Breaking News

Why monitoring for bird flu is about to get even harder

October 28, 2024
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Morning Rounds Writer and Podcast Producer
Good morning! We've got a lot of smart coverage from all parts of the newsroom to start your week. Let's get right into it.

infectious disease

Tracing the bird flu outbreak is about to get harder

Alex Hogan/STAT

It's already been pretty tough for public health departments to track H5N1 bird flu as it infects dairy cows across the country. But there's been one small advantage: Transmission took off after last winter's flu season was effectively over. As the next cold and flu season begins, it will get even harder to determine the cause when a farmworker gets flu-like symptoms. Is it bird flu? Covid-19? The regular flu? Just a cold?

"It's certainly going to get harder to tease out what's unusual versus the usual signal in the fall," Carrie Reed, chief of the epidemiology and prevention branch in the influenza division at CDC, said recently to STAT's Helen Branswell. Read more from Helen on what specific challenges lay ahead. 


nutrition

Why do dietary guidelines matter?

The Dietary Guidelines for Americans, reviewed and issued by the federal government every five years, have broad impact on what goes into federal nutritional assistance programs, from WIC for women and young children to school lunches to meals for veterans or seniors. Yet you wouldn't be blamed, after reading Liz Cooney's great coverage of two days of advisory panel meetings on the next update, for wondering what concrete changes came out of them. That's why she asked three experts for their takes.

Read Liz on the importance of the recommendations, the future for ultra-processed foods, and why, as she writes, "the most influential set of rules for the foods we eat are the ones most of us ignore." 


trends

With GLP-1 drugs like these, who needs bariatric surgery?

Between 2022 and 2023, weight loss prescriptions for GLP-1 drugs like Wegovy and Zepbound more than doubled. That alone is not necessarily surprising, given all the attention the drugs have gotten. But in that same timespan, rates of bariatric surgery — long considered the surest way to lose weight — fell by more than 25%.

"This study shows that they're clearly temporally related," said Marc Bessler, chair of surgery at Northwell Lenox Hill Hospital in New York. What's less clear is if the downturn in surgeries will be a temporary blip, or a permanent fixture of the future of obesity medicine. And it's not just an important question for patients — hospitals and clinics can derive a significant portion of their revenues from these procedures. Read more from STAT's Megan Molteni, and don't miss last year's story on the long-term outlook for bariatric surgery in the wake of weight loss drugs from former STAT intern Simar Bajaj.



election corner

How Trump uses the language of eugenics

BRENDAN SMIALOWSKI/AFP via Getty Images

Have you ever noticed that when former President Donald Trump speaks about immigrants, he often brings up genetics? Last year, he said that immigrants are "poisoning the blood of our country." Earlier this month, he said that because of undocumented immigrants, the U.S. had "a lot of bad genes in our country." 

Experts told STAT that this language is indicative of a larger trend. The eugenics movement — the pseudoscientific idea of fixing social problems through genetics and heredity that led to policies like forced sterilization — is once again taking center stage in the U.S. It's not just in immigration policies and rhetoric promoted by Trump; even academic literature has seen a rise in race science. Read more from STAT's Anil Oza.


LgBTQ+ health

New survey of intersex queer young people shows major mental health struggles

We already know there's a mental health crisis among adolescents — and that LGBTQ+ teens are facing additional struggles, often in the face of restrictive state legislation. But there isn't a lot of information out there on intersex youth — those born with sex traits or reproductive anatomy that differ from the binary male/female body. But a new report from the Trevor Project found that the burden is particularly heavy for queer intersex young people: In a survey, 55% reported seriously considered suicide in the past year. A quarter reported attempting suicide.

The survey included more than 18,600 queer people ages 13 to 24, 256 of whom identified as intersex. (Intersex people make up a similarly small percentage of the general population — 1.7% is the most popular estimate. Not all intersex people identify as queer, but everyone in this survey did.) Among those, 17% said they had received surgery to alter their sexual anatomy, most often before the age of one. These adolescents had even higher rates of attempting suicide in the past year (34%) than intersex queer peers who hadn't received surgery (18%). 

Advocates have long pushed for hospitals to stop performing surgeries on non-consenting intersex people. The Trevor Project calls in the report for more research that better identifies intersex people, in order to protect them from conversion attempts and non-consensual surgery. 


more election

How a Trump presidency would change health care

Last week, STAT's Rachel Cohrs Zhang reported on what would happen to American health care if Vice President Kamala Harris were to win the election next week. Today, STAT's Sarah Owermohle brings you the Trump version of that story. 

Former president Trump hasn't provided many details on what he plans for health care, but that hasn't stopped the conjecture. Democrats have campaigned heavily against the Project 2025 agenda put out by a conservative think-tank, despite Trump insisting he does not endorse the blueprint. In her latest story, Sarah lays out what we know about Trump's health policy stances and his potential top priorities in a second administration. Potential focuses include revisiting the ACA, reforming public health agencies, and slashing drug prices. Read more.


More around STAT
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What we're reading

  • California mental health agency director to resign following conflict of interest allegations, KFF Health News

  • The subject no expert wants to write an op-ed on, STAT

  • Ever felt so stressed you didn't know what to do next? Try talking to your 'parts,' NPR
  • Agricultural subsidies are killing Americans and fueling the climate crisis, STAT

Thanks for reading! More tomorrow,


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