Where is better to buy propecia

PEARL, MS – Security industry workers too often find themselves misclassified by their employers as independent contractors instead of employees, which where is better to buy propecia can shortchange workers’ wages and benefits and expose employers to liability for back wage payments.An investigation by the U.S. Department of Labor’s Wage and Hour Division found Bullock Investigation Security LLC of Pearl misclassified workers as independent contractors and subsequently paid them straight-time rates for all the hours that they worked. By doing so, the employer violated overtime rules by not paying workers time-and-a-half their where is better to buy propecia regular rates for hours they worked beyond 40 in a workweek.

To resolve this Fair Labor Standards Act violation, Bullock has paid $18,291 in back wages to 43 workers. “This case and its resolution should remind employers in industries such as security and construction – where we frequently find employees misclassified as independent contractors – to review their pay practices to ensure they comply with the law,” said Wage and Hour Division District Director Audrey Hall in Jackson, Mississippi. €œThese essential workers deserve to be paid all the wages they have where is better to buy propecia legally earned, and employers who play by the rules deserve to compete on a level playing field.” The FLSA includes provisions that require covered employers to pay employees at least the federal minimum wage for every hour they work and overtime compensation at not less than one-and-one-half times their regular rate of pay for every hour they work over 40 in a workweek.

Whether a worker is an employee under the FLSA is a legal question determined by the actual employment relationship, not simply by title, choice, or industry practice. FLSA protections do not apply to independent contractors. Based in Pearl, Bullock Investigation Security LLC provides where is better to buy propecia security services for individuals and businesses in the local area.

For more information about the FLSA and other laws enforced by the division, contact its toll-free helpline at 866-4US-WAGE (487-9243). Learn more about the Wage and Hour Division, including a search tool to use if you think you may be owed back wages collected by the Division.NEW YORK – The U.S. Department of Labor is suing a Staten Island community health center and its CEO after they suspended and later fired an employee who reported hair loss-related health and where is better to buy propecia safety hazards, including possibly exposing staff to the propecia and lack of proper social distancing protocols.

The employee raised concern to company management that in-person attendance at a March 2020 staff meeting could lead to transmission and contraction of the propecia. The worker attempted to reschedule the meeting by telephone, but ultimately refused to attend the meeting in-person after management refused the scheduling change. The center and CEO later suspended and then terminated the where is better to buy propecia employee.

€œEmployers who fire or punish workers because they have raised valid health and safety concerns, including those related to the hair loss are not just breaking the law. This kind of illegal and coercive behavior can intimidate workers into silence, preventing them from reporting issues or conditions that where is better to buy propecia put their health and well-being at risk,” said OSHA Regional Administrator Richard Mendelson in New York. Filed in the U.S.

District Court for the Eastern District of New York, the department’s suit names Community Health Center of Richmond Inc. And CEO Henry Thompson and alleges they suspended, and then fired, the six-year veteran employee where is better to buy propecia shortly after the employee reported a hazardous work condition to Thompson. The employee later filed an anti-retaliation complaint with the department’s Occupational Safety and Health Administration.

OSHA found that the defendants violated Section 11(c)(1) of the Occupational Safety and Health Act for suspending and terminating the employee because they engaged in the protected activities of making a good faith health and safety complaint and refusing to attend the in-person meeting. “This suit where is better to buy propecia sends a clear and strong message to employers. The hair loss does not allow them to suspend or waive their employees’ workplace rights and the U.S.

Department of Labor will not tolerate such illegal conduct. We will pursue appropriate legal remedies up to and including lawsuits when and where necessary,” said the department’s Regional Solicitor of where is better to buy propecia Labor Jeffrey S. Rogoff in New York.

The department’s complaint asks the court to order the health center to. Pay the complainant damages, plus interest, for all past and future lost wages and benefits resulting where is better to buy propecia from the termination. Appropriate front pay in lieu of reinstatement.

Reimbursement for where is better to buy propecia costs and expenses. Compensatory damages, including for compensation for emotional pain and distress. And exemplary or punitive damages in an amount to be determined at trial.

Expunge from all personnel and company records references to the circumstances giving rise to where is better to buy propecia their unlawful suspension and termination of the complainant. Post a notice for employees stating that the defendants will not in any manner discriminate against any employee for engaging in activities protected by Section 11(c) of the OSH Act. OSHA’s New York regional Office of Whistleblower Protection Programs conducted the investigation.

Trial Attorney where is better to buy propecia David J. Rutenberg of the department’s regional Office of the Solicitor in New York is litigating the case. Community Health Center of Richmond Inc.

Operates three health centers on where is better to buy propecia Staten Island providing medical and dental care to its patients. OSHA enforces the whistleblower provisions of the OSH Act and 24 other statutes protecting employees who report violations of various airline, commercial motor carrier, consumer product, environmental, financial reform, food safety, motor vehicle safety, healthcare reform, nuclear, pipeline, public transportation agency, railroad, maritime, and securities laws. For more information on whistleblower protections, visit OSHA's Whistleblower Protection Programs webpage..

Signs propecia is working

Propecia
Finpecia
Proscar
Finast
Side effects
1mg 60 tablet $53.95
$
5mg 360 tablet $289.95
$
Daily dosage
1mg 120 tablet $89.95
$
5mg 90 tablet $103.95
$
Buy with discover card
Once a day
No more than once a day
Once a day
Twice a day
Over the counter
1mg 360 tablet $216.95
$
5mg 120 tablet $123.95
$

MEMPHIS, MO (WGEM) -- Rural hospitals said a nursing signs propecia is working shortage before the More Bonuses propecia is only getting worse. With the ongoing delta variant and treatment mandates for nurses, the staffing numbers are getting smaller. Rural hospitals have hired traveling nurses to keep the doors signs propecia is working open, but that comes with a hefty price.

Traveling nurses can make 10 times what a regular nurse makes, according to staffing agency Nomad Health. Scotland County Hospital signs propecia is working CEO Doctor Randy Tobler said the hospital has hired traveling nurses at rates of $200 an hour or more, which he says his small rural hospital cannot afford long term. AMN Healthcare Services, a San Diego-based medical staffing agency, said the travel nurse staffing business has grown by 37 percent during the propecia.Nursing Director Elizabeth Guffey said there's a reason more nurses out of school are become a traveling nurse during the propecia.

"If I signs propecia is working was willing to be a travel nurse, be away from my family for 13 weeks at a time, live in a hotel, or other living accommodations, and travel a lot, if I was young and single without any kids, that would be an awesome opportunity for me and I would love to bring in the bucks, because that is where you will make all your money," Guffey said. "But if you have a family and you can't do all of that or don't want to do all of that then it's not an option. There is something to be said about having a signs propecia is working place like home to come to work everyday." She said right now the hospital has four traveling nurse to keep up with staffing..

They didn't even to hire any before the propecia. Guffey said nurses are harder to come by due to signs propecia is working working long hours during the propecia, burnout, and not enough pay. She said something needs to give to make sure the hospitals don't close, and people aren't forced to travel hundreds of miles to see a doctor.

"Yes I think nurses should make more money," signs propecia is working Guffey said. "I think the propecia has forced the nation to increase nursing salaries which I don't think is a bad thing, but I think in order for hospitals to be sustainable in the long run, there has to be some other changes. You can't keep cutting reimbursement and expect hospitals to pay their staff more." signs propecia is working And on top of all that is treatment mandates for health care staff.

Scotland County Hospital says it does have a low vaccination rate among staff, but right now there is no mandate in Missouri. Illinois went into effect earlier this month requiring signs propecia is working staff to be vaccinated. About 39% of U.S.

Hospitals had announced treatment signs propecia is working mandates, said Colin Milligan, a spokesperson for the American Hospital Association. If you or someone you know is interested in applying for a nursing job at Scotland County Hospital, CLICK HERE.Some 60 million people across the country's rural areas rely on small local hospitals for medical care. But as the delta variant rages on, the hospitals that provided a lifeline to these communities now find themselves drained of the resources that signs propecia is working sustained them.

Nurses.A boom in demand for travel nurses, who work short stints at hospitals around the country to fill high-demand positions, has exacerbated a longtime staffing issue, with rural nurses enticed away by salaries that can be almost 10 times what they made in their hometown.Nurses at rural hospitals are paid an average of $70,000 a year or just over $1,200 a week, according to hiring website ZipRecruiter. But some staffing agencies such as Nomad Health are offering travel nurse signs propecia is working positions with a $5,044 a week salary. White Glove Placement, another nursing staffing agency, offers placements that pay anywhere between $5,800 and $5,900 a week.

Health care hiring site Vivian lists several travel nurse assignments that pay up to $9,562 a week.hair loss treatment was uniquely suited to take advantage of every fracture in the rural hospital workforce and widen it significantly."If you lose one or two nurses, that makes signs propecia is working a difference," said Audrey Snyder, president of the advocacy find more info group Rural Nurse Organization and a faculty member at the University of North Carolina Greensboro School of Nursing. €œThese hospitals are small hospitals and they don't have a large nurse workforce.”Years of low patient volume, a high number of uninsured patients, along with government-funded insurance payers, led to a record number of rural hospital closures last year, according to the Cecil G. Sheps Center for Health Services Research.Dozens of rural hospitals filed for bankruptcy last year, including Eastern Niagara Hospital in Lockport, New York, Faith Community Health System signs propecia is working in Jacksboro, Texas, and Pinnacle Healthcare System hospitals in Kansas and Missouri.

Another 216 rural hospitals are currently at high risk of closure, said Brock Slabach, chief operations officer with National Rural Health Association.“The rural hospital workforce has always been a challenge,” Slabach said. €œWhat hair loss treatment was uniquely suited to do was take advantage of every fracture and widen it significantly and make it even harder to cope with demands being placed on them.”Most signs propecia is working of the demand is not even directly related to hair loss treatment patients, said Susan Salka, CEO of AMN Healthcare Services Inc., on an earnings call last month. Rather, it is "leaves of absence, clinician fatigue, normal patient volumes rising and operating room backlog.

Our clients are telling us signs propecia is working that this is unlikely to change anytime soon,” she said.While the surge in popularity of travel nursing has deepened the country’s nursing shortage, it has been a boon for staffing agencies. AMN Healthcare Services Inc., a San Diego-based medical staffing agency, reported a 41 percent increase in revenue from the same time last year. Its travel nurse staffing business alone grew by 37 percent, it reported.Cross Country Healthcare CEO Kevin Clark told investors in an earnings call last signs propecia is working month that travel nurse orders across the staffing agency’s clients increased by nearly 50 percent over the course of the second quarter.

Revenue for its travel nurse business rose by 58 percent, he said.“We are coming out of the propecia with, I think, flying colors,” he said. €œFirst time signs propecia is working travelers are up significantly this year. That trend continued through the second quarter.”Many nurses are turning to travel nursing in large part because of pay, but also the opportunity to hone their skills and advance their careers, said Nicole Rouhana, director of the graduate nursing program at the Decker School of Nursing at Binghamton University.

Nurses in rural areas are considered jacks of all trades, she signs propecia is working said. One night they could be working the emergency room and another night they could be assisting with a birth.“[Travel nursing] is more popular right now and I think it’s partially because we're also a mobile society and there is some attractiveness in going to Southern California and working six weeks and going to the northeast and working in the summer,” she said.Rouhana, along with other nursing programs and clinics, have rolled out new fellowships and short-term educational experiences for nurses to learn new skills in a rural hospital setting, in hopes that they continue to serve the community. Some state programs will signs propecia is working forgive college debt for nurses who spend a certain number of years working in rural hospitals.

At the same time, health care companies are offering bonuses. Unity Health in Newport, Arkansas, increased its signs propecia is working signing bonus to $15,000 for new bedside nurses. Monument Health in Rapid City, Iowa, is offering experienced nurses up to $40,000, in order to fill several ICU and operating room nurse positions.But smaller rural hospitals cannot afford to pay nurses a competitive salary, said Shannon Cannon, a professor with Texas Tech University School of Nursing.

The counties where rural hospitals are located sometimes have only a couple of thousand residents, which means taxes are lower, she said.“If you live in a community in rural west Texas with 1,500 to 2,000 people, trying to find a nurse still within that community is hard,” signs propecia is working she said. €œThey get lured away to go to larger cities because the pay is better and there are more attractions, especially for young nurses.”Patricia Gonzales Meserole, 50, has worked in healthcare in the rural city of Washington, Iowa for over 8 years, currently making about $30 an hour as a nurse. She says she’s been spoiled by the quiet and small signs propecia is working town culture of the town.

But now she’s on the hunt for a travel nurse position that will give her the hospital experience she craves from a well-resourced institution and provide the salary she needs to stabilize her finances.“It hurts my heart to tell my boss she’s going to have to replace me, because its hard to find people right now,” she said. €œBut this is my opportunity to use those skills signs propecia is working and make this level of money. My goal is to pay off debt and loans and build a future, because I can’t do that right now.”.

MEMPHIS, MO (WGEM) -- Rural hospitals said a nursing shortage before the propecia is only getting worse where is better to buy propecia. With the ongoing delta variant and treatment mandates for nurses, the staffing numbers are getting smaller. Rural hospitals have hired traveling nurses to keep the doors open, where is better to buy propecia but that comes with a hefty price.

Traveling nurses can make 10 times what a regular nurse makes, according to staffing agency Nomad Health. Scotland County Hospital CEO Doctor Randy Tobler said the hospital has hired traveling nurses at rates of $200 an hour or more, which he says his where is better to buy propecia small rural hospital cannot afford long term. AMN Healthcare Services, a San Diego-based medical staffing agency, said the travel nurse staffing business has grown by 37 percent during the propecia.Nursing Director Elizabeth Guffey said there's a reason more nurses out of school are become a traveling nurse during the propecia.

"If I was willing to be a travel nurse, be away from my family for 13 weeks at a time, live in a hotel, or other living accommodations, and travel a lot, if I was young and single without any where is better to buy propecia kids, that would be an awesome opportunity for me and I would love to bring in the bucks, because that is where you will make all your money," Guffey said. "But if you have a family and you can't do all of that or don't want to do all of that then it's not an option. There is something to be said about having a place like home to come to work everyday." She said right now the hospital has four traveling nurse to keep where is better to buy propecia up with staffing..

They didn't even to hire any before the propecia. Guffey said where is better to buy propecia nurses are harder to come by due to working long hours during the propecia, burnout, and not enough pay. She said something needs to give to make sure the hospitals don't close, and people aren't forced to travel hundreds of miles to see a doctor.

"Yes I think nurses should make where is better to buy propecia more money," Guffey said. "I think the propecia has forced the nation to increase nursing salaries which I don't think is a bad thing, but I think in order for hospitals to be sustainable in the long run, there has to be some other changes. You can't keep cutting reimbursement and expect hospitals where is better to buy propecia to pay their staff more." And on top of all that is treatment mandates for health care staff.

Scotland County Hospital says it does have a low vaccination rate among staff, but right now there is no mandate in Missouri. Illinois went into effect earlier this month requiring where is better to buy propecia staff to be vaccinated. About 39% of U.S.

Hospitals had announced where is better to buy propecia treatment mandates, said Colin Milligan, a spokesperson for the American Hospital Association. If you or someone you know is interested in applying for a nursing job at Scotland County Hospital, CLICK HERE.Some 60 million people across the country's rural areas rely on small local hospitals for medical care. But as the delta variant rages on, the hospitals that provided a lifeline to these communities now find themselves drained where is better to buy propecia of the resources that sustained them.

