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The Biden administration has proposed to ban all uses of trichloroethylene, an industrial solvent used in glues, other adhesives, spot removers and metal cleaners, saying exposure to even small amounts can cause cancer, damage to the central nervous system and other health effects. The proposed ban is the latest twist in a yearslong debate over whether to regulate trichloroethylene, commonly referred to as TCE. In its final weeks, the Obama administration tried to ban some uses of the chemical, only to have the Trump administration place it on an Environmental Protection Agency list for long-term consideration, a move that essentially suspended any action. Monday’s proposal goes further than the Obama-era plan by prohibiting all uses of TCE. (Friedman, 10/23)

Senator Ed Markey joined Environmental Protection Agency senior leaders in Woburn on Monday to announce a proposed ban on a chemical behind a cluster of deadly childhood cancer cases in the city, events chronicled in the book and movie “A Civil Action.” Trichloroethylene, also known as TCE, has been tied to birth defects, reproductive problems, and to 21 cases of childhood leukemia diagnosed in Woburn between 1969 and 1986. TCE is still used in commercial and consumer products, including cleaning products, aerosols, and refrigerants. It is banned in Europe, New York, and Minnesota. (Smilgius, 10/23)

A groundbreaking epidemiological study has produced the most compelling evidence yet that exposure to the chemical solvent trichloroethylene (TCE)—common in soil and groundwater—increases the risk of developing Parkinson’s disease. ... The report, published in JAMA Neurology, involved examining the medical records of tens of thousands of Marine Corps and Navy veterans who trained at Marine Corps Base Camp Lejeune in North Carolina from 1975 to 1985. Those exposed there to water heavily contaminated with TCE had a 70% higher risk of developing Parkinson’s disease decades later compared with similar veterans who trained elsewhere. (Wadman, 5/15)

A common and widely used chemical may be fueling the rise of the world’s fastest growing brain condition–Parkinson’s disease. For the past 100 years, trichloroethylene (TCE) has been used to decaffeinate coffee, degrease metal, and dry clean clothes. ... In a hypothesis paper in the Journal of Parkinson’s Disease, an international team of researchers—including University of Rochester Medical Center (URMC) neurologists Ray Dorsey, MD, Ruth Schneider, MD, and Karl Kieburtz, MD—postulates that TCE may be an invisible cause of Parkinson’s. (5/14)

The Federal Trade Commission plans to hire at least one child psychologist who can guide its work on internet regulation, Democratic Commissioner Alvaro Bedoya told The Record in an interview published Monday. FTC Chair Lina Khan backs the plan, Bedoya told the outlet, adding that he hopes it can become a reality by next fall, though the commission does not yet have a firm timeline. (Feiner, 10/23)

The US Food and Drug Administration is reviewing an application for the nasal spray flu vaccine FluMist to be able to be self-administered at home, drugmaker AstraZeneca said Tuesday. The vaccine, the only nasal spray option against flu, has been on the market in the United States since 2003. AstraZeneca has asked the FDA to allow adults ages 18 to 49 to be able to give themselves the vaccine, or to give it to children as young as age 2, citing a “usability study” showing people can do it properly without a health care provider present. If approved, it would be the first flu vaccine cleared for self-administration. (Tirrell, 10/24)

The company said it expects the FDA to decide on the vaccine by the first quarter of 2024, adding that it expects the vaccine to be made available for self-administration in the United States during the 2024-2025 flu season, if approved. (10/24)

In the latest headache for parents hunting for a new shot to protect babies against respiratory syncytial virus, or RSV, this winter, the manufacturer says it has stopped taking orders for some doses because they are unable to keep up with “unprecedented demand.” (Goodman, 10/23)

