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Deaths From Substance Abuse Rose Sharply Among Older Americans in 2020

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Deaths From Substance Abuse Rose Sharply Among Older Americans in 2020

Deaths as a result of substance abuse, significantly of alcohol and opioids, rose sharply amongst older Individuals in 2020, the primary yr of the coronavirus pandemic, as lockdowns disrupted routines and isolation and worry unfold, federal well being researchers reported on Wednesday.

Alcohol and opioid deaths remained far much less widespread amongst older individuals than amongst these middled-aged and youthful, and charges had been rising in all teams for years. However the pronounced uptick — one other information level within the lengthy checklist of pandemic miseries — stunned authorities researchers.

Deaths from opioids elevated amongst Individuals aged 65 and older by 53 p.c in 2020 over the earlier yr, the Nationwide Middle for Well being Statistics discovered. Alcohol-related deaths, which had already been rising for a decade on this age group, rose by 18 p.c.

“The speed of alcohol deaths in older individuals is far decrease than for youthful adults, however the change caught our eye,” stated Ellen Kramarow, a well being statistician on the middle and the lead writer of the report, which analyzed loss of life certificates information.

Overdose deaths from artificial opioids account for fewer than 1 p.c of deaths in individuals over 65, Dr. Kramarow famous. “However the form of the curve jumped out at us,” she stated.

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Physiological adjustments that happen with growing old go away older adults extra weak to the in poor health results of alcohol and medicines, as metabolism and excretion of drugs decelerate, growing the danger of toxicity. Smaller quantities have larger results, researchers have discovered.

Alcohol and opioids can work together poorly with prescription medicines that many older adults take for widespread situations like hypertension, diabetes and temper issues. Misuse can result in falls and accidents, exacerbate underlying medical situations and worsen declines in cognition.

Substance abuse by older adults is commonly missed by well being care suppliers, who not often refer these sufferers for therapy. Many amenities that supply rehab providers tailor their packages to youthful populations. Older sufferers have totally different wants and could also be uncomfortable receiving therapy with people who find themselves solely as previous as their youngsters or grandchildren.

Many child boomers have struggled with habit since they had been younger adults. Some fell off the wagon after retirement or in the course of the pandemic, after they all of a sudden had extra free time and little construction and misplaced entry to therapy due to shutdowns and worry of an infection.

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The loss of life charges point out a widespread drawback with substance abuse among the many aged. Although alcohol and drug use usually subside with age, practically 1,000,000 adults aged 65 and older have a substance use dysfunction, based on authorities information. Some 3 p.c use marijuana, and one in 10 binge-drink, which is outlined for males as having 5 or extra drinks on a single event, and for girls as having 4 or extra.

“It is a hidden inhabitants that’s usually ignored,” stated Dr. Frederic Blow, a professor of psychiatry and director of the College of Michigan Dependancy Middle.

Dr. Blow stated that comparatively few older Individuals go into therapy. Households and spouses are embarrassed, and well being care suppliers are typically much less aggressive about referring older sufferers to rehab, he added.

“Youthful individuals go to get care as a result of their household provides them an ultimatum or their employer has recognized the issue, whereas the primary means older people get to therapy is thru the legal justice system,” usually after an arrest for drunken driving, he stated.

Lochiel P., a 72-year-old man in Albany, N.Y., who requested that his final identify be withheld, began ingesting when he was 18 (which was then the authorized age) and started smoking marijuana and utilizing psychedelic medicine in school.

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He had been out and in of therapy his total life. However he had been sober for eight years when his retirement triggered a relapse.

“I by no means smoked marijuana earlier than I went to work or in the course of the workday — solely after I went residence,” he stated. However after retiring, he stated, “I smoked marijuana all day lengthy and drank a pint of vodka each day, beginning with one half-pint at midday and the second within the night.”

He was depressing, and his spouse was about to depart him, he stated, when he was lastly ordered into therapy after being stopped for driving underneath the affect.

He has now been sober for 4 years and has grow to be a restoration peer advocate at Senior Hope, an outpatient clinic in Albany that caters to individuals aged 50 and older who’re fighting substance abuse.

This system is the one one among its form in New York to supply non-intensive therapy outdoors a hospital to individuals in that age group, based on Nicole S. MacFarland, Senior Hope’s chief govt officer.

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Therapy teams are smaller, which is most well-liked by older sufferers, and facilitators make sure that to talk loudly and slowly to accommodate these with listening to and cognitive deficits, she stated.

