Morning Briefing
Summaries of health policy coverage from major news organizations
Home Injuries And Weight Gain In The Pandemic
For more than a year, some of us have been working in makeshift offices, hunched over computers on beds, floors or coffee tables. Stuck at home, we鈥檝e taken on projects and have been climbing ladders, painting walls and using tools that once collected dust in the basement. Some of us stopped exercising entirely鈥攐r launched into fitness routines without proper preparation. The result, doctors say, is more injuries among people hunkered down during the pandemic. 鈥淚鈥檝e seen neck strains, rotator cuff injuries, low-back strains,鈥 says Carlo Milani, a physiatrist at the Hospital for Special Surgery in New York City. That鈥檚 not all. Dr. Milani also is seeing 鈥渓umbar disc injuries, cervical spine disc injuries, pinched nerves in the neck, pinched nerves in the lower back.鈥 (Reddy, 4/19)
Since the pandemic began, about 42 percent of U.S. adults have gained weight 鈥 29聽pounds, on average, according to the American Psychological Association鈥檚 latest 鈥淪tress in America鈥 report. About half of the weight-gainers reported adding more than 15聽pounds; 10 percent, more than 50 pounds. Men have put on more weight than women (37 vs. 22 pounds, on average), and younger adults have gained more than older people (millennials averaging 41聽pounds vs. baby boomers at 16 pounds). (Searing, 4/19)
Dr. Chanelle Coble, an adolescent medicine specialist at N.Y.U. Grossman School of Medicine, said that young people are experiencing the body changes of puberty without the supports they would usually get from their peer group, and that is part of the general stress of the pandemic year. In her New York City practice, Dr. Coble said that she has seen higher than usual rates of severe anxiety and depression, as well as disordered eating, including among 11-, 12- and 13-year-olds. (Klass, 4/19)
KHN: From Rotten Teeth To Advanced Cancer, Patients Feel The Effects Of Treatment Delays
With medical visits picking up again among patients vaccinated against covid-19, health providers are starting to see the consequences of a year of pandemic-delayed preventive and emergency care as they find more advanced cancer and rotting and damaged teeth, among other ailments. Dr. Brian Rah, chair of the cardiology department at Montana鈥檚 Billings Clinic, was confused in the early days of the covid pandemic. Why the sudden drop in heart attack patients at the Billings Clinic? And why did some who did come arrive hours after first feeling chest pains? (Alpert, 4/20)
In other public health news 鈥
A review and meta-analysis of previously published studies has identified dog ownership as a risk factor for methicillin-resistant Staphylococcus aureus (MRSA) colonization, German researchers reported last week in the Journal of Antimicrobial Chemotherapy. ... The data suggest that transmission occurs primarily from humans to dogs, who then may serve as a reservoir for reinfection and transmission to other household members. In addition, dogs may be a vector for livestock-associated strains of MRSA. (4/19)
In Brandon Hole鈥檚 case, prosecutors considered his immediate mental health crisis 鈥 his mother told them he had talked of killing himself 鈥 to be the priority, and after his gun was taken away, they considered the crisis averted. Research has shown that red flag laws do prevent gun suicides, and some of those who have studied gun violence say that suicide prevention should be seen as the primary purpose of such laws. (Robertson, 4/19)
Karen Garner was plucking purple wildflowers and strolling back to her home in Loveland, Colo., last year when the police spotted her. A few minutes earlier, the 73-year-old with dementia had walked out of a Walmart without paying for some items worth roughly $14 before returning them to employees outside. Now, as the officer tried to arrest her, she appeared confused and frightened. 鈥淚鈥檓 going home,鈥 she pleaded, still clutching the flowers as he wrestled her into handcuffs. (Elfrink, 4/20)
KHN: After A Deadly Year On The Roads, States Push For Safety Over Speed聽
As more Americans start commuting to work and hitting the roads after a year indoors, they鈥檒l be returning to streets that have gotten deadlier. Last year, an estimated 42,000 people died in motor vehicle crashes and 4.8 million were injured. That represents an 8% increase over 2019, the largest year-over-year increase in nearly a century 鈥 even though the number of miles driven fell by 13%, according to the National Safety Council. (Bluth, 4/20)
In news about marijuana and other drugs 鈥
As marijuana legalization spreads across U.S. states, so does a debate over whether to set pot policy by potency. Under a law signed last month, New York will tax recreational marijuana based on its amount of THC, the main intoxicating chemical in cannabis. Illinois imposed a potency-related tax when recreational pot sales began last year. Vermont is limiting THC content when its legal market opens as soon as next year, and limits or taxes have been broached in some other states and the U.S. Senate鈥檚 drug-control caucus. (Peltz, 4/20)
Businesses can apply for 73 new dispensary licenses this summer, bringing the total allowed to 130 statewide. The Ohio Board of Pharmacy approved the expansion Monday afternoon. Under the plan, applicants would have to apply by the same rules as the initial 2017 application process, including security and business plan requirements. Applicants that meet the qualifications would be entered into a lottery to allocate licenses by dispensary district, which is typically one county or a group of two or three smaller counties. Licensees would be limited to five dispensary licenses total statewide, including licenses they have now. (Borchardt, 4/19)
Lisa Stockman-Mauriello is dying. She has one last ambition: to live long enough to see her three sons graduate this year 鈥 from middle school, high school and college. She and her doctor believe she needs a new experimental drug to hold on. She鈥檚 unlikely to get it. (LaVito and Bloomberg, 4/19)