Connect with us

Health

In Jails and Prisons, the White House Sees a Chance to Curtail Opioid Overdoses

Published

on

In Jails and Prisons, the White House Sees a Chance to Curtail Opioid Overdoses

The Biden administration this week accelerated efforts to fund opioid dependancy therapy in jails and prisons, a core a part of its drug coverage agenda, calling on states to undertake a novel Medicaid program that can cowl well being look after incarcerated folks.

Underneath new steerage from the Facilities for Medicare and Medicaid Companies, states can ask the federal authorities to permit Medicaid to cowl dependancy therapy for as much as 90 days forward of somebody’s launch. Public well being specialists say that offering therapy throughout that crucial interval might assist folks survive the usually harsh circumstances of jails and prisons, then extra simply transition again to the group.

Correctional amenities, the place inmates disproportionately have opioid use dysfunction and sometimes can’t discover therapy throughout and after their incarceration, have claimed a spot on the forefront of the nation’s devastating overdose epidemic, which now kills greater than 100,000 People every year.

“That’s the place most individuals are, and that’s the place you’re going to get probably the most profit,” stated Dr. Rahul Gupta, the director of the White Home’s Workplace of Nationwide Drug Management Coverage, referring to the excessive focus of incarcerated People with opioid use dysfunction. Neglecting to deal with dependancy in jails and prisons, he added, comes on the “highest price to society, to taxpayers.”

The stakes of the difficulty are neatly represented by a row of white bars looming over a standard space of the Curran-Fromhold Correctional Facility, a jail in Philadelphia alongside the Delaware River that Dr. Gupta visited on Thursday. The bars, which line a second-story walkway, are meant partly to forestall residents with opioid use dysfunction from leaping to try suicide whereas they’ve withdrawal signs, based on officers on the facility.

Advertisement

Federal legislation prohibits incarcerated People from receiving protection by means of Medicaid, the federal-state medical health insurance program for low-income folks, until in an inpatient setting corresponding to a hospital. The prohibition, often known as the inmate exclusion coverage, signifies that states, counties and cities sometimes foot the invoice for packages that assist opioid customers handle or stop the debilitating cravings and withdrawal signs that comply with them by means of incarceration.

Curran-Fromhold’s remedy therapy program presents methadone and buprenorphine, the 2 most typical, efficient opioid dependancy remedies, which have been proven to ease cravings. It’s funded by the Metropolis of Philadelphia, making it an apparent goal for Medicaid protection, Dr. Gupta stated. Medicine packages in jails and prisons may be costly to function.

Bruce Herdman, the chief of medical operations for Philadelphia’s jail system, stated that if Pennsylvania have been to safe Medicaid funds for the jail, the transfer would permit the system to economize for different key packages and medicines.

“They are going to permit us to supply providers that we at current can’t afford,” he stated, referring to the attainable Medicaid funds.

Even earlier than issuing the brand new steerage, the Biden administration had inspired states to use for the Medicaid program. In January, California turned the primary state to be accepted for it, and greater than a dozen different states have functions pending. Dr. Gupta stated the brand new steerage would almost definitely compel extra states to ask for Medicaid protection for the sort of assist that Curran-Fromhold presents.

Advertisement

One state that might search funds is Pennsylvania, which has contended with a devastating rise in drug overdoses lately. A spokesman for the Pennsylvania Division of Human Companies stated that state officers have been nonetheless evaluating plans to use for the Medicaid program and have been targeted within the meantime on reinstating the Medicaid advantages of inmates after they’re launched.

Regina LaBelle, who served because the performing director of the Workplace of Nationwide Drug Management Coverage below President Biden, stated she anxious that state well being departments won’t have the sources to use for this system.

“It takes numerous workers time,” she stated. “Have they got folks of their Medicare and Medicaid providers workplace who can put time and power into that doc?”

Some conservative critics of opioid dependancy therapy say that as a result of buprenorphine and methadone are opioids, their use shouldn’t be inspired. However the Medicaid program already has proven bipartisan attraction, with some conservative-leaning states, corresponding to Kentucky, Montana and Utah, making use of for it.