The brand new federal information supply granular insights into who’s at highest danger. Males usually tend to undergo alcohol-induced deaths: In 2020, the charges for males aged 65 to 74 had been greater than 3 times as excessive as these amongst girls of the identical ages.

Alcohol-related loss of life charges for males aged 75 and older had been 4 occasions as excessive as amongst equally aged girls, based on the brand new report.

Native American and Alaska Native individuals aged 65 and over skilled the most important enhance in age-adjusted alcohol-induced loss of life charges in 2020, with the speed climbing nearly 50 p.c from 2019. The determine was greater than twice as excessive as the speed amongst older Hispanic Individuals.

White Individuals had the following highest loss of life charge, with decrease figures for Black Individuals and the bottom ones for Asian American seniors. Over all, 11,616 Individuals aged 65 and older died of alcohol-induced causes in 2020.

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About 5,000 older adults died of drug overdoses. However that quantity represents a tripling of the drug loss of life charge over the previous 20 years, with sooner will increase amongst males in recent times.

Drug overdose loss of life charges for males aged 65 and over are highest amongst Black males, in contrast with males from different racial and ethnic backgrounds. Amongst girls, overdose loss of life charges are highest for Black girls aged 65 to 74, whereas white girls have the best loss of life charges amongst girls aged 75 and over.

Getting older child boomers — the Woodstock technology — had extra publicity to alcohol and medicines than earlier generations, who seen using such substances as an ethical weak spot and had been a lot much less conversant in marijuana, Dr. Blow stated.

The fraying of social networks and shutdowns in the course of the first a part of the pandemic exacerbated substance abuse, simply as entry to hashish and alcohol elevated — one might order drinks or hashish over the cellphone and have them delivered to 1’s residence, Dr. Blow stated.

“Once you add that to emotions of loneliness and isolation, of feeling on the finish of the world in some methods, it grew to become an impetus for individuals to start out utilizing greater than they ever had previously,” he stated.

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Young girl survives cancer thanks to little sister’s lifesaving donation: 'A perfect match'

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Young girl survives cancer thanks to little sister’s lifesaving donation: 'A perfect match'

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A young girl in the U.K. is in cancer remission thanks to her sister’s lifesaving bone marrow donation.

Ruby Leaning, 10, was diagnosed with acute lymphoblastic leukemia after collapsing on the school playground in Jan. 2020, according to SWNS, the British news service.

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The rare blood cancer required an urgent bone marrow transplant to keep the 6-year-old alive.

AI COULD PREDICT WHETHER CANCER TREATMENTS WILL WORK, EXPERTS SAY

After several tests, Leaning’s then 2-year-old sister, Mabel Leaning, came up as a “perfect match.”

The Leaning sisters’ grandmother, Amanda Fawcett, confirmed to SWNS that Ruby Leaning received treatment with Mabel Leaning’s stem cells.

Sisters Mabel Leaning, left, and Ruby Leaning hold hands in the hospital. The younger sister saved the older one with a bone marrow transplant. (Amanda Fawcett via SWNS)

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Ruby Leaning was declared cancer-free in 2022 — meaning Mabel Leaning “saved Ruby’s life for sure,” Fawcett said.

“She’s a happy, normal and healthy 10-year-old who loves swimming, dancing and piano lessons.”

“We [weren’t] expecting her to be a match at first, but thankfully she was, so we just couldn’t believe our luck,” she said. 

“It was amazing – we were so thankful.”

SOME BREAST CANCER PATIENTS COULD BE AT RISK OF ANOTHER TYPE OF CANCER, STUDY REVEALS

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Fawcett recalled the moment her granddaughter was diagnosed with cancer at Sheffield Children’s Hospital.

“It’s just every parent and grandparent’s nightmare,” she said to SWNS.

Ruby Leaning in the hospital

Ruby Leaning, pictured in the hospital, was diagnosed with acute leukemia in 2020. (Amanda Fawcett via SWNS)

“I was in the room with her mom when we found out, and you just can’t take anything in at all. It was all just heart-shattering.”

Fawcett described her granddaughters as “so close,” telling SWNS that they are “amazing girls.”

“They’ve got a great relationship between them,” she said.

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“But Mabel will be asking to borrow Ruby’s shoes when she realizes [she saved her life] – and we do laugh about how it will be fun and games.”

Fawcett said Ruby Leaning has been “doing fantastic” in remission and is “back to her normal self.”

