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Massachusetts pediatric pneumonia cases going up: ‘No evidence’ it’s tied to mycoplasma

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Massachusetts pediatric pneumonia cases going up: ‘No evidence’ it’s tied to mycoplasma


Pediatric pneumonia cases have been rising in the Bay State, according to health officials who say there’s “no evidence” that the seasonal jump is tied to the increase in mycoplasma pneumonia flare-ups around the world.

Massachusetts has seen a modest uptick in pediatric pneumonia cases during the past few weeks, the state Department of Public Health said on Friday.

This increase is “seasonally appropriate” and is in line with the levels of pneumonia typically seen at this time of year before the COVID-19 pandemic, according to DPH. These pneumonia cases are most likely linked to a combo of respiratory viruses — including respiratory syncytial virus (RSV), which normally jumps in the winter months.

“We are aware of the attention to the increase in pneumonia in several geographic regions of the world that has been attributed in part to mycoplasma pneumonia,” DPH said in a statement. “There is no evidence that the normal and expected increase in pneumonia cases we are currently seeing in Massachusetts is related to mycoplasma.”

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Mycoplasma is a bacterium that can infect the lungs, and often causes what is referred to as “walking pneumonia.” While this type of pneumonia tends to be mild in adolescents and adults, it can be problematic in infants and children.

In Ohio, a county has recorded an “extremely high number” of pediatric pneumonia cases, including mycoplasma pneumonia, the Warren County Health District reported this week.

“We do not think this is a novel/new respiratory disease but rather a large uptick in the number of pneumonia cases normally seen at one time,” the county health officials said.

Countries in Europe have been reporting a spike in mycoplasma pneumonia cases.

Meanwhile, an increase in respiratory illnesses across China has drawn the attention of the World Health Organization.

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“DPH urges everyone to take measures to help prevent all respiratory illness — including COVID, flu, and RSV,” Massachusetts DPH said. “These measures include washing your hands, covering your mouth when you sneeze or cough, staying home when you are ill, and getting the appropriate vaccines.”

Herald wire services were used in this report.



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Massachusetts

‘A bloodbath’: New wave of cuts to NIH research grants hit Mass. hard – The Boston Globe

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‘A bloodbath’: New wave of cuts to NIH research grants hit Mass. hard – The Boston Globe


Charlton no longer had money to pay her staff or any of her researchers. On Monday afternoon, she called and fired the center’s executive director who just months earlier had uprooted her family and relocated from Los Angeles.

“It breaks my heart to see years of work wiped off the map,” said Charlton, associate professor and founding director of the LGBTQ Health Center of Excellence at the Harvard T.H. Chan School of Public Health. “I’m not sure we will ever recover.”

In what has become a weekly ritual, the NIH on Friday afternoon abruptly terminated tens of millions of health research grants in New England and around the country. The latest round of cuts strikes deep at the heart of the medical research infrastructure in Greater Boston, imperiling years of research into disease prevention and health disparities among traditionally underserved populations, according to a half-dozen health researchers whose funding was cut Friday.

Among those hardest hit is the research arm of Fenway Health, which for five decades has pioneered infectious disease research in the gay and lesbian community. On Friday, the NIH terminated five of its research grants. These included multi-year studies into prevention and treatment of HIV for adolescents and the effects of social isolation among older LGBTQ people. Including Friday’s cuts, the Fenway Institute has seen a dozen of its 27 NIH grants terminated since Trump took office — amounting to $1.8 million in lost funding.

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“It’s being called a bloodbath,” said Dr. Kenneth Mayer, medical research director at Fenway Health. “The government is essentially saying that, only certain people with certain characteristics matter… and the less you know the better.”

An NIH spokesperson did not respond to questions about the scale and legality of the NIH cuts, instead sharing a link to an agency website and a list of terminated grants. The list shows that more than 300 NIH research grants — with anticipated funding of nearly $200 million — were cancelled between Feb. 20 and last Thursday, March 20th. The cancellations from last Friday are not included in the latest tally.

The cuts are part of the Trump administration’s crackdown on research focused on gender and diversity issues, and appear to violate federal court orders blocking the NIH cuts.

