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Change Healthcare's systems are down for a fourth straight day after parent company UnitedHealth Group disclosed that a suspected cybersecurity threat actor gained access to part of its information technology network on Wednesday. UnitedHealth, the biggest health-care company in the U.S. by market cap, owns the health-care provider Optum, which merged with Change Healthcare in 2022. Optum services more than 100 million patients in the U.S., according to its website, and Change Healthcare offers solutions for payment and revenue cycle management. ET Saturday, Change Healthcare said the disruption is expected to continue "at least" through the day. The AHA declined to comment on the Change Healthcare cyberattack.
Persons: UnitedHealth, We're, CISA Organizations: UnitedHealth Group, Healthcare, U.S . Securities, Exchange Commission, CNBC, CVS Health, CVS, American Hospital Association, AHA, Department of Health, Human Services, FBI, Infrastructure Security Agency, HHS Locations: U.S
It is only the latest in long list of hacking incidents that have roiled the health care sector in the last few years. Mara FurlichPrescription insurance processing at big university health systems in Indiana and California have also been disrupted, according to internal email correspondence at the health systems reviewed by CNN. In a regulatory filing Thursday, Change Healthcare’s parent firm said “suspected nation-state associated” hackers had breached some of their computer systems. The Change Healthcare spokesperson declined to comment when asked on what information the company based its assessment that foreign government-linked hackers could be responsible. The FBI and CISA did not respond for requests for comment on whether they agreed with Change Healthcare’s assessment on who was responsible for the hack.
Persons: Mara Furlich, Furlich, ” Furlich, Camp Pendleton, Luke Bonczyk, Abi, , , CISA, Max Henderson Organizations: CNN, FDA, Healthcare, Naval Hospital, American Hospital Association, FBI, Infrastructure Security Agency, Department of Health, Human Services, HHS, Optum, Locations: United States, Detroit, Camp Pendleton, Southern California, Indiana, California
CNN —The University of Alabama at Birmingham health system is pausing in vitro fertilization (IVF) treatment following an Alabama Supreme Court ruling that found frozen embryos are children, the health system said in a statement to CNN. UAB said it was pausing IVF treatments while it evaluates the court’s decision. In the sole full dissenting opinion to the decision, Alabama Supreme Court Justice Greg Cook warned of the potential consequences. Critics have also expressed concerns the ruling creates a road map that groups and legislators across the country who have previously targeted fertility treatments can now follow. “This cruel ruling, and the subsequent decision by UAB’s health system, are horrifying signals of what’s to come across the country,” she said in her Wednesday statement.
Persons: , , Greg Cook, ” Cook, , Barbara Collura, ” Collura, Critics, Organizations: CNN, The University of Alabama, Alabama Supreme, UAB, Alabama’s Medical, University of Alabama, Birmingham Locations: Birmingham, Alabama, UAB, Florida
Another AI medical records startup, DeepScribe, raised a $30 million Series A round in January 2022. AbridgeThe investor descent on medical-scribe startups reflects a blatant potential of automation tech to alleviate healthcare’s most critical issues. “This market is screaming hot,” said Bryan Roberts, a partner at Venrock and an investor in medical-scribe startup Suki. AdvertisementStill, as health systems increasingly adopt AI solutions to manage labor costs, these startups have room to grow into their valuations. Medical-scribe startups vying for the remaining slice of the pie are “in a pitch to the death,” Roberts said.
Persons: , , Kleiner Perkins, Andreessen Horowitz, Suki, Punit Soni, Shiv Rao, , Bryan Roberts, ” Roberts, Annie Case, Case, Hermann, Keith Srakocic, Roberts, there’s, Organizations: Service, Business, Healthcare, Fund, Optum Ventures, Medical, Cathay Innovation, Microsoft, University of Pittsburgh Medical Center, University of Kansas Health, AP
As healthcare startups dive headfirst into building artificial intelligence products to sell to hospitals, a new report suggests many health systems don't yet have policies to support the tech. In a survey of 34 US health systems leaders, only 16% reported having systemwide policies for AI usage and data access. Some health system leaders said they haven't developed policies because the industry is in the early stages of AI adoption. Many health system leaders surveyed by KLAS expressed excitement about AI software for clinical documentation. Seventy percent of health system leaders surveyed by KLAS said their organizations planned to adopt AI software integrated with their EHRs.
