Cook County Board President Toni Preckwinkle joined the County’s Department of Environment and Sustainability (DES), Cook County Department of Public Health (CCDPH) and nonprofit Elevate today to announce the launch of Healthy Homes for Healthy Families, a $30 million program that provides free whole-home upgrades to suburban Cook County families. The Healthy Homes for Healthy Families program aims to complete upgrades to up to 200 homes each year over the next three years.  [Cook County]

“I am excited to announce this innovative, whole home approach to improving resident well-being while increasing energy efficiency and reducing the cost burden of utilities for families in suburban Cook County,” said President Preckwinkle. “This program offers lead abatement, water conservation and deep energy retrofits to provide the maximum benefit for residents with the lowest disruption to their daily lives. Not only do the homeowners and renters in the program benefit, but all of Cook County will through the decrease in greenhouse gas emissions as a result of energy efficiency upgrades and electrification in the units.”

Funded by the American Rescue Plan Act (ARPA), Healthy Homes for Healthy Families addresses home health hazards that can have adverse effects on residents of all ages but can be especially dangerous for infants and children. The program addresses lead, radon, mold and other home health hazards that can help keep families safe and healthy. Residents may be eligible to receive upgrades such as lead abatement, structural repairs, water conservation upgrades, weatherization and installation of high-efficiency appliances. All upgrades are performed by licensed contractors. 

“Home health hazards, such as lead, can cause children to experience learning disabilities and developmental delays; and mold can trigger coughing, wheezing and asthma,” said Dr. LaMar Hasbrouck, chief operating officer of CCHDP. “Healthy Homes for Healthy Families is an essential step toward ensuring that the homes of our residents are as healthy as possible.”

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The mental health of youth across the globe is in crisis. Indeed, the United Nations International Children’s Emergency Fund (UNICEF) and World Health Organization (WHO) Joint Programme on Mental Health and Psychosocial Well-being and Development of Children and Adolescents were developed in response to their conclusion that “…across the world, the lives of millions of children, adolescents, and their caregivers are limited by poor mental health and well-being.”^1(p3) 

The American Academy of Child and Adolescent Psychiatry (AACAP) and the American Academy of Pediatrics (AAP) have declared a state of emergency, citing increasing rates of youth mental health concerns between 2010 and 2020 that have been intensified by the COVID-19 pandemic.² That youth mental health is in such dire straits is particularly striking given that many measures of global physical health in young people are improving.¹     

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The U.S. Centers for Disease Control and Prevention (CDC) on Monday estimated COVID subvariant JN.1 to account for about 85.7% of cases in the United States, as of Jan. 19. [Medscape]

The agency said JN.1 remains the most widely circulating variant of SARS-CoV-2 in the country and globally.

There is no evidence at present that JN.1 causes more severe disease than other variants, the CDC said, adding that currently available vaccines are expected to increase protection against the variant. 

The predicted range of 83% to 88% marks an increase from the estimated prevalence of 55% to 68% of cases in the U.S., as per the agency's projections from Jan. 5.

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Do you know these facts? March of Dimes report and Maternal & Child Health.

-In Illinois, 34.3 percent of counties are defined as maternity care deserts compared to 32.6 percent in the U.S. 

• -4.6 percent of women had no birthing hospital within 30 minutes compared to 9.7 percent in the U.S. 

-Overall, women in Illinois have a low vulnerability to adverse outcomes due to the availability of reproductive healthcare services. 

-13.7 percent of birthing people received no or inadequate prenatal care, less than the U.S. rate of 14.8 percent. 

-Women with chronic health conditions have a 54 percent increased likelihood of preterm birth compared to women with none.

