Toyota recall saga reminiscent of ‘Groundhog Day’ – National Consumers League

By Sally Greenberg, NCL Executive Director

Toyota’s current recall saga reminds me of the movie Groundhog Day – every day it’s the same thing, or a variation. First it was Toyota cars experiencing unintended acceleration caused by improper floor mats and sticky gas pedals, causing the Japanese automaker to issue a massive recall of millions of vehicles, stopping production, and bringing sales to a halt. Then, very quickly, the company announced it had a fix. So soon? (By the way, “product recall” is a misnomer that I find misleading because it suggests the product, in this case a Toyota car, will be retired or taken out of service permanently. That’s not what “recall” means. In this case, a consumer brings in his or her recalled car to a dealer, who fixes the problem at no charge. Recalls are mostly launched because of an inquiry and agreement with the company that it will fix the problem, prompted by consumer complaints about safety.)

I spent 10 years working on auto safety matters at Consumers Union, publisher of Consumer Reports, and I’ve had a hard time sorting out what exactly is going on with Toyota, so I can only imagine how confusing the series of events, reactions, and news coverage must be for consumers who own Toyotas. Members of Congress have scheduled a hearing next week, and two members on the House Energy and Commerce Committee are asking Toyota officials to clarify what exactly happened leading up to this recall. U.S. Toyota President James Lentz apparently told committee staff last year that the company first learned of the sticky pedals in vehicles driven in Ireland and England in April and May of 2009. But Lentz *went on the Today Show this week and claimed that Toyota first became aware of the sticking accelerator pedals in late October of 2009. House members – and consumers – want this inconsistency explained.

Sean Kane, who runs a group called Safety Research and Strategies, documented more than 2,000 instances of unintended acceleration involving Toyotas, resulting in more than 800 crashes and 19 deaths since 1999. Carol Mathews of Rockville complained in 2003 to NHTSA about her Lexus’ sudden acceleration into a tree. Apparently Mathew’s complaint launched an NHTSA investigation.

Meanwhile, to avoid problems with electronic throttles and sudden acceleration, some automakers have introduced brake override systems, which is an electronic adjustment that allows drivers to stop the car even if the throttle is stuck open. But Joan Claybrook, longtime President of the consumer advocacy group Public Citizen and a former NHTSA Administrator, asked a good question: “If it was just a floor mat problem, taking the floor mat out would correct the problem – so why are they putting the brake override in?” Toyota told the Washington Post that this was “an extra measure of confidence like other passive safety features on our vehicles.”  Confidence is likely the last thing many consumers are feeling right now about their Toyotas.

Toyota could have avoided the negative publicity by more being upfront and open about safety problems, letting consumers know it was the company’s intent to fix safety problems. Instead we got inconsistent statements, confusing information, and a rushed fix, which – for better or worse – has been met with skepticism about its effectiveness. There’s a lesson here for all companies: consumers will respect your quick attention to address any safety concerns you uncover and will work with you to get the problem fixed. Don’t bury your head in the sand or blame the consumer for safety problems, as some dealers did.

Toyota — which should agree to be organized by the United Auto Makers union — makes a solid and popular line of vehicles; however, its handling of this recall has been plagued by confusing information and new safety concerns daily. Consumers deserve better. We hope Toyota can deliver on its promises to fix the flaws in the newer models and slow down its production line — if even a little — so that it can return to being the automaker many Americans trust to turn out a great product.

*Links are no longer active as the original sources have removed the content, sometimes due to federal website changes or restructurings.

Tylenol products being recalled for non-serious problems – National Consumers League

by Rebecca Burkholder, NCL Vice President for Health Policy

Consumers should be aware of a recent recall by McNeil Consumer Healthcare for several widely used over-the-counter drugs, including Tylenol, Motrin, and Benadryl products. The recall, done in consultation with the Food and Drug Administration, was issued after McNeil received complaints of an “unusual moldy, musty, or mildew-like” odor that, according to the company, was linked to a small number of “non-serious” stomach problems, including nausea, stomach pain, vomiting, and diarrhea.

If you have purchased these products (which include junior-strength Motrin, children’s Tylenol grape meltaway tablets, extra-strength Tylenol rapid release gelcaps, Motrin caplets, extra-strength Rolaids, St. Joseph Aspirin chewable orange tablets, and Benadryl allergy tablets) you should stop using the product and contact McNeil to find out how to get a refund or replacement. For more information and a full list of the recalled products, including lot number and UPC code (both found on the side of the bottle) click here. Any adverse reactions should be reported to the FDA Medwatch program. If you have medical questions, you should talk to your health care provider as soon as possible.

According to McNeil, the musty small was caused by small amounts of the chemical “2,4,6-tribromoanisole (TBA).”  The chemical is applied to wood pallets used to transport and store packaging materials for the recalled products. The company reported that “the health effects of this chemical have not been well studied, but no serious events have been documented in the medical literature.”

