Dogs on islands in lake cause concern

Boaties are being reminded to leave their dogs at home if they intend visiting Lake Wanaka's islands.

Department of Conservation ranger Flo Gaud said dogs were believed to be responsible for the death of one of a breeding pair of buff weka on Te Peka Karara Island, or Stevensons Island, late last month.

''A witness reported that a black Labrador was sighted on the island at the time,'' Ms Gaud said recently.

Once plentiful in the South Island, the light-coloured buff weka is now found only on Chatham and Pitt Islands - except for populations introduced to Te Peka Karara and Mou Waho Islands in Lake Wanaka, and Pigeon and Pig Islands in Lake Wakatipu.

Te Peka Karara has five or six breeding pairs.

Ms Gaud said there had also been two reports from the public of dogs being illegally on Mou Waho this summer.

Signs warning dog owners it is an offence to take dogs to the islands are in place at several points on the islands and at lakeside boat launching areas.

Ms Gaud said the disturbance of wildlife on the islands was disappointing and frustrating.

''It is very sad to see this abuse of the rules on the island.

''Ignorance is not an excuse.

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Dogs on islands in lake cause concern

China to project power from artificial islands

HONG KONG (UPDATED)- China's creation of artificial islands in the West Philippine Sea (South China Sea) is happening so fast that Beijing will be able to extend the range of its navy, air force, coastguard and fishing fleets before long, much to the alarm of rival claimants to the contested waters.

Reclamation work is well advanced on six reefs in the Spratly archipelago, according to recently published satellite photographs and Philippine officials. In addition, Manila said this month that Chinese dredgers had started reclaiming a seventh.

While the new islands won't overturn U.S. military superiority in the region, Chinese workers are building ports and fuel storage depots as well as possibly two airstrips that experts said would allow Beijing to project power deep into the maritime heart of Southeast Asia.

"These reclamations are bigger and more ambitious than we all thought," said one Western diplomat. "On many different levels it's going to be exceptionally difficult to counter China in the South China Sea as this develops."

China claims most of the potentially energy rich South China Sea, through which $5 trillion in ship-borne trade passes every year. The Philippines, Vietnam, Malaysia, Brunei and Taiwan also have overlapping claims.

All but Brunei have fortified bases in the Spratlys, which lie roughly 1,300 km (810 miles) from the Chinese mainland but much closer to the Southeast Asian claimants.

Beijing has rejected diplomatic protests by Manila and Hanoi and criticism from Washington over the reclamation, saying the work falls "within the scope of China's sovereignty".

The Philippines began expressing growing concern in mid-2014, in particular, accusing Beijing of building an airstrip on Johnson South Reef.

Satellite analysis published by IHS Jane's Defence Weekly this week showed a new installation being built on Hughes Reef. It described a "large facility" having been constructed on 75,000 square metres of sand reclaimed since August.

It also published images of Fiery Cross Reef, which now includes a reclaimed island more than 3 km (1.8 miles) long that experts said would likely become a runway.

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China to project power from artificial islands

China Builds Artificial Islands in Disputed Sea: Report

China has stepped up the construction of a series of large artificial islands, according to satellite images released Thursday, a move that experts said would dramatically extend its reach into hotly disputed waters.

The images, which were taken by Airbus Defence and Space and released by military magazine IHS Jane's Defense Weekly, showed three islands built within the past year at reefs in the South China Sea.

The satellite photos were evidence of China's "methodical, well-planned campaign to create a chain of air and sea-capable fortresses," according to the magazine's Asia-Pacific editor James Hardy. The magazine added it had tracked a Chinese dredger to the area last year and that the builds were similar to other Chinese projects.

One of the islands, built with dredged, reclaimed land in the Spratly Islands, had within the past year grown from a small 415-square-yard platform to a facility 82,000 square yards in size the equivalent to 14 football fields.

Hardy said the islands featured "helipads, airstrips, harbours, and facilities to support large numbers of troops."

China claims most of the South China Sea for itself, but is in dispute with of several neighbors, including Vietnam, Taiwan, and the Philippines, who have overlapping claims.

"These reclamations are bigger and more ambitious than we all thought," one Western diplomat told Reuters on condition of anonymity. "On many different levels it's going to be exceptionally difficult to counter China in the South China Sea as this develops."

