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A federal appeals court on Wednesday ruled that the Trump administration can withhold tens of billions of dollars in foreign aid, handing the president a significant — if possibly temporary — victory in his push to exercise greater authority over spending mandated by Congress. A panel of the Court of Appeals for the District of Columbia Circuit lifted a federal judge’s preliminary injunction that ordered the Trump administration to appropriate the money for food, medicine and development. The 2-1 ruling came over the sharp objections of the only Democratic-appointed judge on the panel. (Jouvenal, 8/13)

After six months that shook the foundations of U.S. foreign aid, the question now is: Where do we go from here? (Igoe, 8/11)

President Trump on Wednesday ordered his health officials to secure a six-month supply of advanced pharmaceutical ingredients for drugs the administration determines are critical for national health and security. (Bettelheim, 8/14)

A handful of drug companies have formed a group to present lawmakers with research on what the industry sees as the negative impacts of Medicare drug price negotiations, according to lobbying records. (Wilkerson, 8/13)

The federal government has for decades invested vigorously in research aimed at narrowing the health gaps between racial and socioeconomic groups, pouring billions of dollars into understanding why minority and low-income Americans have shorter lives and suffer higher rates of illnesses like cancer and heart disease. Spending on so-called health disparities rose even during the Trump administration’s first term. But in its second, much of the funding has come to a sudden halt. (Caryn Rabin and Hwang, 8/13)

When Atlanta revealed its ambitious plans to clear homeless camps downtown ahead of the FIFA World Cup next summer, city officials said their goal was to house people, not throw them in jail. That housing-first approach appears at odds with President Donald Trump, who on Monday launched a federal takeover of the Washington, D.C., police force and ordered 800 National Guard troops to the capital, stating he wanted to crack down on violent crime and homelessness. (Reynolds, 8/13)

President Donald Trump says homeless people in the nation’s capital will be moved far from the city as part of his federal takeover of policing in the District of Columbia and crackdown on crime. With his exact plans unclear, there is concern among advocates and others who say there are better ways to address the issue of homelessness than clearing encampments, as the Republican administration has pledged to do. Washington’s status as a congressionally established federal district gives Trump the opportunity to push his tough-on-crime agenda, though he has not proposed solutions to the root causes of homelessness or crime. (Kinnard, 8/13)

The Trump administration must improve conditions at a Lower Manhattan immigration holding facility where a government lawyer acknowledges detainees are sleeping on the floor, a federal judge ruled Tuesday. Immigration and Customs Enforcement is packing detainees into a holding area without beds, showers or medical support, according to a class-action lawsuit filed by the ACLU on behalf of detainees. For more than a week, people go to sleep each night on a concrete floor next to toilets without medication nor a way to bathe, and they receive “at most only two small meals a day,” attorneys for the detainees wrote. (Brasch, 8/13)

Two weeks after most of Maryland’s congressional delegation staged a sit-in at a controversial immigration enforcement facility in Baltimore, lawmakers returned for a guided tour on Wednesday and said they were still being stonewalled about how detainees are being treated inside. “We leave here with more questions than we came in with,” said Rep. Kweisi Mfume (D-Maryland). (Munro and Cox, 8/14)

�鶹Ů�� Health News: ‘A Fear Pandemic’: Immigration Raids Push Patients Into Telehealth

Jacob Sweidan has seen his patients through the federal immigration raids of the 1990s, a sitting governor’s call to abolish birthright citizenship, and the highly publicized workplace crackdowns and family separation policies of President Donald Trump’s first term. But in his 40 years as a pediatrician in Southern California serving those too poor to afford care, including many immigrant families, Sweidan said he’s never seen a drop-off in patient visits like this. (Mai-Duc, 8/14)

If you think last week's decision by the federal government to halt $500 million in funding for vaccine development projects that use mRNA technology will only affect COVID vaccines, think again. ... The science behind it is also being studied for a wide range of other uses, from fighting cancer to treating autoimmune conditions and more. Health experts have criticized the move to defund this research, pointing to the impact it will have on America's ability to develop breakthroughs against deadly or debilitating diseases. (Moniuszko, 8/13)

