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Morning Briefing

Summaries of health policy coverage from major news organizations

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Thursday, Sep 5 2024

麻豆女优 Health News Original Stories 3

  • Errors in Deloitte-Run Medicaid Systems Can Cost Millions and Take Years To Fix
  • Patients Suffer When Indian Health Service Doesn鈥檛 Pay for Outside Care
  • Boom, Now Bust: Budget Cuts and Layoffs Take Hold in Public Health
  • Political Cartoon: 'Unfit as a Fiddle?'

Note To Readers

Public Health 1

  • 18 Million US Households Dealt With Hunger In 2023, Continuing A Trend

Gun Violence 1

  • Mass Shooters Don't 'Just Snap': Past Behavior Is Key To Curbing Epidemic, Experts Say

Covid-19 1

  • Controversial Study Suggests Vaccines Don't Lower Long Covid Risk

Outbreaks and Health Threats 1

  • Animals Farmed For Fur In China Test Positive For Myriad Concerning Viruses

Elections 1

  • Months Before Election, We Don't Have A Clue About Candidates' Health

Reproductive Health 1

  • States With Restrictive Abortion Bans Offer Least Help To Most Vulnerable

Health Industry 1

  • Steward Health Care CEO Won't Answer Senate Subpoena

Pharmaceuticals 1

  • Post-Bankruptcy Rite Aid Will Function As A Private Company

Opioid Crisis 1

  • Fentanyl Vaccine Set For Clinical Trials Starting In Mid-2025

State Watch 1

  • Emergency Responders Burning Out Across The US As Climate Changes

Health Policy Research 1

  • Research Roundup: Allergies; PFAS; Wetland Virus; Migraines

Editorials And Opinions 1

  • Viewpoints: Watch Out For Mosquitoes Carrying EEE; Vaccine Against Fentanyl Offers Hope

From 麻豆女优 Health News - Latest Stories:

麻豆女优 Health News Original Stories

Errors in Deloitte-Run Medicaid Systems Can Cost Millions and Take Years To Fix

As states wait for Deloitte to make fixes in computer systems, Medicaid beneficiaries risk losing access to health care and food. ( Samantha Liss and Rachana Pradhan , 9/5 )

Patients Suffer When Indian Health Service Doesn鈥檛 Pay for Outside Care

The Indian Health Service has a program that can pay for outside appointments when patients need care not offered at agency-funded sites. Critics say money shortages, complex rules, and administrative fumbles often block access, however. ( Arielle Zionts and Katheryn Houghton , 9/5 )

Boom, Now Bust: Budget Cuts and Layoffs Take Hold in Public Health

State leaders are cutting public health spending and laying off workers hired during a pandemic-era grant boom. Public health officials say the bust will erode important advancements in the public health safety net, particularly in rural areas. ( Jazmin Orozco Rodriguez , 9/5 )

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Political Cartoon: 'Unfit as a Fiddle?'

麻豆女优 Health News provides a fresh take on health policy developments with "Political Cartoon: 'Unfit as a Fiddle?'" by Scott Hilburn.

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Note To Readers

颅颅麻豆女优 Health News will host a full day of panels at the 2024 Texas Tribune Festival in Austin, Texas, on Friday, Sept. 6. Drop by for discussions about health care policy, a live taping of our 鈥淲hat the Health?鈥 podcast, and more. Check out the program and .

Summaries Of The News:

Public Health

18 Million US Households Dealt With Hunger In 2023, Continuing A Trend

Department of Agriculture report shows hunger in the U.S. to be at the highest it's been in nearly a decade. SNAP and WIC are also in the news.

Hunger reached its highest point in the United States in nearly a decade last year, with 18 million households, or 13.5%, struggling at some point to secure enough food, a Department of Agriculture report released on Wednesday said. Hunger has been on the rise in the country since 2021, after years of decline. U.S. Census Bureau data last year showed a rise in food insecurity after the end of programs that expanded food aid during the Covid-19 pandemic. The report did not provide an explanation for the increase. (Douglas, 9/4)

Millions of Americans are increasingly experiencing hunger because they live in households that can't afford to sustain proper diets, and a Newsweek map shows where food insecurity is hitting hardest. (Higham, 9/5)

