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Monday, Jul 31 2023

麻豆女优 Health News Original Stories 4

  • Be Aware: Someone Could Steal Your Medical Records and Bill You for Their Care
  • To Protect a Mother鈥檚 Health: How Abortion Ban Exemptions Play Out in a Post-'Roe' World
  • Sen. Sanders Says Millions of People Can鈥檛 Find a Doctor. He鈥檚 Mostly Right.
  • Journalists Explore Shortage of Foster Care Sites and Prevalence of Covid Misinformation

Note To Readers

Medicaid 1

  • Millions Lose Medicaid Mostly Due To Bureaucratic Issues, Not Eligibility

Medicare 1

  • List Of Initial Drugs For Medicare Price Negotiations Will Be Unveiled By Sept.

Capitol Watch 1

  • Revamp Of Organ Transplant System Awaits President Biden's Signature

Opioid Crisis 1

  • FDA Approves RiVive, A Second OTC Opioid Overdose Reversal Drug

After Roe V. Wade 1

  • Republicans Try To Block Ohio Abortion-Rights Ballot Measure

Health Industry 1

  • Hospital Staffers Worry Over Their Safety After Shooting In Portland

Public Health 1

  • More Women Dying From Excessive Use Of Alcohol; Drinking Tied To Raised BP

Outbreaks and Health Threats 1

  • 3 Killed By Vibrio Bacteria Infections In North Carolina

State Watch 1

  • Thousands In Florida Have Medical Debt Paid Off By Billionaire Duo

Editorials And Opinions 1

  • Viewpoints: Disordered Eating Has A Genetic Component; Basic Steps Make Covid Mostly Non-Fatal

From 麻豆女优 Health News - Latest Stories:

麻豆女优 Health News Original Stories

Be Aware: Someone Could Steal Your Medical Records and Bill You for Their Care

Consumers should know that this type of fraud can happen, whether from a large-scale breach or theft of an individual鈥檚 data. The result could be thousands of dollars in medical bills. ( Michelle Andrews , 7/31 )

To Protect a Mother鈥檚 Health: How Abortion Ban Exemptions Play Out in a Post-'Roe' World

Florida鈥檚 six-week abortion law allows exemptions in cases of rape, incest, and human trafficking, and to save the health or life of the mother. But the recent history of such exemptions in other states suggests that very few women will be able to take advantage of them. ( Christopher O鈥橠onnell, Tampa Bay Times , 7/31 )

Sen. Sanders Says Millions of People Can鈥檛 Find a Doctor. He鈥檚 Mostly Right.

The Vermont senator sees beefing up the primary care workforce as a critical step in expanding Americans鈥 access to health care. ( Michelle Andrews , 7/31 )

Journalists Explore Shortage of Foster Care Sites and Prevalence of Covid Misinformation

麻豆女优 Health News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances. ( 7/29 )

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STEP ON IT

Bring remedies quick 鈥
Do not slow-walk good treatments
Health better than wealth

鈥 Vijay Manghirmalani

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Note To Readers

麻豆女优 Health News is on Instagram! Follow along as we break down health care headlines and policy.

Summaries Of The News:

Medicaid

Millions Lose Medicaid Mostly Due To Bureaucratic Issues, Not Eligibility

At least 3.8 million Medicaid recipients have lost coverage so far 鈥 a higher than expected number. The majority of those were disenrolled due to procedural issues like misdirected paperwork, mistakes by state agencies, and other "red tape," prompting the Biden administration to urge state governors to improve the process.

Though a decline in Medicaid coverage was expected, health officials are raising concerns about the large numbers of people being dropped from the rolls for failing to return forms or follow procedures. In 18 states that began a post-pandemic review of their Medicaid rolls in April, health coverage was continued for about 1 million recipients and terminated for 715,000. Of those dropped, 4 in 5 were for procedural reasons, according to newly released data from the federal Centers for Medicare and Medicaid Services. (Lieb, 7/28)

Most of those people have been dropped from Medicaid for reasons unrelated to whether they actually are eligible for the coverage, according to 麻豆女优, a health-policy organization, which has been compiling this data. Three-fourths have been removed because of bureaucratic factors. Such 鈥減rocedural鈥 cutoffs 鈥 prompted by renewal notices not arriving at the right addresses, beneficiaries not understanding the notices, or an assortment of state agencies鈥 mistakes and logjams 鈥 were a peril against which federal health officials had cautioned for many months as they coached states in advance on how best to carry out the unwinding. (Goldstein, 7/28)