Two legal experts who reviewed NIH termination letters shared with the Globe said they violate federal administrative process law, which prohibits “arbitrary and capricious” policy changes. The mass cancellations also violate contract law because the NIH is imposing conditions on research projects that did not exist at the time the grants were awarded, the legal experts said.

“These terminations are illegal,” said David Super, a constitutional law expert at Georgetown Law, who reviewed the termination letters at the Globe’s request. “NIH has no authority to cancel these contracts without individualized assessments, and doing so violates court orders against blanket cutoffs of legally obligated federal funding.”

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The financial impact of the grant cuts has rippled through universities, hospitals and other research institutions in Massachusetts, which is the largest recipient of NIH grant funding per capita. Already, academic scientists are warning of a massive brain drain, as graduate students and post doctoral researchers rethink their futures and consider whether to abandon medical research entirely.

More than a dozen universities, including Harvard, MIT, Brown, and the University of Pennsylvania, have frozen hiring, and the University of Massachusetts’ medical school has rescinded dozens of admissions offers to Ph.D. candidates.

“This could destroy a generation of scientists,” said Dr. Bruce Fischl, a professor of radiology at Harvard Medical School. “A lot of young people see the potential dismantling of medical research and they don’t want to stick around for it.”

Julia Marcus, an infectious disease epidemiologist and associate professor of population medicine at Harvard Medical School, said she burst into tears after the NIH abruptly terminated three of her research grants late last week. Among them was a $2.5 million grant that funded a five-year study exploring the implementation of a long-acting, injectable drug that has been shown to be highly effective at preventing HIV.

Now, she is scrambling to find money to issue paychecks to her research team.

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“It’s peak inefficiency,” Marcus said of the cuts. “We poured so much time and effort into this study and then to have it terminated, on the verge of a payoff is, well, I’m running out of words.”

Nearly all biomedical researchers in academia rely to some extent on support from the NIH. Laboratories are run like small businesses, with scientists constantly applying for grants to pay for salaries, supplies and computers. Preparing a grant proposal for the NIH is a monthslong process, with many grant applications running more than 100 pages long, say university researchers.

Some researchers said they were hopeful the NIH cuts that began in earnest last month would slow, or even stop, after the courts intervened. A federal judge in Maryland twice over the past six weeks blocked the administration from terminating funding, saying in his most recent decision that the cuts “punish, or threaten to punish, individuals and institutions based on the content of their speech, and in doing so they specifically target viewpoints the government seems to disfavor.”

But the NIH continues to send out large batches of termination notices, which often arrive in researchers’ email inboxes on Friday afternoons. Many share nearly identical phrasing, including, “This award no longer effectuates agency priorities.”

“Research programs based primarily on artificial and non-scientific categories, including amorphous equity objectives, are antithetical to the scientific inquiry… and ultimately do not enhance health, lengthen life, or reduce illness,” one of the form letters says.

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Ariel Beccia, an instructor at the LGBTQ center at the Harvard T.H. Chan School of Public Health, has spent the past two years studying how the COVID-19 pandemic caused health disparities to widen among LGBTQ people; and had entered the most important phase of the study exploring the factors causing the diverse outcomes. A grant from the NIH funded her data analysis work as well as her salary.

Like many of her peers, Beccia has been anxious about losing her grant money since February when Trump issued a series of directives aimed at rooting out “gender ideology.”

Then last Friday afternoon, Beccia was anxiously rebooting her email when a termination letter appeared in her inbox at 4:30 p.m. In a moment, she learned that her sole source of income, including the money she needs to buy groceries and pay rent on her Cambridge apartment, had vanished. Like many of her peers, Beccia is now scrambling to raise money from private funding sources — but the grants are smaller than those awarded by the NIH and the competition is fierce.

In her case, the NIH form letter said diversity, equity and inclusion studies “are often used to support unlawful discrimination” and harm the health of Americans. “It’s disgusting and wildly incorrect,” Beccia said of the letter. “Everyone has a gender identity. So research related to gender is critically important to improving health.”

