Morning Briefing
Summaries of health policy coverage from major news organizations
From Ńī¹óåś“«Ć½Ņīl Health News - Latest Stories:
Ńī¹óåś“«Ć½Ņīl Health News Original Stories
California Inks Sweetheart Deal With Kaiser Permanente, Jeopardizing Medicaid Reforms
The backroom deal with politically connected Kaiser Permanente, which infuriated other Medi-Cal health plans, allows the health care giant to continue selecting the enrollees it wants.
A Disabled Activist Speaks Out About Feeling āDisposableā
Alice Wong, a writer and organizer in San Francisco, says the isolation and loss of the pandemic have shown society what itās like to be disabled.
KHNās āWhat the Health?ā: Paging the HHS Secretary
Health and Human Services Secretary Xavier Becerra is drawing criticism for his hands-off handling of the covid crisis even though the heads of the Centers for Disease Control and Prevention, National Institutes of Health, and FDA report to him. Meanwhile, the Department of Labor looks to enforce mental health āparity lawsā that have failed to achieve their goals. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Rachel Cohrs of Stat join KHNās Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHNās Noam N. Levey, who reported and wrote the latest KHN-NPR āBill of the Monthā episode about a large emergency room bill for a small amount of medical care.
Political Cartoon: 'Robutt?'
Ńī¹óåś“«Ć½Ņīl Health News provides a fresh take on health policy developments with "Political Cartoon: 'Robutt?'" by Dave Coverly.
Here's today's health policy haiku:
THE BIGGER FIGHT AGAINST CANCER
Want to cure cancer?
ā Kim Chapman
Clean up water, food and air
and nip it at source
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 Ńī¹óåś“«Ć½Ņīl Health News or KFF.
Summaries Of The News:
Medicare
People With Medicare Can Now Get Free Covid Tests
People with Medicare will be able to obtain up to eight over-the-counter Covid-19 tests a month for free starting in early spring, the Biden administration said Thursday. Under the plan, Medicare will directly pay certain pharmacies and other participating entities, allowing people with Medicare or Medicare Advantage to pick up the tests for free. (Lim and Levy, 2/3)
Medicare benefits are governed by a host of arcane laws and regulations, and officials said Thursday they were able to arrange for coverage of over-the-counter COVID-19 tests by using the programās legal authority to conduct demonstration programs on innovative ways to deliver health care. This is the first time Medicare has covered an over-the-counter test at no cost to recipients. People with Medicare Advantage, a private insurance option that covers about 4 in 10 Medicare enrollees, will also have access to free COVID-19 tests through their plans, officials said. Medicare Advantage plans can already cover over-the-counter COVID-19 tests as a supplemental benefit. (Alonso-Zaldivar, 2/3)
In other news about covid testing ā
At the same time most Americans are facing cold fronts and winter storms, they're also expecting their at-home COVID-19 tests from the government to arrive in the mail.Ā Most at-home COVID-19 test brands recommend storing the tests above 35 degrees. The liquid reagent inside the cartridgeĀ that comes with the at-home tests is susceptible to freezing, and if that happens the accuracy of the results decreases, Cindy Pins,Ā associate professor of epidemiology at the University of Florida, told USA TODAY. (Miranda, 2/4)
CVS is no longer limiting the number of over-the-counter coronavirus at-home tests consumers can purchase at its stores.Ā "Weāve worked with our vendors to increase inventory of OTC COVID-19 tests and have removed all product limits on those products at CVS Pharmacy locations nationwide and on CVS.com," a CVS spokesperson told FOX Business.Ā (Genovese, 2/3)
Can you throw your at-home, rapid COVID-19 test in the trash, or is it considered hazardous biological waste? Unlike at hospitals, at-home tests can be thrown in the normal trash, the Centers for Disease Control and Prevention told the Miami Herald in January. However, some states have taken different stances. (Dodson, 2/3)
Covid-19
Number Of New Covid Cases Plummeting
Hospitalizations for Covid-19 in the U.S. continued to fall, with the seven-day average of patients with confirmed or suspected cases easing to 134,000 on Wednesday, down 16% from a Jan. 20 high, according to data from the Department of Health and Human Services. Deaths, a lagging indicator, are ticking upward, reaching a seven-day average of 2,530, according to data from Johns Hopkins University, though they are off the highs recorded in January last year. Public health experts say that while the more contagious Omicron variant of the virus is less likely to cause severe illness than previous variants, the large number of infections this winter means it is continuing to cause a large and growing number of fatalities. (Kostov, Roland and Abbott, 2/3)
New daily cases have decreased by almost 50% in the last 2 weeks, but the average daily death rate ā which lags by 4 to 6 weeks behind case rates ā has increased by 35%. An analysis of new federal data shows 100,000 Americans have died from COVID-19 since Thanksgiving.Ā (Soucheray, 2/3)
Coronavirus infections have declined about 70% since the start of the spring semester among students in L.A. County, but overall rates remain significantly higher than they were before the current surge. The decline in the latest countywide figures, released Thursday by Public Health Director Barbara Ferrer, aligns with other data suggesting that the peak of the explosive growth due to the Omicron variant has passed. Health officials warned, however, that it remains important to take precautions ā many of which remain required under local health orders. (Blume, 2/3)
In more news about the spread of the coronavirus ā
The new cousin of the super-contagious omicron variant of the virus that causes COVID-19 hasnāt spread as fast as health officials had feared, raising hopes it wonāt extend the devastating case surge that has filled hospital wards this winter. The sub-lineage of the omicron variant known as BA.2 has been dubbed āstealth omicronā because it is harder to detect, and its rapid spread in other countries has worried health officials that it could overtake the dominant omicron strain and perhaps prove more virulent or vaccine resistant. But Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, said this week that does not appear to be the case. (Woolfolk, 2/3)
New data shows that the gap between vaccinated and unvaccinated Americans remains stark. In fact, when you compare unvaccinated people to those most protected by the vaccines, the gap has grown. The Centers for Disease Control and Prevention released new data this week from Los Angeles County. The data covered the period between Nov. 7 and Jan. 8, which means the vast majority of cases involved came after the rise of omicron. What youāll see right away is that there are indeed lots of infections among both unvaccinated people and vaccinated people ā more specifically, vaccinated people who havenāt gotten boosters. (Blake, 2/3)
Last January, a team of researchers searching for the coronavirus in New York Cityās wastewater spotted something strange in their samples. The viral fragments they found had a unique constellation of mutations that had never been reported before in human patients ā a potential sign of a new, previously undetected variant. For the past year, these oddball sequences, or what the scientists call ācryptic lineages,ā have continued to pop up in the cityās wastewater. (Anthes, 2/3)
Fabian Granado will celebrate his 27th birthday on Feb. 8. It's a day his close-knit family feared he wouldn't live to see. Hospitalized 164 days ā often near death including two months in a coma ā from COVID-19, Granado walked out of UF Health Jacksonville on Tuesday to tears of joy, cheers, handshakes and hugs from the masked medical staff who cared for him day and night. "I'm feeling wonderful," said Granado in a soft, raspy voice. "It's been a long 5½ months at the hospital getting my lungs healed and being able to talk, walk and you know, be alive and a human again." (Stepzinski, 2/3)