Reuters contributed to this report.

First published February 19 2015, 7:49 AM

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China Builds Artificial Islands in Disputed Sea: Report

Evolving a Bigger Brain With Human DNA

Durham, NC - The size of the human brain expanded dramatically during the course of evolution, imparting us with unique capabilities to use abstract language and do complex math. But how did the human brain get larger than that of our closest living relative, the chimpanzee, if almost all of our genes are the same?

Duke scientists have shown that its possible to pick out key changes in the genetic code between chimpanzees and humans and then visualize their respective contributions to early brain development by using mouse embryos.

The team found that humans are equipped with tiny differences in a particular regulator of gene activity, dubbed HARE5, that when introduced into a mouse embryo, led to a 12% bigger brain than in the embryos treated with the HARE5 sequence from chimpanzees.

The findings, appearing online Feb. 19, 2015, in Current Biology, may lend insight into not only what makes the human brain special but also why people get some diseases, such as autism and Alzheimers disease, whereas chimpanzees dont. I think weve just scratched the surface, in terms of what we can gain from this sort of study, said Debra Silver, an assistant professor of molecular genetics and microbiology in the Duke University Medical School. There are some other really compelling candidates that we found that may also lead us to a better understanding of the uniqueness of the human brain.

Every genome contains many thousands of short bits of DNA called enhancers, whose role is to control the activity of genes. Some of these are unique to humans. Some are active in specific tissues. But none of the human-specific enhancers previously had been shown to influence brain anatomy directly.

In the new study, researchers mined databases of genomic data from humans and chimpanzees, to find enhancers expressed primarily in the brain tissue and early in development. They prioritized enhancers that differed markedly between the two species.

The groups initial screen turned up 106 candidates, six of them near genes that are believed to be involved in brain development. The group named these human-accelerated regulatory enhancers, HARE1 through HARE6.

The strongest candidate was HARE5 for its chromosomal location near a gene called Frizzled 8, which is part of a well-known molecular pathway implicated in brain development and disease. The group decided to focus on HARE5 and then showed that it was likely to be an enhancer for Frizzled8 because the two DNA sequences made physical contact in brain tissue.

The human HARE5 and the chimpanzee HARE5 sequences differ by only 16 letters in their genetic code. Yet, in mouse embryos the researchers found that the human enhancer was active earlier in development and more active in general than the chimpanzee enhancer.

Whats really exciting about this was that the activity differences were detected at a critical time in brain development: when neural progenitor cells are proliferating and expanding in number, just prior to producing neurons, Silver said.

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Evolving a Bigger Brain With Human DNA

The Real USA: Grass roots health care in Brooklyn’s African community – Video


The Real USA: Grass roots health care in Brooklyn #39;s African community
The Real USA, hosted by Alexandra Hall, takes a look at the stories not making headlines in the US commercial press. Today #39;s program features health care organizing at the neighborhood level...

By: teleSUR English

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The Real USA: Grass roots health care in Brooklyn's African community - Video

Health Care Sector Update for 02/19/2015: HSTM,EPRS,CSLT

Top Health Care Stocks

JNJ +0.48%

PZE -0.90%

MRK -0.43%

ABT -1.36%

AMGN +0.12%

Health care stocks were narrowly lower today with the NYSE Health Care Sector Index slipping 0.2% and shares of health care companies in the S&P 500 falling about 0.1% as a group.

In company news, Healthstream Inc. ( HSTM ) tumbled Thursday after the health care enterprise software company reported Q4 net sales narrowly trailing analyst projections.

Sales rose 22.4% over year-ago levels to $45.58 million, lagging the Thomson Reuters consensus estimates by around $200,000. Per-share earnings for the quarter climbed to $0.10 from $0.07 during the same quarter last year, matching the Street view.

Looking forward to FY15, the company is projecting consolidated revenue growth of 18% to 21% over its $170.7 million in total revenue last year. That translates into a range of $201.4 million to $206.5 million, in-line with the Capital IQ consensus expecting $201.39 million in 2015 revenue.

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Health Care Sector Update for 02/19/2015: HSTM,EPRS,CSLT

Family claims prison health care killed father

PHOENIX -- The company that provides health care to Arizona inmates is Corizon. Its website states, in part, the company provides "high quality healthcare (sic)... that will improve the health and safety of our patients. Our people, practices and commitment to success through evidence-based medicine enable us to consistently meet and exceed client expectations."