Remember that any time you suspect something is wrong with a medication you are taking (smell, look, or taste) you should contact the FDA, and, if it’s a prescription medication, the pharmacist who sold it to you. You should also contact your health care provider if you have any questions.

Love your heart during American Heart Month – National Consumers League

February is *American Heart Month and this Friday, February 5, we remind everyone to wear red to support women’s heart disease awareness. Heart disease is the number one killer of women each year, and one American dies every minute from a heart attack. By taking a few simple steps, you can reduce your risk of developing heart disease.

The President, in a *proclamation issued earlier this week, reminds us that while costly and devastating, heart disease can largely be prevented. He suggests we protect our families from the disease by taking ‘responsibility for our health and that of our children – including *exercising regularlymaintaining a healthy diet, *avoiding tobacco, and raising our children to spend more time playing outside.’

*Remind your friends and family to love their heart.

*Links are no longer active as the original sources have removed the content, sometimes due to federal website changes or restructurings

Health care reform: good for consumers and America – National Consumers League

The lack of comprehensive health care coverage is America’s albatross – it makes our businesses less competitive and our workers less healthy. We need to put partisan concerns aside and work NOW to ensure that the system is reformed. The cost of doing nothing is unthinkable.

American families are paying about $15,000 a year for health care, twice as much as we did twenty years ago, and we pay $6,500 more for health care than any other industrialized country in the world. Yet despite these high costs we have poorer health outcomes.

We need to address why we are overpaying for care that is not making us healthier. Health reform, as proposed in several current bills in Congress, will move us towards greater accountability, efficiency, accessibility, transparency, and quality. It is essential that everyone have access to affordable health care or the system will remain broken.

For consumers, health reform will translate into choice – with a greater number of options available, including keeping and supplementing your own insurance, at more affordable and competitive prices. Reform will also make it easier to compare and understand the true costs and benefits of plans. As consumers and employees, we can make choices what will help push for health insurance and benefits that are competitive, innovative, and cost-contained.

With unemployment nearing 10 percent, many Americans have lost their employer-based coverage. Further, of the nearly 50 million uninsured, close to 80 percent are working Americans. It is imperative that we not leave our most vulnerable citizens out in the cold, which is why health reform will only be effective if everyone is covered.

Experts project that families will pay $10,000 more annually on medical costs by 2016 if we DON’T fix the system Health care coverage for all Americans is a moral imperative that must not be allowed to fall victim to partisan politics.

Mobile commerce: what’s all the buzz? – National Consumers League

You may have seen advertisements for things you can purchase using your wireless phone, such as jokes or ring tones. This new form of shopping, called mobile commerce, lets consumers order products or services using their phones or personal digital assistants (PDAs), with the charges usually appearing on their next wireless bill. NCL’s got the latest on how mobile commerce works and what to watch out for.

How mobile commerce works

Products and services may be offered on either a per-item or an ongoing subscription basis. It’s important to understand that the price and terms of the offer are set by the company selling the product or service, not by your wireless service provider.

Let’s say an advertisement for a ringtone catches your eye online or on TV. This could be a chart-topping musical hit, a popular television theme tune or a sound effect. You are usually provided what is called a “short-code” (Example: Hip1234). To make a purchase, you typically send a text message from your wireless phone to the seller at the number shown in the advertisement and type in the short-code for the ringtone you’ve chosen. The seller sends instructions for downloading the ringtone to your phone, and the corresponding charge will appear on your next wireless bill.

If the offer is for a single ringtone, you will be charged once; if it is a subscription package that enables you to download up to a certain number of ringtones in a specific time period, there may be monthly charges on your wireless bill.

Alternatively, you might pre-arrange to have the charges for products or services you’re going to purchase billed to a credit card or debited from a bank account or prepaid account.

Unfortunately, some sellers don’t make the cost or terms of their offers clear or use good procedures to ensure that consumers are only charged for purchases they agreed to make. Sometimes products or services advertised as “free” may require a subscription. Read advertisements and the terms of sale carefully.

Before you make a purchase, it’s important to know…

  • Exactly what products or services you’re buying
  • Whether it is a one-time purchase or an ongoing subscription
  • The full cost, and how and when you will be billed
  • Whether you can cancel, and the terms of any cancellation policy
  • How to reach the seller in case there is a problem – when signing up, make sure the seller has an 800 number

If you are purchasing music or other downloads, it’s a good idea to make sure you know whether it will work on your mobile device. If it turns out your phone can’t handle the download, some sellers may not offer a refund, so be sure to check to ensure compatibility with your particular phone or PDA before signing up or downloading.

It is also important to know the contract terms of your wireless service provider. Some add charges for downloading content or sending / receiving text messages.

