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Yesterday — 23 December 2024Main stream

Flu surges in Louisiana as health department barred from promoting flu shots

By: Beth Mole
23 December 2024 at 09:35

Flu season is ramping up across the US, but Louisiana—the state that has reportedly barred its health department from promoting flu shots, as well as COVID-19 and mpox vaccines—is leading the country with an early and strong surge.

Louisiana's flu activity has reached the "Very High" category set by the Centers for Disease Control and Prevention, according to the latest data. The 13-category scale is based on the percentage of doctor's visits that were for influenza-like illnesses (ILIs) in the previous week. Louisiana is at the first of three "Very High" levels. Oregon is the only other state to have reached this level. The rest of the country spans the scale, with 13 jurisdictions at "High," including New York City and Washington, DC. There are 11 at "Moderate," 10 at "Low," and 19 at "Minimal."

Map of ILI activity by state Credit: CDC

Last week, NPR, KFF Health News, and New Orleans Public Radio WWNO reported that the state had forbidden the health department and its workers from promoting annual flu shots, as well as vaccines for COVID-19 and mpox. The policy was explicitly kept quiet and officials have avoided putting it in writing.

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Before yesterdayMain stream

Louisiana bars health dept. from promoting flu, COVID, mpox vaccines: Report

By: Beth Mole
20 December 2024 at 07:58

Louisiana's health department has been barred from advertising or promoting vaccines for flu, COVID-19, and mpox, according to reporting by NPR, KFF Health News, and New Orleans Public Radio WWNO.

Their investigative report—based on interviews with multiple health department employees who spoke on the condition of anonymity for fear of retaliation—revealed that employees were told of the startling policy change in meetings in October and November and that the policy would be implemented quietly and not put into writing.

Ars Technica has contacted the health department for comment and will update this post with any new information.

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Journal that published faulty black plastic study removed from science index

By: Beth Mole
19 December 2024 at 09:36

The publisher of a high-profile, now-corrected study on black plastics has been removed from a critical index of academic journals after failing to meet quality criteria, according to a report by Retraction Watch.

On December 16, Clarivate—a scholarly publication analytics company—removed the journal Chemosphere from its platform, the Web of Science, which is a key index for academic journals. The indexing platform tracks citations and calculates journal "impact factors," a proxy for relevance in its field. It's a critical metric not only for the journals but for the academic authors of the journal's articles, who use the score in their pursuit of promotions and research funding.

To be included in the Web of Science, Clarivate requires journals to follow editorial quality criteria. In an email to Ars Technica, Clarivate confirmed that Chemosphere was removed for "not meeting one or more of the quality criteria." According to Retraction Watch, Chemosphere has retracted eight articles this month and published 60 expressions of concern since April.

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Louisiana resident in critical condition with H5N1 bird flu

By: Beth Mole
18 December 2024 at 13:41

The Louisiana resident infected with H5N1 bird flu is hospitalized in critical condition and suffering from severe respiratory symptoms, the Louisiana health department revealed Wednesday.

The health department had reported the presumptive positive case on Friday and noted the person was hospitalized, as Ars reported. But a spokesperson had, at the time, declined to provide Ars with the patient's condition or further details, citing patient confidentiality and an ongoing public health investigation.

This morning, the Centers for Disease Control and Prevention announced that it had confirmed the state's H5N1 testing and determined that the case "marks the first instance of severe illness linked to the virus in the United States."

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“Unprecedented” decline in teen drug use continues, surprising experts

By: Beth Mole
17 December 2024 at 14:15

Teen drug use continued to fall in 2024, extending a dramatic decline spurred by the COVID-19 pandemic that experts expected would reverse now that the acute phase of the global crisis is well over.

But, according to data released Tuesday, the number of eighth, 10th, and 12th graders who collectively abstained from the use of alcohol, marijuana, or nicotine hit a new high this year. Use of illicit drugs also fell on the whole and use of non-heroin narcotics (Vicodin, OxyContin, Percocet) hit an all-time low.

"Many experts in the field had anticipated that drug use would resurge as the pandemic receded and social distancing restrictions were lifted," Richard Miech, team lead of the Monitoring the Future survey at the University of Michigan, said in a statement. "As it turns out, the declines have not only lasted but have dropped further."

