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.”
Health
GLP-1 Users’ Guide to Protein Snacks: Here’s What a Dietitian Actually Recommends
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Health
Coffee may have powerful effect on liver health, major study suggests
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The health benefits of morning coffee may go beyond a wake-up call, according to a massive new study linking the beverage to a significantly lower risk of severe liver disease, liver cancer and liver-related death.
Published in the journal Clinical Gastroenterology and Hepatology, the research used data from 354,957 participants enrolled in the UK Biobank.
Researchers tracked individuals who had no history of cirrhosis or liver cancer at the start of the study for an average of 13 years, according to a press release.
ZERO SUGAR, MORE PROBLEMS? STUDY REVEALS SURPRISING GUT HEALTH EFFECTS
Participants who drank one to two cups of coffee daily showed a 20% lower risk of developing cirrhosis and a 31% lower risk of liver-related mortality compared to non-coffee drinkers.
The protective effects became even more noticeable at higher levels of consumption.
Data revealed that heavy coffee drinkers had significantly lower levels of liver fat and liver iron. (iStock)
Individuals who drank five or more cups of coffee per day experienced a 32% reduction in cirrhosis risk, a 42% lower risk of liver-related death and a 47% lower risk of developing hepatocellular carcinoma, the most common form of primary liver cancer.
While previous studies have hinted at coffee’s positive relationship with liver health, this study provides biological evidence to support the statistical trends, the researchers said.
CAN ALKALINE WATER ACTUALLY IMPROVE YOUR HEALTH? EXPERTS SEPARATE FACT FROM FICTION
To better understand why coffee may protect the liver, the researchers conducted additional analyses using imaging data from a subgroup of nearly 29,000 participants and blood samples from approximately 50,000 individuals.
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The data showed that heavy coffee drinkers had significantly lower levels of liver fat and liver iron, as well as lower odds of developing fibroinflammation, which is the scarring and inflammation that often precedes permanent liver damage.
Participants who drank one to two cups of coffee daily showed a 20% lower risk of developing cirrhosis. (iStock)
The blood analysis linked coffee consumption with lower levels of some proteins known to trigger inflammation and tissue scarring, along with higher levels of proteins essential for healthy liver function.
Notably, the study found that the liver-protective benefits were similar for both caffeinated and decaffeinated coffee, suggesting that these benefits are driven by naturally occurring compounds not related to caffeine.
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While the benefits persisted regardless of whether the coffee was consumed black or with sweeteners, the researchers observed that adding sugar or artificial sweeteners slightly weakened the beneficial effects, particularly concerning markers of liver inflammation.
Researchers observed that adding sugar or artificial sweeteners slightly weakened the positive effects. (iStock)
While these findings suggest that coffee consumption is an accessible dietary habit for supporting liver health, the authors noted that it should serve as a complement rather than a replacement for standard preventative health practices.
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Because the research relied on self-reported dietary questionnaires from the UK Biobank, the findings could be susceptible to changes in participants’ coffee-drinking habits over the 13-year follow-up period.
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Additionally, as an observational study, it can only establish a strong correlation and cannot prove cause and effect, as other factors may influence the outcomes.
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