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Because anti-smoking groups aren’t just fighting the tobacco companies these days. They have fractured over tobacco harm reduction — the idea that people who cannot or will not quit smoking should be provided with alternatives, notably e-cigarettes, which deliver nicotine without burning tobacco. They argue that e-cigarettes will lead to a new generation addicted to nicotine, even if they are not smoking. It focuses largely, but not entirely, on reduced-risk nicotine products, a category that includes e-cigarettes, oral tobacco, and “heat not burn” products that warm up tobacco without burning it. There are no safe tobacco products; all fall along what’s called a continuum of risk.

Persons: Cliff Douglas, Philip Morris, Douglas, “, ” Douglas, Bloomberg Philanthropies, American Heart Association —, Michael Bloomberg, that’s, General’s, ”, Charles Gardner, Joanna Cohen, Ellen MacKenzie, Yolonda Richardson, Deborah Arnott, “ I’m, Michael Cummings, they’ve, Marc Gunther Organizations: Foundation, Philip, Philip Morris International, American Cancer Society, American Lung Association, Centers for Disease Control, Bloomberg, Tobacco, American Heart Association, Truth Initiative, Rockefeller, UBS Optimus, Bloomberg School of Public Health, Johns Hopkins University, Campaign, Reuters, FDA, Centers for Disease, Medical University of South, Associated Press, Philanthropy, AP Locations: United States, – California , Massachusetts , New Jersey , New York, Rhode, San Francisco, —, British, Medical University of South Carolina, vaping

☆ Opinion | Are Doctors Doing Risky, Unnecessary Procedures?
▼ + stars: | 2023-07-28 | by ( ) www.nytimes.com time to read: +1 min

The writer is a professor emeritus of surgery at Mayo Clinic and the Medical University of South Carolina. Even minor amputations without an accompanying attempt to improve blood flow can result in risk of major amputation and death. Up to 50 percent of patients who receive an amputation will die within the first year; 70 percent will die within four years. People of color receive amputations at 1.5 to four times the rate of white Americans. The American Diabetes Association has declared war on preventable amputation by forming the Amputation Prevention Alliance.

Persons: John Hallett Charleston Organizations: Mayo Clinic, Medical University of South, Health, American Diabetes Association, American Heart Association Locations: S.C, Medical University of South Carolina

☆ They took blockbuster drugs for weight loss and diabetes. Now their stomachs are paralyzed
▼ + stars: | 2023-07-25 | by ( Brenda Goodman | ) edition.cnn.com time to read: +19 min

Emily Wright, 38, a teacher in Toronto, started taking Ozempic in 2018. The diabetes drug Ozempic, and its sister drug for weight loss, Wegovy, utilize the same medication, semaglutide. Gastroparesis can have many causes, including diabetes, which is a reason many people are on these drugs in the first place. In more than half of cases of gastroparesis, doctors are unable to find a cause. Until more is known, George said, people need to be open with all their doctors about taking any drugs.

Persons: Joanie Knight, “, I’d, ”, Knight, ” Brenda Allen, I’m, ” Allen, Emily Wright, she’s, Wright, “ I’ve, ” Wright, Ozempic, Emily Wright Allen doesn’t, they’ve, Gastroparesis, Michael Camilleri, Camilleri, liraglutide, ” Camilleri, ’ Joanie Knight, it’s, —, I’ve, let’s, ’ ” Wright, gastroparesis, ” Knight, we’re, there’s, gastroparesis weren’t, “ Gastroparesis, Linda Nguyen, Nguyen, Renuka George, George, ” George, Dr, Michael Champeau, ” Champeau, Sanjay Gupta Organizations: CNN, US Food and Drug Administration, American Society of Anesthesiologists, Novo Nordisk, Mayo Clinic, National Institutes of Health, Diabetes, ”, FDA, Stanford University, American Gastroenterological Association, Medical University of South, CNN Health, Stanford Locations: Angie , Louisiana, Dallas, Toronto, Medical University of South Carolina, Louisiana

Overall, an FDA spokesperson says that “trial participants should reflect the population that is likely to use the product if FDA-approved. Across a group of 10 novel cancer therapies approved by the FDA in 2022, data shows the share of Black participants in key clinical trials ranged from zero to 8%. “Access to clinical trials at the sites where patients are living is an important factor to changing the landscape,” Perez says. “There’s been some novel ways to recruit patients, like using the church and using barbershops to recruit Black patients,” Cho says. Haddad says a number of Mayo patients were receiving experimental therapies through clinical trials when the pandemic began.