Kids and mobile commerce: set rules

Many parents allow their children to carry a wireless phone to make communicating easier, especially in case of an emergency. Some have found out the hard way, however, that it’s easy for kids to rack up hefty phone bills with text messages or other purchases. Children may make mobile commerce transactions without understanding the charges or asking for parental permission.

Parents should set firm rules for what their kids are allowed to purchase and monitor their accounts closely. Parents may also have the option to block their children from purchasing certain types of content. Ask your wireless provider and companies that sell products and services through mobile commerce what controls are available to you and how they work. Remember, you may be held responsible to pay for purchases billed to your account. For the same reason, don’t lend your mobile device to others to use.

Consumers should choose vendors that…

  • Provide clear and complete information about their offers in their advertisements, including the costs and whether they are one-time purchases or subscriptions
  • Send a text “welcome message” confirming the purchase, the cost, and the terms of sale
  • Provide clear instructions for downloading content
  • Provide multiple protections to ensure only those consumers who agreed to buy products services are billed for them
  • Offer a simple, uncomplicated method to end subscriptions without further obligation
  • Have 800 numbers and live operators available to assist consumers with technical problems and billing questions
  • Provide refunds in the event that children fail to seek parental permission to make purchases
  • Respect your privacy and won’t send you offers you didn’t request

Review your credit card and wireless bills carefully. If you find any questionable charges for mobile commerce transactions, call the number shown for billing inquiries and complaints (or, if you get your bills online, you may see an email or Web site address to use for that purpose). Be sure to notify the company that billed you on behalf of the seller – your wireless service provider or credit card company – if you are contesting the charges, and pay the rest of your bill on time. If you are unable to resolve the problem contact your state or local consumer protection agency or the local Better Business Bureau for help. You can also report a problem to the Federal Trade Commission, www.ftc.gov, (877) 382-4357.

NCL thanks CARFAX for underwriting LifeSmarts study aid – National Consumers League

February 1, 2010

Contact: 202-835-3323, media@nclnet.org

Washington, DC – As LifeSmarts state programs heat up across the country, the National Consumers League has announced a new study aid for coaches and students prepping for competition: the Question-of-the-Day Calendar. Covering a range of subjects from health and safety to personal finance and the environment, the LifeSmarts Question-of-the-Day Calendars are underwritten by major companies, government agencies, and organizations. The February calendar, featuring practice questions with an emphasis on personal finance, was sponsored by CARFAX.

Each month, the official LifeSmarts Web site (www.lifesmarts.org) will feature a calendar containing dozens of retired competition questions for use as a study aid. The LifeSmarts daily calendars provide one challenge question related to the monthly topic area for each school day.

“Teachers and coaches may use the calendar questions to spur class discussion by asking one question per day, developing a mini-quiz given weekly, or running a simulated LifeSmarts competition,” said LifeSmarts Program Director Lisa Hertzberg. “We are grateful for CARFAX’s support in making this resource available to students and coaches as they prepare for their state competitions, vying for a chance to compete at the 2010 National LifeSmarts Championship in Miami this spring.”

LifeSmarts–the ultimate consumer challenge–is an educational opportunity that develops the consumer and marketplace knowledge and skills of teenagers in a fun way and rewards them for this knowledge. The program complements the curriculum already in place in high schools and can be used as an activity for classes, groups, clubs, and community organizations. LifeSmarts, run as a game-show style competition, is open to all teens in the U.S. in high school and middle school.

LifeSmarts topics have been chosen to encourage and reward knowledge in the areas that matter most to consumers and workers in today’s marketplace: personal finance; health and safety; the environment; technology; and consumer rights and responsibilities.

In LifeSmarts, teams of four to five teens, coached by an adult participant, compete in district and state matches with the state winners going to the national competition to vie for the national LifeSmarts title. The National Consumers League will host the 16th annual LifeSmarts National Competition in Miami Beach, Florida from April 24-27, 2010

The National Consumers League appreciates the financial support that makes LifeSmarts possible, which allows us to provide this program at no charge to teens and adult coaches. Our sponsors — community-minded businesses, associations, labor unions, government agencies, other organizations and individuals — understand the benefits of providing meaningful consumer education for young adults.

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About the National Consumers League and LifeSmarts

The National Consumers League, founded in 1899, is America’s pioneer consumer organization. Our mission is to protect and promote social and economic justice for consumers and workers in the United States and abroad. For more information, visit www.nclnet.org.

LifeSmarts is a program of the National Consumers League. State coordinators run the programs on a volunteer basis. For more information, visit: www.lifesmarts.org, email lifesmarts@nclnet.org, or call the National Consumers League’s communications department at 202-835-3323.

Americans going hungry a top priority for 2010 – National Consumers League

Part two of a four-part series, in which we present the food issues we anticipate will affect American consumers the most in 2010.

