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Trump administration to shutter specialized LGBTQ+ suicide lifeline option, sparking backlash

Trump administration to shutter specialized LGBTQ+ suicide lifeline option, sparking backlash

CBS News3 hours ago

A part of the 988 Suicide and Crisis Lifeline dedicated to LGBTQ+ youth — known as 988 option 3 — is being terminated under the Trump administration, the federal Substance Abuse and Mental Health Services Administration announced.
"On July 17, the 988 Suicide & Crisis Lifeline will no longer silo LGB+ youth services, also known as the 'Press 3 option,' to focus on serving all help seekers, including those previously served through the Press 3 option," a statement Tuesday from SAMHSA read.
The agency said those who contact 988 will "continue to receive access to skilled, caring, culturally competent crisis counselors who can help with suicidal, substance misuse, or mental health crises, or any other kind of emotional distress."
It's unclear if staff for the specialized option 3 care line will be cut or moved to the general 988 line. CBS News has reached out to SAMHSA for more information.
The nation's 988 hotline brings critical access to care for those battling mental health emergencies. Nationwide, calls increased 40% soon after the three-digit number was officially launched in 2022.
Jaymes Black, CEO of The Trevor Project, a nonprofit focused on suicide prevention for LGBTQ+ young people, described the planned change as "devastating."
"This means that, in 30 short days, this program that has provided life-saving services to more than 1.3 million LGBTQ+ young people will no longer be available for those who need it," Black said in a statement Wednesday. "Suicide prevention is about people, not politics. The administration's decision to remove a bipartisan, evidence-based service that has effectively supported a high-risk group of young people through their darkest moments is incomprehensible."
The news comes in the middle of Pride Month, which Black called "callous." He also criticized "the administration's choice to remove the 'T' from the acronym 'LGBTQ+' in their announcement," saying, "Transgender people can never, and will never, be erased."
Sen. Tammy Baldwin also condemned the agency's move as "cruelly and needlessly taking" away a crucial resource for LGBTQ+ people in crisis.
"During Pride Month, a time to celebrate the progress we've made, the Trump Administration is taking us a step back and telling LGBTQ+ kids that they don't matter and don't deserve help when they are in crisis," she said in a statement. Baldwin, a Democrat from Wisconsin, wrote the legislation that created the three-digit 988 hotline.
The Department of Health and Human Services, which oversees SAMHSA, has announced plans to reorganize and fold its functions into a new Administration for a Healthy America. SAMHSA has also lost staff to job cuts this year, including some who worked on the 988 hotline team.
The 988 Suicide & Crisis Lifeline can be reached by calling or texting 988. You can also chat with the 988 Suicide & Crisis Lifeline here.
The Trevor Project's trained crisis counselors are available 24/7 at 1-866-488-7386, via chat at TheTrevorProject.org/Get-Help, or by texting START to 678678.
For more information about mental health care resources and support, The National Alliance on Mental Illness HelpLine can be reached Monday through Friday, 10 a.m.–10 p.m. ET, at 1-800-950-NAMI (6264) or email info@nami.org.

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Understanding the Different Types of Psoriasis
Understanding the Different Types of Psoriasis