Nurses.A boom in demand for travel nurses, who work short stints at hospitals around the country to fill high-demand positions, has exacerbated a longtime staffing issue, with rural nurses enticed away by salaries that can be almost 10 times what they made in their hometown.Nurses at rural hospitals are paid an average of $70,000 a year or just over $1,200 a week, according to hiring website ZipRecruiter. But some staffing agencies such as Nomad Health are offering travel where is better to buy propecia nurse positions with a $5,044 a week salary. White Glove Placement, another nursing staffing agency, offers placements that pay anywhere between $5,800 and $5,900 a week.

Health care hiring site Vivian lists several travel nurse assignments that pay up to $9,562 a week.hair loss treatment was uniquely suited to take advantage of every fracture in the rural hospital workforce and where is better to buy propecia widen it significantly."If you lose one or two nurses, that makes a difference," said Audrey Snyder, president of the advocacy group Rural Nurse Organization and a faculty member at the University of North Carolina Greensboro School of Nursing. €œThese hospitals are small hospitals and they don't have a large nurse workforce.”Years of low patient volume, a high number of uninsured patients, along with government-funded insurance payers, led to a record number of rural hospital closures last year, according to the Cecil G. Sheps Center for Health Services Research.Dozens of rural hospitals filed for where is better to buy propecia bankruptcy last year, including Eastern Niagara Hospital in Lockport, New York, Faith Community Health System in Jacksboro, Texas, and Pinnacle Healthcare System hospitals in Kansas and Missouri.

Another 216 rural hospitals are currently at high risk of closure, said Brock Slabach, chief operations officer with National Rural Health Association.“The rural hospital workforce has always been a challenge,” Slabach said. €œWhat hair loss treatment was uniquely suited to do was take advantage of every fracture and widen it significantly and make it even harder to cope with demands being placed on them.”Most of the demand is not even directly related to hair loss treatment patients, said Susan where is better to buy propecia Salka, CEO of AMN Healthcare Services Inc., on an earnings call last month. Rather, it is "leaves of absence, clinician fatigue, normal patient volumes rising and operating room backlog.

Our clients are telling us that this is where is better to buy propecia unlikely to change anytime soon,” she said.While the surge in popularity of travel nursing has deepened the country’s nursing shortage, it has been a boon for staffing agencies. AMN Healthcare Services Inc., a San Diego-based medical staffing agency, reported a 41 percent increase in revenue from the same time last year. Its travel nurse staffing business alone grew by 37 percent, it reported.Cross Country Healthcare CEO Kevin Clark told investors in an earnings call last where is better to buy propecia month that travel nurse orders across the staffing agency’s clients increased by nearly 50 percent over the course of the second quarter.

Revenue for its travel nurse business rose by 58 percent, he said.“We are coming out of the propecia with, I think, flying colors,” he said. €œFirst time travelers are where is better to buy propecia up significantly this year. That trend continued through the second quarter.”Many nurses are turning to travel nursing in large part because of pay, but also the opportunity to hone their skills and advance their careers, said Nicole Rouhana, director of the graduate nursing program at the Decker School of Nursing at Binghamton University.

Nurses in rural areas are considered jacks of where is better to buy propecia all trades, she said. One night they could be working the emergency room and another night they could be assisting with a birth.“[Travel nursing] is more popular right now and I think it’s partially because we're also a mobile society and there is some attractiveness in going to Southern California and working six weeks and going to the northeast and working in the summer,” she said.Rouhana, along with other nursing programs and clinics, have rolled out new fellowships and short-term educational experiences for nurses to learn new skills in a rural hospital setting, in hopes that they continue to serve the community. Some state programs will forgive college debt for nurses who spend a certain number of years working in rural hospitals where is better to buy propecia.

At the same time, health care companies are offering bonuses. Unity Health where is better to buy propecia in Newport, Arkansas, increased its signing bonus to $15,000 for new bedside nurses. Monument Health in Rapid City, Iowa, is offering experienced nurses up to $40,000, in order to fill several ICU and operating room nurse positions.But smaller rural hospitals cannot afford to pay nurses a competitive salary, said Shannon Cannon, a professor with Texas Tech University School of Nursing.

The counties where rural hospitals are located sometimes have only a couple of thousand residents, which means taxes are lower, she said.“If you live in a community in rural west Texas with 1,500 to 2,000 where is better to buy propecia people, trying to find a nurse still within that community is hard,” she said. €œThey get lured away to go to larger cities because the pay is better and there are more attractions, especially for young nurses.”Patricia Gonzales Meserole, 50, has worked in healthcare in the rural city of Washington, Iowa for over 8 years, currently making about $30 an hour as a nurse. She says where is better to buy propecia she’s been spoiled by the quiet and small town culture of the town.

But now she’s on the hunt for a travel nurse position that will give her the hospital experience she craves from a well-resourced institution and provide the salary she needs to stabilize her finances.“It hurts my heart to tell my boss she’s going to have to replace me, because its hard to find people right now,” she said. €œBut this is my opportunity where is better to buy propecia to use those skills and make this level of money. My goal is to pay off debt and loans and build a future, because I can’t do that right now.”.

Where can I keep Propecia?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Propecia increased hair loss

Current status propecia increased hair loss. OpenOpened for input from May 10, 2021 to July 12, 2021.Drug-device combination products (DDCPs) are health products that combine one or more drug components with one or more medical device components into one single integrated product. Health Canada propecia increased hair loss is updating its policy on DDCPs to provide more detail and clarity on the classification and regulation of these products. As the first step, an Issue Identification Paper has been drafted to capture the outstanding issues with the current version of the policy.Join in.

How to participateReview the issue identification paper:Drug-Device Combination Products (DDCPs) Issue propecia increased hair loss Identification Paper Send us your input by email. Hc.policy.bureau.enquiries.sc@canada.caWho is the focus of this consultationHealth Canada aims to engage with. Manufacturers importers health system partnersKey questions for discussionThrough this consultation, Health propecia increased hair loss Canada wants to make sure that key stakeholders. Are aware of this initiative to update the policy on drug-device combination productshave the opportunity to identify any concerns they have with the current version of the policyWe are seeking your input on the following themes.

Classifying drug-device combination products assigning an appropriate single regulatory pathwayestablishing suitable authorization requirementsThe information gathered from this process will help to create a shared understanding of the issues associated with the propecia increased hair loss existing policy and will inform the policy work to support its update.Related information Contact usContact us by email. Hc.policy.bureau.enquiries.sc@canada.ca.

Current status where is better to buy propecia. OpenOpened for input from May 10, 2021 to July 12, 2021.Drug-device combination products (DDCPs) are health products that combine one or more drug components with one or more medical device components into one single integrated product. Health Canada is updating its policy on DDCPs to provide more detail and clarity on the where is better to buy propecia classification and regulation of these products. As the first step, an Issue Identification Paper has been drafted to capture the outstanding issues with the current version of the policy.Join in. How to participateReview the issue identification paper:Drug-Device Combination Products (DDCPs) Issue Identification Paper where is better to buy propecia Send us your input by email.

Hc.policy.bureau.enquiries.sc@canada.caWho is the focus of this consultationHealth Canada aims to engage with. Manufacturers importers health system partnersKey questions for discussionThrough this consultation, Health Canada wants to make sure where is better to buy propecia that key stakeholders. Are aware of this initiative to update the policy on drug-device combination productshave the opportunity to identify any concerns they have with the current version of the policyWe are seeking your input on the following themes. Classifying drug-device combination products assigning an appropriate single regulatory pathwayestablishing suitable authorization requirementsThe information gathered from this process will help to create a shared understanding of the issues associated with the existing policy and will inform where is better to buy propecia the policy work to support its update.Related information Contact usContact us by email. Hc.policy.bureau.enquiries.sc@canada.ca.

Propecia impotence permanent

Shutterstock How much does renova cream cost U.S propecia impotence permanent. Reps. David Kustoff (R-TN) and Abigail Spanberger (D-VA) re-introduced the Criminalizing Abused Substance Templates (CAST) Act Wednesday.

The legislation would modify the Controlled Substances Act to define the criminal penalty for making counterfeit drugs using a pill press. Currently, the law bans the practice but doesn’t define the penalty for doing so. The CAST Act would make possessing a pill press with the intent to make counterfeit schedule I or II substances a crime and establish a sentence of up to 20 years for possession alone.

€œThe opioid epidemic has ravaged our communities in West Tennessee and across our nation. Unfortunately, as we continue to battle hair loss treatment, the opioid crisis has only grown worse. We owe it to our loved ones to take stronger action to fight back against this public health emergency.

The CAST Act is the much-needed, bold step forward in this fight,” Kustoff said. €œIt will increase penalties against possession of harmful drugs and pill press molds, helping to combat the illegal drug market and the dangers it presents to our citizens and our brave law enforcement officers across the nation.”The Congressmembers said the law would prevent overdoses and reduce fentanyl-related deaths. €œFamilies, businesses, and entire communities in Virginia continue to face immense challenges due to opioid abuse.

As this public health crisis significantly worsens as a result of the hair loss treatment propecia, we also face the threat of extremely dangerous substances — such as fentanyl — being pressed into illicit pills and sold on our streets,” said Spanberger. €œThis bill would help crackdown on the production of counterfeit drugs via illicit pill press molds. By deterring drug traffickers and those who produce illicit drugs, we would take another step in the fight against fentanyl-related deaths.”Shutterstock U.S.

Sen. Dick Durbin (D-IL), Senate Democratic whip and Senate Judiciary Committee chairman, recently spoke about the dramatic increase in suicides and opioid overdose deaths associated with the hair loss treatment propecia.“While the human suffering of hair loss treatment has captured our attention, as it should, two other deadly epidemics in America still rage on. Opioids and the mental health crises,” Durbin said.

€œEven before the propecia took its toll, we had been in the midst of the worst drug overdose crisis in our nation’s history, and we’re witnessing skyrocketing rates of suicide, but hair loss treatment has deepened these epidemics, which sadly feed on isolation and despair. With the convergence of hair loss emergencies, we are failing those most vulnerable to addiction and mental health challenges.” Durbin spoke about a Lake County, Ill., resident who struggled with substance use disorder and committed suicide after being unable to access treatment and about the increase in suicides among African-American residents in Cook County, Ill.In 2020, 437 Cook County residents committed suicide, and more than 700 died from opioid overdoses between January and June 2020. The opioid death rate is double 2019’s rate.

Durbin also urged support for President Joe Biden’s American Rescue Plan, which includes nearly $4 billion in addiction and mental health treatment grants.Shutterstock The Delaware Department of Health and Social Services plans to offer a training program on treating opioid use disorder (OUD) among Medicaid recipients. The program is open to medical providers and practice managers in psychiatry, primary care, infectious diseases, and women’s health.The Office-Based Opioid Treatment (OBOT) Fellowship Program will offer webinars, self-paced modules, and weekly discussion groups from March 23 through Sept. 23.

Participants will learn about the available Medicaid financing mechanisms for OBOT, receive technical assistance to offer OBOT, exchange ideas, and access a curated online library of tools and evidence-based practices.The program will be taught by addiction-medicine experts and will be offered in two phases.OBOT involves prescribing safe, effective, Food and Drug Administration-approved medications to treat OUD “Opioid addiction is an ongoing and often deadly presence for many Delawareans and their families, and we need every tool at our disposal to help them confront it,” Gov. John Carney said. €œEquipping our medical providers to manage the treatment of these patients is an important part of this effort.”The U.S.

Department of Health and Human Services’ Centers for Medicare and Medicaid Services supports the program through a $3.58 million grant awarded to the state.Shutterstock Pennsylvania’s Senate Labor and Industry Committee recently advanced legislation that aims to reduce opioid dependency.Senate Bill 147 would amend the Workers’ Compensation Act of 1915 to require employers who have a certified safety committee to provide employees with information about the consequences of addiction, including opioid painkillers.Under Pennsylvania’s Workers’ Compensation Law, employers receive a 5 percent discount on their workers’ compensation insurance premium if they establish a certified safety committee. The bill would require employers to incorporate addiction risks to receive certification and the discount. The Department of Labor and Industry would develop and make available the information.State Sen.

Wayne Langerholc (R-Bedford and Cambria counties) introduced the bill. It was one of five bills approved by the committee addressing workplace issues.“Pennsylvanians face a much greater risk of mental health challenges during the hair loss treatment propecia, so combatting the addiction crisis has never been more important than right now,” state Sen. Camera Bartolotta (R-Carroll), committee chairwoman, said.

€œThese bills accomplish the key goals of providing a pathway for individuals in recovery to find quality jobs to rebuild their lives, while also making sure more Pennsylvanians do not fall victim to addiction.”The bill was originally introduced in May 2020..

Shutterstock https://gbs2018.com/how-much-does-renova-cream-cost where is better to buy propecia U.S. Reps. David Kustoff (R-TN) and Abigail Spanberger (D-VA) re-introduced the Criminalizing Abused Substance Templates (CAST) Act Wednesday. The legislation would modify the Controlled Substances Act to define the criminal penalty for making counterfeit drugs using a pill press. Currently, the law bans the practice but doesn’t define the penalty for doing so.

The CAST Act would make possessing a pill press with the intent to make counterfeit schedule I or II substances a crime and establish a sentence of up to 20 years for possession alone. €œThe opioid epidemic has ravaged our communities in West Tennessee and across our nation. Unfortunately, as we continue to battle hair loss treatment, the opioid crisis has only grown worse. We owe it to our loved ones to take stronger action to fight back against this public health emergency. The CAST Act is the much-needed, bold step forward in this fight,” Kustoff said.

€œIt will increase penalties against possession of harmful drugs and pill press molds, helping to combat the illegal drug market and the dangers it presents to our citizens and our brave law enforcement officers across the nation.”The Congressmembers said the law would prevent overdoses and reduce fentanyl-related deaths. €œFamilies, businesses, and entire communities in Virginia continue to face immense challenges due to opioid abuse. As this public health crisis significantly worsens as a result of the hair loss treatment propecia, we also face the threat of extremely dangerous substances — such as fentanyl — being pressed into illicit pills and sold on our streets,” said Spanberger. €œThis bill would help crackdown on the production of counterfeit drugs via illicit pill press molds. By deterring drug traffickers and those who produce illicit drugs, we would take another step in the fight against fentanyl-related deaths.”Shutterstock U.S.

Sen. Dick Durbin (D-IL), Senate Democratic whip and Senate Judiciary Committee chairman, recently spoke about the dramatic increase in suicides and opioid overdose deaths associated with the hair loss treatment propecia.“While the human suffering of hair loss treatment has captured our attention, as it should, two other deadly epidemics in America still rage on. Opioids and the mental health crises,” Durbin said. €œEven before the propecia took its toll, we had been in the midst of the worst drug overdose crisis in our nation’s history, and we’re witnessing skyrocketing rates of suicide, but hair loss treatment has deepened these epidemics, which sadly feed on isolation and despair. With the convergence of hair loss emergencies, we are failing those most vulnerable to addiction and mental health challenges.” Durbin spoke about a Lake County, Ill., resident who struggled with substance use disorder and committed suicide after being unable to access treatment and about the increase in suicides among African-American residents in Cook County, Ill.In 2020, 437 Cook County residents committed suicide, and more than 700 died from opioid overdoses between January and June 2020.

