Health
U.S. Canceled Work to Contain a Serious Ebola Outbreak
Hours after Elon Musk reassured Cabinet members on Wednesday that efforts to contain the Ebola outbreak in Uganda had only been “accidentally canceled very briefly,” the Trump administration terminated at least four of the five contracts for Ebola-related work in that country.
The four canceled contracts were a tiny fraction of the 10,000 contracts and grants at the United States Agency for International Development and the State Department that the Trump administration ended on Wednesday.
But they were important: Since January, Uganda has experienced a serious Ebola outbreak, from which the country is only just emerging. The contracts funded Ebola screening at airports and protective equipment for health workers, and helped prevent transmission by survivors of the disease, according to a former U.S.A.I.D. official.
Mr. Musk told cabinet members that the administration had “restored the Ebola prevention immediately, and there was no interruption.” But his statement was inaccurate, according to two former U.S.A.I.D. officials with knowledge of the situation in Uganda. (The officials asked to remain anonymous for fear of retaliation.)
In theory, waivers allowed for some work to continue on containing pathogens like Ebola, Marburg and mpox, as well as preparedness for bird flu. But very little money had actually been delivered.
Few organizations providing those services had the financial reserves to continue, and even fewer trusted that they would be reimbursed.
Their fears may have been justified. On Wednesday night, the Supreme Court’s chief justice, John G. Roberts Jr., ruled that U.S.A.I.D. and the State Department did not need to immediately pay for more than $1.5 billion for work that had been already completed.
The work underway without those payments was interrupted, contrary to Mr. Musk’s claim.
At the airport in Entebbe, Uganda, screening for Ebola was on pause for more than two weeks, according to a former U.S.A.I.D. official with knowledge of the situation. The organization doing it decided a few days ago to resume work with its own funds.
The group’s contract was terminated on Wednesday night.
The White House declined to clarify Mr. Musk’s comments and directed inquiries to the man himself. Mr. Musk did not immediately respond to a request for comment.
There were other gaps. The first Ebola patient in the current outbreak had gone to six facilities before he died and was diagnosed, prompting the Ugandan government to request protective gear for exposed health workers.
U.S.A.I.D. stockpiles such gear at a warehouse in Nairobi. But the facility was managed by the World Health Organization, and U.S.A.I.D. employees were not allowed to communicate with the W.H.O., let alone pay it to release the gear.
After more than a week awaiting permission to contact the W.H.O., officials were abruptly ordered to come up with another solution. They eventually paid about $100,000 to procure the protective equipment elsewhere.
“So much for cost-effectiveness,” said a former official with knowledge of the events. The contract with the alternate provider, too, has now ended.
Even the waiver process was riddled with confusion. The Trump administration asked for specifics on how many lives each intervention would save, and U.S.A.I.D. staff struggled to link minor resources like hand sanitizer or risk communication messages to a specific number of lives saved.
The staff purge at U.S.A.I.D. has left few people in place. The agency had more than 50 people dedicated to outbreak responses, the result of a congressional push to beef up pandemic preparedness.
That number was initially cut by half, including some from the core Ebola team, and then on Sunday to just six. Those fired included the organization’s leading expert in lab diagnostics, and the manager of the Ebola response.
“I have no idea how six people are going to run four outbreak responses,” said one official who was let go. “It’s complicated at the best of times when you’re fully staffed.”
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A new report by the American Heart Association (AHA) included some troubling predictions for the future of women’s health.
The forecast, published in the journal Circulation on Wednesday, projected increases in various comorbidities in American females by 2050.
More than 59% of women were predicted to have high blood pressure, up from less than 49% currently.
The review also projected that more than 25% of women will have diabetes, compared to about 15% today, and more than 61% will have obesity, compared to 44% currently.
As a result of these risk factors, the prevalence of cardiovascular disease and stroke is expected to rise to 14.4% from 10.7%.
The prevalence of cardiovascular disease and stroke in women is expected to rise to 14.4% from 10.7% by 2050. (iStock)
Not all trends were negative, as unhealthy cholesterol prevalence is expected to drop to about 22% from more than 42% today, the report stated.
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Dr. Elizabeth Klodas, a cardiologist and founder of Step One Foods in Minnesota, commented on these “jarring findings.”
“The fact that on our current trajectory, cardiometabolic disease is projected to explode in women within one generation should be a huge wake-up call,” she told Fox News Digital.
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“Hypertension, diabetes, obesity — these are all major risk factors for heart disease, and we are already seeing what those risks are driving. Heart disease is the No. 1 killer of women, eclipsing all other causes of death, including breast cancer.”