Centene Corp said on Friday it was working to enroll people back into government-backed Medicaid plans after the end of pandemic-relief measures left hundreds of thousands of members without coverage. Medicaid memberships, the largest contributor to Centene's revenue, were hit by the removal of pandemic-related relief measures on April 1 that rendered several members ineligible for insurance coverage. (Sunny and Leo, 7/28)

Vanessa聽Tovar knows how to navigate the Medicaid renewal process, but the long wait times and cumbersome phone calls still take an emotional toll on the single mother of two. She said she can鈥檛 imagine what the process is like for people who are less tech-savvy. 鈥淚 feel like every time it鈥檚 time to renew, I鈥檓 like 鈥極h Lord, just let me get this,鈥欌 the Houston woman said Friday to a crowd of community health leaders at Hope Health & Wellness Center. (Gill, 7/28)

State officials are reporting around 120,000 Iowans have been disenrolled from Medicaid since April. The Iowa Department of Health and Human Services is four months into Medicaid unwinding, the process of redetermining thousands of Iowans鈥 eligibility for Medicaid following the end of the national public health emergency this spring. (Krebs, 7/28)

More than 32,000 Missourians 鈥 half of them children 鈥 lost Medicaid coverage in June during Missouri鈥檚 first round of eligibility checks after the COVID public health emergency. According to a Department of Social Services announcement Thursday, out of the roughly 116,000 Medicaid recipients who had their eligibility checked in June, around 43% retained coverage, 28% lost coverage and 29% have their determinations pending. (Bates, 7/31)

On Medicaid's 'estate recovery' collection program 鈥

Rebecca Miller said her father was on Medicaid for about two years and she served as his caretaker at his home after he was diagnosed in 2018 with Parkinson鈥檚 disease, from which he died last August. About 30 days later while still mourning David Miller鈥檚 passing, the 36-year-old said she received a letter from the Ohio Attorney General鈥檚 Office stating her father owed $56,000 to Medicaid Estate Recovery. (Blizzard, 7/29)

Ohio collected more than $87.5 million last year through Medicaid Estate Recovery, frequently used to obtain the property of a deceased recipient who owes money to the Medicaid program. Future and current Medicaid recipients have options and resources available to minimize the potential of the state to recover their estates after they die, attorneys familiar with Medicaid Estate Recovery said. (Blizzard, 7/28)

Medicare

List Of Initial Drugs For Medicare Price Negotiations Will Be Unveiled By Sept.

NPR explores a major question that could have ripple effects on both the affordability and availability of prescription drugs: What makes a drug price fair?

The first 10 drugs selected for Medicare price negotiation will be announced by Sep. 1 and will set the stage for unprecedented government action regulating drug costs, with billions of dollars at stake and scores of patients standing to benefit. Once the initial batch of drugs chosen for negotiations are announced, the years-long negotiation process 鈥 currently being challenged in courts 鈥 will kick off. The manufacturers of the Medicare Part D-covered drugs picked by the Centers for Medicare and Medicaid Services (CMS) will have one month to send in their agreements saying they will engage in the negotiation process. (Choi, 7/28)

Drugmakers around the globe are bracing for a major shakeup in how one of their largest customers does business. On Sept. 1, Medicare will target its first 10 drugs for historic price negotiations. The medications are sure to be among the country's costliest and will likely include common treatments for cancer and diabetes. (Walker and Gorenstein, 7/28)

Injectable versions of some widely-used cancer drugs including Johnson & Johnson's blockbuster multiple myeloma treatment Darzalex are likely to be excluded from new U.S. government price negotiations for years, drugmakers told Reuters, protecting billions in revenue. (Erman, 7/28)

The pharmaceutical industry is launching a major legal assault against a new law that will allow Medicare to pay less for some high-price drugs, in an all-out effort to kill the program. (Nathan-Kazis, 7/28)

More Medicare developments 鈥

Hospice providers will receive a 3.1% Medicare payment increase next fiscal year under a final rule the Centers for Medicare and Medicaid Services issued Friday. That's higher than the 2.8% reimbursement increase CMS proposed in a draft regulation published in March. The final rate for fiscal 2024 is the product of a 3.3% market basket increase adjusted for productivity. Beginning next year, hospice providers that fail to meet quality reporting requirements will be subject to a four-percentage-point penalty. The final rule raises the aggregate amount hospices can be paid per patient per year by 3.1% to $33,491. (Eastabrook, 7/28)

Centene鈥檚 standing in the Medicare Advantage market may further deteriorate as the company anticipates losing its sole four-star quality rating, CEO Sarah London told investors Friday. The insurer reported the greatest drop in star ratings among Medicare Advantage carriers last year after the Centers for Medicare and Medicaid resumed stringent reviews it had paused during the COVID-19 public health emergency. Insurers strive to achieve at least four out of five stars in order to qualify for the biggest bonuses, which they use to offer supplemental benefits and zero-premium plans. (Tepper, 7/28)

