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But it can develop in anyone, including someone who’s thin and super healthy,” said Dr. Nicole Calloway Rankins, a maternal health advocate and obstetrician-gynecologist in Richmond, Virginia. However, high blood pressure, often called the “silent killer,” does not always show signs, so the best prevention is regular checkups and blood pressure readings throughout pregnancy, experts say. That’s literally a hypertensive crisis.”For people worried about heart disease, blood pressure at those levels would be concerning, but not a crisis. What is it about pregnancy that makes high blood pressure so dangerous? “We really have to be vigilant and understand that blood pressure in pregnancy is different than outside of pregnancy.
Persons: Tori Bowie, Bowie, , Nicole Calloway Rankins, , Antonia Oladipo, Eclampsia, Eleni Tsigas, Alastair Grant, Rankins, Tori, ” Tsigas, “ We’ve, Tsigas, it’s, don’t, ” Rankins, something’s, Joe Biden, Iffath Abbasi Hoskins, Gynecologists, ” Hoskins, ” CNN’s Jacqueline Howard Organizations: CNN, US Centers for Disease Control, CDC, Cleveland Clinic, Hackensack Meridian School of Medicine, Preeclampsia Foundation, National Institutes of Health, Commonwealth Fund, Dimes, Century Foundation, Data, National Center for Health Statistics, American College of Obstetricians Locations: preeclampsia, Richmond , Virginia, New Jersey, Melbourne , Florida, Florida, London, Orlando , Florida, United States
And regulators could help monitor that such responses offer accurate and reliable information and resources. They’re underutilized already,” said John Ayers, an author of the study and a behavioral scientist at the University of California, San Diego. He said that now, while ChatGPT is still in development, is the time for public health experts and regulators to join forces with the chatbot’s developers to help curate responses to medical questions. The chatbot provided resources in two responses to a question about addiction, two responses for questions related to interpersonal violence and one response to a mental health-related question. “ChatGPT consistently provided evidence-based answers to public health questions, although it primarily offered advice rather than referrals,” the researchers wrote in their study.
Persons: They’re underutilized, , John Ayers, ChatGPT, , , ” Ayers, ” ChatGPT, “ ChatGPT, Ayers, Dr, Mike Hogarth, Sanjay Gupta, David Asch, Asch, ” Asch, he’d, Deidre McPhillips Organizations: CNN, JAMA, University of California, UC San Diego, Anonymous, Mental Health Services Administration National, Prevention, UC San Diego School of Medicine, Eating Disorders Association, CNN Health, University of Pennsylvania, Penn Medicine Center, Health Care Innovation Locations: San Diego, United States
CNN —Growing evidence shows that building muscle strength can have benefits for your heart, even leading to better outcomes after a heart attack. Kamiya said that after a heart attack, medically known as a myocardial infarction, the heart can go through a process called myocardial remodeling or cardiac remodeling, in which fibrous tissue accumulates, causing an enlargement of the heart. But emerging evidence suggests that exercise-based cardiac rehabilitation can alter the course of such remodeling in a way that improves heart function. “Cardiac remodeling is the main cause of the onset of heart failure after myocardial infarction,” Kamiya said. But more can be learned about why some people may be more affected after a heart attack than others, said Dr. Shaline Rao, director of heart failure services at NYU Langone Hospital-Long Island, who was not involved in the new study.
CNN —Covid-19 is no longer a global health emergency, the World Health Organization said on Friday. WHO’s International Health Regulations Emergency Committee discussed the pandemic on Thursday at its 15th meeting on Covid-19, and WHO Director-General Tedros Adhanom Ghebreyesus concurred that the public health emergency of international concern, or PHEIC, declaration should end. “Yesterday, the emergency committee met for the 15th time and recommended to me that I declare an end to the public health emergency of international concern. Each country, in turn, declares its own public health emergency – declarations that carry legal weight. The United States is set to let its Covid-19 public health emergency end on May 11.
Months prior, Glaser and her team were implementing the school’s Covid-19 testing program, using antigen nasal swab tests. It’s not as simple as just handing those things out at school and having the kids do them,” said Glaser, who oversaw antigen testing programs at some California public schools. For now, Glaser and her colleagues described in a new study the lessons they learned from the Covid-19 dog screening pilot program that they launched in some California K-12 public schools. In comparison, Covid-19 BinaxNOW antigen tests have been shown in one real-world study to demonstrate 93.3% sensitivity and 99.9% specificity. The pilot program within California public schools also has left Edwards with hope for future opportunities in which canines can help detect disease in humans.
