First Edition: March 14, 2019

Lately’s early morning highlights from the key information organizations.


Kaiser Health News:
Understanding Loneliness In Older Adults — And Tailoring A Solution


For years, Dr. Linda Fried presented older sufferers who complained of being lonely what gave the impression to be good steering. “Cross out and in finding one thing that issues to you,” she would say. However her well-meant recommendation didn’t paintings as a rule. What sufferers in reality sought after had been shut relationships with other people they care about, pleasant social roles and a way that their lives have worth. And this wasn’t simple to seek out. We want “new societal establishments that convey which means and function” to older adults’ lives, Fried just lately instructed a committee of the Nationwide Academies of Sciences investigating loneliness and social isolation amongst older adults. (Graham, three/14)


The New York Times:
F.D.A. Moves To Restrict Flavored E-Cigarette Sales To Teenagers


With a couple of weeks left in his tenure as commissioner of the Meals and Drug Management, Dr. Scott Gottlieb on Wednesday moved to limit gross sales of flavored e-cigarettes to check out to cut back the hovering price of juvenile vaping. The company issued an offer requiring that shops sequester flavored e-cigarettes to spaces off limits to somebody below age 18. Outlets, together with comfort shops and gasoline stations, will probably be anticipated to ensure the age in their consumers. (Kaplan, three/13)


Reuters:
U.S. Proposes Stricter Curbs On E-Cigarette Sales


The proposal would permit conventional shops equivalent to comfort shops to promote tobacco, mint and menthol e-cigarettes, which the FDA says are extra in style amongst adults than minors. However different flavors may just handiest be bought in shops or on-line when robust age-verification protocols are in position. In an interview on Wednesday, Gottlieb stated the brand new pointers give the company flexibility to additional limit gross sales if early life use tendencies proceed. (three/14)


The Wall Street Journal:
FDA Sets Limits On Retail Sales Of Flavored E-Cigarettes


The FDA would require all e-cigarette makers, together with Juul, to post maximum flavored merchandise recently available on the market to the company for assessment via August 2021, a 12 months previous than its earlier time limit. The company can even ban the sale of all flavored cigars offered to the marketplace since February 2007. One at a time, it’s pursuing a plan to ban flavored cigars totally, however the broader ban may just take years to put into effect. (Maloney, three/13)


The Washington Post:
FDA Rolls Out Vaping Policy To Make It Harder For Minors To Buy Flavored Products


The brand new coverage would now not observe to mint, menthol and tobacco flavors until the ones merchandise had been being bought in some way that focused minors, the company stated. E-cigarette advocates say the ones merchandise are maximum continuously utilized by grownup people who smoke seeking to surrender, however anti-tobacco teams are skeptical of the declare, pronouncing there isn’t knowledge to make stronger it. (McGinley, three/13)


The Hill:
Outgoing FDA Chief Issues Proposal To Limit Sales Of Flavored E-Cigs


“Proof displays that early life are particularly interested in flavored e-cigarette merchandise, and that minors are ready to get admission to those merchandise from each brick-and-mortar shops, in addition to on-line, regardless of federal restrictions on gross sales to somebody below 18,” Gottlieb stated in a commentary. (Hellmann, three/13)


Bloomberg:
Most Flavored E-Cigarettes To Be Banned From Retail Stores 


The FDA has the “robust make stronger” of President Donald Trump and Well being and Human Services and products Secretary Alex Azar, Gottlieb stated in a commentary. Well being advocates had been involved that Gottlieb’s departure would threaten the chance of e-cigarette restrictions being finalized. Azar stated Tuesday that Ned Sharpless, head of the Nationwide Most cancers Institute, can be appearing commissioner after Gottlieb leaves later this month. Sharpless has expressed make stronger for Gottlieb’s vaping restrictions. (Edney, three/13)


Reuters:
Democrats Support Expanding Medicare, With Some Caveats That Could Matter To Voters


After launching his 2020 presidential bid closing week, John Hickenlooper took a distinct stance on organising a “Medicare-for-all” executive medical insurance program than a lot of his Democratic competition. “I most certainly would oppose Medicare-for-all simply because there are over 150 million other people, American citizens who’ve some type of personal insurance coverage thru their trade, and nearly all of them are pleased with that,” the previous Colorado governor stated on MSNBC. He added he supported attaining common medical insurance protection via some other direction. (three/13)


