- KFF Health News Original Stories 4
- Why Pregnant People Were Left Behind While Vaccines Moved at ‘Warp Speed’ to Help the Masses
- Covid Aid to Protect Montana Prisons and Jails Sits Unused
- Watch: Seniors Share How They've Made It Through the Pandemic
- Readers and Tweeters Have Mental Health Care on Their Minds
- Political Cartoon: 'What Gets Blood Out?'
- Vaccines 2
- Sanofi, GSK To Seek Covid Vaccine Approval, Citing 100% Protection Against Hospitalization
- CDC Advising Some To Wait 8 Weeks Between Doses Of MRNA Vaccines
- Covid-19 2
- New CDC Metrics Coming To Guide Next Phase Of Pandemic Response
- Reopening Concerns Arise Due To Omicron Subvariant
- Capitol Watch 2
- Federal Judge Blocks Part Of HHS Surprise Billing Rule
- DC Prepares For Trucker Convoys Protesting Vaccine Requirements
From KFF Health News - Latest Stories:
KFF Health News Original Stories
Why Pregnant People Were Left Behind While Vaccines Moved at ‘Warp Speed’ to Help the Masses
Clinical trials of covid-19 vaccines excluded pregnant people, which left many women wondering whether to get vaccinated. (Liz Szabo, 2/24)
Covid Aid to Protect Montana Prisons and Jails Sits Unused
Montana has yet to start spending nearly $2.5 million in federal aid to boost covid detection and mitigation in the state’s prison and jails. (Katheryn Houghton, 2/24)
Watch: Seniors Share How They've Made It Through the Pandemic
Nine seniors from across the country talk frankly about feeling alone and constrained, missing church, and family routines. They also share newfound hope and discoveries that arose from the crisis. (2/24)
Readers and Tweeters Have Mental Health Care on Their Minds
KHN gives readers a chance to comment on a recent batch of stories. (2/24)
Political Cartoon: 'What Gets Blood Out?'
KFF Health News provides a fresh take on health policy developments with "Political Cartoon: 'What Gets Blood Out?'" by Dave Coverly.
Summaries Of The News:
Sanofi, GSK To Seek Covid Vaccine Approval, Citing 100% Protection Against Hospitalization
Sanofi and GlaxoSmithKline is preparing to request regulatory authorization in the U.S. and Europe for their covid vaccine. After setbacks, early data from the late-stage trials showed its two-dose shot was 100% effective against severe illness and hospitalization and 75% effective against moderate disease.
The New York Times:
A New Covid Vaccine Shows 100 Percent Efficacy Against Severe Disease And Hospitalizations, Its Makers Say
Two doses of a new Covid vaccine that is based on a conventional approach achieved 100 percent efficacy against severe disease and hospitalizations, and it could be an effective booster after other Covid shots, the vaccine’s manufacturers announced on Wednesday. The vaccine, made by the Europe-based pharmaceutical companies Sanofi and GSK, is one of four candidates that received billions of dollars for development from Operation Warp Speed, the Trump administration’s program to accelerate vaccines. (Mandavilli, 2/23)
AP:
Sanofi, GSK To Seek Authorization For COVID-19 Vaccine
Late-stage trials found that two doses of the vaccine were about 58% effective in preventing infection and 75% effective in preventing moderate to severe disease, the companies said in a statement. A separate study on the vaccine’s use as a booster showed that it “induced a significant increase in neutralizing antibodies,” they said. “The evolving epidemiology of COVID-19 demonstrates the need for a variety of vaccines,” Roger Connor, president of GSK Vaccines, said in a statement. The Sanofi-GSK vaccine uses “a well-established approach that has been applied widely to prevent infection with other viruses including pandemic flu,″ he said. “We are confident that this vaccine can play an important role as we continue to address this pandemic and prepare for the post-pandemic period.” (Kirka, 2/23)
Reuters:
Sanofi, GSK To Seek Approval For Covid Vaccine Candidate That Prevents 100% Of Hospitalizations
The companies said on Wednesday they intended to submit data to regulators from a late-stage trial of the vaccine, and another testing it as a booster, with full results for both studies expected to be published “later this year.” Sanofi is hoping for a comeback after falling behind in the race for Covid-19 shots, while GSK, the world’s biggest vaccine maker by sales, has not developed its own candidate and is instead supplying its adjuvant technology to developers. (2/23)
Meanwhile a different GSK drug is in the news —
Reuters:
U.S. FDA Limits Use Of GlaxoSmithKline-Vir COVID-19 Drug
The U.S. Food and Drug Administration said on Wednesday GlaxoSmithKline (GSK.L) and Vir Biotech's (VIR.O) COVID-19 antibody treatment should not be used in places with circulation of variants that are not susceptible to the drug. Vir has said the drug, sotrovimab, retains neutralizing activity against the emerging BA.2 form of the Omicron coronavirus variant. However, other recent research suggests that the variant showed resistance to nearly all of the monoclonal antibodies they tested, including sotrovimab. (2/23)
CDC Advising Some To Wait 8 Weeks Between Doses Of MRNA Vaccines
In an update to its guidance, the CDC now recommends that some space out their initial two doses of the Moderna or Pfizer covid shots. The latest research shows that the longer interval can boost protection levels and lower the risk of rare side effects. People with weakened immune systems and those 65 and older should stick with the original, shorter schedule.
AP:
CDC: Some People Should Wait Longer For 2nd COVID Shot
Some people getting Pfizer or Moderna COVID-19 vaccines should consider waiting up to eight weeks between the first and second doses, instead of the three or four weeks previously recommended, U.S. health officials said. The Centers for Disease Control and Prevention on Tuesday quietly changed its advice on spacing the shots. CDC officials said they were reacting to research showing that the longer interval can provide more enduring protection against the coronavirus. Research suggests that 12- to 64-year-olds — especially males ages 12 to 39 — can benefit from the longer spacing, the CDC said. (Stobbe, 2/23)
The Hill:
CDC Updates Guidance For Intervals Between COVID-19 Vaccine Doses
The Centers for Disease Control and Prevention (CDC) on Tuesday issued new COVID-19 mRNA vaccine guidance, expanding the recommended time between the initial two vaccine doses to eight weeks for some people over the age of 12, particularly young men. The prior recommended interval between initial doses was three weeks for the Pfizer-BioNTech vaccine and four weeks for the Moderna vaccine. This timeline is still recommended by the CDC for individuals who are immunocompromised, over 65 years old or in need of rapid protection against the coronavirus. (Choi, 2/23)
The New York Times:
The C.D.C. Advises Some People Wait Longer Between The First And Second Dose Of The Pfizer Or Moderna Vaccines
The change comes in light of research showing the longer interval between doses can increase vaccine effectiveness and reduce the risk of a serious but uncommon side effect called myocarditis, or inflammation of the heart. The overall incidence of post-vaccine myocarditis is low. A study conducted in Israel estimated that nearly 11 of every 100,000 males between 16 and 29 developed myocarditis. Earlier this month, an independent panel of scientific advisers to the C.D.C. reviewed research on myocarditis that supported an extended interval between doses. Research has shown that adolescent boys and young adult men have an increased risk of developing these heart problems after receiving their second dose of a Pfizer-BioNTech or Moderna vaccine. (Imbler, 2/23)
In news on the overall vaccination effort —
AP:
US Vaccination Drive Is Bottoming Out As Omicron Subsides
The vaccination drive in the U.S. is grinding to a halt, and demand has all but collapsed in places like this deeply conservative manufacturing town where many weren’t interested in the shots to begin with. The average number of Americans getting their first shot is down to about 90,000 a day, the lowest point since the first few days of the U.S. vaccination campaign, in December 2020. And hopes of any substantial improvement in the immediate future have largely evaporated. (Reeves and Stobbe, 2/23)
New CDC Metrics Coming To Guide Next Phase Of Pandemic Response
A CDC scientist tells CNN that the agency will issue new guidance on how communities can gauge their local virus risk in order to set policies on covid precautions like masks. Dr. Anthony Fauci also says that current indicators could lead to restrictions easing.