CNN —A new study on breast cancer deaths raises questions around whether Black women should screen at earlier ages. Even though Black women have a 4% lower incidence rate of breast cancer than White women, they have a 40% higher breast cancer death rate. “When the breast cancer mortality rate for Black women in their 40s is 27 deaths per 100,000 person-years, this means 27 out of every 100,000 Black women aged 40-49 in the US die of breast cancer during one year of follow-up. They also wrote that health policy makers should pursue equity, not just equality, when it comes to breast cancer screening as a tool to help reduce breast cancer death rates. Having dense tissue in the breast can make it more difficult for radiologists to identify breast cancer on a mammogram, and women with dense breast tissue have a higher risk of breast cancer.
CNN —A small proportion – 14.1% – of all diagnosed cancers in the United States are detected by screening with a recommended screening test, according to a new report. “I was shocked that only 14% of cancers were detected by screening. I think, for many people, we talk so much about cancer screening that we imagine that that’s how all cancers are diagnosed. She suspects that the percentage of cancers detected by screening could now be even lower than what was found in the new report. “I definitely think that the percent of cancers detected by screening would have been lower as a result of the pandemic.
Local officials mulling over masksThe US Centers for Disease Control and Prevention offers specific guidance on when masking is recommended based on its Covid-19 community levels. The agency says that people may choose to wear masks at any time but that a “high-quality mask or respirator” is recommended for everyone when a county has a “high” Covid-19 community level. As of Thursday, about 5.66% of US counties have high community levels, including some places in Arizona, Wyoming, Oregon and the Dakotas. Even without a mandate, she emphasized community efforts like wearing masks inside when possible and getting Covid-19 vaccines or boosters. “We do know that 5% of the population is living in places with a high Covid-19 community level.
This first-of-its-kind dashboard was developed to track nonfatal opioid overdoses, which have become a growing public health concern as the US struggles with a decades-long opioid epidemic. It will “empower local communities” to tailor their opioid overdose responses and track their progress, Gupta said. “We know that there are significantly more nonfatal overdoses than fatal ones, of which there are over 100,000 a year. Across the United States, the powerful synthetic opioid fentanyl has become the most commonly used drug involved in drug overdoses. In 2020, a report from the CDC found that opioids have “substantial involvement” in nonfatal overdoses, including those involving other types of drugs, and these types of nonfatal overdoses are on the rise.
The current rise in Covid-19 cases is one leg of a triple threat – a “tridemic,” a “tripledemic” or a “trifecta,” as some news organizations are calling it – along with a bad flu season and an RSV outbreak hitting mainly children. People at higher risk of getting sick should wear masks when there is medium spread, such as in Los Angeles County. “You can count masking, vaccines, boosting, testing – all of that is part of the spectrum of protecting yourself and your family,” Fauci said. But if Covid-19 cases were to increase, a little less than two-thirds of Americans, 65%, said they would wear a mask. This will be the conundrum for public health officials if Covid-19 cases continue along with this “tripledemic” – how to get people to wear masks without trying to make them do it.
“And the pulse oximeter is used from any age to geriatrics,” he said. The US Food and Drug Administration is mulling over next steps for the regulation of pulse oximeter devices, which may give less accurate readings for people of color. A panel of its Medical Devices Advisory Committee met in November to review clinical data on the issue. “I think of the pulse oximeter reading in the same way. Of course this can be dangerous.”Ultimately, the pulse oximeter can estimate the amount of oxygen a person has in their blood without the need for a blood sample.
CNN —A measles outbreak in central Ohio is growing, sickening more than 50 children, with many of them needing hospitalization, according to data updated Tuesday by Columbus Public Health. “Measles can be very serious, especially for children under age 5,” Columbus Public Health spokesperson Kelli Newman wrote in an email Monday. In the Ohio outbreak, the hospitalized children have been seen at Nationwide Children’s Hospital. “For measles, it is the most infectious disease we have,” she said. Pediatric hospitals already strainedWhile the measles outbreak spreads across central Ohio, the United States has been battling a surge of respiratory illnesses, such as flu and RSV, or respiratory syncytial virus, and the ongoing Covid-19 pandemic.