Public health experts are pushing back against doubts and criticisms about the hepatitis B vaccine spread by HHS Secretary Robert F. Kennedy Jr. and his allies. Since overhauling the CDC's Advisory Committee on Immunization Practices (ACIP), Kennedy and his supporters have questioned the vaccine's safety and the need for a birth dose. Those assertions could erode public confidence in a vaccine credited with virtually eliminating childhood transmission of the virus in the U.S., health professionals told MedPage Today. (McCreary, 8/13)

The Trump administration’s COVID-revenge campaign has laid the groundwork for Kennedy’s larger agenda. (Wu, 8/13)

Mercyhealth, which operates hospitals and clinics in Illinois and Wisconsin, has agreed to pay $1 million to employees it either terminated or subjected to a wage deduction because they refused to comply with the health system’s COVID-19 vaccine policy, according to the U.S. Equal Employment Opportunity Commission. Mercyhealth also offered to reinstate the employees it terminated. (8/13)

White House Chief of Staff Susie Wiles was behind President Donald Trump’s highly unusual decision last week to rehire a vaccine regulator he’d just fired at the urging of MAGA influencer Laura Loomer. Wiles’ intervention in getting Vinay Prasad’s job back, as described by two senior administration officials granted anonymity to discuss sensitive details, followed pleas from both Prasad’s boss, Food and Drug Administration Commissioner Marty Makary, and Health Secretary Robert F. Kennedy Jr. They insisted that Prasad is part of Kennedy’s broader “make America healthy again” movement and integral to the Trump coalition. (Lim, Burns and Rohn, 8/14)

Disruptions to national vaccine recommendations under Health Secretary Robert F. Kennedy Jr. are starting to reverberate across Massachusetts, threatening the state’s access to COVID shots just as the annual season for respiratory viruses — and vaccines to protect against them — approaches. Federal approval for flu and RSV shots was granted only in the last few days, weeks later than is typical, and health officials are still waiting to learn whether the Trump administration will recommend any vaccinations for COVID. Insurers rely on that guidance to decide what doses they will cover. (Laughlin, 8/13)

Human papillomavirus (HPV) vaccination has nearly eliminated infection with the high-risk HPV strains 16/18, which cause over 70% of cervical cancer, in Danish women immunized as adolescents, suggests a study published in Eurosurveillance. (Van Beusekom, 8/13)

Two days after Mars Inc. met with Food and Drug Administration Commissioner Marty Makary, the privately held food company posted a statement saying it would offer naturally colored options next year for four of its most iconic candies, including M&M’s and Skittles. The July 24 announcement on the Mars Wrigley website went largely unnoticed at a time when candymakers have been viewed as the biggest holdout in the Trump administration’s efforts to get companies to voluntarily strip synthetic dyes from their food. (Peterson and Cohrs Zhang, 8/13)

Whether the new wave of interest in healthier food, fewer additives and nutrition supplements actually make America healthy again remains to be seen, but one thing is becoming clear: It can sure help sales. (Severson, 8/14)

As the U.S. awaits the release of the second report from the Trump administration's Make America Healthy Again (MAHA) Commission, another group has come out with a "counter report" featuring its own ideas for improving the health of Americans, including ousting HHS Secretary Robert F. Kennedy Jr. "When the [first] MAHA report came out, our group was thinking, 'This isn't great,'" said Elizabeth Jacobs, PhD, a founding member of Defend Public Health (DPH), an all-volunteer group of about 3,000 public health researchers, healthcare workers, advocates, and allies fighting to defend what they characterize as the Trump administration's "cruel attacks on proven, science-based public health policies." (Frieden, 8/13)

Health Secretary Robert F. Kennedy Jr.’s campaign to “make America healthy again” has spread from Washington to state capitols with nearly 900 measures introduced this year echoing his agenda. ... A POLITICO analysis found more than 130 bills aimed at regulating ultraprocessed foods and improving nutrition, over 60 bills restricting the application of pesticides and other chemicals, and more than 130 bills expanding vaccine exemptions or prohibiting mandates this year. Lawmakers also introduced dozens of bills to promote the use of psychedelics, authorize sales of raw milk and ivermectin, and ban the fluoridation of drinking water. (Chu, 8/14)

The Make America Healthy Again (MAHA) movement is taking aim at school lunches in a move advocates say is unrealistic without devoting more federal resources to K-12 students. While some schools can only afford to buy frozen meals that are heated up and served, the Trump administration is looking for freshly cooked meals that will take more employees and ingredients to put together. The MAHA Commission was required to send over recommendations to the White House by Tuesday to combat childhood chronic diseases, a document experts and advocates are eagerly awaiting. (Lonas Cochran, 8/13)