Persons: ”, Leslie Cho, Robert, Suzanne Tomsich, it’s, Edith Perez, Bolt Biotherapeutics, ” Perez, Eli Lilly, “, Lilly “, they’ll, Craig Lipset, ” Lipset, ” Cho, “ There’s, Dr, Tufia Haddad, Haddad, Mayo, Jennifer Dahne, Larry Hawk, Hawk Organizations: Women’s Cardiovascular, Cleveland Clinic, of Cardiovascular Medicine, U.S . Food, Drug Administration, FDA, “, Health, Committee, Cancer, Janssen Pharmaceuticals, Centers for Disease Control, Research Alliance, Mayo Clinic Comprehensive Cancer Center, Care, Mayo’s Center for Digital Health, College of Medicine, Medical University of South, of Psychology, University, Buffalo, SUNY, JAMA Locations: U.S, Chicago, Dallas, Los Angeles, Philadelphia, Los Angeles County, Alaska, “, Medical University of South Carolina

According to the police, a 6-year-old boy at Richneck Elementary School in Virginia used a gun legally purchased by his mother to intentionally shoot his teacher on Friday. Because, research shows that most children who get intervention early for violent behaviors recover. These can help a child develop a strong foundation for thinking things through and foster an openness or motivation to learn. And I certainly don’t want to draw sweeping and overly upbeat conclusions saying that every individual can be rehabilitated. The reportedly intentional shooting of a teacher by a 6-year-old is awful and heartbreaking.

☆ Hospitals rely on volunteers for $5 billion a year of free work — and some could be violating federal labor laws
▼ + stars: | 2023-01-10 | by ( Lauren Sausser | Kaiser Health News | ) www.businessinsider.com time to read: +9 min

The US health system benefits from potentially over $5 billion in free volunteer labor annually. Like paid employees, hospital volunteers typically face mandatory vaccine requirements, background checks, and patient privacy training. Hedges was furloughed for the better part of six months when hospital volunteers were sent home in March 2020. Nonprofit and for-profit hospitals alike benefit from volunteersNonprofit hospitals must follow federal labor laws, too. Nonprofit hospitals are required to provide a benefit to their communities, such as offering charity care, in exchange for their special tax status.

☆ Ehlers-Danlos syndrome affects millions. Why isn't the medical profession paying more attention?
▼ + stars: | 2022-12-24 | by ( Sarah Lazarus | ) edition.cnn.com time to read: +19 min

“Have you heard of Ehlers-Danlos syndrome?” the podiatrist asked me. There are 13 types of Ehlers-Danlos syndrome (EDS), according to research and advocacy organization The Ehlers-Danlos Society. Drag queen Yvie Oddly, who has hypermobile Ehlers-Danlos syndrome, crab walks down the pink carpet at RuPaul's DragCon LA in 2019. Bluestein says that for many years it was thought that one in 5,000 people had Ehlers-Danlos syndrome. But despite her career choice, Bluestein only received her hEDS diagnosis when she was 47 – more than 30 years later.

☆ Hearing loss: 1 billion people at risk from unsafe listening
▼ + stars: | 2022-11-15 | by ( Madeline Holcombe | ) edition.cnn.com time to read: +4 min

CNN —Turning down the racket isn’t just for disgruntled parents — a new study has shown it could protect more than 1 billion people at risk for hearing loss. “We estimated that 0.67 to 1.35 billion individuals aged 12-34 years worldwide likely engage in unsafe listening practices,” and are therefore at risk for hearing loss, said lead study author Lauren Dillard via email. If that goes on for too long, they can become permanently damaged, resulting in hearing loss, tinnitus or both. Researchers conducted a meta-analysis of scientific articles regarding unsafe listening practices published between 2000 and 2021 across three databases, the study said. Primary prevention in early adults is critical to avoid earlier onset and accelerated age-related hearing loss.”

☆ Flint residents reported high rates of depression, PTSD years after water crisis
▼ + stars: | 2022-09-20 | by ( Carma Hassan | ) edition.cnn.com time to read: +7 min

CNN —In a new study, researchers say that the experiences of residents of Flint, Michigan, show that environmental disasters like the water crisis can have long-term consequences for mental health. Flint residents reported changes to the water’s color, smell and taste soon after the city turned to the Flint River as a water source in April 2014. Researchers found that 1 in 5 Flint residents met the criteria for presumptive major depression, 1 in 4 for presumptive post-traumatic stress disorder (PTSD) and more than 1 in 10 for both disorders. Eight years after the water crisis began in Flint – even with new pipes and a different water source – some city residents recently told CNN they still don’t trust the water. In a statement, the Mississippi Department of Mental Health said community mental health centers can provide therapy, peer support and intensive outpatient programs for people in need of psychiatric care and substance abuse treatment.

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