Health
Biden Is Said to Pick Former North Carolina Health Secretary to Lead C.D.C.
President Biden plans to name Dr. Mandy Cohen, a former North Carolina health secretary who steered her state through the tumultuous first two years of the coronavirus pandemic, as the next director of the Centers for Disease Control and Prevention, according to two people familiar with the selection process.
The selection of Dr. Cohen, which was first reported by The Washington Post, is not final. The White House is still putting together the necessary paperwork to make the appointment official, according to another person familiar with the selection process. But Dr. Cohen is the leading candidate, this person said.
The White House declined to comment. Dr. Cohen did not immediately respond to a request for comment.
If chosen by Mr. Biden, Dr. Cohen, an internist, would replace Dr. Rochelle P. Walensky, an infectious disease expert who announced last month that she would step down at the end of June. Dr. Walensky led the C.D.C. through difficult times; the agency had grown demoralized under President Donald J. Trump and drew fierce criticism under both Mr. Trump and Mr. Biden.
As secretary of North Carolina’s Department of Health and Human Services under Gov. Roy Cooper from 2017 to 2021, Dr. Cohen established herself as a familiar and steady voice who maintained the public’s trust despite deep political divisions, people who worked with her said.
Addressing graduating students at Guilford College in North Carolina last month, Dr. Cohen made trust the theme of her commencement speech. “Change happens at the pace of trust,” she said, adding that while it was possible to motivate people to change their behavior by scaring them, “fear will only get you so far.”
One point in Dr. Cohen’s favor is that, unlike Dr. Walensky, she has previous experience in the federal government. Before becoming North Carolina’s health secretary, she held several posts in the Obama administration, including serving as chief operating officer and chief of staff at the Centers for Medicare and Medicaid Services. Dr. Cohen is currently an executive at Aledade, a company that offers support to physicians and community health clinics.
Although Congress passed legislation last year requiring that the C.D.C. director be subject to Senate confirmation, the provision does not take effect until 2025, so Dr. Cohen could begin serving right away.
“Mandy Cohen used a steady hand to help my administration lead North Carolina through the pandemic to be among the states with the lowest deaths and job losses per capita,” Mr. Cooper, a Democrat, said in a statement. “She is a brilliant, talented and battle-tested leader who would be a fantastic C.D.C. director.”
Public health experts who know Dr. Cohen or have worked with her said her experience leading North Carolina’s pandemic response and her years at federal agencies would be a tremendous asset for a C.D.C. director. The C.D.C. has repeatedly come under fire during the pandemic for its muddled messaging, but Dr. Cohen drew praise as a clear communicator.
“North Carolina is a purple state, which is relevant when, you know, we were in a public health emergency that was extremely politicized,” said Dr. Neel Shah, the chief medical officer of Maven Clinic, a digital health care provider, who has known Dr. Cohen since they were both medical residents at Massachusetts General Hospital. He said Dr. Cohen “did an outstanding job of having an impact in that kind of climate.”
In the public health community, Dr. Cohen has a reputation for creating innovative programs, including a workaround to allow state governments to use Medicaid dollars to help low-income people with housing, food security and other needs that can affect their health.
“People talk about North Carolina with a measure of excitement in their voice,” said Dr. Joshua M. Sharfstein, the vice dean for public health practice and community engagement at the Johns Hopkins Bloomberg School of Public Health, who worked closely with Dr. Cohen when he was Maryland’s health secretary and she was a federal official.
The pandemic revealed a deep rift between public health and medicine, and Dr. Cohen is trying to bridge that divide, in part by having primary care physicians deliver preventive care, Dr. Sharfstein said.
“There’s a lot of opportunity at the intersection of health care and public health, and C.D.C. has not really been able to take advantage of those opportunities,” he said.
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Health
‘Smart mask’ could detect asthma, COPD and other medical conditions, researchers say
Your breath could hold clues to your health, researchers say — and they have developed a “smart mask” to tap into them.
Wei Gao, professor of medical engineering at the California Institute of Technology (Caltech) in Pasadena, led the team that created the EBCare, a mask that analyzes the chemicals in someone’s breath to detect any existing health issues.
The mask is designed to screen for medical conditions like respiratory infections, COPD (chronic obstructive pulmonary disease), asthma and post-COVID infections, according to a press release from Caltech.
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EBCare works by cooling the breath to convert it into a liquid, then transports it to sensors to be analyzed for specific biomarkers.
In an email to Fox News Digital, lead researcher Gao noted the mask’s ability to enable “continuous, real-time monitoring of exhaled breath condensate (EBC) in a non-invasive and wearable format.”