By Courtney Brein, Linda Golodner Food Safety and Nutrition Fellow

Even in the best of times in modern-day America, amid a near-constant stream of news about the obesity rate and the overabundance of calorie-dense foods, hunger has remained a problem in American society. The current economic downturn has caused a dramatic increase in the number of Americans going hungry.

According to a USDA report on household food security in 2008, 14.6 percent of households – comprising 49 million individuals – were “food insecure” at some point during the year.  These figures reflected a sharp rise from 2007, when food insecurity affected 11.1 percent of households, or 36 million people.  And, while the statistics on household food security for 2009 are not yet available, USDA SNAP monthly data shows that the number of Americans receiving aid from the Supplemental Nutrition Assistance Program (SNAP), commonly known as “food stamps,” rose dramatically throughout the year.  In December of 2008, nearly 32 million individuals were enrolled in SNAP – up from almost 28 million in the first month of the year.  By September of 2009 – the last month for which data is currently available – that number had risen to over 37 million.  As the New York Times reported at the end of November, one in eight Americans and, alarmingly, one in four children now rely on food stamps.  Approximately 20,000 new individuals enroll each day.  And as the discrepancy between food insecure individuals and SNAP enrollment reveals, a large portion of the population still experiences hunger, whether steadily or intermittently, without the benefit of the supplemental nutrition safety net.  Of those who do receive SNAP, approximately six million individuals rely on it as their sole source of income, according to a December New York Times article.

While the federal government continues to fund the ever-growing Supplemental Nutrition Assistance Program, and food pantries find creative ways to serve a growing number of clients despite declines in donations, it will require more than patches to the nutritional safety net to reign in hunger in the United States.  The Healthy People 2010 objectives set the goal of decreasing U.S. household food insecurity by 50 percent from the 1995 baseline of 12 percent to 6 percent in 2010.  Clearly, this was an overly ambitious goal.  In October 2008, during the presidential campaign, President Obama pledged to end childhood hunger by 2015.  As the official campaign statement noted, “The most effective way to eliminate childhood hunger and reduce hunger among adults is through a broad expansion of economic opportunity…Barack Obama understands that poverty is the primary cause of hunger and has a comprehensive plan to reduce and alleviate poverty.”  Coalitions such as the National Anti-Hunger Organizations (NAHO) and the Campaign to End Childhood Hunger continue to provide policy recommendations and ground-level support for meeting food security objectives, but it will require that the government make a lasting, financial commitment to providing the economic opportunities and income supports necessary to permanently reduce hunger.

In a country as wealthy as ours, access to an adequate supply of nutritious food should be a basic human right.  And for those not swayed by the moral argument, there is also a strong economic argument to be made for reducing hunger, particularly among children.  As NAHO explains:

Over the past ten years, researchers have confirmed what educators, child caregivers and healthcare professionals know through observation: When children don’t get enough nutritious food, they fall behind physically, cognitively, academically, emotionally and socially.  They, their families, communities and country suffer the life-long consequences of these reduced outcomes.  Adults who experienced hunger as children have lower levels of educational and technical skills.  Ill-prepared to perform effectively in today’s jobs, they create a workforce that is less competitive…Ending childhood hunger in America will improve the health of its people while reducing short- and long-term healthcare costs, elevate the educational status of its people, and help the nation regain its workforce competitiveness and economic strength.

The ultimate goal of hunger-relief programs should not be merely to provide the necessities of life to those who need them, but to enable all consumers to be just that – individuals able to work and earn enough money to purchase food with which to feed themselves and their families.  And, while the Healthy People 2010 objective to decrease U.S. household food insecurity to 6 percent clearly will not be met, the year 2010 is nevertheless a fitting time to commit to the reduction of hunger in America.

Consumers wary of therapeutic substitution – National Consumers League

Therapeutic substitution, known also as drug switching and therapeutic interchange, is the practice of replacing a patient’s prescription drugs with chemically different drugs that are expected to have the same clinical effect. Many times patients switch to a different drug with no problems. However, for certain medications and conditions, therapeutic substitution could cause problems.

Consumers with a few specific conditions may be more likely than others to encounter a switch. Here are some of the conditions in which therapeutic substitutions may be more common, as well as the concerns about substitution expressed by some patient groups. As always, it is important to talk to your doctor about any potential therapeutic substitution.

In the lists of medicines, the Brand Name comes first, (and generic version is in parentheses).

Antidepressants 
Antidepressants stimulate chemical changes that increase the levels of neurotransmitters in the brain responsible for a person’s mood.

Some examples of antidepressants:
Prozac (fluoxetine), Zoloft (sertraline), Paxil (paroxetine), Luvox (fluvoxamine), Celexa (citalopram), and Lexapro (escitalopram). Antidepressants are associated with drug groups known as MAOIs, tricyclics, and SSRIs and are commonly prescribed by psychiatrists and other physicians to treat depression, bipolar disorder, and other mental illness.