Researchers found that once joining Medicare, patients are 50% more likely to get health screenings for breast cancer and colorectal cancer. Patients with other undiagnosed diseases, such as depression, COPD, type 2 diabetes, lung or prostate cancer, hypertension and hyperlipidemia, are also more likely to discover their condition in their first year of being on Medicare coverage. (Tong, 7/28)

麻豆女优 Health News: Sen. Sanders Says Millions Of People Can鈥檛 Find A Doctor. He鈥檚 Mostly Right

Sen. Bernie Sanders (I-Vt.) has long been a champion of a government-sponsored 鈥淢edicare for All鈥 health program to solve long-standing problems in the United States, where we pay much more for health care than people in other countries but are often sicker and have a shorter average life expectancy. Still, he realizes his passion project has little chance in today鈥檚 political environment. 鈥淲e are far from a majority in the Senate. We have no Republican support 鈥 and I鈥檓 not sure that I could get half of the Democrats on that bill,鈥 Sanders said in recent remarks to community health advocates. (Andrews, 7/31)

Capitol Watch

Revamp Of Organ Transplant System Awaits President Biden's Signature

Congress has approved legislation that would allow the Department of Health and Human Services to expand competition for contracts related to the network that matches donor organs with patients waiting for transplants.

Days after it was passed by the House, the Senate cleared legislation Thursday evening that aims to overhaul the organ transplant system in the United States. The bill now goes to President Joe Biden鈥檚 desk for his signature. The bill would give the Department of Health and Human Services the authority to expand competition for contracts related to the operation of the Organ Procurement and Transplantation Network, which matches donor organs with patients waiting for transplants. (Hellmann, 7/28)

For 37 years, one nonprofit organization, the United Network for Organ Sharing, has held the federal contract to run the system, relying on a 1984 law that blocked almost all competition. With a unanimous vote Thursday night, the Senate rewrote the law to let the federal Health Resources and Services Administration break that stranglehold and solicit bids from other for-profit and nonprofit groups. (Bernstein, 7/28)

In other news from Capitol Hill 鈥

The U.S. Senate voted narrowly Thursday in favor of expanding a program that compensates Americans who become ill because of exposure to radiation from the country鈥檚 development and testing of nuclear weapons to cover Missourians. The proposal, offered by Sen. Josh Hawley, was attached as an amendment to the National Defense Authorization Act, which authorizes funding levels and sets policy for the Department of Defense. The bill itself still faces a Senate vote and agreement by the U.S. House of Representatives. (Kite, 7/28)

House Republicans have drafted drug-shortage legislation that differs significantly from the approach Democrats propose to stem shortages of chemotherapies and other critical medicines that hospitals typically use. Republicans on the House Energy and Commerce Committee are focused on what they say are the underlying economic reasons for shortages. Hospitals band together to negotiate drug prices, and makers of generic injectables say those group purchasing organizations can drive prices down so low that they stop making certain drugs or can鈥檛 afford to maintain manufacturing facilities, which then leads to manufacturing interruptions. (Wilkerson, 7/28)

Many have touted their health and vitality. Yet the challenge isn鈥檛 how lawmakers are feeling now, but how they might be doing at the end of their term. Feinstein, who announced earlier this year she is not running for re-election, was not experiencing major health issues when she was re-elected to a six-year term in 2018, but is now at 90. This is less of an issue for House members, who serve two years. (Garofoli, 7/30)

Opioid Crisis

FDA Approves RiVive, A Second OTC Opioid Overdose Reversal Drug

The drug, from Harm Reduction Therapeutics, is the first over-the-counter version of naloxone from a nonprofit company, which The Hill says may result in better availability of cheap or even free doses of the drug to those in need. Purdue Pharma's bankruptcy and more opioid items are also in the news.

