Morning Briefing
Summaries of health policy coverage from major news organizations
From Ńī¹óåś“«Ć½Ņīl Health News - Latest Stories:
Ńī¹óåś“«Ć½Ņīl Health News Original Stories
How Much of a Cancer Drug Is Too Much? Patients, Researchers Challenge FDA-Approved Dosages
Patients and researchers point to evidence that many cancer drug dosages are excessive, and that reducing the amount and frequency could save billions of dollars and prevent some of the worst side effects.
Violence Against Healthcare Workers and Staffing Shortages Fuel Hospital Strikes
Healthcare workers at a Michigan hospital have been on strike since last September. Violence on the job is one reason behind it, with federal data showing hospital workers are seven times as likely to be injured on the job due to violent acts as members of the general working population.
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Here's today's health policy haiku:
ENROLLMENT CONCERNS
The reminder call
ā Laura Nolan
is not the claim that's denied.
Know which one is which.
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Summaries Of The News:
Administration News
Acknowledging CDC Angst, Schwartz Seeks To Assure Staff They Can Work As 'One Team'
The new director of the US Centers for Disease Control and Prevention told agency employees that she wants them to feel safe and not fear retributions for honest conversations, according to a recording of the meeting heard by Bloomberg News. āIām so sorry that you have to live under this extreme psychological unsafety,ā Director Erica Schwartz said in her first address to the entire staff since starting as director. (Nix, 8/19)
The new director of the Centers for Disease Control and Prevention, Dr. Erica Schwartz, said Wednesday the agency is prepared to handle a variety of disease outbreaks, despite internal concerns about drastic cuts to CDC staffing and programs. Schwartz made the remarks in an internal meeting with CDC staff members. NBC News reviewed a transcript of the agencywide meeting, Schwartzās first since she took the helm of the agency this month. (Edwards, 8/19)
On FDA leadership ā
President Donald Trump nominated White House policy aide Heidi Overton to lead the Food and Drug Administration after a turbulent year at the agency marked by high-profile staff exits and industry complaints. Trump announced the selection in a social media post, confirming an earlier Bloomberg News report. He said she would work to speed up new treatments, boost US innovation and reform clinical trials. (Zhang and Griffin, 8/18)
The chairman of the Senate health committee on Wednesday expressed āstrong concernsā about President Trumpās nominee to lead the Food and Drug Administration, criticizing her support of what he called a ānonsensical vaccine executive orderā issued last week. āThat alone is almost disqualifying,ā the chairman, Senator Bill Cassidy, a Louisiana Republican, wrote on social media. (Stolberg, 8/19)
Heidi Overtonās years of loyalty to Donald Trump helped her become his pick to lead the Food and Drug Administration, one of the governmentās most powerful regulatory agencies. But that devotion could ruin her chances at Senate confirmation. As Trumpās deputy assistant for domestic policy, Overton, a physician, has helped bring Trumpās health policies to fruition, most recently helping shepherd an executive order last week that spelled out Trumpās plan to reduce the number of recommended vaccines for children. (Gardner, Lim, Ollstein and Haslett, 8/19)
HHS' Abstinence-Only Overhaul Of Teen Pregnancy Prevention Program Put On Hold By Court
A federal judge in Washington, D.C., on Wednesday temporarily blocked the Trump administrationās changes to the Teen Pregnancy Prevention (TPP) program that resulted in the abrupt loss of tens of millions of dollars in federal grants.Ā The order from U.S. District Judge Christopher Cooper, who was appointed by former President Obama, pauses the administrationās effort to reshape the TPP programĀ into abstinence-only curricula.Ā (Weixel, 8/19)
The U.S. Department of Health and Human Services (HHS) awarded $96.7 million in grants and cooperative agreements on Monday to strengthen a range of behavioral health services and initiatives across the nation. The grants were funded through HHSā Substance Abuse and Mental Health Services Administration (SAMHSA). Services provided include support for homeless individuals with serious mental illness, suicide prevention and early intervention, substance use disorder (SUD) treatment, peer support and more. (Gleeson, 8/19)
On the immigration crisis ā
