Health
Officials Hopeful That Monkeypox Can Be Eliminated in the U.S.
WASHINGTON — With monkeypox instances on the decline nationally, federal well being officers expressed optimism on Thursday that the virus may very well be eradicated in the US, although they cautioned that until it was worn out globally, People would stay in danger.
“Our purpose is to eradicate; that’s what we’re working towards,” Dr. Demetre Daskalakis, the deputy coordinator of the White Home monkeypox response crew, stated throughout a go to to a monkeypox vaccination clinic in Washington. He added, “The prediction is, we’re going to get very shut.”
Dr. Daskalakis was joined by President Biden’s well being secretary, Xavier Becerra, and the response crew’s coordinator, Robert J. Fenton Jr., who echoed his optimism. The go to to the clinic was meant to highlight efforts by the District of Columbia to shut the racial hole in vaccination towards monkeypox — a serious purpose of the Biden administration.
“The president stated from the very starting, ‘Get on high of this, after which keep forward of it,’” Mr. Becerra informed reporters. “And we will’t say we actually stayed forward of it if we’re leaving sure communities behind.”
Dr. Daskalakis, an infectious illness skilled who beforehand ran the division of H.I.V. prevention on the Facilities for Illness Management and Prevention, was introduced onto the monkeypox response crew by Mr. Biden final month.
What to Know Concerning the Monkeypox Virus
What’s monkeypox? Monkeypox is a virus much like smallpox, however signs are much less extreme. It was found in 1958, after outbreaks occurred in monkeys saved for analysis. The virus was primarily present in elements of Central and West Africa, however lately it has unfold to dozens of nations and contaminated tens of hundreds of individuals, overwhelmingly males who’ve intercourse with males.
On Thursday, Dr. Daskalakis didn’t give a timeline for ending the outbreak in the US, saying solely that he was trying into his “midterm crystal ball.” However he stated he anticipated that, over time, instances would drop to a trickle and infections would emerge solely sporadically, enabling well being officers to isolate and vaccinate the shut contacts of these contaminated — and finish the outbreak within the course of.
That technique, referred to as ring vaccination, was used within the international marketing campaign to stamp out smallpox, which was declared eradicated in 1980.
However there’s a main distinction between monkeypox and smallpox: Smallpox happens solely in people, whereas monkeypox additionally happens in animals. The existence of an “animal reservoir” means there’ll at all times be the chance of unfold to people, stated Dr. Michael T. Osterholm, an infectious illness skilled on the College of Minnesota.
“Eradication is a really sacred phrase in public well being; to eradicate means it’s gone completely, and the one virus we have now finished that with thus far is smallpox,” Dr. Osterholm stated.
He stated a greater phrase was “elimination,” and a greater comparability can be measles. “We’ve had a serious measles elimination program on this nation and have tremendously decreased the prevalence of measles, however the problem right now stays the introduction of the virus from people world wide,” Dr. Osterholm stated.
The primary U.S. instances within the present monkeypox outbreak emerged in Could. The illness, which in the US has occurred primarily in males who’ve intercourse with males, is characterised by fever, muscle aches, chills and lesions. It’s not often deadly in rich international locations like the US, however it may trigger excruciating ache. The present outbreak is unusually massive; the final large monkeypox outbreak in the US occurred in 2003, when 47 confirmed and possible instances had been reported in six states.
Within the present outbreak, the US accounts for greater than a 3rd of the roughly 65,000 instances reported worldwide; as of Thursday, the C.D.C. had reported practically 25,000 instances within the nation. A median of about 200 instances per day are nonetheless being reported in the US, although that determine is down considerably from the peak of the outbreak in August.
The decline is a aid to Biden administration officers, who got here beneath sharp criticism for his or her response — and particularly a scarcity of the vaccine — within the early days of the outbreak. Critics, together with many homosexual rights activists, stated the administration failed to maneuver aggressively to order vaccine doses and distribute them earlier than many homosexual males had been contaminated throughout Pleasure celebrations in June.
A kind of activists, James Krellenstein, a founding father of PrEP4All, an advocacy group, stated Dr. Daskalakis’s feedback had been untimely. He stated a scarcity of federal funds to analysis monkeypox, and an absence of solutions to fundamental questions, made it too quickly to foretell an finish to the outbreak.
“That is the primary time that we actually have seen a big outbreak of monkeypox with sustained human-to-human transmission, and there stay many scientific unknowns,” Mr. Krellenstein stated, including in a reference to President George W. Bush, “Let’s not get into ‘mission completed’ touchdown on an plane provider territory right here.”
The vaccine scarcity led to sharp racial disparities that the administration is now attempting to handle. Dr. Wafaa El-Sadr, a professor of epidemiology and medication at Columbia College’s Mailman College of Public Well being, stated she shared Dr. Daskalakis’s optimism that the outbreak may very well be introduced beneath management, however solely with intense efforts to achieve underserved populations.
“The chance,” she stated, “is that you’ve these populations which can be arduous to achieve, typically the poor and other people of racial and ethnic minorities who’re much less conscious, have much less entry. They have a tendency to generally fall behind, as we’re seeing, by way of vaccination.”
