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FDA clears Moderna's RSV vaccine for use in people aged 18 to 59

FDA clears Moderna's RSV vaccine for use in people aged 18 to 59

Boston Globe16 hours ago

'RSV poses a serious health risk to adults with certain chronic conditions, and today's approval marks an important step forward in our ability to protect additional populations from severe illness from RSV,' Moderna CEO Stéphane Bancel, said in a statement.
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The approval was a welcome win for the Cambridge-based company, which has faced several setbacks of late due to deep distrust of its messenger RNA vaccine platform among supporters of health secretary Robert F. Kennedy Jr.
A number
The next step in the vaccine's path to expanded use has already been cleared. At a meeting in April, the Center for Disease Control and Prevention's expert vaccines panel, the Advisory Committee on Immunization Practices, voted to recommend use of RSV vaccine
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At the time of the vote, only two of the three licensed RSV vaccines — Pfizer's Abryso and GSK's Arexvy — were licensed for use in adults under the age of 60. The committee's recommendation was worded in such a way as to include any RSV with a license for use in this age group, so should, in theory, apply as well to the Moderna vaccine now that the age extension has been endorsed by the FDA.
But that ACIP recommendation is currently in limbo. A recommendation from the advisory body must be approved by the CDC director or the secretary of the Health and Human Services Department in order to come into force. There is currently no CDC director and in the nearly two months since ACIP endorsed the recommendation, Kennedy has chosen not to sign off on it. He did, however, approve three other recommendations the committee made related to use of chikungunya vaccines.
Without a recommendation from the ACIP that has been accepted by the CDC director or the health secretary, the vaccine can be administered to an individual in the new age group, but health insurers do not have to cover its cost.
Kennedy
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Late last month Moderna
The company said it will have mRESVIA available in the U.S. for both younger adults at increased risk — the ages 18 to 59 cohort — and adults aged 60 and older for the 2025-2026 respiratory virus season.

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Providence cuts 600 roles amid restructuring
Providence cuts 600 roles amid restructuring

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time31 minutes ago

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Providence cuts 600 roles amid restructuring

This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. Renton, Washington-based nonprofit Providence cut 600 jobs this week in a business-wide restructuring. In a statement Thursday, the troubled system said proposed cuts to Medicare and Medicaid, ongoing payment denials and delays from insurers, and higher labor and supply costs necessitated the cuts. The layoffs affect less than 1% of Providence's total workforce and impact mostly nonclinical, administrative functions, Providence said. However, some patient care roles were impacted. By its own account, Providence has had a difficult start to 2025. The 51-hospital system began the year by streamlining and reducing its executive team by 46 positions. Providence's new CEO, Erik Wexler, said the cuts were necessary as the system prioritized 'focus and discipline.' Then in April, the health system said it would freeze nonclinical hiring and cut some discretionary spending, including nonessential travel and future sponsorship of major league sports teams, due to a 'perfect storm' of economic pressures. At the time, Wexler said he had hoped Providence, which hasn't posted a profit in four years, would break even in 2025. 'We were on track to finally break even this year. But just as we were nearing that goal, the external economic conditions in 2025 took a sudden turn,' Wexler said in an April email to staff. Pressures include cuts to Medicare and Medicaid, which Wexler said have cost the health system $500 million. Additional cuts proposed by Congress could cost the system an additional $1 billion annually. Tariffs could also cause supply costs to shoot up by tens of millions of dollars. The health system is also taking a hit from new state-level regulations, including stronger charity care laws and staffing legislation in Oregon, according to a financial report. The regulations have decreased revenue and driven up staffing costs. Other one-time costs include impacts from a 46-day nurses strike in Oregon and lost revenue from the Los Angeles wildfires. The expenses have taken a toll: Operating revenues rose by 1% year over year during the first quarter, while operating expenses increased by 6%. Providence said the most recent layoffs are part of the health system's effort to restore its finances. 'These difficult but necessary steps are part of a comprehensive approach to financial sustainability that will enable our family of organizations to better reinvest in and revitalize the front lines of care, including the people, programs, equipment and facilities needed to serve our communities,' Providence COO Darryl Elmouchi said in a statement. Other nonprofits have recently conducted large, swift rounds of layoffs. Boston-based Mass General Brigham laid off 1,500 employees in two rounds conducted over a matter of weeks. In contrast, Providence cut executive roles and froze hiring before conducting its own mass layoffs. The phased-in approach may have allowed the health system to be more precise about where it reduced headcount, however, drawing out workforce changes over several months holds risks for employee morale, said Andy Challenger, senior vice president of outplacement firm Challenger, Gray & Christmas. 'It does have a legitimate effect on people's psyche, on their morale and on their willingness to stay at the company,' Challenger said. 'While you can be a lot more precise as an organization if you do your cuts that way — you can take the scalpel to [layoffs] instead of a butcher's knife and make sure that you're not overcutting... you can also create a real culture of panic for months and months on end.' Recommended Reading Providence freezes nonclinical hiring amid financial 'perfect storm' Sign in to access your portfolio