“This technology has the potential to revolutionize the way we monitor respiratory health by providing valuable insights into conditions like asthma, COPD and other metabolic disorders,” Gao said, noting that it could be a path to more personalized health care.
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“It can also be applied to pandemic management by monitoring respiratory infections on a wide scale,” he added.
The ultimate goal is for the EBCare technology to go beyond respiratory diseases, Gao noted.
“As research progresses, we envision that the smart mask can be adapted to detect a wider range of biomarkers, including those related to metabolic, cardiovascular and infectious diseases,” he said.
A study of the mask’s capabilities included 31 healthy adults who wore the EBCare in real-life settings over a 14-hour span, according to Caltech. They only removed the mask for three-minute intervals to eat.
Ten of the participants were smokers, 10 had asthma, nine had COPD and 12 had recently recovered from COVID-19.
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The masks accurately detected the biomarker for asthma and COPD in participating patients. They also successfully detected signs of kidney disease.
EBCare also produced accurate readings of blood alcohol levels.
“Monitoring alcohol levels in real time offers a non-invasive and continuous alternative to breathalyzers or blood tests,” Gao said.
“We would need to see at least a few clinical studies demonstrating that the masks can diagnose better — or more rapidly or with more sensitivity — than the standard of care.”
The research — which was funded by the National Institutes of Health, the National Science Foundation, the Tobacco Related Disease Research Program, and the U.S. Army Medical Research Acquisition Activity — was published in the journal Science on Aug. 29.
The idea is not for the smart mask to replace traditional medical diagnosis, but to provide “early warning” through continuous health monitoring during daily activities and to “bridge the gap” between doctor’s visits, Gao said.
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“The goal is to identify subtle physiological changes before they develop into more severe conditions, giving individuals the opportunity to take proactive steps in managing their health,” he said.
This is especially important for those who need regular monitoring, such as patients with chronic conditions or those recovering from respiratory infections like COVID-19, according to Gao.
“I recommend that health care providers consider integrating real-time EBC analysis technology into their diagnostic and monitoring practices, especially for chronic conditions like asthma and COPD,” he said.
“For individuals, the ability to monitor one’s health non-invasively through a wearable device offers the opportunity to be more proactive in managing personal health, which can lead to early intervention and better health outcomes.”
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MarkAlain Déry, DO, MPH, infectious disease doctor and chief innovation officer at Access Health Louisiana, who was not involved with the development of the smart mask, agreed that it is an “exciting concept.”
“Could it work? Sure,” he told Fox News Digital.
“However, we would need to see at least a few clinical studies demonstrating that the masks can diagnose better — or more rapidly or with more sensitivity — than the standard of care,” he went on.
“Then, we would need studies that demonstrate clinical improvement.”
Potential limitations
Some external doctors not involved in the mask’s development questioned whether this mode of data collection is beneficial.
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“While the mask introduces an innovative method to monitor exhaled breath condensate (EBC), we need to ask an important question: Do these continuous, real-time measurements genuinely make a difference in everyday life?” said Dr. Brett Osborn, a Florida neurosurgeon, in a conversation with Fox News Digital.
“For the average person, the biomarkers it detects — ammonium, pH, nitrite and alcohol — do not need constant monitoring, especially when routine blood tests can provide this information more accurately and with greater relevance.”
Osborn believes that the concept of the EBCare mask is better suited for “specific, high-stakes environments,” such as real-time monitoring of toxic gases in military or industrial settings.
“However, for the average person, especially in a post-pandemic world, the idea of wearing a mask like this is counterproductive,” he said.
Dr. John W. Ayers, PhD, vice chief of innovation in the Division of Infectious Diseases and Global Public Health at the University of California San Diego, also questioned the idea of having patients with asthma or COPD — who already experience breathing difficulties — wear the masks.
“For the average person, especially in a post-pandemic world, the idea of wearing a mask like this is counterproductive.”
The lead researcher, Gao, responded to some of these comments.
“While routine blood tests are indeed reliable, they are typically periodic and require a clinical setting, which limits their ability to capture dynamic, day-to-day physiological changes,” he told Fox News Digital.
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“The real innovation of the EBCare mask lies in its ability to continuously monitor health in real time, offering insights that might not be detectable with intermittent tests.”
For individuals managing chronic conditions like asthma, COPD or metabolic disorders, fluctuations in certain biomarkers can provide early warning signs before symptoms worsen, allowing for timely intervention, according to the researcher.
Gao, however, did acknowledge some limitations with the EBCare device.
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“One limitation was the relatively small sample size in some of the clinical trials, particularly for conditions like COPD and asthma,” he told Fox News Digital.
“Future studies with larger and more diverse populations will help to further validate the device’s performance across a broader range of conditions and environments.”
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