Persons: , hasn't, Robert Califf, KLAS, we'll, Bryan Roberts Organizations: Business, Center, Medicine, UPMC, KLAS Research, Healthcare, Food and Drug Administration, FDA, Venture, University of Pittsburgh Medical Center, University of Kansas Health, Microsoft, Industry
“It isn't just sort of creepy,” said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. X-Mode was also found to have sold location data to the U.S. military. In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly. “The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data,” Favola said in a committee hearing. “The software supply chain is extremely polluted with location tracking of individuals,” he said.
Persons: Roe, , Vandana Slatter, , Albert Fox Cahn, Sen, Ron Wyden, Wyden, He’s, It's, Washington's, Andrea Frey, Democratic Sen, Barbara Favola, Glenn Youngkin, ” Favola, Favola, “ It’s, Republican Sen, Mark Peake, Youngkin's, Sean O'Brien, he's, ___ Mulvihill, Frank Bajak, Sarah Rankin Organizations: Democratic, Supreme, Wade, Oregon Democrat, Intelligence, The Veritas Society, Wisconsin, Federal Trade Commission, Securities Exchange Commission, FTC, ., Democrat, Republicans, Connecticut, Assembly, Virginia Gov, Republican, Yale Privacy, Associated Press Locations: U.S, Washington, Oregon, Wisconsin, Massachusetts, Nevada, York, California, Maryland, ” Illinois, Hawaii , Illinois, Maine , Maryland , Massachusetts , Missouri, South Carolina, Vermont, In Virginia, Cherry Hill , New Jersey, Boston, Richmond , Virginia
Omicron subvariant JN.1 is causing nearly all new coronavirus cases in the U.S., according to estimates from the Centers for Disease Control and Prevention. The strain, which was responsible for just over 3% of infections in mid-November, has virtually taken over the COVID-19 variant scene in the U.S. in recent months. It was responsible for more than 96% of new infections over the past two weeks, according to the estimates . JN.1, which is closely related to BA.2.86, or “pirola,” is also the top variant globally. But the levels, which reflect both symptomatic and asymptomatic infections, are trending downward.
Organizations: subvariant, Centers for Disease Control, World Health Organization, WHO, CDC Locations: U.S
Penn announced its new program in AI on Tuesday, and it's the first of the Ivys to do so. But over the last 10 years, the engineering program has been aligning itself more toward AI and onboarding AI courses. The BSE in AI will offer courses in machine learning, computing algorithms, data analytics, and advanced robotics. In addition to being the first Ivy League to offer a degree in AI, Penn is also the first school to offer a degree in AI engineering. Carnegie Mellon was one of the first schools to start an AI undergraduate program back in 2018.
Persons: , Neera, Penn, J, Larry Jameson, Penn Engineering Robert Ghrist, Ghrist, Carnegie Mellon Organizations: Service, University of Pennsylvania, Penn, Artificial Intelligence, Telcom Ventures, Business, Education, Penn Engineering, Ivy League, Carnegie, MIT, Stanford Locations: Northwestern
Hospitals in recent years have shifted their use of online technology to support everything from telehealth to medical devices to patient records. Brett Callow, an analyst for the cybersecurity firm Emsisoft, counted 46 cyberattacks on hospitals last year, compared with 25 in 2022. The dramatic increase in these online raids has prompted the nation’s top health agency to develop new rules for hospitals to protect themselves from cyber threats. The attacks can put hospitals’ networks offline for weeks or months, forcing hospitals to turn away patients. In Chicago, Lurie hospital’s network has been offline for two weeks.
Persons: , John Riggi, Association’s, , ” Riggi, Ann, Robert H, Lurie, Brett Callow, Emsisoft, ” Callow, Callow, , Andrea Palm, Palm, Jason Castillo’s, Castillo, ” Castillo, it’s, Kathleen Foody Organizations: WASHINGTON, Midwestern children's, American, Lurie Children’s Hospital of Chicago, FBI, of Health, Human Services, Health, HHS, Associated Press Locations: Midwestern, Russia, North Korea, Iran, Chicago
He’s seeing this develop as co-CEO of Amwell, a Boston-based company that provides telemedicine software and technology for health systems and insurers. The company works with more than 55 health plans and health systems representing over 2,000 hospitals. Q: What is some care patients seek in-person now that you expect will become largely virtual in the future? The revolution that’s going on right now is where people are beginning to utilize these technologies to interact with their regular caretakers. If the patient is not doing well, (the technology) will have the smarts to escalate that patient right back in front of (a nurse or doctor).
