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First Edition: September 14, 2018

First Edition: July 13, 2018

Right now’s early morning highlights from the most important information organizations.

Kaiser Well being Information:
four Takeaways On Puerto Rico’s Demise Toll, In The Wake Of Trump’s Tweet Storm 

Previous to the GWU research, different researchers and one newspaper launched estimates that additionally garnered media consideration. One research, revealed within the New England Journal of Drugs, put the variety of extra deaths at four,645 within the three months following the hurricane. A research by The New York Occasions used very important data from the federal government to calculate an extra of 1,052 deaths within the first 42 days after the catastrophe. (Heredia Rodriguez, 9/14)

Kaiser Well being Information:
Discreetly Monitoring Down Intercourse Companions To Cease A Surge In STDs

The U.S. is in the midst of a steep and sustained improve in sexually transmitted illnesses.So how are public well being officers responding? In northwest Oregon’s Clackamas County, well being officers have determined to ask anybody who is available in with an STD who their sexual companions are — after which monitor these companions down. (Foden-Vencil, 9/14)

Kaiser Well being Information:
Podcast: KHN’s ‘What The Health?’ A Detour On A Smoking Off-Ramp

The Meals and Drug Administration declared Wednesday that vaping amongst youngsters has reached “an epidemic proportion.” The company informed five main e-cigarette producers that that they had 60 days to seek out methods to maintain their merchandise away from minors. “I use the word epidemic with great care,” FDA Commissioner Scott Gottlieb stated in a Wednesday information launch. “E-cigs have become an almost ubiquitous — and dangerous — trend among teens.” But, because the panel discusses, well being advocates warned that the actions is probably not robust sufficient. (Tribble, 9/13)

The New York Occasions Reality Checker:
Trump’s False Claims Rejecting Puerto Rico’s Demise Toll From Hurricane Maria

In a pair of tweets casting doubt on the official estimate of almost three,000 deaths, the president clung to an outdated estimate, wrongly prompt that doubt over the determine emerged “a long time later” and inaccurately characterised the brand new determine as together with all deaths on the island. (Qiu, 9/13)

The Related Press:
Trump Disputes Estimate Of Puerto Rico Storm Deaths

Public well being specialists have estimated that almost three,000 perished due to the consequences of Maria. However Trump, whose efforts to assist the island territory get well have been persistently criticized, was having none of that. He stated simply six to 18 individuals had been reported lifeless when he visited two weeks after the storm and prompt that many had been added later “if a person died for any reason, like old age.” Trump’s jarring feedback, coming because the East Coast braced for an enormous storm, provided recent proof of his resistance to criticism and his insistence on viewing giant and small occasions via the prism of his personal success or failure. (9/14)

The Wall Road Journal:
Trump Denies Heavy Dying Toll In Puerto Rico From Hurricane Maria

The researchers estimated the variety of extra deaths by analyzing dying certificates and different mortality knowledge, and evaluating the variety of deaths through the designated interval with previous mortality patterns. They calculated the full variety of deaths within the interval was 22% larger than the variety of fatalities that may have been anticipated, the researchers stated. In analyzing Puerto Rico’s death-certification course of, the research discovered that listed causes of dying included cardiac arrest, respiratory failure and septicemia. However researchers concluded that such causes have been typically misassigned, with physicians failing to hyperlink the deaths to the hurricane. (Ballhaus, 9/13)

The New York Occasions:
As A New Hurricane Roars In, Trump Quarrels Over The Final One

Ever because the storm, Mr. Trump has pushed again towards criticism that his administration was sluggish to answer Puerto Rico, the place the distribution of provides, fuel and meals lagged and energy outages lasted for months, notably in contrast with a swift and environment friendly response to an earlier hurricane that hit Texas. It was six days after Hurricane Maria hit the island earlier than Mr. Trump pledged to go there, whilst he traveled to Texas 4 days after Hurricane Harvey made landfall. Full energy was restored to houses solely in August, almost a yr after the storm. Former Gov. Chris Christie of New Jersey, a Republican ally of Mr. Trump’s who was praised for his personal management throughout Hurricane Sandy in 2012, stated that Puerto Rico was an “extraordinary challenge” partially as a result of the island’s infrastructure was in poor form to start with and that Mr. Trump resented being blamed for elements past his management. (Baker, 9/13)