The opioid death rate is double 2019’s rate. Durbin also urged support for President Joe Biden’s American Rescue Plan, which includes nearly $4 billion in addiction and mental health treatment grants.Shutterstock The Delaware Department of Health and Social Services plans to offer a training program on treating opioid use disorder (OUD) among Medicaid recipients. The program is open to medical providers and practice managers in psychiatry, primary care, infectious diseases, and women’s health.The Office-Based Opioid Treatment (OBOT) Fellowship Program will offer webinars, self-paced modules, and weekly discussion groups from March 23 through Sept. 23. Participants will learn about the available Medicaid financing mechanisms for OBOT, receive technical assistance to offer OBOT, exchange ideas, and access a curated online library of tools and evidence-based practices.The program will be taught by addiction-medicine experts and will be offered in two phases.OBOT involves prescribing safe, effective, Food and Drug Administration-approved medications to treat OUD “Opioid addiction is an ongoing and often deadly presence for many Delawareans and their families, and we need every tool at our disposal to help them confront it,” Gov.

John Carney said. €œEquipping our medical providers to manage the treatment of these patients is an important part of this effort.”The U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services supports the program through a $3.58 million grant awarded to the state.Shutterstock Pennsylvania’s Senate Labor and Industry Committee recently advanced legislation that aims to reduce opioid dependency.Senate Bill 147 would amend the Workers’ Compensation Act of 1915 to require employers who have a certified safety committee to provide employees with information about the consequences of addiction, including opioid painkillers.Under Pennsylvania’s Workers’ Compensation Law, employers receive a 5 percent discount on their workers’ compensation insurance premium if they establish a certified safety committee. The bill would require employers to incorporate addiction risks to receive certification and the discount. The Department of Labor and Industry would develop and make available the information.State Sen.

Wayne Langerholc (R-Bedford and Cambria counties) introduced the bill. It was one of five bills approved by the committee addressing workplace issues.“Pennsylvanians face a much greater risk of mental health challenges during the hair loss treatment propecia, so combatting the addiction crisis has never been more important than right now,” state Sen. Camera Bartolotta (R-Carroll), committee chairwoman, said. €œThese bills accomplish the key goals of providing a pathway for individuals in recovery to find quality jobs to rebuild their lives, while also making sure more Pennsylvanians do not fall victim to addiction.”The bill was originally introduced in May 2020..

Cheap propecia for sale

Researchers at the University of Maryland cheap propecia for sale School of Medicine (UMSOM) have conducted a study that has determined the role that a critical protein plays in the development of hair cells Who can buy zithromax online. These hair cells are vital for hearing cheap propecia for sale. Some of these cells amplify sounds that come into the ear, and others transform sound waves into electrical signals that travel to the brain.

Ronna Hertzano, MD, PhD, Associate Professor in the Department of Otorhinolaryngology Head and Neck Surgery at UMSOM and Maggie Matern, PhD, a postdoctoral fellow at Stanford University, demonstrated cheap propecia for sale that the protein, called GFI1, may be critical for determining whether an embryonic hair cell matures into a functional adult hair cell or becomes a different cell that functions more like a nerve cell or neuron.The study was published in the journal Development, and was conducted by physician-scientists and researchers at the UMSOM Department of Otorhinolaryngology Head and Neck Surgery and the UMSOM Institute for Genome Sciences (IGS), in collaboration with researchers at the Sackler School of Medicine at Tel Aviv University in Israel.Hearing relies on the proper functioning of specialized cells within the inner ear called hair cells. When the hair cells do not develop properly or are damaged by environmental stresses like loud noise, it results in a loss of hearing function.In the United States, the prevalence of hearing loss doubles with every 10-year increase in age, affecting about half of all adults in their 70s and about 80 percent of those who are over age 85. Researchers have been focusing on describing the developmental steps that lead to a functional hair cell, in order to potentially generate cheap propecia for sale new hair cells when old ones are damaged.Hair cells in the inner earTo conduct her latest study, Dr.

Hertzano and her team utilized cutting-edge methods to study gene expression in the hair cells of genetically modified newborn mice that cheap propecia for sale did not produce GFI1. They demonstrated that, in the absence of this vital protein, embryonic hair cells failed to progress in their development to become fully functional adult cells. In fact, the genes expressed by these cells indicated that they were likely to develop into neuron-like cells."Our findings explain why GFI1 is critical to enable embryonic cells to progress into cheap propecia for sale functioning adult hair cells," said Dr.

Hertzano. "These data also explain cheap propecia for sale the importance of GFI1 in experimental protocols to regenerate hair cells from stem cells. These regenerative methods have the potential of being used for patients who have experienced hearing loss due to age or environmental factors like cheap propecia for sale exposure to loud noise."Dr.

Hertzano first became interested in GFI1 while completing her M.D., Ph.D. At Tel cheap propecia for sale Aviv University. As part of her dissertation, she discovered that the hearing loss resulting from mutations in another protein called POU4F3 appeared to largely result from a loss of GFI1 in the hair cells.

Since then, she has been conducting studies to discover the role of GFI1 and other cheap propecia for sale proteins in hearing. Other research groups in the field are now testing these proteins to determine whether they can be used as a "cocktail" to regenerate lost hair cells and restore hearing."Hearing research has been going through a Renaissance period, not only from advances in genomics and methodology, but cheap propecia for sale also thanks to its uniquely collaborative nature among researchers," said Dr. Herzano.The new study was funded by the National Institute on Deafness and Other Communication Disorders (NIDCD) which is part of the National Institutes of Health (NIH).

It was also funded by the Binational Scientific Foundation (BSF)."This is an exciting new finding cheap propecia for sale that underscores the importance of basic research to lay the foundation for future clinical innovations," said E. Albert Reece, MD, PhD, MBA, Executive Vice President for Medical Affairs, UM Baltimore, and the John Z. And Akiko cheap propecia for sale K.

Bowers Distinguished cheap propecia for sale Professor and Dean, University of Maryland School of Medicine. "Identifying the complex pathways that lead to normal hearing could prove to be the key for reversing hearing loss in millions of Americans." Story Source. Materials provided by University of cheap propecia for sale Maryland School of Medicine.

Note. Content may be edited for style and length.Researchers at Indiana University School of Medicine are learning more about how a person's genes play a role in the possibility they'll suffer from alcoholic cirrhosis with the discovery of a gene that could make the disease less likely.Alcoholic cheap propecia for sale cirrhosis can happen after years of drinking too much alcohol. According to the researchers, discovering more about this illness couldn't come at a cheap propecia for sale more important time."Based on U.S.

Data, alcohol-associated liver disease is on the rise in terms of the prevalence and incidents and it is happening more often in younger patients," said Suthat Liangpunsakul, MD, professor of medicine, dean's scholar in medical research for the Department of Medicine Division of Gastroenterology and Hepatology, and one of the principal investigators of the study. "There's a real public health problem involving the consumption of alcohol and people starting to drink at cheap propecia for sale a younger age."The team describes their findings in a new paper published in Hepatology. The GenomALC Consortium was funded by the National Institutes on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institute of Health (NIH).

This genome-wide association study began several years ago and is one of the largest studies related cheap propecia for sale to alcoholic cirrhosis ever performed. DNA samples were taken cheap propecia for sale from over 1,700 patients from sites in the United States, several countries in Europe and Australia and sent to IU School of Medicine where the team performed the DNA isolation for genome analysis. The patients were divided into two groups -- one made up of heavy drinkers that never had a history of alcohol-induced liver injury or liver disease and a second group of heavy drinkers who did have alcoholic cirrhosis."Our key finding is a gene called Fas Associated Factor Family Member 2, or FAF2," said Tae-Hwi Schwantes-An, PhD, assistant research professor of medical and molecular genetics and the lead author of the study.

"There's this convergence of findings now that are pointing to the genes involved in lipid droplet organization pathway, and that seems to be one of the biological reasonings of why certain people get cheap propecia for sale liver disease and why certain people do not."The researchers are anticipating to study this gene more closely and looking at its relationship to other, previously-discovered genes that can make a person more likely to develop alcoholic cirrhosis."We know for a fact those genes are linked together in a biological process, so the logical next step is to study how the changes in these genes alter the function of that process, whether it's less efficient in one group of people, or maybe it's inhibited in some way," Schwantes-An said. "We don't know exactly what the biological underpinning of that is, but now we have a pretty well-defined target where we can look at these variants and see how they relate to alcoholic cirrhosis."As their research continues, the team hopes to eventually find a way to identify this genetic factor in patients with the goal of helping them prevent alcoholic cirrhosis in the future or developing targeted therapies that can help individuals in a more personalized way. Story Source cheap propecia for sale.

Materials provided cheap propecia for sale by Indiana University School of Medicine. Original written by Christina Griffiths. Note.

Content may be edited for style and length.Penn Medicine researchers have found that middle-aged individuals -- those born in the late 1960s and the 1970s -- may be in a perpetual state of H3N2 influenza propecia susceptibility because their antibodies bind to H3N2 propeciaes but fail to prevent s, according to a new study led by Scott Hensley, PhD, an associate professor of Microbiology at the Perelman School of Medicine at the University of Pennsylvania. The paper was published today in Nature Communications."We found that different aged individuals have different H3N2 flu propecia antibody specificities," Hensley said. "Our studies show that early childhood s can leave lifelong immunological imprints that affect how individuals respond to antigenically distinct viral strains later in life."Most humans are infected with influenza propeciaes by three to four years of age, and these initial childhood s can elicit strong, long lasting memory immune responses.

H3N2 influenza propeciaes began circulating in humans in 1968 and have evolved substantially over the past 51 years. Therefore, an individual's birth year largely predicts which specific type of H3N2 propecia they first encountered in childhood.Researchers completed a serological survey -- a blood test that measures antibody levels -- using serum samples collected in the summer months prior to the 2017-2018 season from 140 children (ages one to 17) and 212 adults (ages 18 to 90). They first measured the differences in antibody reactivity to various strains of H3N2, and then measured for neutralizing and non-neutralizing antibodies.

Neutralizing antibodies can prevent viral s, whereas non-neutralizing antibodies can only help after an takes place. Samples from children aged three to ten years old had the highest levels of neutralizing antibodies against contemporary H3N2 propeciaes, while most middle-aged samples had antibodies that could bind to these propeciaes but these antibodies could not prevent viral s.Hensley said his team's findings are consistent with a concept known as "original antigenic sin" (OAS), originally proposed by Tom Francis, Jr. In 1960.

"Most individuals born in the late 1960s and 1970s were immunologically imprinted with H3N2 propeciaes that are very different compared to contemporary H3N2 propeciaes. Upon with recent H3N2 propeciaes, these individuals tend to produce antibodies against regions that are conserved with older H3N2 strains and these types of antibodies typically do not prevent viral s."According to the research team, it is possible that the presence of high levels of non-neutralizing antibodies in middle-aged adults has contributed to the continued persistence of H3N2 propeciaes in the human population. Their findings might also relate to the unusual age distribution of H3N2 s during the 2017-2018 season, in which H3N2 activity in middle-aged and older adults peaked earlier compared to children and young adults.The researchers say that it will be important to continually complete large serological surveys in different aged individuals, including donors from populations with different vaccination rates.

A better understanding of immunity within the population and within individuals will likely lead to improved models that are better able to predict the evolutionary trajectories of different influenza propecia strains."Large serological studies can shed light on why the effectiveness of flu treatments varies in individuals with different immune histories, while also identifying barriers that need to be overcome in order to design better treatments that are able to elicit protective responses in all age groups," said Sigrid Gouma, PhD, a postdoctoral researcher of Microbiology and first author on the paper.Other Penn authors include Madison Weirick and Megan E. Gumina. Additional authors include Angela Branche, David J.

Topham, Emily T. Martin, Arnold S. Monto, and Sarah Cobey.This work was supported by the National Institute of Allergy and Infectious Diseases (1R01AI113047, S.E.H..

1R01AI108686, S.E.H.. 1R01AI097150, A.S.M.. CEIRS HHSN272201400005C, S.E.H., S.C., E.T.M., A.S.M.

A.B., D.J.T.) and Center for Disease Control (U01IP000474, A.S.M.). Scott E. Hensley holds an Investigators in the Pathogenesis of Infectious Disease Awards from the Burroughs Wellcome Fund.Males and females share the vast majority of their genomes.

Only a sprinkling of genes, located on the so-called X and Y sex chromosomes, differ between the sexes. Nevertheless, the activities of our genes -- their expression in cells and tissues -- generate profound distinctions between males and females.Not only do the sexes differ in outward appearance, their differentially expressed genes strongly affect the risk, incidence, prevalence, severity and age-of-onset of many diseases, including cancer, autoimmune disorders, cardiovascular disease and neurological afflictions.Researchers have observed sex-associated differences in gene expression across a range of tissues including liver, heart, and brain. Nevertheless, such tissue-specific sex differences remain poorly understood.

Most traits that display variance between males and females appear to result from differences in the expression of autosomal genes common to both sexes, rather than through expression of sex chromosome genes or sex hormones.A better understanding of these sex-associated disparities in the behavior of our genes could lead to improved diagnoses and treatments for a range of human illnesses.In a new paper in the PERSPECTIVES section of the journal Science, Melissa Wilson reviews current research into patterns of sex differences in gene expression across the genome, and highlights sampling biases in the human populations included in such studies."One of the most striking things about this comprehensive study of sex differences," Wilson said, "is that while aggregate differences span the genome and contribute to biases in human health, each individual gene varies tremendously between people."Wilson is a researcher in the Biodesign Center for Mechanisms in Evolution, the Center for Evolution and Medicine, and ASU's School of Life Sciences. advertisement A decade ago, an ambitious undertaking, known as the Genotype-Tissue Expression (GTEx) consortium began to investigate the effects DNA variation on gene expression across the range of human tissues. Recent findings, appearing in the Science issue under review, indicate that sex-linked disparities in gene expression are far more pervasive than once assumed, with more than a third of all genes displaying sex-biased expression in at least one tissue.

(The new research highlighted in Wilson's PERSPECTIVES piece describes gene regulatory differences between the sexes in every tissue under study.)Sex-linked differences in gene expression are shared across mammals, though their relative roles in disease susceptibility remain speculative. Natural selection likely guided the development of many of these attributes. For example, the rise of placental mammals some 90 million years ago may have led to differences in immune function between males and females.Such sex-based distinctions arising in the distant past have left their imprint on current mammals, including humans, expressed in higher rates of autoimmune disorders in females and increased cancer rates in males.Despite their critical importance for understanding disease prevalence and severity, sex differences in gene expression have only recently received serious attention in the research community.

Wilson and others suggest that much historical genetic research, using primarily white male subjects in mid-life, have yielded an incomplete picture.Such studies often fail to account for sex differences in the design and analysis of experiments, rendering a distorted view of sex-based disease variance, often leading to one-size-fits-all approaches to diagnosis and treatment. The authors therefore advise researchers to be more careful about generalizations based on existing databases of genetic information, including GTEx.A more holistic approach is emerging, as researchers investigate the full panoply of effects related to male and female gene expression across a broader range of human variation. Story Source.

Materials provided by Arizona State University. Original written by Richard Harth. Note.

Content may be edited for style and length.Researchers at Yale have identified a possible treatment for Duchenne muscular dystrophy (DMD), a rare genetic disease for which there is currently no cure or treatment, by targeting an enzyme that had been considered "undruggable." The finding appears in the Aug. 25 edition of Science Signaling.DMD is the most common form of muscular dystrophy, a disease that leads to progressive weakness and eventual loss of the skeletal and heart muscles. It occurs in 16 of 100,000 male births in the U.S.