In news about SNAP benefits 鈥

The deadline to replace Supplemental Nutrition Assistance Program (SNAP) for recipients whose benefits were electronically stolen or skimmed is fast approaching. A September 30, 2024, deadline looms for those who had their benefits stolen between October 1, 2022, and September 30, 2024, to replace their lost benefits. This comes after Congress passed a law in December 2022, hoping to reduce SNAP benefit theft. (Joyce, 9/4)

The Supplemental Nutrition Assistance Program, or SNAP program, has been a major talking point when it comes to negotiating the new Farm Bill.聽Republicans on the House Committee on Agriculture passed a version of the farm bill that would effectively cut nearly $30 billion in benefits over the next decade. (Bessler, 9/3)

Criticizing the USDA as 鈥渁 major welfare agency,鈥 the agenda takes issue with the agency鈥檚 long-standing nutrition programs that help feed millions of low-income Americans every year, including pregnant women, infants, and K-12 school children. It outlines policies that would substantially cut the Supplemental Nutrition Assistance Program (SNAP), formerly known as food stamps, and the Supplemental Nutrition Program for Women, Infants, and Children (WIC). It would also shrink federal support for universal school meal programs. (Moran, 8/28)

With the state now home to the seventh highest share of resident using Supplemental Nutrition Assistance Program (SNAP) benefits, Illinois state Rep. La Shawn Ford is urging lawmakers to do more to aid the growing number of individuals now struggling to survive. (Talamonti, 9/4)

Gun Violence

Mass Shooters Don't 'Just Snap': Past Behavior Is Key To Curbing Epidemic, Experts Say

A 14-year-old is accused of shooting and killing four people Wednesday at a high school outside of Atlanta. Vox explains how the vast majority of shooters don鈥檛 spontaneously decide to commit mass violence; many of them have suffered from some type of abuse, and most are suicidal.

鈥淥ne of the big stereotypes, or myths we have about mass shootings in general, is that perpetrators who do this go crazy and just snap,鈥 says Mark Follman, author of the book Trigger Points: Inside the Mission to Stop Mass Shootings in America, and an editor at Mother Jones. 鈥淭hat鈥檚 not the reality at all of how this works.鈥 Mass shootings are almost never random, according to Follman. The vast majority of mass shooters don鈥檛 spontaneously decide to pull out a gun in public and start shooting. Learning to identify who鈥檚 most at risk for committing mass violence, identifying warning signs and finding ways to intervene, can save lives. (Cogan, 9/4)

More than a year ago, tips about online posts threatening a school shooting led Georgia police to interview a 13-year-old boy, but investigators didn鈥檛 have enough evidence for an arrest. On Wednesday, that boy opened fire at his high school outside Atlanta and killed four people and wounded nine, officials said. ... The sheriff鈥檚 office interviewed the then-13-year-old and his father, who said there were hunting guns in the house but the teen did not have unsupervised access to them. The teen also denied making any online threats. The sheriff鈥檚 office alerted local schools for continued monitoring of the teen, but there was no probable cause for arrest or additional action, the FBI said. (Amy, 9/5)

It was the country鈥檚 30th mass killing this year, according to a database maintained by The Associated Press and USA Today in partnership with Northeastern University. At least 131 people have died this year in those killings, which are defined as incidents in which four or more people die within a 24-hour period, not including the killer 鈥 the same definition used by the FBI. Last year ended with 217 deaths from 42 mass killings in the U.S., making 2023 one of the deadliest years on record. (9/4)

In 72 cases out of a total of 150 reported mass shootings in the United States since 1982, the shooter(s) displayed prior signs of mental health problems. In 17 cases out of 150, there were no signs of mental health issues in the shooters. (9/5)

Also 鈥

The closest thing to a possible motive in the King Soopers shooting revealed so far was when a mental health evaluator testified during a competency hearing last year that Ahmad Al Aliwi Alissa said he bought firearms to carry out a mass shooting and suggested that he wanted police to kill him. Alissa is charged with 10 counts of first-degree murder, 15 counts of attempted murder and other offenses, including having six high-capacity ammunition magazine devices banned in Colorado after previous mass shootings. (Slevin, 9/3)

Covid-19

Controversial Study Suggests Vaccines Don't Lower Long Covid Risk

A new study from the Mayo Clinic says that long covid rates are similar between vaccinated and unvaccinated people, running against conventional wisdom. Critics say the study may be skewed by its sample size. Separately, wearable fitness trackers show promise in spotting covid infections early.