On Tuesday afternoon, Charlton held a Zoom call to deliver the grim news about the NIH cuts to a dozen members of her research team. They were already reeling from an earlier round of notifications that had terminated a five-year, $4 million study to explore how discriminatory laws, such as so-called “Don’t Say Gay” bills, impact mental health among LGBTQ adolescents and how the laws can potentially lead to suicide. Charlton’s team had interviews lined up with more than 100 adolescents across the country when the termination note arrived.

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On the call, Charlton became emotional as she explained that she no longer had the money to pay them but was aggressively seeking private donations to fill the gap.

“I am feeling really hopeful that we’ll figure this out,” she said. “But I also believe it’s going to get a lot worse before it gets better.”


Chris Serres can be reached at chris.serres@globe.com. Follow him @ChrisSerres.





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Massachusetts DESE officials report ‘mixed’ results in Boston schools, as state oversight plan ends

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Massachusetts DESE officials report ‘mixed’ results in Boston schools, as state oversight plan ends


As the three-year deal between BPS and state education officials to avoid a receivership comes to an end, the education commissioner said Tuesday the Boston district has made good “effort” — even if it isn’t meeting all the deal’s requirements.

Acting Education Commissioner Russell Johnston at a state education board meeting Tuesday provided a recap of what has resulted from the work related to the Systemic Improvement Plan.

“The word that I’ve used repeatedly is mixed,” he said. “We’ve seen mixed results, but definitely much effort, really concerted effort on behalf of the district, the School Committee and the mayor in order to meet the requirements that are in the SIP.”

The district and DESE signed the Systemic Improvement Plan (SIP) in order to narrowly avoid a state receivership of the struggling district in June 2022. The deal, which builds off a former 2020 agreement between BPS and DESE, outlines benchmarks related to transportation, attendance, special education and other subjects the district was required to meet over the three-year period.

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The SIP is set to expire in June 2025.

Johnston spoke positively about the district’s progress, indicating BPS remains on track to avoid a state receivership. The commissioner noted that DESE will maintain “continual oversight” even after the deal ends.

“There’ll be areas that we will continue, obviously, to work with the district on,” said Johnston. “But what I’m particularly pleased about is the development I’ve also seen in the School Committee within BPS to provide the kind of oversight, the accountability that is required to continue these improvements beyond the life of the SIP.”

Statements from BPS and city leadership applauded the commissioner’s report, noting BPS’s “strides in the right direction.”

“Over the three years, we have made notable progress in addressing systemic barriers and have enhanced our operational capacity, maintaining a laser focus on transportation,” said BPS Superintendent Mary Skipper, noting critical work still to do in areas like the rollout of the Inclusion Education Plan, operational systems and raising the bar academically.

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Johnston highlighted several areas of improvement, including the release of the long-term facilities plan and enrollment data, student safety planning, supports for multilingual learners and students with disabilities, and staffing and covering bus routes.

Board members pushed on bus transportation timeliness, which has been one of the most high-profile issues plaguing the district. BPS was required to meet 95% on-time bus performance in the SIP, which Johnston called a “particularly high bar.”

“They have not fully reached it, but we do see that by and large there is just steady improvement in this area, which is what we really need to see,” Johnston said.

Skipper said bus on-time performance averaged 94% for the month of March and route work through new GPS tracking is ongoing.

“I think a three year learning curve with something that impacts attendance, something impacts student safety, something that is a daily operational matter, that ultimately has to be successfully tackled is way too slow,” said Board member Michael Moriarty. “I think that is a failure ultimately.”

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Moriarty added that the state’s current tools of interventions and accountability of school districts are “not working,” and called on the Legislature to adjust processes like these.

DESE’s update on the SIP comes weeks after the watchdog organization Boston Policy Institute released a report saying the state intervention in BPS has failed to aid academic outcomes.

“There are elements of what Boston is dealing with which may be intractably sort of set up in a way that or beyond any one person, any one school committee, any one superintendent’s control to fix,” said Board Chair Katherine Craven. “So I think we as a board should just remain open to any constructive potential future engagement with the Boston Public Schools.”

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Massachusetts organization helps people with disabilities live more independently

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Massachusetts organization helps people with disabilities live more independently



Massachusetts organization helps people with disabilities live more independently – CBS Boston

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