The Washington Submit:
Trump Creates Political Storm With False Declare On Puerto Rico Hurricane Dying Toll

Trump’s cost concerning the Puerto Rico storm — a humanitarian disaster that continues to have an effect on life on the island a yr later — baffled his advisers in addition to officers on the Federal Emergency Administration Company, who’ve been working to organize the Carolinas for Hurricane Florence, the doubtless lethal storm forecast to make landfall Friday. Trump’s aides stated they’ve tried to focus the president’s consideration on Florence, noting that he has been engaged in every day catastrophe briefings and referred to as governors, senators and different officers representing North Carolina and South Carolina. Officers have introduced giant, coloured charts and graphs into the Oval Workplace as an example Florence’s harmful path for Trump, who’s a visible learner. And the president made a uncommon journey outdoors, to go to the employees of the Nationwide Safety Council’s resilience workplace housed throughout the road within the Eisenhower Government Workplace Constructing. (Rucker, Costa and Dawsey, 9/13)

‘Mr. President. SHUT UP’: Florida Republicans Pan Trump’s Puerto Rico Conspiracy

Florida Republicans are angered by President Donald Trump advancing a conspiracy concept casting doubt on Hurricane Maria’s estimated dying toll in Puerto Rico. Even Trump’s two prime Florida allies, Gov. Rick Scott and GOP gubernatorial candidate Ron DeSantis, disagreed together with his insensitive feedback. (Caputo, 9/13)

First Responder Emails Seem To Undermine Trump’s Narrative On Hurricane Maria

Emails launched Thursday by congressional Democrats present correspondence between first responders that seems to undermine the Trump administration’s public reporting of the human toll from Hurricane Maria final yr. In a single e-mail, dated Sept. 29, 2017, a primary responder — whose identify has been redacted — describes “finding mass graves in mud slide areas,” and requests counseling help for federal first responders within the space. An unnamed Military Nationwide Guard basic is included within the correspondence. (Wilhelm, 9/13)

The New York Occasions:
When You’re Aged And Ailing And A Storm Is Coming

When obligatory evacuation orders are issued for pure disasters like hurricanes, it poses a particular problem for many who are frail and unwell. Sufferers with disabilities or who’re in hospice care could also be too unwell to take a seat in automobiles inching alongside evacuation routes for hours, and their households should face the wrenching choice of whether or not it’s higher to remain or go. For individuals with dementia, evacuations could be particularly disorienting and overwhelming. (Rabin, 9/14)

The New York Occasions:
Florence’s Path Is Strewn With Poisonous Hazards

Whereas individuals can transfer out of hurt’s method as Hurricane Florence advances on North and South Carolina, their buildings stay behind to face the storm’s full pressure. Within the Carolinas this implies not solely houses, faculties and cities however ponds of coal ash, Superfund websites, chemical crops — and hundreds of commercial hog farms with lagoons full of pig waste. Right here is the place the hazard lies, and why. (Pierre-Louis, Popovich and Tabuchi, 9/13)

The Related Press:
How Hurricanes Unleash Deadly Storm Surges

Behold the superior energy of water. Already the ocean is swallowing seashores, roads and anything in the best way of Hurricane Florence’s monstrous storm surge. Storm surges aren’t partitions of water, like a tsunami, as generally thought. Brought on by a hurricane’s winds pushing relentlessly on the shore, they’re extra like domes of excessive water that type because the ocean spreads inland. The excessive water has damaging waves on prime, and it comes along with regular tides. (9/14)

The Related Press:
Maryland Go well with Seeks To Shield US Well being Regulation From ‘Sabotage’

Maryland’s lawyer basic on Thursday filed a lawsuit towards President Donald Trump’s administration for recurring efforts he says are meant to dismantle the nationwide well being care regulation and chase individuals away from protection. The lawsuit filed in U.S. District Courtroom of Maryland comes as the newest push to scrap the Reasonably priced Care Act has pressed forward in Texas. (9/13)

Trendy Healthcare:
HHS’ Work On Anthem’s Emergency Protection Coverage Leaves Senators Dissatisfied

HHS Secretary Alex Azar sidestepped questions from two Democratic senators about whether or not his company and the Labor Division have investigated and brought enforcement motion towards Anthem and different insurers that allegedly violated shopper rights by denying protection for emergency care. In a letter to Sens. Ben Cardin (D-Md. and Claire McCaskill (D-Mo.), Azar stated states are usually chargeable for insurance coverage regulation and enforcement, citing one investigation the place federal officers probed denied emergency care case. (Meyer, 9/13)

