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INSTITUTE OF MEDICINE OF CHICAGO

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  • 20 Dec 2024 8:49 AM | Deborah Hodges (Administrator)

    Black men born from 1951 through 1970 have the greatest risk of dying of overdoses and always have, even in their 20s,30s, and 40s. That's true in Chicago, Baltimore, Washington and some other cities, an investigation by the Sun-Times, The New York Times, The Baltimore Banner, Big Local News at Stanford University and other organizations found.  [Chicago Sun-Times]

    More>

  • 19 Dec 2024 11:30 AM | Deborah Hodges (Administrator)

    The life expectancy for Chicagoans has risen to a level higher than was seen during the COVID-19 pandemic, but disparities remain, according to a report released this week by the city’s Department of Public Health. [Health News Illinois]

    Life expectancy in Chicago rose to 77.2 years in 2022, just 1.6 years below the 2019 level.

    However, the life expectancy for Black Chicagoans was 69.8 years, about 11.4 years less than non-Black city residents. Chronic diseases, such as heart disease, as well as homicide and opioid overdoses remain the primary factors driving the gap.

    Life expectancy is lower in several south and west sides communities. For residents of the West Garfield Park neighborhood, it's 62 years.

    "The recent data has prompted us to reflect on how to best direct our resources and tailor our efforts to make progress toward closing this gap,” CDPH Commissioner Dr. Olusimbo ‘Simbo’ Ige said in a statement. “We will align CDPH’s priorities and programs to address the primary factors driving the widening racial life expectancy gap in the most impacted communities."

    The life expectancy among the Latinx population was 81.4 years in 2022, while ​​Asian and Pacific Islander Chicagoans lived on average 85.5 years. The life expectancy for white city residents was 80.3 years. 

    The strategic plan lays out seven action steps to address the contributing factors to the life expectancy gap for Black Chicagoans, with a specific focus on addressing outcomes in five Chicago neighborhoods on the south and west sides where lower life expectancy is concentrated. That includes supporting programs that address social determinants that lead to chronic conditions.

    The report calls for shifting focus away from white health outcomes as the standard or goal and instead focusing on “reaching health equity for all people”

    "Our focus is on improving the health and well-being of all Chicagoans, through effective collaboration and data-driven strategies,” Ige said. “CDPH is committed to prioritizing the health of communities most affected by declining life expectancy."

    The agency will allow public review and input on the plan into early next year.

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  • 18 Dec 2024 3:54 PM | Deborah Hodges (Administrator)

    The modified vaccinia Ankara-Bavarian Nordic (MVA-BN) vaccine is approved in several countries for use in the prevention of mpox and smallpox in adults. New research suggests it’s also safe and produces an immune response in adolescents, a population affected by the current clade I mpox outbreak. [JAMA Network]

    In an interim analysis presented at the IDWeek2024 conference, researchers evaluated the immune response generated by 2 doses of MVA-BN in participants aged 12 to 17 years. Midstage results from the National Institutes of Health–funded trial showed that antibody levels in adolescents 2 weeks after the second dose were comparable with those observed in adults. Additionally, the vaccine was well-tolerated for the following 6 months. Although reports of dizziness were more common in adolescents than adults, the frequency was on par with the dizzying effects of other vaccines in this age group.

    These results could support a broader application of the MVA-BN vaccine, but the authors stressed the need to review the vaccine’s effectiveness in children younger than 12 years, who are also affected by the current global outbreak.

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  • 17 Dec 2024 4:35 PM | Deborah Hodges (Administrator)

    Illinois Attorney General Kwame Raoul has joined the U.S. Department of Justice and the federal and state Environmental Protection Agencies to sue two Metro East communities over failures to address their sewer systems. [Health News Illinois]

    Lawsuits filed against Cahokia Heights and East St. Louis allege the two cities violated federal and state environmental protection laws by failing to address sanitary sewer overflows, threatening the health of those who live in the surrounding communities, Raoul said.

    “For too long, the neglected and aging sewer systems in Cahokia Heights and East St. Louis have forced local residents to deal with raw sewage in their basements, in their streets and in local waterways,” he said in a statement.

    Cahokia Heights has entered into a consent decree to resolve the allegations, requiring the city to pay a $30,000 civil penalty and invest $30 million in sewer improvement projects. An ongoing health study has found Cahokia Height residents have been exposed to bacteria and parasites from sewage backups and flooding. 

    Mayor Curtis McCall Sr. said the consent decree represents the city’s “continued commitment to invest in our infrastructure and improve the lives of residents throughout Cahokia Heights for many years to come.”

