Archive for the ‘public health’ Category

Could the National HIV Strategy Help Guide the Covid Fight?

September 28th, 2020
The Trump administration hasn't created a comprehensive plan for battling the pandemic. Some researchers propose borrowing one from the past.

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Trump may reject FDA’s stricter regulations for COVID-19 vaccine

September 24th, 2020
The Food and Drug Administration headquarters in White Oak, Maryland.

Enlarge / The Food and Drug Administration headquarters in White Oak, Maryland. (credit: Getty | Congressional Quarterly)

President Donald Trump on Wednesday said he may reject the Food and Drug Administration’s plan to issue stricter safety and efficacy standards for COVID-19 vaccines, calling the plan a “political move.”

The new standards are aimed at bolstering public confidence in the FDA and its vaccine review process, which has been severely damaged by many reports of political meddling and interference by the Trump administration. Those reports include claims that the FDA was pressured by the White House into allowing COVID-19 patients to be treated with unproven blood plasma and the anti-malaria drug hydroxychloroquine, which was personally touted by Trump. (The authorization of hydroxychloroquine was later revoked by the FDA.) Just last week, Trump’s secretary of health and human services, Alex Azar, revoked the FDA’s authority to sign new regulations.

Trump himself has continually undercut federal public health guidance and government scientists, particularly Robert Redfield, his director of the Centers for Disease Control and Prevention. Trump has also repeatedly pushed for a pre-election release of a vaccine, though experts have, in turn, repeatedly pointed out that such a speedy release is nearly impossible based on the timeline of the clinical trials underway and the amount of data needed to make even preliminary evaluations of safety and efficacy.

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Posted in CDC, clinical trials, COVID-19, fda, Infectious disease, pandemic, public health, science, Trump, vaccine | Comments (0)

US has topped 200,000 COVID-19 deaths—and many more to come

September 22nd, 2020
A medical technician in protective gear handles a wrapped corpse on a gurney.

Enlarge / Transporter Morgan Dean-McMillan prepares the body of a COVID-19 victim at a morgue in Montgomery county, Maryland, on April 17, 2020. (credit: Getty | ANDREW CABALLERO-REYNOLDS)

The US death toll from COVID-19 topped 200,000 Tuesday as daily reports of new cases still hover around 40,000 and daily deaths are in the 700s.

The grim milestone of 200,000 deaths is equivalent to the death toll from the 9/11 attacks occurring every day for 66 days. It’s also equivalent to losing about the entire population Salt Lake City, Utah, or nearly the population of Rochester, New York. COVID-19 has killed more in the United States than the number of Americans who died in the five most recent wars combined (the Korean War, the Vietnam War, the Iraq War, the War in Afghanistan, and the Persian Gulf War).

By mid-afternoon Tuesday, the COVID-19 death toll had already reached 200,541 deaths, stemming from more than 6.88 million cases. While these figures are based on data from state health authorities, the actual death toll is expected to be much higher.

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Posted in COVID-19, deaths, Infectious disease, pandemic, public health, SARS-CoV-2, science, Trump, us | Comments (0)

156 countries commit to fair COVID-19 vaccine access, but US won’t join

September 22nd, 2020
World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus attends a press conference organized by the Geneva Association of United Nations Correspondents (ACANU) amid the COVID-19 outbreak, caused by the novel coronavirus, on July 3, 2020 at the WHO headquarters in Geneva.

Enlarge / World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus attends a press conference organized by the Geneva Association of United Nations Correspondents (ACANU) amid the COVID-19 outbreak, caused by the novel coronavirus, on July 3, 2020 at the WHO headquarters in Geneva. (credit: Getty | Fabrice Cof)

A total of 156 countries—representing about 64 percent of the world’s population—have committed to pooling resources to help develop, buy, and equitably distribute two billion doses of a COVID-19 vaccine by the end of 2021.

“This isn’t just the right thing to do, it’s the smart thing to do,” said Dr. Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, which is co-leading the effort along with the Coalition for Epidemic Preparedness Innovations (CEPI) and Gavi, the Vaccine Alliance.

So far, 64 high-income countries have signed on to the effort, as well as 92 low- and middle-income countries, which would be eligible for support in procuring vaccine doses. Gavi CEO Seth Berkley said in a WHO press conference on Monday that he expects 38 more countries to sign up in the coming days.

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Posted in china, COVAX, COVID-19, Infectious disease, pandemic, Policy, public health, russia, SARS-CoV-2, science, us, vaccine, WHO | Comments (0)

Could a Century-Old TB Shot Protect Against Other Respiratory Diseases?

