27th Legislature(2011-2012)

Bill Text 27th Legislature


00 Enrolled HCR 5                                                                                                          
01 Relating to prevention of disease and to vitamin D.                                                                     
02                                           _______________                                                               
03 BE IT RESOLVED BY THE LEGISLATURE OF THE STATE OF ALASKA:                                                             
04      WHEREAS the nutrient and pre-hormone vitamin D is manufactured in the skin                                       
05 during exposure to ultraviolet B light from high-angle sunshine; and                                                    
06      WHEREAS, for seven months a year, the angle of the sun's rays is too low for                                     
07 adequate ultraviolet B exposure in the state; and                                                                       
08      WHEREAS Alaskans have one of the lowest levels of vitamin D blood serum in the                                   
09 nation because of the state's northern latitude; and                                                                    
10      WHEREAS the state has a high incidence of preventable diseases that numerous                                     
11 studies indicate may be correlated with insufficient blood serum levels of vitamin D; and                               
12      WHEREAS a 2008 study by the Ketchikan Indian Community Tribal Health Clinic                                      
13 found that blood serum levels of vitamin D of Alaska Natives tested in Ketchikan averaged                               
14 between 6 and 17 ng/ml; and                                                                                             
15      WHEREAS a 1986 study by the University of Alaska Fairbanks found the blood                                       
16 serum levels of vitamin D of Caucasian males averaged 27 ng/ml; and                                                     
17      WHEREAS a 2007 article published in the American Journal of Clinical Nutrition                                   
01 reported that a study that compared cancer rates of a group of postmenopausal women taking                              
02 1,100 IU of vitamin D supplements in combination with calcium to cancer rates of a group                                
03 taking a placebo found the risk of developing any cancer after four years was 60 percent                                
04 lower in the group taking vitamin D supplements; and                                                                    
05      WHEREAS a study presented at the 2008 annual meeting of the American                                             
06 Association for Cancer Research found that blood serum levels of vitamin D of at least 50                               
07 ng/ml were associated with an 83 percent reduction in the incidence of breast cancer                                    
08 compared to blood serum levels of vitamin D of 25 ng/ml; and                                                            
09      WHEREAS a 2007 article published in the American Journal of Preventative                                         
10 Medicine reported that a study found that a group with blood serum levels of vitamin D of at                            
11 least 42 ng/ml had a 60 percent reduction in the incidence of colorectal cancer compared to a                           
12 group with blood serum levels of vitamin D of 25 ng/ml; and                                                             
13      WHEREAS a 2010 study by the University of San Diego showed that the incidence                                    
14 of bladder cancer increases as latitude increases and that the incidence of bladder cancer                              
15 decreased by 40 percent with adequate blood serum levels of vitamin D; and                                              
16      WHEREAS a study referenced by Michael F. Holick, Ph.D., M.D., in The Vitamin D                                   
17 Solution found that men with prostate cancer who received 2,000 IU of vitamin D a day for                               
18 two years had a 50 percent reduction in the rise of prostate-specific antigen, an indicator of                          
19 prostate cancer activity; and                                                                                           
20      WHEREAS a 2001 study published in The Lancet found that a group with blood                                       
21 serum levels of vitamin D of 52 ng/ml had a 66 percent reduction in the incidence of type 1                             
22 diabetes compared to a group with blood serum levels of vitamin D of 25 ng/ml; and                                      
23      WHEREAS a 2001 study published in The Lancet found that children in Finland who                                  
24 received 2,000 IU a day of vitamin D for the first year of life were 80 percent less likely to                          
25 develop type 1 diabetes by age 30 compared to children receiving 400 IU a day of vitamin D;                             
26 and                                                                                                                     
27      WHEREAS a 2006 study published in Diabetes Care found that taking 800 IU of                                      
28 vitamin D in combination with calcium resulted in a 33 percent reduction in the risk of type 2                          
29 diabetes; and                                                                                                           
30      WHEREAS a 1998 study published in the Journal of the American College of                                         
31 Cardiology found that the incidence of heart attacks is 53 percent higher during the sun-                               
01 deprived winter months than during the summer months; and                                                               
02      WHEREAS a growing body of research from around the world indicates that                                          
03 deficiency in vitamin D correlates with a broad spectrum of conditions, such as high blood                              
04 pressure, poor insulin sensitivity, inflammation, and other conditions related to heart disease;                        