The U.S. Food and Drug Administration has approved the prescription-free sale of the second opioid overdose reversal drug, its manufacturer Harm Reduction Therapeutics said on Friday. The approval of the drug, called RiVive, will provide patients with another over-the-counter option in the United States, where drug-related overdose deaths surpassed 100,000 in 2021. (7/28)

The Food and Drug Administration on Friday approved the first version of over-the-counter (OTC) naloxone from a nonprofit company, a move that could bring cheap and even free doses of the opioid overdose drug to Americans who need it most.聽... Each RiVive device contains one dose of naloxone. It will be exclusively available in twin packs containing two single-dose devices of 3 milligrams each. (Weixel, 7/28)

Also 鈥

The U.S. Department of Justice on Friday asked the U.S. Supreme Court to stop Purdue Pharma from proceeding with a bankruptcy settlement that protects its Sackler family owners from lawsuits. An appeals court rejected a proposed delay earlier this week, ruling that Purdue may proceed with a bankruptcy plan that was approved in May. Purdue's bankruptcy plan would shield its owners from opioid lawsuits in exchange for a $6 billion contribution to the company's broader bankruptcy settlement. (Knauth, 7/28)

The Food and Drug Administration on Thursday gave a North Carolina biotech company the go-ahead to test if a monoclonal antibody can prevent people from overdosing on fentanyl. The synthetic opiate is becoming a leading cause of death for people under 50. Naloxone is currently the most widely used drug to reverse an overdose, but researchers are looking at other treatments, including an experimental vaccine. (Moreno, 7/28)

West Virginia鈥檚 former abortion provider is pleading with capital-area residents to keep 鈥渁n open mind and an open heart鈥 about a proposal to add a syringe service program to its offerings in the opioid-ravaged state. 鈥淭his work is too important and too vital to be guided by fear or disdain or past grudges,鈥 Iris Sidikman, the harm reduction coordinator at the Women鈥檚 Health Center of West Virginia, said at a public hearing Thursday on Charleston鈥檚 west side. (Willingham, 7/28)

After Roe V. Wade

Republicans Try To Block Ohio Abortion-Rights Ballot Measure

After a legal tussle over a ballot measure supporting abortion rights was settled in favor of the measure, a legal challenge has been mounted to block it, focusing on the language of the petition. CBS News reports a Republican "megadonor" is spending millions in Ohio to thwart abortion-rights efforts.

After an abortion rights amendment qualified to appear on the November ballot in Ohio, a new lawsuit from Republicans asks the Ohio Supreme Court to block the measure. Filed on Friday, the challenge argues that the abortion rights petition did not identify which state laws would have to be repealed if the constitutional amendment were to be adopted. (Smith, 7/29)

New campaign finance records show Illinois Republican megadonor Richard Uihlein is funding the bulk of the campaign aimed at thwarting a constitutional amendment on abortion in Ohio.聽Ohio is likely the only state this year to have a measure on the ballot to enshrine abortion access into the state constitution, setting up a test case for how the issue may drive voters ahead of the 2024 presidential election. A USA TODAY Network/Suffolk University聽poll聽released this week found 58% of Ohioans support a constitutional amendment. (Huey-Burns and Kaplan, 7/28)

In her eight years as a pediatrician, Dr. Lauren Beene had always stayed out of politics. What happened at the Statehouse had little to do with the children she treated in her Cleveland practice. But after the Supreme Court struck down abortion protections, that all changed. The first Monday after the Dobbs v. Jackson Women鈥檚 Health Organization ruling was emotional. Beene fielded a call from the mother of a 13-year-old patient. The mother was worried her child might need birth control in case she was the victim of a sexual assault. Beene also talked to a 16-year-old patient unsure about whether to continue her pregnancy. Time wasn鈥檛 on her side, Beene told the girl. (Jaramillo, 7/31)

Abortion news from Florida 鈥

The campaign to secure abortion rights in Florida and create a haven for access in the South is facing a tough road to success. To build a winning coalition, rallying support from the state鈥檚 Hispanic voters will be crucial.聽A proposed ballot measure, backed by a coalition of reproductive rights groups under the banner Floridians Protecting Freedom, would guarantee the right to an abortion until fetal viability. Backers are racing against time to get a million Florida voters to sign a petition to say they want it on the ballot. Then they must rally 60 percent of the vote in the November 2024 elections 鈥 the threshold to change the state constitution. (Barclay, 7/31) 聽

There are dueling efforts in Florida by activists on both sides of the abortion issue to insert language into the state constitution. (McCarthy, 7/29)

麻豆女优 Health News and Tampa Bay Times: To Protect A Mother鈥檚 Health: How Abortion Ban Exemptions Play Out In A Post-鈥楻oe鈥 World

This pregnancy felt different. After the heartache of more than a dozen miscarriages, Anya Cook was 16 weeks along. She and husband Derick Cook spent a Sunday last December sharing the news with his parents and looking at cribs. As they left a restaurant in Coral Springs, Florida, that evening, Cook鈥檚 water broke. Her husband rushed her to the nearest emergency room. (O'Donnell, 7/31)