People with the disease exhibit clumsiness and weakness in early childhood and typically need wheelchairs by the time they reach their teens. The average life expectancy is 26.While earlier research had revealed the crucial role played by an enzyme called MKP5 in the development of DMD, making it a promising target for possible treatment, scientists for decades had been unable to disrupt this family of enzymes, known as protein tyrosine phosphatases, at the enzymes' "active" site where chemical reactions occur.In the new study, Anton Bennett, the Dorys McConnell Duberg Professor of Pharmacology and professor of comparative medicine, and his team screened over 162,000 compounds. They identified one molecular compound that blocked the enzyme's activity by binding to a previously undiscovered allosteric site -- a spot near the enzyme's active site."There have been many attempts to design inhibitors for this family of enzymes, but those compounds have failed to produce the right properties," Bennett said.

"Until now, the family of enzymes has been considered 'undruggable.'"By targeting the allosteric site of MKP5 instead, he said, "We discovered an excellent starting point for drug development that circumvented the earlier problems."The researchers tested their compound in muscle cells and found that it successfully inhibited MKP5 activity, suggesting a promising new therapeutic strategy for treating DMD.The research was supported by a National Institutes of Health grant through the National Institute of Arthritis and Musculoskeletal and Skin Diseases, as well as by the Blavatnik Fund for Innovation at Yale, which annually presents awards to support the most promising life science discoveries from Yale faculty.Bennett said that the Blavatnik funding, which is administered by the Yale Office of Cooperative Research, was critical in moving the research forward. "It resulted in a license with a major pharmaceutical company," he said, "and we hope they will rapidly move forward with the development of the new treatment."The finding has implications well beyond muscular dystrophy, he added. The researchers have demonstrated that the MKP5 enzyme is broadly implicated in fibrosis, or the buildup of scar tissue, a condition that contributes to nearly one-third of natural deaths worldwide."Fibrosis is involved in the end-stage death of many tissues, including liver, lung, and muscle," Bennett said.

"We believe this enzyme could be a target more broadly for fibrotic tissue disease."The research team from Yale included Naftali Kaminski, the Boehringer-Ingelheim Professor of Internal Medicine and chief of pulmonary, critical care and sleep medicine. Jonathan Ellman, the Eugene Higgins Professor of Chemistry and professor of pharmacology. Karen Anderson, professor of pharmacology and of molecular biophysics and biochemistry.

Elias Lolis, professor of pharmacology. Zachary Gannam, a graduate student in pharmacology. Kisuk Min, a postdoctoral fellow.

Shanelle Shillingford, a graduate student in chemistry. Lei Zhang, a research associate in pharmacology. And the Yale Center for Molecular Discovery.

Story Source. Materials provided by Yale University. Original written by Brita Belli.

Note. Content may be edited for style and length.This story is part of a partnership that includes NPR and Kaiser Health News. This story can be republished for free (details). After shutting down in the spring, America’s empty gyms are beckoning a cautious public back for a workout.

To reassure wary customers, owners have put in place — and now advertise — a variety of hair loss control measures. At the same time, the fitness industry is trying to rehabilitate itself by pushing back against what it sees as a misleading narrative that gyms have no place during a propecia.In the first months of the hair loss outbreak, most public health leaders advised closing gyms, erring on the side of caution. As s exploded across the country, states ordered gyms and fitness centers closed, along with restaurants, movie theaters and bars.

State and local officials consistently branded gyms as high-risk venues for , akin to bars and nightclubs. In early August, New York Gov. Andrew Cuomo called gym-going a “dangerous activity,” saying he would keep them shut — only to announce later in the month that most gyms could reopen in September at a third of the capacity and under tight regulations.New York, New Jersey and North Carolina were among the last state holdouts — only recently allowing fitness facilities to reopen.

Many states continue to limit capacity and have instituted new requirements.The benefits of gyms are clear. Regular exercise staves off depression and improves sleep, and staying fit may be a way to avoid a serious case of hair loss treatment. But there are clear risks, too.

Lots of people moving around indoors, sharing equipment and air, and breathing heavily could be a recipe for easy viral spread. There are scattered reports of hair loss cases traced back to specific gyms. But gym owners say those are outliers and argue the dominant portrayal overemphasizes potential dangers and ignores their brief but successful track record of safety during the propecia.

Email Sign-Up Subscribe to KHN’s free Morning Briefing. A Seattle gym struggles to comply with new rules and surviveAt NW Fitness in Seattle, everything from a set of squats to a run on the treadmill requires a mask. Every other cardio machine is off-limits.

The owners have marked up the floor with blue tape to show where each person can work out.Esmery Corniel, a member, has resumed his workout routine with the punching bag.“I was honestly just losing my mind,” said Corniel, 27. He said he feels comfortable in the gym with its new safety protocols.“Everybody wears their mask, everybody socially distances, so it’s no problem here at all,” Corniel said.There’s no longer the usual morning “rush” of people working out before heading to their jobs.Under Washington state’s hair loss rules, only about 10 to 12 people at a time are permitted in this 4,000-square-foot gym.“It’s drastically reduced our ability to serve our community,” said John Carrico. He and his wife, Jessica, purchased NW Fitness at the end of last year.John and Jessica Carrico run NW Fitness, a small gym in Seattle that has struggled to stay afloat during the propecia.

Their membership has plummeted in recent months, in part because the gym has been closed and subject to strict hair loss requirements.(Will Stone)Meanwhile, the cost of running the businesses has gone up dramatically. The gym now needs to be staffed round-the-clock to keep up with the frequent cleaning requirements, and to ensure people are wearing masks and following the rules.Keeping the gym open 24/7 — previously a big selling point for members — is no longer feasible. In the past three months, they’ve lost more than a third of their membership.“If the trend continues, we won’t be able to stay open,” said Jessica Carrico, who also works as a nurse at a homeless shelter run by Harborview Medical Center.Given her medical background, Jessica Carrico was initially inclined to trust the public health authorities who ordered all gyms to shut down, but gradually her feelings changed.“Driving around the city, I’d still see lines outside of pot shops and Baskin-Robbins,” she said.

€œThe arbitrary decision that had been made was very clear, and it became really frustrating.”Even after gyms in the Seattle area were allowed to reopen, their frustrations continued — especially with the strict cap on operating capacity. The Carricos believe that falls hardest on smaller gyms that don’t have much square footage.“People want this space to be safe, and will self-regulate,” said John Carrico. He believes he could responsibly operate with twice as many people inside as currently allowed.

Public health officials have mischaracterized gyms, he added, and underestimated their potential to operate safely.“There’s this fear-based propaganda that gyms are a cesspool of hair loss, which is just super not true,” Carrico said.Gyms seem less risky than bars. But there’s very little research either wayThe fitness industry has begun to push back at the propecia-driven perceptions and prohibitions. €œWe should not be lumped with bars and restaurants,” said Helen Durkin, an executive vice president for the International Health, Racquet &.

Sportsclub Association (IHRSA).John Carrico called the comparison with bars particularly unfair. €œIt’s almost laughable. I mean, it’s almost the exact opposite.

€¦ People here are investing in their health. They’re coming in, they’re focusing on what they’re trying to do as far as their workout. They’re not socializing, they’re not sitting at a table and laughing and drinking.”Since the propecia began, many gyms have overhauled operations and now look very different.

Locker rooms are often closed and group classes halted. Many gyms check everyone for symptoms upon arrival. They’ve spaced out equipment and begun intensive cleaning regimes.Gyms have a big advantage over other retail and entertainment venues, Durkin said, because the membership model means those who may have been exposed in an outbreak can be easily contacted.A company that sells member databases and software to gyms has been compiling data during the propecia.

(The data, drawn from 2,877 gyms, is by no means comprehensive because it relies on gym owners to self-report incidents in which a positive hair loss case was detected at the gym, or was somehow connected to the gym.) The resultant report said that the overall “visits to propecia” ratio of 0.002% is “statistically irrelevant” because only 1,155 cases of hair loss were reported among more than 49 million gym visits. Similarly, data collected from gyms in the United Kingdom found only 17 cases out of more than 8 million visits in the weeks after gyms reopened there.Only a few U.S. States have publicly available information on outbreaks linked to the fitness sector, and those states report very few cases.

In Louisiana, for example, the state has identified five clusters originating in “gym/fitness settings,” with a total of 31 cases. None of the people died. By contrast, 15 clusters were traced to “religious services/events,” sickening 78, and killing five of them.“The whole idea that it’s a risky place to be … around the world, we just aren’t seeing those numbers anywhere,” said IHRSA’s Durkin.A study from South Korea published by the Centers for Disease Control and Prevention is often cited as evidence of the inherent hazards of group fitness activities.The study traced 112 hair loss s to a Feb.

15 training workshop for fitness dance instructors. Those instructors went on to teach classes at 12 sports facilities in February and March, transmitting the propecia to students in the dance classes, but also to co-workers and family members.But defenders of the fitness industry point out that the outbreak began before South Korea instituted social distancing measures.The study authors note that the classes were crowded and the pace of the dance workouts was fast, and conclude that “intense physical exercise in densely populated sports facilities could increase the risk for ” and “should be minimized during outbreaks.” They also found that no transmission occurred in classes with fewer than five people, or when an infected instructor taught “lower-intensity” classes such as yoga and Pilates.Linda Rackner with PRO Club in Bellevue, Washington, says the enormous, upscale gym has adapted relatively easily to the new hair loss rules. The fitness club’s physical size, extensive budget and technology have helped staffers maintain a fairly normal experience for their members.(Will Stone)Public health experts continue to urge gym members to be cautiousIt’s clear that there are many things gym owners — and gym members — can do to lower the risk of at a gym, but that doesn’t mean the risk is gone.

Infectious disease doctors and public health experts caution that gyms should not downplay their potential for spreading disease, especially if the hair loss is widespread in the surrounding community.“There are very few [gyms] that can actually implement all the control measures,” said Saskia Popescu, an infectious disease epidemiologist in Phoenix. €œThat’s really the challenge with gyms. There is so much variety that it makes it hard to put them into a single box.”Popescu and two colleagues developed a hair loss treatment risk chart for various activities.

Gyms were classified as “medium high,” on par with eating indoors at a restaurant or getting a haircut, but less risky than going to a bar or riding public transit.Popescu acknowledges there’s not much recent evidence that gyms are major sources of , but that should not give people a false sense of assurance.“The mistake would be to assume that there is no risk,” she said. €œIt’s just that a lot of the prevention strategies have been working, and when we start to loosen those, though, is where you’re more likely to see clusters occur.”Any location that brings people together indoors increases the risk of contracting the hair loss, and breathing heavily adds another element of risk. Interventions such as increasing the distance between cardio machines might help, but tiny infectious airborne particles can travel farther than 6 feet, Popescu said.The mechanics of exercising also make it hard to ensure people comply with crucial preventive measures like wearing a mask.“How effective are masks in that setting?.

Can they really be effectively worn?. € asked Dr. Deverick Anderson, director of the Duke Center for Antimicrobial Stewardship and Prevention.

€œThe combination of sweat and exertion is one unique thing about the gym setting.”“I do think that, in the big picture, gyms would be riskier than restaurants because of the type of activity and potential for interaction there,” Anderson said.The primary way people could catch the propecia at a gym would be coming close to someone who is releasing respiratory droplets and smaller airborne particles, called “aerosols,” when they breathe, talk or cough, said Dr. Dean Blumberg, chief of pediatric infectious diseases at UC Davis Health.He’s less worried about people catching the propecia from touching a barbell or riding a stationary bike that someone else used. That’s because scientists now think “surface” transmission isn’t driving as much as airborne droplets and particles.“I’m not really worried about transmission that way,” Blumberg said.

€œThere’s too much attention being paid to disinfecting surfaces and ‘deep cleaning,’ spraying things in the air. I think a lot of that’s just for show.”Blumberg said he believes gyms can manage the risks better than many social settings like bars or informal gatherings.“A gym where you can adequately social distance and you can limit the number of people there and force mask-wearing, that’s one of the safer activities,” he said.Adapting to the propecia’s prohibitions doesn’t come cheapIn Bellevue, Washington, PRO Club is an enormous, upscale gym with spacious workout rooms — and an array of medical services such as physical therapy, hormone treatments, skin care and counseling. PRO Club has managed to keep the gym experience relatively normal for members since reopening, according to employee Linda Rackner.

€œThere is plenty of space for everyone. We are seeing about 1,000 people a day and have capacity for almost 3,000,” Rackner said. €œWe’d love to have more people in the club.”The gym uses the same air-cleaning units as hospital ICUs, deploys ultraviolet robots to sanitize the rooms and requires temperature checks to enter.

€œI feel like we have good compliance,” said Dean Rogers, one of the personal trainers. €œFor the most part, people who come to a gym are in it for their own health, fitness and wellness.”But Rogers knows this isn’t the norm everywhere. In fact, his own mother back in Oklahoma believes she contracted the hair loss at her gym.“I was upset to find out that her gym had no guidelines they were following, no safety precautions,” he said.

€œThere are always going to be some bad actors.”This story is part of a partnership that includes NPR and Kaiser Health News. Carrie Feibel, an editor for the NPR-KHN reporting partnership, contributed to this story. Related Topics Multimedia Public Health States Audio hair loss treatment WashingtonThis story also ran on CNN. This story can be republished for free (details). CLEVELAND — Families skipping or delaying pediatric appointments for their young children because of the propecia are missing out on more than treatments.

Critical testing for lead poisoning has plummeted in many parts of the country.In the Upper Midwest, Northeast and parts of the West Coast — areas with historically high rates of lead poisoning — the slide has been the most dramatic, according to the Centers for Disease Control and Prevention. In states such as Michigan, Ohio and Minnesota, testing for the brain-damaging heavy metal fell by 50% or more this spring compared with 2019, health officials report.“The drop-off in April was massive,” said Thomas Largo, section manager of environmental health surveillance at the Michigan Department of Health and Human Services, noting a 76% decrease in testing compared with the year before. €œWe weren’t quite prepared for that.” Don't Miss A Story Subscribe to KHN’s free Weekly Edition newsletter.

Blood tests for lead, the only way to tell if a child has been exposed, are typically performed by pricking a finger or heel or tapping a vein at 1- and 2-year-old well-child visits. A blood test with elevated lead levels triggers the next critical steps in accessing early intervention for the behavioral, learning and health effects of lead poisoning and also identifying the source of the lead to prevent further harm.Because of the propecia, though, the drop in blood tests means referrals for critical home inspections plus medical and educational services are falling, too. And that means help isn’t reaching poisoned kids, a one-two punch, particularly in communities of color, said Yvonka Hall, a lead poisoning prevention advocate and co-founder of the Cleveland Lead Safe Network.

And this all comes amid hair loss treatment-related school and child care closures, meaning kids who are at risk are spending more time than ever in the place where most exposure happens. The home.“Inside is dangerous,” Hall said.The CDC estimates about 500,000 U.S. Children between ages 1 and 5 have been poisoned by lead, probably an underestimate due to the lack of widespread testing in many communities and states.

In 2017, more than 40,000 children had elevated blood lead levels, defined as higher than 5 micrograms per deciliter of blood, in the 23 states that reported data.While preliminary June and July data in some states indicates lead testing is picking up, it’s nowhere near as high as it would need to be to catch up on the kids who missed appointments in the spring at the height of lockdown orders, experts say. And that may mean some kids will never be tested.“What I’m most worried about is that the kids who are not getting tested now are the most vulnerable — those are the kids I’m worried might not have a makeup visit,” said Stephanie Yendell, senior epidemiology supervisor in the health risk intervention unit at the Minnesota Department of Health.Lifelong ConsequencesThere’s a critical window for conducting lead poisoning blood tests, timed to when children are crawling or toddling and tend to put their hands on floors, windowsills and door frames and possibly transfer tiny particles of lead-laden dust to their mouths.Children at this age are more likely to be harmed because their rapidly growing brains and bodies absorb the element more readily. Lead poisoning can’t be reversed.

