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Morning Briefing

Summaries of health policy coverage from major news organizations

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Thursday, Oct 26 2023

麻豆女优 Health News Original Stories 2

  • Doubts Abound About a New Alzheimer鈥檚 Blood Test
  • Storing Guns Away From Home Could Reduce Suicides, but Legal Hurdles Loom
  • Political Cartoon: 'Candle Burn?'

Capitol Watch 2

  • Speaker Johnson Has Pushed For Medicare, Medicaid Cuts And Defunding Planned Parenthood
  • Senate Committee Advances NIH Nomination Of Bertagnolli

Gun Violence 1

  • 'Person Of Interest' In Maine Shootings Is A Certified Firearms Instructor, Has Mental Health History

Economic Toll 2

  • Survey: Over Half Of American Adults Struggled With Health Bills This Year
  • Millions More Americans Were Hit By Hunger In 2022 Than 2021

Pharmaceuticals 1

  • Flu Shots May Lower Alzheimer's Risk; Adult ADHD Tied To Dementia

Health Industry 1

  • As Hacks Hit Health Care, Biden Admin Launches New Cybersecurity 'Toolkit'

After Roe V. Wade 1

  • Since Roe V. Wade Ended, Abortions Have Risen 6% In California

Outbreaks and Health Threats 1

  • Advisers Say High-Risk Men Should Get Mpox Shots Even After Outbreak

Public Health 1

  • Bags Of Precut Onions Linked To Salmonella Outbreak In 22 States

Health Policy Research 1

  • Research Roundup: Pneumonia; Vitamin C; Heart Balloons; And More

Editorials And Opinions 1

  • Viewpoints: Red Meat Consumption Has Health Consequences; Why Are Young People Getting So Sick?

From 麻豆女优 Health News - Latest Stories:

麻豆女优 Health News Original Stories

Doubts Abound About a New Alzheimer鈥檚 Blood Test

Quest Diagnostics is selling a blood test online to consumers. But results may not be reliable or easy to interpret. And it isn鈥檛 covered by insurance. ( Judith Graham , 10/26 )

Storing Guns Away From Home Could Reduce Suicides, but Legal Hurdles Loom

Safe storage maps show gun owners where to put their firearms for safekeeping if they experience a mental health crisis. The idea has support among some gun enthusiasts, but legal obstacles threaten wider adoption. ( Aaron Bolton, MTPR , 10/26 )

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Political Cartoon: 'Candle Burn?'

麻豆女优 Health News provides a fresh take on health policy developments with "Political Cartoon: 'Candle Burn?'" by Mike Shiell.

Opinions expressed in haikus and cartoons are solely the author's and do not reflect the opinions of 麻豆女优 Health News or 麻豆女优.

Summaries Of The News:

Capitol Watch

Speaker Johnson Has Pushed For Medicare, Medicaid Cuts And Defunding Planned Parenthood

News outlets examine the past positions and potential future agenda of newly-elected House Speaker Mike Johnson, a Republican from Louisiana, on key health issues like Medicare, Medicaid, abortion, SNAP, and others.

The newly elected Republican speaker of the U.S. House of Representatives has previously proposed trillions of dollars in cuts to Social Security, Medicare, and Medicaid and suggested that slashing the programs should be the top priority of Congress. During his tenure as chair of the Republican Study Committee (RSC) between 2019 and 2021, Rep. Mike Johnson (R-La.) helped craft budget resolutions that called for roughly $2 trillion in Medicare cuts, $3 trillion in Medicaid and Affordable Care Act cuts, and $750 billion in Social Security Cuts, noted Bobby Kogan of the Center for American Progress. (Johnson, 10/25)

In a clip that surfaced Tuesday, Mike Johnson put the onus of Republican cuts to essential programs on unborn children, claiming that if American women were producing more bodies to churn the economy then Republicans wouldn鈥檛 have to cut essential social programs like Medicare and Medicaid. (Houghtaling, 10/25)

In Jan. 2022, the congressman from Louisiana said "a child in the womb" is a "unique human being with unique DNA" from the moment of conception and he called for the Supreme Court to overturn Roe v. Wade long before the Dobbs decision in June 2022.聽Ahead of Wednesday's speakership vote, House Judiciary Democrats posted a video on X of Johnson saying "Roe v Wade gave constitutional cover to the elected killing of unborn children in America, period. You think about the implications of that on the economy. We're all struggling here to cover the bases of social security and medicare and medicaid and all the rest. If we had all those able bodied workers in the economy, we wouldn't be going upside down and toppling over like this." (Mizelle, 10/25)