Trump Needs Drug Costs In TV Advertisements. The Newest Roadblock? Republicans 

President Trump’s splashiest concept for decreasing the price of prescription drug costs was to pressure pharmaceutical corporations to incorporate the costs of their merchandise in TV and different ads. However when Capitol Hill had an opportunity Thursday to assist him obtain that aim, lawmakers failed. And counterintuitively, it was Home members within the president’s personal social gathering who finally nixed the supply. Actually, it was a Democrat, Sen. Dick Durbin of Illinois, pushing the measure hardest. (Florko, 9/13)

The Hill:
Home GOP Blocks Trump-Supported Drug Pricing Provision From Spending Invoice 

Lawmakers and aides stated that Home Republicans objected to together with the supply within the ultimate model of the funding invoice, which was completed by Home and Senate negotiators on Thursday. Sen. Dick Durbin (D-Sick.), one of many sponsors of the supply, blamed pharmaceutical corporations for exercising their affect to dam the measure. “When are we going to stand up to Big Pharma?” Durbin requested. (Sullivan, 9/13)

Colorado Inmates Attain A Deal For Entry To Hepatitis C Medicine 

After greater than a yr of bickering, Colorado officers have settled a lawsuit with prisoners that accused the state of failing to offer adequate entry to hepatitis C remedies. And in doing so, Colorado might successfully turn into the primary state within the U.S. to offer care to all chronically contaminated inmates. The deal is the second such settlement amongst a number of class-action lawsuits filed towards state jail techniques across the nation over entry to the expensive medicines. A lawsuit was settled earlier this yr with Massachusetts officers, whereas others are pending in 5 different states — Indiana, Minnesota, Missouri, Pennsylvania, and Tennessee. (Silverman, 9/13)

The Washington Submit:
Bitter Senate Struggle To Affirm Kavanaugh Plunges Deeper Into Chaos Over Letter

The bitter Senate battle to verify Brett M. Kavanaugh to the Supreme Courtroom plunged into deeper chaos Thursday as a prime Democrat disclosed she had referred “information” about President Trump’s nominee to the FBI. Sen. Dianne Feinstein (D-Calif.) issued a quick, cryptic assertion concerning the referral, however the absence of any particulars solely raised questions. The knowledge got here in a letter that describes an alleged episode of sexual misconduct involving the 53-year-old Kavanaugh when he was in highschool, based on an individual accustomed to the matter. (Kim and Viebeck, 9/13)

Feinstein Asks Feds To Examine Kavanaugh Claims In Letter

The “individual strongly requested confidentiality, declined to come forward or press the matter further, and I have honored that decision. I have, however, referred the matter to federal investigative authorities,” Feinstein stated in a press release. (Everett and Dovere, 9/13)

Los Angeles Occasions:
Feinstein Asks FBI To Evaluate Letter Involving Supreme Courtroom Nominee Brett Kavanaugh

A number of Democrats on the committee declined to speak concerning the contents of the letter on Thursday after a listening to during which a vote on Kavanaugh’s nomination was slated for Sept. 20. It was unclear whether or not they had seen it. Anybody could make a referral to the FBI and it doesn’t imply Kavanaugh is beneath federal investigation. Kavanaugh’s nomination is underneath intense scrutiny by Democrats who argue he can be the fifth strong conservative justice on the Supreme Courtroom, a lock for Republican priorities akin to scaling again abortion rights. (Haberkorn, 9/13)

The Washington Submit:
Senate Committee Delays Vote On Kavanaugh Nomination Till Subsequent Week

The Senate Judiciary Committee delayed its vote on Supreme Courtroom nominee Brett M. Kavanaugh till subsequent week, because the deeply bitter struggle over his affirmation intensified and a handful of average senators continued to deliberate privately over whether or not to help him. (Kim, 9/13)

The New York Occasions:
Cuban Specialists Insist No Proof Exists Of Assault On Diplomats

A few of Cuba’s prime scientists and medical specialists denounced on Thursday claims that two dozen American diplomats in Havana had been the targets of mysterious assaults during the last two years. The specialists have been cautious to not supply a definitive rationalization for the episodes, by which the diplomats reported listening to unusual noises that led to signs just like these after a minor traumatic mind damage or a concussion. (Harris, 9/13)