A new study from researchers at the Mayo Clinic suggests that being vaccinated against COVID-19 does little to prevent long COVID. The findings contradict what has become conventional wisdom in the last 3 years鈥攖hat vaccines offer a chance to significantly reduce the risk of long COVID, or new or persistent symptoms 3 months or more after infection, most likely by reducing the severity of infection.聽(Soucheray, 9/4)

A new study from researchers at the University of South Australia reveals that wearable activity trackers, such as Apple Watches and Fitbits, show promise in detecting early signals of disease鈥攑articularly atrial fibrillation associated with stroke and COVID-19. The study is published in the journal JMIR mHealth and uHealth. ... For COVID-19 diagnosis, wearables were accurate 87.5% of the time. The authors said the wearables were as accurate as rapid antigen tests, or lateral flow devices. (Soucheray, 9/4)

The COVID-19 pandemic caused more women to suffer serious health issues during their pregnancies than previously known, according to a new study. 聽... The study, published Wednesday in the journal Epidemiology, shows a connection between the pandemic and an increase in rates of gestational diabetes, hypertensive disorders and gestational weight gain among pregnant women. (O'Connell-Domenech, 9/4)

麻豆女优 Health News: Boom, Now Bust: Budget Cuts And Layoffs Take Hold In Public Health

Even as federal aid poured into state budgets in response to the covid-19 pandemic, public health leaders warned of a boom-and-bust funding cycle on the horizon as the emergency ended and federal grants sunsetted. Now, that drought has become reality and state governments are slashing budgets that feed local health departments. Congress allotted more than $800 billion to support states鈥 covid responses, fueling a surge in the public health workforce nationwide. (Orozco Rodriguez, 9/5)

On the spread of covid and flu 鈥

Infectious disease experts say many people are not taking the latest Covid-19 wave in the US seriously enough and are not getting vaccinated or using antiviral drugs when sick, despite a summer wave that was larger and came earlier than anticipated. Epidemiologists are saying that while symptoms of this wave are more mild than earlier strains, the virus remains a threat 鈥 particularly for older adults and people with underlying health conditions. (Berger, 9/4)

According to the CDC鈥檚 latest data, levels of SARS-CoV-2 in wastewater are 鈥渧ery high鈥 in every region of the country; national levels have been 鈥渧ery high鈥 for about a month. Test positivity is higher now than it was during the most recent winter surge: Many people who seem like they might have COVID and who are curious or sick enough to get a test that鈥檚 recorded in these official statistics are turning out to, indeed, have COVID. COVID-19 remains deadlier than the flu, and has the potential to cause debilitating symptoms that can last for years. (Gutman-Wei, 9/4)

Flu shot season is upon us. Pharmacies began giving out the vaccines 鈥 which are recommended for everyone ages 6 months and older 鈥 last month. The Centers for Disease Control and Prevention recommends getting a flu shot either this month or next, since flu activity typically picks up in the fall, with cases reaching their peak sometime from December to February.聽It takes around two weeks for the vaccine to become fully effective.聽(Bendix, 9/4)

Outbreaks and Health Threats

Animals Farmed For Fur In China Test Positive For Myriad Concerning Viruses

Of the 125 viruses found in 461 diseased animals, 39 had a higher potential of infecting other species, researchers found. Meanwhile, a new MRNA-based vaccine to combat mpox might be coming soon.

Novel and potentially dangerous viruses, including coronaviruses and influenza, are harbored in raccoon dogs, mink and other animals farmed for fur in China, scientists found in the first in-depth investigation of the seldom-studied critters. Researchers scoured for viruses in the lungs, intestines and other tissues of 461 individual fur animals that were found dead due to disease across China. They identified 125 virus species, including 36 that were novel and 39 at potentially-high risk of crossing the species barrier, including spilling over to infect humans. (Gale, 9/5)

On mpox 鈥

The emergence of a second mpox outbreak in which the virus is spreading from person-to-person, as well as a sharp increase in overall cases of the disease in several African countries, is straining the world鈥檚 capacity to make and distribute vaccine to battle the threat. New options are needed, and a study published Wednesday suggests another may be on the horizon. (Branswell, 9/4)

The World Health Organization expects mpox vaccines will arrive in the Democratic Republic of Congo Thursday as a lethal outbreak of the disease that鈥檚 become a global health emergency spreads. The shots are a donation from the European Health Emergency Preparedness and Response unit, WHO Director-General Tedros Ghebreyesus told reporters Wednesday. (Kew, 9/4)