An ABC News examination of public records, news reports and documents shows the extent to which Johnson dedicated earlier phases of his career to limiting gay rights, including same-sex marriage and health care access, and through anti-gay activism on college campuses. In comments from over fifteen years ago, long before he became a lawmaker and while acting as an attorney and spokesman for the Alliance Defense Fund (ADF), a Christian advocacy group, Johnson described homosexuals as "sinful" and "destructive" and argued support for homosexuality could lead to support for pedophilia. He also authored op-eds that argued for criminalizing gay sex. "There is clearly no 'right to sodomy' in the Constitution," Johnson wrote in a 2003 column in a Louisiana newspaper. (Steakin, 10/25)

Where he stands on abortion, gender-affirming care, appropriations and more. (Sullivan and Knight, 10/26)

鈥淪tates have many legitimate grounds to proscribe same-sex deviate sexual intercourse,鈥 Johnson wrote in a July 2003 op-ed, calling it a public health concern. 鈥淏y closing these bedroom doors, they have opened a Pandora鈥檚 box,鈥 he added. (Kaczynski and Gordon, 10/25)

Since being elected to Congress in 2016, Johnson has been a vocal advocate for spending cuts and enacting new restrictions on the Supplemental Nutrition Assistance Program, the country鈥檚 largest program feeding low-income Americans. While he voted for the last farm bill in 2018, he criticized the legislation for failing to make deeper cuts to SNAP, formerly known as food stamps, which he dubbed 鈥渙ur nation鈥檚 most broken and bloated welfare program.鈥 (10/25)

Senate Committee Advances NIH Nomination Of Bertagnolli

The Senate Health, Education, Labor and Pensions Committee on Wednesday voted 15-6 to advance the nomination of Monica Bertagnolli to head up NIH. In other news from the Hill, Sen. Bernie Sanders' measure on drug pricing takes a political blow.

After months of back and forth, the Senate Health, Education, Labor and Pensions Committee Wednesday advanced the nomination of Monica Bertagnolli to lead the National Institutes of Health by a vote of 15-6, with ranking member Bill Cassidy, R-La., voting for President Joe Biden鈥檚 nominee and Chairman Bernie Sanders, I-Vt., opposing it. (Cohen, 10/25)

Sen. Bernie Sanders tried to rally Democrats and President Joe Biden to do more to lower drug prices just a year after they ordered Medicare to negotiate with pharma. None showed up. The Vermont independent鈥檚 campaign took a blow on Wednesday as Democrats joined forces with Republicans to advance Biden鈥檚 pick to lead the National Institutes of Health over Sanders鈥 objections. (Schumaker, 10/25)

In other news from Capitol Hill 鈥

The White House on Wednesday requested $1.55 billion from Congress to address illicit fentanyl driving overdose deaths across the country as part of a broader funding package. ... 鈥淎s we continue to lose an American life to drug overdose every five minutes around the clock, Congress must come together and take immediate action,鈥 Dr. Rahul Gupta, the director of the White House Office of National Drug Control Policy, said in a statement. (Guilfoil, 10/25)

As billions of dollars for a global HIV/AIDS program credited with saving millions of lives remains in limbo, the George W. Bush Institute is urging the U.S. Congress to keep money flowing for it. In a letter sent to Congress on Wednesday, the former Republican president鈥檚 institute pleaded with Congress to keep funding the U.S. President鈥檚 Emergency Plan for AIDS Relief, or PEPFAR. The program works with nonprofit groups to provide HIV/AIDS medication to millions around the world, fund orphanages and support health systems around the world. (Seitz, 10/25)

Gun Violence

'Person Of Interest' In Maine Shootings Is A Certified Firearms Instructor, Has Mental Health History

At the time of publication, police were still searching for the man, identified from surveillance video as Robert Card, 40, of Bowdoin, Maine. A police bulletin said Card had been placed in a mental health facility this summer. The number of victims isn't yet clear, with at least 16 killed in two shootings.

