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New Message Board Archives >> 2003 Posts >> Email from National Instsitute of Health
(Message started by: don on Jun 23rd, 2003, 2:28pm)

Title: Email from National Instsitute of Health
Post by don on Jun 23rd, 2003, 2:28pm
The response for requesting CH be put on the list of rare diseases;


Dear Sir:  The estimated prevalence of cluster headaches is somewhere close to but under 1% of the US population.  "Rare" is defined as fewer than 200,000 persons in the U.S. who are affected.  Unfortunately the prevalence of "cluster headaches" is not within that limit.  Thanks you for your consideration, however.


Best regards,

Henrietta Hyatt-Knorr
Director, Policy and Program Planning and Analysis
Office of Rare Diseases, ODP/OD
National Institutes of Health
6100 Executive Boulevard, Suite 3B01
Bethesda, MD 20892-7518
Tel:       301-435-6045
Fax:      301-480-9655
E-mail:  hh70f@nih.gov


Title: Re: Email from National Instsitute of Health
Post by Karla on Jun 23rd, 2003, 2:34pm
well la ti da. :-X

Title: Re: Email from National Instsitute of Health
Post by Margi on Jun 23rd, 2003, 2:36pm
WTF?

I was SURE Bob told us last year at the convention that we HAD been put on this list.....?

I'd even bet one of your kidneys on this, Don.

Seriously.

Title: Re: Email from National Instsitute of Health
Post by cathy on Jun 23rd, 2003, 2:36pm

Hmmmmmmmm....maybe we ought to ask them a question...... if it's not rare and as far as im concerned not common WTF is it then.... ???

Cathy

Title: Re: Email from National Instsitute of Health
Post by don on Jun 23rd, 2003, 2:37pm
I guess this is one case where there is not power in numbers.

Quite frankly we should probably stay off that list anyway. Insurance companies aren't even going to budge for small numbers.

Simple economics.

Title: Re: Email from National Instsitute of Health
Post by Margi on Jun 23rd, 2003, 2:41pm
Don, here it is - I KNEW we were on someone's list....this is taken from the summary of last year's convention over at the OUCH website

"At the request of the National Organization for Rare Diseases (NORD), we have submitted our Organization information to be included in their database as a resource for cluster sufferers."

I had the wrong organization.  My apologies to your kidney.

Title: Re: Email from National Instsitute of Health
Post by Mark C on Jun 23rd, 2003, 2:43pm
Rare


Pronunciation: 'rar, 'rer
Function: adjective
Inflected Form(s): rar·er; rar·est
Etymology: Middle English, from Latin rarus
Date: 14th century
1 : marked by wide separation of component particles : THIN <rare air>
2 a : marked by unusual quality, merit, or appeal : DISTINCTIVE b : superlative or extreme of its kind
3 : seldom occurring or found : UNCOMMON synonym see CHOICE, INFREQUENT
- rare·ness noun


Hmmmmmmmm...sounds rare to me, but what do I know, I am just a poor common HA sufferer!



Title: Re: Email from National Instsitute of Health
Post by catlind on Jun 23rd, 2003, 2:54pm
Margi,

I subscribe to the NORD newsletter and can verify that in the last mailing Cluster Headaches were indeed on the list.

Cat

Title: Re: Email from National Instsitute of Health
Post by cbolony on Jun 23rd, 2003, 3:12pm

Quote:
NORD

http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Headache%2C%20Cluster

Title: Re: Email from National Instsitute of Health
Post by KingOfPain on Jun 23rd, 2003, 3:32pm
Cyclic Cluster Headache

Guess that's me.

Thanks for the link cbolony.

Modification:
Just saw this, (from the above site/link in cbolony's post):
"Cluster headaches are a rare form of severe disabling headache."


KOP

Title: Re: Email from National Instsitute of Health
Post by don on Jun 23rd, 2003, 3:35pm

Quote:
My apologies to your kidney


ROFLMAO


It's my liver that needs the compassion. LOL

Title: Re: Email from National Instsitute of Health
Post by Live4Fun on Jun 23rd, 2003, 3:35pm
I got the same reply from NIH...  >:(

Title: Re: Email from National Instsitute of Health
Post by don on Jun 23rd, 2003, 3:43pm
Hold up!

We dont want to be on their damn list anyway.

We can't on the one hand be telling insurance companies there are enough of us for them to market for us and turn a profit and on the other hand be on a list of rare diseases.

Lets pick our battles wisely.


They suck and we dont!   NYAH!

Title: Re: Email from National Instsitute of Health
Post by brain_cramps on Jun 23rd, 2003, 3:52pm
Interesting...   I wonder where they got the figure of 1%.   A few months ago it was pointed out to me that the rate of CH is approximately 69 in 100,000 (in the Republic of Sam Marino).  Far lower than the 1% used by the NIH.  Upon doing a search, I found that the rate is approximately 56 in 100,000 (in the Republic or San Marino).  

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12011291&dopt=Abstract

Anyone know what the prevalence rate in the USA is, as opposed to that of the Republic of San Marino?


According to the 2000 census, the population of the USA is approximately 281,400,000.

http://www.usatoday.com/graphics/census2000/uspop/uspop.htm

so...      281,400,000 / 100,000 * 69 = 194,166
      or  281,400,000 / 100,000 * 56 = 157,584


Last time this discussion came up, it was 'Bob P' that pointed out my incorrect prevalence rate.  

It seems that the NIH can make statistics reflect what they think is convenient at the time.

Any comments?

grant     ???


P.S.    I know someone will say that I'm splitting hairs, incorrect in my calculation, etc...     Once again, someone explain my inaccuracy, please.

Title: Re: Email from National Instsitute of Health
Post by Ueli on Jun 23rd, 2003, 4:05pm
Damn it!
Someone e-mail this bean counter and teach her some simple arithmetic.

Ueli   :-[


Title: Re: Email from National Instsitute of Health
Post by Drk^Angel on Jun 23rd, 2003, 5:35pm
Someone should ask the lady where she obtains her facts... The World Headache Alliance says, "Cluster headache affects more males than females, although female prevalence is rising. CH is a very rare disorder, affecting approximately 0.1 to 0.4% of the general population."  

According to the census board, the estimated population of the United States of America is currently 291,319,140.  291,319 to 1,165,277 is still too many for the NIH rare diseases club, but it's a hell of a lot closer than her estimate of 2,913,191.

PFDAN................................... Drk^Angel

PS... Anyone else notice that the WHA lists CH.com as their second link for cluster headaches behind CHhelp.org?  Hell... CH.com link even appears before the medical sites.  :P

DA



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