Other outbreaks and health threats 鈥

Anthrax has been detected in multiple beef herds in Carbon County near Elk Mountain. The State Veterinary Laboratory confirmed the cattle diagnosis late afternoon on Aug. 31. A dead moose in the area also tested positive for the bacterial disease, according to lab results received by the Wyoming Game and Fish Department on Sept. 3. The Wyoming Livestock Board says these are the first confirmed cases of anthrax in Wyoming cattle since the 1970s. Game and Fish says the last confirmed case in wildlife occurred in 1956 in Sublette County. (Ouellet, 9/4)

There鈥檚 been a lot of attention on mosquito-borne illnesses in recent weeks, after a Hampstead man died from eastern equine encephalitis, also known as Triple E. The rare but serious virus has also been detected in several animals 鈥 including multiple batches of mosquitoes 鈥 across the state. Dr. Benjamin Chan, New Hampshire鈥檚 state epidemiologist, says it鈥檚 not uncommon for these viruses to peak every few years 鈥 and Triple E, in particular, is especially active this season. (9/5)

Between July and October states across the country hold their annual state fairs. The events are known for things like Ferris wheels and corn dogs, sculptures made entirely from butter and the biggest pig in the state. But state fairs can also be places where it鈥檚 easier to spread disease 鈥 bringing humans and animals from farms across the state into close contact. That鈥檚 of particular concern this year, as H5N1 or bird flu infections have been confirmed in dairy cattle in 14 U.S. states, including in California as of last Thursday. (Thorp, 9/4)

As a battle for territory unfolds between two species of lizards invasive to Florida, a team of University of Florida scientists is trying to determine what it could mean for public health. (Duerig, 9/4)

Elections

Months Before Election, We Don't Have A Clue About Candidates' Health

Neither Democratic nominee Kamala Harris nor Republican nominee Donald Trump has released medical records that would assure voters they are healthy enough to effectively serve as president.

With two months to go until Election Day, neither former President Donald Trump nor Vice President Kamala Harris has released comprehensive recent medical records, leaving voters in the dark about the current state of their health. Trump, 78, would be the oldest person to ever assume the Oval Office. And the 59-year-old Harris, who became the Democratic nominee last month and ran for president in 2020, hasn't publicly released the results of a comprehensive physical in either of her bids for the White House. (Watson, 9/4)

Donald Trump and Kamala Harris stand far apart on most issues, and health care is no exception. The November election carries major implications for Californians鈥 access to health care and the cost they pay for it.聽(Ibarra, 9/3)

Other election news on pregnancy and abortion 鈥

America鈥檚 falling birthrate is becoming a bigger issue in this year鈥檚 election.聽A small but dedicated cadre of advocates has pushed the topic to the forefront of conservative policy agendas in Washington and Silicon Valley, warning that U.S. economic growth and the solvency of Social Security depend on lifting fertility from its record-low levels. Democrats, meanwhile, are offering more support for new parents through Vice President Kamala Harris鈥檚 Opportunity Economy plan without explicitly tying it to incentivizing childbearing. (Whyte, 9/5)

The anti-abortion activists celebrating Donald Trump鈥檚 vow to vote no on Florida鈥檚 upcoming abortion-rights amendment have their sights on a bigger target: extracting a promise from the former president to staff his administration with staunch abortion opponents if he wins in November. (Ollstein and McGraw, 9/5)

Reproductive rights groups say they are more confident that Vice President Kamala Harris will be able to appeal to voters, with some citing frustration with President Joe Biden鈥檚 abortion messaging. Abortion access and reproductive rights have been a central theme in Harris鈥 campaign since she ascended to the top of the Democratic ticket, with reproductive rights groups hopeful that the Harris campaign can use her message on the issue to further fuel voters鈥 enthusiasm for her. (Heller, 9/4)

Reproductive Health

States With Restrictive Abortion Bans Offer Least Help To Most Vulnerable

Low-income families who can't access abortions do not have the support network they need after a child is born, a study reveals. In other news, the Ohio Supreme Court has blocked a pair of laws that restrict the use of abortion medications.

