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New Covid guidance drops, more school shootings than ever before, & how a surgeon wants us to stop wasting organs

March 4, 2024
theresa-g-avatar-small - light bg
Reporter & Podcast Producer
Welcome to the week, everyone. On tap today: stories within the categories of Covid-19, Health Tech, "Awful," and more. Read on to find out.

covid-19

CDC "sunsets" its five-day isolation recommendation for Covid-19 

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John Moore / Getty Images

The CDC published new guidance Friday for Covid and other respiratory illnesses, suggesting people who are sick stay at home until they are fever-free for 24 hours and their symptoms have been improving for the same period of time. The new guidance drops the recommendation to isolate for five days. Instead, the CDC says that, in the five days that follow, recovering people can be out and about in public but should take measures like masking and keeping distance from others to reduce the risk that they will spread their illness.

The new approach has drawn criticism from people who feel that the guidance leaves people who are at highest risk of Covid in an even more vulnerable situation. Read more from STAT's Helen Branswell to get the full picture. And someone please send the story to the person who stood near me at a concert last week talking through a cloth (!?) mask about her positive Covid test. She was wrong then when she claimed to be following CDC guidelines, but I guess she's right now!


health tech

Why is Talkspace betting on Medicare?

Over the last few years, virtual mental health company Talkspace has been on a relentless quest to conquer the insurance market. So far, the company's pivot away from its direct-to-consumer roots has been a success. But the next step in their journey, Medicare, may prove the most challenging yet.

CEO Jon Cohen told STAT the expansion to Medicare, which it announced earlier this year, is a natural evolution of its strategy of becoming a comprehensive in-network solution for as many people as possible. If Talkspace can convince people on Medicare to flock to its services, it will further cement the company's status as one of the strongest virtual care businesses to emerge from the post-pandemic health tech boom, writes STAT's Mario Aguilar. Read more on what it will take.


awful

There are now more school shootings than ever before, new study says

Yes, you read that right: There were 328 school shootings in the 2021-2022 academic year, according to a new study in Pediatrics, more than any year before it. The annual rate has increased steadily since 1997-1998, with a substantial jump in the last five years leading up to 2022. The researchers calculated rates based on two publicly available datasets on school shootings. In these databases, a school shooting was defined as any time a gun was brandished, fired, or a bullet hit school property. 

Perhaps surprisingly, they found that the number of mass shootings in schools has not increased — though they have become more deadly. These are shootings in which at least three or four people were killed (four if it was before 2013, three if after). There is no national database with all the necessary information and statistics on school shootings, the authors note.

"The data are clear that these tragedies cannot be prevented by focusing on school security alone," physician Rebecca Bell writes in a commentary piece published with the study. Pediatricians can counsel families on safe firearm storage, including local resources for available storage outside the home, she writes, though many clinicians lack training on how to have those conversations. 



artificial intelligence

Federal regulators team up with industry to set standards on AI in health care

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Adobe

It's an unlikely pairing, sure. But today, the Coalition for Health AI — a lobbying group with members like Microsoft and Google — is forging a different type of deal with federal regulators. It will work with them to develop quality and safety standards for artificial intelligence, an experiment that will test whether industry and government can effectively partner in the regulation of a fast-moving technology. 

"We are very much developing a consensus," said Brian Anderson, chief digital health physician at Mitre Corp, who will serve as the coalition's CEO. "Because the science is nascent and immature, it's really a process of shared discovery." Of course, the federal government has not always achieved the right balance between including industry leaders in the process while not letting them bend the discourse, especially when it comes to health care technology, STAT's Casey Ross writes. Read more from Casey about what's at stake.


research

Study suggests answer for mystery of recurrent UTI pain with no infection

Each year, more than 400 million urinary tract infections occur in people around the globe. And researchers have long been puzzled by a medical mystery: Some women susceptible to recurrent UTIs experience symptoms without any signs of bacteria, or after an infection has supposedly been cleared with antibiotics. 

A study published Friday in Science Immunology provides a potential molecular mechanism behind this phenomenon involving a surprise culprit: mast cells, which make the histamines that lead to nasty allergy symptoms. The immune cells may play a role in some classic UTI symptoms when they persist post-infection: pelvic pain and a frequent need to pee. Researchers hope the discovery (in mice) will have implications for potential new treatments as antibiotic resistance becomes a more prominent problem across medicine, but especially with UTI treatment. Read my story to learn more about what the study found, along with a wild coincidence for one of the UTI experts I spoke about it with.


first opinion

Donor organs are going to waste. What should we do about it?

We throw out a lot of organs in this country, including thousands of hearts, lungs, livers, and kidneys every year. In 2021, roughly 20,000 deceased donor kidneys were procured for transplant — and more than 20% were discarded. All the while, the transplant waitlist continues to grow.

In a new First Opinion, transplant surgeon Joshua Mezrich explains his own personal experience with this problem and walks through potential solutions, including a strategy that not everyone will be a fan of: a program that offers organs with a high risk of being discarded to transplant centers who opt in, rather than to the next patient on the waitlist. "We need to get these organs to the surgeons and programs willing to use them, for whatever patient they feel will benefit from them. We also need to build accountability, including for equity, into the system," he writes. Read more on Mezrich's ideas to get more organs into more people who need them.


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What we're reading

  • Living with memory loss, working to fend off dementia, Washington Post
  • CVS and Walgreens plan to start dispensing abortion pill mifepristone soon, STAT
  • Southern Anti-Trans Laws Are Uprooting Families — And Leaving Them With Impossible Choices, Rolling Stone
  • RaDonda Vaught, nurse who accidentally killed patient, to speak at CommonSpirit event on patient safety, STAT
  • Top lawmakers unveil 6 funding bills ahead of Friday shutdown cliff, Politico

Thanks for reading! Until tomorrow — Theresa


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