Modern Healthcare:
Hospitals Could Lose $800 Billion From Medicare Buy-In, AHA Says


Health center teams on Tuesday driven again towards mounting Democratic make stronger for a public choice, pronouncing the coverage will decrease Medicare compensation for suppliers as other people go away industrial plans. In a brand new research of a common Medicare buy-in coverage, the American Health center Affiliation and Federation of American Hospitals on Tuesday projected hospitals would lose $800 billion over a decade throughout the decrease Medicare reimbursements and lift premiums throughout the personal marketplace—disrupting the employer insurance coverage marketplace the place nearly all of other people get protection. (Luthi, three/12)


The New York Times:
Pentagon Pushes For Weaker Standards On Chemicals Contaminating Drinking Water


Dealing with billions of greenbacks in cleanup prices, the Pentagon is pushing the Trump management to undertake a weaker usual for groundwater air pollution brought about via chemical compounds that experience usually been used at army bases and that contaminate consuming water ate up via tens of millions of American citizens. The Pentagon’s place pits it towards the Environmental Coverage Company, which is looking for White Area signoff for requirements that will possibly require dear cleanup systems at rankings of army bases, in addition to at NASA release websites, airports and a few production amenities. (Lipton and Turkewitz, three/14)


Stat:
How Ned Sharpless, Biotech Veteran, Vaulted To The Top Of The FDA


Virtually straight away after starting his Bethesda day process because the country’s most sensible most cancers researcher, Ned Sharpless constructed a more or less 7-mile detour into his weekly regimen: a sojourn to the Meals and Drug Management campus for a pickup basketball recreation. Whether or not or now not the networking was once intentional, Sharpless will quickly be spending way more time with the FDA oncologists who as soon as broke his finger. When Scott Gottlieb steps down after a just about two-year tenure subsequent month, Sharpless will take the helm of that company, a minimum of within the quick time period. (Facher and Sheridan, three/14)


The Hill:
Divisions Emerge Over House Drug Price Bills


Divisions are rising within the Area over what lawmakers was hoping can be a bipartisan push to decrease drug costs. Drug pricing is an extraordinary house the place participants of each events assume there’s a likelihood for a deal this 12 months. However as Area Democrats took step one on Wednesday to start out shifting law ahead, it was once transparent that even somewhat small-scale drug pricing expenses won’t have a clean trail forward. (Sullivan, three/13)


Stat:
Wyden Probes A Patient Advocacy Group Over Its Ties To Opioid Makers 


Amid the continuing opioid disaster, a U.S. lawmaker is urgent a qualified clinical society that still purposes as a affected person advocacy crew to reveal detailed details about its ties to drug makers over considerations it attempted to sway executive strikes to curb opioid prescribing. In a March 12 letter, Sen. Ron Wyden (D-Ore.) suggested the American Academy of Ache Medication to supply a raft of paperwork, together with tax filings; an inventory of bills from drug and instrument makers made to the gang and its most sensible officer; details about paintings carried out for opioid maker Purdue Pharma; proceeding clinical schooling coursework; and its struggle of passion coverage, amongst different issues. (Silverman, three/13)


Stat:
Insys May Go Out Of Business As Controversy And Lawsuits Intensify 


Insys Therapeutics (INSY), the as soon as high-flying drug maker that is without doubt one of the firms blamed for fueling the U.S. opioid disaster, is in peril of going into chapter 11. A mixture of economic losses and uncertainty about its money place caused its auditor to decide there may be “considerable doubt” whether or not the corporate can proceed “as a going fear,” consistent with paperwork filed with the Securities and Alternate Fee. The drug maker added that it is making an attempt to lift finances, however conceded there are “no assurances”. (Silverman, three/13)


The Associated Press:
Hospital Reviews 48 Nurses, Pharmacists Over Dosages, Deaths