Juul Labs settles litigation in the United States
  + stars: | 2022-12-06 | by ( Rob Mclean | ) edition.cnn.com   time to read: +3 min
New York CNN Business —E-cigarette maker Juul Labs said Tuesday that it has settled litigation it faced in the United States, resolving a substantial amount of legal issues for the company. “The global resolution covers more than 5,000 cases brought by approximately 10,000 plaintiffs against Juul Labs and its officers and directors,” the company said in a news release. The investigation found that Juul deliberately marketed its products to young people, even though e-cigarette sales to children are illegal. In the past, Juul Labs has sold some of the most popular vaping products in the United States, especially its flavored products. A court temporarily blocked the FDA ban, so the products are still for sale in the United States.
CNN —Pfizer and BioNTech have submitted an application to the US Food and Drug Administration for their updated Covid-19 vaccine to be used as the third shot in the three-dose primary vaccine series for children ages 6 months through 4 years. The vaccine makers announced on Monday that if authorized for emergency use, children in that age group will still receive the original version of the Covid-19 vaccine as their first two doses and then the updated Covid-19 vaccine – formulated to target the coronavirus Omicron subvariants BA.4 and BA.5 – as the third dose. While the primary Covid-19 vaccine series for older children and adults involves receiving two doses of the Pfizer/BioNTech vaccine, a three-dose primary series has been the approach for children younger than 5. “With the high level of respiratory illnesses currently circulating among children under 5 years of age, updated COVID-19 vaccines may help prevent severe illness and hospitalization,” according to the companies’ announcement on Monday morning. There is no vaccine for RSV, but health officials have urged people to get their flu shots and updated Covid-19 boosters heading into winter.
CNN —An experimental HIV vaccine has been found to induce broadly neutralizing antibodies among a small group of volunteers in a Phase 1 study. “We know that broadly neutralizing antibodies are a potentially effective strategy to prevent HIV,” del Rio said. “However, the incorporation of many different shots into an HIV vaccine regimen is unappealing. More than 20 HIV vaccine clinical trials are ongoing around the world, according to the International AIDS Vaccine Initiative. But having an HIV vaccine available would make protection against the virus more accessible, he said.
In 2020, more than 5,000 adults 65 and older in the United States died of a drug overdose. Though drug overdose death rates for older adults tend to be lower than for other age groups – and made up just 0.2% of total deaths among adults 65 and older in 2020 – such deaths have been climbing. Between 2000 and 2020, the rates rose from 2.4 to 8.8 deaths per 100,000 people among adults 65 and older. Between 2000 and 2020, drug overdose deaths increased more among men than women, rising from 2.7 to 12.3 deaths per 100,000 men compared with 2.3 to 5.8 per 100,000 women. “Because of ageism, we typically do not think of older adults as having a substance use disorder nor do we think of older adults for being at-risk for a drug overdose.
It involved 1,795 adults, ages 50 to 90, with mild cognitive impairment due to early Alzheimer’s disease or mild Alzheimer’s disease-related dementia. Such a score is consistent with early Alzheimer’s disease, with a higher number associated with more cognitive impairment. By 18 months, the CDR-SB score went up 1.21 points in the lecanemab group, compared with 1.66 in the placebo group. Overall, there were serious adverse events in 14% of the lecanemab group and 11.3% of the placebo group. The researchers also wrote that about 0.7% of participants in the lecanemab group and 0.8% of those in the placebo group died, corresponding to six deaths documented in the lecanemab group and seven in the placebo group.
The American Academy of Sleep Medicine, the Sleep Research Society and other medical groups have advocated for ending the practice, calling for the adoption of a permanent standard time that would not involve shifting forward each spring and falling back each autumn. She authored a paper, published in September in the journal Sleep, detailing the potential health benefits of adopting a permanent standard time. Now, some sleep researchers worry about the potential effects that continuing to change standard time twice each year may have on sleep health inequities. “Fortunately, sleep health is largely modifiable.”As for the inequities seen in sleep health, it’s not that White adults don’t also experience a lack of sleep and its health consequences – but people of color appear to disproportionately experience them more, and that’s believed to be largely due to social systems in the United States. Improving sleep health has been a national objective in the federal government’s past two Healthy People programs, noted Caraballo-Cordovez, who is not involved in the programs.
