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Letters to the Editor: Vaccines save millions of lives. Don't let Robert F. Kennedy Jr. diminish them

Letters to the Editor: Vaccines save millions of lives. Don't let Robert F. Kennedy Jr. diminish them

To the editor: For Robert F. Kennedy Jr. to be our secretary of Health and Human Services is not only having the fox guard the chicken coop — the fox is invited right into the chicken coop. His unfitness for the job and danger to the health of our citizens was beautifully laid out by columnist Robin Abcarian in her article on the critical role of vaccines and the dangers we face because he belittles their validity and importance ('RFK Jr. is dismantling trust in vaccines, the crown jewel of American public health,' June 29).
During my pediatric residency decades ago, some of the 'old-timers' occasionally brought in patients who had diseases that we rarely saw anymore because of vaccines, including measles. One night, a toddler came into the emergency room and we admitted her immediately to the intensive care unit because we could see she had a grave infection. She died the next day. The infection she had, Haemophilus influenzae type B, is now part of the vaccination schedule. That vaccine alone is estimated to have saved 2.85 million lives from 1989 to 2024.
There is little that prevents infant mortality like vaccines. Even though the insurance industry has followed Centers for Disease Control and Prevention recommendations for vaccines, paying for the ones recommended by the CDC Advisory Committee for Immunization Practices, I recommend and hope they will pivot to following the recommendations of professional medical organizations such as the American Academy of Pediatrics. Our children and others receiving vaccines deserve this protection.
Linda Randolph, Los Angeles
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To the editor: Operation Warp Speed was a great success that enabled testing and widespread distribution of COVID-19 vaccines by the end of the first pandemic year, 2020. According to one study, in just the first seven months of 2021, the vaccines saved approximately 279,000 U.S. lives.
Now, as Abcarian discusses, we have a Health secretary who tells Americans to eat healthy while he feasts on junk science that erroneously claims that COVID vaccines, along with other vaccines, are harmful.
We should all be concerned about our nation's transition from Operation Warp Speed to what I call 'Operation Warped Mind' — a foolish opposition to vaccines — and the risks that this poses to our health. And we should all question why the president nominated an unqualified person to be the Health secretary and why all Republican senators except Mitch McConnell voted to confirm him. It's notable that McConnell, a survivor of childhood polio, explained his position by saying, 'I will not condone the relitigation of proven cures, and neither will millions of Americans who credit their survival and quality of life to scientific miracles.'
David Michels, Encino
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More Data Cement COVID's Impact on Patients With Cancer
More Data Cement COVID's Impact on Patients With Cancer

Medscape

time5 hours ago

  • Medscape

More Data Cement COVID's Impact on Patients With Cancer

TOPLINE: New data confirm the impact COVID infection can have on patients with cancer and identified several risk factors associated with hospitalization and death. Receipt of chemotherapy as well as a baseline history of stroke, atrial fibrillation, or pulmonary embolism were each associated with nearly double the risk for COVID-related hospitalization. Prior vaccination halved this risk. Older age and earlier hospitalization were associated with a greater risk for death. METHODOLOGY: Patients undergoing active cancer treatment are at increased risk for severe COVID-19 due to immunosuppression, but risk factors for hospitalization and death are not well-defined. Researchers conducted a prospective cohort study involving 1572 patients with cancer (median age, 60 years; 53.4% women), enrolled within 14 days of a positive SARS-CoV-2 test; participants had received active treatment for cancer within 6 weeks before testing or had undergone prior stem cell transplant or CAR T-cell therapy. Patient screening and enrollment took place between May 2020 and February 2022. Treatments included chemotherapy (34.3%), targeted therapy (27.7%), and immunotherapy (10.6%). Breast (23.6%) and lung (13.9%) cancers were the most common cancer types. Overall, 64% of participants had metastatic disease, and at enrollment, 64% had not received a COVID vaccine. Study outcomes were COVID-related hospitalization or death. Risk factors for hospitalization and for death among hospitalized patients were evaluated separately. TAKEAWAY: At 90 days after an initial positive test, COVID-related mortality was 3% and remained stable at subsequent follow-ups. The highest incidence occurred in patients with lymphoma, followed by those with acute leukemia or lung cancer; the lowest incidence occurred in those with other types of solid tumors and blood cancers. Hospitalization for COVID-19 occurred in 18.4% of patients within 90 days of enrollment. The risk for hospitalization was elevated among patients who received chemotherapy (hazard ratio [HR], 1.97) and those with a history of stroke, atrial fibrillation, and pulmonary embolism (HR, 1.78). Vaccination prior to infection reduced the risk for hospitalization by nearly half (HR, 0.52). Hospitalization for COVID-19 within 30 days of infection was associated with an increased risk for death (HR, 14.6). Among patients hospitalized for COVID within 30 days, age 65 years or older was the only significant predictor of COVID-specific death (HR, 3.49). Over the 2-year follow-up, there were 1739 disruptions to cancer treatment; 50.7% of these were attributed to COVID-19, and most occurred within 30 days of a positive test. IN PRACTICE: 'The data from this prospective cohort study confirm and expand previous retrospective case series that have found factors, including hematologic cancers, chemotherapy receipt, and lung cancer, as associated with COVID-19 severity,' the authors of the study wrote, noting that the results 'showed that COVID-19 had a significant impact on patients with cancer, including hospitalization, treatment disruptions, and death.' SOURCE: This study, led by Brian I. Rini, MD, Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, was published online in JAMA Oncology. LIMITATIONS: Information on specific strains was not available. This study lacked a control group of patients without COVID-19, which limited causal inference. Additionally, as participants were enrolled through the National Cancer Institute trial networks, generalizability to a broader population could be limited. DISCLOSURES: This study was funded in part by the Coronavirus Aid, Relief, and Economic Security Act and the National Cancer Institute National Clinical Trials Network, Experimental Therapeutics Clinical Trials Network, and Community Oncology Research Program grants via the U10 funding mechanism. Several authors declared receiving grants and/or personal fees and having other ties with various sources. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