At least 22 people are dead and dozens are injured following two shootings Wednesday night at a bowling alley and a restaurant in Lewiston, Maine, and an intensive manhunt is underway for a person of interest, officials say. Robert Card, 40, of Bowdoin, is a person of interest and should be considered armed and dangerous, Maine Department of Public Safety Commissioner Mike Sauschuck said. Law enforcement officials in Maine tell CNN that Card is a certified firearms instructor and a member of the US Army Reserve. Card had recently made threats to carry out a shooting at a National Guard facility in Saco, Maine, and also reported mental health issues, including hearing voices, the officials said. (Smart, Miller, Sutton and Wolfe, 10/26)

A state police bulletin says the man, Robert Card, had been trained as a firearms instructor at a U.S. Army Reserve training facility in Maine. The document says Card had been committed to a mental health facility for two weeks in the summer of 2023. It did not provide specific details about his treatment or condition. (10/25)

Department of Public Safety Commissioner Michael Sauschuck refused to confirm the number of deaths in a news conference late Wednesday, but the Associated Press, citing unnamed law enforcement sources, reported 16 deaths. Earlier in the night, Androscoggin County Sheriff Eric Samson and a Lewiston city councilman had said that as many as 22 people died. ... Lewiston Mayor Carl Sheline urged anyone in the city to be cautious and stay home. 鈥淚 am heartbroken for our city and our people,鈥 he added. 鈥淟ewiston is known for our strength and grit and we will need both in the days to come.鈥 (Hoffman, Mogensen, Charpentier, Meyer, Collins and Caruso, 10/26)

In other news about the gun violence epidemic 鈥

The Senate on Wednesday kicked off consideration of its long-stalled spending 鈥渕inibus鈥 to provide fiscal 2024 funding for transportation, housing, agriculture, military construction and veterans programs with amendment votes. By late afternoon the Senate adopted 27 amendments, including two touching on culture war issues that politically vulnerable Democrats joined with Republicans to support. Provisions now part of the three-bill spending minibus include an amendment offered by Sen. John Kennedy, R-La., that would preserve gun rights for veterans deemed mentally unfit to manage their benefits. Opponents warn the provision will lead to an increase in suicides. (Reilly, Donnelly, Yurk and Ferguson, 10/25)

麻豆女优 Health News: Storing Guns Away From Home Could Reduce Suicides, But Legal Hurdles Loom

Mike Hossfeld unlocked a heavy black steel door to his home鈥檚 gun safe, unveiling both modern and antique firearms, some dating from the early 1900s. 鈥淢ost of this is mine. There are a few weapons in here that belong to other folks,鈥 he said. Hossfeld regularly stores firearms for others who are going through a mental health crisis or a rough period. That puts time and space between them and their guns, which can significantly reduce suicide risk. (Bolton, 10/26)

Economic Toll

Survey: Over Half Of American Adults Struggled With Health Bills This Year

A new Commonwealth Fund survey shows over half of working-age Americans said they've struggled to afford health services this year 鈥 evidence of the high cost of care, even for the insured. Meanwhile, another poll shows nearly 6 in 10 respondents worry over health care costs in retirement.

As health care costs continue to rise, more than half of working-age Americans said they've struggled to afford care this year, according to a new Commonwealth Fund survey. The survey is the latest evidence of how people with insurance are struggling to pay medical bills, forcing them to forgo or delay needed care. (Goldman, 10/26)

Paying for health care is increasingly straining US adults as escalating medical costs converge with rising prices throughout the economy. More than half of working-age Americans said they had difficulty paying for health care in 2023, according to a Commonwealth Fund survey published Thursday. Among people without insurance, more than three-quarters reported trouble affording care. But 43% of people with employer health plans said they had difficulty paying, and the rate was even higher among people on public health plans like Medicare and Medicaid. (LaPara, 10/26)

Among those who owed a medical debt, the survey said nearly half owed $2,000 or more. Nearly two-thirds of adults who owed money for a medical bill paid their health care provider directly, but past-due bills for about one-third of adults were turned over to collection agencies. In 2021, consumers owed about $88 billion in medical debt, making it the largest category of consumer debt. When consumers owe medical debt, it's often turned over to collection agencies and appears on consumer credit reports which can make it difficult for people to buy a house or finance a car. (Alltucker, 10/26)

The Commonwealth Fund Health Care Affordability Survey, fielded for the first time in 2023, asked U.S. adults with health insurance, and those without, about their ability to afford their health care 鈥 whether costs prevented them from getting care, whether provider bills left them with medical debt, and how these problems affected their lives. (10/26)

Also 鈥

According to the annual Nationwide Retirement Institute Health Care Cost in Retirement聽survey, roughly 6 in 10 respondents (59%) lack confidence in their ability to pay for health care costs as they age, and 57% worry about their ability to pay for caregiving for their partner/spouse. (Godbout, 10/23)

Millions More Americans Were Hit By Hunger In 2022 Than 2021

Food insecurity rose across the U.S. in 2022 according to new Department of Agriculture data, with 10.3 million more people living in households hit by hunger than in 2021. The upswing ended a nearly decade-long decrease in reported food insecurity.