From Iowa, Delaware, and elsewhere 鈥

Vice President Kamala Harris traveled to Iowa鈥檚 capital city Friday to defend abortion access, her second such visit to the ruby-red state this year. The political significance was palpable.聽Friday marked exactly two weeks since the state鈥檚 Republican governor signed into law a six-week abortion ban that was quickly put on legal hold. Harris鈥 visit also fell on the same day that the major Republican candidates for president 鈥 many of whom support more abortion restrictions 鈥 were scheduled to speak at a party fundraiser just a few miles away. (Rodriguez, 7/28)

A judge has refused to dismiss a lawsuit alleging that a Delaware hospital system performed an autopsy on a 16-week-old fetus despite the parents refusing to give their consent. Superior Court Judge Patricia Winston denied a motion this week by Christiana Care Health Services and Christiana Care Health System to dismiss a claim of intentional infliction of emotional distress filed by Maryland residents Meredith and Brandon Boas. (Chase, 7/28)

In March, a member of an anti-abortion Facebook group shared a post describing what it claimed was 鈥減ro-abortion logic鈥: 鈥淲e don鈥檛 want you to be poor, starved or unwanted. So we鈥檒l just kill you instead." That same month, another Facebook user shared a link to a news article covering a South Carolina bill that would have criminalized abortion as homicide, thus making it eligible for the death penalty. In the caption, the user criticized lawmakers鈥 logic that 鈥渋t鈥檚 wrong to kill so we are going to kill you.鈥 On Instagram, another post struck the same tone, criticizing the idea of being 鈥渟o pro-life鈥 that 鈥渨e鈥檒l kill you dead if you get an abortion.鈥 (John, 7/31)

In other reproductive health news 鈥

Older women struggling to conceive often find hope in an over-the-counter steroid hormone supplement called DHEA. Though evidence for its effectiveness is weak, DHEA has rocketed to prominence as a fertility booster thanks largely to one man: Norbert Gleicher. Gleicher, 74, is among a small cadre of prominent fertility doctors. He said in an interview that he identified 鈥渢he aging ovary as the issue of the future鈥 more than two decades ago. His small clinic in a neo-Georgian townhouse on New York鈥檚 Upper East Side has become a beacon for women in their 40s trying to conceive with their own eggs 鈥 a statistical long shot. (Torbati, 7/30)

Health Industry

Hospital Staffers Worry Over Their Safety After Shooting In Portland

Fierce Healthcare reports on rising aggression toward nurses and how Texas' University Medical Center has deployed an AI-based gun detection system to protect staff and patients. Among other news: large health care mergers, medical record identity theft, and more.

[Last] week, a visitor opened fire at Legacy Good Samaritan Medical Center in Portland, killing a security guard and injuring a nurse. Following increases in both aggression towards nurses and mass shootings, stakeholders are debating whether new tech or old solutions can make a difference. Texas-based University Medical Center聽announced this month that it has deployed an AI-based gun detection system. Protesting nurses in Colorado, meanwhile, say protections against guns are far lower on their safety to-do list, below things like improved nurse-to-patient ratios. (Burky, 7/28)

In other health care industry news 鈥

A merger that would have created one of the largest health service companies in the Upper Midwest has been scrapped. Minneapolis-based Fairview Health Services and Sioux Falls, South Dakota-based Sanford Health announced Thursday that they would not proceed with the merger they had been discussing since late last year. It would have created a system with more than 50 hospitals and about 78,000 employees. (7/28)

A plan for an Atlanta-area hospital system to take over Augusta University鈥檚 hospitals complies with state law and may proceed, Georgia鈥檚 attorney general ruled Thursday. Marietta-based Wellstar Health System would take over the 478-bed Augusta University Medical Center and 154-bed Children鈥檚 Hospital of Georgia, as well as the rights to build a 100-bed hospital in Grovetown, in the growing Columbia County suburbs of Augusta. (Amy, 7/28)

Women physicians often delay starting a family, in part due to career-related pressures and the hours required for medical training and residency programs.聽The competing priorities of parenthood and career may account for higher rates of infertility among women physicians than women in the general population,聽according to a study in JAMA Network Open. Researchers with Northwestern University Feinberg School of Medicine surveyed 1,056 cisgender women from March to August 2022, with 98% of respondents living and working in the United States. (Diamond, 7/28)

A New Jersey woman who posed as a doctor, treated patients and prescribed medications has been arrested, prosecutors in Ocean County said Thursday. Toms River resident Maria F. Macburnie, 62, also known as Marife L. Macburnie, was charged with practicing medicine without a license, forgery, health care fraud, and distributing a dangerous substance, the Ocean County Prosecutor's Office said in a statement. (Romero, 7/29)

麻豆女优 Health News: Be Aware: Someone Could Steal Your Medical Records And Bill You For Their Care