But several nurses who currently work for Corizon Health tell 3TV that's not true.

What's more, one family says their father died because Corizon failed to live up to its promise.

"He was always in great shape," Mark Dehe said of his father, Manfred. "He walked all the time. He actually walked quite quickly."

Dehe said he spent as much time as he could with his father, but that changed when Manfred was sentenced to 10 years in prison. Dehe knew his dad would serve time but would eventually be released. The family would be reunited.

Dehe had no idea what three years inside an Arizona prison would do to his father.

"Infuriating," he said. "Infuriating."

Soon after Manfred went to prison, he complained to his family that he was in severe pain.

Dehe ignored him at first.

"I thought he was overreacting," Dehe explained. "I told him, 'Dad, this isn't the Ritz.' I told him it's prison you might just have to wait a little bit longer."

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Family claims prison health care killed father

Immigration, Health Care Reform 2015: States Move To Help Undocumented Immigrants Without Medical Insurance

For undocumented immigrants in the United States, obtaining health insurance through the government is next to impossible, with both the Affordable Care Act and a recent executive immigration order explicitly declaring them ineligible for health care coverage. That means many are forced to put off preventative care measures and eventually turn to expensive, overstressed emergency rooms once they become severely ill.

Now, state officials are trying to find ways around the federal government's prohibition and provide various kinds of coverage to immigrants who don't qualify for Obamacare. Using state funds, California and New York are pioneering ways to offer comprehensive coverage for undocumented immigrants and others with temporary work visas. A handful of other states offer limited insurance coverage tosubsetsof immigrant populations. But experts warn such programs remain in the minority, and that the overall lack of health care coverage for immigrants in the United States could result in much higher medical bills in the future.

By 2016, 5.1 million undocumented immigrants in the United States will be uninsured, a group of UCLA researchers hasestimated. In 2012, there were anestimated11.2 million unauthorized immigrants in the U.S. Under the 1986 policy EMTALA, hospitals cannot turn away a person in need of care, regardless of immigration status or ability to pay. Emergency treatment costs to Medicaid amounts to about $2 billion a year, mostly for illegal immigrants, according to a 2013reportby Kaiser Health News. In 2009,researchby the Center for Immigration Studies estimated the cost of treating uninsured and undocumented immigrants at $4.3 billion per year at safety-net facilities like emergency rooms and community health clinics.

Advocates for immigrant health coverage say these sums might be less exorbitant if undocumented immigrants had regular primary care, which would be more accessible if they had insurance. Those bills couldve been drastically reduced, Frank Rodriguez, president of the Latino Health Care Forum, which offers health care outreach and enrollment assistance to the uninsured and underinsured in Texas, said. There are no preventative health measures, so they [undocumented, uninsured immigrants] end up having to use emergency care.

Critics, however,arguethat providing health care to illegal immigrants will encourage more illegal immigration and that taxpayers shouldn't have to pay for social services for those in the country without legal status."County hospitals are overwhelmed with uninsured people, and they've been forced to come up with more money to accommodate these people largely because they've encouraged them to come in," Ira Mehlman, media director for the Federation for American Immigration Reform, hastoldthe Los Angeles Times.

Unauthorized immigrants could theoretically buy private health insurance, but that option is usually prohibitively expensive.Unauthorized immigrants are not eligible for almost any of the federal, state and local health care programs, and they tend to work in jobs that dont carry employer coverage, Randy Capps, director of research for U.S. programs at the Migration Policy Institute, said.

The other health care option for undocumented immigrants is federally qualified health centers, which are reimbursed by and receive other funding from the government and do not ask questions about immigration status. But federally qualified health centers dont do much primary health care because theyre not reimbursed [for it], Rodriguez said. If a person sought primary medical services at such centers, they would likely have to pay out of pocket, albeit on a sliding fee scale. The undocumented immigrants wont go, he said.

Alvaro Huerta, a staff attorney at the National Immigration Law Center, called it "shortsighted" not to give undocumented and deferred action immigrants access to primary care, given how cost-effective such care be. Every principle of health reform, [for the] documented or undocumented, says, put your money into preventative care, because youre going to be spending 100 times the investment in preventative care when people wind up sick in emergency rooms or hospitals," he said.