KHN: A Disabled Activist Speaks Out About Feeling āDisposableāĀ
In early January, one of the countryās top public health officials went on national television and delivered what she called āreally encouraging newsā on covid-19: A recent study showed that more than three-fourths of fatalities from the omicron variant of the virus occurred among people with several other medical conditions. āThese are people who were unwell to begin with,ā said Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention. Walenskyās remarks infuriated Americans with disabilities, who say the pandemic has highlighted how the medical establishment ā and society at large ā treats their lives as expendable. (Scheier, 2/4)
And in covid research ā
Among older adults, the risk of stroke is highest within 3 days of COVID-19 diagnosis, and a new scoring system could help predict the risk ofĀ stroke, according to preliminary research presented at the International Stroke Conference 2022 this week. (2/3)
The severity of COVID-19 does not change based on pregnancy trimester, finds research presented today at the Society for Maternal-Fetal Medicine's (SMFM's) virtual annual meeting. According to an abstract published Jan 1 in the American Journal of Obstetrics & Gynecology (AJOG), the research team studied the outcomes of 1,092 pregnant COVID-19 patients who delivered at a Dallas hospital from Mar 18, 2020, to May 31, 2021. (2/3)
One of the great mysteries that has emerged from the Covid-19 pandemic ā and one thatās still being investigated by infectious disease specialists ā is why some people catch Covid and others donāt, even when theyāre equally exposed to the virus. Many of us know entire households who caught Covid and had to isolate over the pandemic, but there are also multiple anecdotes of couples, families and colleagues where some people caught the virus ā but not everyone. Indeed, Danny Altmann, professor of immunology at Imperial College London,Ā told CNBC that studies indicate the likelihood of becoming infected within a household once one case is positive is ānot as high as youād imagine.ā (Ellyatt, 2/3)
COVID-19 isnāt going anywhere. While Kansas Cityās omicron wave seems to be trending downward, some people, often referred to as long haulers, are still dealing with lingering COVID symptoms for months after they first test positive. Youāve probably heard the phrase ālong COVIDā before, but what exactly is it? We spoke with Dr. Paramdeep Baweja, Interventional Cardiologist with University Health, to answer your questions about long COVID, how itās affecting people here in Kansas City and what resources are available if youāre dealing with it. (Hernandez, 2/4)
White House Launches $19M Grants To Boost Residencies
The Biden administration on Thursday made $19 million in grants available to train primary care residents in rural and under-served communities, part of an effort to address physician shortages. The funding will support an additional 120 residency slots at community-based ambulatory patient care centers. "This funding provides our primary care workforce with opportunities to train in areas where they can make a profound impact, and is one of the many steps we're taking to address long-standing health disparities," Health and Human Services Secretary Xavier Becerra said. (Hellmann, 2/3)
In related news about health care workers ā
With American hospitals facing a dire shortage of nurses amid a slogging pandemic, many are looking abroad for health care workers. And it could be just in time. Thereās an unusually high number of green cards available this year for foreign professionals, including nurses, who want to move to the United States ā twice as many as just a few years ago. Thatās because U.S. consulates shut down during the coronavirus pandemic werenāt issuing visas to relatives of American citizens, and, by law, these unused slots now get transferred to eligible workers. (Taxin, 2/3)
Calls to shore up Connecticutās health care workforce are getting louder, after the latest COVID variant placed heightened stress on the stateās nurses, physicians, behavioral specialists and other medical staff. Advocates and lawmakers say programs theyāve long pushed for ā workforce training, medical school loan forgiveness, higher nurse-to-patient ratios, simpler license transfers from other states and medical liability insurance reform, to name a few ā are all on the table heading into the Connecticut General Assemblyās regular session, which begins Feb. 9. (Phillips, 2/3)
In other news on the pandemic labor shortage ā
Long COVID is likely keeping a lot of Americans out of the workforce, experts say, ā and that could continue for years as people struggle with persistent health problems. Long COVID isn't confined to older patients, and its symptoms can vary. The U.S. also doesn't have particularly strong support systems for people who need long-term COVID treatment. (Reed and Peck, 2/3)
Two days into her COVID-19 diagnosis, Kelly Luberda realized while washing her hands that the soap had no smell.Frantic, she raced through her house sniffing coffee, candles ā anything with a strong odor.Ā Nothing. Over 15 months later, Luberda, a 54-year-old resident of De Pere, says her sense of smell still isn't right. She can smell peanut butter, gasoline, beef, garlic, a wood-burning fire and barbecue, but they all have the same repulsive smell, one she compares to vomit. (Eilbert and Heim, 2/3)
In a sunny classroom in Pojoaque Valley Middle School, northern New Mexico, a class of lively teenagers is doing a group reading exercise. Specialist Austin Alt paces around, peering over their shoulders. It's his second day as a substitute teacher, and his arrival came as a surprise. "I went to one of my classes, and I saw him there. I was kind of shocked at first," says Joshua Villalobos, 14. As of this week, 78 members of the New Mexico National Guard have begun work as substitute teachers. They are responding to a call from Governor Michelle Lujan Grisham, who also asked state employees to volunteer in an effort to keep schools open during an acute shortage of teachers exacerbated by the omicron wave of COVID-19. (Fordham, 2/2)
Many California workers are one step closer to regaining access to expanded COVID-19 supplementary sick pay after a bill published Wednesday outlined who would be eligible and the limits on how much businesses would have to pay. The further details come after Gov. Gavin Newsom and legislative leaders announced a deal last week to revive the emergency sick pay for people affected by the virus and their families. Labor groups have been pressuring the administration and the Legislature to revive the expanded sick leave after it lapsed at the end of September when a federal tax credit for businesses to fund the leave expired. (DiFeliciantonio, 2/3)
Vaccines and Covid Treatments
Jabs For Kids Ages 5-11 Slow Way Down
Covid-19 vaccinations among children ages 5-11 have fallen to the lowest levels since the shots were first approved, a sign that parental enthusiasm for the shots may be running low even as authorities consider expanding the shots to even younger children. The seven-day average of first doses fell to about 37,062 on Jan. 28, marking the slowest one-week period since the government approved the vaccines for those children on Nov. 2, according to U.S. Centers for Disease Control and Prevention data. Just 31% of kids 5-11 have gotten a shot, compared with 75% of the total population. (Levin, 2/3)
In other updates on the vaccine rollout ā
At this stage of the pandemic, Dr. Sandra J. Valenciano counts each shot in an arm as a small victory. Vaccine hesitancy, misinformation, racial disparities in access to health care and distrust in institutions remain some of the biggest hurdles to vaccinating Black Georgia residents against COVID-19. Public health officials and advocacy groups have worked hard over the past year to make inroads with marginalized communities and those efforts have started to show promising signs. The gap between Black Georgians who have taken the shot and the rest of the state has narrowed. (Scott Trubey, 2/4)