Millions more Americans had difficulty securing enough food in 2022 compared to the year prior, including 1 million more households with children, a report from the U.S. Department of Agriculture (USDA) showed on Wednesday. The increase interrupted a years-long trend of declining hunger in the United States. Previous reports from food banks and the U.S. Census Bureau have indicated that hunger is increasing as low-income Americans struggle to recover from the pandemic and from the end of expanded food assistance. (Douglas, 10/25)

More than 44.2 million Americans lived in households that struggled with hunger in 2022, according to a U.S. Department of Agriculture report released Wednesday 鈥 an increase of 10.3 million over the previous year. The new figures, from the agency鈥檚 Economic Research Service, show an end to a nearly decade-long decrease in the number of families reporting food insecurity, at a time when food prices remain elevated because of inflation. (Reiley, 10/25)

In other news about hunger and poverty 鈥

Dan Zauderer and his in-laws had eaten plenty of pizza one evening in early October, and they still had seven slices left. What to do? 鈥淲ell, we could just chuck it,鈥 Zauderer thought. Instead, he and his fianc茅e wrapped the slices in plastic wrap, slapped labels on them with the date, and walked the leftovers a little more than a block down the road to a refrigerator standing along 92nd Avenue in New York City鈥檚 Upper East Side. That fridge is one among many 鈥渃ommunity fridges鈥 across the country that volunteers stock with free food 鈥斅爌repared meals, leftovers, and you name it. Zauderer had helped set a network up in New York City during the pandemic as a way to reduce waste and fight hunger. (Graham, 10/26)

It鈥檚 a disease of children living in extreme poverty. Its cause is uncertain. So is the number of children it affects. But soon, the devastating condition known as noma may be a bit less neglected. (Silberner, 10/25)

Pharmaceuticals

Flu Shots May Lower Alzheimer's Risk; Adult ADHD Tied To Dementia

In surprising news, researchers found regular vaccinations against flu and other infectious diseases may reduce the risk of developing Alzheimer's disease and associated dementias. Separately, new research shows adult ADHD is linked to a higher likelihood of developing dementia.

There are many good reasons to get a flu shot this fall, but here鈥檚 one that might surprise you: It could protect your brain. Recent research suggests that regular vaccinations against influenza and other infectious diseases such as shingles, pneumococcal pneumonia, and tetanus, diphtheria and pertussis (whooping cough) may reduce the risk of developing Alzheimer鈥檚 disease and related dementias. (Cimons, 10/25)

Adult attention-deficit/hyperactivity disorder (ADHD) is often misunderstood, and people who struggle with it are often viewed as quirky, disorganized, creative or forgetful. Many people go a lifetime without receiving a diagnosis or treatment. ... Now, new research is showing that adult ADHD may take a toll on the brain and is linked to a higher likelihood of developing dementia. A study published in JAMA Network Open reported that being diagnosed with ADHD as an adult is associated with a 2.77-fold increased risk of dementia. (Sima, 10/26)

Araclon Biotech has provided early evidence that its Alzheimer鈥檚 disease vaccine is effective, linking the candidate to a 38% slowdown in disease progression compared to placebo in an exploratory analysis of phase 2 data. (Taylor, 10/25)

An experimental treatment for Alzheimer鈥檚 disease that removes a toxic protein called tau from brain cells showed 鈥渇avorable trends鈥 across several measures of cognition and function in a small study 鈥 results that offer some hope for an emerging drug class that has failed to deliver benefits in the past. The drug, called BIIB080, is being developed by Biogen. (Feuerstein, 10/25)

Cambridge drug maker Biogen, which won US approval in July for the first Alzheimer鈥檚 therapy shown to modestly slow cognitive decline, is advancing a new line of attack on the memory-robbing disease. Even as it ramps up sales of its approved drug, Leqembi, which clears the buildup of a toxic protein in the brain, Biogen released early clinical data Wednesday for a different drug, called BIIB080, which targets another type of protein, called tau, that is also suspected of contributing to Alzheimer鈥檚 disease. (Weisman and Saltzman, 10/25)

Aversion of the Alzheimer鈥檚 disease drug Leqembi that can be given with a simpler, under-the-skin injection is equally effective as the currently approved intravenous infusion, according to study results presented Wednesday by its maker, Eisai. But hopes that the subcutaneous injection would also cause lower rates of brain swelling and bleeding 鈥 the drug鈥檚 most worrisome side effects 鈥 were not borne out in the study. (Feuerstein, 10/25)

Ninety-nine percent of doctors miss mild cognitive impairment, a dementia precursor in older adults. (Weiss, 10/24)