Substitution concerns:
The American Psychiatric Association, Mental Health America, National Alliance on Mental Illness, and the National Council for Community Behavioral Healthcare oppose therapeutic substitution based on the substantial risk of serious adverse outcomes in people with mental illness. These groups support policies that provide patient access to the medications their doctors think they need, and they encourage shared patient-physician decisions based on the unique needs of individuals.

Cardiovascular Medications
There are several classes of drugs used to protect your heart, monitor your cholesterol level and blood pressure, and prevent other damage.

  • ACE inhibitors are used for controlling blood pressure, treating heart failure, preventing stroke, and preventing kidney damage in people with hypertension or diabetes. They also improve survival rates in patients who have had a heart attack.
  • Examples of ACE Inhibitors include: Capoten (captopril), Vasotec (enalapril), Prinivil (lisinopril), Accupril (quinapril) and Univasc (moesxipril)
  • Statins are used to lower cholesterol levels in people at risk of developing heart disease.
  • Examples of statins include: Lipitor, Zocor (simvastatin), Crestor, Pravachol (pravastatin), Mevacor (lovastin).

Substitution concerns:
The American Heart Association and the American College of Cardiology oppose therapeutic substitution and believe that only the prescribing doctor is equipped to determine the best drug or combination of drugs. These organizations believe that therapeutic substitution may result in the patient receiving a drug that doesn’t work well enough, produces life-threatening toxicity, or interacts dangerously with other drugs the patient is taking.

Epileptic medications
The drugs taken by patients with epilepsy are called antiepileptic drugs (AEDs) and are designed to change the electrical signaling in the brain to stop or prevent seizures. 

Examples of AEDs include:

Dilantin (phenytoin), Luminal (phenobarbital), Tegretol (carbamazepine), Neurontin (gabapentin), Lamictal (lamotrigine), Gabitril, Keppra, and Zonegran (zonisamide).

Substitution concerns:
The Epilepsy Foundation is concerned that there are enough differences among AEDs that any kind of medication substitution, (including switching from brand-name to generic), could be dangerous, and it could result in less control over seizures. The Epilepsy Foundation says that changing from one drug formulation to another can usually be done successfully if the patient’s blood levels, seizures, and toxicity are carefully monitored, but it says any medication change must require the permission of the treating doctor and the patient.

Proton-pump Inhibitors
Patients with dyspepsia, peptic ulcer disease, or acid-reflux may be prescribed a proton-pump inhibitor (PPI), drugs that result in long-lasting reduction of gastric acid production.

Examples of PPIs include:

Prilosec (omeprazole), Prevacid (lansoprazole), Nexium.

Substitution concerns:

As with any substitution, it is important to talk to your doctor, and be aware of the benefits and risks of substitution.

Effort to pass legislation to protect farmworker children gathers steam – National Consumers League

by Reid Maki, Child Labor Coalition

This post originally ran in Media Voices for Children, an Internet news agency for children’s rights.

In November, I reminded folks that young children—children who are 12- and 13-years-old and even younger in some cases—harvest fruits and vegetables on many U.S. farms and that many of them are allowed to do so because of loopholes in U.S. child labor law that go back to the 1930s. Child advocates have been trying to close those loopholes for years, and today, I’m happy to report that the campaign is progressing well.

Last week, Rep. William Lacy Clay (D-MO) became the 68th member of Congress to cosponsor the Children’s Act for Responsible Employment (CARE), HR 3564, which would close the legal loopholes and apply the same child labor laws to all working children. The bill, introduced by Rep. Lucille Roybal-Allard (D-CA) in September, would preserve an exemption for family farmers so their children could help on the farm, but the children of migrant and seasonal farmworkers who work for wages would have to wait till they are at least 14 to work. The U.S. Department of Labor would evaluate the safety of agricultural jobs to determine if some can be performed by 14- and 15-year-olds. The CARE Act would also prohibit teens in agriculture from doing jobs recognized as very dangerous until they were 18—the age limit in all other industries.

Campaign organizers, including the 24 members of the Child Labor Coalition, the American Federation of Teachers, the Association of Farmworker Opportunity Programs, Human Rights Watch, and First Focus Campaign for Children, are pleased that members of Congress from states with large farmworker communities have embraced the bill. Twenty members of the California delegation have cosponsored CARE. Texas, another state that is home to many migrant farmworkers, boasts seven members who have co-sponsored the bill. The Progressive Caucus has been incredibly supportive with 43 members co-sponsoring the legislation.