CNN:
CDC Scientist Says New Metrics To Guide Covid-19 Restrictions Could Come As Early As Friday
The US Centers for Disease Control and Prevention will announce new metrics to guide Covid-19 restrictions such as mask-wearing as early as Friday or possibly in the early part of next week, according to a CDC scientist directly involved with the process. The CDC currently says that people who live in counties with substantial or high levels of Covid-19 transmission should wear masks indoors. The agency will not be changing that guidance but will be changing the way it assesses "community levels of disease," by shifting from looking at cases alone to looking at "meaningful consequences" of the virus such as hospitalizations, emergency room visits and deaths. (Cohen and Herman, 2/23)
Bloomberg:
Fauci Says Vaccines, New Drugs Put U.S. In Position To Ease Covid Restrictions
Covid-19 vaccines, drugs and tests are putting the U.S. in an improved position to pull back on restrictions such as masking that were enacted to limit the spread of the virus, White House medical adviser Anthony Fauci said. Covid drugs like Pfizer Inc.’s Paxlovid that keep high-risk patients from hospitalization and death are becoming plentiful as production ramps up, Fauci said in an interview on Bloomberg Television’s “The Close.” (Rutherford, 2/23)
On federal and local masking policies —
The New York Times:
The U.S. Mask Mandate For Air Travel Is Due To Expire In March, But Some Flight Attendants Say That’s Too Soon
With federal in-flight and airport mask mandates scheduled to expire next month, a flight attendants’ union is pushing the Biden administration to extend the mask requirement until more people are vaccinated against the coronavirus. In a statement, the Association of Flight Attendants-C.W.A. said that allowing the mask requirement to lapse on March 18 would endanger medically vulnerable travelers as well as passengers under 5, who are not yet eligible for a vaccine in the United States. “The layered approach to safety and security includes masks,” the union, which represents 50,000 flight attendants at 20 airlines, said in a statement on Tuesday. (Lukpat, 2/23)
Los Angeles Times:
L.A. County To Relax Mask Rules At Locations With Vaccine Proof
Fully vaccinated individuals will soon be able to shed their masks indoors at Los Angeles County establishments that screen the inoculation status of visitors and patrons, health officials said Wednesday. While not a complete easing, the revised rules — which take effect at 12:01 a.m. Friday — represent a significant relaxation of the county’s universal indoor mask mandate, which has been in place since July. And depending on how many businesses elect to take advantage, the impact could be both widespread and widely apparent, especially in places like offices, gyms, restaurants, bars and hair salons. (Money and Lin II, 2/23)
AP:
Los Angeles County Eases COVID-19 Indoor Mask Mandate
Los Angeles County will began allowing people to remove their masks while indoors if they are vaccinated as the omicron winter surge continues to ease, officials announced Thursday. California’s largest county will relax its public health order on Friday to allow unmasking indoors at restaurants, bars and other businesses for people who show proof of vaccination. Employees also can permit their workers to remove their masks if they are vaccinated. (2/24)
Bloomberg:
Texas Sues Dallas Suburb That Wants To Keep Mask Mandate
Texas Attorney General Ken Paxton continued his crackdown on mask mandates with a lawsuit against a city north of Dallas that still requires face coverings among its employees. Paxton said Wednesday that he is suing Denton, home of the University of North Texas, a day after the city sued him to preserve its mask rule for municipal employees. Stuart Birdseye, a spokesman, said the city had no comment on Paxton’s suit. (Hagan, 2/23)
Albuquerque Journal:
Scrase Says Hospitals Are 'Out Of The Woods'
New Mexico hospitals are “out of the woods,” which is why a mask mandate ended last week and more public health orders will wind down next month, acting Health Secretary Dr. David Scrase said Wednesday. COVID hospital admissions have fallen dramatically in recent weeks. There were 172 COVID patients admitted to hospitals in the state last week. That was down from 430 new admissions the week ending Jan. 31, according to state epidemiology reports. (Boetel, 2/23)
And on covid treatment availability —
NBC News:
Covid Pills Are Easier To Find As The Omicron Surge Subsides
The supply of Covid-19 antiviral pills is picking up in the country, state health departments and physicians say, as drug companies like Pfizer churn out more of the treatments. In the initial weeks after their authorization late last year, the pills — hailed by some as a game-changer — were scarce and hard to come by. But now that the omicron surge has largely subsided and the supply of the drugs has increased, the pills are easier to access. (Lovelace Jr., 2/23)
Reopening Concerns Arise Due To Omicron Subvariant
Both Axios and the Wall Street Journal report that highly-infectious omicron, and its new subvariant BA.2, are spurring worries as reopening plans begin to take effect. Meanwhile AP reports on expert warnings that a mass omicron infection is not the same as reaching herd immunity.
The Wall Street Journal:
Fast-Spreading Covid-19 Omicron Type Revives Questions About Opening Up
Health authorities are examining whether the subvariant of Omicron, known as BA.2, could extend the length of Covid-19 waves that have peaked recently in Europe, Japan and some other places. “We’re looking not only at how quickly those peaks go up, but how they come down,” World Health Organization epidemiologist Maria Van Kerkhove said. “And as the decline in cases occurs…we also need to look at: Is there a slowing of that decline? Or will we start to see an increase again?” (Landers and Inada, 2/23)
Axios:
Omicron Subvariant Sparks Reopening Jitters
The fear of new COVID variants is adding a sense of trepidation to America's latest great reopening. While cases and hospitalizations are plummeting worldwide after massive Omicron-fueled surges, the spread of an even more transmissible Omicron subvariant is making some experts nervous as states lift mask mandates and other restrictions. "The bottom line is we're relatively optimistic that things will continue to improve through the spring and the summer under Omicron," Matt Craven, a partner at McKinsey who specializes in public health and infectious disease, said Wednesday during a U.S. Chamber of Commerce event. But this new subvariant "serves as that reminder we very well may not be done here and there may be others coming," he said. (Reed, 2/24)
AP:
Millions Of People With Omicron Is Not Same As Herd Immunity
Is Omicron leading us closer to herd immunity against COVID-19? While the highly transmissible coronavirus variant has spread quickly and infected — if not necessarily sickened — millions of people, including the fully vaccinated, experts say it’s not likely that Omicron, or any other strain, will lead to herd immunity. “Herd immunity is an elusive concept and doesn’t apply to coronavirus,” says Dr. Don Milton at the University of Maryland School of Public Health. (Milko, 2/23)
On scientific findings about the omicron subvariant —
CNN:
New Studies Bring BA.2 Variant Into Sharper Focus
On the heels of concerning new lab and animal experiments suggesting that BA.2 may be capable of causing more severe disease than the original Omicron strain, two new studies are helping to show how well human immunity is defending against this strain in the real world. BA.2 is about 30% more transmissible than the original Omicron variant, BA.1, according to early studies from the UK and Denmark, and it is now causing about 1 in 5 Covid-19 cases worldwide, according to the World Health Organization. Even as Covid-19 cases have been dropping around the world, the relative proportion of cases caused by BA.2 has been increasing. It is outcompeting the original Omicron strain in at least 43 countries, prompting fears of another devastating pandemic wave. (Goodman, 2/23)
Also —
Politico:
The Pentagon Is Working On An Algorithm To Detect Covid Early
What if a fitness tracker could predict that the wearer was Covid-positive hours or even days before they start noticing symptoms? To answer the question, the Pentagon has spent the past two years experimenting with “predictive bio-wearables” technology — in this case, a wristwatch and a ring on the user’s finger. The idea is to wear the combo daily just like a fitness tracker, and once users notice a change, they get tested for Covid-19. (Hudson, 2/23)
KHN:
Watch: Seniors Share How They’ve Made It Through The Pandemic
Too often the voices of older people are not heard. Judith Graham, KHN’s Navigating Aging columnist, invited nine seniors from across the country to talk candidly about their highs and lows as they enter Year 3 of the pandemic, with lives reordered by risk and restriction. How have people handled persistent stress? How have their lives changed? What are their most significant challenges? What needs are not being met? What sources of strength and comfort help sustain them? What are their hopes for the year ahead?Graham moderated a live event on Feb. 23, hosted by KHN and The John A. Hartford Foundation. (2/24)
Chicago Police Vaccine Mandate Upheld
The Fraternal Order of Police had been "vigorously" fighting the city's rules, according to AP, but an arbitrator said the mandate stands. Denver is taking a different position and is lifting a shot mandate for municipal employees. And in New York the mayor is keen to end vaccine rules for restaurant visits.