05 and                                                                                                                     
06      WHEREAS numerous studies have found that vitamin D suppresses the inflammation                                   
07 that plays a role in rheumatoid arthritis, chronic muscle pain, metabolic syndrome, congestive                          
08 heart failure, and stroke; and                                                                                          
09      WHEREAS a 2008 study published in the Archives of Internal Medicine showed that                                  
10 the risk for heart attack in men with vitamin D blood serum levels at or below 15 ng/ml is 2.4                          
11 times greater than that for men whose vitamin D levels are at or above 30 ng/ml; and                                    
12      WHEREAS a 1999 study published in the Journal of Nutrition, Health and Aging                                     
13 found that patients with seasonal affective disorder treated with a single dose of 100,000 IU of                        
14 vitamin D showed significant improvement after one month; and                                                           
15      WHEREAS a 2004 study published in the American Journal of Clinical Nutrition                                     
16 found that low blood serum levels of vitamin D were associated with periodontal disease; and                            
17      WHEREAS a 2005 study published in the American Journal of Public Health found                                    
18 that the rate of oral disease among Alaska Natives is disproportionately high; and                                      
19      WHEREAS a 2010 study published in the Journal of Laryngology and Otology found                                   
20 that low levels of vitamin D are associated with an increased incidence of upper respiratory                            
21 tract infections; and                                                                                                   
22      WHEREAS the Centers for Disease Control and Prevention report that influenza                                     
23 vaccine effectiveness varies greatly; and                                                                               
24      WHEREAS, in 2010, the Department of Health and Social Services, reported that the                                
25 state is no longer subsidizing universal vaccinations for influenza because of a seven-fold                             
26 increase in cost over 10 years and a decrease in federal funding; and                                                   
27      WHEREAS a 2010 article published in the American Journal of Clinical Nutrition                                   
28 reported that a study of a group of Japanese school children who received 1,200 IU of vitamin                           
29 D a day showed a 50 percent reduction in the incidence of influenza compared to other school                            
30 children; and                                                                                                           
31      WHEREAS vitamin D has been shown to influence the immune response to                                             
01 tuberculosis, and studies have shown that vitamin D deficiency is associated with increased                             
02 risk of acquiring tuberculosis; and                                                                                     
03      WHEREAS a 2010 article in The Lancet reported that the risk of multiple sclerosis                                
04 increases with latitude and with low blood serum levels of vitamin D; and                                               
05      WHEREAS a 2006 article published in the Journal of the American Medical                                          
06 Association reported that a study examining blood samples of more than 7,000,000 army                                   
07 recruits from 1992 - 2004 found that higher blood serum levels of vitamin D were associated                             
08 with a significantly lower risk of developing multiple sclerosis; and                                                   
09      WHEREAS a 2005 article published in the Journal of the American Medical                                          
10 Association reported that elderly persons who had blood serum levels of vitamin D of at least                           
11 ng/ml experienced a 50 percent reduction of fractures, and a 2007 article published in the                              
12 Journal of the American Geriatrics Society reported that elderly persons who had blood serum                            
13 levels of vitamin D of at least 30 ng/ml experienced a 72 percent reduction in falls compared                           
14 to those who had blood serum levels of vitamin D below 25 ng/ml; and                                                    
15      WHEREAS the elderly are at high risk for vitamin D deficiency because of indoor                                  
16 lifestyle and the reduced ability of aging skin to manufacture vitamin D; and                                           
17      WHEREAS a 2009 article published in the Journal of Alzheimer's Disease reported                                  
18 that vitamin D reduces the risk of several types of diseases that have been identified as risk                          
19 factors for or precursors to dementia; and                                                                              
20      WHEREAS a 2010 article published in the Journal of Alternative and                                               
21 Complementary Medicine reported that a study in Egypt found that children without autism                                
22 had blood serum levels of vitamin D averaging 40.1 ng/ml, and children with autism had                                  
23 significantly lower blood serum levels of vitamin D, averaging 28.5 ng/ml; and                                          
24      WHEREAS Sara B. Arnaud, M.D., found that infants and children with blood serum                                   
25 levels of vitamin D of at least 18 ng/ml have a 99 percent prevention rate of the bone disease                          
26 rickets; and                                                                                                            