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Huge math error corrected in black plastic study; authors say it doesn’t matter

By: Beth Mole
16 December 2024 at 14:23

Editors of the environmental chemistry journal Chemosphere have posted an eye-catching correction to a study reporting toxic flame retardants from electronics wind up in some household products made of black plastic, including kitchen utensils. The study sparked a flurry of media reports a few weeks ago that urgently implored people to ditch their kitchen spatulas and spoons. Wirecutter even offered a buying guide for what to replace them with.

The correction, posted Sunday, will likely take some heat off the beleaguered utensils. The authors made a math error that put the estimated risk from kitchen utensils off by an order of magnitude.

Specifically, the authors estimated that if a kitchen utensil contained middling levels of a key toxic flame retardant (BDE-209), the utensil would transfer 34,700 nanograms of the contaminant a day based on regular use while cooking and serving hot food. The authors then compared that estimate to a reference level of BDE-209 considered safe by the Environmental Protection Agency. The EPA's safe level is 7,000 ng—per kilogram of body weight—per day, and the authors used 60 kg as the adult weight (about 132 pounds) for their estimate. So, the safe EPA limit would be 7,000 multiplied by 60, yielding 420,000 ng per day. That's 12 times more than the estimated exposure of 34,700 ng per day.

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Bird flu jumps from birds to human in Louisiana; patient hospitalized

By: Beth Mole
13 December 2024 at 14:28

A person in Louisiana is hospitalized with H5N1 bird flu after having contact with sick and dying birds suspected of carrying the virus, state health officials announced Friday.

It is the first human H5N1 case detected in Louisiana. For now, the case is considered a "presumptive" positive until testing is confirmed by the Centers for Disease Control and Prevention. Health officials say that the risk to the public is low but caution people to stay away from any sick or dead birds. A spokesperson for Louisiana's health department told Ars that the hospitalized patient had contact with both backyard and wild birds.

Although the person has been hospitalized, their condition was not reported. The spokesperson said the department would not comment on the patient's condition due to patient confidentiality and an ongoing public health investigation.

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Americans spend more years being unhealthy than people in any other country

By: Beth Mole
13 December 2024 at 05:19

The gap of time between how long Americans live and how much of that time is spent in good health only grew wider in the last two decades, according to a new study published in JAMA Network Open.

The study, which looked at global health data between 2000 and 2019—prior to the COVID-19 pandemic—found the US stood out for its years of suffering. By 2019, Americans had a gap between their lifespan and their healthspan of 12.4 years, the largest gap of any of the 183 countries included in the study. The second largest gap was Australia's, at 12.1 years, followed by New Zealand at 11.8 years and the UK at 11.3 years.

America also stood out for having the largest burden of noncommunicable diseases in the world, as calculated by the years lived with disease or disability per 100,000 people.

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Americans spend more years being unhealthy than people in any other country

By: Beth Mole
13 December 2024 at 05:19

The gap of time between how long Americans live and how much of that time is spent in good health only grew wider in the last two decades, according to a new study published in JAMA Network Open.

The study, which looked at global health data between 2000 and 2019—prior to the COVID-19 pandemic—found the US stood out for its years of suffering. By 2019, Americans had a gap between their lifespan and their healthspan of 12.4 years, the largest gap of any of the 183 countries included in the study. The second largest gap was Australia's, at 12.1 years, followed by New Zealand at 11.8 years and the UK at 11.3 years.

America also stood out for having the largest burden of noncommunicable diseases in the world, as calculated by the years lived with disease or disability per 100,000 people.

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Prenatal test accidentally picks up cancer in 50% of those with wonky results

By: Beth Mole
5 December 2024 at 04:18

In 2013, researchers reported an eye-opening case of a healthy pregnant woman with a puzzling prenatal test result. A routine genetic screen using cell-free DNA—a highly accurate blood test—suggested her fetus had an extra copy of chromosome 13 (Patau syndrome) and only one copy of chromosome 18. These results are devastating; both conditions can cause severe abnormalities. Those with Patau syndrome often only survive a few days or weeks after birth. But, when doctors looked at scans and did additional pregnancy testing, all they found was a healthy fetus developing normally. The woman carried on with her uncomplicated pregnancy and gave birth to a healthy baby.