New research by the Center on Privacy & Technology at Georgetown Law found that the U.S. Department of Homeland Security (DHS) has collected the DNA of more than 3.3 million people, with the programās āprimary purposeā not revolving around immigration enforcement but to ābuild a national DNA database for solving crimes.ā The data collection encompassing both the Biden and Trump administrations is claimed to be a continuation of federal government efforts to build a massive genetic database for policing the general population, with Georgetown researchers citing a March 2025 email scribed by a U.S. Immigration and Customs Enforcement (ICE) attorney purportedly stating such intent. (Mordowanec, 8/19)
The Trump administration on Wednesday abruptly scrapped a plan to recruit retiring Pentagon lawyers to represent unaccompanied minors in immigration court, a move that would have asked attorneys with little relevant legal experience to help migrant children facing deportation. The shift deepened confusion about how the federal government planned to fulfill its legal obligation to protect the rights of the more than 20,000 unaccompanied minors with pending immigration cases, who advocates say are uniquely vulnerable amid the administrationās push for mass expulsions. (Ngo, 8/19)
On veterans' health ā
President Donald Trump on Tuesday reaffirmed his administration's push to expand access to psychedelic-assisted treatments for veterans suffering from post-traumatic stress disorder (PTSD), traumatic brain injury (TBI) and depression. In a post on Truth Social, Trump announced a new step involving the hallucinogenic compound ibogaine. (Blake, 8/19)
Why canāt veterans always get FDA-approved treatments through VA? VA's Dr Wiecher explains how evidence, safety, guidelines and resources shape VA care. (Oliverio, 8/18)
Updates from Capitol Hill ā
Dr. Bill Cassidy, who chairs the Senate health committee, has a move he makes when he explains whatās wrong with wearable technology being exempt from health privacy law. The Louisiana Republican and gastroenterologist does a little shuffling stutter step, then suddenly charges halfway across a hallway. Itās a characteristic pattern that Cassidy said a physician might note in a patient with Parkinsonās disease. Itās also a signal an Apple Watch could detect and, unlike for physicians, there is no federal rule stopping the tech company or app developers from selling that information. (McAuliff, 8/19)
Outbreaks and Health Threats
Salmonella Outbreak Widens; Whole JalapenĢos Now Being Pulled From Some Produce Bins
At least 431 people in 32 states have gotten sick from eating fresh jalapeƱo peppers contaminated with salmonella, the Centers for Disease Control and Prevention reported Wednesday. The likeliest source of the illnesses was jalapeƱos grown in Mexico and distributed by Coast Citrus Distributors, which recalled the peppers. (Edwards, 8/19)
JalapenĢo peppers sold at Costco stores are being recalled as part of a growing salmonella outbreak, according to the U.S. Food and Drug Administration (FDA). (Walrath-Holdridge, 8/18)
According to investigators, unpasteurized Happy Hens eggs were used to make mayonnaise in the delicatessen at Ramona Family Naturals Market. Happy Hens owner Chloe Nevarez, however, questions how investigators linked the illnesses to her farm. She said nine people who became ill had the same genotyping, but the health department did not obtain a test sample from her farm. āAll nine of those people had salmonella from either chicken or eggs, but how that links back to our farm is null and void. There is no connection,ā Nevarez said. (Summers, 8/18)
A granola product has been recalled across the country over Salmonella risk.Ā The Hampton Grocer, Inc. voluntarily recalled certain lots of its Lacnola Lactation Granola due to potential Salmonella contamination, per a company announcement shared by the U.S. Food and Drug Administration (FDA) on Aug. 14. (Kim, 8/18)
Also ā
Since May, there have been more than 15,700 cases of domestically acquired cyclosporiasis, the Centers for Disease Control and Prevention confirmed in a Tuesday update. Another 11,800 may need further investigation. However, only about 9,500 of those cases in the 17 states connected to the cyclospora outbreak traced back to iceberg lettuce, according to the FDA and the CDC. There are āmultiple clustersā of cyclospora that remain under investigation and do not have identified sources so far. (Bink, 8/19)
Adoptions are on hold for thousands of dogs and cats in Texas, potentially putting the animals at risk of being euthanized, because of efforts to stop the spread of the New World screwworm, an insect that has crossed the border from Mexico into the United States for the first time in 60 years. The flesh-eating parasite threatens the nationās $113 billion beef industry, prompting federal officials to close the border to cattle movements. (Hanna, 8/19)