New research from Northwestern Medicine in Chicago compared state abortion laws to public programs meant to help families, such as paid parental leave and state-funded nutrition programs for families with children.聽鈥淪tates with the most severe abortion restrictions have the least public infrastructure to support families,鈥 said Dr. Nigel Madden, a maternal-fetal medicine physician at Beth Israel Deaconess Medical Center, who led the study published Wednesday in the American Journal of Public Health.聽(Sullivan, 9/4)

When a woman starts bleeding out after labor, every second matters. But soon, under a new state law, Louisiana doctors might not be able to quickly access one of the most widely used life-saving medications for postpartum hemorrhage. The Louisiana Illuminator spoke with several doctors across the state that voiced extreme concern about how the rescheduling of misoprostol as a controlled dangerous substance will impact inpatient care at hospitals. Misoprostol is prescribed in a number of medical scenarios 鈥 it鈥檚 an essential part of reproductive health care that can be used during emergencies, as well as for miscarriage treatment, labor induction, or intrauterine device (IUD) insertion. (O'Neil, 9/3)

Two more Ohio laws restricting abortions have been blocked by the courts as the legal impacts of a 2023 constitutional amendment guaranteeing access to the procedure continue to be felt. Hamilton County Common Pleas Judge Alison Hatheway issued a preliminary injunction Aug. 29 that extends an existing order temporarily halting enforcement of a law banning use of telemedicine in medication abortions. It also blocks another law prohibiting non-doctors 鈥 including midwives, advanced practice nurses and physician assistants 鈥 from prescribing the abortion pill mifepristone used in the procedure. (Smyth, 9/4)

More reproductive health news 鈥

The first shipments of some self-collection HPV tests for cervical cancer screening are currently on their way to doctors鈥 offices across the United States. In May, the US Food and Drug Administration gave the greenlight for patients to have the option to collect their own vaginal samples for cervical cancer screenings instead of undergoing traditional HPV tests or Pap smears, which involve a speculum to screen for the disease. Similar to how they may collect their own urine samples, patients can now collect their own vaginal samples in a health-care setting, such as a doctor鈥檚 office, urgent care or pharmacy clinic. (Howard, 9/5)

Researchers have long known that, in general, women are more susceptible to autoimmune disorders than men, who are more vulnerable to infectious disease. But why? New research drawing on people who鈥檝e undergone gender-affirming care suggests that hormones are a key part of the answer. (Wosen, 9/4)

A new study finds that women who receive a false positive result on a screening mammogram are often lost to follow-up. If you have ever received a call about an abnormal mammogram, you know it can be terrifying, but many of these scares turn out to be false-positives, meaning that after additional imaging or a biopsy, there is no cancer found. False-positive results are common, occurring in 10 to 12% of mammograms in women in their 40s. (Marshall, 9/4)

In March, health technology startup HeHealth debuted Calmara AI, an app proclaiming to be 鈥測our intimacy bestie for safer sex.鈥 The app was heavily marketed to women, who were told they could upload a picture of their partner鈥檚 penis for Calmara to scan for evidence of a sexually transmitted infection (STI). Users would get an emoji-laden 鈥淐lear!鈥 or 鈥淗old!!!鈥 verdict 鈥 with a disclaimer saying the penis in question wasn鈥檛 necessarily free of all STIs. (Mithani, 9/4)

Health Industry

Steward Health Care CEO Won't Answer Senate Subpoena

Ralph de la Torre has been subpoenaed by a Senate committee to answer questions over the failed hospital chain but is refusing to appear, and instead is asking to wait until Steward's bankruptcy proceedings are finalized. Steward, meanwhile, is selling six Massachusetts hospitals at a loss.

The CEO of Steward Health Care told senators Wednesday that despite a subpoena he would not appear before a bipartisan Senate committee next week to answer questions about the financial dealings of his bankrupt hospital chain. In a bipartisan vote in July, a Senate committee on health, education, labor and pensions authorized the subpoena mandating [Ralph] de la Torre to be present on Sept. 12 for testimony in Washington, D.C. (Alltucker, 9/4)

Steward Health Care, the largest private hospital operator in the U.S., received a bankruptcy judge's approval on Wednesday to sell six Massachusetts hospitals, despite taking no profit from the $343 million sale. U.S. Bankruptcy Judge Christopher Lopez approved the sales as "the best deal that's on the table," at a court hearing in Houston, Texas. The sale will allow Steward to stem its losses and minimize the disruption to patients, even though the company won't make any money from the sale, Steward's attorney Candace Arthur told Lopez. (Knauth, 9/4)