The alarming genetic results may have been written off as a freak testing flub. But soon after giving birth, the otherwise healthy 37-year-old mother of two reported severe pelvic pain. Imaging revealed what looked like multiple bone tumors, and she was subsequently diagnosed with metastatic small cell carcinoma of vaginal origin. Tragically, she has since died.

Testing of one of her tumors found that the cancerous cells had an increased number of chromosome 13 relative to chromosome 18. Her prenatal test had picked up her deadly cancer.

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Splash pads really are fountains of fecal material; CDC reports 10K illnesses

By: Beth Mole
3 December 2024 at 14:09

There's nothing quite like a deep dive into the shallow, vomitous puddles of children's splash pads. Even toeing the edge is enough to have one longing for the unsettling warmth of a kiddie pool. But the brave souls at the Centers for Disease Control and Prevention have done it, wading into 25 years' worth of records on gastrointestinal outbreaks linked to the wellsprings of fecal pathogens. And they unsurprisingly found enough retch-inducing results to make any modern-day John Snows want to start removing some water handles.

Between 1997 and 2022, splash pads across the country were linked to at least 60 outbreaks, with the largest sickening over 2,000 water frolickers in one go. In all, the outbreaks led to at least 10,611 illnesses, 152 hospitalizations, and 99 emergency department visits. People, mostly children, were sickened with pathogens including Cryptosporidium, Camplyobacter jejuni, Giardia duodenalis, Salmonella, Shigella, and norovirus, according to the analysis, published Tuesday in the CDC's Morbidity and Mortality Weekly Report. The tallies of outbreaks and illnesses are likely undercounts, given reporting delays and missed connections.

Though previous outbreak-based studies have provided bursts of data, the new analysis is the first to provide a comprehensive catalog of all the documented outbreaks since splash pads erupted in the 1990s. Together, they provide a clear, stomach-churning explanation of how the outbreaks keep happening. Basically, small children go into the watery playgrounds while they're sick and spread their germs.

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Raw milk producer optimistic after being shut down for bird flu detection

By: Beth Mole
3 December 2024 at 04:15

Bird flu has landed on a California farm that shuns virus-killing pasteurization, leading to a second recall of raw milk and a suspension of operations at the company, Raw Farm in Fresno County.

According to a November 27 alert by the California health department, officials in Santa Clara County found evidence of bird flu virus in retail samples of a batch of Raw Farm's milk, which has been recalled. It is the second time that retail testing has turned up positive results for the company and spurred a recall. The first contaminated batch was reported on November 24. The two recalled batches are those with lot codes 20241109 ("Best By" date of November 27, 2024) and 20241119 (Best By date of December 7, 2024).

In an email to Ars on Monday, Raw Farm CEO Mark McAfee said that none of the company's cows are visibly sick but that it appears that asymptomatic cows are shedding the avian influenza virus.

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Man suffers chemical burn that lasted months after squeezing limes

By: Beth Mole
27 November 2024 at 14:00

If Margaritaville were a real place, it should definitely keep a few dermatologists on hand.

In a case of an oft-overlooked food preparation risk, a 40-year-old man showed up to an allergy clinic in Texas with a severe, burning rash on both his hands that had developed two days earlier. A couple of days later, it blistered. And a few weeks after that, the skin darkened and scaled. After several months, the skin on his hands finally returned to normal.

The culprit: lime juice and sunlight.

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Biased AI in health care faces crackdown in sweeping Biden admin proposals

By: Beth Mole
27 November 2024 at 08:37

The Biden administration on Tuesday issued sweeping health care proposals that would see Medicare plans greatly expand access to blockbuster GLP-1 weight-loss drugs, bar insurers from skipping out on paying certain claims that were granted prior authorization, and reinforce guardrails on the use of AI.

The proposals fit into the administration's existing aims to improve and protect access to care in Medicare and Medicaid programs. But, the future of the proposals is uncertain, as it will be up to the Trump administration to finalize the policies.

Anti-obesity drugs

The flashiest of the proposals is to reinterpret existing law in such a way as to allow Medicare and Medicaid coverage of anti-obesity drugs—particularly the extremely popular and pricy GLP-1 drugs Wegovy and Zepbound. Existing policy excludes coverage of drugs used for "weight loss" or "weight gain."

