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Morning Briefing

Summaries of health policy coverage from major news organizations

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Thursday, Sep 14 2023

麻豆女优 Health News Original Stories 2

  • Abortion Bans Fuel a Rise in High-Risk Patients Heading to Illinois Hospitals
  • As More Patients Email Doctors, Health Systems Start Charging Fees
  • Political Cartoon: 'The "You're-Healthy" Specialist?'

Note To Readers

Covid-19 1

  • DeSantis Admin Advises Against New Covid Shots For Floridians Under 65

Administration News 2

  • HHS And Regeneron Strike Deal That Limits Price On Anti-Covid Drug
  • Possible Government Shutdown Would Be Big Hit To Health Care System

After Roe V. Wade 1

  • Fear Of Getting Pregnant Post-Roe Makes Some Plan To Forgo Kids

Public Health 1

  • Fentanyl-Stimulant Mix Leading To New Phase In Overdose Crisis

State Watch 1

  • Rubio Bill Targets 'Gender Ideology' In Hospitals, Agencies Across The States

Health Industry 1

  • Rollout Of Electronic Health Records At VA Won't Restart Until Next Summer

Outbreaks and Health Threats 1

  • After 2 Deaths, A Desperate Effort In India To Stop Outbreak Of Nipah Virus

Health Policy Research 1

  • Research Roundup: Alzheimer's; Cancer; Covid; Gain Of Function

Editorials And Opinions 2

  • Viewpoints: One Opioid Treatment Not As Safe As Previously Thought; Doctors Are Not OK
  • Different Takes: Could Women In US Be Tested For Abortion Meds?; Time To Look At Long Covid Differently

From 麻豆女优 Health News - Latest Stories:

麻豆女优 Health News Original Stories

Abortion Bans Fuel a Rise in High-Risk Patients Heading to Illinois Hospitals

High-risk patients from states that heavily restrict abortion are coming to hospitals in states such as Illinois that protect abortion rights. The journey can mean more medical risks and higher bills. ( Kristen Schorsch, WBEZ Chicago , 9/14 )

As More Patients Email Doctors, Health Systems Start Charging Fees

Doctors say billing for email consultations reduces message volume and gives them more free time. The increasingly prevalent practice has also raised fears about negative impacts to patient care. ( Harris Meyer , 9/14 )

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Political Cartoon: 'The "You're-Healthy" Specialist?'

麻豆女优 Health News provides a fresh take on health policy developments with "Political Cartoon: 'The "You're-Healthy" Specialist?'" by Dave Coverly.

Here's today's health policy haiku:

PROTECT YOURSELF FROM COVID

Covid's back, you say 鈥
Friend, it never went away.
Be careful, stay safe

鈥 Catherine DeLorey

If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.

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.

Note To Readers

Join an online conversation at noon ET today, Sept. 14, led by C茅line Gounder, physician-epidemiologist and host of 鈥淓radicating Smallpox,鈥 Season Two of the Epidemic podcast.

Summaries Of The News:

Covid-19

DeSantis Admin Advises Against New Covid Shots For Floridians Under 65

In contradiction of federal guidelines that recommend the new covid booster shots to all ages over 6 months, Florida Gov. Ron DeSantis and his surgeon general are telling their residents that only people 65 and older should get the updated vaccine.

Florida Gov. Ron DeSantis and the state鈥檚 top health department official are directly contradicting federal health recommendations and warning residents against getting a new COVID-19 booster, saying there鈥檚 not enough evidence it provides benefits that outweigh risks. DeSantis, who is running for president, and Florida Surgeon General Joseph Ladapo discussed the vaccine with doctors Wednesday on a Zoom call livestreamed on X, the platform formerly known as Twitter. It repeated much of what they said a week ago during a live event in Jacksonville, in which they warned against the vaccine that the U.S. Food and Drug Administration approved and the Centers for Disease Control and Prevention recommended this week. (9/13)

Gov. Ron DeSantis鈥 hand-picked surgeon general on Wednesday warned healthy adults under the age of 65 against taking a new Covid-19 booster, contradicting the Centers for Disease Control and Food and Drug Administration. Surgeon General Joseph Ladapo, speaking during a roundtable that DeSantis hosted, said that after three years of Covid, most healthy people don鈥檛 need to worry about getting infected from a virus that has killed more than 1 million people across the country. Ladapo is a well-known vaccine skeptic who has claimed some shots pose risks to healthy young men. (Sarkissian, 9/13)

