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A new Amazon Prime perk, drugs for breast cancer prevention, and cheaper MRI machines

November 13, 2023
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Reporter & Podcast Producer

Good morning, Theresa here! I'm excited to join the Morning Rounds team. You'll be hearing from me here on Monday mornings — objectively the best time to be hearing from anyone. Send me thoughts, suggestions, soup recipes: theresa.gaffney@statnews.com. Now, to business: Novo Nordisk, which dominates the diabetes and obesity markets with blockbuster drugs Ozempic & Wegovy, has a new target: heart disease.

business

Health care is the new Prime perk — but at what cost?

Amazon Prime members have a new offer in addition to their one-day package delivery and media streaming services: Access to One Medical, the Amazon-owned primary care company. Members have the option, announced Wednesday, to pay an additional $9 per month, or $99 per year, for One Medical's telehealth services and in-office appointments at a discount of about half its typical $199 yearly cost. 

One Medical, acquired by Amazon earlier this year, is arguably the most successful out of a growing number of businesses, like Amazon Clinic, Carbon Health, and Oak Street Health, that offer services designed to smooth out some of the wrinkles of the American health care system — usually with a strong telehealth component. But if the ease and convenience of One Medical and other similar platforms can reduce the challenges of navigating primary care in the short term, experts told STAT's Annalisa Merelli that they eventually risk worsening the health care system — the very problem such services purport to want to solve. 

"It is a business predicated on a dysfunctional system," Bitsy Skerry, a regulatory policy associate for Public Citizen, a public interest consumer advocacy nonprofit organization, said of One Medical. Read more.


public health

Flu antiviral prescriptions for kids are underutilized, study suggests

The number of children in the U.S. receiving antiviral flu treatment varies widely from season to season, but has generally increased since 2010, according to a new study from Pediatrics.  Researchers say the treatment, which works best when administered as soon as possible, is underused and may be a "high-value target" for improving flu care for youth.

Researchers analyzed 1.4 million prescription claims for youth 18 years or younger from outpatient and emergency departments between 2010-2019. Over the entire period, there were 20 antiviral prescriptions dispensed for every 1,000 children per season — or 606 for every 1,000 flu diagnoses. But year by year, the range fluctuated anywhere from around 4 to 48 dispensed prescriptions per 1,000 children. National guidelines from AAP and CDC advise that all children under 2 years old who have the flu receive antivirals, as even healthy children at this age are at high risk for complications similar to those in older kids with chronic conditions or adults over the age of 65. Still, the study found that just over one-third of this age group received the medication during those years, with older kids prescribed the medication at higher rates.


health

Why don't more U.S. women know about a drug to help prevent breast cancer? 

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Damian Dovarganes/AP

Ten years ago, after a clinical trial showed convincingly that a drug used to treat breast cancer, anastrozole, could actually prevent it, U.S. oncologists began prescribing the medication off-label. A daily pill that patients take for five years, anastrozole cuts down how much estrogen the body makes by blocking the enzyme aromatase. And for 25 years, two other preventative drugs have been FDA-approved for women at high risk of developing breast cancer. Not many American women know this, but they did hear about an approval in the U.K. for anastrozole that happened just last week. 

"The fact that women in the U.S. generally are not even familiar or know that that exists, but know that the Europeans are using anastrozole — I think is really, to me, disappointing," Abenaa Brewster, a professor of clinical cancer prevention at MD Anderson Cancer Center, said to STAT's Elizabeth Cooney. Read more from Liz about the cross-continental landscape of preventive breast cancer medication.



health

Racism may contribute to stroke risk for Black women, per study 

Black women who reported experiences of interpersonal racism related to their housing, employment, and interactions with police had a 38% increased risk of stroke compared to those who didn't report such experiences, according to a study published Friday in JAMA Network Open

The data comes from the Black Women's Health Study, a prospective cohort study of 59,000 Black women across the country. Researchers followed participants starting in 1997 and identified 1664 cases of stroke, 550 of which were confirmed by neurologist review or the National Death Index. 

Sadly, racial disparities in heart health aren't new: Black people in the U.S. are at higher risk for having a stroke and for dying from one than their white peers; about a third live in "cardiology deserts"; and equipment and algorithms that health care providers use are often less reliable for Black patients. But in this study, the increased risk associated with experiences of interpersonal racism persisted even after demographic and vascular risk factors were taken into account. 


health tech

NYU radiologists want to build cheaper MRI machines 

How about a riddle from STAT's Lizzy Lawrence on this Monday morning: How many radiologists does it take to build a working MRI from scratch? 

MRI machines, which typically cost between $1 million and $3 million, are frequently the most expensive pieces of equipment in a hospital. Patients in sub-saharan African countries have particularly difficulty accessing MRIs; the continent has the lowest number of MRI scanners per million people at 0.7. MRI access is also a problem in the U.S., with scans costing up to $2,850 out of pocket. 

The answer to the riddle? Two radiologists, 50 researchers, five days. Leeor Alon and Tobias Block of New York University gathered with dozens of researchers last month to build a small, low-field MRI, and are now fine-tuning its imaging abilities. "If we have a low-cost, open source scanner that people can reproduce and build, that can down the road create a lot of new, exciting developments and technology," Block told Lizzy. Read more about the team's efforts.


health

In world first, U.K. panel recommends meningitis B vaccine to curb gonorrhea

Not another U.K. approval, but some advice: An expert panel that advises the U.K. on vaccine policy has recommended using a meningitis B vaccine to try to bring down spiking rates of gonorrhea, the country's second most commonly diagnosed sexually transmitted infection. If adopted, the U.K. would be the first country to use the meningitis B vaccine for this purpose. The Joint Committee on Vaccination and Immunization released a report Friday saying that targeted use of the vaccine in people at high risk of contracting gonorrhea should reduce the incidence of an infection that is becoming increasingly difficult to treat. 

"A vaccination program to impact … gonorrhea cases would be a hugely welcome intervention to ensure we are better prepared to address this increasing threat," Katy Sinka, head of the sexually transmitted infections program at the U.K. Health Security Agency, told STAT's Helen Branswell. But the U.K.'s department of health and social care needs to study and approve the recommendation before it can be put into effect. Read more from Helen on the science.


More around STAT
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What we're reading

  • Wegovy cuts risk of heart attacks in milestone cardiovascular trial, STAT
  • How CDC's new director is trying to regain trust shattered by covid, Washington Post

  • After decades in use, heart stents finally beat placebo. It took a bold researcher, STAT
  • Could creativity transform medicine? These artists think so, NPR

  • Patients loved Carbon Health's diabetes program. That couldn't save it, STAT
  • An opioid-like drink is masquerading as a wholesome alcohol alternative, Bloomberg 

Thanks for reading! More tomorrow — Theresa


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