27      WHEREAS a 2007 study published in the Journal of Clinical Endocrinology and                                      
28 Metabolism found that females who received regular vitamin D supplementation during the                                 
29 first year of life are 50 percent less likely to develop preeclampsia in their first pregnancy; and                     
30      WHEREAS a 2009 article published in The Journal of Clinical Endocrinology and                                    
31 Metabolism found that pregnant women with low blood serum levels of vitamin D were                                      
01 nearly four times more likely to deliver by cesarean section than women with blood serum                                
02 levels of vitamin D of at least 15 ng/ml; and                                                                           
03      WHEREAS a 2009 study at the Medical University of South Carolina found that                                      
04 pregnant women who took 4,000 IU a day of vitamin D during pregnancy had a 50 percent                                   
05 reduction in the rate of premature birth and delivered fewer babies with low birth weight than                          
06 women who took 400 IU a day of vitamin D; and                                                                           
07      WHEREAS a 2010 study at the Rebecca Sieff Hospital in Israel found that when                                     
08 patients with hepatitis C were given 1,000 IU a day of vitamin D, the blood of 44 percent of                            
09 the participants was virus-free after a month of treatment, and the blood of 96 percent of the                          
10 participants was virus-free after three months; and                                                                     
11      WHEREAS, although the Institute of Medicine of the National Academy of Sciences,                                 
12 in 2010, recommended 600 IU a day of vitamin D, levels above 2,000 IU a day and an upper                                
13 level intake of 4,000 IU a day may be more appropriate for those who live in the northern                               
14 latitudes; and                                                                                                          
15      WHEREAS a 2007 study published in the American Journal of Clinical Nutrition                                     
16 found vitamin D toxicity only above 30,000 IU a day; and                                                                
17      WHEREAS a 2007 article published in the Journal of Photochemistry and                                            
18 Photobiology estimated that the United States economic burden due to vitamin D deficiency                               
19 from inadequate exposure to ultraviolet B light, inadequate diet, and lack of supplements was                           
20 estimated at $40,000,000,000 - 56,000,000,000 in 2004; and                                                              
21      WHEREAS a 2010 article published in Molecular Nutrition and Food Research                                        
22 regarding the rate of premature death and the economic burden in Canada found that annual                               
23 deaths could be reduced by 37,000 and the economic burden reduced by 6.9 percent or                                     
24 $14,400,000,000 if blood serum levels of vitamin D of the population were adequate; and                                 
25      WHEREAS part of the budget of the Department of Health and Social Services is                                    
26 used to treat illnesses that could potentially be prevented with adequate blood serum levels of                         
27 vitamin D; and                                                                                                          
28      WHEREAS the above-referenced studies and findings taken in aggregate provide                                     
29 significant evidence for the benefits of vitamin D supplements; and                                                     
30      WHEREAS vitamin D supplements are inexpensive;                                                                   
31      BE IT RESOLVED that the Alaska State Legislature respectfully requests the                                       
01 Governor to establish prevention of disease as a primary model of health care in Alaska; and                            
02 be it                                                                                                                   
03      FURTHER RESOLVED that the Alaska State Legislature encourages the                                                
04 Department of Health and Social Services and health care providers to increase attention to                             
05 vitamin D deficiency and vitamin D blood testing and to promote awareness of the potential                              
06 long-term health benefits of and increased chances of cancer survival with sufficient levels of                         
07 vitamin D; and be it                                                                                                    
08      FURTHER RESOLVED that the Alaska State Legislature urges the Department of                                       
09 Health and Social Services to                                                                                           
10           (1)  promote vitamin D supplements for the elderly potentially to prevent bone                                
11 loss, falls, fractures, and other age-related health problems;                                                          
12           (2)  determine the relative effectiveness of influenza vaccination as compared                                
13 with vitamin D supplementation, using the comparative treatment effectiveness analysis;                                 
14           (3)  investigate substituting vitamin D supplementation as a cost-effective                                   
15 method for preventing influenza in the adult population not identified as high risk; and                                
16           (4)  promote vitamin D supplements for pregnant women and infants to                                          
17 prevent pregnancy complications, preterm births, type 1 diabetes, and rickets.                                          
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