More on anti-vaccine and anti-mask sentiment 鈥

As Americans fend off a late summer COVID-19 spike and prepare for a fresh vaccine rollout, Republicans are raising familiar fears that government-issued lockdowns and mask mandates are next. It鈥檚 been a favorite topic among some of the GOP鈥檚 top presidential contenders. Florida Gov. Ron DeSantis told reporters that people are 鈥渓urching toward鈥 COVID-19 restrictions and 鈥渢here needs to be pushback.鈥 South Carolina Sen. Tim Scott posted online that the 鈥渞adical Left鈥 seeks to bring back school closures and mandates. And former President Donald Trump urged congressional Republicans to stop the Biden administration from bringing back COVID-19 鈥渕andates, lockdowns or restrictions of any kind.鈥 (Swenson, 9/13)

Approximately 5,000 cases of rabies in animals are reported in the United States annually .... This disease continues to pose a risk to the health of animals and their human contacts. That鈥檚 why we were dismayed to see a recent national survey conducted by researchers at the Boston University School of Public Health and published in the journal Vaccine that suggested the existence of a surprising degree of vaccine hesitancy in dog owner populations. Over half of the surveyed pet owners displayed some level of hesitancy to vaccinate their dogs, including vaccines against rabies. (Mani and Weese, 9/13)

In other covid vaccine news 鈥

The latest, updated COVID-19 vaccines should soon be available to everyone and offered largely free of cost, according to the Centers for Disease Control and Prevention. (Benadjaoud and Haslett, 9/13)

Updated coronavirus vaccines are on the way 鈥 the latest weapon for fending off a wily foe that has relentlessly evolved and is causing an uptick in covid-19 cases and hospitalizations. The shots, designed to provide improved protection against omicron subvariants now circulating, are manufactured by Moderna and by Pfizer and its German partner, BioNTech. They were cleared Monday by the Food and Drug Administration and were recommended Tuesday by the Centers for Disease Control and Prevention and its advisers. (McGinley and Sun, 9/13)

The PBS NewsHour spoke with Dr. Payal Patel, an infectious disease physician at Intermountain Health in Utah, about what to know about the latest vaccine. (Santhanam and Kuhn, 9/13)

Mount Sinai has received a $13 million National Institutes of Health (NIH) grant to develop vaccines that can protect against many different types of coronaviruses. The 5-year grant was awarded to the Icahn School of Medicine. The award will fund the "Programming Long-lasting Immunity to Coronaviruses" (PLUTO) project led by Viviana Simon, MD, PhD of Mount Sinai, and Ali Ellebedy, PhD, of Washington University in St. Louis. (Soucheray, 9/13)

Moderna's new flu vaccine works well, company says 鈥

Moderna said Wednesday that its experimental mRNA-based seasonal flu vaccine generated a stronger immune response against four strains of the flu virus than a currently marketed vaccine in a Phase 3 study, paving the way for the company to discuss a path to approval with regulators. The experimental shot, dubbed mRNA-1010, was compared with a currently approved seasonal flu vaccine from GSK called Fluarix. The results are from an interim analysis and were disclosed in a company news release Wednesday morning. (Tirrell, 9/13)

Moderna CEO St茅phane Bancel said Wednesday that new positive data on the company鈥檚 influenza vaccine, and an aggressive plan to launch 15 products over the next five years, shows that his company will no longer be defined by the Covid-19 vaccines that made it a household name. 鈥淭his is not a Covid vaccine company,鈥 Bancel told Barron鈥檚 on Wednesday, as the company prepared to unveil a new five-year plan at a presentation on the company鈥檚 research pipeline. 鈥淭his is a true platform company with an incredible probability of technical success versus pharma.鈥 (Nathan-Kazis, 9/14)

Administration News

HHS And Regeneron Strike Deal That Limits Price On Anti-Covid Drug

Stat reports that the deal clause is the first time the Biden administration has directly used its leverage to challenge drugmakers鈥 list prices. Other drug pricing news relates to Medicare, insulin caps, and tuberculosis.

A groundbreaking clause in a new deal between the Department of Health and Human Services and the pharmaceutical company Regeneron marks the first time the Biden administration has directly used its leverage to challenge drugmakers鈥 list prices, experts told STAT. The contract between Regeneron and the government requires that the list price for a future monoclonal antibody drug to prevent Covid-19 is the same or lower in the United States as in other high-income countries. The release doesn鈥檛 explain which countries the government will be comparing prices with, or how pricing data will be determined. (Cohrs, 9/13)

More on drug prices 鈥

The legal challenges to President Biden's drug price negotiation law could be on a collision course with the 2024 election. Should the Medicare negotiation program survive its first courtroom showdown tomorrow, analysts say drug companies challenging the law could still have several chances to stop the program before next year's election 鈥 which could undercut Biden's ability to campaign on his victory over Big Pharma. (Owens, 9/14)