When Armani Nightengale waited in the car last March to get vaccinated against COVID-19 at the United Center, her husband was more nervous than she was. Over the next couple of weeks, he carefully checked her arm to make sure nothing looked wrong. Then, the conversation shifted to when he would get the shot. Thatās when things got more ācombative,ā Nightengale said, as she began asking why he was reluctant, especially given that they had three young children. Her husband, on the other hand, felt unsure about how signing up for the vaccine would affect his immigration status. But in December, after months of evolving conversations on the benefits of getting inoculated, he agreed. (Yin, 2/3)
And in vaccine research news ā
CDC Director Dr. Rochelle Walensky said Wednesday that experts have not yet seen studies suggesting omicron sub-variant BA.2 will evade COVID-19 vaccine protection any more so than the original omicron strain has already. "In terms of early studies, we have not seen any studies that suggest itās more severe, nor have we seen studies that suggests that it will evade our vaccines any more so than omicron has already ā and, in fact, that our vaccines will work just like it has with omicron," Walensky said at the White House COVID-19 response team briefing. (Musto, 2/3)
Amid growing concern over access to Covid-19 vaccines and treatments, the U.S. pharmaceutical industry trade group has lashed out at the World Health Organization and other global agencies for supporting efforts to pause patent rights in hopes of increasing supplies to poor countries. In comments made to the U.S. Trade Representative, the Pharmaceutical Research and Manufacturers of America argued that the WHO and other agencies, including the World Trade Organization, were no longer reliable stewards of intellectual property rights and, instead, have been promoting a ārange of harmful policiesā that would hurt incentives for drug and vaccine makers. (Silverman, 2/3)
Also ā
The prices charged for several medicines used to treat people with mild-to-moderate Covid-19 ā including pills from Pfizer (PFE) and Merck (MRK) ā are reasonably priced based on the value they offer patients, according to a preliminary assessment. In each case, the different therapies met cost-effectiveness thresholds and averted hospitalization costs for Covid-19 patients who are at a high risk of developing a severe form of the coronavirus. Other potential benefits include helping to stop the spread of the coronavirus and easing the severe overcrowding at hospitals, although these are not as easily quantified. (Silverman, 2/3)
Pandemic Policymaking
Iowa Governor Says Public Health Emergency Is 'No Longer Feasible'
Iowa Gov. Kim Reynolds said Thursday she is calling an end to the coronavirus public health emergency, a move that will limit the release of state public health data but reflects the governorās long-held belief that itās time to move on from pandemic restrictions. Reynolds said in a statement that the state cannot treat COVID-19 as a public health emergency indefinitely. āAfter two years, itās no longer feasible or necessary,ā she said. āThe flu and other infectious illnesses are part of our everyday lives, and coronavirus can be managed similarly.ā (Pitt, 2/3)
Officials said this means Iowa's two public COVID websites will be decommissioned. The websites present vaccine information and data on the virus's activity, which is currently updated three times a week on Mondays, Wednesday and Fridays. State health department director Kelly Garcia said at a press conference on Thursday that COVID data will instead be available on IDPHās website, updated once a week. (Krebs, 2/3)
In other news about covid policies and mandates ā
A junior officer assigned to the Army Public Health Center at Aberdeen Proving Ground, Maryland, faces a special court-martial for failing to obey COVID-19 mitigation measures, Army Times has learned.1st Lt. Mark Bashawās arraignment is āpendingā on three specifications of āfailure to obey lawful orders,ā said Becca Nappi, a spokesperson for the installation. ... Although other troops have faced discipline for failing to follow COVID-19 protocols, Bashaw is the first case in the Army referred to a court-martial for such incidents, Army spokeswoman Col. Cathy Wilkinson confirmed in a statement to Army Times. (Winkie, 2/2)
A watchdog group lodged a complaint Thursday against a federal appeals court judge for insisting that a lawyer remove his mask during arguments held in New Orleans at a time last month when new cases of COVID-19 were surging. The group āFix the Courtā said 5th U.S. Circuit Court of Appeals Judge Jerry Smithās insistence that a U.S. Department of Justice lawyer remove his mask at a hearing last month violated the Code of Conduct for U.S. Judges. (McGill, 2/4)
With the Omicron surge receding and the number of COVID-19 cases among Massachusetts students starting to decline, debate is growing about whether the stateās mandatory school mask rules should be revised or removed. Massachusettsā current policy, developed as the Delta variant emerged last summer, allows local officials to lift the mask requirement if they can demonstrate that at least 80 percent of all students and staff in a school building are vaccinated. On Jan. 10, state Education Commissioner Jeffrey Riley extended the policy through Feb. 28. He also allowed, for the first time, nonvaccinated people in schools that achieve the 80 percent threshold to also go maskless. (Lazar, 2/3)
The pandemic has been a boon for the anti-vaccine community, with ... Informed Consent Action Network (ICAN), one of the countryās best-funded anti-vaccine organizations, among the biggest beneficiaries, according to newly filed tax records. ICAN reported $5.5 million in revenue in 2020, a 60 percent increase over the previous year. The funding underscores how lucrative the pandemic has been for a handful of groups that spread health misinformation and undermine public faith in vaccines. Those donations primarily come from private donors, including through Facebook fundraisers. (Zadrozny, 2/3)
In mask news from California ā
Outlining how health and safety rules could be loosened as the coronavirusā Omicron variant continues to wane, Los Angeles County officials said Thursday that face coverings no longer will be required in certain outdoor settings once COVID-19 hospitalizations drop, and indoor mask rules could be loosened after further gains. The county would enter this āpost-surgeā phase when coronavirus-positive hospitalizations drop below 2,500 for seven straight days, about 26% below the current figure. As of Wednesday, just under 3,400 coronavirus-positive patients were hospitalized countywide, down 29% from the apparent high mark of the Omicron wave, set a little more than two weeks ago, when about 4,800 were hospitalized. (Money, Lin II and Alpert Reyes, 2/3)
Los Angeles Mayor Eric Garcetti told reporters on Wednesday that he held his breath while taking a photo last weekend with San Francisco Mayor London Breed and former NBA star Earvin "Magic" Johnson in which all three were not wearing masks. Johnson posted the photo, taken at an NFL playoff game last Sunday between the San Francisco 49ers and the Los Angeles Rams, on his Twitter account. Spectators at the game were required to wear masks. (Gedeon, 2/3)
Administration News
Biden's Science Adviser Slams Critics Who Scoffed At Cancer 'Moonshot'
A more modest cancer moonshot? Not so fast, says Eric Lander. The White House science adviser pushed back on the many characterizations of the new effort as smaller and less ambitious than the 2016 push, in an interview with STAT this week. Lander stressed that the current effort shouldnāt be viewed as an attempt to scale back the federal governmentās cancer-curing ambitions. Even though it makes no mention of cancer ācures,ā and doesnāt call for new research money, Lander argued the new plan is āaudacious.ā (Facher, 2/4)
President Joe Bidenās reignited moonshot to halve cancer deaths, improve care and eventually end the disease gives a lift to one of his longest-held and most personal goals ā but the mission hasnāt been refueled. Missing from the ambitious plan to boost screening, reduce inequities and strengthen prevention efforts is a funding boost to the existing moonshot, which is in the sixth year of a $1.8 billion, seven-year allotment from Congress. (Owermohle, 2/3)