For states that need to take part in this system, the federal authorities is asking for correctional amenities to supply methadone and buprenorphine. The steerage additionally asks states to droop, somewhat than terminate, Medicaid protection whereas folks with the insurance coverage are incarcerated, permitting them to extra shortly transition again into their well being plans as soon as they’re launched.

Advertisement

Dr. Gupta stated that such an method might higher permit those that are newly launched to see a physician they’d seen earlier than their incarceration. Correctional amenities may also be anticipated to supply inmates with a 30-day provide of therapy upon their launch, giving folks a head begin as they re-enter society.

“It’s all the transitions the place issues crumble, each from the transition from outdoors to inside, then inside to outdoors,” stated Dr. Josiah D. Wealthy, an epidemiologist at Brown College.

Folks in jails and prisons are particularly weak to deadly overdoses shortly after they’re launched, when their tolerance for medicine has weakened. Research present that the dangers of overdosing within the days and weeks after launch are diminished considerably if an incarcerated particular person makes use of both buprenorphine or methadone.

About two million individuals are held in jails and prisons on any given day in the USA, and a considerable portion of them have opioid use dysfunction, federal officers say. Withdrawal signs may be particularly acute throughout shorter stays in jails, a lot of which would not have therapy packages. Round 9 million folks cycle by means of jails yearly, the federal authorities estimates.

Buprenorphine and methadone sometimes require sustained, uninterrupted use to assist drug customers progressively uninteresting cravings. The common size of a keep in a Philadelphia jail is round 120 days, which means that the Medicaid program, with its 90-day protection interval, might pay for therapy for many or all of an individual’s time there.

Advertisement

Researchers from the Jail and Jail Opioid Challenge, a gaggle that Dr. Wealthy helps lead that research therapy amongst incarcerated folks, estimate that solely about 630 of the nation’s roughly 5,000 correctional amenities supply remedy therapy for opioid use dysfunction. About 2 % of incarcerated folks in the USA are recognized to have obtained such therapy whereas in jail or jail, the researchers estimate.

Dr. Gupta pointed to what he stated was a evident irony in a big phase of the American jail inhabitants: Persons are incarcerated for his or her drug use, then denied therapy for it.

The Biden administration’s push for states to make use of Medicaid funds in jails and prisons is overlapping with a bipartisan effort within the Home and Senate to move the Medicaid Re-entry Act, which might grant protection within the 30 days earlier than an inmate’s launch.

The administration has stated that by the summer season, all 122 Federal Bureau of Prisons amenities can be geared up to supply remedy therapy. However most incarcerated individuals are in state and native prisons and jails, which function a patchwork of remedy insurance policies that may range by web site. Some correctional amenities permit just one therapy, whereas others permit remedy solely for individuals who have been receiving it earlier than they have been incarcerated.

“There’s stigma each round utilizing medicines for therapy but additionally stigma round opioid use dysfunction basically,” stated Dr. Elizabeth Salisbury-Afshar, an dependancy doctor on the College of Wisconsin-Madison who has suggested jails on therapy packages. “There’s a broader instructional hole.”

Advertisement

Dr. Dorian Jacobs, a doctor who helps run the Curran-Fromhold jail’s dependancy therapy program, stated she had encountered residents with opioid use dysfunction who didn’t understand it’s a illness that must be handled like some other.

“It’s simply part of who we’re,” she stated.

Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Health

Pizza for Weight Loss? Top MD Says This Dough Makes It Possible

Published

on

Pizza for Weight Loss? Top MD Says This Dough Makes It Possible



Advertisement


Fathead Pizza Dough: How It Can Help Boost Weight Loss | Woman’s World
























Advertisement













Advertisement


Use left and right arrow keys to navigate between menu items.


Use escape to exit the menu.

Advertisement
Continue Reading

Health

Feeling hungrier than usual? Your sleep schedule could be the culprit, an expert says

Published

on

Feeling hungrier than usual? Your sleep schedule could be the culprit, an expert says

If you’ve been feeling hungrier than usual, it could be due to your sleeping habits.