Persons: Roy Schoenberg, He’s, Schoenberg, We’re, Ido, We’ve Organizations: Associated Press, Associated Press Health, Science Department, Howard Hughes Medical Institute’s Science, Educational Media Group, AP Locations: Boston, telemedicine
American workers are spending too much time looking at screens. As a result, symptoms of "excessive screen time," or more than seven hours of screen time a day, are costing the U.S. $73 billion per year, the report said. The figure was determined by analyzing the direct financial costs incurred by health systems, the symptoms' impact on productivity at work, and their perceived impact on an individual's well-being. Just two hours of screen time per day can induce these symptoms, and if left untreated, the study found they can "lead to decreased productivity, exacerbate other undiagnosed eye conditions and may affect an individual's sleep quality and mental health." The study found that people with excessive screen time exposure could save as much as $1,920 per person by seeing an optometrist and managing their symptoms.
Persons: Ronald Benner Organizations: Deloitte Economics Institute, American Optometric Association, U.S Locations: U.S
Opinion Domicide: The Mass Destruction of Homes Should Be a Crime Against HumanityThe widespread or systematic destruction of homes has long been a feature of modern warfare. We all understand that killing can be a murder, a war crime, a crime against humanity or an act of genocide, depending on the gravity and intention of the act. Indeed, what has happened to homes and lives in Gaza is a stand-alone crime: domicide. There is precedent for updating what we legally define as international crimes. Accountability for domicide in Gaza cannot stop with potential criminal prosecutions or declaratory judgments by courts someday in the future.
Persons: Yaqeen Baker, It’s, I’ve, Israel, Enshrining Organizations: West Bank, Israel, United, International Court of Justice, General Assembly, Marshall Locations: Jabalia, Gaza, Aleppo, Grozny, Myanmar, Canada, Syria, United Nations, Dresden, Rotterdam, Mariupol, Israel, Hiroshima, Geneva, Rome, domicide, United States
As a multi-stage VC fund, Lightspeed has an advantage in its exposure to both early-stage and later-stage healthcare markets, Imanbayev said. And many later-stage healthcare startups still have plenty of room to grow, he said. The first one to three years are often slow-moving for a healthcare startup, too, as it works to get its first partnerships with payers or providers, he said. But they also tend to be less risky, since later-stage startups should have revenue streams or partnerships that demonstrate their value. Lightspeed led value-based care startup Aledade's $260 million Series F in June 2023, an unusually large deal as other investors cut much smaller checks.
Persons: , Galym, Imanbayev, I'm, There's, Farzad Mostashari, Aledade Tom Sandner, VCs, Abridge, he's, Chris Severn Organizations: Business, Lightspeed Venture Partners, Lightspeed, CVS, Health, Turquoise Health, Pharma, FDA, pharma
Boyarsky Pratt said about 35% of Knownwell's patients come for primary care, while the rest see the company's providers for their metabolic health. They can prescribe GLP-1 drugs, but they're just one tool the company uses to treat obesity, Boyarsky Pratt said. It's also planning to partner with more health systems to help them expand access to weight care. It partners with one large system in Massachusetts now, but Boyarsky Pratt declined to disclose which one. "The data shows that the earlier patients get into a comprehensive treatment, the better for the long-term course of the disease," Boyarsky Pratt said.
Persons: , Brooke Boyarsky Pratt, Andreessen Horowitz, Boyarsky Pratt, Knownwell, Angela Fitch, Berkadia, Fitch, Needham, Boyarsky Platt, they'd, Michael Siluk, It's Organizations: Service, Business, GLP, BMI, Medicare, Obesity Medicine Association . Obesity Medicine, University of Pennsylvania, Harvard Business School, Berkshire Hathaway, Obesity Medicine Association, Weight, Flare Capital Partners, Staff, Getty, American Academy of Pediatrics Locations: Boston, GLP, Massachusetts, Knownwell, Needham , Massachusetts, telehealth
Read previewGeneral Catalyst-backed startups Commure and Athelas merged in October to create a $6 billion healthcare-AI startup. Shortly after the deal closed, though, the newly formed Commure cut staff, according to a leaked email obtained by Business Insider. The layoffs came just a month after Tandon told Business Insider that Commure planned to hire "aggressively" following the merger. Tandon told Business Insider in October that Commure's total headcount following the merger would be about 800. Both Commure and Athelas each had at least five years of cash runway before the merger, Tandon told Business Insider in October.