The Food and Drug Administration approved the antibody drug, called Beyfortus, in July. ... Newborns and infants can get doses of Beyfortus during their first RSV seasons, and children up to age 2 who are at high risk for severe illness from the virus can get second doses during their second RSV seasons. According to the CDC alert, the highest dosage, 100 milligrams, is in limited supply. The agency told doctors to prioritize getting those doses to infants at the highest risk of severe RSV, including infants younger than 6 months and those with underlying conditions. The CDC also advised doctors to preserve 50 mg doses for infants who weigh less than 11 pounds. (Miller and Edwards, 10/23)

Officials at Henry Ford Medical Center Fairlane in Dearborn, Mich., thought they may have had faulty testing swabs for strep throat when rates were so high, but the swabs are accurate, radio station WWJ reported Oct. 23. Strep throat rates are currently the highest Jennifer Stevenson, DO, director of the medical center's emergency department, has seen in her 25 years of practice. (Carbajal, 10/23)

An imbalance of fungi in the gut could contribute to excessive inflammation in people with severe COVID-19 or long COVID. A study found that individuals with severe disease had elevated levels of a fungus that can activate the immune system and induce long-lasting changes. The work, published on 23 October in Nature Immunology1, raises the possibility that antifungal treatment could provide some relief to people who are critically ill with COVID-19. (Prillaman, 10/23)

Molnupiravir, an antiviral drug used to treat COVID-19, induces numerous mutations in the SARS-CoV-2 genome that can increase the rate at which the virus evolves — yielding viral variants that might survive and be passed on. (Pond and Martin, 10/24)

Children who tested positive for COVID-19 in 2022 were contagious for a median of 3 days, regardless of vaccination status, suggesting that 5-day school isolation policies are sufficient amid Omicron variant predominance, University of Southern California (USC) and Stanford University researchers report today in JAMA Pediatrics. The study included 76 children aged 7 to 18 years infected with SARS-CoV-2 in Los Angeles County from April to September 2022. (Van Beusekom, 10/23)

The risks of severe neonatal morbidity, neonatal death, and admission to the neonatal intensive care unit were all significantly lower during the first month of birth in infants whose mothers were vaccinated against Covid-19, and protection against the virus continued for up to six months after birth, according to a new study published Monday in JAMA Pediatrics. (Balthazar, 10/23)

Colorado cannot stop a Catholic medical center from offering an unproven treatment meant to reverse the effects of pill used in medication abortion, a federal judge has ruled. U.S. District Judge Daniel Domenico said in an opinion on Saturday that a Colorado law banning so-called medication abortion reversal treatment likely violates the U.S. Constitution's guarantee of religious freedom. His order stops the state from enforcing the law against Bella Health and Wellness, which sued to block it, or against anyone else working with Bella Health, while he considers the medical center's challenge to the law. (Pierson, 10/23)

Three county commissioners approved an ordinance Monday that would bar pregnant Texas women from traveling through the unincorporated area of Lubbock County for an abortion in another state. (Carver, 10/23)

Planned Parenthood must face a trial in a $1.8 billion lawsuit by Texas accusing the organization of defrauding the Republican-led state's Medicaid health insurance program, a federal judge ruled on Monday. At issue is billing by Planned Parenthood after Texas announced its decision to terminate the organization as a provider under its Medicaid insurance programs for low-income people. (Pierson and Raymond, 10/23)

Texas will add more people to investigate pregnancy-related deaths and illnesses after a new law expanded the number of positions on the state’s maternal mortality review committee, a volunteer group whose research helps guide maternal health policy. But while the law brings much-needed resources to address a major health issue, some of the changes have confused maternal health advocates who worry that new qualifications will make it harder for people without professional experience to serve on the committee. (Gill, 10/23)

Illinois Gov. JB Pritzker is self-funding the launch of a new political advocacy group aimed at fighting for abortion rights across the U.S. — an extension of sizable donations he’s been making in Democratic politics for several years. (Meisel, 10/24)