Human hunger is tied to circadian rhythm, according to experts, which means not sleeping enough can cause a greater appetite.

Dr. Christopher Rhodes, a nutritional biologist in California, explained in a conversation with Fox News Digital that a body deprived of sleep “seeks out energy by way of food.”

AMERICANS NEED MORE SLEEP, LESS STRESS, EXPERTS SAY, AS GALLUP POLL REVEALS TROUBLING FINDINGS

“Sleep and eating are intimately linked due to their shared involvement in both metabolic signaling and your body’s circadian rhythms,” he said. 

Advertisement

“Just as we train our body on when to expect sleep, we also train it on when to expect food based on our typical mealtimes and dietary patterns throughout the day, which becomes part of our daily circadian cycles.”

Human hunger is tied to circadian rhythm, according to experts, which means not sleeping enough can cause a greater appetite. (iStock)

Poor sleep disrupts hormonal signaling — particularly cortisol, which impacts “metabolic rate and the crucial hormones leptin and ghrelin,” according to Rhodes. 

These hormones are responsible for controlling hunger and the use of energy, he noted.

Extreme disruptions in circadian rhythm — like insomnia or “all-nighters” — can cause a “ripple effect” throughout the body, according to Rhodes.

Advertisement

“Sleep and eating are intimately linked.”

“[This] can throw our natural rhythms out of whack and cause issues with our biological signaling, changes in hormone levels, chemical signaling and neuronal function,” he said.

“In turn, these imbalances can cause excess hunger and cravings as our body, deprived of the energizing effects of sleep, seeks to compensate by taking in more energy from food,”

woman lies awake in bed

Staying up late at night can throw off the body’s natural rhythm, according to experts. (iStock)

Low-quality sleep can also contribute to poor cognition and reduced brain function, which reduces impulse control, the expert noted.

When these effects are combined with added cravings, and as the body “desperately seek[s] ways to fuel itself,” that can lead to excess food consumption, Rhodes warned.

Advertisement

Curbing cravings

While it may be difficult to ignore cravings, Rhodes suggested some healthy ways to break the cycle of increased hunger and poor sleep.

It’s best to avoid snacking at bedtime, he said, as energy from snacks can keep you awake.

TYPE 2 DIABETES A MUCH GREATER RISK FOR ‘NIGHT OWLS’ THAN FOR EARLY BIRDS, A ‘STARTLING’ NEW STUDY FINDS

“By and large, the best bedtime snack is none at all,” Rhodes said. “Food intake immediately before bed will cause a rush of nutrients and energy into your system, which can disrupt the natural circadian signaling that helps govern your sleep cycles.”

“Moreover, food before bed can often set off cravings for more food, which can further disrupt your sleep,” he continued. “Small snacks are typically not enough to meet our body’s satiety thresholds and can lead to more hunger throughout the night.”

Advertisement
Woman eating a doughnut and drinking soda in her kitchen

“It’s best to avoid the canonical ‘midnight munchie’ foods like junk food, cookies, ice cream, pizza and especially alcohol,” the expert said. (iStock)

It’s best to eat at least four to six hours before falling asleep, according to Rhodes, to allow the body to fully metabolize food and store excess energy that could disrupt sleep.

“Focus on foods that have a low glycemic impact and are slow digesting — like lean proteins, healthy nuts or fibrous veggies — to avoid blood sugar spikes,” he said.

LACK OF SLEEP COULD BE A FACTOR IN A ‘SILENT EPIDEMIC,’ EXPERTS WARN

It’s also best to avoid the traditional “midnight munchie” foods like junk food, cookies, ice cream and pizza, he advised — “especially alcohol, as it has been shown to have particularly adverse effects on sleep quality.”

Despite the preconceived idea that breakfast is the most important meal of the day, Rhodes suggested following your body’s natural hunger cues. 

Advertisement

“Breakfast is just another meal like any other, and not the end all be all of your daily well-being,” he said.

woman sits in front of an empty plate.