More hospital news 鈥

New research from University of Southern California health economists has found evidence that聽Sutter Health began implementing allegedly anticompetitive contracting practices in the early 2000s that resulted in prices 30% higher than at comparable hospitals. The findings echo some of the claims in recent lawsuits聽鈥 including one that had been resolved in聽Sutter鈥檚 favor聽鈥 accusing the health care giant聽of abusing its market power to charge insurers and consumers higher prices for medical care. (Ho, 9/4)

A new quality assessment of U.S. hospitals by the Centers for Medicare and Medicaid Services gave nearly 58% of Department of Veterans Affairs medical centers the highest four- or five-star ratings -- down 9% from 2023. The VA scores were still significantly higher than private medical centers, only 40% of which earned four or five stars. The department announced Tuesday that its hospitals also outperformed non-VA facilities on patient satisfaction surveys, which gave 79% of VA hospitals four or five stars, compared with 40% of non-VA hospitals. (Kime, 9/4)

A joint venture between Henry Ford Health and Ascension Michigan will launch on Oct. 1, a spokesperson for Henry Ford Health confirmed to Crain鈥檚. Under the no-cash deal, eight Ascension and Genesys hospitals and an addiction treatment center will be rebranded under Henry Ford Health. (Walsh, 9/4)

Also 鈥

Humana reaffirmed its full-year guidance but is leaving 13 Medicare Advantage (MA) markets next year, Chief Financial Officer Susan Diamond said during the Wells Fargo Healthcare Conference on Wednesday. Other members will have fewer plans to choose from in certain geographies. Diamond explained around 560,000 members, or 10% of its individual MA membership base, would be impacted by the cutbacks, but Humana anticipates it will absorb about half of those members into other plans. (Tong, 9/4)

Senior living company The Ensign Group acquired eight skilled nursing facilities across Colorado and Kansas in two separate deals, the company announced Tuesday. The Ensign Group acquired the operations of seven Colorado nursing homes for an undisclosed amount, according to a news release. (Eastabrook, 9/4)

Continued worker burnout and more demand for care from an aging population will drive health care workforce shortages into 2028 鈥 though with significant variations by state, according to a Mercer analysis. While there's been considerable attention paid to physician shortages, the analysis highlights an acute need for more nurse practitioners, even in states like California and Texas that will have overall surpluses of health workers. (Goldman, 9/5)

麻豆女优 Health News: Errors In Deloitte-Run Medicaid Systems Can Cost Millions And Take Years To Fix

The computer systems run by the consulting giant Deloitte that millions of Americans rely on for Medicaid and other government benefits are prone to errors that can take years and hundreds of millions of dollars to update. While states wait for fixes from Deloitte, beneficiaries risk losing access to health care and food. Changes needed to fix Deloitte-run eligibility systems often pile on costs to the government that are much higher than the original contracts, which can slow the process of fixing errors. (Liss and Pradhan, 9/5)

麻豆女优 Health News: Patients Suffer When Indian Health Service Doesn鈥檛 Pay For Outside Care

When the Indian Health Service can鈥檛 provide medical care to Native Americans, the federal agency can refer them elsewhere. But each year, it rejects tens of thousands of requests to fund those appointments, forcing patients to go without treatment or pay daunting medical bills out of their own pockets. In theory, Native Americans are entitled to free health care when the Indian Health Service foots the bill at its facilities or sites managed by tribes. (Zionts and Houghton, 9/5)

Pharmaceuticals

Post-Bankruptcy Rite Aid Will Function As A Private Company

During Rite Aid's bankruptcy, hundreds of stores were closed and its pharmacy benefit company Elixir was sold. Now that it has restructured, the pharmacy chain will be private with a smaller retail footprint. In other news: DEA allows Vyvanse production to increase to tackle ADHD drug shortages.

Rite Aid will operate as a private company after it successfully completed its financial restructuring and emerged from Chapter 11 bankruptcy, the U.S. drugstore chain said on Tuesday. The pharmacy has used its bankruptcy to close hundreds of stores, sell its pharmacy benefit company Elixir, and negotiate settlements with its lenders, drug distribution partner McKesson and other creditors. (9/4)

The U.S. Drug Enforcement Administration (DEA) has allowed an increase in Vyvanse production of around 24 percent to help with the ADHD drug shortage nationwide.聽The DEA greenlighted the spike in production following a Food and Drug Administration (FDA) request, according to a notice first reported by Bloomberg News. The FDA鈥檚 request came in July.聽(Timotija, 9/4)