With Election Day closing in, anti-abortion groups seeking to build opposition to a reproductive rights measure in Ohio are messaging heavily around a term for an abortion procedure that was once used later in pregnancy but that hasn’t been legal in the U.S. for over 15 years. In ads, debates and public statements, the opposition campaign and top Republicans have increasingly been referencing “partial-birth abortions” as an imminent threat if voters approve the constitutional amendment on Nov. 7. “Partial-birth abortion” is a non-medical term for a procedure known as dilation and extraction, or D&X, which is already federally prohibited. (Smyth, 10/23)

Planned Parenthood clinics in Connecticut have seen a 59% increase in out-of-state patients seeking abortions since the Supreme Court overturned Roe v. Wade last summer, according to Planned Parenthood Southern New England Vice President Gretchen Raffa. (Roy, 10/23)

More than a dozen states now have near-total abortion bans following the overturning of Roe v. Wade, with limited medical exceptions meant to protect the patient’s health or life. But among those states, only Alabama explicitly includes “serious mental illness” as an allowable exception. Meanwhile, 10 states with near-total abortion bans (Florida, Georgia, Idaho, Iowa, Kentucky, Louisiana, Ohio, Tennessee, West Virginia and Wyoming) explicitly exclude mental health conditions as legal exceptions, according to an analysis from �鶹Ů��, a health policy research organization. (Hassanein, 10/23)

St. Peter's Health Partners has delayed plans to shut down the maternity unit at Troy, N.Y.-based Samaritan Hospital to address community members' concerns about care access and transportation barriers, the the Times Union reported Oct. 23. Albany, N.Y.-based St. Peters was originally slated to close the hospital's birthing unit in December but has extended this deadline by six months. The system now aims to shutter the unit no later than June 30, 2024. (Bean, 10/23)

1 in 4 women will experience pregnancy loss, and 2.6 million stillbirths happen each year, according to the World Health Organization. Even given these staggering statistics, open discussion about the topic remains stigmatized, leaving mothers and families to grieve in silence or behind closed doors. (Hawkins, 10/23)

Ongoing national medication, medical supply and medical equipment shortages are harming patients, a new survey reveals. The survey was issued by the nonprofit patient safety organization ECRI and its affiliate, the Institute for Safe Medication Practices (ISMP), and reached nearly 200 people in July. Respondents included pharmacists and pharmacy technicians, procurement specialists and clinicians across a variety of healthcare settings. (Gliadkovskaya, 10/23)

Verve Therapeutics said Monday that it had received clearance from the Food and Drug Administration to conduct a clinical trial in the U.S. of its experimental, gene-editing treatment for a common form of heart disease. The FDA’s action removes a clinical hold on Verve’s CRISPR-based therapy, called VERVE-101, that was placed on it last November. Verve now intends to recruit participants from U.S. sites into a Phase 1 study that’s been underway since last year in New Zealand and the United Kingdom. (Feuerstein, 10/23)

Results presented Monday could expand the use of a Novartis therapy for metastatic prostate cancer, moving it from a treatment used after chemotherapy to one with demonstrated benefits beforehand as well. (Joseph, 10/23)

A competition has been brewing between two pharma titans — Johnson & Johnson and AstraZeneca — to gain an edge in the market for targeted lung cancer treatments. A primetime presentation here Monday amounted to the latest salvo. (Joseph, 10/23)

Questions about one of AstraZeneca’s key cancer drug candidates — and the dribs and drabs that have come out about its performance — have been dogging the company for months. (Joseph, 10/23)

Several people were taken to hospital in Austria after using suspected counterfeits of the diabetes drug Ozempic, according to the federal health safety office. The patients were reported to have suffered hypoglycaemia and seizures, serious side effects that indicate the product contained insulin instead of Ozempic's active ingredient, semaglutide, the BASG said in a warning issued on Monday. (10/24)

There's been a lot of talk about Medicare's role in government health care spending, but what doesn't often come up is federal spending on employer insurance — or more accurately, the tax revenue that the government gives up. Reducing the tax break for employer-sponsored insurance would save the federal government hundreds of billions of dollars, but there's a reason that idea doesn't get pitched very often: Voters would almost certainly hate it. (Owens, 10/23)