A proposal by a Bay Area lawmaker that would cap the cost of insulin to $35 is heading to Gov. Gavin Newsom's desk after being unanimously approved by state legislators. Senate Bill 90 by State Sen. Scott Wiener (D-San Francisco) passed the Assembly with a 63-0 vote and the State Senate on a 39-0 vote. The measure would ban co-pays over $35 for a 30-day supply of insulin and prohibit health plans from imposing a deductible on insulin prescriptions. (9/13)

John Green, a novelist and high-profile YouTuber, is once again leveraging his star power in the global fight to end tuberculosis. His latest target? The diagnostics company Cepheid and the price of its tuberculosis test, GeneXpert. (Lawrence and Silverman, 9/14)

On the high cost of health care 鈥

Colonoscopies can cost up to nearly 60% more when performed in a hospital compared to an ambulatory surgery center, according to a new analysis from a Blue Cross Blue Shield Association subsidiary. The report draws on claims data for 133 million Blues members from 2017 through 2022 and underscores insurers' arguments for site-neutral policies that pay the same for some services, regardless of the setting. (Reed, 9/14)

麻豆女优 Health News: As More Patients Email Doctors, Health Systems Start Charging Fees聽

Meg Bakewell, who has cancer and cancer-related heart disease, sometimes emails her primary care physician, oncologist, and cardiologist asking them for medical advice when she experiences urgent symptoms such as pain or shortness of breath. But she was a little surprised when, for the first time, she got a bill 鈥 a $13 copay 鈥 for an emailed consultation she had with her primary care doctor at University of Michigan Health. The health system had begun charging in 2020 for 鈥渆-visits鈥 through its MyChart portal. Even though her out-of-pocket cost on the $37 charge was small, now she鈥檚 worried about how much she鈥檒l have to pay for future e-visits, which help her decide whether she needs to see one of her doctors in person. Her standard copay for an office visit is $25. (Meyer, 9/14)

On cancer drug prices and shortages 鈥

A nonprofit formed by hospitals to deal with drug shortages is considering a move into chemotherapies. Frustrated by drug shortages and the price spikes that typically ensue, executives from large hospital systems launched the nonprofit Civica Rx to deal with the problem in September 2018. Months later, the publicly traded group purchasing organization Premier created a subsidiary, ProvideGx, with the same aim. (Wilkerson, 9/14)

The next chapter of President Biden鈥檚 moonshot to end cancer has landed. While the new goals are inspiring hope among cancer researchers, not everyone is impressed. (Owermohle and Chen, 9/13)

Possible Government Shutdown Would Be Big Hit To Health Care System

The looming chance of a government shutdown highlights risks of putting "large swathes of the healthcare system into limbo," Modern Healthcare reports. Issues as diverse as DSH payments, HIV prevention, medical education, and more may impacted by the political imbroglio.

With all eyes on a possible government shutdown at the end of the month, Congress is also on the brink of plunging large swathes of the healthcare system into limbo. Numerous pieces of legislation meant to fund or reauthorize a slew of major programs affecting hospitals, federally qualified health centers, medical education programs, opioid and HIV/AIDS treatment programs and even pandemic preparedness expire on Sept. 30. (McAuliff, 9/13)

Tensions between pharmacists and telehealth companies are surfacing as the two groups attempt to sway federal regulators on the issue of virtual prescriptions. During public listening sessions Tuesday and Wednesday, telehealth companies whose business strategies depend on the remote prescribing of medications were broadly supportive of making permanent current flexibilities allowed by the Drug Enforcement Agency. The majority of pharmacy stakeholders expressed skepticism. (Turner, 9/13)

In other government news 鈥

Deborah L. Birx, the doctor and public health expert who served as the White House coronavirus response coordinator during the peak of the pandemic, is joining the Texas Tech University Health Sciences Center in Lubbock. Birx will serve as the center鈥檚 presidential adviser and an adjunct professor at the Julia Jones Matthews School of Population and Public Health, the university announced Wednesday. (Carver, 9/13)

From Capitol Hill 鈥

Amid concerns over monopolies held by drugmakers, a bipartisan group of lawmakers introduced a bill that would require the companies to certify they have provided the same information to different federal government agencies when seeking marketing approval and patent protection. (Silverman, 9/13)

Disability advocates protest benefit rules 鈥

Many people with disabilities in the United States face a heart-wrenching choice:聽marry their partner and risk losing their life-sustaining disability benefits, or remain unmarried 鈥斅燼nd perhaps have to keep their relationship a secret 鈥斅爐o keep their benefits. (Luterman, 9/13)

After Roe V. Wade

Fear Of Getting Pregnant Post-Roe Makes Some Plan To Forgo Kids

The end of Roe v. Wade is having a "chilling effect on pregnancy," with a new survey showing how poor or unavailable medical care is dramatically impacting people's life choices. Other reproductive health news is on Planned Parenthood layoffs, Republican plans to fund so-called "crisis pregnancy centers," and more.