    The complaint against East St. Louis alleges the city discharged untreated sewage to the Mississippi River 140 times since 2020, and an unknown number of times into Whispering Willow Lake.

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  • 16 Dec 2024 5:07 PM | Deborah Hodges (Administrator)

    In the past few years, state and local governments across the U.S. have begun spending billions in opioid settlements paid by companies accused of fueling the overdose crisis. But where is that money going, who is getting it, and is it doing any good? [KFF Health News}

    KFF Health News, partnering with the Johns Hopkins Bloomberg School of Public Health and Shatterproof, a national nonprofit focused on addiction, undertook a yearlong investigation to find out.

    Dozens of interviews, thousands of pages of documents, an array of public records requests, and outreach to all 50 states resulted in a first-of-its kind database that catalogs more than 7,000 ways opioid settlement cash was used in 2022 and 2023. It’s the most comprehensive resource to date tracking some of the largest public health settlements in American history.

    Among the findings:

    • States and localities received more than $6 billion in opioid settlement funds in 2022 and 2023. According to public records, they spent or committed about a third of that amount and set aside about another third for future use. The final third was untrackable, as many jurisdictions did not produce public reports on the funds.
    • Reports of spending tracked the minuscule to the monumental, from $11.74 to buy postage in Yavapai County, Arizona, to more than $51 million to increase the addiction treatment workforce in California.

    More>

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  • 13 Dec 2024 11:29 AM | Deborah Hodges (Administrator)

    — The benefits outweigh the risks | Despite water fluoridation being widely regarded as one of the greatest public health achievements of the 20th century, Robert F. Kennedy Jr. (RFK Jr.), President-elect Donald Trump's nominee for HHS secretary, is pushing to remove fluoride from drinking water. [MedPage Today]

    Florida Surgeon General Joseph Ladapo, MD (R), is now echoing RFK Jr.'s concerns and advising Florida communities against adding fluoride to public water systems. He is calling it "public health malpractice." Meanwhile, other states and communities have initiated conversations about whether they should still mandate the practice.

    More>

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  • 13 Dec 2024 11:02 AM | Deborah Hodges (Administrator)

    RFK Jr. Adviser Sought To Have FDA Retract Approval Of Polio Vaccine

    Aaron Siri, a lawyer who is helping to vet candidates for top health positions, has a history of challenging vaccine policies in courts. Candidates to fill roles in the incoming administration are specifically asked about their vaccine views, sources say. [KFF Health News and NYTimes]

    The New York Times: RFK Jr.’s Lawyer Has Asked The FDA To Revoke Polio Vaccine Approval The lawyer helping Robert F. Kennedy Jr. pick federal health officials for the incoming Trump administration has petitioned the government to revoke its approval of the polio vaccine, which for decades has protected millions of people from a virus that can cause paralysis or death. That campaign is just one front in the war that the lawyer, Aaron Siri, is waging against vaccines of all kinds. (Jewett and Stolberg, 12/13)

    More> 

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  • 12 Dec 2024 1:40 PM | Deborah Hodges (Administrator)

    Hospitals and health systems invested in new inpatient and outpatient behavioral health projects in 2024, and new substance use treatment and other clinics opened across the U.S. [Health News Illinois]

    Here are 55 notable behavioral health openings this year: 

     

    1. Lighthouse Behavioral Wellness Centers opened a children's urgent recovery center in Durant, Okla., CBS affiliate KXII reported.

    2. Inova Fairfax (Va.) Hospital opened a new behavioral health emergency department. The unit is the first EmPATH, or Emergency Psychiatric Assessment, Treatment and Healing unit in Northern Virginia.

    3. Nonprofit organization Sweester opened a walk-in mental health clinic in Lewiston, Maine, Fox affiliate WGME reported.

    4. Johns Hopkins Howard County Medical Center in Columbia, Md., opened an expanded behavioral health unit, CBS affiliate WJZ News reported. The new unit grows the center's behavioral health capacity from six patients to 24.

    5. UofL Health opened a renovated medical behavioral unit at UofL Health - Mary & Elizabeth Hospital in Louisville, Ky., Fox affiliate WDRB reported. The $6.6 million unit has 33 beds.

    6. Santa Fe Recovery Center opened a new crisis center in Gallup, N.M, NBC affiliate KOB reported.

    7. Pine Rest Christian Mental Health Services opened a newly renovated clinic in Zeeland, Mich., MLive reported. The clinic began accepting patients in late September.