Children with lead poisoning are more likely to fall behind in school, end up in jail or suffer lifelong health problems such as kidney and heart disease.That’s why lead tests are required at ages 1 and 2 for children receiving federal Medicaid benefits, the population most likely to be poisoned because of low-quality housing options. Tests are also recommended for all children living in high-risk ZIP codes with older housing stock and historically high levels of lead exposure.Testing fell far short of recommendations in many parts of the country even before the propecia, though, with one recent study estimating that in some states 80% of poisoned children are never identified. And when tests are required, there has been little enforcement of the rule.Early in the propecia, officials in New York’s Erie County bumped up the threshold for sending a public health worker into a family’s home to investigate the source of lead exposure from 5 micrograms per deciliter to 45 micrograms per deciliter (a blood lead level that usually requires hospitalization), said Dr.

Gale Burstein, that county’s health commissioner. For all other cases during that period, officials inspected only the outside of the child’s home for potential hazards.About 700 fewer children were tested for lead in Erie County in April than in the same month last year, a drop of about 35%.Ohio, which has among the highest levels of lead poisoning in the country, recently expanded automatic eligibility for its Early Intervention program to any child with an elevated blood lead test, providing the opportunity for occupational, physical and speech therapy. Learning supports for school.

And developmental assessments. If kids with lead poisoning don’t get tested, though, they won’t be referred for help.In early April, there were only three referrals for elevated lead levels in the state, which had been fielding nine times as many on average in the months before the propecia, said Karen Mintzer, director of Bright Beginnings, which manages them for Ohio’s Department of Developmental Disabilities. €œIt basically was a complete stop,” she said.

Since mid-June, referrals have recovered and are now above pre-propecia levels.“We should treat every child with lead poisoning as a medical emergency,” said John Belt, principal investigator for the Ohio Department of Health’s lead poisoning program. €œNot identifying them is going to delay the available services, and in some cases lead to a cognitive deficit.”propecia Compounds WorriesOne of the big worries about the drop in lead testing is that it’s happening at a time when exposure to lead-laden paint chips, soil and dust in homes may be spiking because of stay-at-home orders during the propecia.Exposure to lead dust from deteriorating paint, particularly in high-friction areas such as doors and windows, is the most common cause of lead exposure for children in the U.S.“I worry about kids in unsafe housing, more so during the propecia, because they’re stuck there during the quarantine,” said Dr. Aparna Bole, a pediatrician at Cleveland’s University Hospitals Rainbow Babies &.

Children’s Hospital.The propecia may also compound exposure to lead, experts fear, as both landlords and homeowners try to tackle renovation projects without proper safety precautions while everyone is at home. Or the economic fallout of the crisis could mean some people can no longer afford to clean up known lead hazards at all.“If you’ve lost your job, it’s going to make it difficult to get new windows, or even repaint,” said Yendell.The CDC says it plans to help state and local health departments track down children who missed lead tests. Minnesota plans to identify pediatric clinics with particularly steep drops in lead testing to figure out why, said Yendell.But, Yendell said, that will likely have to wait until the propecia is over.

€œRight now I’m spending 10-20% of my time on lead, and the rest is hair loss treatment.”The propecia has stretched already thinly staffed local health departments to the brink, health officials say, and it may take years to know the full impact of the missed testing. For the kids who’ve been poisoned and had no intervention, the effects may not be obvious until they enter school and struggle to keep up. Brie Zeltner.

@BrieZeltner Related Topics Public Health CDC Children's Health hair loss treatment Michigan Minnesota New York Ohio StudyCan’t see the audio player?. Click here to listen on SoundCloud. The headlines from this week will be about how President Donald Trump knew early on how serious the hair loss propecia was likely to become but purposely played it down.

Potentially more important during the past few weeks, though, are reports of how White House officials have pushed scientists at the federal government’s leading health agencies to put politics above science.Meanwhile, Republicans appear to have given up on using the Affordable Care Act as an electoral cudgel, judging, at least, from its scarce mention during the GOP convention. Democrats, on the other hand, particularly those running for the U.S. House and Senate, are doubling down on their criticism of Republicans for failing to adequately protect people with preexisting health conditions.

That issue was key to the party winning back the House in 2018.This week’s panelists are Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Sarah Karlin-Smith of the Pink Sheet.Among the takeaways from this week’s podcast:The Affordable Care Act has become a political vulnerability for Republican officials, who have no interest in reopening the debate on it during this campaign. Trump vowed before his 2016 election to repeal the law immediately after taking office and members of Congress had berated it for years. But they could not gain the political capital to overturn Obamacare.Trump’s comments to journalist-author Bob Woodward about holding back information on the risks of the hair loss propecia from the public may not have a major effect on the election since so many voters’ minds are already set on their choices.

For many, the president’s statements are seen by partisans as identifying what they already believe. For Trump’s supporters, that he is protecting the public. For his critics, that he is a liar.The number of hair loss treatment cases appears to have hit another plateau, but it’s still twice as high as the count last spring.

Officials are waiting to see if end-of-the-summer activities over the Labor Day holiday will create another surge.The stalemate on Capitol Hill over hair loss relief funding shows no sign of easing soon. Republicans in the Senate are resisting Democrats’ insistence on a massive package, but it’s not exactly clear what the GOP can agree on.The treatment being developed by AstraZeneca ran into difficulty this week as experts seek to determine whether a neurological problem that developed in one volunteer was caused by the treatment. Some public health officials, such as NIH Director Francis Collins, said this helps show that even with the compressed testing timeline, safeguards are working.Nonetheless, another treatment maker, Pfizer, said it might still have its treatment ready before the election.The recent controversy at the FDA over the emergency authorization of plasma to treat hair loss treatment patients and the awkward decision at the Centers for Disease Control and Prevention to change guidelines for testing asymptomatic people have created a credibility gap among some Americans and played into concerns that the administration is undercutting science.Also this week, Rovner interviews KHN’s Elizabeth Lawrence, who reported the August NPR-KHN “Bill of the Month” installment, about an appendectomy gone wrong, and the very big bill that followed.

If you have an outrageous medical bill you would like to share with us, you can do that here.Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read too:Julie Rovner. ProPublica’s “A Doctor Went to His Own Employer for a hair loss treatment Antibody Test. It Cost $10,984,” by Marshall AllenJoanne Kenen.

The Atlantic’s “America Is Trapped in a propecia Spiral,” by Ed YongSarah Karlin-Smith. Politico’s “Emails Show HHS Official Trying to Muzzle Fauci,” by Sarah OwermohleMary Ellen McIntire. The Atlantic’s “What Young, Healthy People Have to Fear From hair loss treatment,” by Derek ThompsonTo hear all our podcasts, click here.And subscribe to What the Health?.

on iTunes, Stitcher, Google Play, Spotify, or Pocket Casts. Related Topics Elections Multimedia Public Health The Health Law hair loss treatment FDA KHN's 'What The Health?. ' NIH Podcasts Trump Administration U.S.

Congress treatmentsSOBRE NOTICIAS EN ESPAÑOLNoticias en español es una sección de Kaiser Health News que contiene traducciones de artículos de gran interés para la comunidad hispanohablante, y contenido original enfocado en la población hispana que vive en los Estados Unidos. Use Nuestro Contenido Este contenido puede usarse de manera gratuita (detalles). El gobernador de Florida, Ron DeSantis, trató de aliviar el temor a volar durante la pandemia en un evento con ejecutivos de aerolíneas y compañías de alquiler de autos.“Los aviones simplemente no han sido vectores cuando se observa la propagación del hair loss”, dijo DeSantis en el encuentro en el Aeropuerto Internacional Fort Lauderdale-Hollywood el 28 de agosto.

“La evidencia es la evidencia. Y creo que es algo que la gente puede hacer con seguridad “, agregó.¿La evidencia es realmente tan clara?. La afirmación de DeSantis de que los aviones no han sido “vectores” de la propagación del hair loss es falsa, según expertos.

Un “vector” disemina el propecia de un lugar a otro, y los aviones han transportado a pasajeros infectados a través de distintas regiones, lo que hace que los brotes de hair loss treatment sean más difíciles de contener.Joseph Allen, profesor asociado en la Universidad de Harvard y experto en exposiciones a propecia, calificó a los aviones como “excelentes vectores para la propagación viral” en una llamada de prensa.En contexto, DeSantis parecía estar haciendo hincapié en la seguridad de volar en avión en lugar del papel que desempeñaron los aviones en la propagación del propecia de un lugar a otro.Cuando se le consultó a la oficina del gobernador sobre datos que respaldaran los comentarios de DeSantis, el secretario de prensa Cody McCloud no presentó ningún estudio ni estadística. En cambio, citó el programa de rastreo de contactos del Departamento de Salud de Florida y escribió que “no ha proporcionado ninguna información que sugiera que algún paciente se haya infectado mientras viajaba en un vuelo comercial”.El programa de rastreo de contactos de Florida se ha visto envuelto en una controversia sobre informes que denuncian que no tiene suficiente personal y que es ineficaz. CNN llamó a 27 residentes del estado que dieron positivo para hair loss treatment y descubrió que solo cinco habían sido contactados por las autoridades de salud.

(El Departamento de Salud de Florida no respondió a las solicitudes de entrevista).Expertos aseguran que, en general, los aviones brindan ambientes seguros en lo que respecta a la calidad del aire, pero agregaron que el riesgo de infección depende en gran medida de las políticas que las aerolíneas puedan tener sobre los asientos de los pasajeros, el uso de máscaras y el tiempo de embarque.Según indicaron, el riesgo de contraer el hair loss en un avión es relativamente bajo si la aerolínea sigue los procedimientos de salud pública. Hacer cumplir la regla de usar máscara, espaciar los asientos disponibles y examinar a los pasajeros enfermos.“Si observas otras enfermedades, ves pocos brotes en aviones”, dijo Allen. €œNo son los semilleros de infección que la gente cree que son”.Las aerolíneas señalan con frecuencia que los aviones comerciales están equipados con filtros de aire HEPA, recomendados por los Centros para el Control y Prevención de Enfermedades (CDC), que se utilizan en las salas de aislamiento de los hospitales.Los filtros HEPA capturan el 99,97% de las partículas en el aire y reducen sustancialmente el riesgo de propagación viral.

Además, el aire en las cabinas se renueva por completo entre 10 y 12 veces por hora, elevando la calidad del aire por encima de la de un edificio normal.Debido a la alta tasa de renovación del aire, es poco probable que se contraiga el hair loss de alguien sentado a varias filas de distancia. Sin embargo, sí podría ocurrir el contagio de alguien cercano.“El mayor riesgo durante el vuelo sería si el pasajero se sienta cerca de alguien que pueda infectar”, dijo Richard Corsi, quien estudia la contaminación del aire en interiores y es decano de Ingeniería en Universidad Estatal de Portland.También es importante señalar que los sistemas de filtración de alta potencia de los aviones no son suficientes por sí solos para prevenir brotes. Si una aerolínea no mantiene libres los asientos del medio ni hace cumplir rigurosamente el uso de máscaras, volar puede ser bastante peligroso.

Actualmente, las aerolíneas nacionales que mantienen abiertos los asientos intermedios incluyen Delta, Hawaiian, Southwest y JetBlue.La razón de esto es que las personas infectadas envían partículas virales al aire a un ritmo más rápido que el que los aviones las expulsan fuera de la cabina. €œSiempre que tose, habla o respira, está enviando gotitas”, dijo Qingyan Chen, profesor de ingeniería mecánica en la Universidad Purdue. €œEstas gotas están en la cabina todo el tiempo”.Esto hace que las medidas de protección adicionales, como el uso de máscaras, sean aún más necesarias.Chen citó dos vuelos internacionales anteriores a la pandemia donde las tasas de infección variaron según el uso de mascarillas.

En el primer vuelo, ningún pasajero llevaba máscaras y un solo pasajero infectó a 14 personas mientras el avión viajaba de Londres a Hanoi, Vietnam. En el segundo vuelo, de Singapur a Hangzhou, en China, todos los pasajeros llevaban máscaras faciales.Aunque 15 pasajeros eran residentes de Wuhan con casos sospechosos o confirmados de hair loss treatment, el único hombre infectado en el recorrido se había aflojado la máscara en pleno vuelo y había estado sentado cerca de cuatro residentes de Wuhan que luego dieron positivo para el propecia.Pero, aunque volar es una actividad de riesgo relativamente bajo, se debe evitar viajar a menos que sea absolutamente necesario.“Cualquier cosa que te ponga en contacto con más personas aumentará el riesgo”, dijo Cindy Prins, profesora clínica asociada de Epidemiología en la Escuela de Salud Pública y Profesiones de la Salud de la Universidad de Florida.El verdadero peligro de viajar no es el vuelo en sí. Sin embargo, pasar por el control de seguridad y esperar en la puerta de embarque es probable que ponga a la persona en contacto cercano con otros y aumente sus posibilidades de contraer el propecia.Además, abordar, cuando el sistema de ventilación del avión no está funcionando y las personas no pueden mantenerse alejadas entre sí, es una de las partes más riesgosas.

€œReducir este tiempo es importante para bajar la exposición”, escribió Corsi. €œHay que llegar al asiento con la máscara y sentarse lo más rápido posible”.Con todo, es demasiado pronto para determinar cuánta transmisión de persona a persona ha ocurrido en vuelos.Julian Tang, profesor asociado honorario en el Departamento de Ciencias Respiratorias de la Universidad de Leicester, en Inglaterra, dijo que está al tanto de varios grupos de infecciones relacionadas con los viajes aéreos. Sin embargo, es un desafío demostrar que las personas contrajeron el propecia en un vuelo.“Alguien que presenta síntomas de hair loss treatment varios días después de llegar a su destino podría haberse infectado en casa antes de llegar al aeropuerto, mientras estaba en el aeropuerto o en el vuelo, o incluso al llegar al aeropuerto de destino, porque todo el mundo tiene un período de incubación variable”, dijo Tang.Katherine Estep, vocera de Airlines for America, un grupo comercial de la industria centrado en Estados Unidos, dijo que los CDC no han confirmado ningún caso de transmisión a bordo de una aerolínea estadounidense.La ausencia de transmisión confirmada no es necesariamente una prueba de que los viajeros estén seguros.

En cambio, la falta de datos refleja el hecho de que Estados Unidos tiene una tasa de infección más alta en comparación con otros países, dijo Chen. Dado que tiene tantos casos confirmados, es más difícil determinar exactamente dónde alguien contrajo el propecia. Related Topics Noticias En Español Public Health hair loss treatment KHN &.

PolitiFact HealthCheckThis story also ran on NPR. This story can be republished for free (details). Nurses at Alta Bates Summit Medical Center were on edge as early as March when patients with hair loss treatment began to show up in areas of the hospital that were not set aside to care for them. Explore Our Database KHN and The Guardian are tracking health care workers who died from hair loss treatment and writing about their lives and what happened in their final days. The Centers for Disease Control and Prevention had advised hospitals to isolate hair loss treatment patients to limit staff exposure and help conserve high-level personal protective equipment that’s been in short supply.Yet hair loss treatment patients continued to be scattered through the Oakland hospital, according to complaints to California’s Division of Occupational Safety and Health.