Persons: , Tanay Tandon, Tandon, Commure Organizations: Service, Athelas, Business, Bloomberg News
Google said it also plans to introduce health-care-specific versions of Gemini , the company's newest and "most capable" AI model, to MedLM in the future. For instance, HCA Healthcare , one of the largest health systems in the U.S., has been testing Google's AI technology since the spring. Google's MedLM suite can then take those transcripts and break them up into the components of an ER provider note. "What I would say right now, is that the hype around the current use of these AI models in health care is outstripping the reality," Schlosser said. "We're being very cautious with how we approach these AI models," he said.
Persons: Gupta, Aashima Gupta, MedLM, Greg Corrado, Corrado, Dr, Michael Schlosser, Google's, Schlosser, That's, " Schlosser Organizations: Google, Microsoft, CNBC, HCA Healthcare, Nurses, HCA Locations: MedLM, Med, U.S
The breaking point came when the height of the pandemic passed, but conditions barely improved, according to many workers. Although health systems had promised to add staffing, many found themselves running deficits amid inflation and a shortage of doctors and nurses. Dr. Quee, the union president, said that inquiries from doctors were up more than threefold since the second group of Allina doctors unionized last month — and that as a result, the Doctors Council was hiring more organizers. “Two days ago, pharmacists called me from Florida,” she said. “We’ve never done pharmacists before.”In September, Dr. Smith, who long ago shifted from CVS district manager to frontline pharmacist, took on an additional role: labor organizer.
Persons: Sharif, , unionizing, Quee, , “ We’ve, Smith Organizations: Doctors, CVS, renegades Locations: Allina, Florida, Kansas City, Mo
NASHVILLE, TENNESSEE - SEPTEMBER 1, 2019: Tourists visit the bars and country music venues in the Lower Broadway entertainment district in Nashville, Tennessee. As more investors and founders are flocking to explore Nashville's booming health care and technology scene, Shah said he gets recognized regularly. (Photo Illustration by Pavlo Gonchar/SOPA Images/LightRocket via Getty Images) Sopa Images | Lightrocket | Getty ImagesNicknamed "Music City," Nashville is chock-full of country singers and perpetually buzzing with live music. (Photo by Robert Alexander/Getty Images) Robert Alexander | Archive Photos | Getty ImagesNashville's health tech startup scene has also benefited from significant investment from local organizers and government officials. Eligible Nashville entrepreneurs can also become members of the Greater Nashville Technology Council and the Nashville Health Care Council.
Persons: Robert Alexander, Robin Shah, Shah, Pavlo Gonchar, Kyle Cooksey, Bill Frist, Cooksey, John Bass, Bass, Ellen Herlacher, Luke Benda, it's, Cerner, It's, Vanderbilt, Marcus Whitney, Whitney, Benda, Landon Gibbs, Gibbs, Raelyn Wilson, Wilson Organizations: Tourists, Broadway, Getty, Thyme, CNBC, Nashville, Nashville Health Care, Healthcare, HCA, Community Health Systems, Acadia Healthcare, Vanderbilt University, Vanderbilt University Medical Center, Belmont University, Meharry Medical, Monogram Health, Downtown, Istock, Amazon, Oracle, Bank, Greater Nashville Venture Capital Association, Center, Nashville Area, of Commerce, Force, Ventures, Greater, Greater Nashville Technology Council, Nashville Health Care Council, HCA Healthcare Locations: NASHVILLE , TENNESSEE, Nashville , Tennessee, Fort Lauderdale , Florida, Nashville, UKRAINE, U.S, Acadia, Downtown Nashville , Tennessee, Music City, Rocky, Colorado, Boston, Greater Nashville, Cumberland
When the COVID-19 strain BA.2.86 entered the scene over the summer, it quickly captured the attention of officials who were concerned about the variant’s large number of mutations. The organization said that there has been a “slow but steady increase in the proportion of BA.2.86 reported” globally. The CDC said in a statement this week that BA.2.86 has also been slowly increasing in the U.S. since August. “These numbers are based on a relatively small number of BA.2.86 sequences, so should be interpreted with caution, as should BA.2.86 growth rates and other extrapolations based on these numbers,” the CDC said. COVID-19 tests and treatment are also expected to work on BA.2.86.