President Donald Trump should block the U.S. House from limiting the regulation of pesticides and "forever chemicals" in its environmental appropriations bill or risk losing Republican support, more than 200 activists aligned with the "Make America Healthy Again" movement said in a letter to Trump. (Douglas, 8/12)

A New York man has been charged with cyberstalking a family member of UnitedHealthcare CEO Brian Thompson, allegedly leaving threatening voicemails that expressed glee about the insurance executive’s killing, federal prosecutors said Wednesday. Shane Daley, 40, is accused of placing multiple calls to Thompson’s family member after the shooting, justifying the killing and saying that the person deserved to die in a similar manner, according to a criminal complaint. (8/14)

Asheville, N.C.-based Mission Health and its owner, Nashville, Tenn.-based HCA Healthcare, have settled a lawsuit filed by several North Carolina counties and municipalities alleging anticompetitive practices. As part of the agreement, Mission Health will donate $1 million to a new charity fund that will be created to provide healthcare cost assistance to families and individuals earning up to 400% of the federal poverty level, according to a joint Aug. 13 news release shared with Becker’s. (Cass, 8/13)

Providence had 1,800 fewer employees in the second quarter as the struggling system works on a financial turnaround. The decrease in number of employees from the first quarter was the result of layoffs and attrition, according to a spokesperson. The headcount reduction was disclosed in the Renton, Washington-based system’s quarterly earnings report published Tuesday. (Hudson, 8/13)

CentraCare plans to lay off an estimated 535 employees as part of a cost-saving strategy. An estimated 70% of roles affected will be administrative and 30% will be patient-care positions, the St. Cloud, Minn.-based system said in a statement Wednesday. It declined to say when the cuts would go into effect. The system said affected employees will have the opportunity to apply for more than 350 open positions at the organization. (DeSilva, 8/13)

Oracle Health is rolling out an artificial intelligence-enabled electronic health record platform, the company said Wednesday ahead of its chief rival’s annual user conference. The EHR, which was previewed at an October Oracle event, is immediately available to ambulatory providers. The product will be available to non-ambulatory customers at an unspecified later date, said Suhas Uliyar, senior vice president of product management at Oracle. (Tepper, 8/13)

Drugs to treat attention deficit hyperactivity disorder were linked to a reduced risk of suicidal behavior, substance misuse and criminality in the first research of its kind. The findings come amid increasing debate around whether ADHD is being over-diagnosed and therefore over-treated with drugs like Ritalin. The research published in the British Medical Journal on Wednesday did not investigate whether patients are being accurately diagnosed, but it does provide evidence supporting medical treatment. (Furlong, 8/13)

The evolutionary trick of parasitic worm that sneakily burrows into the skin of its victims could provide new alternatives to opioid-based pain treatments. Opioids are currently used to treat moderate to severe pain, as well coughing and diarrhea. Although they can provide effective relief, long-term use can also lead to dependence, with negative physical and mental health consequences. (Millington, 8/13)

New research suggests popular weight loss drugs like Ozempic and Wegovy may affect more than just fat, raising questions about muscle strength and organ size after significant weight loss. University of Utah scientists studied semaglutide, the active ingredient in weight loss medications, in mice. In the study, published in the journal Cell Metabolism, researchers revealed “unexpected effects,” highlighting that lean mass, or body weight that isn’t fat, dropped about 10 percent. (Delandro, 8/13)

Patients with hidradenitis suppurativa who started taking GLP-1 receptor agonists experienced reductions in a long list of disease measures, a small retrospective study found. Six months after treatment initiation, patients were significantly more likely to experience a 1-point or greater reduction in Hidradenitis Suppurativa Physician's Global Assessment (HS-PGA) score, along with reductions in disease flares and improvements in quality of life, reported Florence Poizeau, MD, PhD, of Rennes University Hospital in France, and members of the Institut de Dermatologie du Grand-Ouest and French Society of Dermatology. (Ingram, 8/13)