Ruby Leaning and Mabel Leaning

Ruby and Mabel Leaning have “a great relationship between them,” grandmother Amanda Fawcett said. (Amanda Fawcett via SWNS)

“She’s a happy, normal and healthy 10-year-old who loves swimming, dancing and piano lessons,” she said.

The grandmother is currently raising money for the Parents Association of Children with Tumors and Leukemia (PACT), which supported the Leaning family, according to SWNS.

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“None of us could be there for Ruby, which was horrendous for us, because of the pandemic,” Fawcett shared.

“But they were an amazing support.”

Fox News Digital reached out to Sheffield Children’s Hospital for additional comment.

For more Health articles, visit www.foxnews.com/health.

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Alan Hale Jr: 16 Facts About the Skipper from 'Gilligan's Island'

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Alan Hale Jr: 16 Facts About the Skipper from 'Gilligan's Island'



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Alzheimer's drug embrace slows down as US doctors' reluctance grows

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Alzheimer's drug embrace slows down as US doctors' reluctance grows

Nine months into the U.S. launch of the first drug proven to slow the advance of Alzheimer’s, Eisai and Biogen’s Leqembi is facing an unexpected hurdle to widespread use: an entrenched belief among some doctors that treating the memory-robbing disease is futile.

Alzheimer’s experts had anticipated bottlenecks due to Leqembi’s requirements, which include additional diagnostic tests, twice-monthly infusions and regular brain scans to guard against potentially lethal side effects.

And those issues have played a role in slow adoption since the drug was approved by the U.S. Food and Drug Administration, according to interviews with 20 neurologists and geriatricians from rural, urban, academic and community practices in 19 states.

FDA FULLY APPROVES ‘NOVEL’ ALZHEIMER’S DISEASE DRUG LEQEMBI, WILL BE COVERED BY MEDICARE

In interviews with Reuters, seven doctors treating patients for Alzheimer’s attributed their own reluctance to prescribe Leqembi to concerns about the drug’s efficacy, cost and risks. 

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The use of the FDA-approved Alzheimer’s drug, Leqembi, has slowed down as doctor’s skepticism increases, while patients like Lyn Castellano in St. Louis continue to use the drug as it offers a sense of hope for her future. (Joe Castellano/Handout via REUTERS)

“I don’t think it’s a good Alzheimer’s drug. I think that’s the problem,” said Dr. James Burke, a neurologist at the Ohio State University who has been an outspoken critic of Leqembi. “It’s certainly nothing like the home run that we’re looking for.”

Another six scientists, all leaders in the field, said “therapeutic nihilism” – the belief that Alzheimer’s is a hopelessly intractable disease – was playing a bigger role than anticipated in suppressing demand from primary care doctors, geriatricians and neurologists who could be sending patients to memory specialists for treatment.

Dr. Reisa Sperling, a neurologist and Alzheimer’s researcher at Mass General Brigham in Boston, likens some doctors’ skepticism to Leqembi to fatalistic attitudes about cancer treatment 30 years ago: “You can’t really do anything about it, so why would you even want to get tested?”

Alex Scott, Eisai’s chief administrative officer, acknowledged that skepticism has weighed on the launch along with slower-than-expected adoption by large health systems.

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He suggested that some of the doctors’ hesitancy could be a holdover from the decades-long journey to prove that removing the Alzheimer’s protein beta amyloid from the brain could slow the course of the disease. Before Esai released the promising results of its Leqembi trial, some thought that area of research “a fool’s errand,” Scott said.

“We are beginning to make more and more progress every single month. So we’re still quite encouraged,” Scott said. “This is a new journey, and I think it takes some time for providers to figure it out.”

‘SIGNIFICANT RISKS, MARGINAL BENEFIT’

Leqembi was the first amyloid-targeting drug granted full FDA approval after it slowed the decline in cognition in people in the early stages of Alzheimer’s by 27% in a clinical trial.

Of the 10,000 Americans the companies hoped to treat by the end of March, Eisai announced only a couple thousand had begun treatment as of the end of January. An Eisai spokeswoman declined to provide updated numbers.

Even for treatments that do not require dramatic changes to medical practice, adoption of new drugs is notoriously slow. Several studies have estimated that it can take 17 years on average for clinical research to be translated into routine practice.

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The disease is estimated to affect more than 6 million Americans, according to the Alzheimer’s Association.

NEW DEMENTIA DRUG ‘HAS GIVEN ME HOPE’: ALZHEIMER’S PATIENTS REVEAL THEIR STORIES

Fewer than half of U.S. neurologists recommend Leqembi to patients, according to a January survey by life sciences market researcher Spherix Global Insights.