The end of Roe v. Wade in June 2022 has had a profound effect on maternal healthcare and abortion access across the country. Fourteen states have now completely banned abortion and two dozen more have bans at 22 weeks or less. As a result, an already grim maternal health care landscape has worsened. New data reveals an unexpected consequence of these developments: Young women, even those in states where abortion remains legal, say they are foregoing having children because they are afraid to get pregnant because of changes that followed the Dobbs decision that ended Roe. (Leader, 9/13)

As news of a restructure and layoffs spread at Planned Parenthood Federation of America earlier this year, the tension and uncertainty was palpable throughout the organization. Less than two weeks before the anniversary of the Supreme Court鈥檚 repeal of a landmark abortion rights law, more than 100 employees on Planned Parenthood鈥檚 national staff received notice they would lose their jobs, even after a year in which they saw donations rise in response to the decision. The reason for the cuts, leadership explained, was to funnel more 鈥渄irect investment鈥 to its 49 affiliates, the constellation of Planned Parenthood-accredited clinics that do on-the-ground work, including providing abortions. They assured them it wasn鈥檛 financial issues, but a focus shift to better serve those on the front lines in the fight for abortion access. (Villa de Petrzelka, 9/14)

Abortion news from Capitol Hill and the campaign trail 鈥

House GOP leaders have abandoned efforts to pass an agriculture funding bill amid an intraparty row over abortion policy. Now, Speaker Kevin McCarthy is left without critical leverage as the Democratic-majority Senate advances its own plans and Congress hurtles toward a federal shutdown Oct. 1. House GOP leaders had hoped that inserting abortion policy into every major piece of their government spending plans would help win over conservative members and placate influential outside groups agitating for more aggressive action on the issue. But so far, the move has helped to seal the demise of what is usually among the easiest appropriations bills for Congress to pass, drawing fierce and rare pushback from more than a dozen moderate Republicans. (Hill and Ollstein, 9/13)

GOP state lawmakers have passed millions in new funding for crisis pregnancy centers, which aim to dissuade women from having abortions. (Kindy, 9/14)

The Pentagon won鈥檛 yield to demands from Senator Tommy Tuberville to scrap its travel policy for service members seeking an abortion in exchange for lifting his blockade on more than 300 military promotions, Defense Department spokeswoman Sabrina Singh said Wednesday. 鈥淲e are not changing our policy,鈥 Singh said on Bloomberg Television鈥檚 鈥淏alance of Power.鈥 (Tiron, 9/13)

Florida Gov. Ron DeSantis (R) said Wednesday that he does not support criminalizing abortion in his state. 鈥淲e have no criminal penalty,鈥 he said in a CBS News interview. 鈥淭he penalties are for the physician.鈥 Florida鈥檚 six-week abortion ban is not in effect, pending a lawsuit, but would enable the state to pursue felony charges against 鈥渁ny person who willfully performs or actively participates in a termination of pregnancy,鈥 it reads. (Robertson, 9/13)

Also 鈥

As the Court explained in Saenz v. Roe (1999), the right to travel has 鈥渢hree different components鈥 鈥 the right of citizens to 鈥渆nter and to leave another State,鈥 the right to be treated 鈥渁s a welcome visitor鈥 when visiting another state, and the right to be treated the same way as established residents of a state after moving to that state. Each of these rights flows from a different provision of the Constitution. Of those three components, the right to travel out of state to obtain an abortion flows from the right to citizens to 鈥渆nter and leave another State,鈥 and the Court indicated in Edwards v. California (1941) that this right is rooted in a doctrine known as the dormant commerce clause. (Millhiser, 9/12)

The pain surged throughout her lower body. Navy chaplain Mercedes Petitfrere, 20 weeks pregnant with her first child, rushed to the emergency room at her military hospital in Jacksonville, N.C. Her abdomen throbbed. She could hardly walk. It hurt to pee. A midwife at Naval Medical Center Camp Lejeune attributed her pain to fibroids. But Petitfrere 鈥 a 35-year-old Black lieutenant whose pregnancy was considered high-risk because of her age 鈥 explained that she鈥檇 had the benign growths in her uterus for a long time, and that they had never caused any pain. (Shapira, 9/14)

麻豆女优 Health News and WBEZ Chicago: Abortion Bans Fuel A Rise In High-Risk Patients Heading To Illinois Hospitals聽