If you want to know how bad a future tick season will be, it may be more useful to count the number of acorns on the ground than the number of deer in theĀ forest.Ā Thatās one of several surprising findings to emerge from more than 30 years of tracking ticks, mice, deer, and weather in a Lyme disease hot spot.Ā The findings, published this week in PNAS, challenge long-held ideas about what drives Lyme disease risk. (Bergeson, 8/19)
In global news ā
Ebola is spreading rapidly beyond the main epicenter of Democratic Republic of Congoās outbreak, overwhelming treatment capacity in some areas and putting mounting pressure on efforts to trace and contain infections. (Gale, 8/20)
France recorded more than 7,000 excess deaths in two successive heat waves through July 22, as industry and public health services were hit by the countryās hottest month in more than a century. At least 5,764 excess deaths were recorded from June 17 to July 2, and 1,243 in the July 3-22 period, SantĆ© Publique France said in a statement Wednesday. People aged 75 and over accounted for three-quarters of the deaths during the second heat wave, the public health authority said. (Razzouk, 8/19)
Health Industry
Providence Health Plan Says It Will Shut Down Entirely, Leaving 64K Medicare Advantage Customers In The Lurch
Providence Health Plan is completely shutting down, after a deal with a national insurer to keep its Medicare Advantage business running fell through. The insurance division of the Renton, Washington-based nonprofit hospital operator announced in May that it would wind down its commercial and Medicaid businesses in 2027, but that it was working with an unnamed carrier to continue its MA plans. But Providence and the third party were unable to reach an agreement,Ā ādespite significant effort on all sides,ā a Providence spokesperson confirmed. The closure will affect more than 64,000 MA seniors covered by Providence. (Parduhn, 8/19)
New York City-based Mount Sinai Health System is no longer accepting some new patients with government-backed health coverage, according to since-removed notices on its website. An archived webpage shows how Mount Sinai stopped accepting new patients with Centeneās Fidelis Care Medicaid, exchange and Medicare Advantage coverage, as well as Wellcare Medicare Advantage coverage, as of Aug. 1. The same applied to new patients with EmblemHealth Medicaid. (Casolo, 8/19)
St. Jude Childrenās Research Hospital has named Dr. Charles Roberts as its next president and CEO, effective Jan. 1. Roberts is executive vice president and director of the St. Jude Comprehensive Cancer Center. He will succeed Dr. James Downing, who in February announced plans to step down by the end of the year. (DeSilva, 8/19)
A group of civil rights attorneys is accusing University Medical Center New Orleans (UMC) of violating the city of New Orleansā āban the boxā law ā which prohibits public employers from discriminating against job applicants and current employees because of past arrests or convictions āĀ when it fired employee Devon Jones in April, allegedly due to his criminal background. The attorneys also requested that the city conduct a full investigation of the employeeās termination.Ā (Stewart, 8/19)
Ńī¹óåś“«Ć½Ņīl Health News: Violence Against Healthcare Workers And Staffing Shortages Fuel Hospital Strikes
Nurse Crystal Dhooghe is used to dealing with blood and broken bones in the emergency room. But she didnāt expect to witness so much violence against her own colleagues. āIāve seen nurses get shoved, pushed, scratched. The biggest one is bitten,ā said Dhooghe, who works at Henry Ford Genesys Hospital in Grand Blanc, Michigan. The prevalence of workplace violence in healthcare has fueled strikes in states such as Louisiana, New York, Pennsylvania, Rhode Island, and Michigan, where Dhooghe and many of her co-workers have been on the picket line since Labor Day last year. (Arditi, 8/20)
Also ā
The American Cancer Society quietly canceled its upcoming Wine and Spirits Industryās Gala, a spokesperson confirmed to STAT. The event, which has for decades raised money from members of the alcohol industry at a boozy Manhattan gathering, was set to take place in October at the iconic Rainbow Room.Ā The society ādecided to sunset the Wine & Spirits Industry Gala, and the October event will not take place,ā spokesperson Michele Money-Carson said in an email. āThe decision is part of ACSās ongoing evaluation of how its events and fundraising activities align with its mission and prevention guidance.ā (Cueto, 8/19)