After HCA Healthcare announced this month that the personal identification data of roughly 11 million HCA patients in 20 states had been exposed in a breach, people may be justifiably concerned that their own medical data and identities could be stolen. Consumers should realize that such 鈥渕edical identity鈥 fraud can happen in several ways, from a large-scale breach to individual theft of someone鈥檚 data. (Andrews, 7/31)

Also 鈥

Few D.C. buildings are judged more harshly than the health agency鈥檚 803,555-square-foot headquarters. (Diamond, and Latson, 7/29)

Public Health

More Women Dying From Excessive Use Of Alcohol; Drinking Tied To Raised BP

Two new studies focus on alcohol use: One shows the rate of alcohol-related deaths is rising faster for women than men. The other links just one drink a day to higher systolic blood pressure. Also in public health news: West Nile virus, extreme heat, and more.

Deaths related to excessive alcohol consumption are rapidly rising in the United States, especially among women, a new study finds. While drinking is still killing more men than women, the rate of alcohol-related deaths is rising faster among women, according to the report published Friday in JAMA Network Open. 鈥淭he gender gap is narrowing,鈥 said the study鈥檚 lead author, Dr. Ibraheem Karaye, a professor of population health and director of the health science program at Hofstra University in Hempstead, New York. (Carroll, 7/28)

As little as one alcoholic drink a day increased systolic blood pressure 鈥 the top number in a blood pressure reading 鈥 even in men and women with no existing hypertension, a new study found. 鈥淲e found no beneficial effects in adults who drank a low level of alcohol compared to those who did not drink alcohol,鈥 said senior study author Dr. Marco Vinceti, a professor of epidemiology and public health at the University of Modena and Reggio Emilia in Italy, in a statement. (LaMotte, 7/31)

In other news about health and wellness 鈥

John VanDenBerg suspects he was gardening when a mosquito got him. It was September 2018, and VanDenBerg, then 67, had been feeling a little "off" for a few days, he said, like maybe he had the flu. But one morning, as he was walking out of his Colorado home, he collapsed. "I just went down," VanDenBerg said. "That's the last I remember for quite some time." VanDenBerg had a severe form of West Nile virus, caused by a single mosquito bite. (Edwards, 7/29)

Older people with dementia seek care in the emergency room twice as often as their peers, a new analysis suggests 鈥 leading to what researchers call 鈥減otentially avoidable and harmful visits鈥 for some patients. The study, published July 24 in JAMA Neurology, examined data from the 2016-2019 National Hospital Ambulatory Medical Care Survey, which collects demographic and other information about a nationally representative sample of ER visits. About 1.4 million of the annual 20.4 million ER visits among adults over 65 involved patients with Alzheimer鈥檚 disease and related dementias, researchers found. (Blakemore, 7/30)

More than 120 million Americans 鈥 one-third of the U.S. population 鈥 have been living under air quality alerts this summer, with citizens in New York City, Chicago, and Detroit at times experiencing some of the unhealthiest air in the world. The hazy conditions, fed by an unprecedented surge in Canadian wildfires likely fueled by climate change, has grounded planes, canceled outdoor sporting events, and filled emergency rooms with asthma patients. (Molteni, 7/31)

Some Americans are being hit harder than others by the extreme heat wave baking swaths of the country because they can't get enough to eat or drink. Food-insecure households are among the most at risk of health and financial hardships during blistering temperatures. They face unique exposure to dehydration and costly relief that further strains dwindling food budgets. (Horn-Muller, 7/30)

At work as a pediatrician, Annie Andrews sees firearm injuries as a 鈥渉uge public health crisis.鈥 When she ran to represent South Carolina in the U.S. House, Andrews routinely heard from mothers on the campaign trail about their feelings of helplessness and hopelessness about what to do about gun violence.聽And as a mom to three children 鈥 ages 6, 8 and 11 鈥 she sees how simple parent-to-parent interactions are key to reducing potential harm to children. Given the rates of accidental shooting deaths among children, something as simple as a text message could literally save lives. (Gerson, 7/28)

Trader Joe's has recalled its frozen falafel for potentially having rocks in it, after it recalled two of its cookie products for the same reason recently. The company's supplier informed them of the concern, and Trader Joe's said in a statement Friday that "all potentially affected product has been removed from sale and destroyed." (Archie, 7/29)

Outbreaks and Health Threats

3 Killed By Vibrio Bacteria Infections In North Carolina

AP says the bacteria is naturally found in warm seawater and brackish water, and infections are usually rare in North Carolina. NBC News reports another death from the brain-eating amoeba Naegleria fowleri, this time in Georgia. Separately, worries rise over another summer covid spike.