AP:
Arbitrator Upholds Chicago's Vaccine Mandate For Police
An arbitrator has upheld the city of Chicago’s COVID-19 vaccine mandate for police officers, Mayor Lori Lightfoot announced Wednesday, saying she hopes it is a call to action for those who aren’t yet vaccinated. The Fraternal Order of Police had vigorously fought the city’s rules, which resulted in lawsuits, and urged members not to comply. The union wanted the matter heard before an arbitrator. (2/24)
Bloomberg:
Denver To Lift Its Covid Vaccine Requirement For Municipal Workers
Denver is lifting a public health order requiring Covid-19 vaccines for municipal employees and contractors, effective March 4, officials announced Wednesday. Bob McDonald, executive director of the city’s Department of Public Health & Environment, thanked vaccinated workers for keeping “our hospital system from collapsing.” The order also applied to workers in high-risk settings, such as homeless shelters and schools. (Del Giudice, 2/23)
Bloomberg:
New York City Mayor Wants To End Vaccine Rule For Restaurants And Bars
New York Mayor Eric Adams said he wants the city to move in the next few weeks toward phasing out its proof-of-vaccination requirement for patrons of restaurants, bars and other indoor spaces. The city began the vaccine policy, also known as “Key to NYC,” last fall, requiring residents to show proof of at least one Covid-19 vaccination for most indoor activities. (Diaz and Krader, 2/23)
From the private sector —
CNBC:
Google Relaxes Mandates, Opens Amenities For Return To Office
Google is dropping some Covid-related mandates for employees and restoring perks back to its headquarters as it prepares to bring workers back to the office. Google Real Estate and Workplace Services VP David Radcliffe wrote an email to San Francisco Bay Area employees this week explaining that the company is relaxing some rules around vaccines, testing, social distancing and masks. Separately, a Google spokesperson told CNBC that the company has reversed course and will not require vaccinations as a condition of employment for U.S. workers, but declined to offer further details. (Elias, 2/23)
Separately, a study shows how vaccine misinformation happened —
Axios:
Influencers Played Outsized Role In Pushing Anti-Vax Conspiracies
A new report from a broad range of disinformation experts finds influencers across many topics — wellness, politics and religion — were largely responsible for spreading viral anti-vaccination content in the U.S. over the past two years. Influencers with large followings often introduced new and personal angles to familiar anti-vax tropes, making it difficult for social media companies to moderate their comments without running into free speech issues. (Snyder and Fischer, 2/24)
Federal Judge Blocks Part Of HHS Surprise Billing Rule
In a win for doctors, a federal judge in Texas on Wednesday struck down part of the Biden administration’s regulations, taking issue with its mediation process for hospitals and doctors and insurers to settle disputes over out-of-network medical bills.
Stat:
Federal Court Strikes Down Part Of HHS Surprise Billing Rule
A federal court on Wednesday struck down the Biden administration’s interpretation of a controversial part of the federal law banning surprise medical bills. Health care providers have filed several lawsuits challenging how the Department of Health and Human Services created a mediation process for hospitals and doctors and insurers to settle disputes over out-of-network medical bills. A federal court judge in Texas sided with Texas Medical Association, a trade association representing more than 55,000 physicians, and decided that HHS was mistaken in its decision to instruct mediators to give rates insurers and providers contracted with in the past extra weight compared with other factors. (Cohrs, 2/23)
The Hill:
Judge Strikes Down Part Of Biden Surprise Billing Rules In Win For Doctors
The ruling leaves in place the protections for patients against getting bills for thousands of dollars in situations such as going to the emergency room and later finding out one of the doctors was not covered by their insurance. But it strikes down part of the regulations that govern how much insurers will pay doctors once the patient is taken out of the middle. The ruling, from Judge Jeremy Kernodle, an appointee of former President Trump, is the latest in a long-running fight over the details of the rules. (Sullivan, 2/23)
Also —
The Washington Post:
More African Americans Have Gained Health Insurance Following Adoption Of The Affordable Care Act, HHS Report Finds
The percentage of Black Americans who lack medical insurance has dropped substantially since the adoption of the Affordable Care Act, but that progress largely depends on where people live, according to a new report from the Department of Health and Human Services. People in pockets of the country remain unable to benefit from the law that reshaped the nation’s health-care system because many Southern states have refused to participate in key provisions that expanded coverage to millions of Americans who had little or no access to medical insurance. (Johnson, 2/23)
The Wall Street Journal:
Medicare Proposal On Alzheimer’s Drug Draws Criticism From Drugmakers
Drugmakers and patient advocacy groups are pushing back against a federal proposal to cut off most Medicare payments for Biogen Inc.’s new Alzheimer’s drug, contending the healthcare agency is overstepping the bounds of its expertise. The Centers for Medicare and Medicaid Services proposed last month to limit coverage of Biogen’s drug Aduhelm to patients enrolled in clinical trials sanctioned by the agency. The proposal would also apply to similar drugs still in development and not yet approved, including those from Eisai Co. , Eli Lilly & Co., and Roche Holding AG , that work by reducing amyloid protein, a hallmark of Alzheimer’s, in the brain. (Walker, 2/23)
DC Prepares For Trucker Convoys Protesting Vaccine Requirements
The National Guard is preparing to respond to potentially disruptive protests. Meanwhile, lawmakers working on a mental health bill face a ticking clock. And from the Florida capital: the state Senate confirms a controversial surgeon general nominee.
CBS News:
Pentagon Approves Requests For National Guard As Trucker Convoy Eyes D.C.