Efforts to gain support among advocacy groups are also gaining strength. To date, more than 50 groups have endorsed the CARE legislation, including all the national farmworker groups—Farmworker Justice, the United Farm Workers of America, the Farm Labor Organizing Committee, the National Farmworker Ministry, Student Action with Farmworkers, the Migrant Clinician’s Network, Migrant Legal Action Program, the Migrant and Seasonal Head Start Association and the National Association of State Directors of Migrant Education have all endorsed the bill. It’s great to have such unanimity within the community.

In addition to the farmworker unions, several of America’s largest national unions have also endorsed CARE: the AFL-CIO, Change to Win, the Communications Workers of America, the Teamsters, the National Education Association, the United Food and Commercial Workers International Union, and the Laborer’s International Union of North America have said that CARE is needed to protect child farmworkers and help farmworker families escape the generational poverty that traps them.

Hispanic advocacy groups have also spoken as one. The National Council of La Raza, the League of United Latin American Citizens, the Hispanic Federation, the United States Hispanic Leadership Institute, and MANA, a National Latina Organization have all given CARE an emphatic thumbs up.

Other advocacy groups that have endorsed the legislation include the American Association of University Women, Interfaith Worker Justice, the International Labor Rights Forum, the NAACP, the National Collaboration for Youth, the United States Student Association, and the National Organization for Women. We are so pleased that these groups have come together to support farmworker children. In the past, the plight of these kids has not gotten much national attention, but we were really pleased with the ABC News coverage

of these working children in November. The report, which appeared on Nightline, Good Morning America and the ABC World News, found several children under 12 in Michigan picking blueberries, including a 5-year-old. The children sometimes work till 9:00 p.m. One 11-year-old told reporters he was in his third year in the fields. Another small child talked about the danger when pesticides are sprayed nearby.

Josie Ellis, a nurse with Migrant Health, told Nightline that the fields in North Carolina, where she is based, are full of working children.

She noted that the kids acquire severe rashes, respiratory illnesses, and neurological impairments from their contact with pesticides. They also miss out on their childhoods because they are working long hours. “Play is something that migrant children know very little about. Work they know,” said Ellis. “We see frustration. We see really tired kids. We see depression in children….despair…the inability to dream…the inability to see past high school…the inability to see past junior high school….I think it’s shameful that our nation tolerates child labor,” added Ellis. We are told that NBC News is working on a piece that should appear sometime this spring.

The Children in the Fields Campaign organizers were also pleased that La Opinión, the nation’s largest circulation Spanish-language newspaper endorsed the CARE Act on September 26th: “The Children’s Act for Responsible Employment (CARE) begins to correct legislation that harms primarily poor, Latino, and immigrant children and young people. There is no justification for permitting minors to work in the fields when it is unlawful for them to work in other types of employment under better conditions. Children of agricultural workers deserve the protection granted to all youth.”

One of the great things about being involved in a campaign like this is the amazing people you meet. In a prior blog, I spoke about Norma Flores, a young woman who spoke eloquently about her experiences in the fields and the many friends she worked with who became exhausted and overwhelmed by their work and dropped out of school. Now in her twenties and working on the Children in the Fields Campaign, Norma recalled her years as a child farmworker. “I hated it,” said Norma. “I hated to work in the fields. I hated getting sweaty and dirty. I hated getting blisters and cuts and sunburns. I hated finishing my row of work only to see there was no water to drink at the end. I hated to have to walk half a mile to go to a dirty portable toilet. I hated how the work affected me outside of the fields. I hated having to enroll in school late every year, to have to make up months of assignments and have to fight to get my school credits.”

Recently, I received moving testimony about working in the fields as a child from Julia Perez, who lives in Arizona and has also become a part of our movement to end this injustice:

My earliest memories start at the age of 5, when I was pulled out of school to start working in the strawberries in Oregon. We then headed to another labor camp in Idaho where I was handed a knife to start topping onions. I cut myself a lot, once really bad on my knee because as it turned out I needed glasses. My days consisted of early, wet, mornings starting at 4am and long 10-12 hrs days of work. This went on for 6 months a year in 10 different states. This was the end of my childhood. I was five, but my back and knees ached like an old person, I had scars from all the cuts, I hated the camps with bathrooms outside. We were so tired at the end of the day, we only showered once a week and mostly I didn’t want to miss school.

Julia noted that only one of her 20 nieces and nephews have gone to college. Child labor robs children of their futures. Can we continue to ask these children to make such huge sacrifices? Please call your Congress member and urge the passage of the Children’s Act for Responsible Employment—the CARE Act—today.

Flu facts for expectant moms – National Consumers League

Recent reports show that up to 30 percent of pregnant women who are infected with the H1N1 flu virus require hospitalization. And of the H1N1-related deaths reported in the United States, 6 percent of them – a disproportionately high percentage – are pregnant women. According to the U.S. Centers for Disease Control, “Getting a flu shot is the single best way to protect against the flu.” Yet many pregnant women are either hesitant to get a flu shot or have been unable to get vaccinated due to limited supplies.