Three North Carolina residents died this month from infections from bacteria naturally found in warm seawater and brackish water, state health officials said Friday. (7/28)

On Naegleria fowleri 鈥

A Georgia resident has died from a rare brain-eating amoeba after they were likely infected while swimming in a freshwater lake or pond, officials said. The resident, who has not yet been identified, died after being exposed to Naegleria fowleri, which can cause a rare infection that "destroys brain tissue, causing brain swelling and usually death," the Georgia Department of Public Health said in a news release Friday. (Da Silva, 7/31)

As Americans find ways to cope with an unusually sweltering summer, many of them have taken to bodies of water to cool off. But at least two people who ventured to freshwater swimming holes this summer have died after contracting an amoeba that devours brain tissue. A man died after he was infected by the amoeba, whose scientific name is Naegleria fowleri, the Georgia Department of Public Health said Friday. Earlier this month, Nevada public health officials said a boy died of the same infection after he probably came into contact with the amoeba at Ash Springs, a hot springs about 100 miles north of Las Vegas. (Pietsch, 7/31)

Updates on covid 鈥

Yet another summer COVID-19 wave may have started in the U.S., according to the Centers for Disease Control and Prevention."After roughly six, seven months of steady declines, things are starting to tick back up again," Dr. Brendan Jackson, the CDC's COVID-19 incident manager, tells NPR. The amount of coronavirus being detected in wastewater, the percentage of people testing positive for the virus and the number of people seeking care for COVID-19 at emergency rooms all started increasing in early July, Jackson says. (Stein, 7/28)

The new director of the U.S. Centers for Disease Control and Prevention said Thursday that her agency would likely come out with guidance in the fall that Americans should get an annual COVID-19 booster shot.聽"We鈥檙e just on the precipice of that, so I don鈥檛 want to get ahead of where our scientists are here and doing that evaluation work, but yes we anticipate that COVID will become similar to flu shots, where it is going to be you get your annual flu shot, and you get your annual COVID shot," Dr. Mandy Cohen told Spectrum News. (Musto, 7/28)

A new round of Covid vaccines is coming to the U.S. this fall 鈥 but many Americans may not roll up their sleeves and take one. That鈥檚 largely because pandemic fatigue, the belief that Covid is 鈥渙ver鈥 and confusion over personal risk levels could deter some people from getting an additional shot, experts in public health and health policy told CNBC. (Constantino, 7/29)

The state Supreme Court on Thursday said it will take up a dispute about whether the University of Florida should return fees to students because of a campus shutdown early in the COVID-19 pandemic 鈥 one of numerous similar cases filed in Florida and across the country. Justices issued an order saying they will consider what is known as a 鈥渃ertified question of great public importance鈥 in the potential class-action lawsuit filed by UF graduate student Anthony Rojas. The order did not set a date for arguments. (Saunders, 7/28)

State Watch

Thousands In Florida Have Medical Debt Paid Off By Billionaire Duo

WLRN reports that over 125,000 Miami-Dade County residents have had all or some of their medical debt paid off by Daniel and Jane Och to the tune of $264 million. In other news from across the country: recreational marijuana in Minnesota, congenital syphilis in North Carolina, and more.

Tens of thousands of Miami-Dade County residents have found a surprise in their mailboxes: a letter stating some or nearly all of their medical debt has been paid off. Billionaires Daniel and Jane Och living on Miami Beach have recently helped more than 125,611 Miami-Dade County residents by paying $264 million worth of medical bills. The Miami Herald reports that the Jane and Daniel Och Family Foundation donated to RIP Medical Debt. (Tweh, 7/30)

In other health news from across the U.S. 鈥

Minnesotans can legally possess and grow their own marijuana for recreational purposes starting Tuesday, Aug. 1, subject to limits meant to keep a lid on things while the state sets up a full-blown legal cannabis industry. The Democratic-controlled Minnesota Legislature approved a massive legalization bill and Democrat Gov. Tim Walz signed it in May. (Karnowski, 7/28)

Serious violations in Connecticut鈥檚 nursing homes have increased over the last 18 months, while the state has failed to conduct routine inspections in nearly half of all facilities, a CT Mirror review has found. (Carlesso and Altimari, 7/30)

Missouri ranks second to last in the nation in the hours of care nursing home residents receive from nurses per day, according to an independent analysis of federal data. A report by the Long Term Care Community Coalition found that Missouri nursing home residents on average receive about three hours of care a day. That's slightly more than last year but still well below the national average of 3.61 hours of care per day and below the minimum four hours of care that the federal Centers for Medicare and Medicaid Services say is needed for residents. (Davis, 7/31)

