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Why it's 'shocking to watch the ineptitude' of the U.S. H5N1 response

June 14, 2024
Annalisa-Merelli-avatar-teal
General Assignment Reporter

Buongiorno! Yesterday the Supreme Court ruled unanimously that mifepristone (which is used in a majority of abortions in America) can be prescribed remotely so long as the FDA says so, reaffirming the agency's regulatory power. This is a win for reproductive rights, and the first case to be decided by the court since it overturned Roe v. Wade

H5N1

Former Gavi CEO criticizes the 'ineptitude' of the U.S. H5N1 response

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CDC and NIAID

Seth Berkeley, the former CEO of Gavi, said in London that it has been "shocking to watch the ineptitude" of the U.S. response to the spread of H5N1 bird flu in dairy cattle. The global health leader, who is American but currently based in Switzerland, said the way his country has handled surveillance and response hasn't improved since Covid, reports STAT's Andrew Joseph. "I'm not sure we have learned anything," he said, adding that the H5N1 situation is "one of the things that keeps me up at night." More here.

Meanwhile, the USDA published two reports yesterday summarizing what we know so far about the outbreaks: that a single spillover from birds to a dairy herd likely caused it, and that movement of untested cattle, farmworkers, and equipment is likely behind the spread. It also pointed to some of the challenges of controlling the spread. In a press conference, the USDA's response coordinator was unable to respond to my colleague Helen Branswell's question about how many affected farms still have cattle testing positive. Read more about the report's highlights. 


reproductive health

The Supreme Court unanimously dismissed challenges to mail-order abortion pills

In a highly anticipated verdict, the Supreme Court ruled that the FDA has the authority to rule on the availability of the abortion medication mifepristone via mail, reversing an appeals court decision that would have required the pill to be prescribed in person. 

The decision is a victory for the Biden administration, reports my colleague Sarah Owermohle. But it's good news for pharmaceutical companies too, which had been worried about the repercussions of a potential ruling challenging the FDA's authority. The decision "helps provide innovative biopharmaceutical companies the certainty needed to bring future medicines to patients," commented PhRMA's general counsel Jim Stansel. More here on the decision, and the reactions.


maternal health

To catch preeclampsia, a study screened moms at well-child visits

After a baby is born, pediatricians recommend closely-spaced checkups — up to four in the first two months of life. In that same period of time, the birthing parent typically gets only one medical follow-up, six weeks postpartum. That may be too late to catch postpartum preeclampsia, which accounts for 40% of cases of the potentially deadly condition. 

A study published today in JAMA Network Open describes one strategy to address the issue, by combining well-baby visits in one Texas health system with blood pressure screening for the mother. Of mothers in the well-visit screening group, 5.6% were readmitted to the hospital for preeclampsia, compared to 2.6% in the control group. They were readmitted sooner, too: seven days postpartum versus 10.



Q&A

Walgreens chief clinical trial officer on work to diversify clinical trials

Ramita-Tandon

Courtesy Walgreens

For the past two years, Walgreens has been working to get its customers to enroll into clinical trials, with the goal of enhancing diversity in drug studies. While competitors — Walmart, CVS — that had entered the clinical trials business left it rather rapidly, Walgreens intends to double down, said its chief clinical trial officer Ramita Tandon in a conversation with my colleague Nick St. Fleur. 

As a Southeast Asian woman, said Tandon, she is keenly aware of the lack of representation in clinical trials, and she hopes the community presence of Walgreens will allow people who are traditionally left out of research to participate. Read more about the company's progress, its use of AI, and what Walgreens thinks of its competitors' failures.


first opinion

To promote vaccines, tell new stories

Childhood vaccinations are still pretty popular in the U.S. — nine out of ten Americans believe them to be important, according to data from the Pew Research Center. But the climate has changed in the past few years, and several states have tried to pass laws that roll back school vaccine protections. Public health needs to update its storytelling to keep up with the politicization, writes Julie Sweetland, a senior advisor at the FrameWorks Institute, in a new First Opinion.

Traditional framings that talk about vaccines as safe and effective, or that remind parents that vaccines protect their children against disease, are not as successful as they once were, Sweetland writes. Instead, research shows parents are responding better to campaigns that highlight how boosting their immune systems helps them grow, learn, and play without the limitations of disease. Read more.


telehealth

ADHD telehealth company's leadership arrested on fraud charges

During the pandemic, some telehealth companies took advantage of loosened regulations to prescribe controlled substances online, including stimulants like Adderall used to treat ADHD. Now, the leaders of Done, one of those companies, have been arrested, charged with an alleged scheme to distribute the controlled substances and submit fraudulent reimbursement claims. 

Done's leaders "exploited the COVID-19 pandemic to develop and carry out a $100 million scheme to defraud taxpayers and provide easy access to Adderall and other stimulants for no legitimate medical purpose," Attorney General Merrick Garland said in a release. The indictment could impact tens of thousands of patients, the CDC said in a health advisory yesterday, as they seek out unregulated sources of the stimulants in the face of care disruptions. Read more from STAT's Mohana Ravindranath and Katie Palmer. 


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What we're reading

  • Many young adults who began vaping as teens can't shake the habit, KFF & NPR

  •  What happened to obesity after Chile slew Tony the Tiger? STAT

  • Rise of the nanomachines, New Yorker
  • The fight over medical abortion has worsened pregnancy care, STAT
  • What happens when your insurer is also your doctor and your pharmacist, Wall Street Journal

Thanks for reading! More next week,


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