The National Consumers League wants to make sure that expectant moms have the best information available, so they can make good decisions about protecting their health—and the health of their babies—and know where to go to get the care they need. The following is a fact-filled discussion featuring NCL executive director Sally Greenberg and, providing the answers, Dr. Annelise Swigert, a board certified Ob/Gyn and fellow of the American College of Obstetricians and Gynecologists.

Sally: What is H1N1 flu, also known as swine flu? And what is a flu vaccine?

Dr. Swigert: Every year, the public is faced with a seasonal flu which usually arrives in late fall. This year, the U.S. and many other parts of the world must deal with an additional flu called H1N1 or swine flu. H1N1 is a relatively new virus that was first detected in April 2009. It is contagious, spreading from person-to-person worldwide. Illness with H1N1 has ranged from mild to severe, including hospitalizations, and some deaths. Flu vaccines, given as a shot or inhaled through the nose, protect against contracting the disease.

Sally: Why is it important for women to be vaccinated for the H1N1 “swine flu”?

Dr. Swigert: H1N1 can cause serious complications during pregnancy. Pregnant women who are infected by H1N1 are more likely to end up in the hospital. A recent report showed up to 30 percent of pregnant women with H1N1 required hospitalization. Even if they are otherwise healthy, pregnant women who get the H1N1 virus can develop severe pneumonia and respiratory failure, deliver their babies early, or possibly miscarry. Of all the deaths related to H1N1, six percent have been in pregnant women, an unusually high percentage.

Getting the H1N1 vaccine while pregnant will continue to protect the baby after he or she is born. Studies on previous influenza vaccine use in pregnancy have shown more than a 60 percent decrease in serious illness in infants born to mothers who received the vaccine when they were pregnant.

Sally: Is the vaccine for the H1N1 flu safe for pregnant women and their babies?

Dr. Swigert: Yes, the H1N1 flu vaccine is safe for

pregnant women and their babies, and has been approved by the Food and Drug Administration. The H1N1 vaccine is the same as the seasonal flu vaccine with a slightly different strain of influenza. If H1N1 had been identified a few months sooner, it would have been the seasonal flu vaccine for 2009-2010. The seasonal flu vaccine has been safely given to pregnant women for more than 40 years. The vaccine can be given during any trimester of pregnancy and also postpartum, while breastfeeding.

As with all medication use in pregnancy, your doctor will review risk versus benefit. For most women, the benefit of getting the vaccine and preventing active infection from H1N1 far outweighs the extremely small risk of serious side effects.

Sally: Where can a pregnant woman get the vaccine?

Dr. Swigert: Pregnant women should start by contacting their Ob/Gyn or other primary health care provider if they don’t have access to an Ob/Gyn. The vaccine is available at many Ob/Gyn clinics, and those that don’t have it may be able to help their patients find it elsewhere. Community centers are now holding flu shot clinics for high-risk populations, such as pregnant women or those with certain chronic conditions, like asthma. Some employers will have the vaccine, especially those in health care fields. Always let the doctor or clinic know you are pregnant, as you’re in a high-risk group and should receive priority.

Sally: Is there any way the H1N1 vaccine could have been made more quickly?

Dr. Swigert: This year was particularly challenging because vaccine manufacturers needed to produce many millions of doses of both the seasonal flu vaccine and the H1N1 vaccine – simultaneously. As a result, production of the H1N1 vaccine is being completed in about half the time it usually takes. For the most part, pregnant women and other high-risk groups have been able to get vaccinated, and health officials believe enough vaccine will be available by the end of the year to safely vaccinate all those who wish to receive it.

In Europe, government regulators have approved the use of what are called “adjuvants,” additives that can be added to the vaccine supply to greatly increase its yield

or number of doses available. U.S. officials have not yet approved adjuvants, although many in the medical community believe they are a safe and effective way to expand the vaccine supply.

Sally: How is the vaccine delivered?

Dr. Swigert: The vaccine is available in two ways: an injection and an inhaled version. The injection contains a part of the virus that causes the immune system to make antibodies to protect the body from actual infection. The inhaled vaccine has the live virus that also causes the immune system to make antibodies. Both vaccines are safe and effective.

Pregnant women should receive the shot, and not the inhaled vaccine. Women who are postpartum or breastfeeding can receive either the shot or the inhaled vaccine. Only one injection is necessary to fully protect pregnant women from infection with H1N1.

Sally: Are there side effects?

Dr. Swigert: Some women have mild side effects such as soreness at the injection site or mild headache or body aches 2-3 days after the shot. These are not signs of infection or an allergic reaction, but signs that the immune system is responding as it should to the vaccine.

Women who have an allergy to eggs could have an allergic reaction to the shot and should not receive the vaccine. Serious reac­tions to the vaccine are very rare and occur in only one in every million women.