    8. Monmouth Medical Center in Neptune, N.J., opened a remodeled outpatient crisis center.  The hospital is part of Orange, N.J.-based RWJBarnabas Health. 

    9. Winchester (Va.) Medical Center opened a new psychiatric emergency unit, ABC affiliate WHSV reported.

    10. A new mental health urgent care center opened in  Burlington, Vt., NPR affiliate Vermont Public reported. The walk-in center is a collaboration between University of Vermont Medical Center and several community organizations.

    11. Cleveland-based MetroHealth opened a psychiatric emergency department. The unit can accommodate 13 patients.

    12. Lexington Medical Center in West Columbia, S.C., opened a new emergency psychiatric assessment unit.The unit will use the EmPATH  — Emergency Psychiatric Assessment Treatment and Healing model — according to a news release.

    13. Children's Nebraska opened a new behavioral health urgent care center in Kearney, Neb. The center will serve children and adolescents up to age 22.

    14. Ada S. McKinley Community Services opened a mental health clinic inside Insight Hospital in Chicago. 

    15. Oconomowoc, Wis.-based Rogers Behavioral Health opened a new clinic in Manitowoc, Wis. The center provides partial hospitalization and intensive outpatient programs.

    16. Huntsville, Ala.-based Wellstone opened a 24-bed emergency pediatric mental health unit, according to a Sept. 23 news release. The facility is the first pediatric crisis unit in Alabama.

    17. Morrisville, N.Y.-based Behavioral Health Services North opened a new residential crisis center in Plattsburgh, N.Y., CBS affiliate WCAX reported Sept. 17.

    18. Trillium Place Young Minds Center opened in West Peoria, Ill. this fall, NPR affiliate WCBU reported. The 44-bed inpatient unit is affiliated with Urbana, Ill.-based Carle Health. The project cost $30 million, according to WCBU.

    19. St. Louis-based SSM Health opened a behavioral health urgent care center in the heart of the city. The new site is the system's second behavioral health urgent care.

    20. Northwell Health opened a mental health wellness center in partnership with First Baptist Church in Queens, N.Y., QNS reported Sept. 10. The center offers free counseling sessions by appointment.

    21. Redding, Calif.-based North American Mental Health Services opened a new clinic in downtown Red Bluff, Calif., NBC affiliate Action News Now reported. 

    22. The University of Texas at Tyler, Tyler-based UT Health East Texas and Plano, Texas-based Oceans Healthcare partnered to expand behavioral health services in the eastern part of the state by opening a new facility and expanding an existing clinic.

    23. 7. Newport (N.J.) Mental Health opened an expanded facility in the city, the Newport Daily News reported.

    24. 8. The Milwaukee VA opened a multispecialty clinic offering mental healthcare in Oconomowoc, Wis., CBS affiliate WDJT reported.

    25.  St Joseph's Addiction Treatment and Recovery Center unveiled an outpatient clinic in Malone, N.Y., NBC affiliate WPTZ reported.

    26. Kolmac Integrated Behavioral Health opened three new facilities in Dover, Del., Hagerstown, Md., and Cumberland, Md.

    27. Neenah, Wis.-based ThedaCare opened a new behavioral health clinic in Waupaca, Wis.

    28. Brentwood, Tenn.-based Odyssey Behavioral Healthcare opened a new outpatient treatment facility in Troy, Mich.

    29. Golisano Children's Hospital in Rochester, N.Y., opened a walk-in pediatric urgent care center to treat behavioral health concerns.

    30.  Baptist Health La Grange opened an 11-bed inpatient behavioral health unit in La Grange, Ky.

    31. Chicago Mayor Brandon Johnson intends to reopen the Roseland Mental Health Center and open two new mental health service sites on the city's West Side by the end of 2025.

    32.  Ohio opened a new 208-bed, state-run behavioral health hospital in Columbus.

    33. Gesinger relocated its outpatient mental health services from its main hospital campus to a dedicated outpatient center in its Hughes Center South building in Danville, Pa.

    34. University of Washington Medicine opened a 150-bed, $244 million behavioral health facility in Seattle on its UW Medical Center - Northwest campus.

    35.  UChicago Medicine Ingalls Memorial Hospital in Harvey, Ill., added 15 inpatient beds to its behavioral health unit to better meet a growing need for mental health services

    More>

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  • 11 Dec 2024 11:18 AM | Deborah Hodges (Administrator)

    Lawmakers heard testimony Tuesday on the potential of psilocybin, also known as “magic mushrooms,” as a mental health treatment. [Health News Illinois]

    Jean Lacy, founding executive director of the Illinois Psychedelic Society, said psilocybin could help address a rise in suicides, especially among veterans and postpartum women. 