September 21st, 2020
A trial in Greece shows a long-used tuberculosis vaccine may cut respiratory infections, raising hopes for similar protection against Covid-19.

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The 943-Dimensional Chess of a Trustworthy Covid-19 Vaccine

September 19th, 2020
Scientists want public confidence. The White House wants an October Surprise. The FDA wants to avoid looking political. Big Pharma wants a win. You’re in the middle.

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CDC dramatically restores COVID-19 testing advice marred by political meddling

September 18th, 2020
The Centers for Disease Control and Prevention (CDC) headquarters stands in Atlanta, Georgia, US, on Saturday, March 14, 2020. As the novel coronavirus has spread in the US, the CDC is under increasing heat to defend a shaky rollout of crucial testing kits. Photographer: Elijah Nouvelage/Bloomberg via Getty Images

Enlarge / The Centers for Disease Control and Prevention (CDC) headquarters stands in Atlanta, Georgia, US, on Saturday, March 14, 2020. As the novel coronavirus has spread in the US, the CDC is under increasing heat to defend a shaky rollout of crucial testing kits. Photographer: Elijah Nouvelage/Bloomberg via Getty Images (credit: Getty | Bloomberg)

In a dramatic move, the Centers for Disease Control and Prevention on Friday restored its recommendation to test people who have been exposed to the pandemic coronavirus, SARS-CoV-2, but don’t have symptoms—erasing politically motivated changes made by members of the Trump administration without the support or input of CDC scientists.

The CDC had—until August 24—always recommended testing for all people who have had close contact (within 6 feet for 15 minutes or more) with someone infected with SARS-CoV-2, regardless of symptoms. The CDC stated clearly that this is “important” and should be done quickly “because of the potential for asymptomatic and pre-symptomatic transmission,” which is largely thought to drive the pandemic.

But the guidance was abruptly and quietly changed August 24 to say that exposed people who do not have symptoms “do not necessarily need a test.”

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Posted in CDC, COVID-19, public health, SARS-CoV-2, science, testing | Comments (0)

The NIH Launches a Global Hunt for Animal-to-Human Diseases

September 17th, 2020
It’s a reversal for an administration that’s been loath to prepare for pandemics or cooperate with China, where Covid-19 jumped from wildlife to people.

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Bonkers federal podcast downplays COVID-19, blasts health restrictions

September 15th, 2020
Former Trump campaign official Michael Caputo arrives at the Hart Senate Office building to be interviewed by Senate Intelligence Committee staffers, on May 1, 2018 in Washington, DC.

Enlarge / Former Trump campaign official Michael Caputo arrives at the Hart Senate Office building to be interviewed by Senate Intelligence Committee staffers, on May 1, 2018 in Washington, DC. (credit: Getty | Mark Wilson)

In a stunning podcast released by the Department of Health and Human Services, two top officials at the department repeatedly downplayed the COVID-19 pandemic, railed against mitigation efforts, called closures of in-person schooling “nonsense,” and said US journalists do not “[give] a damn about public health information.”

The podcast, released on the HHS website September 11, is part of a series hosted by Michael Caputo, who currently holds the title of HHS assistant secretary of public affairs. Though Caputo has no background in health care, the White House installed him in the department in April—a move reportedly made to assert more White House control over HHS Secretary Alex Azar. Caputo is a longtime Trump loyalist and former campaign official. He got his start as a protégé of Roger Stone and later worked as a Moscow-based advisor to Boris Yeltsin and did public relations work for Vladimir Putin.

Learning curve

Caputo has most recently made headlines for working to interfere with and alter scientific reports on COVID-19 prepared by researchers at the Centers for Disease Control and Prevention. The meddling was intended to make reports more in line with messaging from Trump, who has admitted to downplaying the pandemic. Caputo also raised eyebrows with a Facebook live video, reported by The New York Times Monday, in which, without evidence, he accused government scientists of engaging in “sedition” and claimed that the CDC is harboring a “resistance unit.” He also spoke of long “shadows” in his DC apartment and said left-wing “hit-squads” were preparing for armed insurrection after the election.

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Posted in alex azar, caputo, CDC, coronavirus, HHS, McCance-Katz, pandemic, public health, SAMHSA, SARS-CoV-2, science | Comments (0)

If You’ve Just Had Covid, Exercise Can Cause Serious Complications, Including Heart Disease

September 15th, 2020
A growing number of studies are raising concerns about the coronavirus’ long-term effects on the heart. Athletes especially need to heed the warnings.

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