On Jun. 15, 2012, the Obama administration issued an executive order granting certain undocumented immigrants immunity from deportation and making them eligible for work permits. A few months later, the administration explicitly restricted its policy so that these immigrants were not eligible for health insurance under the Affordable Care Act.

California has long been the vanguard for ensuring that immigrants have access to health care and insurance. It allows deferred action grantees under Obama's policies to enroll in Medi-Cal or a parallel public health insurance program, andlawmakers have also proposed legislation to grant all undocumented immigrants eligibility for the same two programs. Most recently, in December 2014, State Senator Ricardo Lara of California introduced SB 4,a bill that tries to make all undocumented immigrants eligible for Medi-Cal.

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Immigration, Health Care Reform 2015: States Move To Help Undocumented Immigrants Without Medical Insurance

Even insured consumers get hit with surprisingly large medical bills

Health insurance doesn't always spare consumers from big health care bills.

Having done her homework, she was stunned to get a $10,000 bill from the surgeon.

"I panicked when I got that bill," said the 60-year-old retired civil servant who lives near Roseville, Calif.

Like Durocher, many consumers who take pains to research which doctors and hospitals participate in their health insurance plans can still end up with huge bills.

Sometimes, that's because they got incorrect or incomplete information from their insurer or health-care provider. Sometimes, it's because a physician has multiple offices, and not all are in network, as in Durocher's case. Sometimes, it's because a participating hospital relies on out-of-network doctors, including emergency room physicians, anesthesiologists and radiologists.

Consumer advocates say the sheer scope of such problems undermine promises made by proponents of the Affordable Care Act that the law would protect against medical bankruptcy.

"It's not fair and probably not legal that consumers be left holding the bag when an out-of-network doctor treats them," said Timothy Jost, a law professor at Washington and Lee University.

Adding insult to injury, insurers are not required to count out-of-network charges toward Obamacare's annual limit on out-of-pocket expenses.

Efforts by doctors, hospitals and other health providers to charge patients for bills not covered by their insurers are called "balance billing." The problem pre-dates the Obamacare and has long been among the top complaints filed with state insurance regulators.

Because the issue is complex and pits powerful rivals against one another among them, hospitals, doctors and insurers relatively few states have addressed it. What laws do exist are generally limited to specific situations, such as emergency room care, or certain types of insurance plans, such as HMOs.

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Even insured consumers get hit with surprisingly large medical bills

The state of health care

Local CEO part of group lobbying for Medicaid expansion

ST. ANTHONY It wont be an easy battle. In fact, it will be hard.

But Brian Hadlock, CEO of GrandPeaks Medical in St. Anthony, thinks changing health care in Idaho is possible.

It helps everybody, said Hadlock.

Hadlock serves on the Idaho Primary Care Association board of directors, a group working closely with the Idaho Department of Health and Welfare to provide solutions for the Medicaid expansion opportunity through the Affordable Care Act.

Hadlock said the group has been involved with the Governors Redesign Workshop for two years and is working with the Idaho Healthcare Coalition to provide accurate information to the governor and state lawmakers about how to transform Idahos health care deliver system.

Members of the group recently traveled to Boise and made a presentation to lawmakers about the possible scenarios to improve health care for the 82,000 Idahoans who are currently not insured.

Hadlock said thats how many people fall into the gap where they cant get health insurance either through the state exchange or by purchasing it privately.

They have inadequate funds to pay for it, said Hadlock. Medicaid expansion fills that gap.

The next steps

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The state of health care

Bill makes health care prices clear

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Health care pricing has been likened to shopping blindfolded in a department store and then months later receiving an indecipherable statement with a framed box at the bottom that says: Pay this amount.

Indeed, here in New Mexico it is easier to find information about the price and quality of a toaster than of a common medical procedure. Because information about price and quality is essential to almost every market transaction, this lack of transparency means that health care is more expensive than it would otherwise be.

The high cost of health care has devastating consequences. Over 62 percent of personal bankruptcies in the United States are attributable to illness and health care debt, up from 8 percent in 1981. Many of these medical debtors are middle-class homeowners, and more than three-quarters of them have health insurance.

