Morning Briefing
Summaries of health policy coverage from major news organizations
Longer Looks: Interesting Reads You Might Have Missed
There鈥檚 a quote from 鈥淎nne of Green Gables鈥 that I鈥檓 already sick of hearing. 鈥淚鈥檓 so glad I live in a world where there are Octobers,鈥 said Anne. 鈥淚t would be terrible if we just skipped from September to November, wouldn鈥檛 it?鈥 No disrespect to one of literature鈥檚 most beloved protagonists, but actually, that sounds pretty great. October is National Breast Cancer Awareness Month and I am a person who鈥檚 had breast cancer, which means for me October is basically 31 days of low-key PTSD. My inbox is crammed with marketing emails featuring other survivors鈥 stories. My hummus suddenly has a pink lid. I appreciate the focus on fund-raising, but the spotlight is a double-edged sword. And with 3.8 million breast cancer survivors in the United States, I鈥檓 not alone. (Burns, 10/15)
For a long time, Olivia Bowser relied on exercise to manage her mental health. Throughout college, and after moving to Los Angeles for her first job managing digital and e-commerce for a consumer packaged goods start-up, Bowser, 27, wrestled with anxiety, stress and feelings of loneliness. She tried to find a sense of calm and happiness by going to Pilates, Barry鈥檚 Bootcamp and SoulCycle six days a week. It didn鈥檛 work. ... Looking for answers, Bowser started attending yoga classes at night, using a meditation app and Googling journal prompts. As she began to find relief through these practices, she had an idea. What if she could take what she loved about her fitness classes and focus on strengthening the mind? (Achauer, 10/19)
For nearly a decade, Sherrill Franklin battled an elusive foe. She lost 22 pounds without trying. Her face was flushed, her neck felt sweaty and clammy, and she felt inexplicably jittery. At times Franklin, who lives in a rural community an hour west of Philadelphia, endured bouts of dizziness. It wasn鈥檛 until a worrisome new problem landed her in the hospital that a specialist, one of nearly two dozen doctors she consulted, ordered a blood test that revealed the reason she felt so sick. (Boodman, 10/16)
Chagas disease, a parasitic and chronic illness, has infected approximately 6 million people and kills about 12,000 every year in North and South America, according to the Pan American Health Organization. Despite its high numbers, there is a lack of knowledge in the U.S. about the life-threatening disease, which has been called "the New AIDS of the Americas." Fewer than 1% of those with Chagas in the U.S. are diagnosed and treated due to low awareness of the infection among health providers. (Gonzalez and Franco, 10/14)
Trying to figure out if you鈥檙e pregnant is probably as old as humanity itself. People had some pretty weird methods, like urinating on wheat and barley seeds (which kind of worked!), or mixing urine with wine for divination by a 鈥渨ine prophet,鈥 or shoving an onion into a patient鈥檚 vagina to see if it gave her bad breath. (This does NOT work, Gwyneth Paltrow. Do not recommend this.) These days, people who think they might be pregnant can pee on testing sticks that check for the hormone human chorionic gonadotropin (HCG). But nearly a century ago, when reliable HCG testing was being developed, it looked about as bizarre as the 鈥渨ine prophet鈥 and was so expensive only wealthy people could afford it. (Brockell, 10/17)
In 2017, a team of scientists successfully extracted the DNA of members of a Pueblo community who were buried starting around 1,300 years ago in what is now Chaco Canyon in New Mexico. The DNA suggested that these people had lived in a matrilineal society, with power passed down through generations of mothers. The paper was a powerful example of how ancient DNA could illuminate the lives of people who died long ago. It was also a case study in poor ethics, some researchers contended at the time. They alleged that the scientists had failed to consult with local tribes and used culturally insensitive terms, such as referring to a tribal ancestor as 鈥渃ranium 14.鈥 (Imbler, 10/20)
When a previously unrecorded illness erupted in Madrid in 1981, many people in Spain panicked. It took five weeks and dozens of deaths to understand the cause: adulterated cooking oil. The illness 鈥 which came to be known as 鈥渢oxic oil syndrome鈥 鈥 killed hundreds and left thousands with chronic conditions, many severe. Four decades later, feeling that their grievances were not being heard, a few of those victims occupied a premier Madrid art museum, the Prado. If their demands were not met, they said, they would kill themselves within hours by ingesting pills. Six protesters were seen Tuesday standing before Diego Vel谩zquez鈥檚 famous painting 鈥淟as Meninas鈥; they held a sign that read: 鈥40 years poisoned and condemned to live as in 1981 because of the abandonment of the government.鈥 (Westfall, 10/19)
Also 鈥
As noted in part 1, not all facepieces designed to protect against respiratory diseases like COVID-19 are created equal, and they must be considered as only one tier in a hierarchy of protective steps. Here in part 2 we spell out why not all studies involving cloth face coverings or surgical/medical masks warrant equal consideration. We'll detail the necessary elements of a rigorous study and explore some recent studies that, though highly touted by both scientists and the lay press, fell quite a bit short of the ideal.Again, at the outset, we underscore that we are not "anti-mask." Rather, we are in favor of wearing the most protective type of facepiece for the setting鈥攕uch as a non-fit tested respirator when spending more than a few minutes in a crowded, indoor space鈥攁nd only in combination with other interventions. (Brosseau et al, 10/15)
On Jan. 9, 2020, about a week after the world first learned of a mysterious cluster of pneumonia cases in central China, authorities announced that scientists had found the culprit: a novel coronavirus. It was a sobering announcement, and an unnervingly familiar one. Nearly two decades earlier, a different coronavirus had hurdled over the species barrier and sped around the world, causing a lethal new disease called severe acute respiratory syndrome, or SARS. The virus, which became known as SARS-CoV, killed 774 people before health officials contained it. (Anthes, 10/12)