Robert F. Kennedy Jr. wants health agencies to use a lot more AI. After the MAHA report, experts have some concerns
Robert F. Kennedy Jr. wants health agencies to use a lot more AI. After the MAHA report, experts have some concerns

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time2 hours ago

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Robert F. Kennedy Jr. wants health agencies to use a lot more AI. After the MAHA report, experts have some concerns

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'What my research has shown is that it actually comes down to some of the really boring details that make the difference between a good, powerful algorithm that helps people, and one that really messes things up.' Republicans who work on AI issues in the Senate supported Kennedy's goals but also agreed on the importance of rolling it out with the right protections. 'This is going to be the future,' said Indiana Senator Todd Young. 'I mean, we'd be doing something wrong if, if the head of our health agency wasn't talking about using AI.' The two general use cases that Kennedy has mentioned, replacing steps in clinical trials and analyzing patient data, have some potential issues in common, including that AI can generate false information. But they also have risks unique to each case. Privacy, for example, is a serious concern with patient data. If not properly stripped of identifying factors, even supposedly anonymized data can be re-identified, as has happened in some cases. 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Many cited cautionary tales of much lower-stakes AI deployment gone wrong, such as companies that 'Doing things like simulating an entire body in order to save clinical trials is just grossly unrealistic where we sit right now,' said Gary Marcus, a professor emeritus at New York University and critic of AI enthusiasm. 'If we're lucky, we can do it in 40 [years], but we certainly can't now. That's just a pipe dream.' Advertisement Tal Kopan can be reached at

Bacteria in your mouth might reveal how depressed you are, scientists say
Bacteria in your mouth might reveal how depressed you are, scientists say

Yahoo

time6 hours ago

  • Yahoo

Bacteria in your mouth might reveal how depressed you are, scientists say

Depression could be linked to a lack of diversity in the bacteria in your mouth, according to new research. As you read this, your mouth contains between 500 billion and 1 trillion bacteria. After the gut microbiome, the orifice is the second-largest community of microorganisms in human bodies. Now, researchers at New York University say the makeup of those microbes could be used to help diagnose and treat depression. In a new study, they found that less diversity of microbes in the mouth is associated with the mental health condition. 'It's possible that the oral microbiome influences depressive symptoms through inflammation or changes to the immune system. Conversely, depression can drive changes including dietary intake, poor oral hygiene, increased smoking and drinking, or the use of medications—all of which have the potential to alter the oral microbiome,' Dr. Bei Wu, vice dean for research at NYU Rory Meyers College of Nursing, said in a statement. 'We need more research to understand the direction and underlying pathways of this relationship.' Wu is the senior author of the study, which was published this week in the journal BMC Oral Health. To reach these conclusions, the authors examined data from the Centers for Disease Control and Prevention's National Health and Nutrition Examination Survey. They used questionnaire data from more than 15,000 adults collected between 2009 and 2012 to compare symptoms of depression with saliva samples. They also used gene sequencing to identify the microbes in the saliva and measure the diversity of the oral microbiome. That's how they found that people with less microbial diversity were more likely to have symptoms of depression. Additional analysis revealed that practices including smoking, drinking, and dental care influenced the relationship between the oral microbiome and depression. They can all change the makeup of bacteria in the mouth. They noted that antidepressants and other psychotropic medications have side effects that can lead to reduced saliva and alter the oral microenvironment. 'Thus, medications not only alleviate depressive symptoms but also have a regulatory effect on oral health,' they said. Still, it remains unclear whether the diversity of microbes in the mouth influences depression, if depression leads to changes in the oral microbiome, or if there's a symbiotic relationship. They noted that a recent study found a potential link between depression and the diversity of bacteria in the gut, and that a growing body of research points to a connection between the oral microbiome and overall health. That's thought to be driven by inflammation and disruptions to the immune system. They hope these findings will support a greater understanding of the issue. In 2021, an estimated 21 million adults had at least one major depressive episode in the past year. 'Having a better understanding of the relationship between the oral microbiome and depression could not only help us learn about the mechanisms underlying depression, but could contribute to the development of new biomarkers or treatments for mood disorders,' said Wu.

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