In other news from the Biden administration ā
Telemedicine companies will tell you the pandemic has ushered in a new era of connected health across America. But the Biden administration wants a closer look at whether technology is the thing making the strongest connection. The White House Office of Science and Technology Policy on Thursday launched a roundtable series to examine which pandemic-driven innovations are worth keeping and which may only reinforce the divide between the haves and have-nots. (Ross, 2/3)
KHN: KHNās āWhat The Health?ā: Paging The HHS Secretary
Health and Human Services Secretary Xavier Becerra is becoming a target for both Democrats and Republicans over what they call a lack of coordination of covid efforts within his department. But at the same time, officials from the Biden administration have made it clear from the start that the covid campaign would be orchestrated by the White House, so itās not clear whether the secretary was supposed to play a major role. Meanwhile, as covid cases decline, covid-weary politicians and the public are pushing to ease the latest round of restrictions. But those with compromised immune systems and other disabilities fear they could pay the price. (2/3)
And on Capitol Hill ā
A growing concern about contamination from āforever chemicalsā has prompted a bipartisan group of senators from Nevada and other states to urge President Joe Biden to make testing and cleanup a budget priority. The senators, including Catherine Cortez Masto and Jacky Rosen, both Nevada Democrats, are asking the Biden administration to budget funds for increased testing, cleanup efforts and research on chemicals used by the military, airports and industrial plants that pose health risks. Perfluoroalkyl and polyfluoroalkyl substances, or PFAS, used in foam to extinguish petroleum-based fires, has been detected at all Nevada military bases and in groundwater at both Creech and Nellis Air Force bases near Las Vegas. (Martin, 2/3)
The Food and Drug Administration canāt escape questions about Aduhelm. Patrizia Cavazzoni, one of the agencyās highest-ranking drug regulators, set out to testify before Congress Thursday on the intricacies of three looming funding bills crucial to the agencyās operations. But again and again, lawmakers grilled her about Biogenās controversial Alzhiemerās drug. One lawmaker, Rep. Jan Schakowsky (D-Ill.), even joined the meeting just to chide Cavazzoni, even though sheās not a member of the subcommittee that held the hearing. (Florko, 2/3)
The White House is facing pressure from prominent lawmakers over its pick to lead the Food and Drug Administration, with abortion foes urging Republican senators to reject the nominee, Dr. Robert Califf, and with key Democrats withholding support over opioid policies and his industry ties. Nearly six years after Dr. Califf received overwhelming bipartisan support to lead the agency in the final year of the Obama administration, lawmakers and aides are struggling to lock up the votes he needs to clear an evenly divided Senate, where Vice President Kamala Harris serves as the tiebreaking vote. (Jewett and Cochrane, 2/3)
Health Industry
Probe Launched Into Hacking Breach Of UnitedHealthcare
Rhode Island's attorney general hit UnitedHealthcare with a series of subpoenas asking for information about a security breach that compromised the information of 22,000 state employees and their families. Attorney General Peter Neronha said the Rhode Island Public Transit Authority notified his office in late December that an "unauthorized third party" accessed their system in August, potentially exposing the personal information of their workers, other state government personnel and their dependents. His office is investigating whether the state agency or former administrator of the state's employee health benefit plan, UnitedHealthcare, failed to live up to industry standards when safeguarding individuals' personal information. (Tepper, 2/3)
A federal judge on Wednesday granted UnitedHealth Group workers class-action status in their fight over the company's alleged failure to manage their $7 billion retirement accounts. Judge John Tunheim of the U.S. District Court of Minnesota ruled the employee's complaint met federal class certification standards, saying the more than 150,000 people participating in UnitedHealth Group's health plan had enough in common to consolidate their complaints into a single question of whether executives upheld the fiduciary duties required under the Employee Retirement Income Security Act. (Tepper, 2/3)
A federal grand jury in Grand Rapids, Mich., has indicted a McKinney doctor on charges of defrauding health care insurers and creating false medical records, the U.S. Attorneyās Office for the Western District of Michigan announced Wednesday. Among the allegations in the indictment are that Dr. Daniel Castro ā an otolaryngologist or ear, nose and throat physician ā performed surgeries on patients āwhose symptoms, history, and computed tomography scans (CT scans) did not support the medical necessity of such procedures.ā In addition, the indictment alleges that Castro āroutinely billed for removing diseased tissue from inside his patientās sinuses when diseased tissue did not truly exist and billed for performing surgery on sinus cavities that did not exist, to increase his compensation.ā (Caplan, 2/3)
Thousands of registered nurses at Palo Alto, Calif.-based Stanford Health Care and Lucile Packard Children's Hospital have launched a campaign for new union contracts, as their current agreements are set to expire March 31, according to an independent union representing them.Ā The Committee for Recognition of Nursing Achievement, which represents about 5,000 RNs at Stanford Health Care and Lucile Packard Children's Hospital Stanford, cited workers' desire to improve mental health standards, staffing and working conditions. The union also cited a recent survey of thousands of nurses represented by CRONA at Stanford and Packard hospitals showing that 44 percent of respondents are considering leaving the hospitals in the near future.Ā (Gooch, 2/3)
In other health care industry news ā
KHN: California Inks Sweetheart Deal With Kaiser Permanente, Jeopardizing Medicaid Reforms
Gov. Gavin Newsomās administration has negotiated a secret deal to give Kaiser Permanente a special Medicaid contract that would allow the health care behemoth to expand its reach in California and largely continue selecting the enrollees it wants, which other health plans say leaves them with a disproportionate share of the programās sickest and costliest patients.Ā The deal, hammered out behind closed doors between Kaiser Permanente and senior officials in Newsomās office, could complicate a long-planned and expensive transformation of Medi-Cal, the stateās Medicaid program, which covers roughly 14 million low-income Californians. (Editorās note: KHN is not affiliated with Kaiser Permanente.) (Wolfson, Hart and Young, 2/3)
Dozens of hospitals signed a recent letter to Congress asking, among other things, for more time to repay their accelerated Medicare loans. Some of those hospital companies, however, had already repaid the money, and even those that haven't don't anticipate needing to pay the 4% interest that gets tacked on once the initial repayment periods end. Of the $107.3 billion the Centers for Medicare and Medicaid Services distributed to healthcare providers and suppliers under the COVID-19 Accelerated and Advanced Payments Program, the agency recouped 53% by the end of November. That includes 55% of the $98.8 billion distributed to Part A providers, mostly hospitals, and 28.7% of the $8.5 billion distributed to Part B providers and suppliers, mostly medical groups. (Bannow and Hellmann, 2/3)