The Global and Professional Direct Contracting Model went out a winner in its second and final year by saving Medicare $371.5 million in 2022, a more than fivefold improvement from the prior year, the Centers for Medicare and Medicaid Services announced Monday. CMS credited the $301.1 million increase in savings to growth in the number and experience of Direct Contracting participants, and to an extension of the amount of time organizations had to manage patient care. Tepper, 10/23)

A prominent cancer-detecting doctor at Johns Hopkins Hospital is on administrative leave after a misdiagnosis led to a patient’s bladder removal, and as allegations have surfaced that he bullied or intimidated others in his department, according to interviews and an accreditation report obtained by The Washington Post. The internationally regarded pathologist Jonathan I. Epstein has been accused by other doctors of pressuring them to give second opinions that agree with diagnoses made by his wife, who also is a pathologist, said four people who have knowledge of the situation and spoke on the condition of anonymity to discuss an ongoing probe. (Thompson and Shepherd, 10/22)

An 84-year-old ophthalmologist has filed a class action lawsuit against Henry Ford Health and its medical group practice over a policy requiring older practitioners to undergo a cognition screen in order to keep their position. The complaint, filed late September in the U.S. District Court for the Eastern District of Michigan, alleges that the organizations are discriminating against its employees solely on the basis of their age. (Muoio, 10/23)

A California judge rejected the request to prevent the tech giant Google from gathering user analytics data from websites of healthcare providers, Law360 reported Oct. 18. The judge said there is no evidence that Google has been using the collected information from healthcare providers' websites for "criminal or tortious purposes," according to the publication. (Diaz, 10/20)

Cybersecurity incidents in healthcare spiked in September as the industry continues to face challenges in protecting data, according to a report published Tuesday. The report, from cybersecurity software company NCC Group, found that cybersecurity incidents increased 86% in September. (Perna, 10/24)

Health insurance premiums for people who buy coverage on their own are set to increase by nearly 10% next year. But that is slightly lower than insurers had initially requested, and the Polis administration found other reasons to cheer in the numbers it released Monday. (Ingold, 10/24)

BJC HealthCare, the region’s biggest health care provider, says it is working on a plan to ensure people who depend on “Obamacare” health insurance policies will still have access to its system. BJC said it plans to make an announcement on an agreement for a new Affordable Care Act coverage option early this week, ahead of the start of the open enrollment period. (Merrilees, 10/23)

While hospice has become a popular end-of-life care choice for many terminally ill people in the United States, the care model continues to suffer an image problem among members of the LGBTQ+ community. One-third of LGBTQ respondents to a survey released last year by the National Hospice and Palliative Care Organization said they were unsure whether hospice providers would respect their sexuality. “We don’t know what comes along with their history,” Weiss said. “So it’s our job to create safety for those patients.” (Eastabrook, 10/23)

With HGTV-style finishes like butcher block counters and hardwood floors, a tiny house on wheels rolled into Washington this week demonstrating what it looks like to hospitalize patients at home. Medically Home — one of the companies helping health systems like the Mayo Clinic and Kaiser Permanente launch their own hospital-at-home programs — is making the case for Medicare to extend pandemic-era flexibilities funding at-home hospital care. (Reed, 10/24)

Unhoused people living in San Francisco are 16 times more likely to die suddenly than their fellow residents who are housed, according to a new study led by researchers from UC San Francisco. The study, which was published Monday in the journal JAMA Internal Medicine, tracked the autopsies of 868 people — 151 of them homeless — who died suddenly in San Francisco County over an eight-year period that ended in 2018. (Garrison and Gerber, 10/23)

This summer, the state debuted a first-of-its-kind legal market for psilocybin mushrooms, more widely known as magic mushrooms. Far from the days of illicit consumption in basements and vans, the program allows people to embark on a therapeutic trip, purchasing mushrooms produced by a state-approved grower and consuming them in a licensed facility under the guidance of a certified facilitator. (Baker, 10/23)