The pathologists were stumped. Six people had tried to identify a patientās cancer based on a recent lymph node biopsy. Theyād stained the cells 70 times to try to draw out more distinguishing features ā but still, nobody had an answer. At Stanford, a physician called onto the case was trying out a new tool called ChatEHR, one of several large language model-powered tools being deployed by health systems to summarize patientsā often-extensive medical records. (Palmer, 8/20)
An inpatient nephrology unit reduced hospital-acquired Clostridioides difficile (C. diff) infections by 90% after implementing nurse-driven protocols. (Monaco, 8/19)
Ńī¹óåś“«Ć½Ņīl Health News: Listen To The Latest āŃī¹óåś“«Ć½Ņīl Health News Minuteā
Arielle Zionts reads the weekās news: Pediatricians try to persuade more parents to vaccinate their kids amid measles outbreaks. Plus, how hospital monopolies drive up costs for patients and insurers. (8/20)
Public Health
The Robot Will See You Now: FDA Approves Machine That Can Draw Your Blood
The FDA has authorized the first standalone robotic device that can draw blood from a patientās arm without hands-on operator intervention. The device, Vitestroās Aletta, is authorized for adults in outpatient settings and must operate under the oversight of a supervisor trained in phlebotomy, according to an Aug. 19 news release. One phlebotomist can oversee up to three Aletta devices simultaneously. (Jeffries, 8/19)
In news about cancer ā
Breast cancer is rising rapidly among Asian American women, with some of the most alarming increases occurring in younger women and in aggressive or advanced cancers. Researchers say screening alone can't explain the surge, suggesting important risk factors may still be undiscovered. (8/19)
Consuming a sugary drink a day may significantly raise the risk of developing stomach cancer, according to new research from Mass General Brigham. After accounting for other risk factors, the researchers found that one or more sugary drinks per day was linked to nearly triple the risk of gastric cancer compared with fewer than one serving per month. (Quill, 8/19)
Ńī¹óåś“«Ć½Ņīl Health News: How Much Of A Cancer Drug Is Too Much? Patients, Researchers Challenge FDA-Approved Dosages
Northwestern University economist Chuck Manski studies decision-making amid uncertainty. That prepared him better than many other cancer patients to decide whether to stay on an immunotherapy treatment that was making him very ill. For six months in 2022, Manski received monthly infusions of nivolumab to fight advanced melanoma. The drug ruined his thyroid gland, he said, requiring him to go on a special medication for the rest of his life, and caused severe dryness in his eyes, lips, and mouth. The FDAās protocol for the drug called for an entire year of treatment, but Manski said his oncologist couldnāt explain why. Itās FDA-approved, āso thatās what we use,ā she said. (Allen, 8/20)
More health and wellness news ā
Eating disorder expert Jason Nagata says reclassifying muscle dysmorphia could help men struggling with 'reverse anorexia' get better care. (DeLuca, 8/20)
The relationship between physical activity and dementia risk may depend on whether the activity is recreational exercise or job-related labor, a study of more than 4.2 million people suggested. (George, 8/19)
Protein is on everyoneās mind, and for older adults, it should be. Nutrition experts say thatās worth a reminder after researchers recently suggested thereās evidence that ādietary protein restriction promotes metabolic health, healthspan, and lifespan.ā (Chen, 8/20)
The voluntary recall covers Strawberry, Watermelon, Grape, Tangerine and Black Cherry 6-count boxes of 2.5-ounce bars. The Outshine 24-count Variety Pack of 2.5-ounce bars is also affected. The bars were shipped to stores across the country. (Vohnoutka, 8/19)
State Watch
When It Came To Users' Mental Health, 'Safety Was An Afterthought,' Former Meta Worker Testifies
The trial that began Tuesday in federal court in Oakland, California, pits Meta against the states of California, Colorado, Kentucky and New Jersey and is expected to last about six weeks. A former engineering director at Meta who has testified before Congress about child safety on Instagram told jurors Wednesday at a landmark trial that the company took a ādonāt ask, donāt tellā approach on kids under 13 on its platforms. During his second day of testimony, Arturo BĆ©jar said Meta consistently prioritized profits over safety in designing its products, focusing on how often and for how long people used them, even if it was detrimental to their mental well-being. (Ortutay, 8/19)
More health news from across the U.S. ā
