now. from the hurricane? yes. yes. they don't have food. they don't have water. they don't have jobs. they lose everything. lemonis: they started as strangers. now they call themselves the three musketeers, united by maria. today they're joined by a local doctor, luis cortez, and me. are you ready to go? yes. okay, let's go. [ speaking spanish ] lemonis: we're headed to a remote village in the mountains, and, man, this is one seriously off-the-road house call. the storm ripped through the center of the island, swallowing roads, causing mud slides. i didn't see a single power line standing. how far up the mountain are we, almost to the top? not even close. you're comfortable, right? normally it would be fine from here, because we lost one of the bridges we need to go another way, reroute, and it's going to take us one hour. a few miles in, we have to leave the big trucks behind. they won't make it up the narrow, mudded-out roads. this i

one half of the 18 had cardiac disease, five had serious hypertension and four suffered strokes whilegiven that the 25th amendment at the moment is the only thing we have that in any way concerns it self concerns with the president's fitness, what else do you think we need to have in place? >> that's a wonderful question. we need safeguards. when you talk about nuclear war, global nuclear war that could eliminate the species from the planet, there needs to be safeguards in place, one that is in congress right now, house bill 669 for bids any president, not just the current president but any president from launching a first strike nuclear attack against any country without the okay from congress, which is a common sense bill. why would anybody not want congress to at least approve an attack of that nature? that's one thing. the missiles are currently on a hair trigger wire and we need to somehow make a safer system with that. there is house bill 1987 which allows congress to insist that the president get an evaluation, psychological or physical if there is ever any concern he's incapac

. >> was diagnosed with intra cranial hypertension, disease where the pressure in the brain increases damage to the optic nerve. by november 2015, she lost vision in both eyes. two month later she visited the reliques every saint chuffle. >> ends since he prayed, i was with the reliques, you know, my life changed. >> after that day she began to only see shadows, she went to the doctor to explain her symptoms. >> then i go to the doctor and they tell me, you know what, no, you're completely blind. it is just your imagination. you're want to go see, he said but i'll check you back in 48 us. >> forty-eight hours later she regained site in both eyes. there is no medical explanation to this day. >> you know, as a medical physician obviously we question. that will we want to make sure that we have evidence. for me it has changed my literally changed my way of thinking, my way of practice. and it strengthened my fate. >> thankful to have the ability to see again. >> the most important thing is that i know that god, you know, gave me a second chance. i see it that way. he gave me a second cha

heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effective. >> good afternoon, the commission commissioner will please come to order and the secretary will call. >> as noted on the agend

type we just talk about obesity, but, you know, when i went to the hospital a couple days ago, hypertensions a huge killer in the united states. if can you monitor your blood pressure and things like that on four, five times a day instead of once every three or four months, then you could really start taking the cover thes out of health care >> we'll talk more about it over the coming weeks and months. other story this morning, shares of apple are slipping again. goes red for the year, actually, on reports that company will cut iphone x production on weak demand it comes ahead of the earnings report walter, i wonder, i've been wanting to ask you all the reports we get, it's been happening for years signing unnamed suppliers, logistics problems and so forth. how do you know when the company truly has a production rollback and when they don't? >> well, you know, we'll eventually find out and certainly tomorrow's earnings report will be important but the real question to me is the funneldamental question whi is founded on which is are the new products really innovative and really great i still

. >> joe smiddy: this is a third- world country of diabetes, hypertension, lung cancer, and c.o.p.d.n, a tractor- trailer x-ray lab. i guess they taught you something about radiology and all of that in medical school. did they teach you how to drive an 18-wheeler? >> smiddy: i did have to go to tractor-trailer school. and it took a long time. >> pelley: was that harder than medical school, in some ways? >> smiddy: it was very difficult to get anyone to insure a doctor to drive a tractor-trailer. insurance companies didn't believe me. >> pelley: his x-ray screen is a window on chronic, untreated disease, including black lung from the mines. >> smiddy: we've seen coal workers pneumoconiosis, emphysema, c.o.p.d., enlarged hearts there's 15 of the 26 had significant abnormalities here today. >> pelley: just today? >> smiddy: just today. >> pelley: but when they leave your health wagon, they still don't have health insurance. how do they get treated for these things that you're finding? >> smiddy: we negotiate. we can talk to the hospital system. we don't leave any patient unattended. we

but when you look at complications such as hypertension disorder, so blood pressure issues, or bloodlots, which is something that i don't know if you read the "vogue" interview with serena williams yesterday, but she spoke about her tragic birth complication. amy: the tennis star. >> even she experienced for its complications at the hands of her doctor. she has a history of blood clots . i think she had a blood clot a couple of years ago that took her off the courts for a year. this is something the doctor should've been aware of. amy: she self diagnosed. >> and should women have to go into a hospital and self diagnose? if you read the story closely, she asked the nurse in order to get some kind of treatment, in ther to get a ctscan and nurse said, oh, it is the pain medication which might be confusing you. what does this make us feel as women? shown thatudies have pain management is something -- a huge problem in communities of color. doctors frequently do not give the right pain medication to black women in blue sometimes it might be, like what happened to serena williams, somewhat