The Ohio clinic machine the place an intensive-care physician is accused of ordering painkiller overdoses for dozens of sufferers has put extra workers on go away and altered key leaders on the clinic the place just about all the ones deaths happened. Mount Carmel Well being Device stated Wednesday that 48 nurses and pharmacists below assessment had been reported to their respective forums. Thirty of the ones workers had been placed on go away, and 18 not paintings there, together with some that left years in the past, the machine stated. (three/13)


The Associated Press:
No Dental Insurance? Discount Plans Can Provide Savings


No dental insurance coverage? You might be now not on my own. Kind of 1 in Four American citizens do not have dental protection, consistent with business figures. Employers are via some distance the largest supplier of dental advantages within the U.S., accounting for almost part of all enrollees, adopted via the federal government’s Medicaid plan for low-income other people. Researchers have proven that prices are a larger impediment to dental care within the U.S. than all different kinds of fitness care. (three/13)


The New York Times:
Parents Wanted Their Unvaccinated Children In School, But A Judge Said No.


With New York State dealing with one in all its maximum serious measles outbreaks in many years, public fitness officers in a suburban neighborhood took the odd step in December of banning unvaccinated scholars from attending college, without reference to whether or not they had won non secular or clinical exemptions for the vaccine. The fogeys of 42 youngsters suffering from the ban on the college, the Inexperienced Meadow Waldorf Faculty, sued the Rockland County fitness division, asking a federal pass judgement on to factor an injunction to permit the kids to go back. (Gold, three/13)


The Washington Post:
Measles Outbreak: Unvaccinated Children Can’t Return To New York School, Federal Judge Rules


Most often, youngsters and their households are ready to assert a religion-based exemption from required vaccinations. However Rockland County’s fitness division has stated those don’t seem to be customary instances. Throughout New York, there were greater than 300 showed measles instances, greater than 150 in New York Town and 146 in within sight Rockland County. In Rockland, many of the instances had been present in those that had been unvaccinated and below the age of 18. In December, the alarming outbreak forced county officers to take the drastic — and, they are saying, unparalleled — step of banning unvaccinated youngsters from attending positive colleges that had vaccination charges less than 95 p.c. (Thebault, three/14)


The Hill:
New York Judge Denies Request To Allow Unvaccinated Students To Return To School 


The lawsuit argued that the fitness division’s determination to bar the scholars from campus violates the households’ proper to not vaccinate their youngsters for non secular causes. “The plaintiffs have now not demonstrated that public passion weighs in want of granting an injunction,” Briccetti stated in courtroom Tuesday, consistent with the paper. (Daugherty, three/13)


The New York Times:
Amazon Pulls 2 Books That Promote Unscientific Autism ‘Cures’


Amazon has got rid of the net listings for 2 books that declare to include remedies for autism, a transfer that follows fresh efforts via a number of social media websites to restrict the provision of anti-vaccination and different pseudoscientific subject matter. The books, “Therapeutic the Signs Referred to as Autism” and “Struggle Autism and Win,” which had up to now been indexed on the market in Amazon’s market, weren’t to be had on Wednesday. The corporate showed that the listings were got rid of, however declined to talk about why or whether or not an identical books can be taken down someday. (Hsu, three/13)


Reuters:
Experts Call For Halt To Gene Editing That Results In ‘Designer Babies’


Best scientists and ethicists from seven international locations on Wednesday known as for a world moratorium on gene modifying of human eggs, sperm or embryos that will lead to genetically-altered young children after a rogue Chinese language researcher closing 12 months introduced the start of the arena’s first gene-edited twins. Information in their start caused international condemnation of the paintings, elevating the moral specter of so-called clothier young children during which embryos may well be genetically changed to supply youngsters with fascinating characteristics. (three/13)


NPR:
Moratorium On Gene-Edited Babies Urged By Leading Geneticists


“We name for a world moratorium on all medical makes use of of human germline modifying — this is, converting heritable DNA (in sperm, eggs or embryos) to make genetically changed youngsters,” the 18 scientists and bioethicists from seven international locations write in a piece of writing printed Wednesday via the magazine Nature. (Stein, three/13)