“If you don’t feel hungry in the morning, it’s best to just follow your body’s natural cues than to force yourself to eat a meal out of obligation,” Rhodes advised. (iStock)

“If you don’t feel hungry in the morning, it’s best to just follow your body’s natural cues than to force yourself to eat a meal out of obligation.”

There may be health benefits for some people who cut breakfast out of their diet, Rhodes mentioned, as studies have shown that intermittent fasting can have positive effects on blood glucose control, cognition and cholesterol levels.

WANT TO BE A MORNING PERSON? THESE 6 EXPERT TIPS MAY GET YOU THERE

One easy way to boost energy and satiety throughout the day is to drink hot green tea or other balanced energy drinks that contain caffeine and L-theanine, to “provide sustained energy without jitters or a crash,” Rhodes said.

Advertisement

You sleep how you eat

The food you choose to eat can determine the quality of your sleep, according to experts.

“Quality of sleep can be altered by a number of nutritional factors, including blood glucose spikes, total caloric intake, vitamin and nutrient deficiencies, supplements, meal timing and more,” Rhodes said. 

“Insomnia and poor sleep quality have been linked with a higher risk of obesity in many studies.” 

Eat sleep split

The food you eat can determine the quality of your sleep, according to experts. (iStock)

It’s also important to avoid deficiencies in vitamins A, C, D, E, K, calcium and magnesium, which can affect sleep quality.

“Of these, magnesium supplementation may be the most beneficial, as it’s estimated that 75% of Americans are currently deficient, and magnesium supplementation is well-known to promote calm and support sleep quality,” Rhodes added.

Advertisement

“Insomnia and poor sleep quality have been linked with a higher risk of obesity.”

The most important aspect of maintaining good sleep and eating habits, regardless of lifestyle, is staying as consistent as possible in your day-to-day schedule, according to Rhodes.

“Stabilizing your circadian rhythms will help to improve cognition, mood, hunger signaling and sleep quality by avoiding the hormonal, chemical and neuronal disruptions that can be caused by inconsistent circadian signaling,” Rhodes said.

CLICK HERE TO SIGN UP FOR OUR HEALTH NEWSLETTER

“Eating the same meals in the same amounts at the same time every day and maintaining a consistent sleeping schedule will help retrain your body’s circadian rhythms and signaling, so that your atypical work and eating hours will become normal to your body.”

Advertisement

The expert suggested large batch meal prepping as a way to cut down on time spent cooking while also ensuring a “healthy, consistent meal” on hand when needed.

Woman preparing a nutritious meal in advance

Meal prepping is a great way to save time and ensure nutritious food intake, Rhodes said. (iStock)

For even better sleep, Rhodes recommended buying tools such as earplugs, night masks or blackout curtains to avoid distractions.

“If needed, a melatonin supplement can help you fall asleep faster and stay asleep longer, and helps to accelerate adaptations to new sleeping schedules by normalizing sleep hormone production and circadian signaling,” he added.

For more Health articles, visit foxnews.com/health

Advertisement

Continue Reading

Health

Melanoma patients reveal dramatic stories for Skin Cancer Awareness Month: ‘I thought I was careful’

Published

on

Melanoma patients reveal dramatic stories for Skin Cancer Awareness Month: ‘I thought I was careful’

Join Fox News for access to this content

Plus special access to select articles and other premium content with your account – free of charge.

Please enter a valid email address.

By entering your email and pushing continue, you are agreeing to Fox News’ Terms of Use and Privacy Policy, which includes our Notice of Financial Incentive. To access the content, check your email and follow the instructions provided.

Having trouble? Click here.

Skin cancer is the most common type of cancer in the U.S. — with one in five Americans developing the disease by the age of 70.

Melanoma is the deadliest form of skin cancer, expected to take the lives of more than 8,200 people in the U.S. this year.

Advertisement

This May, for Skin Cancer Awareness Month, two melanoma patients are sharing their stories of how they overcame this invasive form of the disease.