More North Carolina babies are being born with syphilis, and state health officials are urging women to get tested before they give birth to help catch the sexually transmitted illness early. In December, North Carolina Department of Health and Human Services issued a public health alert on the rise of syphilis in women and children. Reported cases among women rose 538 percent between 2012 and 2021, DHHS said in that alert. During that same time period, there was an associated 4,100 percent increase in babies born with congenital syphilis. (Fernandez, 7/31)

Florida's transgender teens face the longest median travel time to access gender-affirming health care, according to a new study from the Journal of the American Medical Association. That puts up a massive barrier to health care that every major medical association agrees is medically necessary and in certain cases life-saving. (Varn and DiPaolo, 7/28)

麻豆女优 Health News: Journalists Explore Shortage Of Foster Care Sites And Prevalence Of Covid Misinformation聽

麻豆女优 Health New correspondent Jazmin Orozco Rodriguez discussed the shortage of foster care homes in rural Nevada on The Nevada Independent鈥檚 鈥淭he Indy鈥 on July 25. (7/29)

In mental health news 鈥

Only about 16% of Georgia residents have a complete understanding of the national suicide prevention hotline a year after it launched, according to a new survey conducted by the Georgia Department of Behavioral Health and Developmental Disabilities. The survey, which was conducted in May, shows 31% of respondents were aware of the 9-8-8 number while 54% "correctly understood its role as the Suicide and Crisis Lifeline," the agency said Tuesday. (Dixon and Moreno, 7/28)

Even in the best of times, farming in New England can be a profession full of anxiety and uncertainty. But Eve Klotz, a mental health care provider and farmer in Effingham, says she鈥檚 seen this year鈥檚 erratic weather take an especially big toll on her fellow farmers鈥 mental health. 鈥淭here's a lot of depression and despair right now with what's going on in Vermont and the Connecticut Valley in New Hampshire with the flooding,鈥 she said. 鈥淪ome of these farmers are just losing everything.鈥 (Dario, 7/29)

Nicholas Olenik has battled mental health challenges throughout his life. As a sometimes anxious child, it took longer for him to process emotions. Four years ago, the 41-year-old fell into a depression when his brother died from a heart attack. The dark days of the pandemic, and his father鈥檚 battle with 鈥 and later death from 鈥 cancer in 2021 only made things worse. So last year, after a buddy told him about emus and how they can be a great emotional support companion, Olenik decided to give it a try. (Harper, 7/29)

If you are in need of help 鈥

Editorials And Opinions

Viewpoints: Disordered Eating Has A Genetic Component; Basic Steps Make Covid Mostly Non-Fatal

Editorial writers tackle these public health issues.

Food usually brings people together. It鈥檚 how we celebrate and connect. And yet I鈥檝e spent decades of my life avoiding and restricting it according to rigid rules of my own design. I find food terrifying and had long been afraid of passing that fear along to a future daughter. While plenty of men suffer from eating disorders, patients with anorexia nervosa and bulimia nervosa are overwhelmingly female. (Jillian Weinberger, 7/31)

Like so many others, we are living with COVID. The virus isn鈥檛 going anywhere, but how safely we live with it has changed dramatically. Most Americans have resumed the full range of their pre-pandemic activities 鈥 concerts, parties, summer camps, and family events. But with the virus still circulating, many who have gone back to pre-pandemic life still worry if they are safe. (Ashish Jha, 7/31)

Dr. Tessier-Lavigne made the announcement after a university investigation found that as a neuroscientist and biotechnology executive, he had fostered an environment that led to 鈥渦nusual frequency of manipulation of research data and/or substandard scientific practices鈥 across labs at multiple institutions. Stanford opened the investigation in response to reporting I published last autumn in The Stanford Daily, taking a closer look at scientific papers he published from 1999 to 2012. (Theo Baker, 7/30)

As a practicing physician, my life revolves around caring for my patients, helping them stay healthy, educating them about diseases and picking up on the signs of health concerns that need to be addressed.聽A few weeks ago, however, it became painfully obvious that I had missed the signs of my own major health issue. To my surprise, I was diagnosed with skin cancer on my scalp. The diagnosis of basal cell cancer, and the fact that I ignored it for so long, have really made me pause to reflect on my own health habits and some common misconceptions about skin cancer. (Susannah Hills, 7/29)

Sometimes people call me 鈥渢he tick guy,鈥 but I鈥檓 a mammal guy by training. Although I respect ticks, I don鈥檛 fear them, especially after developing an immunity that kills them when they try to bite me. (Richard S. Ostfeld, 7/31)

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