Cardiovascular disease is the leading cause of death for women in the U.S. and around the world. (iStock)
Klodas warned that heart disease starts early, progresses “stealthily,” and can present “out of the blue in devastating ways.”
The AHA published another study on Thursday revealing one million hospitalizations, showing that heart attack deaths are climbing among adults below the age of 55.
The more alarming finding, according to Klodas, is that young women were found more likely to die after their first heart attack than men of the same age.
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“This is all especially tragic since heart disease is almost entirely preventable,” she said. “The earlier you start, the better.”
Children can show early evidence of plaque deposition in their arteries, which can be reversed through lifestyle changes if “undertaken early enough and aggressively enough,” according to the expert.
Moving more is one part of protecting a healthy heart, according to experts. (iStock)
Klodas suggested that rising heart conditions are associated with traditional risk factors, like smoking, high blood pressure, high cholesterol, diabetes, obesity and a sedentary lifestyle.
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Doctors are also seeing higher rates of preeclampsia, or high blood pressure during pregnancy, as well as gestational diabetes. Klodas noted that these are sex-specific risk factors that don’t typically contribute to complications until after menopause.
The best way to protect a healthy heart is to “do the basics,” Klodas recommended, including the following lifestyle habits.
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Klodas especially emphasized making improvements to diet, as the food people eat affects “every single risk factor that the AHA’s report highlights.”
“High blood pressure, high blood sugar, high cholesterol, excess weight – these are all conditions that are driven in part or in whole by food,” she said. “We eat multiple times every single day, which means what we eat has profound cumulative effects over time.”
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health,” a doctor said. (iStock)
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health.”
The doctor also recommends changing out a few snacks per day for healthier choices, which has been proven to “yield medication-level cholesterol reductions” in a month.
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“Keep up that small change and, over the course of a year, you could also lose 20 pounds and reduce your sodium intake enough to avoid blood pressure-lowering medications,” Klodas added.
“Women should not view the AHA report as inevitable. We have power over our health destinies. We just need to use it.”
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Nearsightedness (myopia) is skyrocketing globally, with nearly half of the world’s population expected to be myopic by 2050, according to the World Health Organization.
Heavy use of smartphones and other devices is associated with an 80% higher risk of myopia when combined with excessive computer use, but a new study suggests that dim indoor lighting could also be a factor.
For years, scientists have been puzzled by the different ways myopia is triggered. In lab settings, it can be induced by blurring vision or using different lenses. Conversely, it can be slowed by something as simple as spending time outdoors, research suggests.
Nearsightedness occurs when the eyeball grows too long from front to back, according to the American Optometric Association (AOA). This physical elongation causes light to focus in front of the retina rather than directly on it, making distant objects appear blurry.
The study suggests that myopia isn’t caused by the digital devices themselves, but by the low-light environments where they are typically used. (iStock)
Researchers at the State University of New York (SUNY) College of Optometry identified a potential specific trigger for this growth. When someone looks at a phone or a book up close, the pupil naturally constricts.
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“In bright outdoor light, the pupil constricts to protect the eye while still allowing ample light to reach the retina,” Urusha Maharjan, a SUNY Optometry doctoral student who conducted the study, said in a press release.
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“When people focus on close objects indoors, such as phones, tablets or books, the pupil can also constrict — not because of brightness, but to sharpen the image,” she went on. “In dim lighting, this combination may significantly reduce retinal illumination.”
High-intensity natural light prevents myopia because it provides enough retinal stimulation to override the “stop growing” signal, even when pupils are constricted. (iStock)
The hypothesis suggests that when the retina is deprived of light during extended close-up work, it sends a signal for the eye to grow.
In a dim environment, the narrowed pupil allows so little light through that the retinal activity isn’t strong enough to signal the eye to stop growing, the researchers found.
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In contrast, being outdoors provides light levels much brighter than indoors. This ensures that even when the pupil narrows to focus on a nearby object, the retina still receives a strong signal, maintaining healthy eye development.
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The team noted some limitations of the study, including the small subject group and the inability to directly measure internal lens changes, as the bright backgrounds used to mimic the outdoors made pupils too small for standard equipment.
Researchers believe that increasing indoor brightness during close-up work could be a simple, testable way to slow the global nearsightedness epidemic. (iStock)
“This is not a final answer,” Jose-Manuel Alonso, MD, PhD, SUNY distinguished professor and senior author of the study, said in the release.
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“But the study offers a testable hypothesis that reframes how visual habits, lighting and eye focusing interact.”
The study was published in the journal Cell Reports.
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