Health
Nurses call for change as many reveal they're ‘extremely likely’ to leave profession: ‘Emotional, stressful'
Nurses aren’t optimistic that this year will be any better than last year — and more than one-third of them are “extremely likely” to change jobs.
That’s according to a new survey by AMN Healthcare, a health care workforce solutions company based in Texas.
The majority of nurses (80%) said they think 2024 will be either “no better or worse” for the profession than 2023 — while 38% said it will be worse.
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Only 20% said they believe this year will be better than last year.
In light of this, 35% of the nurses surveyed said it is extremely likely that they will change jobs in 2024, and the majority (55%) said it is very likely or somewhat likely.
The survey gathered responses from 1,155 nurses across the U.S.
“The concerns that many nurses have about their profession were not created by COVID-19 and have not gone away now that the crisis has passed,” Robin Johnson, group president of nursing solutions at AMN Healthcare, who administered the survey, told Fox News Digital.
“Many nurses still feel overworked and undercompensated. What they want to see is a change in their daily working conditions — better hours, fair compensation and more time with their patients,” she continued.
NATIONAL NURSES WEEK 2024: HOW TO CELEBRATE AND SHOW APPRECIATION TO THE NURSES IN YOUR LIFE
“This is not just a nurse morale issue. It’s a public health issue.”
A more engaged, productive nurse workforce means better care and better outcomes for the patients they serve, according to Johnson.
“While the health care industry is acutely aware of this, the survey shows that more work needs to be done.”
Gretchen Berlin, RN, senior partner at McKinsey & Company in Washington, D.C., noted that the company’s research has shown some concerning trends about nursing.
“We’ve surveyed nurses regularly over the past four years, and the data consistently shows that around 30% want to leave their roles in direct patient care,” she told Fox News Digital.
“We’ve also done additional analysis and have projected a shortage of nurses in patient care, which is also concerning.”
“This is not just a nurse morale issue. It’s a public health issue.”
Sabrina Korentager, a registered nurse and adviser to ImpediMed in Kansas, has been a nurse for 28 years.
“The number of nurses that are currently leaving the profession is the highest level I have ever seen,” she told Fox News Digital.
“Even more concerning is the level of nurses leaving the bedside for non-traditional nursing. If this trend continues, we face a significant shortage of nurses to provide care to our aging society.”
Reasons for nurses’ burnout
There are many reasons for nurses’ high levels of burnout, Korentager noted.
“Nurses are called on daily to perform in stressful situations that are emotional and physically demanding,” she told Fox News Digital.
“They are asked to work longer hours with less resources for providing care. Often, nurses are asked to care for more patients than they feel they can safely [accommodate].”
Nurses are also being encouraged to obtain higher-level degrees to continue working for the same pay and same conditions, Korentager said.
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Other contributors to burnout and job frustration include high patient-to-nurse ratios and heavy workloads, long hours and shift work, emotional and mental stress, inadequate staffing, and a lack of autonomy and recognition. That’s according to Dr. Jane Tang, PhD, professor and dean of the Frances M. Maguire School of Nursing and Health Professions at Gwynedd Mercy University in Pennsylvania.
Pay inequity across the U.S. is also a big challenge, according to Tang.
“For example, in southern states, nurses may be paid less than nurses in California,” she told Fox News Digital.
“Without equitable pay, underserved regions and populations face heightened vulnerability.”
Violence in the workplace has also dramatically increased, Tang said.
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“This isn’t a popular topic to talk about, but it’s a huge threat to the nursing and health professions,” she said.
“The physical and psychological abuse nurses and health professionals endure on a daily basis is unlike [the conditions of] any other profession.”
The COVID-19 pandemic exacerbated all of these challenges, experts agreed.
What needs to change?
To alleviate the challenges nurses face, Berlin of Washington, D.C., stressed the need to help nurses manage their workloads through delegating certain tasks and offering new technologies.
“One example is implementing technology to support flexible scheduling, which can free up much-needed time for nurses on and off the job,” she told Fox News Digital.
“While it is truly a gift to be a nurse, the feeling of not having enough resources to care for your patients can be overwhelming.”
“In our analysis, we found the potential to free up to 15% of nurses’ time through these types of efforts — time that we could give back to nurses to spend on the aspects of their work that bring them the most joy and satisfaction.”
Mentoring is another way to support new nurses, multiple experts noted.
“Mentoring helps nurses navigate the emotional and stressful challenges they can experience daily,” Korentager said.
“It allows nurses to have guidance and support throughout their careers, which can help with frustration and burnout while providing clarity for career progression.”
Ensuring adequate staffing levels can reduce the workload on individual nurses, enabling them to deliver better care and alleviate stress, according to Tang.
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“Workplace safety is also paramount for the physical and mental well-being of nurses, as is offering mental health support to help nurses navigate the emotional challenges of their profession and prevent burnout,” she said.
“Recognizing and appreciating the hard work and dedication of nurses in meaningful ways further enhances morale and job satisfaction.”
