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INSTITUTE OF MEDICINE OF CHICAGO

  • 26 Aug 2024 3:57 PM | Deborah Hodges (Administrator)

    The US has made some gains in reducing health inequities in its health care system over the past two decades, but still has along way to go to achieve equal care for all of its people, says a a major new review.  [The Nation's Health, APHA] & NASEM]  

    Released in June the NASEM reports revisits a 2003 landmark NASEM assessment that called out inconsistencies in the way people are served across the U.S. health care system. The new report, "Ending Unequal Treatment Strategics to Achieve Equitable Health Care and Optimal Health for All, concludes that racial and ethic inequities remain a fundamental flaw of the health care system and are hold back the nation. 

    Download the NASEM report here>

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  • 23 Aug 2024 10:58 AM | Deborah Hodges (Administrator)

    The Food and Drug Administration on Thursday approved the latest slate of annual Covid vaccines, clearing the way for Americans 6 months and older to receive updated shots in the midst of a prolonged summer surge of the virus. [New York Times & FDA] 

    See update here.

    Pfizer and Moderna, the vaccine makers, are expected to begin shipping vaccines to pharmacies and doctors’ offices within days. The shots are tailored to a version of the virus that took off this spring before giving way to closely related variants, all of which appear to spread faster.

    For the frailest Americans, who have been dying of Covid in growing numbers this summer, the shots could offer a reprieve from a virus that disproportionately endangers those whose vaccinations are out of date.

    But the approval is occurring months after wily new variants began driving up infections, a matter of consternation for some scientists who have urged faster turnarounds for updated shots.

    In recent weeks, people have been hospitalized with Covid at a rate nearly twice as high as during the same time last summer. By late July, Covid was killing roughly 600 Americans each week, a substantial drop from this winter but double the number from this spring.

    More> 

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  • 22 Aug 2024 11:56 AM | Deborah Hodges (Administrator)

    The Department of Public Health issued over $3.1 million in fines to 219 Illinois nursing homes during the second quarter of 2024, according to recent data.[Health News Illinois]

    The agency cited five homes with $50,000 fines for “type AA” violations that led to resident deaths. They were:

    • Alden of Waterford in Aurora for failing to send a resident to the hospital promptly when they became aware of the resident's critically low potassium level.
    • Aliya of Palos Park for failing to ensure one resident's airway with a tracheostomy was free of obstruction by not removing the inner cannula during CPR attempts.
    • Aperion Care West Chicago for failing to provide necessary supervision and safe swallowing strategies for a resident.
    • Jerseyville Nursing and Rehab Center for failing to assess, monitor, provide treatments as ordered and provide pressure relief to prevent pressure ulcers.
    • St. Anthony’s Nursing and Rehab Center in Rock Island for failing to have adequately qualified staff to provide basic life support and CPR.

    Eighty-three homes received “type A” violations for incidents with a “substantial probability” for death or serious mental or physical harm.

    See the full list here.

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  • 21 Aug 2024 10:05 AM | Deborah Hodges (Administrator)

    WASHINGTON (AP) — Bleeding and in pain, Kyleigh Thurman didn’t know her doomed pregnancy could kill her. [AP]

    Emergency room doctors at Ascension Seton Williamson in Texas handed her a pamphlet on miscarriage and told her to “let nature take its course” before discharging her without treatment for her ectopic pregnancy.

    When she returned three days later, still bleeding, doctors finally agreed to give her an injection to end the pregnancy. It was too late. The fertilized egg growing on Thurman’s fallopian tube ruptured it, destroying part of her reproductive system.

    That’s according to a complaint Thurman and the Center for Reproductive Rights filed last week asking the government to investigate whether the hospital violated federal law when staff failed to treat her initially in February 2023.

    “I was left to flail,” said Thurman, 35. “It was nothing short of being misled.”

    The Biden administration says hospitals must offer abortions when needed to save a woman’s life, despite state bans enacted after the Supreme Court overturned the constitutional right to an abortion more than two years ago. Texas is challenging that guidance and, earlier this summer, the Supreme Court declined to resolve the issue.

    More than 100 pregnant women in medical distress who sought help from emergency rooms were turned away or negligently treated since 2022, an Associated Press analysis of federal hospital investigations found.

    Two women — one in Florida and one in Texas — were left to miscarry in public restrooms. In Arkansas, a woman went into septic shock and her fetus died after an emergency room sent her home. At least four other women with ectopic pregnancies had trouble getting treatment, including one in California who needed a blood transfusion after she sat for nine hours in an emergency waiting room.

    More>

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  • 20 Aug 2024 10:02 AM | Deborah Hodges (Administrator)

    More than half of US states are reporting signs that COVID levels are poised to continue their summerlong rise. [Medscape & CDC]

    The latest CDC wastewater monitoring data shows that 27 US states are detecting "very high" levels of SARS-CoV-2, the virus that causes COVID. The label "very high" indicates the highest viral activity level used by the agency. There are four lower levels that can be reported: minimal, low, moderate, and high. Nationwide, the lowest level being reported is moderate, and there are no states reporting low or minimal levels. 