Defense Secretary Lloyd Austin has approved requests from the D.C. Metropolitan Police Department and the U.S. Capitol Police for National Guard assistance ahead of trucker protests expected to arrive in the area soon. Up to 700 National Guard personnel will be deployed to help control traffic at designated traffic posts and points leading to the Capitol. ... Truck drivers protesting vaccine requirements are expected to depart Pennsylvania on Wednesday morning and drive to the D.C. area, arriving late Wednesday or Thursday. The demonstration protesting vaccine requirements and other issues is inspired by truck driver protests in Canada. (Watson, 2/23)
More from Congress —
Roll Call:
Lawmakers Face Pressure To Pass Mental Health Legislation
Lawmakers hope to produce legislation to address growing mental health and substance use needs this year as deadlines approach, but the issue is competing for attention with other national priorities in a compressed election-year schedule. Congress has until March 11 to extend a restriction on fentanyl-related substances, a large group of synthetic opioids that are responsible for most drug-related deaths. And a dozen Substance Abuse and Mental Health Services Administration programs also must be reauthorized by the end of the fiscal year in September. The programs include the community mental health services block grant, mental and behavioral health education and training grants, and evidence-based programs within the National Mental Health and Substance Use Policy Laboratory. (Raman, 2/23)
KHN:
Readers And Tweeters Have Mental Health Care On Their Minds
KHN gives readers a chance to comment on a recent batch of stories. (2/24)
Meanwhile, in Florida —
AP:
Florida Surgeon General Confirmed Despite Controversy
Florida Surgeon General Joseph Ladapo was confirmed to his position Wednesday, as Senate Republicans approved the nomination of the state’s top doctor over criticism that his opposition to coronavirus mandates is too aligned to the politics of Gov. Ron DeSantis. Ladapo, who was appointed by DeSantis in September, has drawn intense scrutiny over his shared resistance with the governor to COVID-19 mandates for vaccines and masks and other health policies endorsed by the federal government. (Izaguirre, 2/23)
Politico:
Florida Senate Approves DeSantis' Controversial Pick For Surgeon General
Ladapo, 43, and DeSantis share many views on Covid-19, including that face masks don’t prevent spread and that governments should not require vaccines, in part because he said they have not been proven to prevent transmission. Ladapo also stood behind DeSantis as the Republican governor hammered President Joe Biden’s rollout of federal vaccine mandates in December and supported DeSantis’ criticism of the Biden administration for limiting the nationwide distribution of monoclonal antibody treatments. Those treatments were found to be less effective at treating the Omicron variant. (Sarkissian, 2/23)
Drug Safety Warnings Only Lead To Small Prescribing Drops: Study
A new international study found that when regulators issue drug safety warnings it only leads to modest drops in prescription rates. Separately, the Columbus Dispatch notes that the State Medical Board of Ohio has closed most sexual misconduct complaints reopened after a scandal.
Stat:
Regulatory Warnings About Drugs Are Tied To Modest Drops In Prescribing
Drug safety advisories issued by regulators regularly led to reduced prescribing by physicians by an average of nearly 6%, lowering the potential for patients to encounter potentially harmful or fatal reactions, a new study finds. After examining two dozen advisories issued in Canada, Denmark, the U.S., and the U.K. between 2009 and 2015, researchers found that on average, prescribing for the drugs — mainly used in primary care — declined by 5.8%. These advisories did not include specific dosage information. For the four advisories with dosage advice, the average decline was 1.9%, which was not statistically significant or considered conclusive, given the small number. (Silverman, 2/23)
Stat:
Despite Lack Of Progress On Health Equity, These Leaders Forged Ahead
When Quinn Capers IV took over as associate dean of admissions at the Ohio State University College of Medicine in 2009, just 13% of the entering class came from racial and ethnic groups underrepresented in medicine. A Black cardiologist, he thought the school could do better. Capers launched a series of changes, starting with testing the 140 members of the admissions committee (like the faculty, largely white) for implicit racial or gender biases that might make them judge some applicants more harshly. The study found up to 70% of the committee held such biases, and its members — who read applications, decide whom to interview, and choose which candidates to admit — then underwent training to mitigate those biases. (McFarling, 2/24)
Columbus Dispatch:
Ohio Board Closes Most Complaints It Reopened After Strauss Scandal
The State Medical Board of Ohio will not take any action in a majority of sexual misconduct complaints against physicians and other licensed medical professionals it reopened last year in the wake of the Dr. Richard Strauss scandal at Ohio State University. The board has nearly finished a review of complaints it reopened last March following recommendations from expert reviewers and a Strauss working group convened by Gov. Mike DeWine. As of Feb. 18, the medical board decided to take no further action with 72 of the initial 91 complaints reopened, meaning nearly 80% were closed again, according to a memorandum created in response to The Dispatch asking the board for an update. (Filby, 2/23)
In news relating to hospitals —
Courier Journal:
Goodwill, Norton Healthcare To Bring Hospital To Louisville West End
Opportunity is coming to the West End, Louisville leaders announced Wednesday, in the form of a $100 million investment from two major local employers and the first hospital to be built west of Ninth Street in more than 150 years. The “opportunity campus,” as it was called by speakers at a press conference announcing the move, will include a new $30 million headquarters for Goodwill Industries of Kentucky as well as a $70 million hospital from Norton Healthcare. Other local social service organizations will have a space at the 20-acre complex at Broadway and 28th Street, officials said, including Big Brothers Big Sisters and KentuckianaWorks. (Aulbach and Tobin, 2/23)
Billings Gazette:
Report Details Deficiencies Tied To 4 Deaths At Montana State Hospital
Kathy Toavs, a dementia patient at the Montana State Hospital, fell 13 times in less than two months before the last fall claimed her life. The series of preventable incidents was noted by federal inspectors this month. The inspection, conducted by the Centers for Medicare and Medicaid Services, identified four patient deaths attributable to the hospital's noncompliance with federal rules. (Larson, 2/23)
And in developments in finance connected to health care —
Axios:
Owens & Minor Capitalizes From Pandemic's Glove Shortage
A critical shortage of medical gloves during the pandemic last year led to large price hikes from the makers of those gloves — costs that everyone ultimately will absorb. Medical equipment supplier Owens & Minor reported $660 million of extra revenue in 2021, and expects an additional $235 million this year, based solely on passing along higher costs of purchasing gloves. (Herman, 2/24)
Bloomberg:
Philip Morris Eyes Smaller Deals Amid Push Into Wellness Field
Philip Morris International Inc. may make smaller deals to help build a multibillion-dollar health and wellness business by 2030 as global cigarette demand weakens. The company will invest as much as $200 million annually over the next three years to develop a pipeline of health and wellness products, Chief Executive Officer Jacek Olczak said Wednesday in an online presentation at the Consumer Analyst Group of New York conference. (Gretler, 2/23)
Axios:
FemTec Health's Awesome Woman Comes To Market
New York-based startup FemTec Health has unveiled its first company brand, a health and wellness offering called Awesome Woman, founder Kimon Angelides tells Axios exclusively. Awesome Woman is a subscription-based digital pharmacy and telehealth platform that is reflective of growing investor interest in women-focused digital health. The thrust of the company's appeal may lie in using home tests to recommend and sell health products, industry observers say. (Brodwin, 2/23)
Researchers Find Genetic Defects Linked To ALS
The defects were discovered by Stanford and University College London scientists in a molecule that processes and preps RNA. A rise in the extensively drug-resistant Shigella sonnei infections in Europe, and the risk of C Difficile infections from contaminated hospital rooms are also in the news.