Ohio has some of the cheapest medical marijuana prices in the country, according to a new study. Leafwell, a medical marijuana card service and research group, analyzed over 130,000 menu items at medicinal marijuana dispensaries across the United States to find which states offer the cheapest average price for cannabis per gram. The study, released Monday, revealed Ohio is among the cheapest states for medical marijuana. (Behrens, 10/23)

Fighting weed legalization on Capitol Hill can feel like a lonely struggle these days. Marijuana is just as popular as ever. More than half of Americans now live in states where adults can legally possess the drug, and just over two-thirds support federal legalization. In Congress, more and more lawmakers — on both sides of the aisle — express some form of support for legal cannabis in the states. Yet a small but vocal, ad-hoc coalition of lawmakers — almost all Republicans — is keeping the anti-weed fight alive in Washington. And they’re not exactly losing. (Fertig, 10/23)

The opioid crisis is a new challenge for schools this fall. As fentanyl fears remain high among teens, New York City Public Schools officials say Narcan, the medicine used to reverse opioid overdoses, is now stocked in its high schools. CBS New York has been following the opioid crisis and the push to get Narcan in schools. (Bisram, 10/23)

M Health Fairview on Monday trained students at Roosevelt High School on how to use naloxone, a drug that can reverse the effects of an opioid overdose and save someone's life. Twenty teens who are in the health careers program opted in to learn how to administer the medicine and package 500 naloxone kits for city residents to pick up at access sites. (Cummings, 10/23)

An alarming rise in overdose deaths among children and teenagers is colliding with an inadequate pediatric mental health system — including a lack of addiction treatment. Limited treatment options and coverage gaps mean that many kids aren't getting needed care that could help prevent them from developing a deeper and potentially deadly addiction. (Owens, 10/24)

"America's Top Young Scientist" is a 14-year-old who invented a soap that treats skin cancer. Heman Bekele, a ninth grader from Annandale, Virginia, won the prestigious award from 3M and Discovery Education, considered one of the country's top middle school science competitions. "I believe that young minds can make a positive impact on the world," Heman said in his submission for the award. (Al-Arshani, 10/23)

Some 220,000 youths in the United States — children and adolescents younger than 18 — have been diagnosed with arthritis, a disease most commonly associated with older people, according to a report from the Centers for Disease Control and Prevention. The finding is based on analysis of 2017 to 2021 data from the Census Bureau’s National Survey of Children’s Health. Details came from the parents of 173,406 youths, with responses weighted to reflect a nationally representative sample. (Searing, 10/23)

If you feel lonely, you’re actually in good company: Nearly 1 in 4 adults across the world have reported feeling very or fairly lonely, a new Meta-Gallup survey has found. The new survey, taken across 142 countries, found 24% of people age 15 and older self-reported feeling very or fairly lonely in response to the question, “How lonely do you feel?” (Nicioli, 10/24)

According to researchers at Massachusetts General Hospital, heated yoga, commonly known as "hot yoga," could help treat symptoms of depression. In a randomized controlled trial, 80 adults with moderate to severe depression were randomized to either perform 90 minutes of Bikram yoga in a 105-degree Fahrenheit room at least twice a week for eight weeks or get placed on a waitlist. The subjects in the yoga group reported significantly fewer depressive symptoms. (Marshall, 10/23)

In the last two decades, Black Americans have suffered 1.63 million excess deaths compared to white Americans. Experts gathered at the STAT Summit in Boston last week to discuss the crisis of Black deaths in the U.S. and interventions that can help advance health equity. (Nayak, 10/23)

�鶹Ů�� Health News: Epidemic: What Good Is A Vaccine When There Is No Rice?

