infectious disease
Measles vaccination data from the Texas outbreak

Courtesy JAMA Network Open
In March, the CDC issued updated guidance encouraging early measles vaccination for kids living in or traveling to areas affected by the spreading outbreak. But even before that warning, vaccination rates among kids in Texas were already rising, according to a study published Friday in JAMA Network Open. The chart above shows how even in February, more kids of all ages were getting shots that could protect against the spreading outbreak. In April, vaccination rates for 10-month-olds peaked at 10% — a 10-fold increase from baseline.
While the results show a statewide increase in vaccination rates, it’s important to remember that previous research has shown that even when statewide vaccination rates are high, variation at the school and district level can tell a different story. Ultimately, the West Texas outbreak sickened more than 760 people and killed two young children this year. And 93% of those who got infected were unvaccinated.
television
'The White Lotus' effect?
Weekly Google searches for lorazepam — drug of choice for strung-out mom Victoria, pronounced loraz-a-payum in actress Parker Posey’s North Carolina drawl — skyrocketed during the airing of the HBO Max series “The White Lotus,” which premiered in February, and stayed elevated for a month after the season finale aired in April. Overall, there were 1.6 million more searches than expected, according to a study published Friday in JAMA Health Forum.
It’s unlikely these searches will have clinical implications or lead to a million more prescriptions. But it reminds me of this trend identified by the Wall Street Journal last month, of influencers touting antidepressants as a cool, new accessory.
first opinion
An alarming chatbot experiment
Ellen Hengesbach spent two hours telling a chatbot about mental health problems. Not her own — she and her colleagues came up with a fictional background. The persona was an adult diagnosed with anxiety and depression who is currently on antidepressants but dissatisfied with their psychiatrist and medication plan.
The chatbot in question was one of the most used generic therapist characters available on Character.AI, simply named “Therapist,” which has had more than 6.8 million user interactions. The goal was to see how “Therapist” would engage with someone in this situation. Read Hengesbach’s First Opinion essay to learn how the bot responded, and what her biggest takeaways were.