A New COVID Variant Is Here, And It's More Transmissible — Here Are The Signs And Symptoms
A New COVID Variant Is Here, And It's More Transmissible — Here Are The Signs And Symptoms

Yahoo

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A New COVID Variant Is Here, And It's More Transmissible — Here Are The Signs And Symptoms

A new COVID variant known as NB.1.8.1 has made landfall in the United States. As of late May, the variant, which was first detected in China this past January, accounted for 10% of the SARS-CoV-2 sequences tested from around the world, recent surveillance data found. That's a significant jump from 2.5% four weeks prior. A Centers for Disease Control and Prevention (CDC) spokesperson told HuffPost that the agency is in regular contact with international partners about the activity of NB.1.8.1. Up until late May, only 20 NB.1.8.1 sequences had been identified in the U.S. — that's below the threshold needed for a variant to appear on the agency's COVID dashboard. (As soon as its prevalence increases, NB.1.8.1 will pop up on the tracker, the spokesperson added.) It's nerve-wracking to hear that a new variant is making the rounds, but infectious disease specialists say there are no glaring differences between the symptoms of NB.1.8.1 and those caused by other versions of SARS-CoV-2. 'Currently it appears that NB.1.8.1 would have similar symptoms to other COVID variants that have recently been circulating,' Dr. Zachary Hoy, a pediatric infectious disease specialist with Pediatrix Medical Group in Nashville, Tennessee, told HuffPost. Here's what to know about the newest COVID variant that's gaining traction around the world. NB.1.8.1's mutations likely make it more transmissible. Compared to the currently dominant variant in the U.S. (LP.8.1), NB.1.8.1 has a handful of new mutations on the spike protein that may enhance its ability to bind to our cells, according to the World Health Organization (WHO). The agency suspects these mutations will increase the virus's transmissibility and, potentially, diminish the effectiveness of neutralizing antibodies that prevent pathogens from latching to our cells. In other words, the variant may be skilled at dodging some of our immune defenses, research suggests. Here are the signs and symptoms doctors are seeing with NB.1.8.1. 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Know when to treat NB.1.8.1 at home and when to go visit a doctor. Most people will be able to recover at home by resting and staying hydrated. While you're sick, acetaminophen and ibuprofen can help alleviate muscle aches and fevers, Hoy said. And, in most cases, symptoms should clear up within a week. For those who are at risk for severe disease, including older adults and people who are immune-compromised, it's worth contacting a physician as they can prescribe antivirals — Paxlovid and Molnupiravir — that can significantly lower the risk of severe complications and death. As was the case with previous variants, these antivirals work best when started within five days of symptom onset. As for when you should go to an urgent care or emergency room? When you have chest pain, have a hard time waking up or staying awake, or feel confused and disoriented, the CDC advises. Hoy says the most concerning symptom he warns patients about is difficulty breathing. 'If you have COVID or COVID-like illness and have worsening trouble breathing or chest pain, you should be evaluated at your doctor's office, urgent care or the ER,' he said. Related... RFK Jr. Says COVID Shot Will No Longer Be Advised For Healthy Kids, Pregnant Women COVID Cases Are Rising This Summer, But Not All The Data Shows It — Here's Why People Are Reporting A Frightening COVID Symptom Right Now — Here's What To Know

No meals, fainting nurses, dwindling baby formula: Starvation haunts Gaza hospitals
No meals, fainting nurses, dwindling baby formula: Starvation haunts Gaza hospitals

Boston Globe

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No meals, fainting nurses, dwindling baby formula: Starvation haunts Gaza hospitals