University of Chicago Medicine plans to build a $633 million, 500,000-square-foot cancer hospital in Hyde Park ā in hopes of addressing health inequities on the South Side and attracting patients from across the region. The massive center would include 128 beds for overnight patients, space for outpatient services and procedures, an urgent care for cancer patients and be a hub for cancer research, with clinical trials enrolling patients who live on the South Side and elsewhere. The hope is that patients would be able to get nearly all of their cancer care at the center rather than having to go to multiple locations for tests and treatments, said Dr. Kunle Odunsi, director of UChicago Medicineās Comprehensive Cancer Center. (Schencker, 2/3)
Construction is ready to begin on a $34 million expansion of Orange Park Medical Center as it continues to add health care services in northeast Florida. On schedule, the expansion calls for the construction of two new inpatient units adding 48 private patient rooms. A new "state-of-the-art," 20-bed intensive care unit will be built ā bringing to 48 the total ICU beds, medical center officials told the Florida Times-Union. When the project is finished, the medical center will have 408 total beds to become the fifth largest hospital in the greater Jacksonville area. (Stepzinski, 2/2)
The UMass Chan Medical School has received a $15 million gift that will boost research into ALS and neuroscience, school officials announced Thursday. The donation from alumni Dan and Diane Casey Riccio includes $10 million for what will be named the Riccio ALS Accelerator Initiative and $5 million to expand and endow the Riccio Fund for Neuroscience. (2/3)
Pharmaceuticals
Former Pfizer Staff Accused Of Medicine Trade Secret Theft
Pfizer (PFE)Ā has accused two former employees of clandestinely creating a pair of companies that are now using stolen trade secrets to develop obesity and diabetes medicines, which recently prompted Eli Lilly (LLY) to strike a collaboration worth up to $1.5 billion. The saga began about four years ago when two long-standing Pfizer staffers, dissatisfied with career opportunities, decided to create their own venture. They then started accessing numerous internal Pfizer documents and approached a company in Shanghai as an investor, according to a lawsuit filed in U.S. federal court in Connecticut. (Silverman, 2/3)
In other pharmaceutical and biotech news ā
Sales of Aduhelm, Biogenās treatment for Alzheimerās disease, continued to underperform expectations in the fourth quarter, Biogen said Thursday, leading the company to issue a disappointing financial forecast for 2022. Aduhelm accounted for $1 million in revenue in the final three months of 2021, depressed by continued doubts about the drugās benefit for patients and restrictions placed on its use by insurance companies. Analysts who cover Biogen were expecting the company to deliver $2 million in Aduhelm sales during the fourth quarter. (Feuerstein and Garde, 2/3)
When the French pharmaceutical giant Sanofi starts moving 2,500 employees from 10 sites in Massachusetts into a pair of new buildings in East Cambridge next month, visitors may notice something missing at the sprawling complex: any mention of Genzyme. Eleven years after Sanofi bought Genzyme for about $20.1 billion, the parent company said Thursday it will no longer call its specialty care unit Sanofi Genzyme ā just Sanofi, as part of a company-wide rebranding. The move jettisons the name of a storied Massachusetts biotechnology company that helped transform the drug industry in the 1980s and anchored the life sciences cluster that made the region synonymous with innovation. (Jonathan Saltzman, 2/3)
Baltimore health information technology company Audacious Inquiry is set to be acquired by PointClickCare Technologies, a Canadian health care software developer. The companies say they both aim to solve gaps in health care and improve care for vulnerable patients. The planned acquisition, announced Thursday, is subject to regulatory approvals. Terms of the deal were not disclosed. Audacious Inquiry, which became one of the first recognized B Corporations in Maryland in 2010 to work toward solving social problems, builds networks that transmit data across the U.S. health care system. (Mirabella, 2/3)
Also ā
Some see it as a symptom of a discriminatory ābamboo ceilingā in academia: Despite being heavily represented in American biomedical research, Asian scientists are rarely granted the fieldās prestigious research prizes. A new analysis, published Thursday in the journal Cell, paints a stark picture. Less than 7% of recipients of some of the countryās most coveted scientific prizes ā including the Lasker Award ā are Asian, while other prestigious awards in biology have yet to be given to a single Asian recipient. (McFarling, 2/3)
Public Health
Worrying Infectious HIV Strain Found In The Netherlands
Scientists have found a previously unrecognized variant of HIV thatās more virulent than usual and has quietly circulated in the Netherlands for the past few decades. Thursdayās report isnāt cause for alarm: HIV medicines worked just as well in people with the mutated virus as everyone else and its spread has been declining since about 2010. It was discovered as part of efforts to better understand how HIV continues to evolve. (Neergaard, 2/3)
The University of Texas Health Science Center at San Antonio is seeking volunteers to participate in clinical trials for this areaās first study of a messenger RNA-based HIV vaccine. Researchers hope to develop a series of vaccines to prevent HIV infection and deaths caused by HIV and AIDS, UT Health San Antonio said in a news release. Moderna will provide the vaccine to sites around the country, including San Antonio. The trial sites for the study also include the Fred Hutchinson Cancer Research Center in Seattle, George Washington University in Washington, D.C., and Emory University in Atlanta. (Pettaway, 2/3)
In news about food safety ā
The US Centers for Disease Control and Prevention is investigating a Listeria outbreak linked to Dole packaged salads that has resulted in two deaths. The outbreak has also sickened 17 people and resulted in 13 hospitalizations across 13 states. The recalls began at the end of December and are for products with "Best if used by" dates from November 30, 2021, through January 9, 2022.The CDC also notes these products have codes in the upper right-hand of the package that will begin with the letter B, N, W or Y. (Sealy, 2/3)
The US Centers for Disease Control and Prevention (CDC) yesterday said a Salmonella Oranienburg outbreak linked to onions imported from Mexico is over, with 148 more cases added to the total since its last update on Nov 16. (2/3)
In other public health news ā
German scientists plan to clone and then breed this year genetically modified pigs to serve as heart donors for humans, based on a simpler version of a U.S.-engineered animal used last month in the world's first pig-to-human transplant. Eckhard Wolf, a scientist at Ludwig-Maximilians University (LMU) in Munich, said his team aimed to have the new species, modified from the Auckland Island breed, ready for transplant trials by 2025. (2/3)
Healthy mouth, healthy baby? For years, scientists have been exploring the link between poor oral health and giving birth too early. Now, new research presented Thursday raises the possibility that something very simple and inexpensive might make a difference: chewing sugarless gum. The improvements seen in the study in the African country of Malawi were modest: The rates of premature birth were slightly lower in the pregnant women who chewed the gum, compared to those who didnāt. (Ungar, 2/3)
An estimated 18,000 Americans ā nearly half of whom were children ā went to emergency rooms across the U.S. in 2020 for injuries sustained when furniture, a TV or another appliance tipped over and hurt them. A report released Thursday by the Consumer Product Safety Commission also found that there have been 581 tip-over fatalities in the U.S. since 2000. Four in five of the deaths were kids. Although the data shows an overall decline in "product instability" injuries and deaths recently, each year thousands of people are still treated for injuries and some die from what authorities say are preventable accidents. (Hernandez, 2/3)