The concerns included the sixth-floor medical unit where veteran nurse Janine Paiste-Ponder worked.hair loss treatment patients on that floor were not staying in their rooms, either confused or uninterested in the rules. Staff was not provided highly protective N95 respirators, said Mike Hill, a nurse in the hospital intensive care unit and the hospital’s chief representative for the California Nurses Association, which filed complaints to Cal/OSHA, the state’s workplace safety regulator. “It was just a matter of time before one of the nurses died on one of these floors,” Hill said.Two nurses fell ill, including Paiste-Ponder, 59, who died of complications from the propecia on July 17.The concerns raised in Oakland also have swept across the U.S., according to interviews, a review of government workplace safety complaints and health facility inspection reports.

A KHN investigation found that dozens of nursing homes and hospitals ignored official guidelines to separate hair loss treatment patients from those without the hair loss, in some places fueling its spread and leaving staff unprepared and infected or, in some cases, dead.As recently as July, a National Nurses United survey of more than 21,000 nurses found that 32% work in a facility that does not have a dedicated hair loss treatment unit. At that time, the hair loss had reached all but 17 U.S. Counties, data collected by Johns Hopkins University shows.California Nurses Association members had complained to Cal/OSHA about hair loss treatment patients being spread throughout Alta Bates Summit Medical Center and say the practice was a factor in Janine Paiste-Ponder’s illness and death.(National Nurses United)KHN discovered that hair loss treatment victims have been commingled with uninfected patients in health care facilities in states including California, Florida, New Jersey, Iowa, Ohio, Maryland and New York.A hair loss treatment outbreak was in full swing at the New Jersey Veterans Home at Paramus in late April when health inspectors observed residents with dementia mingling in a day room — hair loss treatment-positive patients as well as others awaiting test results.

At the time, the center had already reported hair loss treatment s among 119 residents and 46 propecia-related deaths, according to a Medicare inspection report.The assistant director of nursing at an Iowa nursing home insisted April 28 that they did “not have any hair loss treatment in the building” and overrode the orders of a community doctor to isolate several patients with fevers and falling oxygen levels, an inspection report shows.By mid-May, the facility’s hair loss treatment log showed 61 patients with the propecia and nine dead.Federal work-safety officials have closed at least 30 complaints about patient mixing in hospitals nationwide without issuing a citation. They include a claim that a Michigan hospital kept patients who tested negative for the propecia in the hair loss treatment unit in May. An upstate New York hospital also had hair loss treatment patients in the same unit as those with no , according to a closed complaint to the federal Occupational Safety and Health Administration.

Email Sign-Up Subscribe to KHN’s free Morning Briefing. Federal Health and Human Services officials have called on hospitals to tell them each day if they have a patient who came in without hair loss treatment but had an apparent or confirmed case of the hair loss 14 days later. Hospitals filed 48,000 reports from June 21 through Aug.

28, though the number reflects some double or additional counting of individual patients.hair loss treatment patients have been mixed in with others for a variety of reasons. Some hospitals report having limited tests, so patients carrying the propecia are identified only after they had already exposed others. In other cases, they had false-negative test results or their facility was dismissive of federal guidelines, which carry no force of law.And while federal Medicare officials have inspected nearly every U.S.

Nursing home in recent months and states have occasionally levied fines and cut off new admissions for isolation lapses, hospitals have seen less scrutiny.The Scene Inside SutterAt Alta Bates in Oakland, part of the Sutter Health network, hospital staff made it clear in official complaints to Cal/OSHA that they wanted administrators to follow the state’s unique law on aerosol-transmitted diseases. From the start, some staffers wanted all the state-required protections for a propecia that has been increasingly shown to be transmitted by tiny particles that float through the air.The regulations call for patients with a propecia like hair loss treatment to be moved to a specialized unit within five hours of identification — or to a specialized facility. The rules say those patients should be in a room with a HEPA filter or with negative air pressure, meaning that air is circulated out a window or exhaust fan instead of drifting into the hallway.Initially, in March, the hospital outfitted a 40-bed hair loss treatment unit, according to Hill.

But when a surge of patients failed to materialize, that unit was pared to 12 beds.Since then, a steady stream of propecia patients have been admitted, he said, many testing positive only days after admission — and after they’d been in regular rooms in the facility.From March 10 through July 30, Hill’s union and others filed eight complaints to Cal/OSHA, including allegations that the hospital failed to follow isolation rules for hair loss treatment patients, some on the cancer floor.So far, regulators have done little. Gov. Gavin Newsom had ordered workplace safety officials to “focus on … supporting compliance” instead of enforcement except on the “most serious violations.”State officials responded to complaints by reaching out by mail and phone to “ensure the proper propecia prevention measures are in place,” according to Frank Polizzi, a spokesperson for Cal/OSHA.A third investigation related to transport workers not wearing N95 respirators while moving hair loss treatment-positive or possible hair loss patients at a Sutter facility near the hospital resulted in a $6,750 fine, Cal/OSHA records show.The string of complaints also says the hospital did not give staff the necessary personal protective equipment (PPE) under state law — an N95 respirator or something more protective — for caring for propecia patients.Nurse Janine Paiste-Ponder died July 17 of hair loss treatment.

Her colleagues held a vigil for her on July 21.(National Nurses United)Instead, Hill said, staff on floors with hair loss treatment patients were provided lower-quality surgical masks, a concern reflected in complaints filed with Cal/OSHA.Hill believes that Paiste-Ponder and another nurse on her floor caught the propecia from hair loss treatment patients who did not remain in their rooms.“It is sad, because it didn’t really need to happen,” Hill said.Polizzi said investigations into the July 17 death and another staff hospitalization are ongoing.A Sutter Health spokesperson said the hospital takes allegations, including Cal/OSHA complaints, seriously and its highest priority is keeping patients and staff safe.The statement also said “cohorting,” or the practice of grouping propecia patients together, is a tool that “must be considered in a greater context, including patient acuity, hospital census and other environmental factors.”Concerns at Other HospitalsCDC guidelines are not strict on the topic of keeping hair loss treatment patients sectioned off, noting that “facilities could consider designating entire units within the facility, with dedicated [staff],” to care for hair loss treatment patients.That approach succeeded at the University of Nebraska Medical Center in Omaha. A recent study reported “extensive” viral contamination around hair loss treatment patients there, but noted that with “standard” control techniques in place, staffers who cared for hair loss treatment patients did not get the propecia.The hospital set up an isolation unit with air pumped away from the halls, restricted access to the unit and trained staff to use well-developed protocols and N95 respirators — at a minimum. What worked in Nebraska, though, is far from standard elsewhere.Cynthia Butler, a nurse and National Nurses United member at Fawcett Memorial Hospital in Port Charlotte, on Florida’s west coast, said she actually felt safer working in the hair loss treatment unit — where she knew what she was dealing with and had full PPE — than on a general medical floor.She believes she caught the propecia from a patient who had hair loss treatment but was housed on a general floor in May.

A similar situation occurred in July, when another patient had an unexpected case of hair loss treatment — and Butler said she got another positive test herself.She said both patients did not meet the hospital’s criteria for testing admitted patients, and the lapses leave her on edge, concerns she relayed to an OSHA inspector who reached out to her about a complaint her union filed about the facility.“Every time I go into work it’s like playing Russian roulette,” Butler said.A spokesperson for HCA Healthcare, which owns the hospital, said it tests patients coming from long-term care, those going into surgery and those with propecia symptoms. She said staffers have access to PPE and practice vigilant sanitation, universal masking and social distancing.The latter is not an option for Butler, though, who said she cleans, feeds and starts IVs for patients and offers reassurance when they are isolated from family.“I’m giving them the only comfort or kind word they can get,” said Butler, who has since gone on unpaid leave over safety concerns. €œI’m in there doing that and I’m not being protected.”Given research showing that up to 45% of hair loss treatment patients are asymptomatic, UCSF Medical Center is testing everyone who’s admitted, said Dr.

Robert Harrison, a University of California-San Francisco School of Medicine professor who consults on occupational health at the hospital.It’s done for the safety of staff and to reduce spread within the hospital, he said. Those who test positive are separated into a hair loss treatment-only unit.And staff who spent more than 15 minutes within 6 feet of a not-yet-identified hair loss treatment patient in a less-protective surgical mask are typically sent home for two weeks, he said.Outside of academic medicine, though, front-line staff have turned to union leaders to push for such protections.In Southern California, leaders of the National Union of Healthcare Workers filed an official complaint with state hospital inspectors about the risks posed by intermingled hair loss treatment patients at Fountain Valley Regional Hospital in Orange County, part of for-profit Tenet Health. There, the complaint said, patients were not routinely tested for hair loss treatment upon admission.One nursing assistant spent two successive 12-hour shifts caring for a patient on a general medical floor who required monitoring.

At the conclusion of the second shift, she was told the patient had just been found to be hair loss treatment-positive.The worker had worn only a surgical mask — not an N95 respirator or any form of eye protection, according to the complaint to the California Department of Public Health. The nursing assistant was not offered a hair loss treatment test or quarantined before her next two shifts, the complaint said.The public health department said it could not comment on a pending inspection.Barbara Lewis, Southern California hospital division director with the union, said hair loss treatment patients were on the same floor as cancer patients and post-surgical patients who were walking the halls to speed their recovery.She said managers took steps to separate the patients only after the union held a protest, spoke to local media and complained to state health officials.Hospital spokesperson Jessica Chen said the hospital “quickly implemented” changes directed by state health authorities and does place some hair loss treatment patients on the same nursing unit as non-hair loss treatment patients during surges. She said they are placed in single rooms with closed doors.

hair loss treatment tests are given by physician order, she added, and employees can access them at other places in the community.It’s in contrast, Lewis said, to high-profile examples of the precautions that might be taken.“Now we’re seeing what’s happening with baseball and basketball — they’re tested every day and treated with a high level of caution,” Lewis said. €œYet we have thousands and thousands of health care workers going to work in a very scary environment.”Nursing Homes Face Penalties More than 40% of the people who’ve died of hair loss treatment lived in nursing homes or assisted living facilities, researchers have found.Patient mixing has been a scattered concern at nursing homes, which Medicare officials discovered when they reviewed control practices at more than 15,000 facilities.News reports have highlighted the problem at an Ohio nursing home and at a Maryland home where the state levied a $70,000 fine for failing to keep infected patients away from those who weren’t sick — yet.Another facing penalties was Fair Havens Center, a Miami Springs, Florida, nursing home where inspectors discovered that 11 roommates of patients who tested positive for hair loss treatment were put in rooms with other residents — putting them at heightened risk.Florida regulators cut off admissions to the home and Medicare authorities levied a $235,000 civil monetary penalty, records show.The vice president of operations at the facility told inspectors that isolating exposed patients would mean isolating the entire facility. Everyone had been exposed to the 32 staff members who tested positive for the propecia, the report says.Fair Havens Center did not respond to a request for comment.In Iowa, Medicare officials declared a state of “immediate jeopardy” at Pearl Valley Rehabilitation and Care Center in Muscatine.

There, they discovered that staffers were in denial over an outbreak in their midst, with a nursing director overriding a community doctor’s orders to isolate or send residents to the emergency room. Instead, officials found, in late April, the assistant nursing director kept hair loss treatment patients in the facility, citing a general order by their medical director to avoid sending patients to the ER “if you can help it.”Meanwhile, several patients were documented by facility staff to have fevers and falling oxygen levels, the Medicare inspection report shows. Within two weeks, the facility discovered it had an outbreak, with 61 residents infected and nine dead, according to the report.Medicare officials are investigating Menlo Park Veterans Memorial Home in New Jersey, state Sen.

Joseph Vitale said during a recent legislative hearing. Resident council president Glenn Osborne testified during the hearing that the home’s residents were returned to the same shared rooms after hospitalizations.Osborne, an honorably discharged Marine, said he saw more residents of the home die than fellow service members during his military service. The Menlo Park and Paramus veterans homes — where inspectors saw dementia patients with and without the propecia commingling in a day room — both reported more than 180 hair loss treatment cases among residents, 90 among staff and at least 60 deaths.A spokesperson for the homes said he could not comment due to pending litigation.“These deaths should not have happened,” Osborne said.

€œMany of these deaths were absolutely avoidable, in my humble opinion.” Christina Jewett. ChristinaJ@kff.org, @by_cjewett Related Topics California Health Industry Public Health States hair loss treatment Hospitals Lost On The Frontline Nursing Homes.

Researchers at the University of Maryland School of Medicine (UMSOM) have conducted a study that where is better to buy propecia has determined the role that a critical protein plays in the development of hair cells. These hair cells where is better to buy propecia are vital for hearing. Some of these cells amplify sounds that come into the ear, and others transform sound waves into electrical signals that travel to the brain. Ronna Hertzano, MD, PhD, Associate Professor in the Department of Otorhinolaryngology Head and Neck Surgery at UMSOM and Maggie Matern, PhD, a postdoctoral fellow at Stanford University, demonstrated that the protein, called GFI1, may be critical for where is better to buy propecia determining whether an embryonic hair cell matures into a functional adult hair cell or becomes a different cell that functions more like a nerve cell or neuron.The study was published in the journal Development, and was conducted by physician-scientists and researchers at the UMSOM Department of Otorhinolaryngology Head and Neck Surgery and the UMSOM Institute for Genome Sciences (IGS), in collaboration with researchers at the Sackler School of Medicine at Tel Aviv University in Israel.Hearing relies on the proper functioning of specialized cells within the inner ear called hair cells. When the hair cells do not develop properly or are damaged by environmental stresses like loud noise, it results in a loss of hearing function.In the United States, the prevalence of hearing loss doubles with every 10-year increase in age, affecting about half of all adults in their 70s and about 80 percent of those who are over age 85.

Researchers have been focusing on describing the developmental steps that lead to a functional hair cell, in where is better to buy propecia order to potentially generate new hair cells when old ones are damaged.Hair cells in the inner earTo conduct her latest study, Dr. Hertzano and her team utilized cutting-edge methods to study gene expression in the hair cells of genetically modified newborn mice that where is better to buy propecia did not produce GFI1. They demonstrated that, in the absence of this vital protein, embryonic hair cells failed to progress in their development to become fully functional adult cells. In fact, where is better to buy propecia the genes expressed by these cells indicated that they were likely to develop into neuron-like cells."Our findings explain why GFI1 is critical to enable embryonic cells to progress into functioning adult hair cells," said Dr. Hertzano.

"These data also explain the importance of GFI1 in experimental protocols to regenerate hair cells from stem cells where is better to buy propecia. These regenerative methods have where is better to buy propecia the potential of being used for patients who have experienced hearing loss due to age or environmental factors like exposure to loud noise."Dr. Hertzano first became interested in GFI1 while completing her M.D., Ph.D. At Tel Aviv University where is better to buy propecia. As part of her dissertation, she discovered that the hearing loss resulting from mutations in another protein called POU4F3 appeared to largely result from a loss of GFI1 in the hair cells.

Since then, she has been conducting studies to discover the role of GFI1 and where is better to buy propecia other proteins in hearing. Other research groups in the field are now testing these proteins to determine whether they can be used as a "cocktail" to regenerate lost hair cells and restore hearing."Hearing research has been going through a Renaissance period, not only from advances in genomics and methodology, but where is better to buy propecia also thanks to its uniquely collaborative nature among researchers," said Dr. Herzano.The new study was funded by the National Institute on Deafness and Other Communication Disorders (NIDCD) which is part of the National Institutes of Health (NIH). It was also funded by the Binational where is better to buy propecia Scientific Foundation (BSF)."This is an exciting new finding that underscores the importance of basic research to lay the foundation for future clinical innovations," said E. Albert Reece, MD, PhD, MBA, Executive Vice President for Medical Affairs, UM Baltimore, and the John Z.

