‘NeuroTribes’ examines the history — and myths — of the autism spectrum
Steve Silberman talks about how Nazi extermination plans and a discredited scientific paper about childhood vaccines shaped our current understanding of autism.
By Michelle Andrews
As the open enrollment season for employer-sponsored health insurance gets underway this fall, experts say there’s one group that should definitely consider changing plans: people who have coverage through their former employer under the federal law known as COBRA.
COBRA allows people who leave their jobs to keep their job-based group coverage for 18 months, sometimes longer, and COBRA enrollees generally renew that coverage during the company’s enrollment period.
But the catch is that former workers are responsible for the entire premium, usually a hefty increase over their previous monthly bill because they lose the employer subsidy, which typically runs about 75 percent of the cost. Continue reading
Six people have been infected with the same strain of E. coli (three have been hospitalized) Everyone who became sick had something in common – they ate food prepared by, a local food vendor called Los Chilangos.
From Public Health – Seattle & King County
Public Health is currently investigating an outbreak of E. coli 0157 – one of the most serious foodborne illnesses you can contract. Our thoughts are with the families affected by this outbreak, and we appreciate the support of the community as we work to protect the health of the public.
A person can get an E. coli O157 infection from many different sources: by eating or drinking something contaminated with animal or human fecal matter, through animal contact, or through contact with another person who has an E. coli infection.
One of our responsibilities at Public Health is to track down these sources. When there are illnesses associated with any one of the more than 12,000 food establishments in the county, we search for contaminated products, ill food workers, or improper food handling.
We follow specific steps to find clues that help us pinpoint the source(s) that may be linked to illness. Here are key steps of this current investigation. Continue reading
By Elaine S. Povich
In January 2014, Vermont Gov. Peter Shumlin devoted his entire State of the State address to the opiate drug scourge ravaging his state. While Vermont is not the only state to experience the growing addiction problem, it arguably has been the most aggressive in tackling one aspect of it — offering treatment to residents who agree to participate.
Within six months of his speech, Shumlin, a Democrat, signed bills and executive orders that included $6.7 million for a “hub and spoke” treatment program of central facilities and small treatment outposts, a medication-assisted addiction therapy program, tougher sentences for drug traffickers and new regulations for prescribing and monitoring prescription drugs. One of biggest changes is giving people who are picked up by police the choice of treatment instead of criminal prosecution.
In January 2015, the state reported that medically assisted drug treatment had increased by 40 percent. Of those who completed treatment plans, 75 percent showed improved functioning. But the report also said more treatment opportunities are needed, citing the difficulty in hiring and retaining clinicians and other health care providers as a major obstacle.
A year and a half after his groundbreaking speech, Stateline checked in with Shumlin to talk about his progress and what remains to be done. Continue reading
By Charles Ornstein ProPublica
This story was co-published with NPR’s Shots blog.
The scene in front of abortion clinics is often tense, with clinic workers escorting patients past activists waving signs and taking photographs.
But increasingly, another drama is unfolding out back. There, abortion opponents dig through the trash in search of patient information.
Using garbage as their ammunition, anti-abortion activists who have sometimes been accused of violating abortion seekers’ privacy are turning the tables. They claim it’s the clinics that are violating patients’ privacy by discarding medical records in unsecured ways.
“Everybody acts like the abortion clinics are this bastion of protection for women’s privacy, and they’re like the chief offenders of just dumping this stuff willy-nilly,” said Cheryl Sullenger, senior policy advisor at Operation Rescue, an anti-abortion group based in Wichita, Kansas. “It’s so hypocritical.”
Abortion rights groups counter that while a small number of clinics have improperly disposed of records, the vast majority take strict precautions to protect patient privacy. It’s far more common, they say, for abortion opponents to trespass on private property or try to break into locked dumpsters.
Planned Parenthood has paid forensic experts to comb through undercover videos released by anti-abortion activists, and their report finds significant distortions and misleading edits. The report has been handed over to Congress, which is investigating allegations that Planned Parenthood illegally profits from fetal tissue donation.
By Michael Ollove
Accidental drowning is the second leading cause of death for U.S. children under age 5, after birth defects. For youngsters under 15, only traffic accidents are responsible for more deaths by injury. And while drowning rates have declined slightly since the turn of the century, African Americans continue to die from drowning at considerably higher rates than whites.
Faced with such stubborn figures, public health advocates and researchers complain that state and local governments aren’t doing enough to prevent drowning deaths. Critics say most states don’t have sufficient laws or don’t enforce laws that could lessen the chances of drowning, such as requirements for fencing around private pools and the presence of trained lifeguards. And, they say, too little is being done to make sure that children have swim lessons and water safety skills.
“There is so much that can and should be done,” said Andrea Gielen, director of the Johns Hopkins University Center for Injury Research and Policy. Continue reading
A Colorado birth control program that has cut unintended pregnancies and abortions by nearly half since 2009 will stay alive for at least one more year thanks to $2 million in donations from private foundations.