See full report here> Maternity-Care-Report-Illinois.March of Dimes.pdf

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Medicaid is the primary health insurance program for low-income people in the US, offering comprehensive health care coverage to over 90 million people and ensuring millions of patients with cancer receive essential care.¹ Expanded Medicaid eligibility has been associated with increased access to care, earlier stage at diagnosis, increased receipt of cancer-directed treatment, and improved survival.² 

However, much less is known about how Medicaid variation between states influences equity of cancer care delivery. Section 1115 waivers are a key mechanism through which states can customize Medicaid enrollment, coverage, and benefits. Currently, 48 states and Washington, DC, use these waivers to modify Medicaid within the state.³ Gaps remain in our understanding of how these different 1115 waivers influence access to, receipt of, and outcomes from cancer care. Filling these gaps is critical to improve equity of cancer care in the US. [JAMA]

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Can AI use real-world data to teach us something randomized clinical trials can’t? How can physicians collaborate with companies to develop AI tools that benefit patients? And is AI a democratizing force that can scale privileged medical care to broader patient populations? [JAMA]

This conversation is part of a series of interviews in which JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, and expert guests explore issues surrounding the rapidly evolving intersection of artificial intelligence (AI) and medicine.

The future is to learn from the data, says Atul Butte, MD, PhD (Video), a distinguished professor and director of the Baker Computational Health Sciences Institute at the University of California San Francisco (UCSF) and chief data scientist over the entire University of California Health System.

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U.S. medical societies belonging to the AMA Federation of Medicine are at different stages in advancing health equity, with 74% reporting they have taken at least one action to ground their efforts in local history and context. In contrast, 16% say they have taken action to identify opportunities for improvement. [AMA]

Those were key findings included in AMA Health Equity in Organized Medicine 2023 Survey Report: Insights, Solutions, and Resources to Take Action (PDF), which is based on the first-ever survey conducted of state medical associations, national medical specialty societies and county medical  organizations about health equity. 

The survey data collected helped provide insights on actions to advance health equity taken by these organizations, while identifying barriers and resources needed to take further action. The report is intended to effectively assess the collective progress made, build on learning and achievements, and identify where future action and attention are needed.

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CHICAGO (CBS) -- Lawmakers in Springfield are focusing on high prescription drug prices.

On Wednesday, they announced the Prescription Drug Affordability Act. The legislation would create an independent Prescription Drug Affordability Board.

"Drugs don't work if people can't afford them. Today, 28% of Illinoisans have reported not filling their prescriptions or rationing their medication to save money," said State Rep. and co-sponsor Nabeela Syed (D) Palatine. 

If passed into law, the board could set upper limits on what people would pay for their medications.

Supporters said high prescription drug prices are a major factor in rising health insurance premiums.

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Ear infections became the norm, usually eased by a round of antibiotics. But as the years passed, the bacteria in 61-year old Horton’s ear became resistant to antibiotics, often leaving her with little to no relief. [CNN Health]

“These multi-drug-resistant superbugs can cause chronic infections in individuals for months to years to sometimes decades. It’s ridiculous just how virulent some of these bacteria get over time,” said Dwayne Roach, assistant professor of bacteriophages, infectious disease and immunology at San Diego State University.

Last year doctors offered to treat Horton’s infection with one of nature’s oldest predators — tiny tripod-looking viruses called phages designed to find, attack and gobble up bacteria.

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On December 15, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the new Transforming Maternal Health (TMaH) Model. CMS will release a Notice of Funding Opportunity (NOFO) for state Medicaid agencies in Spring 2024. Applications will be due in Summer 2024. [CMS.gov]

TMaH is the newest CMS model designed to focus exclusively on improving maternal health care for people enrolled in Medicaid and Children's Health Insurance Program (CHIP). The model will support participating state Medicaid agencies (SMAs) in the development of a whole-person approach to pregnancy, childbirth, and postpartum care that addresses the physical, mental health, and social needs experienced during pregnancy. The goal of the model is to reduce disparities in access and treatment. The model aims to improve outcomes and experiences for mothers and their newborns, while also reducing overall program expenditures.

The model is projected to run for 10 years.

Model Overview

Despite spending more per capita on maternal health care than any other nation, the U.S. has disproportionately high rates of adverse pregnancy outcomes as compared to other high-income nations. The TMaH Model provides SMAs with targeted support in the form of funding and technical assistance. The goal of this support is to improve maternal health care and birth outcomes while reducing associated health disparities.  This support also enables states to develop a value-based alternative payment model for maternity care services which will improve quality and health outcomes and promote long term sustainability of services.

TMaH’s initiatives will center on three main pillars:

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