When she was around 22 weeks pregnant, the patient found out that the son she was carrying didn鈥檛 have kidneys and his lungs wouldn鈥檛 develop. If he survived the birth, he would struggle to breathe and die within hours. The patient had a crushing decision to make: continue the pregnancy 鈥 which could be a risk to her health and her ability to have children in the future 鈥 or have an abortion. (Schorsch, 9/14)

Public Health

Fentanyl-Stimulant Mix Leading To New Phase In Overdose Crisis

The proportion of overdoses linked to a mix of fentanyl and a stimulant has risen over fiftyfold from 2010 to 2021, NBC News reports, driving a "fourth wave" of the overdose epidemic. Axios, meanwhile, covers dramatic regional differences in the illicit use of xylazine mixed with fentanyl.

The proportion of overdoses involving fentanyl and a stimulant 鈥 most commonly cocaine and methamphetamine 鈥 increased more than fiftyfold from 2010 to 2021, a study published Thursday in the journal Addiction found. 鈥淭he roots really did start with overprescribing prescription opioids, but now it is really characterized by stimulants and fentanyl,鈥 said Chelsea Shover, an assistant professor-in-residence at the David Geffen School of Medicine at UCLA, who co-authored the study. (Sullivan, 9/14)

There are stark regional differences in the use of xylazine, a powerful veterinary sedative increasingly mixed with illicit fentanyl that can cause skin-rotting wounds, according to a new report from the drug testing lab Millennium Health. (Millman, 9/14)

On the health effects of climate change 鈥

The American Red Cross has declared a national blood shortage in the wake of a record catastrophic year for weather and climate disasters across the country. The nonprofit organization announced on its website Monday that the national blood supply has fallen nearly 25% since early August, and the shortage is fueled by a sequence of natural disasters. Hurricane Idalia, which two weeks ago slammed through Florida, Georgia, and the Carolinas, caused more than 700 units of blood and platelets to go uncollected, the Red Cross said. (Arshad, 9/13)

From dangerously warm temperatures to vast species extinctions, humans are living on a planet that is becoming inhospitable 鈥 with only three key health markers considered safe, according to a new scientific study. Researchers have run a full fitness examination on Earth by analyzing nine boundaries that define a safe operating space for humanity. Six out of these have been crossed so far and pressure on all of them is increasing, according to a research paper published Wednesday in the journal Science Advances. (Millan, 9/13)

More health and wellness news 鈥

A person鈥檚 sense of purpose declines leading up to and following a diagnosis of dementia or cognitive decline, according to a new study. 鈥淧urpose in life is the feeling that one鈥檚 life is goal-oriented and has direction. It is an important component of well-being,鈥 said Dr. Angelina Sutin, lead author of the study published Wednesday in the journal JAMA Network Open. (Holcombe, 9/13)

For 40 years, researchers have unsuccessfully tried to explain 鈥 or debunk 鈥 the 鈥淗ispanic Paradox,鈥 the finding that Hispanic Americans live several years longer than white Americans on average, despite having far less income and health care and higher rates of diabetes and obesity. Now, armed with more comprehensive data, powerful genomic tools, and a rich cultural awareness of the communities they study, a new generation of scientists is finally making headway. (McFarling, 9/14)

A smaller share of Gen Z is thriving compared to millennials at the same age, and members of Gen Z are far less likely to describe their mental health as 鈥渆xcellent,鈥 according to a new study. (Shoichet, 9/14)

鈥淭his type of work cannot just be exclusively publicly funded,鈥 said Dr. Rita Singhal, the department鈥檚 chief medical officer and director of the disease control bureau. 鈥淭he more revenue for this effort, the better.鈥 In the past, the department said it spent between $1.1 million and $2.3 million annually on testing for STDs. ... 鈥淚f you鈥檙e trying to control a disease that鈥檚 spiking, you have to take away any deterrents, any obstacles鈥 to routine screening, said Michael Weinstein, president of the AIDS Healthcare Foundation. (Alpert Reyes, 9/13)

Cleaning products you may be using in your home 鈥 even the "green" options 鈥 could impact your health, according to new research from a nonprofit advocacy organization. In a peer-reviewed study by the Environmental Working Group that was published in the journal聽Chemosphere, scientists found everyday products may release hundreds of volatile organic compounds, or VOCs. (Moniuszko, 9/13)

State Watch

Rubio Bill Targets 'Gender Ideology' In Hospitals, Agencies Across The States

Florida Republican Sen. Marco Rubio, 52, finds modern ideas about gender identity so "deeply disturbing" that he worries they've begun to "infiltrate" the U.S. health care system. His new bill would ban government agencies and hospitals with federal funding from enforcing "radical gender ideology."