The rescue of the highly-touted program comes after Republican lawmakers earlier this year killed a bill that would have provided $5 million in public funding for IUDs and other long-acting reversible contraceptives for low-income teens and young women.
Colorado health officials estimate that the IUDs and other devices have saved at least $79 million in Medicaid costs for unintended births, but some opponents claimed that IUDs are abortifacients and refused to approve funding in the Republican-controlled Senate.
From mid-2009 to mid-2015, the Susan Thompson Buffett Foundation funded a pilot effort in Colorado with a $25 million grant. The Colorado Family Planning Initiative provided teens and young women with more than 36,000 free or low-cost IUDs or other long-acting birth control devices.
The newest data from the Colorado Department of Public Health and Environment show a 48 percent drop statewide in unintended pregnancies and abortions. Births among teens ages 15 to 19 fell from 6,201 in 2009 to 3,361 in 2014, while abortions declined from 1,711 to 939 in the same period.
The 48 percent reduction is up from a 40 percent drop through 2013. Continue reading
From the Washington Healthplanfinder
The Washington Health Benefit Exchange Board today provided final certification of Qualified Health Plans to be offered through Washington Healthplanfinder during the third open enrollment period.
The open enrollment period, which runs from Nov. 1, 2015, to Jan. 31, 2016, provides coverage starting Jan. 1, 2016.
Exchange Board Certifies More than 180 Health Plans to be offered Starting Nov. 1
Additionally, six insurance carriers will offer eight pediatric Qualified Dental Plans. Last year, 10 health insurers were approved to sell 82 plans for individuals and families.
Every county in Washington State will again see an increased number of health plan options this fall. In the first open enrollment period, only two counties had more than six carriers offering coverage. This year, 14 counties will have more than six carriers offering coverage.
Approved insurance companies that are new to the market include Dentegra, Health Alliance Northwest, Regence BlueShield and UnitedHealthcare of Washington. Health plans still under review by the Office of the Insurance Commissioner include Coordinated Care. If Coordinated Care is approved, the Board may provide final certification at a later date.
Approval from the Office of the Insurance Commissioner and Board certification for these plans is required under the Affordable Care Act to ensure that each plan meets the requirements for Qualified Health Plans and the 10 essential health benefits, including regular doctor’s visits, maternity care and hospital stays.
The following insurance carriers were approved to sell health and pediatric dental plans through Washington Healthplanfinder:
Washington Healthplanfinder Business, the state’s business marketplace, will expand its statewide coverage this year with two insurance carriers, Moda Health and UnitedHealthCare, and 47 plans available. Kaiser Permanente will continue to offer health plans to small businesses in Clark and Cowlitz counties.
Starting this November under the Affordable Care Act, Washington Healthplanfinder Business will expand its coverage from businesses of up to 50 employees to larger businesses of up to 100 employees. Washington Healthplanfinder Business allows businesses to compare plans, decide their contribution level and manage payment in one place. Eligible small business owners may also access tax credits when they enroll through Washington Healthplanfinder Business.
Five additional multi-state plans must be certified by the U.S. Office of Personnel Management (OPM) before they can be offered through Washington Healthplanfinder. Multi-state plans are provided by OPM and private insurance carriers to drive additional competition in health insurance marketplaces across the country.
More information about the health plans that will be offered on Washington Healthplanfinder is available by clicking here.
For more information about Washington Healthplanfinder, please visit www.wahealthplanfinder.org.
From Washington State Department of Health
New immunization rates show many toddlers across the state aren’t getting vaccinated for certain diseases on time, if at all, according to the Centers for Disease Control and Prevention’s (CDC) National Immunization Survey.
The trend means more children are at risk of getting measles, whooping cough, or other preventable diseases.
The trend means more children are at risk of getting measles, whooping cough, or other preventable diseases.
This overall rate is about 3 percent lower than 2013, but statistically the two rates are not significantly different.Washington’s immunization rates for 2014 did not improve for most recommended vaccines for young children.
The lone exception was the dose of hepatitis B vaccine given at birth. Coverage rates for the hepatitis B birth dose vaccine exceeded national coverage rates, increasing to almost 80 percent.
“The data show that we’re not protecting all of our kids as well as we should,” said State Health Officer Dr. Kathy Lofy. “We’re disappointed that our rates aren’t higher. When kids aren’t fully protected, it puts those kids and the wider community at risk of disease. The recent spike in measles cases and the ongoing whooping cough outbreak highlights the need for high vaccination rates.” Continue reading
Seattle Children’s Hospital is working with the state health department and the Centers for Disease Control after it was revealed that the required procedures for cleaning and sterilizing surgical instruments at the hospital’s Bellevue Clinic and Surgery Center were not always followed.
“I understand that families will be concerned, and rightly so, but from a scientific perspective, the risk is low, which I hope that families find reassuring,’ Seattle and King County Public Health official Justin Duchin, M.D. said at a press conference on August 26.
As a result of the problems with sterilization, patients who had a surgical procedure at the Bellevue Clinic may need to be tested for hepatitis B and C, as well as HIV, the hospital said in a statement.