Stat:
Scientists Take Key Step Toward Unraveling The Genetic Roots Of ALS
If you shrunk down for a “Magic School Bus”-style journey into an ALS patient’s neurons, you’d see the same thing nearly every time — a key protein knotted into clumps and missing from its usual post in the cell’s nucleus. It’s a telltale sign of the devastating neurological disease, and its effects have been a longtime subject of fascination for scientists. Now, a pair of studies published Wednesday help unravel the mystery. (Wosen, 2/23)
CIDRAP:
ECDC Reports Increase In Extensively Drug-Resistant Shigella In UK, Europe
The European Centre for Disease Prevention and Control (ECDC) is reporting an increase in extensively drug-resistant (XDR) Shigella sonnei infections in the United Kingdom and elsewhere in Europe. In a rapid risk assessment published today, the ECDC said the increase was first noted by the UK Health Security Agency in late January, when it reported 47 cases of XDR S sonnei from September 2021 through Jan 10, 2022—up from 16 in the previous 4-month period. The UK outbreak strain showed non-susceptibility to penicillins, third-generation cephalosporins, aminoglycosides, tetracyclines, sulfonamide, quinolones, and azithromycin. (2/23)
CIDRAP:
Study Finds Increased Risk Of C Difficile From Contaminated Hospital Rooms
A study conducted at five acute care hospitals adds further evidence of the role the hospital environment plays in Clostridioides difficile infection (CDI), researchers reported today in the American Journal of Infection Control. An estimated 236,000 healthcare-associated CDI cases occur each year in the United States, and even with thorough cleaning efforts, C difficile spores can persist in hospital rooms for months, posing colonization and infection risks to patients. To examine the risk posed by a previous room occupant with CDI on subsequent room occupants, a team led by researchers from Johns Hopkins University examined all adult inpatients admitted to five acute care hospitals in Maryland and Washington, DC, from July 2016 through December 2018. (2/23)
ScienceDaily:
'E-Nose' Could Someday Diagnose Parkinson's Disease By 'Smelling' Skin
Scientists have been trying to build devices that could diagnose Parkinson's disease (PD) through odor compounds on the skin. Now, researchers have developed a portable, artificially intelligent olfactory system, or 'e-nose,' that could someday diagnose the disease in a doctor's office. (American Chemical Society, 2/23)
CIDRAP:
MIS-C Rare In COVID-Vaccinated Teens, Study Finds
Multisystem inflammatory syndrome in children (MIS-C) is rare among 12- to 20-year-olds who have received COVID-19 vaccination, a study yesterday in The Lancet Child & Adolescent Health suggests. The study was based on 9 months of follow-up data on US children and young adults ages 12 to 20 who had received at least one dose of the Pfizer-BioNTech COVID vaccine from Dec 14, 2020, to Aug 31, 2021. Only 21 cases out of more than 21 million vaccinated adolescents developed the rare disorder, which mimics Kawasaki's, during the follow-up period. Fifteen of the 21 were diagnosed as having COVID-19 despite vaccination, while 6 developed MIS-C for unknown reasons. (Soucheray, 2/23)
Study Shows Guns Now Kill More People Than Other Traumas Do
In other news, D.C. traffic deaths hit a 14-year high; the United Nations warns that wildfires will dramatically rise over the next 80 years with serious human health impacts, and the World Health Organization has formally recognized video game addition.
The Hill:
Firearm Deaths Become Leading Cause Of Trauma-Related Death: Study
Firearms are now the leading cause of trauma-related deaths in the U.S., according to a study published on Tuesday, overtaking motor vehicle crashes as the top cause of years of potential life lost. Researchers at the Westchester Medical Center reached the finding after reviewing data from recent years in National Vital Statistics Reports from the Centers for Disease Control and Prevention (CDC). The CDC calculates years of potential life lost by subtracting an individual's age when they died from the standard year of 80, which is roughly the U.S. life expectancy. The agency then sums the number of years lost across different causes of death. (Choi, 2/23)
Bloomberg:
Video Game Addiction Recognized By World Health Organization
Arcadia Kim devoted her career to video games, until one hit her in the face. The incident happened several years ago when Kim, a former studio operating chief at Electronic Arts Inc., was trying to peel away her then 10-year-old son from a game of Minecraft. He threw the iPad at her in frustration. Kim, 48, said the experience inspired her to start a business in 2019 advising parents on forming healthy relationships between their kids and their screens. The work took on greater urgency this year when the World Health Organization began formally recognizing video game addiction as an illness for the first time. (McBride, 2/23)
Bloomberg:
Extreme Wildfire Impacts To Rise Dramatically By 2100, UN Says
The United Nations for the first time has assessed the global risk of catastrophic wildfires, finding that as climate change accelerates more of the world will burn, with disastrous consequences for human health, the economy and biodiversity. “The heating of the planet is turning landscapes into tinderboxes, while more extreme weather means stronger, hotter, drier winds to fan the flames,” wrote the authors of the report, released on Wednesday by the UN Environment Programme and the nonprofit GRID-Arendal. “Too often, our response is tardy, costly, and after the fact, with many countries suffering from a chronic lack of investment in planning and prevention.” (Woody, 2/23)
The Washington Post:
D.C. Traffic Deaths At 14-Year High With Low-Income Areas Hardest Hit
Lower-income neighborhoods in the District recorded eight times more traffic fatalities in recent years than the city’s wealthiest area, an analysis shows, as residents call for more enforcement and road improvements following the deadliest year on city streets in more than a decade. The 40 traffic fatalities in the nation’s capital last year were the most since 2007, fueled by what authorities say is a proliferation of unsafe driving during the coronavirus pandemic that reflects an alarming rise in traffic deaths nationwide. The toll has fallen disproportionately on the city’s two poorest wards, which contain less than one-quarter of Washington’s population but nearly half of its road deaths. (Lazo, Jayaraman and Moriarty, 2/23)
On childrens' health issues —
AP:
Child Poverty Jumps One Month After Tax Credit Expires, Study Says
The number of children in America living in poverty jumped dramatically after just one month without the expanded child tax credit payments, according to a new study. Advocates fear the lapse in payments could unravel what they say were landmark achievements in poverty reduction. Columbia University’s Center on Poverty and Social Policy estimates 3.7 million more children were living in poverty by January — a 41% increase from December, when families received their last check. The federal aid started in July but ended after President Biden’s Build Back Better bill stalled in the sharply divided Congress. Payments of up to $300 per child were delivered directly to bank accounts on the 15th of each month, and last week marked the second missed deposit of the year. (Khalil, 2/23)
WUSF Public Media:
Why Florida Children Have A High Risk Of Losing Medicaid Coverage After The Federal Emergency Ends
Children in Florida are some of the most at risk of losing health insurance when the federal government eventually lifts an emergency declaration associated with the coronavirus pandemic, according to a report that finds 6.7 million kids nationwide could be affected by the change. As part of the public health emergency first enacted during the Trump administration in 2020 and extended by the Biden administration, the federal government has been giving states a 6.2% boost in Medicaid funding to help cover more people due to job loss or other factors. That funding came with a continuous coverage requirement, barring states from kicking people off Medicaid even if their incomes improved and they would otherwise be ineligible. (Colombini, 2/23)
AP:
Mississippi Reports 2nd Pediatric Flu Death This Season
Mississippi’s health department has reported this flu season’s second flu death of a child or teenager. The first was reported in December. Pediatric flu deaths have been steady, with a total of 24 reported over 14 seasons including the current one, Mississippi Department of Health spokeswoman Liz Sharlot said Wednesday. The state began requiring the reports for the 2008-2009 flu season. There were no pediatric flu deaths last season and the highest total ever was three, Sharlot said. The latest death was reported Tuesday on Twitter. (2/23)
First Anal Sex-Safe Condom Approval By FDA
This is the first time, reportedly due to lack of data, the Food and Drug Administration approved condoms for anal as well as vaginal sex. The move could help combat the spread of HIV. Separately, reports show maternal death rate disparities worsened during the pandemic, and pregnant people were "left behind" during the vaccine push.