U.S., Cuba Officers Talk about Mysterious Embassy Well being Incidents

U.S. and Cuban officers met on the State Division on Thursday to debate the mysterious well being issues which have affected greater than two dozen American Embassy personnel, a state of affairs that led to a discount in staffing on the Havana mission and a chill in ties between the nations. “There’s a briefing taking place between some of our colleagues from our various bureaus. They are having meetings with the Cuban government to discuss some of the medical issues that our people have experienced,” State Division spokeswoman Heather Nauert advised a briefing. (9/13)

The New York Occasions/ProPublica:
Prime Sloan Kettering Most cancers Physician Resigns After Failing To Disclose Business Ties

Dr. José Baselga, the chief medical officer of Memorial Sloan Kettering Most cancers Middle, resigned on Thursday amid stories that he had did not disclose tens of millions of dollars in funds from well being care corporations in dozens of analysis articles. The revelations about Dr. Baselga’s disclosure lapses, reported by The New York Occasions and ProPublica final weekend, have rocked Memorial Sloan Kettering, one of many nation’s main most cancers facilities, in current days. Its prime executives scrambled to include the fallout, together with pressing conferences of doctor leaders and the chief committee of its board of administrators. (Thomas and Ornstein, 9/13)

Why Do Medical Journals Hold Taking Authors At Their Phrase?

The current revelation that a main official at Memorial Sloan Kettering Most cancers Middle failed for years to reveal profitable monetary conflicts of curiosity may need been shocking in its scale. Nevertheless it’s previous information that many researchers aren’t absolutely clear relating to their monetary relationships with business. So why ought to we sustain the charade? And why, given the readability of the issue, do medical journals proceed to take authors at their phrase — solely to wind up wanting like dupes? (Oransky and Marcus, 9/14)

H. Gilbert Welch Resigns From Dartmouth Over ‘Concept Plagiarism’ Dispute

Dr. H. Gilbert Welch, one of many nation’s prime well being care coverage students, has resigned from his school place at Dartmouth School, after an investigation by the varsity concluded that he had dedicated analysis misconduct. …STAT and Retraction Watch reported final month that an inner Dartmouth investigation discovered that Welch plagiarized materials from a Dartmouth colleague and a researcher at one other establishment for a 2016 paper revealed by the New England Journal of Drugs. The paper involved how breast most cancers screening led to the overdiagnosis of tumors and pointless remedies. (Joseph and Marcus, 9/13)

Amazon’s Jeff Bezos Commits $2 Billion To Assist Homeless, Pre-Faculties

Jeff Bezos, Inc’s founder and the world’s richest individual, stated on Thursday he’ll commit $2 billion (1.5 billion kilos) to serving to homeless households and beginning pre-schools for low-income communities. The announcement marks a deeper foray into philanthropy for Bezos, whose fortune has soared to greater than $160 billion because of his stake in Amazon. Dominance in e-commerce and the nascent area of cloud computing has made Amazon the world’s second-most invaluable public firm. (9/13)

The Wall Road Journal:
Jeff Bezos To Create $2 Billion Fund For Homeless, Preschools

Mr. Bezos’ improve in charitable giving comes as Amazon has confronted criticism over the wages it pays to warehouse staff and broader societal results tied to the e-commerce big, for instance, driving up property costs in its hometown of Seattle. Seattle lately tried to enact a tax to pressure the corporate to assist with the town’s rising homeless drawback, although the choice was later reversed. And Sen. Bernie Sanders launched a invoice aimed toward taxing huge corporations whose staff depend on federal advantages to make ends meet, particularly concentrating on Mr. Bezos by contrasting his huge private wealth with the compensation of the businesses’ lowest-paid staff. (Stevens, 9/13)

These Controversial CDC Opioid Tips Might Have Prompted ‘Higher Prescribing’ 

Greater than two years after the federal authorities launched controversial tips for prescribing opioids, a brand new evaluation suggests the trouble is having an influence because the variety of prescriptions for the addictive painkillers has declined. Listed here are some numbers: In January 2012, almost 6,600 opioid prescriptions have been distributed per 100,000 individuals, however by December 2017, that fell to four,240. And from the time the rules have been issued in March 2016 till final December, there have been an estimated 14.2 million fewer prescriptions crammed than if earlier tendencies continued. There have been almost 1.three million fewer high-dose prescriptions written as nicely. (Silverman, 9/13)