Florida Republican Sen. Marco Rubio introduced legislation Wednesday that would ban government agencies and federally funded hospitals from forcing employees to partake in programs that "promote radical gender ideology." "It is deeply disturbing to see the progressive left infiltrate the American healthcare system and compromise the quality of patient care in the process. I am introducing the Protecting Conscience in Healthcare Act to stop this harmful, radical gender ideology in American hospitals and healthcare facilities," Rubio said in comment on the legislation, which was exclusively obtained by Fox News Digital.聽(Colton, 9/13)

A federal appeals court on Wednesday wrestled with whether to revive a lawsuit by two parents challenging a Massachusetts鈥 school district policy to not disclose students鈥 gender identities expressed at school to their families without their consent. The parents' lawyer told the Boston-based 1st U.S. Circuit Court of Appeals that staff at a school in Ludlow, Massachusetts, withheld from them that their two children had begun using different names or pronouns during class hours, in violation of the parents' constitutional rights to direct the care of their children. (Raymond, 9/13)

On the gun violence epidemic 鈥

A federal judge on Wednesday temporarily blocked a ban on carrying guns in New Mexico's largest city after the order by Governor Michelle Lujan Grisham threw the state into the center of the U.S. gun-rights debate. U.S. District Court Judge David Urias said the governor's 30-day suspension of concealed and open firearm carry rights in Albuquerque and its surrounding county went against a landmark U.S. Supreme Court ruling that people had a right to carry a gun outside their homes for self defense. (Hay, 9/13)

U.S. Rep. Veronica Escobar, D-El Paso, led a group of lawmakers in introducing a bill Wednesday that would bar those convicted of violent misdemeanor hate crimes from obtaining guns. The bill, dubbed the Disarm Hate Act, comes four years after a gunman shot and killed 23 people in an El Paso Walmart in Escobar鈥檚 district. (Choi, 9/13)

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

The U.S. Department of Health and Human Services (HHS) on Wednesday declared a public health emergency (PHE) for the state of Georgia to deal with the ramifications of Hurricane Idalia. ... With the PHE declaration, healthcare providers and suppliers will have greater flexibility in meeting emergency needs of people covered by the Medicare and Medicaid health plans, the HHS said. (9/13)

The Maryland Department of Health reported that an adult living in the Eastern Shore region has tested positive for West Nile virus, the first confirmed human case of the virus in the state this year.聽The patient is recovering from the infection, according to health officials. West Nile is transmitted to humans through mosquitoes infected by feeding on birds that have the virus," the health department said. (9/13)

California employers will be required to provide workers with five days of paid sick leave under legislation passed by the state Legislature on Wednesday, up from the current three-day requirement. While similar attempts to expand paid sick leave have stalled in the past, politically powerful unions are banking on workplace lessons learned from the COVID-19 pandemic to be enough to get Gov. Gavin Newsom to sign the bill this time around. (Mays, 9/13)

"Throughout the country, what we're seeing is a tremendous rise in need for mental health services, people wanting to access care, but really getting stuck at the point where they don't know how to access care," said Dr. Harsh Trivedi, Sheppard Pratt's president and CEO. He says Sheppard Pratt's urgent care for mental health opened in 2011 in response to long emergency department wait times in Maryland, ranked as the worst in the county. (Brand and Moniuszko, 9/13)

Mobile crisis teams have been around for decades in places like Oregon, Arizona, and Georgia. ... In March 2022, the White House included them as a key pillar of its mental health Unity Agenda, investing almost $1 billion into community-based services that include mobile crisis response. ... Across the country, some teams say they are strapped for resources, leading them to operate at reduced hours and only in limited geographies. As a result, in many places, police are still responding to most mental health crises. (Cahan, 9/14)

Louisianans have already made more than 26,000 calls to 988, the Suicide and Crisis Lifeline that launched last summer, and a new grant-funded campaign aims to ensure all Louisianans who need it are picking up the phone. (Brasted, 9/13)

Health Industry

Rollout Of Electronic Health Records At VA Won't Restart Until Next Summer

Problems beset the rollout over "patient health and safety and frustration among users," Military.com explains. But it's now going to take longer than expected to restart the process. Also: NBC News reports on a survey showing how common anti-Asian racism is in medicine; plus pharmaceutical industry news.