Dallas-based Southwest Airlines will bring back onboard alcohol sales to most flights and an expanded beverage offering starting Feb. 16, the carrier announced Thursday. But flight attendants, who have to serve alcohol and enforce federal mask mandates amid the COVID-19 pandemic, are calling the move āunsafe and irresponsible.ā After slimming down to just water service when the pandemic began, Southwest Airlines will start serving beverages such as sodas, orange juice, tonic water, hot tea and cocoa later this month and will sell beer, wine and liquor on flights of more than 176 miles. (Arnold, 2/3)
Former Contestants for 500: This "Jeopardy!" contestant was the "final gift" to longtime host Alex Trebek and was labeled by social media as "Alexās Last Great Champion."Ā The parents of five-time "Jeopardy!"āÆchampion Brayden Smith filed a lawsuit against a Nevada hospital for negligence and medical malpractice after he died suddenly at the age of 24 from clots in his lungs last year, according to multiple reports.Ā One of Smithās medical problems was ulcerative colitis, an inflammatory condition of the large intestine, which sometimes can lead to severe complications where a partial or complete removal of the colon is necessary, known as a colectomy, according to Medscape.Ā (Sudhakar, 2/3)
And a bit of happy news ā
At Kaiser Permanente San Diego Medical Center, a baby was born on 2/2/22 at 2:22 p.m.! Hospital staff shared heartwarming photos of first time parents Natalie and Angel who live in Carlsbad. Their son Ramon weighed 8 pounds, 3 ounces and is 19 inches long. ... Canāt get enough of the number two? Baby Ramon is also the 22nd great grandchild of Natalieās grandmother Josephine. (Summerville, 2/2)
State Watch
15-Week Abortion Ban Advanced In Arizona
Arizona Republicans are moving swiftly to outlaw abortion after 15 weeks of pregnancy ahead of a highly anticipated U.S. Supreme Court decision that could bring seismic changes to abortion availability in the United States. Arizona already has some of the nationās most restrictive abortion laws, including one that would automatically outlaw it if the high court fully overturns Roe v. Wade, the nearly five-decade-old ruling that enshrined a nationwide right to abortion. (Cooper, 2/3)
The New Hampshire Senate voted along party lines Thursday to modify the stateās new ultrasound requirement for abortions. But Senate Republicans also rejected Democratic efforts to add exemptions to the stateās 24-week abortion ban and to create a legal right to the procedure in state statute. The contours of this debate were familiar: Republicans defended the new 24-week ban, adopted as part of last yearās state budget, as reasonable and reflective of the publicās will. (Rogers, 2/3)
A Republican-controlled South Dakota House committee declined Wednesday to consider a proposal from Gov. Kristi Noem aimed at banning nearly all abortions, stifling a top item on the governorās agenda. The Republican governor loudly trumpeted her proposal this year, which would have mimicked the private enforcement of a Texas law and prohibited abortions once medical professionals can detect fetal cardiac activity. (Groves, 2/3)
In news about health and race ā
Supporters of a federal effort to study reparations for Black Americans are closely watching an ongoing debate in California over how to address the wrongs of history and dismantleĀ racist structures.Ā California is the first state in the nation to seriously consider some form of reparations for Black Americans. The California Reparations Task Force is made up of academics, lawyers, civil rights leaders, lawmakers and other experts convened by Gov. Gavin Newsom and is tasked with studying the stateās role in perpetuating the legacy of slavery. The task force is expected to recommend proposalsĀ to the Legislature by next year. (Mayorquin, 2/2)
In other news from across the U.S. ā
While Democratic and Republican Florida lawmakers have had contentious debate on issues like abortion and immigration this year, the two sides came together to quickly pass 20 bills Thursday, almost all unanimously. The legislation included approving new state legislative districts, authorizing schools to stock and use medicines to counteract an opioid overdose and requiring insurance companies to provide hearing aid coverage for children. (Farrington, 2/3)
The West Virginia Senate Finance Committee passed a bill Thursday to end the state's soda tax in July 2024. The tax has been in place since 1951. The revenue from that tax - a penny for every 16.9-fluid-ounce soda and other rates for bulk syrup and other ingredients - all goes to West Virginia University's schools of medicine, dentistry, nursing and related programs. This legislation, Senate Bill 533, would redirect insurance tax revenue to fill the hole from the soft drink tax elimination. (Quinn, 2/3)
South Dakota could become the first state this year to enact a law that would prohibit transgender girls from participating on sports teams for girls and women in high school and college. Without a floor debate, the state House on Wednesday advanced a bill that would ban transgender girls from playing on girls varsity sports and club teams at school and require schools to use the studentās birth certificate to determine eligibility. The billāwhich now heads to Republican Gov. Kristi Noem's deskāmirrors a similar proposal she vetoed during the 2021 session. But this bill has her endorsement. (Wright, 2/3)
With Medicaid expansion, a broad swathe of low-income Missourians are now eligible to receive public health insurance. That cross section includes people leaving prison, who often go from having basic health care in prison, to not having any on the outside. One of the first stops for people leaving prison in mid-Missouri is the Reentry Opportunity Center, in Columbia. The center sees about 80 people a month, most of whom are in the process of putting their lives together after being incarcerated. According to the center's program director, D'Markus Thomas-Brown, leaving prison often means starting from scratch. "When someone comes out ... they need everything, and they need it now," Thomas-Brown said. (Valdivia, 2/3)
Oklahoma recently injected millions of dollars in new funding for hundreds of school districts with under-resourced facilities. The state distributed $38.5 million in Redbud School Grants for the first time on Friday. Lawmakers created the program last year to putĀ medical marijuana tax dollars towardĀ districts and charter schools that earn below the state average in local taxes that support school buildings.Ā āItās going toĀ be huge for a lot of school districtsĀ and finally bringĀ some parity," Rep. Kyle Hilbert said.Ā Hilbert, R-Bristow, was an author of Senate Bill 229, the legislation that established the grant program.Ā (Martinez-Keel, 2/3)
Kody Kinsley, North Carolinaās new secretary of health and human services, knows firsthand what itās like to be uninsured in this state and have limited access to health care. When he was a boy growing up in Wilmington, his father was a construction worker, whose first job in the port city was building sets for a movie studio. His mother cleaned houses. āI mean theyāve worked incredibly hard every day of their lives,ā Kinsley said in a recent interview with North Carolina Health News. āBut regardless of how hard they worked, when it came to keeping food on the table and keeping a roof over our heads, having enough money for health insurance was just not an option." (Blythe, 2/4)Ā
Global Watch
Without Moderna, African Researchers Nearly Copy Its Vaccine
Researchers at a South African biotechnology company say they have nearly created a copy of Modernaās messenger-RNA-based vaccine against COVID-19, without Modernaās involvement. The company, Afrigen Biologics and Vaccines, in Cape Town, has made only microlitres of the vaccine, based on data that Moderna used to make its shot. But the achievement is a milestone for a major initiative launched by the World Health Organization (WHO) ā a technology transfer hub meant to build capacity for vaccine manufacturing in low- and middle-income countries. (2/3)