Signs of positive change
Some organizations are optimistic about improvements they’re seeing in the nursing field.
Advent Health, for example, has seen a rebound in nursing staff since the COVID pandemic.
Since 2020, the Florida-based health system has seen 10,000 registered nurses hired across its Central Florida hospitals and clinical care locations since 2020, according to a press release.
“We knew we needed to make recruitment and retention our organization’s top priority, and so we pledged to invest in our team members like never before and sought to inspire and mentor a new generation of nurses,” said Cathy Stankiewicz, chief nursing officer for AdventHealth’s hospitals in Orange, Osceola and Seminole counties, in the release.
She said the group has made great strides “in fortifying our nursing workforce.”
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AdventHealth also said it has cut turnover in half since 2020 and reduced reliance on travel nurses by 98% since the peak of the pandemic.
“Hearing directly from RNs about their needs and working together to make meaningful changes was paramount to overcoming the challenges posed by the pandemic and nursing shortage,” said Michele Goeb-Burkett, chief nursing officer for AdventHealth’s hospitals in Flagler, Lake and Volusia counties, in the release.
The group has made great strides “in fortifying our nursing workforce.”
Overall, the experts agreed that nurses’ well-being is integral to patient care.
“While it is truly a gift to be a nurse, the feeling of not having enough resources to care for your patients can be overwhelming,” Korentager told Fox News Digital.
The continued demands to do more with less can negatively impact nurses’ career performance, health and personal life, she warned.
“This may manifest in medical errors, inattention or an overall negative attitude toward the patients. All of these can negatively affect patient outcomes and well-being.”
For more Health articles, visit www.foxnews.com/health.
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Mercury In Taurus: What It Means for Your Zodiac Sign
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Health
Eating yogurt could help prevent one common disease, according to the FDA
Can incorporating yogurt into your diet keep diabetes at bay?
The U.S. Food and Drug Administration (FDA) has implied that it’s possible.
The health agency announced in March that it will not object to a claim from Danone North America — maker of Dannon and other popular yogurt brands — that regularly eating yogurt could reduce the risk of type 2 diabetes.
EATING ONE TYPE OF FRUIT REGULARLY COULD REDUCE DIABETES RISK IN WOMEN, STUDY SUGGESTS: ‘INCREDIBLY HEALTHY’
The FDA intends to allow the claim to appear on yogurt food labels, “provided that the qualified health claims are worded so as not to mislead consumers, and that other factors for the use of the claim are met.”
“After reviewing the petition and other evidence related to the proposed qualified health claim, the FDA determined that there is some credible evidence supporting a relationship between yogurt intake and reduced risk of type 2 diabetes, but this evidence is limited,” the FDA said in a statement.
The health claim that the FDA recently approved is referred to as a “qualified claim.”
That means the evidence isn’t strong or conclusive, but is suggestive of benefit to human health, noted Sherry Coleman Collins, a food allergy dietitian and expert from the Atlanta metropolitan area.
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Regular consumption is considered 2 cups (3 servings) per week of yogurt, which is the minimum amount for this qualified health claim.
“I don’t like the idea of suggesting that one food alone has the power to reduce disease, because we know it’s really all about the pattern of eating,” she told Fox News Digital.
“Yogurt — as part of a diet rich in plant-based foods like fruits, vegetables and whole grains, protein foods like lean meats and/or beans, lentils and soy, and fermented dairy — has shown to be very health-promoting,” Collins added.
Yogurt that contains live, active cultures is a great way to get good bacteria in the diet, according to Collins.
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“A healthy gut, which is one with diverse microbiota and heavy in healthy strains, reduces the risk of many chronic conditions,” she said.
“The good bacteria found in fermented dairy are associated with overall better health and lower rates of disease, including type 2 diabetes.”
Tanya Freirich, a registered dietitian nutritionist in Charlotte, North Carolina, who practices as The Lupus Dietitian, said she agrees that unsweetened yogurt can be beneficial in reducing diabetes risk as a source of protein and probiotics.
Freirich noted, however, that there isn’t “one magic food” that can reduce the disease despite all odds.
“Health is a sum of all of your habits, and cannot be radically changed by one food item.”
“People should speak with a registered dietitian and their health care provider about an overall healthy eating pattern and lifestyle that would serve them best,” she told Fox News Digital.
“Health is a sum of all of your habits, and cannot be radically changed by one food item.”
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When choosing yogurt, Collins recommended looking for varieties that are low in added sugar.
“Plain Greek yogurt is fantastic, because it’s high in protein and calcium, and you can adjust the sweetness to your liking by adding a little honey and/or fruit,” she said.
There’s likely no additional benefit beyond a couple of servings, Collins said.
Freirich added that adding the diabetes reduction claim to all yogurt packaging could carry a risk.
“Many yogurts have a lot of added sugars or high-sugar add-ins, like fruit syrup, chocolate and even cookie pieces, which would certainly reduce any benefit from the protein and probiotics,” she told Fox News Digital.
Fox News Digital reached out to Danone requesting comment.
For more Health articles, visit www.foxnews.com/health.
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