161
Adrian Gombart, a vitamin D researcher at Oregon State Univer-
sity, said the new recommendations are safe and conservative but that
400 units “is probably not enough.”
Gombart’s lab work in human tissue has shown that vitamin D
helps increase levels of a protein that kills bacteria.
He said many experts believe that between 800 and 1,000 units
daily would be more effective at helping fight disease.
(
from “The Moscow News”, 2008
)
2. Read and learn the following information
Screening and immunization
A Screening
Screening is a way of identifying people at increased or greater risk
for a condition, although
they do not yet have any signs or symptoms. In
some cases, mass screening – screening large numbers of people – is ap-
propriate, for example in the past for tuberculosis. In other cases, only
those with high risk factors, like a family history of conditions such as
cancer and diabetes, are screened. However, there are a number of prob-
lems with screening. There are always false negatives, cases where a pa-
tient has a disease but screening does not identify it. There are also false
positives, where someone is told they have a disease when in fact they
do not. Furthermore, with some diseases, early identification is of no
benefit to the patient as there is no treatment available.
B Common screening tests
Condition
Test
Subjects
Frequency
Neural tube de-
fects and Down’s
Syndrome risk
AFP
pregnant women
between 16 and 17
weeks
Breast cancer
mammography
women, 50–70
every 3 years
Cervical cancer
smear test
women, 20–60
every 3 years
Cardiovascular
disease
blood cholesterol
>40 with high risk
factors
every year
Secondary
prevention
Cholesterol > 4
blood cholesterol
patients with heart
disease
every 6 months
Diabetic
retinopathy
ophthalmoscopy
patients
with
diabetes
every year