SKIN CANCER CHECKS AND SUNSCREEN: WHY THESE (STILL) MATTER VERY MUCH FOR GOOD HEALTH

One even wrongly assumed that what she was experiencing “was just a normal part of aging and sun exposure.” Here’s what others can learn.

What is melanoma?

Melanoma is a type of skin cancer that starts in the melanocytes, which are the cells that produce the skin’s pigmentation (color).

Most cases — but not all — are caused by exposure to ultraviolet light. Melanoma can affect people of all skin tones and types.

Advertisement

“Melanoma is one of the most common type of cancer in younger patients,” Nayoung Lee, M.D., assistant professor of dermatology at NYU Langone Health, told Fox News Digital.

Abby Weiner, pictured at left and at right with her husband and sons, was diagnosed with melanoma in Oct. 2023.  (Abby Weiner)

The prognosis is “very good” when melanoma is detected early, but the survival rate falls steeply when it is detected at a more advanced stage, she noted. 

“Melanoma can spread through the bloodstream to your lymph nodes and distant organs, so it is crucial to do regular skin exams to try to catch it at an early stage,” Lee said.

One mom’s story

Abby Weiner, 43, a wife and mother of three young boys living in Washington, D.C., had always been careful about protecting her skin from the sun — which is why her Oct. 2023 melanoma diagnosis was such a shock, she said.

Advertisement

“I had a spot on my cheek that started as a freckle and began getting darker and larger,” she told Fox News Digital. 

“I assumed it was just a normal part of aging and sun exposure.”

VACCINE FOR DEADLY SKIN CANCER SHOWS ‘GROUNDBREAKING’ RESULTS IN CLINICAL TRIAL

Weiner’s sister encouraged her to get it checked out — which led to a biopsy and diagnosis. 

“I was obviously shocked and frightened at first,” said Weiner.  

Advertisement

Her melanoma was removed using Mohs surgery, a procedure in which thin layers of skin are removed one at a time. 

“I required two procedures to remove the cancer and surrounding margins,” she said. “Now, most people don’t even know I had surgery.”

To others, Weiner’s advice is to remember to seek shade, wear sun-protective clothing, and apply a broad-spectrum, water-resistant sunscreen with an SPF of 30 or higher on a daily basis all year long. 

“If we were eating outdoors and there wasn’t a table in the shade, I would end up sitting in the sun.”

“I thought I was careful about protecting myself from sun exposure by wearing a hat or applying sunscreen when my family was at the pool or planning to be outdoors — but if we were eating outdoors and there wasn’t a table in the shade, I would end up sitting in the sun.”

Advertisement

Now, Weiner said she will wait a little longer for a shaded table, and she always keeps a hat and sunscreen with her.

“My sons used to have difficulty applying sunscreen and wearing hats, but now that they’ve seen the impact skin cancer had on me, they are more cooperative,” she said.

CANCER SCREENINGS: HERE ARE 5 TYPES AND CRITICAL INFORMATION TO KNOW ABOUT EACH

Weiner also recommends that everyone gets yearly skin checks with a board-certified dermatologist

“I have so many friends — and even my sister, who probably saved my life — who didn’t regularly see a dermatologist for a yearly skin check before they learned about my melanoma.”

Advertisement

One beach lover’s story

Steve Murray, 68, of the greater Washington, D.C. area, has worked in construction for several decades. 

During his childhood, Murray spent summers at the beach in Ocean City, New Jersey, and winter visits to Florida, where he was exposed to the sun and didn’t do much to protect himself.

In the late 1990s, Murray was diagnosed with basal cell carcinoma, the most common type of skin cancer, and squamous cell carcinoma, a variation of skin cancer that tends to develop in people who have had a lot of sun exposure.

In 2008, he was diagnosed with melanoma.

“My initial symptoms included itching and scaling on my head, followed by irritation,” he told Fox News Digital. 

Advertisement

“Then there was discoloration and irregularity in the shape of my moles.”

“You don’t notice at the time of initial exposure, but it haunts you later in life.”

Initially, Murray feared the worst — “mainly death” — but his dermatologist determined that the melanoma was only on his scalp and hadn’t traveled to his lymph nodes.