    Waiting for approval from the Food and Drug Administration could prevent thousands from accessing the treatment, she said.

    “We seek to be a responsible leader in the state with psychedelics,” she told members of the House’s Mental Health & Addiction Committee.

    Lacy said patients are already seeking these treatments on the black market, and a state-regulated structure could protect them.

    Dr. Abid Nazeer, chief medical officer and medical director for Hopemark Health, is among the psychiatrists advocating for psilocybin. While still labeled as a Schedule I drug by the Drug Enforcement Administration, there’s no reason to think it's more dangerous than prescribed medications like opioids or Xanax, he said. 

    Dr. Christopher Holden, representing the Illinois Psychiatric Society, urged lawmakers to allow the FDA and the “broader medical community to have hard evidence on efficacy and develop standards of care,” which include dosing, prescribing and treatment protocols.

    While research continues on psilocybin and its potential effects, there are proven medications and treatment plans that are underutilized to treat patients, he said. 

    "I'm hopeful about potential for new treatments that can help with mental health, (but) worry of clinics or companies that offer psychedelics that are not FDA-approved, especially without a psychiatrist involved, without more research," he said.

    Holden agreed with advocates that psilocybin has shown little addictive potential.

    Lawmakers held a subject matter hearing on two pieces of legislation that could pave the way for the use of psilocybin for patients with mental health challenges.

    Sen. Rachel Ventura, D-Joliet, said her plan would create an advisory board to recommend best practices for the Department of Financial and Professional Regulation to regulate licenses. Psilocybin would not be for commercial sale, and patients would only be able to use it in a facility with a licensed individual who provides the treatment and supports them during the experience.

    Rep. La Shawn Ford, a Chicago Democrat and sponsor of a similar House bill, said they will look to pass one unified piece of legislation. They plan to either move the bill during next month’s lame-duck session or in the upcoming spring session.

    Rep. Bill Hauter, R-Morton, noted that psilocybin is still labeled as an illegal substance and that individuals may not have the necessary training to administer it to patients. 

    “I want this to work, but in medicine, we cannot have a motion to rule over evidence,” he said. “I just urge the committee to see the potential, and then go through the process.” 

    The FDA has granted psilocybin “breakthrough therapy” status for treatment-resistant depression and major depressive disorder.

    Oregon and Colorado have legalized psilocybin for supervised use.

    Tuesday’s hearing was the second held this year by lawmakers on psilocybin as a potential treatment for mental health.

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  • 10 Dec 2024 3:25 PM | Deborah Hodges (Administrator)

    Chicago’s pilot program to send emergency responders to people experiencing a mental health crisis has shown “promising” results, though some interagency challenges must be addressed to improve outcomes, according to a report published last week by the University of Chicago. [Health News Illinois]

    Specifically, participants reported that their distress level dropped by an average of 19 percent after interacting with clinicians. 

    About 40 percent of the people served by response teams presented symptoms of schizophrenia, depression, anxiety and substance use disorder. Over 30 percent presented symptoms of self-harm or the use of alcohol or non-prescribed drugs.

    Teams responded to more than 1,300 events during the two-year pilot period, serving 673 individuals. The number of calls that teams successfully responded to increased by 37 percent over the pilot period.

    Teams operate Monday through Friday between 10:30 a.m. and 4:30 p.m.

    However, challenges remain as far as coordination among the various city agencies, specifically as it relates to data collection. The report noted the importance of agency collaboration to create new policies and procedures to ensure the program runs efficiently.

    “We hope that our findings provide practical insights for Chicago, and for other communities across America that seek to improve mental health crisis response,” Harold Pollack, the co-director of the University of Chicago Health Lab, said in a statement.

    The pilot was a partnership between the Chicago Mayor’s Office, the Chicago Department of Public Health, the Chicago Office of Emergency Management and Communication, the Chicago Fire Department and the Chicago Police Department. The agencies worked together to test three healthcare-based alternate response team models.

    Deputy Mayor of Community Safety Garien Gatewood said the report is a “critical validator as we work to expand (the program) and permanently solidify it as part of our first responder ecosystem.” 

    “(The program) is critical to fulfilling Mayor (Brandon) Johnson’s vision for a robust continuum of care and ensuring that all Chicagoans experiencing behavioral health crises receive a behavioral health response,” Gatewood said.

    The city announced this fall that the staffing model for the program will transition entirely to public health employees.

    Look for more information on IOMC's Behavioral Health webinar on Jan. 28th, 2025 at Noon CT. 

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