Illinois last week banned the use of artificial intelligence in mental health therapy, joining a small group of states regulating the emerging use of AI-powered chatbots for emotional support and advice. Licensed therapists in Illinois are now forbidden from using AI to make treatment decisions or communicate with clients, though they can still use AI for administrative tasks. Companies are also not allowed to offer AI-powered therapy services — or advertise chatbots as therapy tools — without the involvement of a licensed professional. Nevada passed a similar set of restrictions on AI companies offering therapy services in June, while Utah also tightened regulations for AI use in mental health in May but stopped short of banning the use of AI. (Wu, 8/12)

A federal appeals court has upheld a 2021 Arkansas law that bans gender transition care for minors, going beyond a recent Supreme Court ruling on similar statutes in other states to declare that parents “do not have unlimited authority to make medical decisions for their children.” Lawyers who represent transgender people in other states said in June that the Supreme Court’s landmark U.S. v. Skrmetti decision, which found that gender care bans do not violate the Constitution’s equal protection clause, left many legal pathways to challenge the law, including the parental rights claim. Tuesday’s 8-2 decision by the St. Louis-based U.S. Court of Appeals for the 8th Circuit could be a setback to those pursuits. (Raji and Parks, 8/13)

Mayor Eric Adams, facing a steep path to reelection, is bolstering efforts to reduce the number of mentally ill people on the streets and subways of New York City. The city on Wednesday unveiled a dashboard showing where people with serious mental illness have been taken for psychiatric evaluation after contact with police or clinicians. Officials say it’s designed to give policymakers and the public a clearer view of where interventions occur and to measure the impact of new programs. (Miller, 8/13)

The sun was barely up when the three-person medical team pulled into the parking lot of a Phoenix soup kitchen, but the temperature was already around 90 degrees, on its way to 111.The team starts its rounds at 5 a.m. because the afternoon highs are so dangerous. Perla Puebla, the family nurse practitioner leading the team, took a look at Hawaii Kalawaia and Zephyr Harrell and could tell they were dehydrated from their dry lips and skin. It’s hard for homeless people not to be during Phoenix’s unrelenting summers. (Astor, 8/13)

Heat-related deaths in Maryland have officially surpassed last year’s total, with 29 deaths recorded across the state this season by the Maryland Department of Health. (Schumer, 8/13)

One day in early February, a Bloomington police detective got a call that a man had told his family that he planned to shoot himself in the head. The detective, Matt Jones, found the man at his home where, according to a Minnesota District Court filing, he “admitted to officers that he was planning to buy a gun today and always believed that when he dies it will be by his own hand.” Jones then took a step that is becoming increasingly common among officers in Hennepin County and, to an extent, throughout the state: He persuaded a state court judge to stop the person with suicidal thoughts from owning or buying a gun. (Blake, 8/13)

After a random shooting in Austin, Texas, left three people dead, Austin Police Chief Lisa Davis said that the suspect had past criminal offenses and “serious issues.” The 32-year-old suspect was arrested after police found him naked, holding a Bible and claiming he was Jesus.“ There were some serious failures here,” Davis said. (Christensen, 8/13)

Florida Attorney General James Uthmeier on Wednesday made it illegal to sell 7-hydroxymitragynine, known as 7-OH, a compound found in some kratom products, by classifying it as a Schedule I controlled substance in the state. The announcement makes Florida the first state to ban this concentrated kratom byproduct, which acts like an opioid and has been dubbed "legal morphine" by researchers. (Reyes, 8/13)

A free recovery program has helped 400 people find hope and cut overdose deaths by 68 percent in just two years. (Andrews, 8/14)

To give more seriously ill incarcerated people the opportunity to go home before they die, North Carolina lawmakers expanded the eligibility criteria of prison medical release in 2023. But data obtained by NC Health News shows that more people aren’t getting released. (Crumpler, 8/14)

A man is battling for his life at a St. Louis-area hospital after being infected with a rare brain-eating amoeba after waterskiing at the Lake of Ozarks last week, according to state health officials. (Munz, 8/13)

Chicago is now at a high risk level of West Nile virus after reporting its first three confirmed human cases of the virus this year, according to local health officials. This week, the Chicago Department of Public Health announced that three city residents from the Northwest and South sides between the ages 40 and 80 tested positive for the virus and that their symptoms began in late July or early August. (Kenny, 8/13)

Twelve states are seeing higher positivity rates for COVID-19 tests compared to the rest of the country, according to new data from the Centers for Disease Control and Prevention. (Scribner, 8/13)