Like Weiner, Murray had Mohs surgery to get rid of the cancer — and he was cleared.

VIRGINIA HIGH SCHOOL STUDENT CREATES SOAP TO FIGHT SKIN CANCER, IS AWARDED $25K: ‘REMARKABLE EFFORT’

Advertisement

Since that diagnosis, Murray has had several more bouts of skin cancer.

In 2024, he underwent two surgeries for squamous cell carcinoma on his hand and back. 

Now, Murray visits the dermatologist every three to six months. Also, he always wears a hat, sunscreen and long sleeves whenever possible to protect himself from the sun.

Abby Weiner

Abby Weiner is pictured with her three young sons. “My sons used to have difficulty applying sunscreen and wearing hats, but now that they’ve seen the impact skin cancer had on me, they are more cooperative,” she said. (Abby Weiner)

Murray’s advice to others is to make sun protection a priority when outdoors.

“You don’t notice at the time of initial exposure, but it haunts you later in life when you start developing pre-cancers and skin cancers like squamous cell carcinoma and melanoma that require immediate attention,” he told Fox News Digital.

Advertisement

“Capturing these pre-cancers and cancers of the skin must be diagnosed early with regular checkups,” he added. “Failure to do so could lead to death.”

5 protection tips from an expert

Dr. Lee of NYU Langone Health shared five tips to help prevent potentially deadly skin cancers like melanoma.

1. Skip the sunbathing

“Avoiding a burn is really only half the battle — there is no such thing as a base tan,” Lee said. “Damaged skin is damaged skin.”

For a safer way to achieve a sun-kissed glow on your first beach day of the summer, Lee recommends using self-tanning products.

2. Wear sunscreen every day, in all weather and in every season

When applying sunscreen, Lee recommends using 1 ounce, which would fill a shot glass. 

Advertisement

IF YOU OR YOUR CHILDREN HAVE FRECKLES, HERE’S WHAT YOUR SKIN IS TRYING TO TELL YOU

“It should have a sun protection factor (SPF) of 30 and say ‘broad-spectrum’ on the label, which protects against the sun’s UVA and UVB rays,” she said. 

Reapply at least every 80 minutes, or more often if you’re sweating or swimming.

3. Use physical sunscreen

Physical sunscreen contains zinc or titanium, which is superior in efficacy to chemical sunscreen, according to Lee.

4. Learn how to do a skin self-exam

“Check your skin regularly so you know what’s normal and to notice any changes or new growths,” Lee advised. 

Advertisement
Skin check

“Not all melanomas are dark and scary-appearing,” a doctor said. “They can be amelanotic, which means they can be more skin colored or pink.” (iStock)

“Seek a dermatologist’s evaluation if you notice a changing, bleeding or persistently itchy spot.”

5. Apply the ABCDE rule

This is the best way to determine if any mole or blemish is cancerous, according to Lee. 

The ABCDE rule tells you what to look for when examining your skin

CLICK HERE TO SIGN UP FOR OUR HEALTH NEWSLETTER

The A stands for asymmetrical. “Noncancerous moles are typically symmetrical,” Lee said. 

Advertisement

B is for border, as the border of a cancerous spot or mole may be irregular or blurred. 

The ABCDE rule is the best way to determine if any mole or blemish is cancerous, according to a dermatologist. (iStock)

C stands for color. “A typical mole tends to be evenly colored, usually a single shade of brown,” Lee noted. 

“Not all melanomas are dark and scary-appearing. They can be amelanotic, which means they can be more skin colored or pink.”

D stands for diameter of the spot or mole, which may be a warning sign if it’s larger than 6 millimeters, according to Lee.

If the spot is evolving, which is what E stands for, it might be of concern.

Advertisement

Lee added, “Because melanomas can vary in appearance, it is important to see a dermatologist regularly for skin exams if you have a history of significant sun exposure, have many atypical appearing moles, or a family or personal history of melanoma so that you have an experienced set of eyes looking at any spots of concern.”

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

Continue Reading

Trending