麻豆女优 Health News: Doubts Abound About A New Alzheimer鈥檚 Blood Test

For the first time, people worried about their risk of Alzheimer鈥檚 disease can go online, order a blood test, and receive results in the privacy of their homes. This might seem appealing on the surface, but the development has Alzheimer鈥檚 researchers and clinicians up in arms. The Quest Diagnostics blood test, AD-Detect, measures elevated levels of amyloid-beta proteins, a signature characteristic of Alzheimer鈥檚. Introduced in late July, the test is targeted primarily at people 50 and older who suspect their memory and thinking might be impaired and people with a family history of Alzheimer鈥檚 or genetic risks for the condition. (Graham, 10/26)

Health Industry

As Hacks Hit Health Care, Biden Admin Launches New Cybersecurity 'Toolkit'

The goal of the new toolkit, available at the Cybersecurity and Infrastructure Security Agency website, is to help health care services protect their systems, and it includes both basic cyber hygiene and complex tools. Meanwhile, key Republicans signaled opposition to CMS nursing home staff rules.

The Biden administration is ramping up efforts to harden defenses around the U.S. health care infrastructure, releasing an updated cyber "toolkit" to help the sector better defend against hackers. Health care is a high-value, target-rich industry facing increasing attacks, and the problem is increasingly being recognized as a threat to patient safety when providers are forced to divert or shut down care. (Reed, 10/26)

The toolkit can be found on the Cybersecurity and Infrastructure Security Agency (CISA) website. [It] aims to help healthcare organizations with everything from basic cyber hygiene to implementing complex tools. (McKeon, 10/25)

On health care staffing 鈥

Key congressional Republicans signaled opposition to a Centers for Medicare and Medicaid Services plan to impose staffing minimums on nursing homes Wednesday. Last month, CMS issued a proposed rule to mandate that skilled nursing facilities provide a minimum of three hours of nursing care per resident, per day, including at least 0.55 hours from registered nurses. The nursing home industry has long opposed staffing regulations, and may have found allies on Capitol Hill to help push back on CMS. (McAuliff, 10/25)

Staffing shortages, more dangerous workplaces, aging physicians and the increasing politicization of medicine: The warning signs for America's burned-out health care workforce are all there. A strained health care system may be heading in a dangerous direction in the pandemic's aftermath, according to new data points and a blunt warning from the head of the nation's leading medical association. (Owens, 10/26)

Medicare Advantage insurers are laying off thousands of workers and tinkering with benefits in response to unfavorable Centers for Medicare and Medicaid Services policies. To compensate for lower Medicare Advantage revenue, health insurers such as Elevance Health and Centene have made workforce reductions while companies such as UnitedHealth Group and Humana are scaling back benefits such as over-the-counter product allowances and increasing cost-sharing responsibilities for the 2024 plan year. (Tepper and Eastabrook, 10/25)

In other industry news 鈥

Oncologists were more likely to provide low-value cancer care after receiving money from pharmaceutical companies, and the findings raise questions about the extent to which industry influence may have led to patient harm, according to a new study. (Silverman, 10/25)

Dana-Farber Cancer Institute will argue to regulators that its proposed independent hospital and collaboration with Beth Israel Deaconess Medical Center will reduce emergency room wait times and increase competition. The cancer hospital offered a sneak peek into its strategy in a document released early Wednesday. The document, included in a broader filing, is part of the process to seek approval from the state Department of Public Health. (Bartlett, 10/25)

Two agencies that keep 600 people out of nursing homes by providing in-home care have learned the state will give them a direly needed 42% Medicaid rate increase 鈥 more than they had asked for. 鈥淚t鈥檚 a game changer,鈥 said Keith Kuenning, Waypoint鈥檚 director of advocacy. 鈥淲e鈥檝e been working on this for years. This has been astounding.鈥 (Timmins, 10/25)

Officials from Yale New Haven Health, Prospect Medical Holdings and the state鈥檚 Office of Health Strategy have resumed negotiations in Yale鈥檚 bid to acquire three Prospect-owned hospitals in Connecticut after the health systems agreed to sign a confidentiality agreement to keep the talks private. (Carlesso and Altimari, 10/25)

Also 鈥

A significant percentage of patients on breathing machines in Maryland hospitals and long-term care facilities are harboring two pathogens known to be deadly for people with weakened immune systems, according to a recent survey conducted by researchers from the University of Maryland School of Medicine. (Roberts, 10/25)

After Roe V. Wade

Since Roe V. Wade Ended, Abortions Have Risen 6% In California

In other news, U.S. senators are exploring a new way to go around Republican Sen. Tommy Tuberville's military blockade over Pentagon abortion rules.