Walgreens is facing a proposed class action lawsuit brought on Wednesday by customers who say they weren鈥檛 warned that the pharmacy chain鈥檚 generic version of cold medicine Mucinex contains a cancer-causing chemical. The lawsuit, filed in Chicago federal court, claims Walgreens did not label the products or otherwise warn customers that they contained benzene, a known carcinogen. (Jones, 9/4)

Johnson & Johnson plans to pay an additional $1.1 billion to resolve tens of thousands of legal actions alleging its baby powder and other talc products caused cancer, two people familiar with the matter said. The increase would boost the size of the settlement to more than $9 billion paid over 25 years. J&J on Wednesday said it reached an agreement with a plaintiffs' lawyer representing 12,000 clients to recommend the settlement offer to them, adding to support already received from other claimants. (Spector and Knauth, 9/4)

On weight loss drugs 鈥

Ochsner Health is expanding its digital medicine program to offer weight management, the health system said Wednesday. Some patients in the program will have access to popular weight loss medications including glucagon-like peptide agonists, Ochsner said in a news release. The digital medicine program has previously focused on patients with hypertension, Type 2 diabetes and hyperlipidemia.聽(Perna, 9/4)

The U.S. military spends $1.24 billion each year to address obesity in the ranks, but Defense Department policies have been slow to adopt weight management treatments, including therapies and medications such as Wegovy or Zepbound, to address a major readiness concern, according to new research. Obesity is the main reason potential recruits are disqualified from serving -- preventing an estimated 52,000 from joining last year -- and is a leading cause of separation from duty, with roughly 101,000 troops leaving from 2018 to 2022 for weight-related reasons, according to a paper published Wednesday by the American Security Project think tank. (Kime, 9/4)

Opioid Crisis

Fentanyl Vaccine Set For Clinical Trials Starting In Mid-2025

The vaccine, which would prevent the opioid from entering the brain, has seen success in animal studies. Meanwhile, methadone treatments, touted as a key to ending the fentanyl epidemic, remain controversial as clinics push back on politicians' hopes.

A fentanyl vaccine developed by researchers at the聽University of Houston聽is expected to head to clinical trials sometime in the middle of next year, with the hope of being a groundbreaking solution to a deadly crisis. The vaccine, which has shown success in animal studies, is designed to stop the highly addictive opioid from entering the brain and causing an overdose. Biopharmaceutical startup Ovax acquired the license to produce and test the vaccine in聽November 2023聽and raised over $10 million toward that effort by June. (Fauzia, 9/4)

A plan to expand access to the drug treatment is hung up on fears of a black market, despite bipartisan support. (Paun, 9/5)

Some researchers argue that the roles of social environment and personal choice have to be considered in order to make progress in treating people addicted to drugs. (Hoffman, 9/3)

In related news about depression 鈥

Depression has many faces. Some people can鈥檛 sleep, while others struggle to get out of bed. Even though symptoms and severity can vary from person to person, a recent study found that a specific brain circuit might be associated with the mental malady. (Broderick, 9/4)

Researchers at UT Health Houston are looking for volunteers to test the effectiveness of psilocybin, the same chemical found in magic mushrooms, on聽stubborn cases of聽depression.聽Psilocybin has gained traction in recent years as a potential treatment for mood disorders. (Lomax V, 9/4)

State Watch

Emergency Responders Burning Out Across The US As Climate Changes

Hundreds of thousands of emergency responders have more challenges such as burnout, PTSD, and budgetary issues, Stateline reports. Among other news: Proposition 36 in California; a Juul payout; bilingual Spanish health care; more.

Climate change has rewritten the script for disasters, leaving communities vulnerable to weather patterns that don鈥檛 abide by schedules or the rules of past behavior. As a result, hundreds of thousands of emergency responders are facing unprecedented challenges 鈥攆rom burnout to post-traumatic stress disorder to tighter budgets 鈥 as they battle hurricanes, windstorms, wildfires, floods and other natural disasters that are more frequent and intense than those in the past. (Montgomery, 9/4)

More health news from across the U.S. 鈥

Gov. Gavin Newsom blasted supporters of a measure to increase jail time for thieves and drug users, saying Wednesday their argument that it will lead to more treatment is wrong. In recent weeks, supporters of the measure, which will appear as Proposition 36 on California ballots in November, have said it will usher in an era of 鈥渕ass treatment.鈥 (Bollag, 9/4)