Health care costs are also a heavy burden on state taxpayers, with over 27 percent of New Mexicos annual budget going to health care. As health care spending outpaces the growth of the rest of the economy, it threatens to crowd out spending on other priorities like education.

How did we get to this point? A century ago, patients paid directly for their health care and knew exactly what it cost. Since then, the rise of private health insurance, Medicare and Medicaid disconnected patients from the cost of their care.

That situation is predicted to change with the recent trend toward higher deductibles and growing out-of-pocket costs. For example, Bronze health insurance plans under the Affordable Care Act have average deductibles of more than $5,000 for an individual and nearly $11,000 for a family.

Economists believe that these higher out-of-pocket costs will cause patients to be more sensitive to prices, which will help contain overall costs. However, this ignores a crucial detail: the lack of transparency makes it impossible for patients to comparison shop for the highest quality, most affordable care.

That is why we came together to co-sponsor Senate Bill 474, which would create a user-friendly website where New Mexicans can find the price and quality of the most common medical procedures.

This idea is based on a recent policy report by the independent, nonpartisan think tank Think New Mexico. A total of 14 states, including our neighbors of Arizona, Colorado and Utah, have already established similar websites. Another five states are actively working to create them.

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Bill makes health care prices clear

Precision medicine to prevent diabetes? Researchers develop personalized way to steer prevention efforts

How can we keep more people from joining the ranks of the 29 million Americans already diagnosed with diabetes? What if we could tell with precision who has the highest risk of developing the disease, and figure out which preventive steps are most likely to help each of them individually?

Researchers have just released a "precision medicine" approach to diabetes prevention that could do just that -- using existing information like blood sugar levels and waist-to-hip ratios, and without needing new genetic tests.

Their newly published model examined 17 different health factors, in an effort to predict who stands to gain the most from a diabetes-preventing drug, or from lifestyle changes like weight loss and regular exercise. Seven of those factors turned out to matter most.

The model is published in the British Medical Journal by a team from the University of Michigan, VA Ann Arbor Healthcare System and Tufts Medical Center in Boston.

They hope to turn it into a tool for doctors to use with patients who have "pre-diabetes," currently defined by abnormal results on a test of blood sugar after fasting. They also hope their approach could be used to develop similar precise prediction models for other diseases and treatments.

"Simply having pre-diabetes is not everything," says lead author Jeremy Sussman, M.D., M.S. "This really shows that within the realm of pre-diabetes there's a lot of variation, and that we need to go beyond single risk factors and look holistically at who are the people in whom a particular approach works best." Sussman is an assistant professor of general medicine at the U-M Medical School and a research scientist at the VA Center for Clinical Management Research.

The team developed the model using data from a gold-standard clinical trial of diabetes prevention: the Diabetes Prevention Program, which randomly assigned people with an elevated risk of diabetes to placebo, the drug metformin, or a lifestyle-modification program.

The team developed and tested their model by carefully analyzing data from more than 3,000 people in the study, all of whom had a high body mass index and abnormal results on two fasting blood sugar tests. Most also had a family history of diabetes, and more than a third were African American or Latino -- all known to be associated with higher risks of diabetes. In all, they looked at 17 factors that together predicted a person's risk of diabetes -- and his or her chance of benefiting from diabetes-preventing steps. They found seven factors were most useful.

The seven were: fasting blood sugar, long-term blood sugar (A1C level), total triglycerides, family history of high blood sugar, waist measurement, height, and waist-to-hip ratio. They developed a scoring scale using the clinical trial data, assigning points to each measure to calculate total score.

Fewer than one in 10 of trial participants who scored in the lowest quarter would develop diabetes in the next three years, while almost half of those in the top quarter would develop diabetes in that time. Then, the team looked at what impact the two diabetes-preventing approaches had.

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Precision medicine to prevent diabetes? Researchers develop personalized way to steer prevention efforts

Enhancing the Caffeine Experience and How Coffee Habits Relate to Our Genetic Code

Tucson, AZ. (PRWEB) February 19, 2015

Could genetic codedetermine someones coffee habit? Apparently so, according to a new study by researchers at the Harvard T.H. Chan School of Public Health (HSPH).