The New York Times:
F.D.A. Grants The First Condom Approval For Anal Sex
For the first time, U.S. regulators have officially authorized a condom to be used for anal sex, not just vaginal sex. The decision, announced by the Food and Drug Administration on Wednesday, has long been sought by sexual health experts, who said it could encourage more people who engage in anal sex to use condoms to protect themselves against H.I.V. and other sexually transmitted infections. The risk of sexually transmitted diseases is “significantly higher” during anal sex than vaginal sex, an F.D.A. official said Wednesday. But until now, there has not been enough data to show that condoms are safe and effective during anal sex. (Belluck, 2/23)
On pregnancy news —
Axios:
CDC Says Maternal Mortality Disparities Have Worsened
The maternal mortality rate in the U.S. for 2020 was 23.8 deaths per 100,000 live births, up from a rate of 20.1 in 2019, newly released CDC data shows. The U.S. still has one of the highest maternal mortality rates in the developed world and previous research has largely attributed that to an outsized prevalence among Black mothers. The maternal mortality rate for Black women was 55.3 deaths per 100,000 live births, nearly three times the rate for white women (19.1 per 100,000). That's also a significant increase over 2019, when Black mothers had a mortality rate of 44 deaths per 100,000 live births. (Reed, 2/23)
KHN:
Why Pregnant People Were Left Behind While Vaccines Moved At ‘Warp Speed’ To Help The Masses
Kia Slade was seven months pregnant, unvaccinated, and fighting for breath, her oxygen levels plummeting, when her son came into the world last May. A severe case of covid pneumonia had left Slade delirious. When the intensive care team tried to place an oxygen mask on her face, she snatched it away, she recalled. Her baby’s heart rate began to drop. Slade’s doctor performed an emergency cesarean section at her bedside in the intensive care unit, delivering baby Tristan 10 weeks early. He weighed just 2 pounds, 14 ounces, about half the size of small full-term baby. (Szabo, 2/24)
Abortion matters in the news —
AP:
Alabama Committee Advances Ban On Abortion Pill
An Alabama legislative committee on Wednesday advanced legislation seeking to outlaw the use of abortion pills to end unwanted pregnancies. The House Judiciary Committee approved the bill that would make it a felony to prescribe or dispense the medications, such as RU-486, to induce an abortion. The bill now moves to the full House of Representatives. Abortion pills are an increasingly common method of terminating early pregnancies. The Centers for Disease Control and Prevention estimated that 42.3% of all abortions in 2019 were done by using medications. (2/24)
Health News Florida:
A UNF Poll Finds That 57% Of Florida Voters Oppose Legislature's Push To Restrict Abortion
A majority of Florida voters disagree with the Legislature's push to restrict abortion, according to a new poll from the University of North Florida. The Florida House passed a bill last week to ban abortions after 15 weeks of pregnancy. But 57% of voters polled by the Public Opinion Research Lab at UNF oppose the bill either strongly or somewhat. Opposition was slightly higher when respondents were told that the bill does not include exceptions for rape or incest. (Roguski, 2/23)
AP:
Missouri Senate Tries Again To 'Defund' Planned Parenthood
The GOP-led Missouri Senate on Wednesday passed a stopgap budget that attempts to strip funding for Planned Parenthood while paying for Medicaid health care for newly eligible patients and pumping billions of dollars in federal funding to schools. Senators voted 25-7 to pass the legislation, which budgets extra funding for state services through the end of the state fiscal year in June. Because senators amended the plan, it needs another vote of approval in the House before it can go to Republican Gov. Mike Parson’s desk. (Ballentine, 2/24)
Transgender issues in the news —
Politico:
Abbott Orders Texas Probe Of Medical Procedures For Transgender Children
Texas Republican Gov. Greg Abbott this week ordered the state’s youth protection agency to investigate the use of gender-transition procedures on children, in a directive that included calls to launch inquiries into parents and medical providers who allegedly violate the law. Such procedures, the state’s conservative attorney general declared earlier this month, amount to child abuse under Texas law. “Because the Texas Department of Family and Protective Services (DFPS) is responsible for protecting children from abuse, I hereby direct your agency to conduct a prompt and thorough investigation of any reported instances of these abusive procedures in the State of Texas,” Abbott wrote in a Feb. 22 memo to agency Commissioner Jaime Masters. (Perez Jr., 2/23)
AP:
Alabama Bill Seeks To Ban Hormone Treatments For Trans Youth
The Alabama Senate on Wednesday approved legislation that would prohibit transgender minors from being given puberty-blockers, hormones or surgeries to affirm their gender identity — treatments that the legislative sponsor equated to child abuse. Senators voted 24-6 for the legislation that now moves to the Alabama House of Representatives. The bill, sponsored by Republican Sen. Shay Shelnutt of Trussville, would make it a felony, punishable by up to 10 years in prison, for a doctor to prescribe puberty-blockers or hormones or perform surgery to aid in the gender transition of people 18 years old or younger. (Chandler, 2/24)
Also —
AP:
San Francisco Police Stop Using Rape Victims' DNA To Investigate Other Crimes
The San Francisco Police Department is no longer using DNA from sexual assault survivors and other victims to investigate unrelated crimes, officials said Wednesday. The department’s crime lab stopped the practice shortly after receiving a complaint from the district attorney’s office and formally changed its operating procedure Friday, said Matt Dorsey, spokesman for San Francisco Police Chief Bill Scott. (2/23)
Michigan Pivots On Pandemic Response
Meanwhile, Kentucky schools shift to outdoor teaching and more trucker protests are planned for California. Recreational pot bills, forever chemicals in Wisconsin, microplastic protections in California and more are also in the news.
Detroit Free Press:
Michigan Shifts COVID-19 Response: Stopping Every Case Not 'Feasible'
Michigan is pivoting when it comes to the way it handles the coronavirus pandemic, said Dr. Natasha Bagdasarian, an epidemiologist, infectious disease doctor and the state's chief medical officer. "We have to realize that the metrics that we have been following since the beginning of the pandemic don't necessarily mean the same thing that they did a year ago or two years ago," Bagdasarian told the Free Press in an interview earlier this week. (Shamus, 2/23)
Courier Journal:
Outdoor Preschools In Kentucky Gain Popularity Amid COVID-19 Pandemic
On a sunny February afternoon at the top of a hillside covered in mud, a boy wearing a Spiderman hat and a dirty red snow jacket decided that rolling his body down the slick slope would be easier than walking to the bottom. And you know what — he was right. It's this type of problem-solving that young kids enrolled in forest preschools around the Louisville area are learning during the COVID-19 pandemic, often while their pint-sized friends, in traditional preschools and daycares, may have been stuck in the house behind computers screens. (Adams, 2/23)
Las Vegas Review-Journal:
People’s Convoy Protesting COVID-19 Measures Kicks Off In California
A slate of speakers rallied a crowd of about 500 in the California desert Wednesday morning to send a group of truckers on a cross-country convoy in protest of pandemic-related mandates and emergency measures. “The last two years have been really, really rough,” said attorney Leigh Dundas, a prominent anti-vaccine activist, speaking from a makeshift stage fashioned out of a trailer. “A lot of people have died from COVID and many more have died from that policies that were put in place to handle COVID.” (Apgar, 2/23)
In news on recreational pharmaceuticals and medical cannabis —
AP:
South Dakota Senate Passes Bill To Legalize Recreational Pot
The South Dakota Senate on Wednesday passed a proposal to legalize recreational marijuana, as Republicans reasoned they should jump ahead of a campaign to legalize it on the November ballot. The bill passed by a single vote in the Republican-controlled Senate, showing just how divided lawmakers are on pot legalization. The proposal will next head to the House, where Republicans have pushed tighter restrictions on medical marijuana. (Groves, 2/24)
Albuquerque Journal:
NM Supreme Court Clears Way For Medical Cannabis Producers To Claim Tax Refunds
New Mexico’s tax agency could be on the hook for more than $24 million in reimbursement payments to medical cannabis producers, after the state Supreme Court on Tuesday rejected an appeal of a lower court ruling. At issue in the long-running case is whether medical cannabis producers can claim a state gross receipts tax deduction for prescription medication. (Boyd, 2/23)
Milwaukee Journal Sentinel:
Wisconsin Lawmakers Abandon Legalizing Kratom
Assembly lawmakers on Wednesday abandoned a scheduled vote on a bill that would legalize an herbal supplement after objections from law enforcement officials and medical doctors. Assembly Speaker Robin Vos, who supports the legislation, said Wednesday he didn't agree with their concerns but acknowledged it was in limbo and may not have enough votes to pass before taking it off the calendar permanently. (Beck, 2/23)
