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A28    SCIENCE
                   Friday 1 November 2019
            Vaccine shows


            promise for preventing


            active TB disease


            By MARILYNN MARCHIONE
            AP Chief Medical Writer
            An  experimental  vaccine
            proved  50%  effective  at
            preventing  latent  tuber-
            culosis  infection  from  turn-
            ing into active disease in a
            three-year  study  of  adults
            in Africa.
            Doctors were encouraged
            because  protection  de-
            clined only a little after two
            years, and even a partially
            effective  vaccine  would    This  1966  image  made  avail-  In this Thursday, July 25, 2019 photo, workers at the Electric Time Company in Medfield, Mass., test
            be  a  big  help  against  TB.   able by the Centers of Disease   a 20 foot high clock, built for the a new train station in Bangkok, Thailand, prior to packing and
                                                                      shipment.
                                         Control and Prevention shows
            The lung disease kills more   a chest x-ray of a tuberculosis                                                                   Associated Press
            than  a  million  people  a   patient.
            year, mostly in poor coun-               Associated Press
            tries,  and  about  one-third                             Science Says: How daylight
            of  the  world's  people  shots.    Thirteen  people  in
            harbor  the  bacteria  that  the vaccine group and 26     saving time affects health
            cause it.                    in  the  other  group  devel-
            Results were reported Tues-  oped active TB.
            day  at  a  conference  in  The  new  results  show  that
            India,  the  country  hardest  "the vaccine is holding up"   By LINDSEY TANNER         Chicago.                     Barry  Franklin,  director  of
                                                                      AP Medical Writer
            hit by TB, and published by  over time, and mark an im-                                About  1  in  3  U.S.  adults  preventive cardiology and
            the  New  England  Journal  portant  step  toward  hav-   Office  workers  bemoan  sleep less than the recom-       cardiac  rehabilitation  at
            of Medicine.                 ing a prevention tool that's   driving  home  in  the  dark.  mended  seven-plus  hours  Beaumont  Health  hospital
            There is a TB vaccine now,  been sought for 100 years,    Night owls relish the chance  nightly, and more than half  in Royal Oak, Michigan.
            but  it's  given  only  to  very  said  Dr.  Paula  Fujiwara,   to  sleep  in.  As  clocks  tick  of  U.S.  teens  don't  get  the  Studies  suggest  that  these
            young  children  and  partly  scientific director of the In-  toward the end of daylight  recommended  eight-plus  people return to their base-
            prevents  severe  compli-    ternational  Union  Against   saving  time,  many  sleep  hours  on  weeknights.  One  line  risk  after  the  autumn
            cations.  Researchers  have  Tuberculosis  and  Lung  Dis-  scientists and circadian bi-  U.S. study found that in the  time change.
                                                                      ologists  are  pushing  for  a  week  following  the  spring  CAR CRASHES
            been  seeking  a  vaccine  ease,  the  group  hosting
            that also works in adults, to  the  conference  in  Hyder-  permanent  ban  because  switch  to  daylight  saving  Numerous     studies   have
            curb spread of the disease.  abad,  India.  Plans  are  un-  of potential ill effects on hu-  time, teens slept about 2½  linked  the  start  of  daylight
            GlaxoSmithKline's   experi-  derway for another, defini-  man health.                  hours less than the previous  saving  time  in  the  spring
            mental vaccine was tested  tive  study,  which  will  take   Losing  an  hour  of  after-  week.                    with  a  brief  spike  in  car
            in  nearly  3,600  adults  in  at least several more years,   noon  daylight  sounds  like  Many people never catch  accidents,  and  with  poor
            Kenya,  South  Africa  and  she said. After two-year re-  a  gloomy  preview  for  the  up  during  the  subsequent  performance  on  tests  of
            Zambia who were infected  sults  were  announced  last    dark winter months, and at  six months.                   alertness, both likely due to
            with  TB  but  who  did  not  year, the World Health Or-  least  one  study  found  an  Research   suggests   that  sleep loss.
            also have HIV, the virus that  ganization called the vac-  increase in people seeking  chronic  sleep  deprivation  The  research  includes  a
            causes AIDS.                 cine a major breakthrough    help  for  depression  after  can increase levels of stress  German  study  published
            Half were given two doses  and  has  been  holding        turning  the  clocks  back  to  hormones that boost heart  this  year  that  found  an  in-
            of vaccine a month apart  meetings to discuss how to      standard  time  in  Novem-   rate  and  blood  pressure,  crease in traffic fatalities in
                                                                                                                                the week after the start of
                                                                                                   and of chemicals that trig-
                                                                      ber  —  in  Scandinavia.  Re-
            and  the  rest  got  dummy  further its development.q
                                                                      search  shows  the  spring-  ger inflammation.            daylight  saving  time,  but
                                                                      time start of daylight saving  HEART PROBLEMS             no such increase in the fall.
                                                                      time  may  be  more  harm-   It  has  also  been  shown  Other  studies  on  how  re-
                                                                      ful, linking it with more car  that  blood  tends  to  clot  turning to standard time in
                                                                      accidents,  heart  attacks  more  quickly  in  the  morn-  the  fall  might  impact  car
                                                                      in  vulnerable  people  and  ing. These changes under-    crashes have had conflict-
                                                                      other health problems that  lie evidence that heart at-   ing results.
                                                                      may persist throughout the  tacks  are  more  common  OUR INTERNAL CLOCKS
                                                                      time change.                 in  general  in  the  morning,  Circadian biologists believe
                                                                      Here's what science has to  and  may  explain  studies  ill  health  effects  from  day-
                                                                      say  about  a  twice-yearly  showing that rates increase  light saving time result from
                                                                      ritual affecting nearly 2 bil-  slightly  on  Mondays  after  a mismatch among the sun
                                                                      lion people worldwide.       clocks are moved forward  "clock," our social clock —
                                                                      SLEEP EFFECTS                in the spring, when people  work and school schedules
                                                                      Time  changes  mess  with  typically rise an hour earlier  —  and  the  body's  internal
                                                                      sleep  schedules,  a  poten-  than normal.                24-hour body clock.
                                                                      tial problem when so many  That  increased  risk  associ-  Ticking  away  at  the  mo-
                                                                      people  are  already  sleep  ated with the time change  lecular level, the biological
                                                                      deprived,  says  Dr.  Phyllis  is mainly in people already  clock is entrained — or set
                                                                      Zee, a sleep researcher at  vulnerable  because  of  ex-  —  by  exposure  to  sunlight
                                                                      Northwestern  Medicine  in  isting  heart  disease,  said  and darkness. q
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