Sally: Have any unborn babies been harmed by the vaccine?

Dr. Swigert: The only danger to unborn babies is if their mothers get sick with the H1N1 virus. The vaccine is not dangerous, but getting the H1N1 virus is. Studies of pregnant women and their children who received the seasonal flu shot have shown no bad outcomes.

Sally: Will pregnant women who don’t get the vaccine risk getting sick?

Dr. Swigert: Pregnant women who do not get vaccinated risk becoming acutely ill with the H1N1 virus. Many of these women will have mild to moderate illness, but they risk possible complications such as pneumonia and respi­ratory failure. These complications cannot be predicted or prevented, even once the illness is diagnosed. Risks to unborn babies can include premature delivery and respiratory distress.

Sally: Does the H1N1 flu vaccine contain any additives that could interfere with a child’s development?

Dr. Swigert: Thimerosal, a preservative, is used in flu vaccines, including the H1N1 vaccine. Although thimerosal has never been scientifically proven to be harmful to children or pregnant women, due to public perception, vaccine manufacturers have produced preservative-free, single-dose syringes for use in pregnant women. These vaccines are more costly and time con­suming to produce than vaccines with thimerosal, and may not be available in all communities. Your clinic will be able to give you information on the vaccines they have available.

Also remember that because thimerosal has never been scientifically proven to be harmful to pregnant women or the fetus, injections using this preservative should be safe for use in pregnant women.

Sally: My friend gave birth a month ago. Should she get the vaccine now?

Dr. Swigert: Yes. Infants under 6 months of age are at extremely high-risk for complications from H1N1. By getting vaccinated not only will you decrease the risk of getting sick and giving it to your baby, but if you are breastfeeding, the baby will get protection from the illness through antibodies in the breast milk.

Sally: Is the vaccine safe for women who are breastfeeding?

Dr. Swigert: Yes. It is safe to receive either the shot or the inhaled vaccine while breastfeeding.

Sally: What if your family already had the flu this fall? Should expectant mothers still need to get vaccinated?

Dr. Swigert: Yes. Even if members of your family or you have had an influenza-like illness, it is still impor­tant to get vaccinated to protect you and your baby.

Sally: How can we avoid getting the flu?

Dr. Swigert: The best way to prevent the flu is to be vaccinated. Like many viruses, it is transmitted from person to person most commonly through coughing or sneezing. Other important ways to reduce the risk include: washing your hands often and thoroughly with soap, using alcohol-based hand sanitizers, and not touching your nose, eyes, and mouth.

Sally: What are the symptoms of the H1N1 flu?

Dr. Swigert: The two main symptoms of H1N1 are a fever of 100 degrees or higher, and cough and/or sore throat. Other symptoms may include headache, body aches, chills, runny nose, fatigue, diarrhea, and vomiting. Pregnant women should contact their doctor or clinic immediately if they experience any of these symptoms, as they will need to start anti-viral medication.

Sally: What should a pregnant woman do if she thinks she has H1N1? Should she take an anti-viral medication?

Dr. Swigert: H1N1 can be dangerous for a pregnant woman and her baby. Contact your doctor or clinic immediately if you have any symptoms. Treat any initial fever with acetaminophen (Tylenol), which is safe in pregnancy. Anti-viral prescription medications, such as Tamiflu, are recommended for pregnant women and safe to use.

Medication should be started within 48 hours of the onset of symptoms. Confirmation that the illness is the H1N1 virus is not necessary to begin treatment. A pregnant woman should follow her physician’s instruc­tions and should not delay seeking treatment under any circumstances.

Emergency care is necessary if a pregnant woman experiences difficulty breathing, chest pain or pressure, vomiting, dehydration, dizziness, confusion or loss of alertness. It is also important to contact your doctor if your symptoms have improved and then get worse again.

Sally: If a pregnant woman’s child or family member becomes sick with H1N1, should she avoid contact with the sick family member?

Dr. Swigert: If a family member becomes sick, a pregnant woman should contact her doctor immediately to be treated with anti-viral medication. In addition, families should have a plan to care for each other that protects pregnant mothers from the risk of infection. If others aren’t available to help care for a sick child, pregnant mothers should try to limit exposure by washing their hands often, throwing away dirty tissues, and avoiding touching their nose, mouth, or eyes as much as possible. Pregnant mothers may also wear surgical-quality face­masks if they must care for sick family members.

Sally: If a pregnant woman gets the H1N1 flu vaccine, does she need to get the seasonal flu vaccine too?

Dr. Swigert: Yes. The H1N1 flu vaccine will not protect against the seasonal flu. The seasonal flu is also a threat to a pregnant woman’s health – and the health of her baby. The seasonal flu should be treated with the same caution, care, and preventative measures as H1N1 flu.