After months of warnings, international agencies, experts and doctors say starvation is now sweeping across Gaza amid restrictions on aid imposed by Israel for months. At least 56 Palestinians died this month of starvation in the territory, nearly half of the total of such deaths since the war began 22 months ago, according to data released Saturday by the Gaza Health Ministry. As starvation rises, medical institutions and staff, already struggling to treat war wounds and illness, are now grappling with rising cases of malnourishment. Advertisement Weak and dizzy, medics are passing out in the wards, where colleagues revive them with saline and glucose drips. Persistently short of basic tools such as antibiotics and painkillers, doctors are also running out of the special intravenous drips used to feed depleted patients. In all four hospitals, the doctors described how they are increasingly unable to save malnourished babies and are instead forced to simply manage their decline. 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Starvation has risen sharply since Israel's total blockade on food aid to Gaza between early March and late May, doctors and rights groups say. While Israel has since allowed food in, it introduced a new method of distribution that is flawed and dangerous, making it almost impossible for Palestinians to find food safely or affordably. Before March, food handouts were mainly distributed under a U.N.-led system from hundreds of points close to where people lived. Now, they are supplied from a handful of sites run by Israeli-backed private American contractors that, for most Palestinians in Gaza, can be reached only by walking for miles through Israeli military lines. Israeli soldiers have killed hundreds of people walking these routes, turning the daily search for food into a deadly trap. Advertisement Some food is still available from shops in Palestinian-run areas, but only at astronomic prices that are unaffordable to the largely unemployed civilian population. A kilogram, or 2.2 pounds, of flour costs up to $30, and a kilogram of tomatoes costs roughly $30; meat and rice are largely unavailable on the open market. That has forced many Palestinians to routinely choose between two often fatal options: risk death by starvation, or risk death by gunfire to reach food aid sites that are likely to have run out of supplies by the time many arrive. Israel publicly says the new aid system is necessary to prevent Hamas from stealing the aid. But Israeli military officials have acknowledged to The New York Times that they have no proof that Hamas has systematically stolen food supplied by the United Nations, the main provider of aid to Gaza during most of the war. Israel says that its soldiers have fired 'warning shots' to quell unrest along the roads leading to the aid sites. Maynard and Sleemi described injuries that indicated soldiers had systematically fired at people's torsos. Israel also blames the United Nations for failing to deliver enough food to alleviate the situation. Israel said Saturday that it had destroyed up to 100 truckloads of food in recent months because aid groups could not distribute the food before it passed its use-by date. U.N. officials say that Israeli restrictions have made it difficult to send convoys through an active war zone. The food shortages add another challenge to an already very difficult environment for doctors. 'Some staff members have collapsed in operating rooms. Others have fainted in emergency wards because they have not received any proper food,' said Dr. Mohammad Abu Salmiya, the director of Shifa Hospital in Gaza City. 'The burden on them is immense.' Advertisement Salam Barghouth, a 3-month-old baby girl treated for malnutrition last week at Al-Aqsa Martyrs Hospital, is among the youngest Palestinians failed by the new aid distribution system. Her mother, Hanin Barghouth, 22, is too weak to walk to the new distribution sites. Her father, Akram Barghouth, 27, has never managed to reach the sites before the aid runs out, Hanin Barghouth said. Like most Palestinians, the parents are jobless, rely on donations from relatives and friends and said they survive mostly on falafel balls that cost roughly 10 times their prewar price. As a result, Barghouth regularly skips meals and says she has lost 29 pounds, a fifth of her body weight, since the start of the war. She cannot produce enough breast milk to feed Salam, who was born April 21, after Israel started the blockade. At Salam's birth, according to al-Faleet, her doctor, she weighed roughly 6.6 pounds. Three months later, she weighs only 8.8 -- at least 3 pounds underweight, the doctor said. 'I'm breastfeeding her as much as I can, and when I can't, I give her formula -- but that's only when I have it,' Barghouth said. She is reaching the end of a container of formula that she said cost roughly $120, approximately 2 1/2 times the amount it costs outside Gaza. 'She came into the world during a war,' Barghouth added, 'and I'm fighting every day to keep her alive in it.' While Salam Barghouth can still access medical support in central Gaza, other starving children farther to the north are struggling to find it because aid groups have found it harder to bring supplies to them. Advertisement One of them is Yazan Abu al-Foul, 2, a child living with his family in a damaged building beside a beach in Gaza City. His ribs, spine and hip bones jut from his body. An aunt, Riwaa Abu al-Foul, said Yazan's family cannot find enough food to feed him and hospital staff in his area have told them that they cannot provide him with inpatient care. 'They told us there is a shortage of materials and equipment,' Abu al-Foul said in a phone interview Saturday. Doctors at hospitals in northern, central and southern Gaza described similar hardships in interviews Friday and Saturday. 'There are no nutritional supplements, no vitamins, no premature infant formula, no amino acid intravenous solutions -- nothing,' Abu Salmiya said. 'Their bodies need these basics, and without them they will die.' This article originally appeared in

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