South Africaās Afrigen Biologics & Vaccines Ltd. said it has made a Covid-19 vaccine that matches the one by Moderna Inc. after that company rebuffed it in its request for a partnership. Afrigen, part of the World Health Organizationās mRNA technology transfer hub in Cape Town, obtained the publicly available sequence of the Moderna shot from Stanford University and has now made its own version, Petro Terblanche, the managing director of Afrigen, said. (Sguazzin, 2/4)
Africa is short of at least $1.29 billion to fund the rollout of Covid-19 vaccines, the World Health Organization said, citing data from 40 of the continentās 54 countries. Only 11% of the continentās 1.2 billion people are fully vaccinated and the weekly pace of vaccination needs to rise sixfold to hit a target of having 70% of the population inoculated by the middle of this year, the WHO said in a statement on Thursday. Currently six million Africans are being vaccinated weekly. (Sguazzin, 2/3)
A sub-variant of the omicron coronavirus strain, known as BA.2, is spreading rapidly in South Africa and may cause a second surge of infections in the current wave, one of the countryās top scientists said. BA.2 is causing concern as studies show that it appears to be more transmissible than the original omicron strain, the discovery of which was announced by South Africa and Botswana in November.Ā Research also shows that getting a mild infection with either of the two strains may not give a robust enough immune response to protect against another omicron infection. Thereās no indication that the sub-variant causes more severe disease from infection surges seen in Denmark and the U.K. (Sguazzin, 2/2)
In other global pandemic news ā
The director of the World Health Organizationās Europe office said Thursday that coronavirus deaths are starting to plateau and the continent faces a āplausible endgameā to the pandemic. Dr. Hans Kluge said there is a āsingular opportunityā for countries across Europe to take control of COVID-19 transmission as a result of three factors: high levels of immunization because of vaccination and natural infection, the virusās tendency to spread less in warmer weather and the lower severity of the omicron variant. Data in the U.S. is similar to the data from Europe, providing similar hope. āThis period of higher protection should be seen as a cease-fire that could bring us enduring peace,ā Kluge said. (Bacon, Ortiz and Tebor, 2/3)
It is becoming the mantra of 2022, the most optimistic formulation for the end of the pandemic ā less ambitious than āstop covidā but more than āflatten the curve.ā The world, we are told, must learn to ālive with the virus.ā But what ālive with the virusā means may depend on where you live. ... Health experts have warned against declaring that moment too soon. But many countries in Europe, where vaccination rates are high and hospitalizations through the omicron wave have been manageable, think they will get there before the United States does. (Noack, Rolfe and Booth, 2/3)
Direct international flights to Bali have resumed for the first time in two years as Indonesia opens the resort island to foreign travelers from all countries, but mandatory quarantine remains in place for all visitors. Officials had said in October that Bali would welcome foreign arrivals from 19 countries that meet World Health Organization criteria, such as having their COVID-19 cases under control. But there were no direct international flights to Bali until Thursday, when Garuda Indonesia operated its first such flight in two years from Tokyo. (Lisnawati, 2/4)
Austria is the first Western democracy to mandate Covid vaccinations for nearly its entire adult population, a once-unthinkable move that is being seen as a test case for other countries grappling with pockets of vaccine resistance. The sweeping measure, which easily cleared its final parliamentary hurdle on Thursday when it was approved by lawmakers in Austriaās upper house, will be signed into law as soon as Friday by President Alexander Van der Bellen of Austria. (Bennhold, 2/4)
For citizens of a country where aids, dysentery and road traffic accidents rank among the top ten causes of death, it is difficult to get worked up about a newfangled ailment like covid-19. And when friends and family appear more scared of vaccination than of infection itselfāwhen they say that a jab is a one-way ticket to hellāit is perhaps natural to resist getting inoculated. Little surprise then that Papua New Guinea, a desperately poor corner of the world, has the lowest vaccination rate in Asia and among the lowest in the world. Just 3.3% of the population has received even a single dose. (2/4)
Teachers fear children have become āferalā, suffer āextremeā separation anxiety and struggle to play football with others as a result of the pandemic disrupting their education, ministers have been told. MPs raised concerns shared by teachers in their constituencies as they debated the Governmentās education catch-up and mental health recovery programmes. Time spent learning at home rather than in classroom due to Covid-19 restrictions has disrupted the development of youngsters, the Commons heard. (2/3)
Weekend Reading
Longer Looks: Interesting Reads You Might Have Missed
Two years into the Covid-19 pandemic, Americaās death toll is closing in on one million. Federal authorities estimate that 987,456 more people have died since early 2020 than would have otherwise been expected, based on long-term trends. People killed by coronavirus infections account for the overwhelming majority of cases. Thousands more died from derivative causes, like disruptions in their healthcare and a spike in overdoses.Covid-19 has left the same proportion of the population deadāabout 0.3%āas did World War II, and in less time. (Kamp, Levitz, Abbott and Overberg, 1/31)
To understand how the coronavirus keeps evolving into surprising new variants with new mutations, it helps to have some context: The virusās genome is 30,000 letters long, which means that the number of possible mutation combinations is mind-bogglingly huge. As Jesse Bloom, a virologist at the Fred Hutchinson Cancer Research Center, told me, that number far, far exceeds the number of atoms in the known universe. (Zhang, 1/29)
Around Dec. 19, 2021, John and Bridget Rooks got a call from their daycare asking them to pick up their kids after another child tested positive for coronavirus. Such calls have become a regular occurrence for countless parents over the course of the pandemic, with the disruptions leading to lost workdays, burnout, and even feelings of despair. āYou canāt plan for it because you never know when itās going to happen,ā said John Rooks, an attorney who has two children, aged 4 years and 8 months, in daycare in Chicagoās Logan Square neighborhood. With the December case, he noted, āit was just āCome pick up your kids and weāll see you after the New Year.ā (Roberts, 2/2)
Blink and you could have missed it. For six months, the United States experimented with an idea that's new here but is already a backstitch in the social fabric of many wealthy nations: a monthly cash payment to help families cover the costs of raising children. Less than a year in, though, this U.S. experiment, known as the expanded child tax credit, has already been unwound by a deadlocked Congress. Still, it's worth asking: What did it accomplish? Here's what the data tells us. (Turner, 1/27)
Whether youāre landing down from a basketball layup or simply stepping off a street curb, your body must be able to decelerate with control. āIf you canāt harness your power, you misstep and fall,ā says Ann Crosby, strength and conditioning coach for the Womenās National Basketball Associationās 2021 championship team, the Chicago Sky. (Murphy, 1/29)
When you take a whiff of something, odor molecules sail inside your nose where they bind to proteins ā called olfactory receptors ā on cells that line your nasal cavity. These receptors trigger signals that your brain interprets as one or many smells. A team of scientists has identified the olfactory receptors for two common odor molecules: a musk found in soaps and perfumes and a compound prominent in smelly underarm sweat. The research team also discovered that more recent evolutionary changes to these olfactory receptors alter peopleās sensitivities to those odors. The work was published in PLoS Genetics on Thursday. (Jones, 2/3)