Abortions have increased 6% in California since the Supreme Court overturned Roe v. Wade, according to a new national study released Tuesday. ... The new study outlines in stark detail how the United States has become a two-tiered world when it comes to abortion access after the June 2022 Supreme Court decision in Dobbs v. Jackson Women鈥檚 Health Organization that rescinded the constitutional right to obtain the procedure and left regulation up to individual states. (Garofoli, 10/25)

Abortion news from Tennessee, Texas, and Florida 鈥

Tennessee鈥檚 top legal chief says the federal government is wrongly withholding millions of dollars in family planning funds after the state refused to comply with federal rules requiring clinics to provide abortion referrals due to its current ban on the procedure. Attorney General Jonathan Skrmetti filed a complaint in U.S. District Court in Knoxville earlier this week seeking to overturn the U.S. Department of Health and Human Services decision. (Kruesi, 10/25)

About 125 miles of empty roads, forgotten small towns and cattle ranches separate Lubbock from its northern counterpart, Amarillo. The two biggest cities in the Texas High Plains share some similarities 鈥 they鈥檙e both majority conservative, reside in the far flung parts of the state, and share a focus on reviving their downtown areas. But they now have one striking difference: Lubbock County officials approved a legally dubious ban on people driving through their jurisdiction on the way out of the state to get an abortion. Amarillo city leaders did not 鈥 at least for now. (Carver, 10/25)

New data suggests that a looming six-week abortion ban in Florida 鈥 the nation鈥檚 third-most populous state 鈥 could cut the number of procedures performed there in half. The analysis released Tuesday, conducted by the Society of Family Planning, was the fourth installment in a series of reports tracking the impact of overturning Roe v. Wade. Researchers tracked abortions performed at clinics across the country in the year following the Supreme Court鈥檚 June 2022 ruling that allowed states to ban abortion if they chose. (Luthra, 10/25)

Florida Senate Democrat Leader Lauren Book has introduced two bills seeking to regulate crisis pregnancy centers and safeguard clinics that provide abortions. Crisis pregnancy centers are typically operated by anti-abortion groups and are not licensed by the state. That鈥檚 what Book鈥檚 first bill, SB 256, is aiming to change. (Majchrowicz, 10/25)

Also 鈥

A month after the U.S. Supreme Court voided the constitutional right to abortion in 2022, Starbucks told workers trying to unionize in Wisconsin that they risked losing coverage of travel costs for the procedure.聽The coffee giant's threat to deny the benefit 鈥 Starbucks was among聽the first to add travel costs for the procedure to employee perks after the high court's leaked ruling 鈥 is among more than two dozen violations of federal labor law by Starbucks in its nearly two-year battle with unionizing workers, according to the National Labor Relations Board (NLRB). (Gibson, 10/25)

Senators are exploring a proposal that could unstick Tommy Tuberville鈥檚 military blockade 鈥 if it can pass the Senate. Armed Services Committee Chair Jack Reed (D-R.I.), Sen. Kyrsten Sinema (I-Ariz.) and others are working on a resolution that would allow military promotions to move en bloc, according to a person familiar with the matter. It could be introduced sometime this month, though the timing remains fluid as senators in both parties try to find some way around Tuberville鈥檚 move to slow down military promotions in a protest of the Pentagon鈥檚 abortion policies. (Gould, O'Brien and Everett, 10/25)

Outbreaks and Health Threats

Advisers Say High-Risk Men Should Get Mpox Shots Even After Outbreak

Government health experts advised the CDC director that gay and bisexual men at high risk for mpox infection should get vaccinated after the current outbreak comes to an end. Among other news, an anti-mask mandate passes in the Senate; Texas' House approves a ban on covid shot mandates; more.

Gay and bisexual men at high risk for mpox infection should get vaccinated for the virus even after the current outbreak ends, government health advisers said Wednesday. The committee鈥檚 recommendation now goes to the director to the Centers for Disease Control and Prevention and 鈥 if she signs off on it 鈥 is sent out as guidance to U.S. doctors. (Stobbe, 10/25)

On the spread of covid-19 鈥

The U.S. Senate on Wednesday approved a proposal introduced by Ohio鈥檚 JD Vance that would block the Department of Transportation from using any federal money to enforce mask mandates in response to COVID-19 through the current fiscal year. The Cincinnati Republican鈥檚 amendment to a transportation spending bill was approved by a 59 to 38 margin. (Eaton, 10/25)

After several attempts by Republicans to rein in COVID-19 vaccine mandates by Texas employers, lawmakers are edging closer to a statewide ban on the practice after legislation won House approval Wednesday. Violators would be subject to a whopping $50,000 fine under an amendment adopted Wednesday by the Texas House. The bill鈥檚 sponsor called it the strongest such ban in the country. (Harper, 10/25)