The Associated Press:
Scientists Back Temporary Global Ban On Gene-Edited Babies


Some scientists had known as for a moratorium prior to the newest proposal, which carries no criminal authority. It got here from 18 researchers from seven international locations who printed a statement within the magazine Nature. They integrated distinguished gene-editing professionals Feng Zhang and David Liu of the Vast Institute of MIT and Harvard in Cambridge, Massachusetts. They obtain cash from the Howard Hughes Scientific Institute, which additionally helps The Related Press Well being & Science Division. The researchers need a transient ban on analysis designed to supply a child from sperm, eggs or embryos that undergo altered DNA. Kind of 30 countries already restrict making young children from such “germline” gene modifying, the authors stated. It is necessarily banned within the U.S. (three/13)


The Wall Street Journal:
Scientists Call For Moratorium To Block Gene-Edited Babies


Dr. Doudna, a professor on the College of California, Berkeley, stated she opposes implanting edited embryos in people for now, however helps analysis into it. When requested to signal onto the Nature remark, she stated she made up our minds towards it as a result of, “I believe this can be a bit past due to be calling for a moratorium.” She additionally stated there have been most certainly simpler techniques to prevent rogue scientists. Gene-editing era and the Crispr instrument, particularly, had been racing forward whilst scientists nonetheless attempt to type out the moral problems round its use. Came upon in 2012, Crispr permits scientists to chop, edit and insert new DNA. The Vast and a bunch that incorporates Dr. Charpentier and UC Berkeley are curious about a criminal dispute over the rights to the era. (Dockser Marcus, three/13)


The Washington Post:
NIH And Top Scientists Call For Moratorium On Gene-Edited Babies


One at a time on Wednesday, Francis Collins, the director of the Nationwide Institutes of Well being, issued a commentary supporting the decision for a moratorium and a governing frame, and in an interview with The Washington Put up, he made transparent that that is the U.S. executive place, mentioned and cleared on the easiest ranges. “What we’re speaking about right here is without doubt one of the maximum basic moments of determination concerning the utility of science to one thing of large societal outcome. Are we going to pass the road towards redesigning ourselves?” Collins stated. (Achenbach, three/13)


Politico:
Scientists From 7 Countries Call For Global Ban On Heritable Gene Edits


A number of U.S. firms are considering the use of CRISPR era to edit grownup genes to regard uncommon illnesses, cancers and blood prerequisites like sickle cellular illness, however the ones adjustments would now not be heritable. The treatments are nonetheless in construction, and none had been authorized for marketplace. FDA past due closing 12 months authorized the primary in-human CRISPR trial, a joint effort from Editas and Allergan to proper a gene that reasons blindness. (Owermohle, three/13)


Reuters:
Special Report: Online Activists Are Silencing Us, Scientists Say


The emails, tweets and weblog posts within the “abuse” folder that Michael Sharpe helps to keep on his pc proceed to pile up. 8 years after he printed result of a medical trial that discovered some sufferers with persistent fatigue syndrome can get slightly higher with the appropriate speaking and workout treatments, the Oxford College professor is subjected to nearly day-to-day, continuously nameless, intimidation. (three/13)


The Wall Street Journal:
Unlocking Secrets Of Memory And Time In The Brain


Our our bodies know when to go to sleep and when to get up. Our brains can stay monitor of quick bursts of time like a psychological stopwatch. However in our recollections, our sense of time is fuzzy. Now, analysis is starting to discover how we put our recollections so as. Those new insights into the workings of the mind, paired with different findings, may just assist within the figuring out and early detection of illnesses equivalent to dementia and Alzheimer’s, scientists say. The concept we understand time in our reminiscence subjectively is widely known in psychology, says Lila Davachi, a professor of psychology at Columbia College. (Abbott, three/13)


NPR:
Drug Side Effects Can Come Form Inactive Ingredients


When you have a nasty response to a drugs, it may not be the drug itself, however what are known as “inactive substances” within the tablet or pill. A piece of writing printed Wednesday in Science Translational Medication surveys this box and unearths substances which might be doubtlessly difficult for some persons are ubiquitous. For instance, a couple of years in the past find out about co-author Giovanni Traverso, a gastroenterologist at Harvard-affiliated Brigham and Ladies’s Health center, got here throughout a affected person with a serious gluten intolerance known as celiac illness. (Harris, three/13)