Researcher Calls On NIH To Retract Assertion About Alcohol And Most cancers Danger 

A public well being professional is looking on the Nationwide Institutes of Well being to vary info on one in every of its web sites to extra precisely mirror scientific findings concerning the danger of alcohol. In a letter despatched to NIH Director Dr. Francis Collins on Thursday, alcohol researcher Dr. Michael Siegel of Boston College Faculty of Public Well being referred to as on NIH to retract and apologize for a press release on the web site of NIH’s Nationwide Institute on Alcohol Abuse and Alcoholism that claims, “Drinking too much alcohol can increase your risk of developing certain cancers,” particularly because it regards breast most cancers. (Begley, 9/13)

Right here’s The Knowledge Behind The New Apple Watch EKG App 

When the brand new Apple Watch coronary heart monitoring app can get a studying, it could actually precisely detect that an individual has an irregular coronary heart rhythm generally known as atrial fibrillation 99 % of the time, in line with a research of the brand new system that Apple submitted to the Meals and Drug Administration. …In a single research, Apple examined the watch in additional than 580 individuals, half of whom had atrial fibrillation. The app couldn’t examine 10 % of the guts rhythm recordings within the research. When it appeared on the relaxation, although, the app was very correct: It caught greater than 98 % of individuals with atrial fibrillation, and appropriately informed people who they didn’t have the situation 99.6 % of the time. (Sheridan, 9/13)

The Related Press:
Swedish Regulator Ends Investigation Of Start Management App

Swedish regulators have closed their investigation of a contraception app after discovering that the speed of undesirable pregnancies, which had gained media consideration, was truly according to medical knowledge. The Swedish Medical Merchandise Company stated Thursday a evaluate discovered about 7 % of girls utilizing the Pure Cycles app received pregnant within the first half of the yr, equal to the “typical use” failure price within the medical research submitted for its European certification. (9/13)

The Washington Publish:
Extra Than Half Of Transgender Male Adolescents Try Suicide, Research Says

She picked up the telephone and repeated these phrases, which had grown acquainted, like a chorus in a track she by no means needed to sing: “We’re listening. We hear you. We’ve gone through similar things. ”The individual on the opposite finish of the road, she stated, “had typically just come out to themselves and really wanted to talk to someone.” Isolation in that second, stated Greta Gustava Martela, might be dire. She would know. Martela, a transgender lady, has been hospitalized 5 occasions for “suicidality,” a time period that encompasses suicidal ideation, planning, gestures, makes an attempt and accomplished suicide. The primary time was in 1995, stated Martela, who’s now 49. (Stanley-Becker, 9/14)

The Wall Road Journal:
Are Eggs Dangerous For You? Two Scientists Sq. Off

For years, eggs have been synonymous with a wholesome breakfast. Then the tables turned. Docs and nutritionists began saying to not eat eggs, notably in the event you needed to keep away from coronary heart illness. The issue: Eggs include undesirable ldl cholesterol, and diners ingest extra saturated fats once they eat eggs ready in typical methods. However eggs are also wealthy in protein and different necessary vitamins, main some scientists to argue that the advantages of consuming eggs outweigh the dangers. (9/13)

CLARITY-BPA Research In Rats Finds No Hurt At Typical Doses

Authorities scientists have introduced new proof that the plastic additive BPA is not a well being menace. Low doses of the chemical given to lots of of rats, “did not elicit clear, biologically plausible adverse effects,” stated Okay. Barry Delclos, a analysis pharmacologist on the Meals and Drug Administration’s Nationwide Middle for Toxicological Analysis. (Hamilton, 9/13)

Replace: A Leukemia Affected person And CAR-T Research At NIH

It is early within the morning and 20-year-old Aaron Reid seems to be like he is sleepwalking. His head nods ahead and he shuffles a bit as he heads towards the pediatric clinic on the Nationwide Institutes of Well being Medical Middle. Reid, who has been preventing leukemia since he was 9-years previous, is experiencing intense ache. (Davis and Stein, 9/14)

That is a part of the KHN Morning Briefing, a abstract of well being coverage protection from main information organizations. Join an e-mail subscription.