And Akiko K where is better to buy propecia. Bowers Distinguished Professor where is better to buy propecia and Dean, University of Maryland School of Medicine. "Identifying the complex pathways that lead to normal hearing could prove to be the key for reversing hearing loss in millions of Americans." Story Source. Materials provided by University of Maryland School of where is better to buy propecia Medicine. Note.

Content may be edited for where is better to buy propecia style and length.Researchers at Indiana University School of Medicine are learning more about how a person's genes play a role in the possibility they'll suffer from alcoholic cirrhosis with the discovery of a gene that could make the disease less likely.Alcoholic cirrhosis can happen after years of drinking too much alcohol. According to the researchers, discovering more about this illness couldn't where is better to buy propecia come at a more important time."Based on U.S. Data, alcohol-associated liver disease is on the rise in terms of the prevalence and incidents and it is happening more often in younger patients," said Suthat Liangpunsakul, MD, professor of medicine, dean's scholar in medical research for the Department of Medicine Division of Gastroenterology and Hepatology, and one of the principal investigators of the study. "There's a real public health problem involving the consumption of alcohol where is better to buy propecia and people starting to drink at a younger age."The team describes their findings in a new paper published in Hepatology. The GenomALC Consortium was funded by the National Institutes on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institute of Health (NIH).

This genome-wide association study began several years ago where is better to buy propecia and is one of the largest studies related to alcoholic cirrhosis ever performed. DNA samples were taken from over 1,700 patients from sites in the United where is better to buy propecia States, several countries in Europe and Australia and sent to IU School of Medicine where the team performed the DNA isolation for genome analysis. The patients were divided into two groups -- one made up of heavy drinkers that never had a history of alcohol-induced liver injury or liver disease and a second group of heavy drinkers who did have alcoholic cirrhosis."Our key finding is a gene called Fas Associated Factor Family Member 2, or FAF2," said Tae-Hwi Schwantes-An, PhD, assistant research professor of medical and molecular genetics and the lead author of the study. "There's this convergence of findings now that are pointing to the genes involved in lipid droplet organization pathway, and that seems to be one of the biological reasonings of why certain people get liver disease and why certain people do not."The researchers are anticipating to study this gene more closely and looking at its relationship to where is better to buy propecia other, previously-discovered genes that can make a person more likely to develop alcoholic cirrhosis."We know for a fact those genes are linked together in a biological process, so the logical next step is to study how the changes in these genes alter the function of that process, whether it's less efficient in one group of people, or maybe it's inhibited in some way," Schwantes-An said. "We don't know exactly what the biological underpinning of that is, but now we have a pretty well-defined target where we can look at these variants and see how they relate to alcoholic cirrhosis."As their research continues, the team hopes to eventually find a way to identify this genetic factor in patients with the goal of helping them prevent alcoholic cirrhosis in the future or developing targeted therapies that can help individuals in a more personalized way.

Story Source where is better to buy propecia. Materials provided by Indiana University where is better to buy propecia School of Medicine. Original written by Christina Griffiths. Note. Content may be edited for style and length.Penn Medicine researchers have found that middle-aged individuals -- those born in the late 1960s and the 1970s -- may be in a perpetual state of H3N2 influenza propecia susceptibility because their antibodies bind to H3N2 propeciaes but fail to prevent s, according to a new study led by Scott Hensley, PhD, an associate professor of Microbiology at the Perelman School of Medicine at the University of Pennsylvania.

The paper was published today in Nature Communications."We found that different aged individuals have different H3N2 flu propecia antibody specificities," Hensley said. "Our studies show that early childhood s can leave lifelong immunological imprints that affect how individuals respond to antigenically distinct viral strains later in life."Most humans are infected with influenza propeciaes by three to four years of age, and these initial childhood s can elicit strong, long lasting memory immune responses. H3N2 influenza propeciaes began circulating in humans in 1968 and have evolved substantially over the past 51 years. Therefore, an individual's birth year largely predicts which specific type of H3N2 propecia they first encountered in childhood.Researchers completed a serological survey -- a blood test that measures antibody levels -- using serum samples collected in the summer months prior to the 2017-2018 season from 140 children (ages one to 17) and 212 adults (ages 18 to 90). They first measured the differences in antibody reactivity to various strains of H3N2, and then measured for neutralizing and non-neutralizing antibodies.

Neutralizing antibodies can prevent viral s, whereas non-neutralizing antibodies can only help after an takes place. Samples from children aged three to ten years old had the highest levels of neutralizing antibodies against contemporary H3N2 propeciaes, while most middle-aged samples had antibodies that could bind to these propeciaes but these antibodies could not prevent viral s.Hensley said his team's findings are consistent with a concept known as "original antigenic sin" (OAS), originally proposed by Tom Francis, Jr. In 1960. "Most individuals born in the late 1960s and 1970s were immunologically imprinted with H3N2 propeciaes that are very different compared to contemporary H3N2 propeciaes. Upon with recent H3N2 propeciaes, these individuals tend to produce antibodies against regions that are conserved with older H3N2 strains and these types of antibodies typically do not prevent viral s."According to the research team, it is possible that the presence of high levels of non-neutralizing antibodies in middle-aged adults has contributed to the continued persistence of H3N2 propeciaes in the human population.

Their findings might also relate to the unusual age distribution of H3N2 s during the 2017-2018 season, in which H3N2 activity in middle-aged and older adults peaked earlier compared to children and young adults.The researchers say that it will be important to continually complete large serological surveys in different aged individuals, including donors from populations with different vaccination rates. A better understanding of immunity within the population and within individuals will likely lead to improved models that are better able to predict the evolutionary trajectories of different influenza propecia strains."Large serological studies can shed light on why the effectiveness of flu treatments varies in individuals with different immune histories, while also identifying barriers that need to be overcome in order to design better treatments that are able to elicit protective responses in all age groups," said Sigrid Gouma, PhD, a postdoctoral researcher of Microbiology and first author on the paper.Other Penn authors include Madison Weirick and Megan E. Gumina. Additional authors include Angela Branche, David J. Topham, Emily T.

Martin, Arnold S. Monto, and Sarah Cobey.This work was supported by the National Institute of Allergy and Infectious Diseases (1R01AI113047, S.E.H.. 1R01AI108686, S.E.H.. 1R01AI097150, A.S.M.. CEIRS HHSN272201400005C, S.E.H., S.C., E.T.M., A.S.M.

A.B., D.J.T.) and Center for Disease Control (U01IP000474, A.S.M.). Scott E. Hensley holds an Investigators in the Pathogenesis of Infectious Disease Awards from the Burroughs Wellcome Fund.Males and females share the vast majority of their genomes. Only a sprinkling of genes, located on the so-called X and Y sex chromosomes, differ between the sexes. Nevertheless, the activities of our genes -- their expression in cells and tissues -- generate profound distinctions between males and females.Not only do the sexes differ in outward appearance, their differentially expressed genes strongly affect the risk, incidence, prevalence, severity and age-of-onset of many diseases, including cancer, autoimmune disorders, cardiovascular disease and neurological afflictions.Researchers have observed sex-associated differences in gene expression across a range of tissues including liver, heart, and brain.

Nevertheless, such tissue-specific sex differences remain poorly understood. Most traits that display variance between males and females appear to result from differences in the expression of autosomal genes common to both sexes, rather than through expression of sex chromosome genes or sex hormones.A better understanding of these sex-associated disparities in the behavior of our genes could lead to improved diagnoses and treatments for a range of human illnesses.In a new paper in the PERSPECTIVES section of the journal Science, Melissa Wilson reviews current research into patterns of sex differences in gene expression across the genome, and highlights sampling biases in the human populations included in such studies."One of the most striking things about this comprehensive study of sex differences," Wilson said, "is that while aggregate differences span the genome and contribute to biases in human health, each individual gene varies tremendously between people."Wilson is a researcher in the Biodesign Center for Mechanisms in Evolution, the Center for Evolution and Medicine, and ASU's School of Life Sciences. advertisement A decade ago, an ambitious undertaking, known as the Genotype-Tissue Expression (GTEx) consortium began to investigate the effects DNA variation on gene expression across the range of human tissues. Recent findings, appearing in the Science issue under review, indicate that sex-linked disparities in gene expression are far more pervasive than once assumed, with more than a third of all genes displaying sex-biased expression in at least one tissue. (The new research highlighted in Wilson's PERSPECTIVES piece describes gene regulatory differences between the sexes in every tissue under study.)Sex-linked differences in gene expression are shared across mammals, though their relative roles in disease susceptibility remain speculative.

Natural selection likely guided the development of many of these attributes. For example, the rise of placental mammals some 90 million years ago may have led to differences in immune function between males and females.Such sex-based distinctions arising in the distant past have left their imprint on current mammals, including humans, expressed in higher rates of autoimmune disorders in females and increased cancer rates in males.Despite their critical importance for understanding disease prevalence and severity, sex differences in gene expression have only recently received serious attention in the research community. Wilson and others suggest that much historical genetic research, using primarily white male subjects in mid-life, have yielded an incomplete picture.Such studies often fail to account for sex differences in the design and analysis of experiments, rendering a distorted view of sex-based disease variance, often leading to one-size-fits-all approaches to diagnosis and treatment. The authors therefore advise researchers to be more careful about generalizations based on existing databases of genetic information, including GTEx.A more holistic approach is emerging, as researchers investigate the full panoply of effects related to male and female gene expression across a broader range of human variation. Story Source.

Materials provided by Arizona State University. Original written by Richard Harth. Note. Content may be edited for style and length.Researchers at Yale have identified a possible treatment for Duchenne muscular dystrophy (DMD), a rare genetic disease for which there is currently no cure or treatment, by targeting an enzyme that had been considered "undruggable." The finding appears in the Aug. 25 edition of Science Signaling.DMD is the most common form of muscular dystrophy, a disease that leads to progressive weakness and eventual loss of the skeletal and heart muscles.

It occurs in 16 of 100,000 male births in the U.S. People with the disease exhibit clumsiness and weakness in early childhood and typically need wheelchairs by the time they reach their teens. The average life expectancy is 26.While earlier research had revealed the crucial role played by an enzyme called MKP5 in the development of DMD, making it a promising target for possible treatment, scientists for decades had been unable to disrupt this family of enzymes, known as protein tyrosine phosphatases, at the enzymes' "active" site where chemical reactions occur.In the new study, Anton Bennett, the Dorys McConnell Duberg Professor of Pharmacology and professor of comparative medicine, and his team screened over 162,000 compounds. They identified one molecular compound that blocked the enzyme's activity by binding to a previously undiscovered allosteric site -- a spot near the enzyme's active site."There have been many attempts to design inhibitors for this family of enzymes, but those compounds have failed to produce the right properties," Bennett said. "Until now, the family of enzymes has been considered 'undruggable.'"By targeting the allosteric site of MKP5 instead, he said, "We discovered an excellent starting point for drug development that circumvented the earlier problems."The researchers tested their compound in muscle cells and found that it successfully inhibited MKP5 activity, suggesting a promising new therapeutic strategy for treating DMD.The research was supported by a National Institutes of Health grant through the National Institute of Arthritis and Musculoskeletal and Skin Diseases, as well as by the Blavatnik Fund for Innovation at Yale, which annually presents awards to support the most promising life science discoveries from Yale faculty.Bennett said that the Blavatnik funding, which is administered by the Yale Office of Cooperative Research, was critical in moving the research forward.

"It resulted in a license with a major pharmaceutical company," he said, "and we hope they will rapidly move forward with the development of the new treatment."The finding has implications well beyond muscular dystrophy, he added. The researchers have demonstrated that the MKP5 enzyme is broadly implicated in fibrosis, or the buildup of scar tissue, a condition that contributes to nearly one-third of natural deaths worldwide."Fibrosis is involved in the end-stage death of many tissues, including liver, lung, and muscle," Bennett said. "We believe this enzyme could be a target more broadly for fibrotic tissue disease."The research team from Yale included Naftali Kaminski, the Boehringer-Ingelheim Professor of Internal Medicine and chief of pulmonary, critical care and sleep medicine. Jonathan Ellman, the Eugene Higgins Professor of Chemistry and professor of pharmacology. Karen Anderson, professor of pharmacology and of molecular biophysics and biochemistry.

Elias Lolis, professor of pharmacology. Zachary Gannam, a graduate student in pharmacology. Kisuk Min, a postdoctoral fellow. Shanelle Shillingford, a graduate student in chemistry. Lei Zhang, a research associate in pharmacology.

And the Yale Center for Molecular Discovery. Story Source. Materials provided by Yale University. Original written by Brita Belli. Note.

Content may be edited for style and length.This story is part of a partnership that includes NPR and Kaiser Health News. This story can be republished for free (details). After shutting down in the spring, America’s empty gyms are beckoning a cautious public back for a workout. To reassure wary customers, owners have put in place — and now advertise — a variety of hair loss control measures. At the same time, the fitness industry is trying to rehabilitate itself by pushing back against what it sees as a misleading narrative that gyms have no place during a propecia.In the first months of the hair loss outbreak, most public health leaders advised closing gyms, erring on the side of caution. As s exploded across the country, states ordered gyms and fitness centers closed, along with restaurants, movie theaters and bars.

State and local officials consistently branded gyms as high-risk venues for , akin to bars and nightclubs. In early August, New York Gov. Andrew Cuomo called gym-going a “dangerous activity,” saying he would keep them shut — only to announce later in the month that most gyms could reopen in September at a third of the capacity and under tight regulations.New York, New Jersey and North Carolina were among the last state holdouts — only recently allowing fitness facilities to reopen. Many states continue to limit capacity and have instituted new requirements.The benefits of gyms are clear. Regular exercise staves off depression and improves sleep, and staying fit may be a way to avoid a serious case of hair loss treatment.

But there are clear risks, too. Lots of people moving around indoors, sharing equipment and air, and breathing heavily could be a recipe for easy viral spread. There are scattered reports of hair loss cases traced back to specific gyms. But gym owners say those are outliers and argue the dominant portrayal overemphasizes potential dangers and ignores their brief but successful track record of safety during the propecia. Email Sign-Up Subscribe to KHN’s free Morning Briefing.

A Seattle gym struggles to comply with new rules and surviveAt NW Fitness in Seattle, everything from a set of squats to a run on the treadmill requires a mask. Every other cardio machine is off-limits. The owners have marked up the floor with blue tape to show where each person can work out.Esmery Corniel, a member, has resumed his workout routine with the punching bag.“I was honestly just losing my mind,” said Corniel, 27. He said he feels comfortable in the gym with its new safety protocols.“Everybody wears their mask, everybody socially distances, so it’s no problem here at all,” Corniel said.There’s no longer the usual morning “rush” of people working out before heading to their jobs.Under Washington state’s hair loss rules, only about 10 to 12 people at a time are permitted in this 4,000-square-foot gym.“It’s drastically reduced our ability to serve our community,” said John Carrico. He and his wife, Jessica, purchased NW Fitness at the end of last year.John and Jessica Carrico run NW Fitness, a small gym in Seattle that has struggled to stay afloat during the propecia.