A man died in custody on Wednesday morning at a medical unit in Manhattan that houses inmates from the Rikers jail complex, the city said in a statement. The man, Christopher Rodriguez, 36, was found āin medical distress in his housing areaā at the Outposted Therapeutic Housing Unit at Bellevue Hospital, which is run jointly by the hospital and the New York City Department of Correction. He was pronounced dead at 8:39 a.m., the statement said. He is the sixth person to die in city custody this year and the first at the medical unit. (Fahy and Meko, 8/19)
How dire is New York Cityās housing shortage? City officials estimate that about 290,000 new homes would be needed right now to provide roofs for everyone, including residents who are homeless or not living on their own. And that number is only going to grow. In the longer term, New York City would need about 700,000 homes built over the next 10 years to solve the problem, a draft report from city officials has concluded. (McGeehan, 8/19)
Legal experts dispute Abbottās claims that the ritual washing stations are discriminatory, with some saying his attack fits a pattern of anti-Muslim actions and rhetoric. (Hennessy-Fiske and Boorstein, 8/20)
A woman who started a group that advocates for the mental health of police officers was being sought by authorities Wednesday after a Massachusetts cop was found dead at the home they owned together. Police began searching for Karen Solomon, who also wrote two books about the physical and psychological experiences of first responders, after Worcester police officer Kurt Solomon was found dead Tuesday. The two shared a home and had been married, court records indicated, but authorities declined to discuss their current relationship, citing domestic violence privacy rules. (8/19)
Cody and Kaleigh Brendle grew up near the Jersey Shore, going out on their grandfather's boat on weekends, learning to swim and riding bikes together. "I was the annoying little sister ā like, 'Wait for me, wait for me!'" said Kaleigh. She remembered standing by in awe at summer camp as her fearless older brother scaled rock-climbing walls and went down waterslides. "I was like, 'Wow, he's doing all this ā maybe I can try.'" (Mehta, 8/20)
Also ā
The D.E.A., a federal agency, enforces the nationās laws regulating controlled substances. Its work typically includes large-scale investigations into, for example, drug cartels accused of bringing cocaine, fentanyl and methamphetamine into the country. But it does work with local law enforcement. In recent years, it helped the Los Angeles Police Department investigate the drugs involved in the death of the actor Matthew Perry. (Feuer, Bryson Taylor and Stevens, 8/19)
Health Policy Research
Research Roundup: The Latest Science, Discoveries, And Breakthroughs
Respiratory syncytial virus (RSV) may trigger invasive pneumococcal disease (IPD) in some children, but its role in doing so varies across pneumococcal serotypes, according to a recent study in The Journal of Infectious Diseases.Ā The findings are based on three continuous French surveillance systems on IPD, pneumococcal carriage and RSV infections from 2008 to 2023. The analysis included children younger than 15 years old. (Soucheray, 8/19)
Low-dose hydrocortisone (LDH) improved aspects of cognition in women with virally suppressed HIV, a randomized trial showed. (Rudd, 8/18)
The FDA approved garetosmab (Pasatru) to reduce the formation of new heterotopic ossification lesions and disease flares in adults with fibrodysplasia ossificans progressiva (FOP), the agency announced on Wednesday. (Ingram, 8/19)
Harvard scientists feared ruining their oldest brain organoids. Instead, the tiny models kept developing, revealing a remarkable internal clock. (Molteni, 8/19)
Engineered probiotic bacteria were able to infiltrate pancreatic tumors, stimulate cancer-fighting immune cells, and slow tumor growth in animal studies. Even more strikingly, the treatment worked better when combined with chemotherapy, radiation, or immunotherapy. (8/19)
The extremely rare palatal fetus-in-fetu proved challenging for the medical team. (Firth, 8/17)
Editorials And Opinions
Viewpoints: Small Decisions Change The Fate Of Rare-Disease Studies; Climate Change Is Causing Food Insecurity
What is the appropriate balance between the strictest possible definition of pre-specification and the necessary ability to learn as we go? (Mindy Leffler, 8/20)
This year should be a wake-up call to the need for transformative change within the agricultural sector to ensure food security in future years. (Lara Williams, 8/20)
There is a real difference between a parent asking questions about vaccines and the government sowing distrust in agencies who protect children. (Chuka Onuh and Julia Rosebush, 8/20)
The Trump administrationās new funding for faith-based organizations highlights a much bigger opportunity for faith-generated capital. (Alaa Murabit, 8/20)