Alison Buttenheim was floored by a sign she saw in her doctor鈥檚 office when she went to get the first jab of the two-dose shingles vaccine to protect her against painful flare-ups of varicella zoster. 鈥淢edicare patients cannot receive Tdap or zoster vaccines here. They need to obtain [them] at their pharmacy. If they receive it here, they need to pay out of pocket,鈥 the notice read. (Branswell, 10/25)

People with severe mental illness (SMI) are at a 50% increased risk of death from all causes following COVID-19 infections, according to a study today in The British Journal of Psychiatry. (Soucheray, 10/25)

Ensitrelvir, a drug made by the Osaka-based pharmaceutical company Shionogi, was conditionally approved in Japan last November. Like Paxlovid, ensitrelvir works by blocking an enzyme that the SARS-CoV-2 virus uses to clone itself inside the human body. But for the millions of Americans who will likely get COVID in the coming months, the new drug is almost certain to be out of reach. (Gutman-Wei, 10/25)

Also 鈥

As cold, flu and COVID season sets in, we chatted with Chapman University鈥檚 Patricia Lopes, an assistant professor of biology, who studies how sick individuals impact those around them. It鈥檚 not as clear-cut as it may seem. Turns out that simply observing a sick individual triggers not only that familiar behavioral response 鈥 get away! 鈥 but a complex biological response as well. 鈥淭he really interesting aspect is, it also changes your physiology,鈥 she said. (Sforza, 10/25)

Public Health

Bags Of Precut Onions Linked To Salmonella Outbreak In 22 States

73 people fell ill, including 15 who were hospitalized, in a salmonella outbreak linked to bagged, precut onions. Consumers who have relevant bags from Gills Onions of Oxnard should not eat or serve them, health officials said. Meanwhile, in San Diego a restaurant is linked to 13 E. coli cases.

An outbreak of salmonella poisoning linked to bagged, precut onions has sickened at least 73 people in 22 states, including 15 who were hospitalized, U.S. health officials said Tuesday. Gills Onions of Oxnard, California, has recalled packages of diced yellow onions, red onions, onions and celery and a mix of onions, celery and carrots, known as mirepoix. The products recalled had use-by dates in August 2023. They are no longer for sale in stores, but consumers may have them 鈥 or foods made with them 鈥 in freezers. Consumers should not eat, sell or serve the onions for foods made with them, health officials said. (Aleccia, 10/24)

In other public health news 鈥

The San Diego Health Department has confirmed an outbreak of 13 confirmed or probable cases of Shiga-toxin-producing E. Coli linked to a restaurant in San Diego, California. ... According to the health department, seven cases were hospitalized, and at least one case developed a more severe complication, hemolytic uremic syndrome, which can affect a person's kidneys and blood clotting functions. (DeLetter, 10/25)

Four more people tested positive for tuberculosis in Olathe after a high school student was diagnosed earlier this month, according to the Johnson County Department of Health and Environment. (Klick, 10/25)

Consumer Reports said on Wednesday it had found "concerning" levels of lead and cadmium in a third of various chocolate products it tested recently, and called on Hershey to reduce the amounts of heavy metals in its chocolate. The non-profit consumer group said 16 of the 48 products from various makers that its scientists tested contained potentially harmful levels of lead, cadmium or both. ... Products found to contain excessive metal content included a dark chocolate bar and hot chocolate mix from Walmart, cocoa powder from Hershey's and Droste, semi-sweet chocolate chips from Target, and hot chocolate mixes from Trader Joe's, Nestle and Starbucks. (Stempel, 10/25)

Babies exposed to a set of common chemicals in the womb may be at higher risk of gaining weight rapidly during early childhood, a recent study suggests.聽The research, published last week in the journal Environmental Health Perspectives, identified a link between exposure to endocrine-disrupting chemicals in utero and a rapid increase in a child鈥檚 body mass index from birth to 9 years of age. (Mogg, 10/25)

As much comfort as you think your yellow pillow brings you, however, it鈥檚 time to say goodbye. All that discoloration, experts say, is an accumulation of grime that can pose problems for respiratory, skin and sleep health. 鈥淭hese old yellow stinky pillows, while there is some type of emotional attachment to them, are exposing you to allergens and creating a breeding ground for mold,鈥 said Dr. Zachary Rubin, a pediatric allergist in Illinois. 鈥淧lus, as these pillows wear off over time, they don't give you the kind of neck support that you need.鈥 (Camero, 10/25)