Baltimore has won a 7.5 million lawsuit against the e-cigarette company, Juul, the most recent of three settlements against predatorial drug manufacturers in the past year. The city sued Juul Labs in 2020, accusing them of using deceptive marketing tactics aimed at children and teens by offering flavored vaping pens without disclosing their high nicotine content.聽(Adeolu, 9/4)

Utah's highest court on Wednesday appeared reluctant to revive a lawsuit by young people alleging the state was violating their right to life under the state's constitution by adopting laws that contribute to climate change by promoting fossil fuel development. (Raymond, 9/4)

When social worker Jules Martinez met one teen client, it seemed like the boy had given up: He鈥檇 dropped out of school, started selling drugs and stopped speaking with his mother. He鈥檇 been hospitalized multiple times for aggression and suicidal ideation and, as it later came out, was developing schizophrenia. The teen and his mother, like a number of Hispanic Utahns, struggled to find health care that took into account their language, cultural background and experiences several years after immigrating to the United States. (Chapman Gonzalez, 9/4)

A New York judge has ordered one of the city鈥檚 most prominent guardianship companies to return thousands of dollars to an elderly woman for the court-mandated care and oversight it failed to provide her. Supreme Court Justice Lee Mayersohn wrote in an Aug. 8 decision that the company, New York Guardianship Services, billed Judith Zbiegniewicz monthly but provided 鈥渕inimal services, if any鈥 for years, including at the height of the coronavirus pandemic. (Pearson, 9/5)

Health Policy Research

Research Roundup: Allergies; PFAS; Wetland Virus; Migraines

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

Researchers identified a mechanism for why some people will itch from an allergen or mosquito bite exposure, while others will not in a new study, and showed this pathway can be targeted to prevent allergic responses in preclinical models. (Mass General Brigham, 9/4)

Some per- and polyfluoroalkyl substances (PFAS) are poorly degradable and are also known as 'forever chemicals'. They adversely affect health and can lead to liver damage, obesity, hormonal disorders, and cancer. A research team has investigated the effects of PFAS on the brain. (Helmholtz Centre for Environmental Research - UFZ, 9/4)

In June 2019, a patient presented with persistent fever and multiple organ dysfunction after a tick bite at a wetland park in Inner Mongolia. Next-generation sequencing in this patient revealed an infection with a previously unknown orthonairovirus, which we designated Wetland virus (WELV). (Zhang et al, 9/4)

Targeting pituitary adenylate cyclase鈥揳ctivating polypeptide (PACAP) is a new avenue for treating migraine. The efficacy and safety of intravenous Lu AG09222, a humanized monoclonal antibody directed against the PACAP ligand, for migraine prevention are unclear. (Ashina et al, 9/4)

Editorials And Opinions

Viewpoints: Watch Out For Mosquitoes Carrying EEE; Vaccine Against Fentanyl Offers Hope

Editorial writers discuss these public health issues.

The tragic death of New Hampshire resident Steven Perry is raising awareness 鈥 and concern 鈥 about the dangers of eastern equine encephalitis, a rare mosquito-borne disease. Perry was a healthy 41-year-old who worked as the director of a nursing agency and loved Boston sports, according to his family. He contracted EEE, was hospitalized, and died within a week, relatives told the Globe. (9/4)

As law enforcement officials wage war against the fentanyl trade, we are encouraged by an announcement from Texas scientists that they are developing a vaccine against the opioid. Researchers at the University of Houston said a fentanyl vaccine they created will start clinical trials next year. (9/5)

The reality is stark: Youth suicide rates have risen steadily over the last 15 years and are currently the second leading cause of death for children ages 10 to 14 and the third for those ages 15 to 24. These statistics are more than just numbers 鈥 they鈥檙e deeply personal to me.聽(Alison Malmon, 9/5)

Fluoride is having a rough day in the court of public opinion.聽The National Toxicology Program (NTP), part of the Department of Health and Human Services, has released a聽comprehensive study聽titled 鈥淢onograph on the State of Science Concerning Fluoride Exposure and Neurodevelopment and Cognition,鈥 and longtime fluoride foes argue that it includes a supposed bombshell finding: It linked high levels of fluoride with lower IQs in children. (Jess Steier, 9/5)

Instead of a reauthorization, Congress passed a one-year extension of the 2018 Farm Bill, which ensured that funding for SNAP and other federal nutrition programs would not lapse. This year, the House and Senate agriculture committees finally took up the Farm Bill, resulting in two dangerously different visions for the future of food security and agriculture policies. (Ivy Enoch, 9/4)

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