Long COVID has been observed clinically for 5 years, but no standard definition exists, meaning wide variations exist in the literature, adding to confusion and a lack of clinical consensus. These are the findings from a study published yesterday in JAMA Network Open from a team led by researchers at the University of California-Los Angeles (UCLA).The authors say that, absent a standard definition, the condition will continue to be both under- and over-recognized by both patients and clinicians. (Soucheray, 8/13)

Researchers say it could indicate a significant expansion of the virus into the continent that would put susceptible bird species at risk. (Van Beusekom, 8/12)

Wegmans is recalling its brand of medium camembert cheese and products that contain it due to potential listeria contamination, which can lead to serious illness. ... So far, no illnesses have been reported to Wegmans or its supplier, but officials say customers should not consume the products and can return them for a full refund. (Moniuszko, 8/13)

An analysis of antifungal use in US hospitals suggests a specific focus on antifungal stewardship may be warranted, researchers reported this week in the Journal of Antimicrobial Chemotherapy. (Dall, 8/13)

A study in Israel confirms antibiotic use as a major risk factor for Clostridioides difficile infection (CDI) in hospital patients, particularly for those who don't carry the bacterium, researchers reported last week in JAMA Network Open. For the study, which was conducted from June 2017 through June 2023, researchers analyzed data on patients admitted to a large tertiary medical center in Israel that routinely screens high-risk patients for C difficile carriage. (Dall, 8/11)

Heart disease is the leading cause of death for women in the United States, and many of the risk factors, like smoking or high blood pressure, are well known. But new research out today shows there's something else to consider. Women who have experienced physical threats, specifically stalking, have a 41% higher risk of cardiovascular disease. (Riddle, 8/11)

The forceful breathing involved in the traditional Hindu practice of blowing a conch shell, or shankh, improved moderate obstructive sleep apnea (OSA) symptoms, a small randomized trial showed. (Phend, 8/11)

The horrifying attack on the Centers for Disease Control and Prevention’s Atlanta headquarters felt like the grimly predictable result of years of pandemic-related misinformation and disinformation — much of it propagated by the very people now leading US health agencies. (Lisa Jarvis, 8/13)

�鶹Ů�� Health News: 'Alternative Facts' Aren't A Reason To Skip Vaccines 

President Donald Trump’s administrations have been notorious for an array of “alternative facts” — ranging from the relatively minor (the size of inaugural crowds) to threats to U.S. democracy, such as who really won the 2020 election. And over the past six months, the stakes have been life or death: Trump’s health officials have been endorsing alternative facts in science to impose policies that contradict modern medical knowledge. (Rosenthal, 8/14)

For many American scientists, the second Trump administration has instilled a sense of fear and futility. Billions of dollars in federal grants to universities have been frozen or slashed. Thousands of scientists across federal agencies have been terminated. Entire research initiatives have been defunded for containing politically inconvenient keywords such as “health disparities,” “climate change” and “coronavirus.” The administration’s budget proposal seeks to cut the nation’s scientific infrastructure even further — the National Institutes of Health by 40 percent and the National Science Foundation by more than half. (Leana S. Wen, 8/13)

Two or three days before an outpatient appointment, many health care organizations send out questionnaires. One such questionnaire is the PHQ-9, a nine-item depression screen in which patients report how often they have experienced symptoms of depression over the previous two weeks. The ninth item assesses whether or not patients have had “thoughts that [they] would be better off dead or of hurting [themselves] in some way.” (Kyle Fitzpatrick, Geoffrey Engel and J. Wesley Boyd, 8/14)

When I think of my friend Andre, my mind drifts back 50 years to our times in grade school delivering papers together during frigid upstate New York winters. Then my mind drifts back 45 years to the thousands of conversations we had with our friends at our public high school cafeteria lunch table. Or my mind drifts 35 years, to our time as apartment mates, when Andre showed me how to drive our U-Haul moving truck, all the while ignoring the glances of admiring young women drawn to his movie-star good looks. (Harold Pollack, 8/13)

The fluorescent lights of the detox unit hummed, a sterile counterpoint to the chaos that had been my life just days before. Every fiber of my being screamed for escape, for the familiar oblivion that had become my twisted comfort. My hands trembled, not from withdrawal alone, but from the phantom weight of a smartphone I didn’t have. (Ryan Hampton, 8/14)