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Why radiologists, not X, will be diagnosing your fracture

February 28, 2025
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Disability in Health Care Reporting Fellow
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POLITICS

Trump administration mum amid deadly measles outbreak

Julio Cortez/AP

When measles struck New York in 2018 and 2019, federal health officials uniformly preached the power of immunizations. President Trump, himself, implored people to get the shot. But several years later, public messaging has dramatically changed, writes STAT's Andrew Joseph

At a Cabinet meeting Wednesday, a reporter asked Trump about the rapidly growing outbreak centered in Texas — over 124 confirmed cases, including the country's first measles death in a decade in an unvaccinated child. Trump passed the question to his health secretary, and longtime vaccine critic, Robert F. Kennedy Jr., who downplayed the outbreak and misstated the death toll. The lack of messaging from the executive branch is an early sign that Trump's embrace of prominent anti-vaccine critics like RFK Jr. could usher in a period of greater skepticism of basic public health tenets.

"What I'm struck by is the near total silence from [Centers for Disease Control and Prevention] in communicating about this outbreak, talking about the importance of vaccination, providing its own perspective and voice on the outbreak," said Jason Schwartz, an expert on vaccine policy at the Yale School of Public Health.

Late Thursday, the CDC quietly released a statement about the outbreak, burying it on its website instead of sending an email to reporters. While it emphasized that "vaccination remains the best defense against measles infection," the statement lacked the full-throated defense of vaccines present in prior administrations. Read more from Drew's excellent story.


VACCINES

Positive results from flu, covid, HPV vaccines

Some rare good news from the Department of Stuff We Wish We Had More Time To Write About. There were three vaccines-related studies in this week's Morbidity and Mortality Weekly Report, published Thursday by the CDC. Two were vaccine effectiveness studies that estimate the differences in outcomes between vaccinated and unvaccinated populations.

  • An early estimate of the effectiveness of this year's Covid shot showed its effectiveness in preventing hospitalization for the illness was about 45% in healthy older adults and 40% in those who were immunocompromised.
  • Likewise, influenza vaccines offered additional protection at all age levels in one of the worst flu seasons in years, early estimates of vaccine effectiveness or VE demonstrated. All age groups were less likely to need outpatient medical care or hospitalization if they were vaccinated.
  • A study looking at the impact of the human papillomavirus or HPV vaccine showed that in the period from 2008 to 2022, the incidence of cervical precancers declined 79% and the rate of higher grade precancers declined 80% in women aged 20 to 24, the age group most likely to be vaccinated.

— Helen Branswell


EDUCATION

NIH cancels summer internship program

The National Institutes of Health usually welcomes around 1,200 students onto its campuses each summer, but this year will be an exception. In an internal email obtained by STAT, the agency announced that it is cancelling its Summer Internship Program, also known as SIP, even though some students had already been accepted. The program has for years given students interested in research careers hands-on experience and career counseling, including interns from groups underrepresented in science.

The agency did not provide an explanation for the move, but it comes at a time when NIH has also stopped recruiting postdoctoral researchers; Ph.D. students; and postbacs, who are recent college graduates. "This was a challenging decision, and I know some of you will disagree with us; however, we are following the path we feel is best for the students and this institution," wrote Sharon Milgram, director of the agency's Office of Intramural Training and Education.

— Jonathan Wosen



Mental health

Can we talk about mental health at work?

Everyone's down to support a colleague in crisis, but nobody wants to dish on their own mental health troubles at work, according to a new poll from the National Association of Mental Illness and Ipsos.

People want mental health support in the workplace, but nearly half of the 2,376 adults surveyed worry that their careers would suffer or that they would be judged if they talked with their colleagues about their mental health. The stakes remain high, even if the stigma tamps down conversation surrounding mental illness: a similar poll in 2024 found high rates of burnout among women, young workers and mid-level employees. Read more about the poll here.


Opinion

Why radiologists, not X, will be diagnosing your fracture

In January, an X user posted about how Grok, X's artificial intelligence tool, diagnosed their daughter's broken wrist from an X-ray. Elon Musk shouted-out the post, declaring, "Grok can diagnose medical injuries." While large-language model tools like Grok have potential, their efficacy pales in comparison to radiologists, writes Kalyan Sivasailam, the co-founder and CEO of 5C Network.

Sivasailam and his colleagues tested Grok and other LLMs by showing them 10 X-ray images of fractures. The technologies struggled to identify breaks or only partially identified others. For these technologies to improve, they need to boost their high-resolution image processing and more training on large datasets of medical images, curated by radiologists. Read on for more information about why "general purpose vision LLMs are great… for general purpose tasks."


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What we're reading

  • AI is 'beating' humans at empathy and creativity. But these games are rigged, The Guardian

  • Inside the Collapse at NIH, The Atlantic

  • Texas says this doctor illegally treated trans youth. He says he followed the law, AP
  • NC defendants with mental illness wait months in jail for court-ordered treatment, North Carolina Health News
  • Trump is looking for drugmakers to come through for him. They have a wish list for him, too, STAT 

Thanks for reading! More tomorrow,
Rose

Timmy


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