The Department of Veterans Affairs said Wednesday it may resume agency-wide adoption of its new electronic health records system next summer, after it was placed on hold in April due to problems involving patient health and safety and frustration among users. VA officials told members of Congress that introduction of the Oracle Cerner system across 166 additional hospitals could resume in 2024 if the department makes progress on several goals, including a successful rollout in March at the Captain James A. Lovell Federal Health Care Center in Illinois. (Kime, 9/13)

In other health industry news 鈥

Throughout his career in medicine, David Yang, 32, says he鈥檚 acutely felt the impacts of his race. A Chinese American emergency medicine fellow at the Yale School of Medicine, Yang said he鈥檚 had slurs hurled at him by patients, faced racist comments tying him to Covid, and has been confused with his Asian colleagues. He knew there were others who shared his experience, but he said meaningful research on the subject of anti-Asian racism in the medical field just didn鈥檛 exist. So he put forth his own study, and surveyed two dozen medical students.聽(Venkatraman, 9/13)

HSHS hospitals, which operates St. Elizabeth鈥檚 Hospital in O鈥橣allon, Illinois and other locations in south central Illinois, is bringing its technology back online after an attack from cyber criminals resulted in a system-wide outage across its entire network, which also has hospitals in Iowa and Wisconsin. (Fentem, 9/14)

Orlando Health is employing more virtual services to better allocate nursing resources, such as a virtual nursing program starting Tuesday. The pilot program was launched to assist nurses on the floor by gathering information on family and medication history and providing an extra set of eyes. AdventHealth of Central Florida began using a similar virtual nursing program last year. (Pedersen, 9/13)

As the World Health Organization raised questions this summer about the risks of a popular artificial sweetener, a new hashtag began spreading on the social media accounts of health professionals: #safetyofaspartame. Steph Grasso, a registered dietitian from Oakton, Va., used the hashtag and told her 2.2 million followers on TikTok that the WHO warnings about artificial sweeteners were 鈥渃lickbait鈥 based on 鈥渓ow-quality science.鈥 (O'Connor, Gilbert and Chavkin, 9/13)

In pharmaceutical industry news 鈥

A group of advisers to the Food and Drug Administration voted in favor of Alnylam Pharmaceuticals鈥 treatment for a debilitating heart disease Wednesday, but only after a day-long debate challenging whether the drug鈥檚 modest observed effects were actually meaningful for patients. (Garde, 9/13)

Alex Gorsky, the former CEO and chairman of pharmaceutical giant Johnson & Johnson, was named lead director of Neurotech Pharmaceuticals Inc. on Wednesday. ... The Cumberland-based clinical stage biotech company was founded in 2001, and has been focused on developing therapies and implantable devices for chronic eye diseases. The company remains privately held and has less than 50 employees. (Gagosz, 9/13)

Akili Interactive, which in 2020 made waves by receiving Food and Drug Administration clearance for its video game that improves symptoms of ADHD in children, on Wednesday announced it would reorient its business around selling its products directly to users over the counter, rather than by prescription. (Aguilar, 9/13)

Akili will slash its workforce and stop offering products that require prescriptions, the digital therapeutics vendor announced Wednesday. The company is eliminating 45 jobs, which amounts to 40% of its headcount. Most of those positions are linked to prescription-based offerings, Akili said in a news release. The company laid off 46 employees in January. Akili is moving away from prescription products to reduce its reliance on health insurance coverage, improve patient access and boost profit margins, the company said in the news release. (Perna, 9/13)

Outbreaks and Health Threats

After 2 Deaths, A Desperate Effort In India To Stop Outbreak Of Nipah Virus

Nipah virus is a "rare and often deadly disease," CNN notes, and India Today reports it can be transmitted from animals to humans. Reuters explains how experts have spread out across the southern state of Kerala to collect samples from bats and fruit trees in an effort to track the virus.

A state in southern India is taking measures to contain an outbreak of the Nipah virus after two people died from the rare and often deadly disease, shutting schools and testing hundreds to prevent its spread. (Mogul, 9/14)

Experts have fanned out in India's southern state of Kerala to collect samples of fluid from bats and fruit trees in a region where the deadly Nipah virus has killed two people and three more have tested positive. The state is battling its fourth outbreak since 2018 of a virus for which there is no vaccine, and which spreads through contact with the body fluids of infected bats, pigs or people, killing up to 75% of those infected. (Jain, 9/14)

Nipah Virus is defined as a zoonotic illness, transmitted from animals to humans, and can also be spread through contaminated food or direct person-to-person contact. Here is all you need to know about the disease. (9/13)

Health Policy Research

Research Roundup: Alzheimer's; Cancer; Covid; Gain Of Function

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

New data gives more evidence to the possibility that developing a pathobiome in the brain could cause some forms of Alzheimer's and related dementias. (Drexel University, 9/13)

