Medicine

A British Columbia provincial policy that forced people with chronic illnesses such as Crohn’s disease and rheumatoid arthritis to switch to cheaper medications saved the province more than $730-million over five years, according to a new government report.

The B.C. government said Friday that the money freed up through its biosimilar switching plan allowed the province to expand public coverage of other drugs and devices, including Trikafta, a life-changing treatment for cystic fibrosis and continuous glucose monitors for people with diabetes.

At the height of the COVID-19 pandemic, the U.S. military launched a secret campaign to counter what it perceived as China’s growing influence in the Philippines, a nation hit especially hard by the deadly virus.

Reuters identified at least 300 accounts on X, formerly Twitter, that matched descriptions shared by former U.S. military officials familiar with the Philippines operation. Almost all were created in the summer of 2020 and centered on the slogan #Chinaangvirus – Tagalog for China is the virus.

The military program started under former President Donald Trump and continued months into Joe Biden’s presidency, Reuters found – even after alarmed social media executives warned the new administration that the Pentagon had been trafficking in COVID misinformation. The Biden White House issued an edict in spring 2021 banning the anti-vax effort, which also disparaged vaccines produced by other rivals, and the Pentagon initiated an internal review, Reuters found.

30 April 1961 Leonid Rogozov does appendectomy on himself during his Antarctica expidition with help of driver and meteorologist.

I was incredibly strong and fit,” says Lucy Keighley. And she looks it, in the photo she is showing me, taken a few years ago. She is with her best friend, Lorna; they have just completed a 15-mile race on the North York Moors. “It was a brutal race,” she says. “But it was great. I was happy.” Today, although it’s quite dark in the room (she doesn’t get on well with bright light), I can see a tear rolling down her cheek. “I don’t know if I’m ever going to get back there.”

In the most recent findings by the Office for National Statistics, released in April, an estimated 2 million people in England and Scotland (3.3% of the population) self-reported experiencing long Covid, meaning symptoms that continued for more than four weeks after infection, although many reported their symptoms had lasted two years or longer. Of those, about 1.5 million felt their day-to-day activities were affected, while 381,000 said their day-to‑day activities were “limited a lot”. Worldwide, at least 65 million people are estimated to have long Covid.

cross-posted from: https://kbin.run/m/[email protected]/t/410267

More than 200 people with diabetes have been injured when their insulin pumps shut down unexpectedly due to a problem with a connected mobile app, the US Food and Drug Administration said Wednesday.

Hospital leaders say the health system won’t be ready if the avian flu that’s infected American dairy cattle becomes widespread among humans.

In discussing a hypothetical scenario, the hospitals have struck a different tone than the Biden administration. It says the risk is currently low to most people and that agencies are closely monitoring for any sign of danger to Americans.

Still, hospital officials told POLITICO they’re dismayed that they don’t feel better prepared, just four years after Covid-19 caught them unawares. They’re not confident that the health care system — including the government agencies that have wound down Covid responses — can avoid the missteps around tests, bed space and communication that plagued the last public health emergency, should this strain of flu, H5N1, become more of a threat.

cross-posted from: https://lemmy.ca/post/20510991

Sick notes place an unnecessary burden on doctors and patients, physicians' organizations say

Family doctors frustrated with writing sick notes have created a template letter for patients to give to their employers, explaining that the notes place an unnecessary burden on physicians during an ongoing primary-care crisis.

They are also calling on the province to restrict when and how employers can ask for sick notes.

Many family doctors spend between 20 and 30 per cent of their day doing paperwork, Ali says, and filling out sick notes only adds to that.

Also, having to leave the house to get a note does not allow the sick person to rest, Ali said, and the task is made even more difficult for those who don't have a family doctor and have to wait in walk-in clinics. "A person who feels under the weather — the last thing they want to do is possibly get on a bus, or into their vehicle, or ask someone for a ride to go to their doctors office," said Ali.

As of 2023, employers in Nova Scotia are only allowed to request a sick note if the absence is more than five consecutive work days.

New legislation in Ontario, meanwhile, will force employers to scrap sick notes for the three days of provincially mandated annual sick leave. The Ontario government is moving to ban sick notes for short-term illness, in an effort to cut down on paperwork for family doctors.

In a statement sent to CBC News, B.C.'s Ministry of Labour said employers are able to request "reasonably sufficient proof" of illness, but are encouraged to be thoughtful about when they request sick notes.

It did not respond to questions about whether it is considering legislation to ban or restrict asking for sick notes.

Sorry that's being referenced in this one: https://www.nbcbayarea.com/news/health/nurses-kaiser-sf-protest-ai/3516888

Walmart had made a big push into health care in recent years, opening clinics next to its superstores that offered primary and urgent care, labs, X-rays, behavioral health and dental work — Arkansas, Florida, Georgia, Illinois, Missouri and Texas. Walmart believed it could use its massive financial scale and store base to offer convenient, low-cost services to patients in rural and underserved areas that lacked primary care options.

But the announcement is an abrupt reversal in Walmart’s strategy and may leave a gap in health care access, particularly for lower-income patients without insurance who relied on the centers. Walmart also said it will end virtual health care services. 99 Cents Only Stores, founded in 1982, announced Thursday that they will close all 371 of its stores. Nearby stores include Visalia (pictured), Tulare, Hanford, and Porterville.

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“One of unique things was they were focused on stores located in underserved communities. It’s disappointing that Walmart wasn’t able to make it work because these patients need care and don’t have as many options,” said Ateev Mehrotra, a professor of health care policy and medicine at Harvard Medical School who researches retail health clinics.

Walmart said it was a “difficult decision,” but its health care push was not profitable for the company because of the “challenging reimbursement environment and escalating operating costs.”

“We determined there is not a sustainable business model for us to continue,” the company said.

"Researchers at the Technical University of Denmark (DTU) and Lund University, Sweden, have used enzymes produced by a common gut bacteria to remove the A and B antigens from red blood cells, bringing them one step closer to creating universal donor blood."