The New York Times:
Coping With A Dieting Relative When You’re A Recovering Anorexic


I apply restoration via coming near my concern, modeling intuitive consuming for my sister, one thing I couldn’t do after we had been rising up. I inform her when I am getting peanut butter frozen yogurt on the Bigg Sit back or when I’ve buttered popcorn for lunch (“No longer lunch!” she says). When she asks what to do on the gymnasium, I don’t give her the recommendation my consuming dysfunction would have given me. When she buys chips as a result of she’s “being unhealthy,” I say Pringles are scrumptious. If she’s drained, I inform her to be sort to her frame and take time without work. Chatting with her, I’m additionally chatting with myself, dismantling my previous unfavourable attitudes about meals. (Novak, three/14)


Stat:
At A Big Cardiology Meeting, Glitzy Tech Will Collide With Sober Science


Researchers from Stanford will provide the result of a find out about of greater than 400,000 sufferers trying out the [Apple Watch’s] skill to as it should be stumble on center rhythm issues, which can result in strokes and different issues. The Apple-sponsored find out about would be the first take a look at of whether or not placing wrist sensors on other people to stumble on center rhythm adjustments is a good suggestion that get them important care, or a nasty one this is elevating false alarms and in all probability resulting in over-treatment of the frightened effectively. Additionally it is some of the greatest center screening research ever. (Herper, three/14)


Stat:
Documentarian Alex Gibney Takes On Theranos 


In Alex Gibney’s occupation as a documentarian, he’s spent numerous time peering into creative fraudsters, liars, and questionable charismatic figures. Amongst them: the Enron executives, the bike owner Lance Armstrong, and Scientology chief David Miscavige. Which is why it comes as no wonder that his newest matter is Elizabeth Holmes. Gibney’s Theranos documentary, “The Inventor,” will probably be in theaters for one week beginning on Friday in San Francisco, Los Angeles, and New York Town. It’s going to premiere on HBO on Monday evening. (Robbins, three/12)


The Associated Press:
Arkansas Lawmakers Send Governor 18-Week Abortion Ban


Arkansas lawmakers on Wednesday despatched the governor law banning maximum abortions 18 weeks into a girl’s being pregnant, a prohibition which may be the strictest within the nation. The Area gave ultimate approval via an 86-1 vote to the invoice, which Republican Gov. Asa Hutchinson has stated he helps. Arkansas already bans abortion 20 weeks into a girl’s being pregnant. Hutchinson instructed newshounds he believed the restriction would most probably live on a courtroom problem. (three/13)


The Associated Press:
Kansas Conservatives Vote To Condemn New York’s Abortion Law


The conservatives who dominate the Kansas Legislature voted Wednesday to inform New York’s leaders simply how a lot they hate the Empire State’s new regulation increasing abortion rights, ignoring Democrats who known as the undertaking a toothless waste of money and time. The Kansas Area voted 85-38 on Wednesday to approve the solution, which pronounces that the New York regulation offends Kansas’ and the country’s values and incites “abuse and violence towards ladies and their unborn youngsters.” (three/13)


The Associated Press:
Bill Passes To Ban Abortions Based On Gender, Disability


Kentucky’s Republican-led legislature on Wednesday handed its newest measure to place extra restrictions on abortion, putting in some other criminal combat with abortion-rights defenders. The law would ban abortion for girls in search of to finish their pregnancies on account of the gender, race or incapacity of the fetus. The GOP-dominated Senate voted 32-Four to ship the invoice to the state’s anti-abortion governor, Republican Matt Bevin. Quickly after the vote, the American Civil Liberties of Kentucky tweeted: “We can see the state of Kentucky in courtroom (once more).” (Schreiner, three/13)


ProPublica:
Oregon Should Overhaul Handling Of Insanity Defendants, Says Head Of Psychiatry Security Review Board


The state of Oregon must overhaul how it handles other people discovered responsible aside from for madness and higher monitor what occurs to them as soon as they’re launched from state jurisdiction, the top of the company that supervises such defendants stated. In an interview, Alison Bort, government director of the Oregon Psychiatric Safety Overview Board, said gaps within the machine for treating and discharging other people discovered criminally insane and stated the state Legislature will have to imagine appointing a state process pressure to weigh reforms. “I don’t assume somebody disagrees we will be able to do higher,” Bort stated. (Zaitz, three/13)


