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The biggest ever study on service dogs for veterans with PTSD

June 5, 2024
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Morning Rounds Writer and Podcast Producer
I went out into the real world yesterday for an event that you can read about below. In-person reporting is such a treat! That being said, I am not a photographer. If our photo editor Crystal Milner is reading this: I'm sorry!

h5n1 bird flu

A laundry list of unanswered questions about bird flu

Christine Kao/STAT

It takes time at the start of an infectious disease outbreak for evidence of what's going on to come to light. But in the 10 weeks since the H5N1 bird flu outbreak in dairy cows was first identified, farmers' reluctance to reveal what's happening in their herds has left more questions unanswered than usual. STAT's Helen Branswell reached out to influenza virologists and veterinarians to ask them what they would most like answered at this point. Their answers fell into three buckets: What's happening in cows? What's happening with farmworkers? And what's happening with the virus? 

The biggest group of questions was about transmission in cows — how it's happening, and what techniques might stop its spread. Virologist Richard Webby asked a key question: Can cows that have been infected once be reinfected down the road? The answer to that may tell us if driving the virus out of cattle is a viable possibility. Read more.


disability

Gene therapy works to treat deafness in both ears for the first time

Otolaryngologists, rejoice! We have this report from STAT's Timmy Broderick: Five more deaf kids can hear after receiving gene therapy injections in both ears. The results come from a collaboration between Mass Eye and Ear in Boston and Fudan University in China — the same group to first show hearing gains using gene therapy in 2023. This time, they're back, but with bilateral injections.

The treatment targets a specific form of deafness caused by mutations in the OTOF gene, which affects 1% to 8% of deaf people globally. Several heavy hitters are racing to develop similar treatments, including Regeneron and Eli Lilly. It's an incredible technological achievement. But it's also controversial. If you want to learn more about why some Deaf people see this treatment as an existential threat, read Timmy's story from last week.


meetings

Regulating health care in real time

Two national health care meetings happened yesterday: one on MDMA-assisted therapy for PTSD, and another on abortion. My STAT colleagues have the stories to keep you (and me) up to date:

  • Questions asked, questions dodged: STAT's Olivia Goldhill and Meghana Keshavan live-blogged an FDA advisory committee meeting on MDMA. Regulators discussed how they would manage risk in the treatment, and things got a little intense discussing race, sex, comorbidities, and more. This is the first new PTSD treatment to go up for review in 25 years — but at the end of the day, committee members voted overwhelmingly against the therapy. The agency will use the feedback to decide by Aug. 11 if it will get approval.
  • Tussling over abortion policy: STAT's Sarah Owermohle covered a Senate health committee hearing on reproductive health where representatives argued over the impact of restrictive abortion laws. The committee is not scheduled to look at any reproductive legislation right now, but the Supreme Court will likely release two decisions related to abortion this month: one on the medication mifepristone, and another on whether abortion can be considered emergency care


lgbtqia+ health

Harvard launches new LGBTQ Health Center of Excellence 

june5-3

Theresa Gaffney/STAT

Yesterday, I attended the launch event for the LGBTQ Health Center of Excellence, an academic partnership between Harvard Pilgrim Health Care Institute and Harvard T.H. Chan School of Public Health. The new center is focusing on educating clinicians, as well as conducting and disseminating research on queer health disparities and interventions. 

"Name your favorite health outcome," the center's founding director, epidemiologist Brittany Charlton, said in an on-stage conversation with STAT's Alexander Spinelli: Queer people face disparities at every stage of health care, from the first interaction with a provider through the rest of our lives. "Discrimination makes you sick and it kills you," she said. 

In a short interview after the program, Charlton explained that the center's work will focus on disparities in areas like adolescent mental health, chronic disease, and — one of her biggest interests — reproductive health among queer women and gender minorities like trans folks.


artificial intelligence

Startups are descending on D.C. to offer tech advice

As Congress and the White House weigh the risks of artificial intelligence against its potential, business leaders are positioning themselves to offer advice to lawmakers. They're worried that Washington doesn't have the expertise to regulate AI, and want to share their technical knowledge. 

But they're also there to promote their own industry — and the promise of a dynamic, vibrant economy they say may only be achievable if future regulations don't hamstring startups. Read more from STAT's Mohana Ravindranath on how industry leaders are positioning themselves.


dogs

First blinded study of service dogs for veterans with PTSD

Veterans who have been diagnosed with PTSD endure less severe symptoms and experience significantly less depression and anxiety when they have a psychiatric service dog, according to a study published today in JAMA Network Open. It's the first NIH-funded study — and the largest ever — to focus on service dogs for military-related PTSD. It's also the first study on this topic to use blind ratings, meaning that clinicians who assessed patients' outcomes didn't know whether they had a dog or not.

For three months, the researchers followed 150 veterans with a diagnosis of PTSD, half of whom were given a service dog based on their position on the waitlist. All participants had full access to other types of mental health care during the study, which suggests service dogs should be given in combination with standard care, the authors wrote. 


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What we're reading

  • AI is imitating the dead and dying, raising new questions about grieving, AP

  • CMS got Medicare Advantage quality rating wrong, judge rules, STAT
  • Is it really safe to fly with a baby in your lap? The Cut
  • CDC endorses prophylactic antibiotics to reduce STIs in high-risk groups, STAT

Thanks for reading! More tomorrow,


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