    "If you see increased Wastewater Viral Activity Levels of SARS-CoV-2, it might indicate that there is a higher risk of infection," the CDC warns.

    How Do COVID-19 mRNA Vaccines Work?

    Some of the COVID-19 vaccines are known as mRNA shots. How are they different from traditional vaccines? And do they contain the real virus?

    There are other signs that the summer COVID wave is nowhere near ending its now 13-week consecutive climb. The rate of positive COVID tests reported to the CDC is now more than 17%, up from 0.3% in early May. The rate of positive COVID tests is at its highest level since about 2 years ago. The region of the US that includes Texas, Oklahoma, New Mexico, Louisiana, and Arkansas had the highest combined regional positive rate of 24% for the week ending August 3.

    An updated COVID vaccine that is recommend for all people ages 6 months and older will be available later this fall.

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  • 19 Aug 2024 5:25 PM | Deborah Hodges (Administrator)

    The US Food and Drug Administration is poised to sign off as soon as this week on updated Covid-19 vaccines targeting more recently circulating strains of the virus, according to two sources familiar with the matter, as the country experiences its largest summer wave in two years. [KFF News]

    The agency is expected to greenlight updated mRNA vaccines from Moderna and Pfizer/BioNTech that target a strain of the virus called KP.2, said the sources, who declined to be named because the timing information isn’t public. It was unclear whether the agency simultaneously would authorize Novavax’s updated shot, which targets the JN.1 strain.

    More>


  • 16 Aug 2024 2:09 PM | Deborah Hodges (Administrator)

    Experts also predict next administration's potential moves on the ACA, drug price negotiations

    Policy experts and former health officials cast their predictions on what health policy changes to expect from the next administration during an online panel discussion hosted by the healthcare consulting and advisory firm Avalere Health on Wednesday. [MedPage Today]

    Medicare Advantage, Medicare
    Former HHS Secretary Alex Azar argued that Democrats may soon regret some of their attempts to rein in Medicare Advantage, noting that cuts the Biden administration finalized in April  "may come back to haunt them on October 15, when [the] open enrollment period comes, and we see either increased cost-sharing, reduced benefits, [or] increased premiums, as a result of what they've done."

    More>

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  • 15 Aug 2024 8:00 AM | Deborah Hodges (Administrator)

    LONDON (AP) — The World Health Organization declared the mpox outbreaks in Congo and elsewhere in Africa a global emergency on Wednesday, with cases confirmed among children and adults in more than a dozen countries and a new form of the virus spreading. Few vaccine doses are available on the continent. [Associated Press]


    Earlier this week, the Africa Centers for Disease Control and Prevention announced that the mpox outbreaks were a public health emergency, with more than 500 deaths, and called for international help to stop the virus’ spread.

    “This is something that should concern us all ... The potential for further spread within Africa and beyond is very worrying,” said WHO director-general Tedros Adhanom Ghebreyesus.

    The Africa CDC previously said mpox, also known as monkeypox, has been detected in 13 countries this year, and more than 96% of all cases and deaths are in Congo. Cases are up 160% and deaths are up 19% compared with the same period last year. So far, there have been more than 14,000 cases and 524 people have died.

    More>

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  • 14 Aug 2024 3:07 PM | Deborah Hodges (Administrator)

    With this condensed primer, MedPage Today looks at the health policy records of Democratic presidential candidate Kamala Harris and Republican presidential candidate Donald Trump.

    Abortion

    Harris' Stance:

    Trump's Stance:

    Why It Matters:

    • According to polling by the Pew Research Center, 63% of adults in the U.S. support abortion in all or most cases. Furthermore, in at least seven different states where abortion has been on the ballot (including conservative states like Kansas, Montana, and Kentucky), voters have come down on the side of abortion rights.
    • Healthcare Reform
    More>
  • 13 Aug 2024 11:29 AM | Deborah Hodges (Administrator)

    Thirty-two states are experiencing a summertime surge of COVID-19, with infections growing or likely growing based on emergency room visits, according to updated CDC estimates. [CDC and Axios}

    Why it matters: Emergency visits for COVID have crept upward since the first half of May, coinciding with a busy travel season and more people congregating indoors to avoid extreme heat.

    • Connecticut, Hawai'i and Nevada were the only states with rates declining or likely declining.
    • Southern states — including Georgia, Kentucky and South Carolina — had some of the highest probabilities that the outbreak is spreading, the CDC estimated.
    • Eight states had rates that were stable or could not be estimated.

    Yes, but: Overall COVID case levels remain relatively low. The KP.3 and KP.2 strains, descendants of the highly contagious JN.1 variant and among the so-called FLiRT variants, account for almost 70% of all cases.

    CDC advisers in June recommended that people 6 months of age and older receive updated COVID-19 vaccines when they become available this fall.

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