Produced with the support of the Coffee and Caffeine Genetics Consortium and published in the journal Molecular Psychiatry this past fall, the studyone of several recent HSPH investigations of the popular beverageinvolved a meta-analysis of genomic data from more than 120,000 regular coffee drinkers of European and African ancestry. The researchers analyzed their subjects genetic makeup through DNA sequencing, and compared those results to self-reported coffee-drinking figures, in an effort to understand why some people need more of the stimulant than others to feel the same effect. Their data suggest that people instinctively regulate their coffee intake in order to experience the optimal effects of caffeine.

Lead author Marilyn Cornelis, a former research associate in the HSPH nutrition department who is now assistant professor in preventive medicine at Northwestern, says their findings provide insight not only on why caffeine affects people differently, but also on how these effects influence coffee-drinking behavior. One individual, for example, may need three cups of coffee to feel invigorated, while another may need only one. If that one-cup-a-day person consumes four cups instead, Cornelis explains, any jitters or other ill effects that result may discourage that level of consumption in the future.

Given coffees widespread consumption, its effects on health have been the subject of continuing interest and debate. The newest edition of The Diagnostic and Statistical Manual of Mental Disorders, for example, lists both caffeine intoxication and withdrawal as disorders. On the other hand, a study released in January by other investigators at HSPH found that drinking up to six cups of coffee a day showed no association with any increased risk of death (including from cancer or cardiovascular disease). Going back several yearscoffee often had a bad rap, Cornelis says. I hope to finally account for those genetic variants and possibly other risk factors that might modify our response to coffee or caffeine.

Her team identified six new genetic variants associated with habitual coffee drinking, including twoPOR and ABCG2related to caffeine metabolism, and another two that may influence the psychological boost and possible physical health benefits of caffeine. The most surprising aspect of the study, Cornelis reports, was the discovery that two genes involved in glucose and lipid metabolismGCKR and MLXIPLare also linked for the first time to the metabolic and neurological effects of caffeine.

Coffee is possibly protective, Cornelis says. Eventually, she hopes to account for those genetic variants and possibly other risk factors that might modify our response to coffee or caffeine. We know coffee is one of the primary sources of antioxidants of the American diet. If some individuals can metabolize caffeine quickly, then theyre potentially getting rid of the adverse effects of caffeine yet still experiencing the beneficial effects of other coffee constituents.

When it comes experiencing the healthiest choice for coffee look no further than Tylers Acid Free Coffee. Their chemical free roasting process maintains double the natural caffeine. As well as being acid-free, the lack of bloomed tannins and lipids acids makes the coffee less bitter, pH neutral, safer on tooth enamel, safer on your GI tract and an overall healthy choice for all coffee drinkers around the world. Make the choice to start a healthy lifestyle, take care of your body and your body will take care of you.

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Enhancing the Caffeine Experience and How Coffee Habits Relate to Our Genetic Code

Scientists Map the Epigenome, Our Second Genetic Code

For the first time, scientists have mapped out the molecular "switches" that can turn on or silence individual genes in the DNA in more than 100 types of human cells, an accomplishment that reveals the complexity of genetic information and the challenges of interpreting it.

Researchers unveiled the map of the "epigenome" in the journal Nature on Wednesday, alongside nearly two dozen related papers. The mapping effort is being carried out under a 10-year, $240 million U.S. government research program, the Roadmap Epigenomics Project, which was launched in 2008.

The human genome is the blueprint for building an individual person. The epigenome can be thought of as the cross-outs and underlinings of that blueprint: For example, if someone's genome contains DNA associated with cancer, but that DNA is "crossed out" by molecules in the epigenome, the DNA is unlikely to lead to cancer. As sequencing individuals' genomes to infer the risk of disease becomes more common, it will become all the more important to figure out how the epigenome is influencing that risk.

Sequencing genomes is the centerpiece of President Barack Obama's "precision medicine" initiative. "The only way you can deliver on the promise of precision medicine is by including the epigenome," said MIT's Manolis Kellis, who led the mapping project.

Because scientists involved in the project have been depositing their findings in a public database as they went along, other researchers have been analyzing the information even before the map was formally published. One of the resulting studies shows, for instance, that brain cells from people who died with Alzheimer's disease had epigenetic changes in DNA involved in immune response.

First published February 18 2015, 7:38 PM

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Scientists Map the Epigenome, Our Second Genetic Code