Dr. Michael Greicius, a professor at Stanford University’s Center for Memory Disorders, said there is little evidence that Leqembi benefits patients in a meaningful way.

“If we take the trial result at face value, the differences between placebo and treatment are likely small enough as to be undetectable by patients and family members or physicians,” said Greicius, who does not recommend Leqembi to patients.

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He said the long wait for an Alzheimer’s drug has put doctors in the position of feeling obligated to offer a treatment “even if the evidence for it is very slim.”

Other doctors have raised concerns about the risk of brain swelling and bleeding associated with Leqembi as well as the costs associated with the $26,500 annual drug, frequent MRIs and twice-monthly infusions.

“There are significant risks associated with these drugs, there are significant costs, and I would say there is marginal benefit,” said Dr. Eric Widera, a geriatrician and professor at University of California San Francisco, referring to amyloid-lowering treatments.

In an editorial published in November in the Journal of Gerontological Nursing, Donna Fick, president of the American Geriatrics Society, advised doctors that the group recommends caution in the use of lecanemab, which is sold under the brand name of Leqembi. 

“It is not yet clear whether treatments such as lecanemab that remove amyloid from the brain produce clinically important slowing of cognitive decline in Alzheimer’s disease.”

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‘YOUR ENEMY IS NIHILISM’

Dr. Jonathan Liss, a neurologist from Columbus, Georgia, who serves on Eisai’s scientific advisory board and has tested Leqembi in clinical trials, said he first warned about nihilism at a November 2022 conference following a presentation of Leqembi’s breakthrough study.

Eisai had asked its scientific advisors how the drug might fare against future rivals. Liss cautioned that rivals were not the enemy; “your enemy is nihilism,’” he recalled. “All of the neurologists around the table started applauding.”

FIRST DRUG PROVEN TO SLOW ALZHEIMER’S WON’T BE AVAILABLE TO MOST PATIENTS FOR SEVERAL MONTHS

Dr. Nathaniel Chin, a geriatrician with the University of Wisconsin’s Alzheimer’s Disease Research Center, said he was the target of negative comments on social media after he urged geriatricians to embrace such treatments in the Journal of the American Geriatrics Society.

Geriatricians, geriatric social workers and nurses objected, arguing that the drug’s statistically significant benefit was not clinically meaningful to patients, especially given the risks, he said.

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“I would ask the question, ‘Is it ethical to withhold a medication that is FDA-approved and covered by insurance from someone who knows the risk and is willing to take it?’” Chin said.

Dr. Priya Singhal, executive vice president and head of development at Biogen, acknowledged some apathy among physicians about the treatment but said that infrastructure and lack of access to neurologists have been bigger issues.

Singhal said the companies are working with physician and patient advocacy groups and developing educational programs and materials aimed at diagnosing early-stage patients, managing side effects and understanding the drug’s benefits.

The companies said they intend to increase their salesforce by 30% as they aim for 100,000 patients by 2026.

For the moment, Leqembi is the only Alzheimer’s drug on the market designed to slow the course of the disease. A decision on Lilly’s donanemab has been delayed until the FDA convenes an advisory panel.

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Lilly neuroscience president Anne White said in an interview that she sees doctor hesitancy as an issue that the company hopes to address by making clear which patients benefit from such treatments.

In the early stages of Alzheimer’s, many patients are still independent, and to be able to remain so for longer is very meaningful, she said.

‘PEACE AND QUIET’

Lyn Castellano, 64, who founded and ran a St. Louis breast cancer charity for 20 years and trained therapy dogs, started taking Leqembi last September, nearly a year after she found herself struggling with keeping track of appointments and was diagnosed with mild cognitive impairment.

Castellano said the prospect of bleeding in the brain – a possible side effect of the drug – was her biggest concern, but her family believed the drug may offer a chance at slowing the disease.

She is one of more than 140 patients being treated by physicians from Washington University in St. Louis, and has had 13 infusions and two MRIs without incident.

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Dr. Suzanne Schindler, an Alzheimer’s researcher who is treating Castellano, said Leqembi “forces clinicians to completely change the way they have practiced medicine for many years.”

She said she is candid about Leqembi’s modest benefit as well as the risks. About 80% of those she believes are good candidates have opted for the treatment, she said.

While Castellano can’t tell if Leqembi is helping, she says the treatment has given her hope, and she doesn’t mind the twice monthly infusions.

“I get to go, sit back in a nice chair, have my dog with me and read a book for a couple hours. It’s about the only place I get some peace and quiet.”

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