Health Line

time29 minutes ago

  • Health Line

Understanding the Different Types of Psoriasis

Key takeaways Psoriasis is a chronic, immune-mediated skin condition. It causes skin cells to build up rapidly, leading to itchy and painful, scaly patches. Psoriasis may also affect joints and other organ systems. Symptoms vary depending on skin tone and the type of psoriasis; patches may appear red on light skin, salmon-colored on medium skin, and violet or brown on darker skin. Joint pain and swelling may occur in certain types of psoriasis. While there is no cure, treatments like topical creams, light therapy, and oral medications can help relieve and manage symptoms, with the approach varying based on the type and severity of psoriasis. Psoriasis typically affects the skin, causing skin cells to build up faster than usual. It causes your skin to develop scaly patches that can be itchy and painful. It can also affect other organ systems, especially the joints. Psoriasis tends to appear pink or red on people with light or fair skin tones, with silvery-white scales. On medium skin tones, it can appear salmon-colored with silvery-white scales. On darker skin tones, psoriasis can look violet, brown, or reddish brown, often with light-colored or grayish-colored plaques. There's limited research and information about managing and diagnosing psoriasis in people of color. A 2014 study found the prevalence of psoriasis among all adults ages 20 and older to be 3.2%, with the rates varying by race and ethnicity: White: 3.6% Black/African American: 1.9% Hispanic: 1.6% These numbers may not tell the entire story, as people of color may be disproportionately undertreated and misdiagnosed. This is because psoriasis isn't always recognized on skin of color. What are the symptoms of psoriasis? The most common symptoms of psoriasis include: skin patches and scales that vary in color based on skin tone: red skin patches on light skin tones salmon-colored and silvery-white on medium skin tones violet, dark brown, or gray on darker skin tones scaly skin itchy skin joint swelling, stiffness, or pain, which are associated with psoriatic arthritis The symptoms of psoriasis also vary based on the type of psoriasis you have. There are eight types of psoriasis: plaque guttate inverse pustular erythrodermic psoriatic arthritis nail scalp Psoriasis isn't contagious, regardless of type. Psoriasis can also lead to mental stress, anxiety, and low self-esteem. Depression is also common in people who have psoriasis. Other diseases have also been linked with psoriasis, such as: Crohn's disease celiac disease metabolic syndrome cardiovascular disease There are also subcategories of psoriasis types. These appear differently depending on the location of the body. Psoriasis patches on darker skin tones may also be more widespread, which can make it difficult to diagnose. Plaque psoriasis Plaque psoriasis, or psoriasis vulgaris, is the most common form of psoriasis. An estimated 80–90% of people diagnosed with psoriasis have plaque psoriasis. This type is characterized by thick red or purplish patches of skin, often with silvery-white or gray scales. These patches often appear on your elbows, knees, lower back, or scalp. Patches are usually 1 to 10 centimeters wide but can also be larger and cover more of your body. If you scratch at the scales, the symptoms will often get worse. Treatments As a way to ease discomfort, a doctor may recommend applying moisturizers to keep the skin from becoming too dry or irritated. These moisturizers include over-the-counter (OTC) cortisone creams or an ointment-based moisturizer. A doctor may also work to identify your unique psoriasis triggers, including stress or lack of sleep. Other treatments may include: vitamin D creams, such as calcipotriene (Dovonex) and calcitriol (Rocaltrol), to reduce the rate at which skin cells grow, in combination with topical steroids to reduce inflammation and itching topical retinoids, like tazarotene (Tazorac, Avage), to help reduce inflammation immunosuppressives, such as methotrexate or cyclosporine applications of coal tar, either by cream, oil, or shampoo biologics, a category of anti-inflammatory drugs Medications may differ for guttate or erythrodermic psoriasis. In some cases, you may need light therapy. This involves exposing the skin to both UVA and UVB rays. Sometimes, treatments combine prescription oral medications, light therapies, and prescription ointments to reduce inflammation. With moderate to severe cases, you may be prescribed systemic medication in the form of oral, injectable, or intravenous (IV) medication. Guttate psoriasis Guttate psoriasis appears in small red spots on lighter skin tones. In darker skin tones, these spots may appear violet or brown. Guttate is the second most common psoriasis type, affecting around 8% of people with psoriasis. Most of the time, it starts during childhood or young adulthood. The spots are small, separate, and drop-shaped. They often appear on the torso and limbs, but they can also appear on your face and scalp. Spots are usually not as thick as plaque psoriasis, but they can develop into plaque psoriasis over time. Guttate psoriasis usually begins after certain triggers. Triggers may include: strep throat stress skin injury infection medication Treatments To treat guttate psoriasis, a doctor may prescribe steroid creams, light therapy, and oral medications. Determining the underlying cause of the infection can also help clear guttate psoriasis. If a bacterial infection is the cause, antibiotics may help. Flexural or inverse psoriasis Flexural or inverse psoriasis often appears in skinfolds, such as under the breasts, in the armpits, or around the groin. This type of psoriasis appears red or purple and is often shiny and smooth. The sweat and moisture from skinfolds keep this form of psoriasis from shedding skin scales. Sometimes, it's misdiagnosed as a fungal or bacterial infection. The skin-on-skin contact can make inverse psoriasis very uncomfortable. Most people with inverse psoriasis also have a different form of psoriasis in other places on their body. Treatments The treatments for inverse psoriasis are similar to plaque psoriasis treatments. They can include: topical steroid creams nonsteroidal drugs such as phosphodiesterase (PDE)-4 inhibitor light therapy oral medications biologics, which are available via injection or IV infusion A doctor may prescribe a lower-potency steroid cream to prevent your skin from thinning too much. You may also benefit from taking or applying medications that reduce yeast or bacteria growth. Pustular psoriasis Pustular psoriasis may be severe at times. This form of psoriasis may develop quickly in the form of many white pustules surrounded by red or darkened skin. Pustular psoriasis may affect isolated areas of your body, like your hands and feet, or cover most of the skin's surface. These pustules can also join together and form scaling. However, if it affects all areas of the body — such as the Von Zumbusch subtype — it can be life threatening because it has severe systemic effects. Some people experience cyclic periods of pustules and remission. While the pus is not infectious, this condition can cause flu-like symptoms such as: fever chills rapid pulse muscle weakness loss of appetite There are three kinds of pustular psoriasis: von Zumbusch palmoplantar pustulosis acropustulosis Each of the three forms of pustular psoriasis may have different symptoms and severity. Treatments Treatment may include OTC or prescription corticosteroid creams, oral medications, or light therapy. Biologics may also be recommended. Identifying and treating the underlying cause may also help reduce reoccurrence of pustular psoriasis. Erythrodermic psoriasis Erythrodermic psoriasis, or exfoliative psoriasis, is a rare type of psoriasis that looks bright red on lighter skin tones or dark purplish in people with darker skin tones. It also involves shedding of the skin. This condition is a medical emergency. You may need to be hospitalized, as your body may not be able to manage your body temperature. This form of psoriasis is widespread, with red or purple skin and silvery scales. It may cover large portions of your body. Exfoliation often occurs in larger pieces than the small scales typical to most psoriasis. Erythrodermic psoriasis can develop from: pustular psoriasis widespread, poorly controlled plaque psoriasis a bad sunburn infection alcohol use disorder significant stress abrupt discontinuation of a systemic psoriasis medication using oral steroids, cyclosporin, or methotrexate Treatments Almost all cases of erythrodermic psoriasis will need to be treated at a hospital. There, you'll receive a combination of therapies, which may include: an application of medicated wet dressings topical steroid applications biologics prescription oral medications Psoriatic arthritis Psoriatic arthritis (PsA) is a painful and physically limiting condition that affects between 30% and 33% of people with psoriasis. There are five subtypes of PsA with varying symptoms. There's currently no cure for this condition. Psoriasis is an autoimmune disease, so it can trigger your body to attack your joints and skin. It can affect many joints and often becomes quite severe in the hands, affecting the nails. 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The US plans to open a fly factory in Texas as part of its fight against a flesh-eating parasite
The US plans to open a fly factory in Texas as part of its fight against a flesh-eating parasite

