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Who gets cochlear implants, how much exercise should people with long Covid get, & why are so many dogs on Prozac?

April 5, 2024
theresa-g-avatar-small - light bg
Reporter & Podcast Producer

The weather in Boston sure was dreary yesterday, and it looks like today will be no different. But on the bright side, it's Friday, and we've got a great lineup of news for you to peruse! Also, if you're worried about bird flu, don't miss my colleague Helen Branswell's Q&A with a leading expert. 

STAT MADNESS

Baylor wins 2024 STAT Madness bracket!

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Courtesy Rachel Lahowetz

It began with injecting monkeys with sewage to see if they developed polio. Building off that early polio work from the 1940s, researchers from Baylor College of Medicine analyzed public wastewater and showed they could detect over 450 disease-causing viruses. Now, their study demonstrating the power of sewage as an early-warning system for outbreaks has officially won the 2024 STAT Madness popular vote.

Wastewater monitoring became popular during the Covid-19 pandemic to predict outbreaks and assess infection trends, but the Baylor team's goal was to go beyond any single virus and simultaneously test for over 3,000 different pathogens, including all known human viruses.

They beat out 63 other teams in STAT's month-long, bracket-style celebration of biomedical research on topics ranging from an electric pill that reduces hunger to gas-trapping materials that bolster cancer treatment. Last month, researchers from Weill Cornell Medicine won the STAT Madness All-Star award thanks to the votes of attendees at the Breakthrough Summit East.

Read more from STAT contributor Simar Bajaj on how wastewater monitoring can be leveraged. 


health disparities

Can people with hearing loss who need a cochlear implant actually get one?

Yes, but also, no. More than a million people worldwide have a cochlear implant, which helps those with severe-to-profound hearing loss hear sounds more clearly by stimulating their auditory nerve. But in their first (!) story for STAT, disability reporter Timmy Broderick notes that only 5% of those who qualify for the implant actually get one in the U.S. But even in countries with universal healthcare, the adoption rates are dismal.

Now, researchers are finding further disparities for marginalized communities, especially for Black and Asian patients, according to a recent study of British hospitals published Thursday in PLOS Medicine. 

Read more from Timmy on who's to blame for the disparities in access. And keep an eye out for more of their stories on the disability beat. This one already has them thinking about potential reporting on how people with disabilities are affected by changes and updates to the technology they rely on. And if you have any thoughts, you can email them at timmy.broderick@statnews.com.


public health

WHO's Mike Ryan gets a promotion 

One of the busiest people in the world of global health just got busier. Mike Ryan, executive director of the World Health Organization's health emergencies program, was named deputy director-general of the Geneva-based global health agency, starting April 1. The appointment was announced Thursday by WHO Director-General Tedros Adhanom Ghebreyesus, STAT's Helen Branswell tells us.

Ryan, a native of Ireland, will retain the health emergencies post and serve as Tedros' deputy, standing in for the director-general when needed. "His experience in managing complex health programs at scientific, technical, operational, strategy, policy, and diplomatic levels will be invaluable," Tedros told WHO staff in a statement announcing the appointment.

Ryan's emergencies job sees him and the team he oversees coordinating WHO's response to a huge number of events, including disease outbreaks as well as natural and man-made disasters. Helen profiled Ryan in 2019, though pinning him down for an interview was a bit of a challenge.



closer look

Prozac prescriptions for dogs are on the rise 

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Vadim Ghirda / AP 

We all know there's a mental health crisis percolating across the U.S., but do we have to be worried about our dogs now, too? Veterinarians across the country acknowledge that Prozac prescriptions for dogs are on the rise, along with a myriad of cheaper generic mood stabilizers for pets' separation anxiety, socialization fears, biting habits, or other problematic behaviors.

That increase, experts told STAT's Sarah Owermohle, says more about the human mental health crisis in America — and the ready availability of inexpensive generic medicines. "The human world has become more attuned to mental health," said veterinarian Melissa Bain "When we start to recognize things in humans, we recognize it in our dogs too."

And if you think we're barking up the wrong tree on this story, here's a telling stat: Analysts expect the global market for these medicines to continue growing from roughly $11.6 billion in 2019 to more than $18 billion by 2027. Read more from Sarah on how pet psychiatry mirrors human trends.


covid-19

Study suggests a cautious approach to exercise for people with long Covid 

STAT's expert on all things running, Liz Cooney, brings us this report. Exercise for people with long Covid has been a third rail in patient advocacy groups. When the federally funded Recover initiative proposed a trial of physical activity, the backlash was strong from people who say exercise deepens fatigue, making symptoms worse. A new study in JAMA Network Open notes that physical inactivity hurts, too, impairing strength and raising cardiometabolic risk. The recent study showed that exercise did no harm. 

Scientists isolated the effects of long Covid by comparing 31 non-hospitalized people with long Covid (but without comorbidities) to 31 healthy participants. After high-intensity, moderate-intensity, and strength workouts with two- to four-week breaks in between the three types, participants were evaluated 48 hours after exercise. People with long Covid tolerated the sessions as well as those without, but their aerobic capacity and muscle strength were lower. Some people with long Covid had more trouble concentrating.


research

Suicide has doubled among college athletes in the past 20 years

A distressing study on suicide among college athletes published yesterday, on the eve of today's women's basketball NCAA Final Four games. The rate of suicide among U.S. college athletes rose so much over the past 20 years that it is now the second-most common cause of death in this population after accidents, according to research in the British Journal of Sports Medicine.

Researchers analyzed data on the deaths of NCAA athletes between 2002 and 2022, finding that the suicide rate doubled from 7.6% to 15.3% between the first and second span of ten years. Division I and II athletes died by suicide at higher rates than those in Division III. Otherwise, the researchers did not identify significant differences in suicide rates by sex, race, or sport. The study authors called for more mental health resources, including training on awareness and intervention for coaches and support staff.


More around STAT
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What we're reading

  • How cutting-edge disability technology gets sent to war instead, The New Republic

  • FDA to drop ban on sperm donations from gay and bisexual men, Wall Street Journal

  • California colleges provide abortion pills but many fail to make students aware, NPR

  • Does addiction make you un-American? STAT 

  • Why a leading bird flu expert isn't convinced that the risk H5N1 poses to people has declined, STAT

Thanks for reading! Until Monday — Theresa


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