Persons: “ pirola, , Maria Van Kerkhove, ” Van Kerkhove, , It’s Organizations: World Health Organization, WHO, Centers for Disease Control, CDC Locations: hospitalizations, U.S
Speaking to parliament, Scholz went into Germany's recent history of the COVID pandemic, the war in Ukraine and soaring energy prices to extend a suspension of self-imposed borrowing limits to tackle a crisis that has knocked his coalition. A constitutional court ruling nearly two weeks ago blocked the government's plans to reallocate unused pandemic funds towards green initiatives and industry support, raising fears Germany's economy could be further weakened. Scholz's assurances that his government would solve the budget crisis with care were met with jeers and laughter from the opposition Christian Democrats (CDU), whose lawsuit against the government had sparked the earlier court ruling. He underscored support for Ukraine, after the recent budget turmoil raised questions over how much military aid Berlin was willing to commit. "It is also clear that we must not let up in our support for Ukraine and in overcoming the energy crisis.
Persons: Olaf Scholz, Christian Lindner, Robert Habeck, Friedrich Merz, Scholz, Germany's, Berlin, Scholz's, " Merz, Andreas Rinke, Christian Kraemer, Miranda Murray, Rachel More, Matthias Williams, Kirsti Knolle, Bernadette Baum Organizations: Climate, Christian Democratic Union, CDU, Bundestag, Christian Democrats, Ukraine, Finance, Thomson Locations: BERLIN, Ukraine, Germany, East Germany
CNN —Hospitals in northern China and Beijing have reported a surge in the number of children with respiratory illnesses, including pneumonia. Why might there be a surge in respiratory illnesses? CNN: How concerning is the spike in respiratory illnesses being reported in China? Dr. Leana Wen: Thus far, based on what we know from WHO, I don’t think the spike in respiratory illnesses should cause global concern. It’s very possible that other areas, especially those with previously strict virus mitigation measures, will see a rise in respiratory illnesses this winter.
Persons: Leana Wen, Wen, It’s, , it’s Organizations: CNN, World Health Organization, George Washington University Milken Institute School of Public Health, WHO, People's, Wen, US Centers for Disease Control Locations: China, Beijing, Fuyang, Covid, United States
The government said the spillover effects from the energy crisis that hit in 2022 after Russia's invasion of Ukraine and caused rocketing prices had created an emergency situation that justified suspending the debt brake. The leader of Scholz's SPD urged the government to consider suspending the debt brake next year, a move rejected in particular by the fiscally hawkish Free Democrats (FDP). "The debt brake must remain." The debt brake, introduced after the global financial crisis of 2008-2009, was first suspended in 2020 to help the government support firms and health systems during the COVID-19 pandemic. On Monday he stressed the need to give companies, which have been worried by the uncertainty caused by the budget crisis, clarity as quickly as possible.
Persons: Olaf Scholz, Christian Lindner, Robert Habeck, Annegret, Olaf Scholz's, finalising, Scholz's, Christian Duerr, Bijan Djir, Christian Kraemer, Riham Alkousaa, Amir Orusov, Rachel More, Matthias Williams, Thomas Escritt, Alison Williams, Tomasz Janowski Organizations: Finance, Climate, REUTERS, Free Democrats, ZDF, Greens, Thomson Locations: Berlin, Germany, BERLIN, Ukraine, Sarai, East Germany
Chancellor Olaf Scholz speaks next to Finance Minister Christian Lindner and Economy and Climate Minister Robert Habeck during a hearing at Germany’s lower house of parliament Bundestag in Berlin, Germany, November 15, 2023. The budget would see Germany suspend its constitutionally enshrined debt brake for a fourth year in a row as Chancellor Olaf Scholz's government fights its way out of a crisis that has triggered warnings about growth and an industry exodus. "The debt brake must remain." The debt brake, introduced after the global financial crisis of 2008-09, was first suspended in 2020 to help the government support firms and health systems during the COVID-19 pandemic. On Monday he stressed the need to give companies, who have been worried by the uncertainty caused by the budget crisis, clarity as quickly as possible.