>>> best diets of 2018, topping that list mediterranean and dash diet diet approach toes stop hypertensionhird, the flexitar ian which gives you flexibility to eat meat and fish on occasion, fourth, weight watchers, mind diet, tlc diet and died for sixth and dukan and keto. >> try eat right, eat right and keep it tight. >>> new research on how easy it is to get addicted to smoking cigarettes. >> health reporter stephanie stahl has more on the study. >> reporter: that is right, it just takes one. we know nicotine is very addictive but how long does it take to actually get hooked? doctors say smoking is different for different people and some are more prone to addiction but this new research says it can happen very quickly. thirty-five year-old ana creek tried her first cigarette at just a teen and now she's a regular smoker. >> it is just great place to gather my thought, check my phone, sometimes it is just a social thing really. >> reporter: new british study found more than 60 percent of people who take that first puff will go on to become daily smokers. researchers looked through survey

nation in things like lung cancer and things like premature deaths and things like diabetes and hypertensionnd cardiovascular disease and pick the category. we are between 43rd and 50th in the nation on all of these fronts and since we have expanded medicaid we've only gotten worse so the argument would be that well if you provide coverage, somehow people will be healthier. that is not the case. the key is not just the coverage, the key is access to actual health care, the utilization, the incentive to utilize it and then ultimately the ability to become healthier as a result and what we know for a fact is that people that are engaged in their own health outcome will have better health results. and that is all we're looking to do, is for that small subset to have this as a pablt to create this -- possibility to create this for them. i am such a person. i grew up well below the poverty level and never had health care until i was 20 years old. i was an active duty army officer before i had health care. so i don't look at this from sympathy as so many do. i look at from a level of empathy. i un

to offset the more expensive care like the 56-year-old like me, who may have chronic illness, hypertension, diabetes, coronary, other types of illnesses. that is why you have to let the young people in and you eliminate the individual mandate and 13 million people decide they will not be in the market, that drives up premiums. maryland legislators are addressing that. i have no doubt that they will be looking at considering and offering provisions on this charitable contribution. so, what you can do is what you do very well. you lobby your state delegates and senators on important matters for your residents. so, let's work together to work with our general assembly members. >> if i could just say we have to get this done in 90 days, right? we have to get it done during this session of the general assembly, because otherwise the impacts will hit marylanders starting next year. so if everybody can make sure , this is a top priority because it undermines your efforts at the local level. because as i said it adds a lot more to the cost of all of our constituents providing basic services. don m

there's financial costs of medication and there are side effects to anti-hypertensive medication, faintingthese guidelines. >> if you don't want to do meds, but have high blood pressure, other alternatives? >> to be clear the american heart association when they proposed these new guidelines said they thought it would only increase the number of people on medication by about 30%. lifestyle modifications are the mainstay. they are the foundation and i want to go through with you some of these modifications and what they can do to your blood pressure. so weight loss, we hear it over and over again, it can drop your blood pressure by one point for every kilogram of body weight lost. diet, the heart healthy diet. a dash diet can drop it by 11 points. when you drop your dietary sodium it can lower it another 5 points. when you increase potassium in your diet, dropping it another 5 points, and then exercise, alcohol in moderation, and add up all these numbers, let's say for argument sake i'm giving you an exam someone? a blood pressure of 139 over 79. you do all those things, it can drop that to

but there's encouraging -- though inconclusive evidence, that controlling blood pressure, hypertensive has an effect. and the possibility of cognitive engagement. yes, i would hope my colleagues, your colleagues, would do all of the things mentioned, as well as encourage patients to think about getting involved in a clinical study. >> great. i could ask 100 more questions, but i'll yield back. thank you. >> mr. donvan? >> now that dr. barra has made dr. glass and myself feel comfortable about asking about family history of people with a person who has parents with alzheimer's disease, this is an education to me. i wanted to ask about -- we were talking about studies and diagnosis. doctor, i remember when they said you needed an autopsy to do a diagnosis. i remember that. are we advancing also in how we're treating patients now with alzheimer's as we're waiting for studies to conclude and -- and how advanced have we gone? i can't believe what you said in your testimony about identifying four genes ten years ago or so, now we could identify 24. that's an incredible advancement for the pe

obesity, diabetes, hypertension, cancer, and of course, the aging population. and as you look at all those things, we're getting a larger and larger discrepancy between those who have and those who do not have the resources to get health care and health. consequently, one also has to think about the whole context where we live in. urbanization, climate change, globalization, and that leads to, as you know, ebola pandemics, you name it. the question is where we are. we're in a mess. and the issue has got to be solved by both a combination of technology and science, as well as good policy. so what i'm going to do is demonstrate to you some of what i believe are medical breakthroughs and technological breakthroughs in health and medici medicine. in bio medicine and biotechnology, in engineering, science, and data, robotics, and artificial intelligence. so, if you think about the medical breakthroughs. every day, you're going to read a newspaper, a journal article, you name it, about a breakthrough. but the of these are true breakthroughs. you think about genetic e

obesity, diabetes, hypertension, cancer and of course the aging population. as you look at all those things, we're getting a larger discrepancy between those who have and those who do not have the resources to get health care and help. subsequently it also has to think about the whole context we live in, urbanization, climate change, globalization and that leads to as you know, ebola, pandemics, you name it. the question is where we are. we're in a mess. and the issue has got to be solved by both a combination of technology and science. so what i'm going to do is demonstrate to you some of what i believe are medical bre breakthroughs and technological breakthroughs. every day you can read a newspaper, a journal article, you name it about a breakthrough. but some of these are through bre breakthroughs. we're at the point where we can edit individual genes and thae s use of stem cells to regenerate new tissues particularly in elderly and also in times of heart attack, stroke, et cetera. immunal therapy, the ability to galvanize your immune system to fight cance