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STAT bought raw milk off the black market

May 15, 2024
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Morning Rounds Writer and Podcast Producer
I just cannot express adamantly enough how much you want to read this story from Nick Florko about buying raw milk outside of a million-dollar house in D.C.

h5n1 bird flu

Today in bird flu: A new public dashboard, and STAT enters the black market for raw milk

STAT's Megan Molteni brings us this update on the new public dashboard tracking influenza A viruses in sewage from the CDC: Data from the week ending May 4 shows only one location with unseasonably high concentrations of influenza A — in Saline County, Kan. Other places have had blips, but it's not what you'd expect to see if there was sustained person-to-person transmission going on, Jonathan Yoder, deputy director of the CDC Division of Infectious Disease Readiness and Innovation, told Megan in an interview yesterday. "Those are important initial clues," he said. "But I don't want to make too much of any particular data point because I think we really do need to know more." 

The dashboard, unveiled yesterday, will be updated weekly with new data. And as a reminder, the testing isn't specific to bird flu — influenza A is a larger family that includes H5N1. But other flu viruses circulate at very low levels during the summer, so high levels could be a reliable indicator that something unusual is going on in a given area.

Now, before we move on, something sort of fun! You may know STAT's Nick Florko for his unique reporting on the commercial determinants of health. In 2022, he bought 13 illegal vapes and other products essentially in the backyard of the FDA. Today, he brings us a story of what he said felt like "the world's weirdest drug deal." Nick bought raw milk off the black market, in an interstate sale between Maryland and D.C. It demonstrates how the FDA has allowed the dangerous product to circulate between states with little enforcement. Please read this story, you won't regret it.


substance use

Some obesity drugs will be tested against alcohol-related liver disease

Since GLP-1 drugs began revolutionizing the way we consider addressing obesity last year, academics have wondered if the injectable treatments could affect people's cravings for substances. But drug companies have yet to get involved — until now. Novo Nordisk, which makes Ozempic and Wegovy, will test whether GLP-1 drugs can help people with alcohol-associated liver disease. 

The company will not test the drugs purely in relation to substance misuse. The primary outcome tested in the nine-month study will be changes in liver scarring, and one of the secondary outcomes is changes in alcohol consumption. The trial comes at a time when alcohol-associated liver disease has been surging among younger people and women, making it the leading cause for transplant in the U.S. Read more from my colleagues Isa Cueto and Elaine Chen.


mental health

The mental health crisis is driving up health care costs

Twenty-five years ago, then-Surgeon General David Satcher said there was "no health without mental health." While most analyses of soaring health care costs focus on the growing burden of chronic disease, the toll of the nation's mental health crisis continues to climb, STAT's Usha McFarling tells us.

Costs — due to premature death, ER overutilization, and a lack of work productivity — could reach $14 trillion by 2042, or roughly $42,000 per person living in the U.S., according to new analysis that will publish today by the Meharry School of Global Health and the Deloitte Health Equity Institute. The report builds on work measuring the current toll of mental health in many marginalized racial and ethnic groups. The new analysis includes excess spending involved in providing mental health care to those with chronic diseases such as diabetes, hypertension, and HIV, conditions linked to poorer mental health.  

The authors call the growing mental health crisis an overlooked emergency that needs to be addressed both as a moral imperative and "for our collective prosperity." "It is now clear," said Daniel Dawes, the founding dean of Meharry's School of Global Health in releasing the report, "there can be no health equity without mental health equity."



first opinion

How does insulin cost so much? Look to discontinuations

ADOBE

A century after insulin was first introduced — with its inventors selling the patent to a university for $1 — the lifesaving medication has become the poster child for soaring drug prices. But how does that happen? In a new First Opinion essay, Robin Feldman argues that companies discontinue older versions of insulin products, essentially forcing people to use newer, more expensive versions. The proof is in the market-pudding: More human insulin products have been discontinued (16) than currently remain on the market (10). 

It doesn't make sense to require companies to keep making a product, writes Feldman, director of the Center for Innovation at UC Law San Francisco. But if one company stops making a product, another one should be able to step in and start. Read more from Feldman on what policymakers could do to ensure there's affordable, accessible insulin.


politics

Poll: Independent voters favor Biden on health care

Independent voters seem to trust President Biden more than former President Trump when it comes to health care issues, according to the latest KFF Health Tracking Poll. While voters associated with any political party obviously favor their own candidates, independents leaned toward Biden when it came to issues including the Affordable Care Act, health insurance costs, Medicare, Medicaid, and protecting people with preexisting conditions.

In the last week of April, the poll gathered views from over 1,200 American voters on key health policy issues including drugs, abortion, and federal programs like Medicare and Medicaid. Other key takeaways include:

  • Less than half (48%) of voters age 65 and up are aware of the Inflation Reduction Act provision that allows the federal government to negotiate the prices of some prescription drugs in Medicare. But that's more than the 36% that were aware in November.
  • Most (62%) voters support a guaranteed federal right to abortion
  • At least 3 in 4 voters are "somewhat worried" that people covered by Medicare, Social Security, and Medicaid won't be able to get the same level of benefits in the future that are available today. 

climate change

What we know about the health impacts of extreme heat 

Last summer's heat waves demonstrated all the ways that extreme heat takes a toll on the human body. In Texas, more than 300 people died from heat last year — the highest number since the state started tracking the deaths in 1989. Globally, more than 150,000 deaths are associated with heat waves each year, according to a new study in PLOS Medicine. And authors of another study published in Nature yesterday found that last summer was the hottest in the Northern Hemisphere in 2,000 years.

The stakes are as high as the temps. I spoke with experts about the wide-ranging health consequences of extreme heat, and what policymakers can do to keep people cool and safe. Read more.


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What we're reading

  • When families fight over a relative with dementia, it's time to call in the mediator, New York Times

  • CVS is willing to dump 10% of its Medicare Advantage members next year, STAT
  • Survey finds 8,000 women a month got abortion pills despite their states' bans or restrictions, AP
  • The White House hikes tariffs on Chinese medical products, STAT

Thanks for reading! More tomorrow,


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