A group of medical school friends nominated Sasha Hamadi to create a memory book for their pregnant classmate. Hamadi worked hard on the task for several weeks. She printed pictures, gathered mementos and listened to stories about their friend. The book ā meant to be a group gift for their classmateās baby shower ā was more than 100 pages long, with items such as anatomy class doodles and fabric from a white medical coat. On the flight to the baby shower from Kansas, Hamadi realized when she was searching in her bag for her headphones that she had left the memory book behind. She felt awful. āIām sure that half of the people here thought I never even made anything,ā she recalled thinking. Hamadi, now 35, was diagnosed with attention-deficit/hyperactivity disorder at age 9. She frequently misplaces important items, runs late or struggles with a disorganized purse ā all symptoms of ADHD. She has been labeled a āflakeā because she forgets social engagements or to reply to texts. People have often told her, āIf it was important to you, youād remember.ā (Maguire, 2/3)
Research that just unlocked how an antibiotic-resistant superbug evolved on one of natureās prickliest mammals is an important reminder for humans: Bacteria are often very good at outmaneuvering the antibiotics designed to kill them. By swabbing the skin, feet and nasal areas of nearly 300 hedgehogs, a joint international study shows how one strain of MRSA, or a bacteria known as methicillin-resistant Staphylococcus aureus, has developed antibiotic resistance in nature. Findings from researchers at the University of Cambridge, Denmarkās Serum Statens Institut and several other research institutions suggest the process is a result of a microscopic competition between the bacteria and a specific type of fungus, both found on the skin of the little, spiky critters. (Isaacs-Thomas, 2/3)
In June 2017, Betty Balikagala traveled to a hospital in Gulu District, in northern Uganda. It was the rainy season: a peak time for malaria transmission. Balikagala, a researcher at Juntendo University in Japan, was back in her home country to hunt for mutations in the parasite that causes the disease. For about four weeks, Balikagala and her colleagues collected blood from infected patients as they were treated with a powerful cocktail of antimalarial drugs. After initial analysis, the team then shipped their samples āĀ glass slides smeared with blood, and filter papers with blood spots āĀ back to Japan. (Pawar, 1/26)
Editorials And Opinions
Viewpoints: Protocol Allows Allergic Patients To Receive Covid Vaccine; The Downside Of The End Of The Pandemic
Despite the availability and efficacy of COVID vaccines, many people with a history of suspected allergies to the first mRNA COVID vaccine doseāreactions such as hives, swelling, shortness of breath and/or low blood pressureāhave not gotten their full series. Their fear is understandable. After all, the U.S. Centers for Disease Control and Prevention currently states that there are two contraindications to the COVID vaccine: āsevere allergic reaction (e.g., anaphylaxis) after a previous dose or to a component of the COVID-19 vaccine,ā and āknown diagnosed allergy to a component of the COVID-19 vaccine.ā Yet as an allergist/immunologist who has been seeing such patients on a daily basis for the past year, I believe that the CDC is wrong and should change its guidelines. (Charles Feng, 2/3)
For countries with high vaccination rates, 2022 may be the last year when strong measures are required against Covid-19. The end of the pandemic, however, will not come easily. One might imagine that the end of the emergency would be joyfully welcomed. But conflicts over whether schools should remain open and the value of mask mandates reveal that just because the prognosis for Covid-19 has improved does not mean that public officials are absolved from the need to make hard choices about policy. A waning pandemic does not mean the end of leadership on Covid, but may instead mean itās more necessary than ever. (Michael Bang Peterson, 2/4)
For the first time in a long while, thereās good news about Covid-19. The omicron wave is cresting in the U.S., and in many states is already receding. A respite from SARS-CoV-2 could well follow. And if new variants eventually emerge, it may be possible to live with them ā that is, without shutting businesses, always wearing masks, and social distancing. A return to normal ... will require careful monitoring, better data collection, and a nationwide effort to prevent another crisis. (2/3)
Different Takes: OTC Birth Control Now Reality; Forced SterilizationĀ Of Disabled People Must End
North Carolina isn't exactly considered a champion of reproductive rights. So it may come as a surprise that North Carolinians can now get hormonal birth control without a doctor's prescription, thanks to a law initially passed last year by the state's Republican-controlled legislature and signed by Democratic Gov. Roy Cooper. (2/3)
Last summer, Britney Spears stunned the public when she revealed that her father, acting as her conservator, prevented her from removing her IUD. What shocked many people wasn't only the blatant disregard for her right to make decisions about her body: it was that it was perfectly legal for her conservator to take that decision away. Propped up by laws all over the country, guardianship systems (sometimes called conservatorships) deprive primarily disabled people from making some of the most basic decisions about their lives. The horrifying truth is that Britney's experience under guardianship and its legality is just the tip of the iceberg. Quietly embedded in legal codes across the country, many state laws grant courts a draconian power: the power to order disabled people to be permanently sterilized against their will. (Ma'ayan Anafi, 2/3)
Seattle Childrenās, and the community it serves, has a reason to celebrate. The āStarts with Yesā campaign not only met its ambitious target of raising $1 billion for the regionās premiere childrenās hospital, but it also surpassed that goal by $400 million. The meaning of the record-breaking achievement, spearheaded by Seattle Childrenās Foundation President Doug Picha, goes beyond bragging rights. It is about making critical care available to more kids throughout the hospitalās network of clinics and providers, across four states. (2/3)
Last summer, a disabled man and his pregnant wife appeared on a morning news program to help ānormalize interabled relationships.ā A short time later, a medical journal asked three other āinterabled couplesā to āshare how they make their relationships work.ā Even The New York Times reported on the wedding of āinterabled YouTubersā in December 2020. I am a lifelong wheelchair user married for more than 30 years to a woman who doesnāt have a disability, and I canāt help wondering if all this media fascination with disabled peopleās sex lives is truly good for the disability cause. Donāt get me wrong. I applaud efforts to show love in all its permutations. Itās important for people to understand that disabled folks are romantic and sexual beings. But I have mixed feelings about our being singled out and pigeonholed. (Ben Mattlin, 2/3)
Sweeping social change often begins as a ripple in quiet places: conversations around the kitchen table, in church basements, on school campuses, and the like. For the recovery movement, conversations between concerned family members, teachers, rehab counselors, emergency medical technicians and street medics, and many others who are part of recovery community organizations are helping undertake a massive shift in the perception of addiction in the U.S. (Ryan Hampton and William Stauffer, 2/4)
More than 1 million Americans have died of opioid overdoses since OxyContin launched in 1996.The statistics are startling: During the first year of the pandemic, the federal government reported a record 100,000 annual overdose deaths. One in three Americans say that drug use has been a cause of trouble in their family. Beth Macy, the author of āDopesick,ā joined James Hohmann to discuss the continuing opioid crisis, and the new Hulu series based on her bestselling book. (Beth Macy, 2/4)