Persons: Olaf Scholz, Christian Lindner, Robert Habeck, Annegret, Olaf Scholz's, finalising, Christian Duerr, Bijan Djir, Christian Kraemer, Riham, Matthias Williams, Alison Williams Organizations: Finance, Climate, REUTERS, Rights, Free Democrats, ZDF, Greens, Thomson Locations: Berlin, Germany, Sarai, East Germany
In May, the Carter Center said Rosalynn Carter had dementia. The motorcade will stop for a wreath-laying ceremony at Rosalynn Carter’s alma mater, Georgia Southwestern State University, before making its way to Atlanta. Former first lady Rosalynn Carter poses for a portrait in New York in 2011. Alice S. Hall/NBCUniversal/Getty Images) Rosalynn gets a kiss from her husband after they were awarded Presidential Medals of Freedom in 1999. “Thank you all for joining us in celebrating what a treasure she was, not only to us, but to all humanity.”The Carter Center said in lieu of flowers, donations be made to the Carter Center Mental Health Program or the Rosalynn Carter Institute for Caregivers.
Persons: Rosalynn, Rosalynn Carter, Jimmy Carter, , Andy Huggins, David Goldman, , Mike Stewart, Joe Biden, Jill Biden, Kamala Harris, Nikki Kahn, Horace Cort, Mikki Ansin, Jason, Amy, Jeff, Jack, Dan Farrell, Jimmy, Barbara Walters, Richard Howard, Suzanne Vlamis, Diana Walker, Joan Mondale, Walter Mondale, Muriel Humphrey, Hubert Humphrey, Ruth Carter Stapleton, Jimmy Carter's, Wally McNamee, Corbis, Carter, Ronald Reagan, Ron Galella, Bromberger Hoover, Jay Leno, Alice S, Tami Chappell, Charlie Neibergall, Laura Rauch, Carolyn Kaster, Sebastian Scheiner, Barack Obama's, Bill Clark, John Bazemore, Amy Davis, Saul Loeb, Errol, Jimmy's, Branden Camp, Caroline Kennedy, Hillary Clinton, Nancy Reagan, David McNew, Matt McClain, Adam Schultz, The New York Times Adam Schultz, White, Erin Schaff, Michael S, Williamson, CNN’s Jaide Timm, Garcia, Eva McKend Organizations: CNN, Carter Center, White House, Atlanta ., Secret, Georgia Southwestern State University, Rosalynn Carter, Health, Human Sciences, Carter, Jimmy Carter Presidential, Glenn Memorial United Methodist Church, Emory University, Maranatha Baptist Church, Washington Post, Atlanta, NY, Hulton, Disney, Bettmann, Mental Health, Mental Health Systems, Harlem Globetrotters, Getty, Democratic National Convention, Toronto, Presidential, Humanity, Baltimore Sun, Tribune, Service, Capitol, Aging, NBA, The New York Times Locations: Plains , Georgia, Atlanta, Georgia, Plains, Americus, alma mater, Plains ., New York, Brazil, Dubuque , Iowa, Waterloo , Iowa, San Francisco, Ashkelon, Israel, Baltimore, Annapolis , Maryland, Americus , Georgia, Rosalynn
Large outbreaks of diseases that primarily kill children are spreading around the world, a grim legacy of disruptions to health systems during the Covid-19 pandemic that have left more than 60 million children without a single dose of standard childhood vaccines. By midway through this year, 47 countries were reporting serious measles outbreaks, compared with 16 countries in June 2020. Nigeria is currently facing the largest diphtheria outbreak in its history, with more than 17,000 suspected cases and nearly 600 deaths so far. Many of the children who missed their shots have now aged out of routine immunization programs. So-called “zero-dose children” account for nearly half of all child deaths from vaccine-preventable illnesses, according to Gavi, the organization that helps fund vaccination in low- and middle-income countries.
Locations: Nigeria, Afghanistan, Zimbabwe
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