Colorado has just endured its worst West Nile season since the virus became endemic in the state in the early-2000s. As of Wednesday, the state had seen 613 cases of West Nile, including 373 hospitalizations and 309 neuroinvasive cases 鈥 the most severe form of the disease. There have been 45 deaths reported. (Ingold, 10/26)

On mental health 鈥

Veterans who are female, LGBTQ and served after 9/11 are more likely to have experienced recent serious psychological distress compared to other veteran groups, according to a report released this week. But while younger veterans are more likely to experience that distress, they're also more inclined to proactively seek out mental health services and drug or alcohol abuse treatment, according to the report. These post 9/11 vets are part of a generation that is more racially and ethnically diverse than prior groups of vets. (Baker, 10/25)

Experts who study internet use say that the magnetic allure of social media arises from the way the content plays to our neurological impulses and wiring, such that consumers find it hard to turn away from the incoming stream of information. (Richtel, 10/25)

Health Policy Research

Research Roundup: Pneumonia; Vitamin C; Heart Balloons; And More

Each week, 麻豆女优 Health News compiles a selection of health policy studies and briefs.

The results of a randomized clinical trial conducted in France suggest that preventive inhaled antibiotics can reduce the burden of ventilator-associated pneumonia in critically ill patients. (Dall, 10/25)

A randomized clinical trial in Belgium finds that convalescent plasma reduces death rates by about 10% in COVID-19 patients requiring invasive mechanical ventilation. (Van Beusekom, 10/25)

Intravenous (IV) vitamin C does not reduce the need for life support or all-cause mortality for critically ill COVID-19 patients, according to a study published today in JAMA. (Soucheray, 10/25)

A drug-coated balloon made by Boston Scientific reduced the risk of heart attack in patients with complications from stents, researchers reported on Wednesday. Boston Scientific hopes to use this data to win approval from the Food and Drug Administration. The company has not yet published its full slate of data in a journal. (Lawrence, 10/25)

A team of researchers has gained new insights into the respiratory system of fruit flies -- the so-called tracheal system -- which could be important for future research into aneurysms. Scientists carried out genetic, cell biological and biochemical studies on Drosophila embryos. They found that the cells in the fruit fly's tracheal system are connected to the extracellular matrix by the proteins Dumpy and Piopio. (Universitat Leipzig, 10/25)

Participation in a clinical trial is often considered something of an equalizer in medicine. Researchers have pushed for better access to trials for historically disadvantaged populations, hoping that increasing diversity in trials will both advance medicine and also help close health disparities by providing more equitable access to high-quality care. (Chen, 10/25)

Editorials And Opinions

Viewpoints: Red Meat Consumption Has Health Consequences; Why Are Young People Getting So Sick?

Editorial writers examine red meat consumption, disability in young Americans, abortion and more.

The health case against regularly eating red meat keeps getting stronger. At what point is the data convincing enough for Americans to change their diets? One recent study found that eating red meat increases the risk of type 2 diabetes; another paper finds a diet low in meat, sugar and salt but rich in vegetables and legumes is associated with a lower risk of Alzheimer鈥檚. (Lisa Jarvis, 10/25)

America's labor force is facing a crisis, and no one knows exactly why. According to data from the Bureau of Labor Statistics, the number of American adults considered unable to work grew by more than 3.5 million since January 2020, with 1.5 million added just in the first nine months of this year. That's a concerning 12 percent hike. But among the labor force, in particular, the disability number grew an astonishing 33 percent since January 2020. (Pierre Kory and Mary Beth Pfeiffer, 10/26)

Needing an abortion for different reasons showed me that reproductive health care is not a one-size-fits-all concept, and we can鈥檛 see it as one. (Torrey DeVitto, 10/26)

ChatGPT has made artificial intelligence widely available, including for doctors. Other types of medical AI and algorithms are getting smarter. And with new FDA efforts underway to evaluate many algorithms, higher quality ones will increasingly enter routine clinical use, aiding in the detection of heart attacks to treatment decisions for cancer. (Katherine Goodman and Daniel Morgan, 10/26)

As hospitals focus more on whole person care, population health, and preventive care to keep people healthy and out of the hospital, more services are being offered by hospitals in community settings that increase convenience and access for patients. (Paul Kidwell, 10/26)

In addition to being stigmatized and vulnerable, with an average life expectancy of about 20 years less than that of the general population in the United States,1 people with intellectual or developmental disabilities are undercounted in U.S. public health surveillance and underrepresented in medical research.2 And so, when treatment decisions have to be made, there is often little or no guidance from the medical literature. (Anna Reisman, M.D., 10/26)

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