CNN —A growing measles outbreak in Columbus, Ohio, has sickened dozens of unvaccinated children and hospitalized nine of them, and local public health officials are seeking assistance from the US Centers for Disease Control and Prevention. One child is 6 years old.”Health officials with Columbus Public Health and Franklin County Public Health have been investigating these cases and tracing any contacts who may have been exposed to the measles virus. In the 1950s, researchers isolated the measles virus in a patient’s blood, and in the 1960s, they were able to transform that virus into a vaccine. As of October 28, a total of 33 measles cases have been reported this year in five jurisdictions across the United States, according to the CDC. “So the possibility that someone carrying measles virus coming into the country could spread into an unvaccinated population is always there.”
“All primary and secondary schools in Uganda are directed to close by November 25th, 2022 for third term holidays as a measure to contain Ebola Virus Disease (EVD) in the country,” Museveni said in a statement. Major US cities get Ebola plans in placeThe CDC estimates that 20% of travelers from Uganda will arrive without a cell phone or US-based phone number. “CDPH continues to work with our hospitals to screen patients for travel history and be alert for symptoms of Ebola virus disease or, more likely, malaria or circulating respiratory viruses. ‘We need to be prepared’The Ebola virus is transmissible – but not as transmissible as some other infectious diseases, like Covid-19. “If we do see any cases in the United States, the hope is that they will be identified quickly before there is further spread,” Barouch said.
The US preterm birth rate peaked in 2006 at 12.8%, according to data from the National Center for Health Statistics. States with the highest and lowest ratesThe new March of Dimes report also highlighted state-by-state differences in the rate of babies born prematurely across the country. The report grades a preterm birth rate less than or equal to 7.7% as an A and a preterm birth rate greater than or equal to 11.5% as an F.The national preterm birth rate of 10.5% is graded as a D+. No state has achieved an A rate, and only one has a state-level preterm birth rate that would be graded as an A-: Vermont, which has the lowest preterm birth rate in the US at 8%. Henderson also said that preterm birth is one of the top causes of infant deaths and disproportionately affects babies born to women of color.
CNN —With Thanksgiving just two weeks away, people who are eligible for an updated Covid-19 vaccine booster but still haven’t received the shot will need to roll up their sleeves Thursday to get as much protection as possible before the holiday. After getting the updated Covid-19 vaccine, that biological process can take about 10 to 14 days. Health officials say it’s fine to get the updated Covid-19 booster and flu vaccine at the same time. The vaccine candidate contains components of the companies’ updated Covid-19 booster and their investigational flu vaccine. Moderna is also developing a combined flu and Covid-19 mRNA vaccine and another combination vaccine targeting flu, Covid-19 and RSV.
The data included a total of 151,573 survey respondents, all in middle or high school in the United States. ‘Concerning’ trends in the intensity of useThe overall prevalence of e-cigarette use peaked in 2019 and then declined. But by 2019, more e-cigarette users were using within the first five minutes of waking up each day compared with traditional cigarette users. “It is encouraging that the prevalence of e-cigarette use has declined among U.S. adolescents from 2019 to 2021. “Unfortunately, early nicotine addiction could overturn the significant tobacco control progress made over many decades,” she said.
The data also showed that 38.5% of Blacks and Hispanics received bystander CPR when the cardiac arrest happened at home, compared with 47.4% of Whites. He added that not receiving bystander CPR during a cardiac arrest can have “significant clinical outcomes” for the person whose heart stopped pumping. “Bystander CPR ensures some level of blood circulation, oxygenation of the brain and other vital organs,” Benjamin said. “Certainly time to intervention is critical, and bystander CPR and defibrillator access and use is a part of that,” she said, adding that disparities in how much CPR training is conducted in communities also plays a role in the likelihood of someone receiving bystander CPR. “We need to use what we learn about disparities to help improve the likelihood of bystander CPR for everyone.
CNN —New ads promoting the Covid-19 vaccines are making their debut this week, targeting specific communities that have had a slow uptake of the updated shots. “These ads also reflect our commitment to equity in our COVID response and the need to redouble efforts to reach Black and Hispanic communities about the benefits of the updated vaccines,” she said. We now have updated COVID-19 vaccines to protect you against the Omicron strain.”The new ads, first reported on CNN, will run in 15 US markets, according to HHS. The ads, with a special focus on communities that have historically been underserved, are part of the Biden administration’s effort to encourage people to get their updated vaccine ahead of winter. Get CNN Health's weekly newsletter Sign up here to get The Results Are In with Dr. Sanjay Gupta every Tuesday from the CNN Health team.
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