On environmental health developments —
Milwaukee Journal Sentinel:
Wisconsin Natural Resources Board Advances Some PFAS Water Standards
A sometimes tense session Wednesday to advance standards for "forever chemicals" in Wisconsin water produced mixed results, with a state policy-setting board adopting some standards, weakening others and leaving a broad category — groundwater sources — unregulated. The compounds have been found in more than 50 sites around the state, the latest being the City of Wausau, which discovered levels above the proposed standards in all its drinking water wells. (Schulte, 2/23)
The Hill:
California Adopts First-In-Nation Microplastics Reduction Policy
Far from “only a marine pollution problem,” microplastics have also been found in human placenta, stool samples and lung tissue, entering the food web through seafood consumption and exposing humans to endocrine-disrupting chemicals, the state strategy explained. The strategy provides a multiyear roadmap that incorporates a two-track approach toward managing California’s microplastic pollution. The first of the two tracks contains 22 immediate steps that include both “no regrets” actions and multi-benefit solutions for microplastic reduction and management. (Udasin, 2/23)
Also —
Bloomberg:
LA Paying $600,000 Apiece For Units To House Homeless People
Rising costs are hindering a solution for one of Los Angeles’s biggest problems: housing the homeless. Five years after LA voters approved a $1.2 billion bond for tackling homelessness, only 14% of the 10,000 planned income-restricted supportive housing units have been built, according to a report by Controller Ron Galperin. Such projects combine subsidized housing with physical- and mental-health services, drug treatment and job training. (Chua, 2/23)
KHN:
Covid Aid To Protect Montana Prisons And Jails Sits Unused
Last summer, Montana created a list of more than a dozen upgrades for its state prison facilities to protect inmates and staffers from covid-19 infections, all of which would be paid for with nearly $2.5 million in federal covid relief money. But the money, part of $700 million in aid to states to detect and mitigate covid’s spread in prisons, jails, and other confinement facilities, sat untouched as of mid-February. Not a single project has begun despite the omicron surge that led to a new outbreak of covid cases among Montana State Prison inmates in January. That delay has left weak points within Montana’s secure facilities. (Houghton, 2/24)
The CT Mirror:
Public Testifies On Aid-In-Dying Legislation
Tessa Marquis has been advocating for legislation that would allow terminally ill people to receive legal access to life-ending medication since 2014, but this year her testimony was different, her anger at legislative inaction more personal. Her mother died five weeks ago. “She had to starve herself to death,” said Marquis. “Unfortunately, those are the options people have in the state of Connecticut, currently,” said Rep. Jonathan Steinberg, D-Westport and co-chair of the Public Health Committee, which heard testimony from more than 120 people on Wednesday about whether people with terminal illnesses should receive legal access to medications that would end their lives. (Lyons, 2/23)
Covid Hitting Once Virus-Free New Zealand
Protests against covid restrictions intensify in New Zealand, even as new cases surge across the country. Meanwhile, in the U.K. studies show that most pregnant women are avoiding getting covid shots, even though the vaccines are known to be safe for both mother and child.
Reuters:
COVID Surges In New Zealand, Protesters Against Mandates Chase Away Ardern
New Zealand Prime Minister Jacinda Ardern was rushed out of a school event in Christchurch on Thursday after protesters opposed to COVID restrictive measures thronged the venue and chased her car, while daily infection numbers hit record levels. New Zealand reported over 6,000 new cases of COVID-19, with 250 hospitalisations, and the government expects the outbreak to peak in mid-March. Having been lauded earlier for her success in keeping the country COVID-free, Ardern has been fiercely criticised recently for the slow unlocking of restrictive measures. (2/24)
Press Association:
Covid Vaccine Still Avoided By Most Pregnant Women In U.K., Study Shows
Most women are still shunning Covid-19 vaccines in pregnancy despite an increased chance of stillbirth, premature birth and risks to their own health, analysis shows. Data from the Nuffield Department of Population Health at the University of Oxford shows 73% of Asian women, 86% of black women and 65% of white women were unvaccinated at the time of giving birth in October 2021. (2/24)
The New York Times:
Lagging Vaccine Campaigns Are Leaving Caribbean Nations Imperiled, W.H.O. Officials Say
Though new coronavirus cases and deaths are declining across the Americas, the Caribbean remains particularly vulnerable to the virus, in part because of vaccination struggles, World Health Organization officials warned on Wednesday. “Out of 13 countries and territories in the Americas that have not yet reached W.H.O.’s goal of 40 percent coverage, 10 are in the Caribbean,” Dr. Carissa Etienne, director of the Pan American Health Organization, said at a news conference, referring to shares of their populations that have been vaccinated. The organization Dr. Etienne heads is a regional arm of the W.H.O. (Politi, 2/23)
On the effort to boost global vaccine rollouts —
AP:
WHO Works To Spread COVID Vaccine Technology To More Nations
The World Health Organization is creating a global training center to help poorer countries make vaccines, antibodies and cancer treatments using the messenger RNA technology that has successfully been used to make COVID-19 vaccines. At a press briefing in Geneva on Wednesday, WHO Director-General Tedros Adhanom Ghebreyesus said the new hub will be in South Korea and will share mRNA technology being developed by WHO and partners in South Africa, where scientists are working to recreate the COVID-19 vaccine made by Moderna Inc. That effort is taking place without Moderna’s help. (2/23)
Research Roundup: Cancer; ALS; Dementia; Childhood Obesity
Each week, KHN compiles a selection of recently released health policy studies and briefs.
ScienceDaily:
3D Model Of Living Brain Cancer Points To Possible Future For Drug Screening
Researchers fabricated a 3D artificial cancer tissue that overcomes one of the biggest challenges in tissue engineering: replicating the body's smallest blood vessels. The breakthrough offers a possible alternative to animal drug testing. (KTH, Royal Institute of Technology, 2/22)
ScienceDaily:
Patients With Rare Skin Cancer Face 40% Recurrence Rate
Patients treated for Merkel cell carcinoma (MCC) face a five-year recurrence rate of 40% -- markedly higher than the recurrence rates for melanoma and other skin cancers. Additionally, in the study cohort of more than 600 patients, 95% of MCC recurrences happened in the first three years, suggesting that surveillance efforts should be focused on that span. (University of Washington School of Medicine/UW Medicine, 2/23)
ScienceDaily:
Discovery Of A New ALS And Dementia Disease Mechanism Raises Treatment Hopes
A pioneering new study has revealed, for the first time, why a common genetic variant worsens disease outcomes for people with the devastating adult-onset neurodegenerative diseases amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). (University College of London, 2/23)
ScienceDaily:
Food For Thought: A High-Fiber Diet May Reduce Risk Of Dementia
Researchers found that higher levels of dietary fiber are associated with a reduced risk of developing dementia. In a large-scale study, over 3500 Japanese adults completed a dietary survey and were then followed up for two decades. Adults who consumed more fiber, particularly soluble fiber, were less likely to go on to develop dementia. These findings may relate to interactions between the gut and the brain. (University of Tsukuba, 2/22)
ScienceDaily:
Having A Poor Score On A Simple Memory Test May Be Linked To Alzheimer’s Biomarkers
Among people with no memory or thinking problems, having a poor score on a simple memory test may be linked to biomarkers in the brain associated with Alzheimer's disease as well as very early signs of memory impairment that precede dementia by several years, according to a new study. (American Academy of Neurology, 2/23)
ScienceDaily:
Positive Parenting Can Reduce The Risk That Children Develop Obesity
New research found that children with positive, early interactions with their care givers -- characterized by warmth, responsiveness, and a stimulating home environment -- were at reduced risk of childhood obesity. (Penn State, 2/22)
ScienceDaily:
Extreme Heat Linked To Increase In Mental Health Emergency Care
During periods of extreme heat, clinicians should expect to see an increase in patients requiring mental health services, according to a new study. The study found that days with higher-than-normal temperatures during the summer season in the United States were associated with increased rates of emergency department (ED) visits for any mental health-related condition, particularly substance use, anxiety and stress disorders, and mood disorders. This nationwide study is the largest and most comprehensive analysis of daily ambient temperature and mental health-related ED visits among US adults of all ages. (Boston University School of Medicine, 2/23)
Viewpoints: Climate Change Is Making People Ill; Makena Should Be Pulled From Market
Editorial pages tackle these public health issues, and a look back at the contributions of Dr. Paul Farmer.