Yahoo

time31 minutes ago

  • Yahoo

The US plans to open a fly factory in Texas as part of its fight against a flesh-eating parasite

The U.S. government plans to open what amounts to a fly factory by the end of the year, announcing its intent Wednesday to breed millions of the insects in Texas near the border with Mexico as part of an effort to keep a flesh-eating parasite from infesting American cattle. Agriculture Secretary Brooke Rollins said sterile male New World screwworm flies bred at the $8.5 million facility would be released into the wild to mate with females and prevent them from laying the eggs in wounds that become flesh-eating larva. It would be only the second facility for breeding such flies in the Western Hemisphere, joining one in Panama that had largely kept the flies from migrating further north until last year. The fly's appearance in southern Mexico late last year has worried agriculture and cattle industry officials and veterinarians' groups, and the U.S. last month suspended imports of live cattle, horses and bison from Mexico. The U.S. Department of Agriculture also plans to spend $21 million to convert a facility for breeding fruit flies near Mexico's southernmost border with Guatemala into one for breeding sterile New World screwworm flies, but it won't be ready for 18 months. The U.S. bred and released sterile New World screwworm flies into the wild decades ago, and it was largely banished from the country in the 1960s. Previously, it had been an annual scourge for cattle ranchers and dairy farmers, particularly in the Southeast. 'The United States has defeated NWS before, and we will do it again," Rollins said. She held a news conference at Moore Air Base with Texas and cattle industry officials. Mexican Agriculture Secretary Julio Berdegué said in a post Wednesday on X that Rollins' plan 'seems to us a positive step in different aspects, it will strengthen the joint Mexico-US work.' 'We trust the enthusiasm for cooperation that Secretary Rollins mentioned, and based on objective results and the reports from the USDA mission visiting us this week, we will be able to restart exports of our cattle as soon as possible," he said. The new Texas facility would be built at Moore Air Base, less than 20 miles (32 kilometers) from the Mexico border, and the USDA said it would also consider building a companion fly-breeding center there so that up to 300 million flies could be produced a week. The Panama facility breeds about 100 million a week, and the one in Mexico could breed as many as 100 million as well. The USDA has said the flies have been detected as close as 700 miles (1,127 kilometers) from the U.S. border, and some U.S. agriculture and cattle industry officials have worried that if the migration isn't checked, the flies could reach the border by the end of summer. Pressure from the U.S. prompted Mexico to step up efforts to control the fly's spread. Buck Wehrbein, a Nebraska cattle rancher and the president of the National Beef Cattlemen's Association, said Moore Air Base had a fly-breeding facility in the 1960s that helped eradicate it in the U.S. While there are treatments for New World screwworm infestations, cattle industry officials still worry that farmers and ranchers could see huge economic losses. They, agriculture officials and scientists also said the larva can infest any mammal, including household pets, and it has occasionally been seen in humans. 'The only way to protect the American cattle herd from the devastating threat of New World screwworm is by having a sufficient supply of sterile flies to push this pest away from our border,' Wehrbein said. Texas officials said they are grateful that the U.S. is taking the screwworm threat serious and pleased with the plans for combating it, including the new facility in Texas. Officials in other states are watching the fly's migration as well and see having sterile male flies outnumber the non-sterile one is crucial to checking its migration. 'We have a real concern about wildlife because of their ability to cross the border unchecked somewhat, whether it's feral pigs, deer, wild cattle, whatever the case may be,' Kansas Animal Health Commissioner Justin Smith said in a recent interview. 'There's an opportunity for them to be our exposure risk.'

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