December 20, 2024
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Health Tech Reporter

It's my last week here at Morning Rounds, but I have some exciting news just for you: Starting next February, you'll be able to catch me at AI Prognosis, a new STAT+ newsletter about AI.

The newsletter's catchphrase is "A hitchhiker's guide to the health care AI galaxy." You can think of me as your own Ms. Frizzle (Dr. Frizzle?), explaining what different developments in AI in patient care, biotech, and health tech mean for you (and dropping some fire music recommendations every week).

You can both sign up for the newsletter and ask me your most embarrassing questions about AI in health & medicine here. And if you sign up before the newsletter launches, you'll get the first four editions free, even if you're not a STAT+ subscriber.

Healthy

Bad day to be a salmon

Yesterday, the U.S. Food and Drug Administration updated its definition of “healthy” food for the first time in three decades. 

Under the new definition, more foods qualify as healthy, including fish with higher fat content, such as salmon; as well as nuts, seeds, and certain oils. Though there was not enough evidence for a dietary guideline advisory panel to take a stance on ultra-processed foods, the new definition disqualifies many ultra-processed foods, like cereals that don’t contain enough whole grains or have too much sugar.

While experts like Eva Greenthal, senior policy scientist at the Center for Science in the Public Interest, said the new rule is an improvement, she also noted that “the most important step that the Biden Administration can take to leverage food labels for public health is to publish the FDA’s proposed rule on mandatory front-of-package nutrition labeling,” which would let consumers quickly compare foods’ basic nutrition information.

Read more about the new definition and whether it will really make an impact on Americans’ health from STAT’s Liz duo, Lizzy Lawrence and Liz Cooney.


Public health

No way to prevent this, says only wealthy nation where high maternal mortality regularly happens

The statistics on U.S. maternal mortality are scary. But is it 23.8 maternal deaths per 100,000 live births in 2020, or 24.9, or 18.4 — all official statistics from different CDC sources? 

Experts who study the issue say that quibbling over how to count maternal deaths — or minimizing the urgency of the problem — shouldn’t overshadow the fundamental work of asking how and why such deaths occurred, and how to prevent them.

Looking at other developed countries with far lower maternal death rates, there are clear patterns: “They have universal health insurance, they have paid leave, they have all these other things that make life more livable for a pregnant woman and her family,” said Eugene Declerq, a professor of community health sciences at the Boston University School of Public Health and a leading maternal mortality data expert. “That's right in the policymakers' wheelhouse, and then that's uncomfortable because that's real expenditures.” 

Read more on how we count maternal deaths and why the mortality crisis is so bad, from former STAT reporter Annalisa Merelli.


Politics

House Republicans drop PBM reform to fund government

Everyone from Lina Khan’s Federal Trade Commission to President-elect Donald Trump has come out against pharmacy benefit managers, the middlemen between insurers (who often own PBMs) and the pharma industry. (For a refresher on what PBMs are and how they influence drug pricing, watch this STAT explainer.)

Earlier this week, STAT reported that lawmakers reached a deal to rein in these middlemen. But that health care deal has fallen apart because it was tacked onto a larger package that has since crumbled following backlash from conservatives and top Trump advisers. For more on what other health care funding measures got dropped and the future of PBM reform, read Rachel Cohrs Zhang’s story in STAT+.



closer look

STAT's year in photos

Ultra-processed-Diet-NIH-06

Christine Kao for STAT

Every time people are kind enough to let STAT reporters into their lives and trust us with their stories, it’s a gift. We spend hours with them, sometimes spread over months or years, and get a sense of who they are, what motivates them.

But how do we convey that to you, the reader? We try to do it with our words, and our talented photographers find ways to tell stories with single images.

Our multimedia editor Alissa Ambrose and picture editor Crystal Milner have a visual feast for you from the past year: STAT’s most memorable photos of 2024

Take some time to look back today, whether it’s the staring into the eyes of women with sickle cell disease bravely telling the stories of how they were coerced into sterilizations, a widow who experienced the human toll of UnitedHealth Group’s pursuit of profits, or the unspoken but visibly apparent bond between a husband and wife team who accomplished more for science together than they could have apart.


Infectious disease

California is on fire with virus

For months, federal officials have expressed confidence that they know how H5N1 bird flu is spreading amongst dairy cows: Movement of animals between farms, on workers' boots or clothing, and through common, shared equipment.

But to other epidemiologists and infectious disease experts, that doesn’t explain why California has exploded with H5N1, even at farms that observe strict sanitation protocols. The country’s largest dairy-producing state has now detected the virus on over 650 dairy farms — about half of them in the last month alone. 

Seema Lakdawala, an associate professor in the department of microbiology and immunology at Emory University School of Medicine, bristles at some of the USDA’s theories. More likely, workers are contracting the virus themselves and spreading it to other animals. She’s observed farmworkers “using the same rags to dry the cows and wipe their own faces so there’s a lot of potential contaminants happening right there,” she said.

Read more from STAT’s Megan Molteni for more potential reasons behind the spread, and why current protocols aren’t able to detect and stop the virus.


One Big Number

1 in 127

That’s how many people in the world are estimated to be on the autism spectrum, as of 2021, according to the latest estimates from the Global Burden of Diseases, Injuries, and Risk Factors and published yesterday in Lancet Psychiatry. This is much higher than the 2019 estimate of 1 in 271 people. The number changed largely due to a change in methodology: The report now excludes studies that make their estimates solely based off of medical records, which don’t account for every case.


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What we're reading

  • Pregnant Kentucky woman cited for street camping while in labor, Kentucky Public Radio

  • Humans evolved for distance running – but ancestor ‘Lucy’ didn’t go far or fast, Nature

  • Gene therapy trials should emphasize transparency, not secrecy,