The Wall Street Journal:
Cuomo Adjusts Budget Proposal, Fearing Federal Health-Care Cuts


Gov. Andrew Cuomo is backing off an offer to cut back New York’s Medicaid spending in mild of extra health-care cuts in President Trump’s finances proposal, state officers stated Wednesday. Mr. Cuomo, a Democrat, closing month proposed decreasing the state Medicaid allocation via $550 million within the coming fiscal 12 months, which begins April 1. The relief would nonetheless have ended in a year-over-year investment build up, however health-care suppliers stated it might pressure them to slash services and products. (Vielkind, three/13)


The Associated Press:
California Jury Awards $29M In Baby Powder Cancer Case


A California jury has awarded $29 million to a girl who claimed her terminal most cancers was once brought about via Johnson & Johnson child powder. Jurors in Oakland discovered the corporate liable Wednesday in a swimsuit that says asbestos within the powder gave Teresa Leavitt mesothelioma. Some 13,000 an identical complaints across the nation allege New Jersey-based Johnson & Johnson concealed the powder’s fitness dangers from the general public for many years. (three/14)


The Associated Press:
Agreement Reached To Increase Alcohol Limits On Beer In Utah


Alcohol limits for beer at Utah grocery shops inched nearer to the remainder of the rustic Wednesday below a legislative compromise within the state the place the main religion teaches abstinence from alcohol. The settlement would lift alcohol limits to Four p.c beginning in November, a degree that is nonetheless less than virtually all different states however would permit beers like Bud Mild and Corona to be bought, Republican Sen. Jerry Stevenson stated. (three/13)


The Associated Press:
Johns Hopkins Wants Armed Police; Baltimore Says Not So Fast


Johns Hopkins College, a thriving personal analysis establishment with some of the global’s primary clinical colleges, needs to create an armed police pressure very similar to the ones patrolling a large number of different U.S. faculties and universities. However in its house town of Baltimore, break up via deep divisions and seared via years of discriminatory policing, it isn’t going to occur simply. A invoice that will authorize a pressure for Johns Hopkins’ 3 town campuses is nearing conclusive votes in Maryland’s legislature — only one 12 months after lawmakers selected to not endorse such an concept after being flooded with constituents’ objections. (three/13)


Politico:
Trump ‘Not Thrilled’ About California Governor’s Death Penalty Moratorium


President Donald Trump on Wednesday criticized California Gov. Gavin Newsom’s plan to factor a moratorium on executions within the state. “Defying citizens, the Governor of California will halt all demise penalty executions of 737 stone chilly killers,” Trump tweeted. “Pals and households of the at all times forgotten VICTIMS don’t seem to be extremely joyful, and neither am I!” (Galioto, three/13)


The Wall Street Journal:
New York City Council Passes Bills Bolstering Lead Testing


New York Town’s lead trying out and reporting will probably be expanded below a brand new package deal of expenses designed to restrict publicity in youngsters and enhance schooling round lead poisoning. The 10 measures, which handed Wednesday within the Town Council, quilt the whole lot from extending necessities for lead-based paint trying out at day-care facilities to increasing reporting necessities when lead is located. One invoice will require the Division of Well being and Psychological Hygiene and particular person landlords to analyze and attach lead problems in puts the place youngsters spent 10 or extra hours per week. (Honan, three/13)


Reuters:
As Wildfires Devour Communities, Toxic Threats Emerge


As an uncontrollable wildfire grew to become the California the town of Paradise to ash, air air pollution researcher Keith Bein knew he needed to act speedy: Little is understood about poisonous chemical compounds launched when an entire the town burns and the wind would quickly blow away proof. He drove the more or less 100 miles to Paradise, situated within the Sierra Nevada foothills, from his laboratory on the College of California, Davis, handiest to be refused front below regulations that let first responders and newshounds – however now not public fitness researchers – to pass police strains. (three/13)


This is a part of the KHN Morning Briefing, a abstract of fitness coverage protection from main information organizations. Join an electronic mail subscription.

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