NBC News:
How America's Weirdly Warm Winter Could Make Us Sick
Living in a world affected by climate change is a part of our daily reality. It is what climate scientist Katherine Hayhoe refers to as “global weirding.” All last year effects were glaringly present, from heat extremes over the summer to a record hurricane and wildfire season and, now, to warmer winter temperatures that are marked by winter mosquitoes and wildfires. While the change in seasons is confusing, to say the least, what is most concerning to me, as a physician, is what this warmer weather means for public health. (Neelu Tummala, 2/21)
Los Angeles Times:
FDA Should Pull Ineffective Pregnancy Drug Makena
The U.S. Food and Drug Administration accelerated the approval of a drug called Makena meant to prevent premature births. Now there’s mounting evidence that the drug does not work. The FDA should use its authority to pull Makena from the market until and unless the company that makes it can prove that it is effective. (2/24)
Miami Herald:
Florida GOP Lawmakers Seek To Ban Abortions After 15 Weeks
The Florida Legislature is fast tracking legislation to deny basic healthcare to the state’s nearly 4 million women of child-bearing age. HB 5/SB 146, which would ban abortions in our state after 15 weeks, provides no exception for cases of rape, incest or human trafficking. (Alison Yager, 2/23)
The Baltimore Sun:
Losing My Son To Disease Before His Third Birthday Was Heartbreaking, But I’m Grateful I Had The Paid Leave To Care For Him; Many Don’t
My beautiful boy Alex died when he was 2 and a half years old. He was gentle, sweet, headstrong, funny and quirky. He loved the color yellow, the letter F, the number 5 and fish. Despite the tragedy of Alex’s death, I was lucky. Unlike many working Marylanders, I had a position where I accrued leave, and my fellow employees could donate leave to me when I exhausted mine. I was able to care for and be with my son throughout his illness and receive paid leave. I was able to focus all my energy on taking care of my child. I did not have the added stress of needing to maintain a job. Above all, I was able to spend more time with him and to enjoy my child during his all too brief life. For these reasons I wholeheartedly support the Time to Care Act, filed as House Bill 8 and Senate Bill 275. (Lisa Barkan, 2/23)
Stat:
A 'More, More, More' Approach To Cancer Screening Is Harmful
Enormous progress has been made against cancer in the last 50 years — at least medically. Our emotional relationship with the emperor of all maladies, however, is years out of date, and that lag is causing great harm. Many cancers can now be cured or treated as chronic conditions. In his 2015 memoir “The Death of Cancer,” Vincent DeVita, a former director of the National Cancer Institute, estimates it’s as many as two-thirds. Yet most people, when asked for the first word that comes to mind when they hear the word cancer, still answer “death.” (David Ropeik, 2/24)
Los Angeles Times:
Are Electromagnetic Weapons Involved? Taking Victims Of 'Havana Syndrome' Seriously
The U.S. investigation into mysterious symptoms known as the “Havana syndrome” could provide Americans with long-overdue insights into the emerging threats of directed-energy devices. Hundreds of U.S. government personnel — mostly spies and diplomats abroad — have reported piercing pain, unexplained sounds, vertigo, vision loss, memory loss, insomnia and signs of brain damage since 2016, when dozens were afflicted in Cuba. (Jean Guerrero, 2/24)
Also —
Stat:
What I Learned From Paul Farmer: Treat Systems Around The Patient
As a young physician trying to understand how I could help improve health care delivery for marginalized patients, I was dismayed by the enormity of the barriers — economic, social, and political — that impede the path toward good health. Having grown up in the politically fragile and economically disadvantaged Kashmir region of India, I was all too familiar with the rhetoric local and global leaders employ to get out of answering difficult questions about helping people with no real power. Early in my career as a physician, I was fortunate to come across the writings of Paul Farmer, a physician and global health champion who passed away unexpectedly on Monday, who was championing a radical notion: that people from all backgrounds living in all regions of the world deserve high-quality health care. (Junaid Nabi, 2/23)
USA Today:
Dr. Paul Farmer Leaves A Legacy Of Caring In HIV/AIDS Treatment
The public health world is mourning the death of a visionary and leader in global public health, a world-renowned anthropologist and medical doctor, Dr. Paul Farmer. The founder of Partners in Health was 62 when he died Monday in Butaro, Rwanda, at a teaching hospital he founded. (Carli Pierson, 2/23)
Different Takes: Should Schools Be Unmasking?; Examining Covid's Effects On Our Mental Health
Opinion writers weigh in on covid, mask mandates and how the pandemic has affected our mental health.
The Baltimore Sun:
Maryland Lawmakers Must Do Their Homework On School Mask Mandate
Not so fast on lifting Maryland’s statewide regulation that students wear masks in schools. We mean that literally. Not. So. Fast. On Friday, the General Assembly’s Joint Committee on Administrative, Executive, and Legislative Review (AELR) is set to consider Tuesday’s decision by the Maryland State Board of Education to rescind that emergency regulation. It would be easy for the 19 delegates and senators who serve on the regulatory oversight committee to simply wave it along. COVID-19 fatigue is high, and pandemic metrics are — thankfully — improving. Gov. Larry Hogan endorsed the idea, along with his fellow Republicans, and so did State Superintendent of Schools, Mohammed Choudhury. (2/23)
USA Today:
Our Mental Health Has Suffered. And It's OK To Acknowledge That Fact
It’s no surprise the pandemic has battered our collective well-being. But it might come as a surprise that the pandemic has provided an opportunity to restore our mental well-being. We now are finally engaged in a meaningful conversation about mental health and substance use challenges, and this change has helped reduce the stigma surrounding treatment. (Chuck Ingoglia, 2/23)
The CT Mirror:
Reimagining Connecticut’s Behavioral Health System For Children
The pandemic has revealed to the public that our children’s behavioral health system is in desperate need of investment and expansion. The fear, stress, social isolation, grief, and trauma associated with COVID-19 led to a higher prevalence and acuity of many behavioral health conditions. Youth, families, community providers, schools, pediatricians, and hospital emergency departments are overwhelmed. The crisis has hit under-resourced communities and families the hardest and exacerbated racial and ethnic health disparities. (Jeffrey Vanderploeg, 2/24)
Bloomberg:
'Follow The Science' Is A Slogan, Not A Policy
Almost everybody wants to be seen as embracing science. That’s true whether they are arguing to take masks off or leave them on, or whether they’re pushing continued caution or a return to normal. The phrase “follow the science” has been used by the left to defend its Covid policies and lobbed back by the right with a dose of sarcasm. But America’s pandemic polarization isn’t about recognizing the importance of science. It’s about what we do with that science, and when we decide to trade individual freedoms for collective safety. (Faye Flam, 2/23)