Reused Pacemakers May Aid Heart Care in Developing World

This is the VOA Special English Health Report, from http://voaspecialenglish.com | http://facebook.com/voalearningenglishA pacemaker is a small device that doctors place in people with an abnormal heartbeat. If a heart beats too slowly, the pacemaker will use electrical signals to help set a normal rate. Some devices include a defibrillator, which gives a shock if the heart beats too fast. Pacemakers may be permanent or temporary. But one thing is sure. Developing countries need more of them as more people get heart disease. A big problem, however, is the cost. Buying and implanting a pacemaker costs from five thousand to fifteen thousand dollars. But doctors at the University of Michigan think they know a wayto lower that cost. The idea is to reuse pacemakers. Heart doctor Timir Baman estimates that more than one million people worldwide need pacemakers each year. He says reusing a pacemaker is an ethical way to provide health care to those who have no other way to get one.He got the idea a few years ago. One of his patients asked if someone might be given her pacemaker for reuse after she died. But are used pacemakers safe? Dr. Baman studied medical reports about the safety of pacemakers that were being reused in small studies.He says: "We found that there's no real difference in device infection or device malfunction when you compare it to new pacemaker implantation."Funeral directors normally remove pacemakers when preparing bodies for cremation. Pacemakers can explode if they are burned. So Dr. Baman asked funeral directors in Michigan to send the pacemakers to him. He and other researchers at the University of Michigan Medical Center tested the used pacemakers. They cleaned and disinfected the ones in good working order. Then they sent them to doctors in the Philippines, Vietnam and Ghana. The doctors successfully implanted the used pacemakers in twelve patients. The findings were recently presented at a conference in Washington of the American Heart Association. Now, Timir Baman has asked the United States Food and Drug Administration for approval to do a larger test. He says -- speaking by Skype from his office in Ann Arbor, Michigan -- that he is hopeful the program willwork. He hopes other centers in the United States and Europe can form their own programs and help countries in Africa and Asia that have no other access to these kinds of devices. And that's the VOA Special English Health Report.

(Adapted from a radio program broadcast 02June2010)