The 1970s was the deadliest decade in the “entire history of Bangladesh,” said environmental historian Iftekhar Iqbal. A deadly cyclone, a bloody liberation war, and famine triggered waves of migration. As people moved throughout the country, smallpox spread with them. In Episode 7 of “Eradicating Smallpox,” Shohrab, a man who was displaced by the 1970 Bhola cyclone, shares his story. After fleeing the storm, he and his family settled in a makeshift community in Dhaka known as the Bhola basti. Smallpox was circulating there, but the deadly virus was not top of mind for Shohrab. “I wasn’t thinking about that. I was more focused on issues like where would I work, what would I eat,” he said in Bengali. (10/24)

�鶹Ů�� Health News: Millions Of Rural Americans Rely On Private Wells. Few Regularly Test Their Water

Allison Roderick has a warning and a pledge for rural residents of her county: The water from their wells could be contaminated, but the government can help make it safe. Roderick is the environmental health officer for Webster County in north-central Iowa, where a few thousand rural residents live among sprawling corn and soybean fields. Many draw their water from private wells, which are exempt from most federal testing and purity regulations. Roderick spreads the word that they aren’t exempt from danger. (Leys, 10/24)

Mary Lou Retton, the decorated Olympic gymnast, has been released from a hospital, one of her daughters said on Monday, about two weeks after her family reported that the gold medalist had a rare form of pneumonia and was in an intensive care unit “fighting for her life.” “We still have a long road of recovery ahead of us, but baby steps,” McKenna Lane Kelley, Retton’s daughter, said on Instagram, noting that her mother was at home. “We are overwhelmed with the love and support from everyone. Grateful doesn’t scrape the surface of the posture of our hearts.” (Jimenez, 10/23)

The summer of 2023 will most likely be remembered as a time when people worldwide pivoted away from understanding climate change as a primarily environmental issue to experiencing it as a growing health crisis for which communities were unprepared. In many parts of the United States and the world, people confronted long and intense periods of extreme heat as well as wildfire smoke blanketing new regions, with associated hospitalizations and deaths. (Lisa Patel, M.D., M.E.Sc., and Linda Rudolph, M.D., M.P.H., 10/21)

Crushing chest pain, an itch that festers into torment, an inconsolable baby, no place to sleep at 3 a.m., an ankle twisted on a jog, a fentanyl overdose, a car crash, the need to tell someone, “I feel sad and lonely.” The only place that tends to this kaleidoscope of needs is the emergency room, its doors perpetually open to all. (Roland Kielman, Ryan Mercer and Helen Ouyang, 10/24)

Almost as soon as ChatGPT was released to the public, doctors began focusing on how they could harness artificial intelligence to improve patient care. Yet even as AI is providing doctors with increasingly sophisticated data, the information available to patients has stagnated. (Michael L. Millenson and Jennifer Goldsack, 10/23)

Within academia, disagreements about sex recently came to a head when the American Anthropological Association (AAA), the world’s largest professional organization for anthropologists, and the Canadian Anthropology Society (CASCA) removed a panel discussion entitled “Let’s Talk about Sex Baby: Why Biological Sex Remains a Necessary Analytic Category in Anthropology” from their upcoming annual meeting. (Charles Roseman and Cara Ocobock, 10/24)

On Nov. 7, Houstonians will decide whether to increase funding to our local public health care system, Harris Health, with a bond worth $2.5 billion dollars. If passed, the money will be used to rebuild Lyndon B. Johnson Hospital, expand Ben Taub, and add primary care clinics in medical deserts around the county. (Ricardo Nuila, 10/21)

When Michigan voters overwhelmingly passed Proposal 3 last year, enshrining the right to abortion in the state constitution, I felt incredible relief. However, as a physician who provides comprehensive reproductive health care, including pregnancy and abortion care, I knew my work as an advocate for my patients was far from over. (Dr. Charita L. Roque, 10/23)

The job of the Missouri attorney general is to support both the U.S. Constitution and the constitution of the state. It says so right there in the first line of the oath of office. But the current occupant of that office — Andrew Bailey, a Republican appointed by Gov. Mike Parson — says he can’t be expected to fulfill his obligations if voters amend the state’s governing document to expand and protect abortion rights. (10/24)