Race, COVID-19 infections, and chronic disease contributed to higher COVID-related hospitalization rates for Black patients compared to white patients, according to new research from scientists at Louisiana State University (LSU) Health, New Orleans, School of Public Health published in the Journal of the National Cancer Institute. This is the first study to quantify the effect of chronic diseases on racial disparity in COVID-associated hospitalizations. (Soucheray, 9/13)

Today in Infection Control & Hospital Epidemiology, findings from a 2021 survey of infection preventionists at 900 US hospitals suggest that strong hospital leadership support led to lower levels of COVID-19 pandemic鈥搑elated burnout鈥攁lthough half reported burnout鈥攁nd greater psychological safety. (Van Beusekom, 9/13)

The American Society of Microbiology (AMS) today released consensus recommendations on gain-of-function research into infectious agents with pandemic potential. The recommendations include internationally accepted definitions of terminology, greater transparency with the public, and stronger biorisk-management systems and oversight. The recommendations were based on a workshop of top scientists who reviewed the benefits and risks of gain-of-function research of concern (GOFROC) in May 2023. (Van Beusekom, 9/13)

Editorials And Opinions

Viewpoints: One Opioid Treatment Not As Safe As Previously Thought; Doctors Are Not OK

Editorial writers delve into a opioid misuse treatment, doctors' mental health, "medical assistance in dying," and more.

Vivitrol, a monthly injection of long-acting naltrexone, is the opioid treatment preferred by the criminal prosecution system, including jails, prisons, probation officers and drug courts. This is in part because it is not a controlled substance, unlike the other two medications, and in part because the drug鈥檚 maker, Alkermes, has heavily promoted it to those markets by claiming it is as safe as the other medications and easier to administer since it doesn鈥檛 have to be taken daily. (Maia Szalavitz, 9/13)

In the realm of healing, physicians are the unsung heroes. Yet, behind the white coats and stethoscopes, there is a pressing concern that demands the greater society鈥檚 attention: the wellness of our healers themselves. (Ed Cappaelli, 9/13)

Rebranded 鈥渕edical assistance in dying" 鈥 鈥淢AiD鈥 鈥 euthanasia in Canada has gone from illegal to commonplace in less than a decade. Since 2016, doctors have administered some 30,000 lethal injections 鈥 one-third of them in 2021 alone 鈥 at the request of eligible patients. The 2021 number, 10,029, was up 34.7 percent from 7,446 in 2020, and represented 3.3 percent of all deaths. (Charles Lane, 9/13)

The rapid rise of artificial intelligence creates as much risk to the delivery of healthcare as it does opportunity. One of the most significant risks is that if we don鈥檛 develop and deploy AI tools carefully, they could widen existing disparities in care rather than enhance the industry鈥檚 efforts to improve health equity. (Dr. Rebecca Grochow Mishuris, 9/12)

Currently, more than 10,000 Texans are waiting for a lifesaving organ transplant, with people of color representing nearly 70% of that need, according to Donate Life Texas. Yet, data shows these same communities are less likely to register as donors. As a Black woman in Texas, this isn鈥檛 just a data point, it鈥檚 my life. (Nichole Jefferson, 9/13)

Different Takes: Could Women In US Be Tested For Abortion Meds?; Time To Look At Long Covid Differently

Opinion writers discuss abortion rights and covid.

Nearly three years ago, Poland鈥檚 Constitutional Tribunal effectively ended legal abortion in the country. Since then, the Polish government has vigorously repressed the nation鈥檚 reproductive rights movement and ramped up surveillance of women who are suspected of terminating their pregnancies. (Patrick Adams, 9/14)

Does truth matter to Kansas鈥 antiabortion conservatives? The question pops up 鈥 once again 鈥 because State Treasurer Steven Johnson last week announced that a newly-formed nonprofit group, the Kansas Pregnancy Care Network, was being picked to run the state鈥檚 new $2 million 鈥淎lternatives to Abortion鈥 program. KPCN was chosen over two other out-of-state bidders that met eligibility requirements. (Joel Mathis, 9/14)

Long Covid goes by聽many names. Today, it is no longer a new public health enigma, but the聽outlook for sufferers is no better than when the condition was first recognized in early 2020. Although its prevalence has recently decreased to 6% of the U.S. adult population, there has been no significant progress in understanding its causes, prevention, or treatment. Long Covid still looms as the national health disaster many predicted.聽(Steven Phillips and Michelle A. Williams, 9/14)

As a doctor, a mother and the head of the C.D.C., I would not recommend anything to others that I wouldn鈥檛 recommend for my own family. My 9- and 11-year-old daughters, my husband, my parents and I will all be rolling up our sleeves to get our updated Covid-19 vaccines along with our flu shots soon. I hope you and the people you care about will do the same. (CDC Director Mandy K. Cohen, 9/13)

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