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Things aren’t looking good for infamous CEO of “health care terrorists”

By: Beth Mole
26 November 2024 at 08:33

Federal agents briefly detained infamous ex-hospital CEO Ralph de la Torre early last week and seized his phone, according to an investigative report from the Boston Globe.

De la Torre is the ultra-wealthy former CEO of the now-bankrupt hospital chain Steward, once the largest for-profit health care company in the country. Steward and de la Torre have been accused of being "health care terrorists" and practicing "third-world medicine" that killed and maimed patients as executives extracted millions in payouts, stripping the company of assets.

In September, de la Torre was held in criminal contempt of Congress for failing to abide by a congressional subpoena to attend a Senate hearing over the alleged corruption.

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Raw milk recalled for containing bird flu virus, California reports

By: Beth Mole
25 November 2024 at 10:25

Bird flu virus has been found in a batch of raw—unpasteurized—milk sold in California, prompting a recall issued at the state's request, health officials announced over the weekend.

No illnesses have yet been linked to the contaminated milk, made by Raw Farm, LLC of Fresno County. The contamination was found in testing by health officials in nearby Santa Clara County, who detected the virus in milk from a retail store. The state laboratory has confirmed the finding.

In a YouTube message from Raw Farm, a company representative called the contamination "not a big deal" and emphasized that the recall is only being done out of an abundance of caution.

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Surgeons remove 2.5-inch hairball from teen with rare Rapunzel syndrome

By: Beth Mole
21 November 2024 at 14:02

After a month of unexplained bouts of stomach pain, an otherwise healthy 16-year-old girl arrived at the emergency department of Massachusetts General Hospital actively retching and in severe pain.

A CT scan showed nothing unusual in her innards, and her urine and blood tests were normal. The same was found two weeks prior, when she had arrived at a different hospital complaining of stomach pain. She was discharged home with instructions to take painkillers, a medication for peptic ulcers, and another to prevent nausea and vomiting. The painkiller didn't help, and she didn't take the other two medications.

Her pain worsened, and something was clearly wrong. When she arrived at Mass General, her stomach was tender, and her heart rate was elevated. When doctors tried to give her a combination of medications for common causes of abdominal pain, she immediately vomited them back up.

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Horrifying medical device malfunction: Abdominal implant erupts from leg

By: Beth Mole
21 November 2024 at 04:30

On May 7, 2011, Georgia resident Tonya Brand noticed a pain on the inside of her right thigh. As the pain grew worse in the 4- to 5-inch area of her leg, she headed to a hospital. There, doctors suspected she had a blood clot. But an ultrasound the next day failed to find one. Instead, it revealed a mysterious toothpick-sized object lodged in Brand's leg.

Over the next few weeks, the painful area became a bulge, and on June 17, Brand put pressure on it. Unexpectedly, the protrusion popped, and a 1.5-inch metal wire came poking out of her leg, piercing her skin.

The piece of metal was later determined to be part of a metal filter she had implanted in a vein in her abdomen more than two years earlier, in March 2009, according to a lawsuit Brand filed. The filter was initially placed in her inferior vena cava (IVC), the body's largest vein tasked with bringing deoxygenated blood from the lower body back up to the heart. The filter is intended to catch blood clots, preventing them from getting into the lungs, where they could cause a life-threatening pulmonary embolism. Brand got the IVC filter ahead of a spinal surgery she had in 2009, which could boost her risk of clots.

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Novo Nordisk sells hit weight-loss drug in China—at fraction of US price

By: Beth Mole
19 November 2024 at 09:10

Patients in China will be able to purchase the blockbuster weight-loss drug Wegovy for 1,400 yuan, or about $193, just a fraction of the US list price of $1,349, according to media reports.

The price in China is in line with pricing elsewhere outside of the US. As Sen. Bernie Sanders (I-Vt.) noted in a September Senate hearing, Wegovy, made by Novo Nordisk, is sold for $265 in Canada, $186 in Denmark, $137 in Germany, and just $92 in the United Kingdom. In the hearing, Sanders and other senators grilled Novo Nordisk CEO Lars Jørgensen on the "outrageously high prices" in the US of Wegovy and the company's other popular GLP-1 drug, Ozempic, used for diabetes.

"What we are dealing with today is not just an issue of economics, it is not just an issue of corporate greed. It is a profound moral issue," Sanders said in opening remarks about the prices of the highly effective drugs.

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