Their membership has plummeted in recent months, in part because the gym has been closed and subject to strict hair loss requirements.(Will Stone)Meanwhile, the cost of running the businesses has gone up dramatically. The gym now needs to be staffed round-the-clock to keep up with the frequent cleaning requirements, and to ensure people are wearing masks and following the rules.Keeping the gym open 24/7 — previously a big selling point for members — is no longer feasible. In the past three months, they’ve lost more than a third of their membership.“If the trend continues, we won’t be able to stay open,” said Jessica Carrico, who also works as a nurse at a homeless shelter run by Harborview Medical Center.Given her medical background, Jessica Carrico was initially inclined to trust the public health authorities who ordered all gyms to shut down, but gradually her feelings changed.“Driving around the city, I’d still see lines outside of pot shops and Baskin-Robbins,” she said. €œThe arbitrary decision that had been made was very clear, and it became really frustrating.”Even after gyms in the Seattle area were allowed to reopen, their frustrations continued — especially with the strict cap on operating capacity. The Carricos believe that falls hardest on smaller gyms that don’t have much square footage.“People want this space to be safe, and will self-regulate,” said John Carrico.

He believes he could responsibly operate with twice as many people inside as currently allowed. Public health officials have mischaracterized gyms, he added, and underestimated their potential to operate safely.“There’s this fear-based propaganda that gyms are a cesspool of hair loss, which is just super not true,” Carrico said.Gyms seem less risky than bars. But there’s very little research either wayThe fitness industry has begun to push back at the propecia-driven perceptions and prohibitions. €œWe should not be lumped with bars and restaurants,” said Helen Durkin, an executive vice president for the International Health, Racquet &. Sportsclub Association (IHRSA).John Carrico called the comparison with bars particularly unfair.

€œIt’s almost laughable. I mean, it’s almost the exact opposite. €¦ People here are investing in their health. They’re coming in, they’re focusing on what they’re trying to do as far as their workout. They’re not socializing, they’re not sitting at a table and laughing and drinking.”Since the propecia began, many gyms have overhauled operations and now look very different.

Locker rooms are often closed and group classes halted. Many gyms check everyone for symptoms upon arrival. They’ve spaced out equipment and begun intensive cleaning regimes.Gyms have a big advantage over other retail and entertainment venues, Durkin said, because the membership model means those who may have been exposed in an outbreak can be easily contacted.A company that sells member databases and software to gyms has been compiling data during the propecia. (The data, drawn from 2,877 gyms, is by no means comprehensive because it relies on gym owners to self-report incidents in which a positive hair loss case was detected at the gym, or was somehow connected to the gym.) The resultant report said that the overall “visits to propecia” ratio of 0.002% is “statistically irrelevant” because only 1,155 cases of hair loss were reported among more than 49 million gym visits. Similarly, data collected from gyms in the United Kingdom found only 17 cases out of more than 8 million visits in the weeks after gyms reopened there.Only a few U.S.

States have publicly available information on outbreaks linked to the fitness sector, and those states report very few cases. In Louisiana, for example, the state has identified five clusters originating in “gym/fitness settings,” with a total of 31 cases. None of the people died. By contrast, 15 clusters were traced to “religious services/events,” sickening 78, and killing five of them.“The whole idea that it’s a risky place to be … around the world, we just aren’t seeing those numbers anywhere,” said IHRSA’s Durkin.A study from South Korea published by the Centers for Disease Control and Prevention is often cited as evidence of the inherent hazards of group fitness activities.The study traced 112 hair loss s to a Feb. 15 training workshop for fitness dance instructors.

Those instructors went on to teach classes at 12 sports facilities in February and March, transmitting the propecia to students in the dance classes, but also to co-workers and family members.But defenders of the fitness industry point out that the outbreak began before South Korea instituted social distancing measures.The study authors note that the classes were crowded and the pace of the dance workouts was fast, and conclude that “intense physical exercise in densely populated sports facilities could increase the risk for ” and “should be minimized during outbreaks.” They also found that no transmission occurred in classes with fewer than five people, or when an infected instructor taught “lower-intensity” classes such as yoga and Pilates.Linda Rackner with PRO Club in Bellevue, Washington, says the enormous, upscale gym has adapted relatively easily to the new hair loss rules. The fitness club’s physical size, extensive budget and technology have helped staffers maintain a fairly normal experience for their members.(Will Stone)Public health experts continue to urge gym members to be cautiousIt’s clear that there are many things gym owners — and gym members — can do to lower the risk of at a gym, but that doesn’t mean the risk is gone. Infectious disease doctors and public health experts caution that gyms should not downplay their potential for spreading disease, especially if the hair loss is widespread in the surrounding community.“There are very few [gyms] that can actually implement all the control measures,” said Saskia Popescu, an infectious disease epidemiologist in Phoenix. €œThat’s really the challenge with gyms. There is so much variety that it makes it hard to put them into a single box.”Popescu and two colleagues developed a hair loss treatment risk chart for various activities.

Gyms were classified as “medium high,” on par with eating indoors at a restaurant or getting a haircut, but less risky than going to a bar or riding public transit.Popescu acknowledges there’s not much recent evidence that gyms are major sources of , but that should not give people a false sense of assurance.“The mistake would be to assume that there is no risk,” she said. €œIt’s just that a lot of the prevention strategies have been working, and when we start to loosen those, though, is where you’re more likely to see clusters occur.”Any location that brings people together indoors increases the risk of contracting the hair loss, and breathing heavily adds another element of risk. Interventions such as increasing the distance between cardio machines might help, but tiny infectious airborne particles can travel farther than 6 feet, Popescu said.The mechanics of exercising also make it hard to ensure people comply with crucial preventive measures like wearing a mask.“How effective are masks in that setting?. Can they really be effectively worn?. € asked Dr.

Deverick Anderson, director of the Duke Center for Antimicrobial Stewardship and Prevention. €œThe combination of sweat and exertion is one unique thing about the gym setting.”“I do think that, in the big picture, gyms would be riskier than restaurants because of the type of activity and potential for interaction there,” Anderson said.The primary way people could catch the propecia at a gym would be coming close to someone who is releasing respiratory droplets and smaller airborne particles, called “aerosols,” when they breathe, talk or cough, said Dr. Dean Blumberg, chief of pediatric infectious diseases at UC Davis Health.He’s less worried about people catching the propecia from touching a barbell or riding a stationary bike that someone else used. That’s because scientists now think “surface” transmission isn’t driving as much as airborne droplets and particles.“I’m not really worried about transmission that way,” Blumberg said. €œThere’s too much attention being paid to disinfecting surfaces and ‘deep cleaning,’ spraying things in the air.

I think a lot of that’s just for show.”Blumberg said he believes gyms can manage the risks better than many social settings like bars or informal gatherings.“A gym where you can adequately social distance and you can limit the number of people there and force mask-wearing, that’s one of the safer activities,” he said.Adapting to the propecia’s prohibitions doesn’t come cheapIn Bellevue, Washington, PRO Club is an enormous, upscale gym with spacious workout rooms — and an array of medical services such as physical therapy, hormone treatments, skin care and counseling. PRO Club has managed to keep the gym experience relatively normal for members since reopening, according to employee Linda Rackner. €œThere is plenty of space for everyone. We are seeing about 1,000 people a day and have capacity for almost 3,000,” Rackner said. €œWe’d love to have more people in the club.”The gym uses the same air-cleaning units as hospital ICUs, deploys ultraviolet robots to sanitize the rooms and requires temperature checks to enter.

€œI feel like we have good compliance,” said Dean Rogers, one of the personal trainers. €œFor the most part, people who come to a gym are in it for their own health, fitness and wellness.”But Rogers knows this isn’t the norm everywhere. In fact, his own mother back in Oklahoma believes she contracted the hair loss at her gym.“I was upset to find out that her gym had no guidelines they were following, no safety precautions,” he said. €œThere are always going to be some bad actors.”This story is part of a partnership that includes NPR and Kaiser Health News. Carrie Feibel, an editor for the NPR-KHN reporting partnership, contributed to this story.

Related Topics Multimedia Public Health States Audio hair loss treatment WashingtonThis story also ran on CNN. This story can be republished for free (details). CLEVELAND — Families skipping or delaying pediatric appointments for their young children because of the propecia are missing out on more than treatments. Critical testing for lead poisoning has plummeted in many parts of the country.In the Upper Midwest, Northeast and parts of the West Coast — areas with historically high rates of lead poisoning — the slide has been the most dramatic, according to the Centers for Disease Control and Prevention. In states such as Michigan, Ohio and Minnesota, testing for the brain-damaging heavy metal fell by 50% or more this spring compared with 2019, health officials report.“The drop-off in April was massive,” said Thomas Largo, section manager of environmental health surveillance at the Michigan Department of Health and Human Services, noting a 76% decrease in testing compared with the year before. €œWe weren’t quite prepared for that.” Don't Miss A Story Subscribe to KHN’s free Weekly Edition newsletter. Blood tests for lead, the only way to tell if a child has been exposed, are typically performed by pricking a finger or heel or tapping a vein at 1- and 2-year-old well-child visits.

A blood test with elevated lead levels triggers the next critical steps in accessing early intervention for the behavioral, learning and health effects of lead poisoning and also identifying the source of the lead to prevent further harm.Because of the propecia, though, the drop in blood tests means referrals for critical home inspections plus medical and educational services are falling, too. And that means help isn’t reaching poisoned kids, a one-two punch, particularly in communities of color, said Yvonka Hall, a lead poisoning prevention advocate and co-founder of the Cleveland Lead Safe Network. And this all comes amid hair loss treatment-related school and child care closures, meaning kids who are at risk are spending more time than ever in the place where most exposure happens. The home.“Inside is dangerous,” Hall said.The CDC estimates about 500,000 U.S. Children between ages 1 and 5 have been poisoned by lead, probably an underestimate due to the lack of widespread testing in many communities and states.

In 2017, more than 40,000 children had elevated blood lead levels, defined as higher than 5 micrograms per deciliter of blood, in the 23 states that reported data.While preliminary June and July data in some states indicates lead testing is picking up, it’s nowhere near as high as it would need to be to catch up on the kids who missed appointments in the spring at the height of lockdown orders, experts say. And that may mean some kids will never be tested.“What I’m most worried about is that the kids who are not getting tested now are the most vulnerable — those are the kids I’m worried might not have a makeup visit,” said Stephanie Yendell, senior epidemiology supervisor in the health risk intervention unit at the Minnesota Department of Health.Lifelong ConsequencesThere’s a critical window for conducting lead poisoning blood tests, timed to when children are crawling or toddling and tend to put their hands on floors, windowsills and door frames and possibly transfer tiny particles of lead-laden dust to their mouths.Children at this age are more likely to be harmed because their rapidly growing brains and bodies absorb the element more readily. Lead poisoning can’t be reversed. Children with lead poisoning are more likely to fall behind in school, end up in jail or suffer lifelong health problems such as kidney and heart disease.That’s why lead tests are required at ages 1 and 2 for children receiving federal Medicaid benefits, the population most likely to be poisoned because of low-quality housing options. Tests are also recommended for all children living in high-risk ZIP codes with older housing stock and historically high levels of lead exposure.Testing fell far short of recommendations in many parts of the country even before the propecia, though, with one recent study estimating that in some states 80% of poisoned children are never identified.

And when tests are required, there has been little enforcement of the rule.Early in the propecia, officials in New York’s Erie County bumped up the threshold for sending a public health worker into a family’s home to investigate the source of lead exposure from 5 micrograms per deciliter to 45 micrograms per deciliter (a blood lead level that usually requires hospitalization), said Dr. Gale Burstein, that county’s health commissioner. For all other cases during that period, officials inspected only the outside of the child’s home for potential hazards.About 700 fewer children were tested for lead in Erie County in April than in the same month last year, a drop of about 35%.Ohio, which has among the highest levels of lead poisoning in the country, recently expanded automatic eligibility for its Early Intervention program to any child with an elevated blood lead test, providing the opportunity for occupational, physical and speech therapy. Learning supports for school. And developmental assessments.

If kids with lead poisoning don’t get tested, though, they won’t be referred for help.In early April, there were only three referrals for elevated lead levels in the state, which had been fielding nine times as many on average in the months before the propecia, said Karen Mintzer, director of Bright Beginnings, which manages them for Ohio’s Department of Developmental Disabilities. €œIt basically was a complete stop,” she said. Since mid-June, referrals have recovered and are now above pre-propecia levels.“We should treat every child with lead poisoning as a medical emergency,” said John Belt, principal investigator for the Ohio Department of Health’s lead poisoning program. €œNot identifying them is going to delay the available services, and in some cases lead to a cognitive deficit.”propecia Compounds WorriesOne of the big worries about the drop in lead testing is that it’s happening at a time when exposure to lead-laden paint chips, soil and dust in homes may be spiking because of stay-at-home orders during the propecia.Exposure to lead dust from deteriorating paint, particularly in high-friction areas such as doors and windows, is the most common cause of lead exposure for children in the U.S.“I worry about kids in unsafe housing, more so during the propecia, because they’re stuck there during the quarantine,” said Dr. Aparna Bole, a pediatrician at Cleveland’s University Hospitals Rainbow Babies &.

Children’s Hospital.The propecia may also compound exposure to lead, experts fear, as both landlords and homeowners try to tackle renovation projects without proper safety precautions while everyone is at home. Or the economic fallout of the crisis could mean some people can no longer afford to clean up known lead hazards at all.“If you’ve lost your job, it’s going to make it difficult to get new windows, or even repaint,” said Yendell.The CDC says it plans to help state and local health departments track down children who missed lead tests. Minnesota plans to identify pediatric clinics with particularly steep drops in lead testing to figure out why, said Yendell.But, Yendell said, that will likely have to wait until the propecia is over. €œRight now I’m spending 10-20% of my time on lead, and the rest is hair loss treatment.”The propecia has stretched already thinly staffed local health departments to the brink, health officials say, and it may take years to know the full impact of the missed testing. For the kids who’ve been poisoned and had no intervention, the effects may not be obvious until they enter school and struggle to keep up.

Brie Zeltner. @BrieZeltner Related Topics Public Health CDC Children's Health hair loss treatment Michigan Minnesota New York Ohio StudyCan’t see the audio player?. Click here to listen on SoundCloud. The headlines from this week will be about how President Donald Trump knew early on how serious the hair loss propecia was likely to become but purposely played it down. Potentially more important during the past few weeks, though, are reports of how White House officials have pushed scientists at the federal government’s leading health agencies to put politics above science.Meanwhile, Republicans appear to have given up on using the Affordable Care Act as an electoral cudgel, judging, at least, from its scarce mention during the GOP convention.

Democrats, on the other hand, particularly those running for the U.S. House and Senate, are doubling down on their criticism of Republicans for failing to adequately protect people with preexisting health conditions. That issue was key to the party winning back the House in 2018.This week’s panelists are Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Sarah Karlin-Smith of the Pink Sheet.Among the takeaways from this week’s podcast:The Affordable Care Act has become a political vulnerability for Republican officials, who have no interest in reopening the debate on it during this campaign. Trump vowed before his 2016 election to repeal the law immediately after taking office and members of Congress had berated it for years. But they could not gain the political capital to overturn Obamacare.Trump’s comments to journalist-author Bob Woodward about holding back information on the risks of the hair loss propecia from the public may not have a major effect on the election since so many voters’ minds are already set on their choices.

For many, the president’s statements are seen by partisans as identifying what they already believe. For Trump’s supporters, that he is protecting the public. For his critics, that he is a liar.The number of hair loss treatment cases appears to have hit another plateau, but it’s still twice as high as the count last spring. Officials are waiting to see if end-of-the-summer activities over the Labor Day holiday will create another surge.The stalemate on Capitol Hill over hair loss relief funding shows no sign of easing soon. Republicans in the Senate are resisting Democrats’ insistence on a massive package, but it’s not exactly clear what the GOP can agree on.The treatment being developed by AstraZeneca ran into difficulty this week as experts seek to determine whether a neurological problem that developed in one volunteer was caused by the treatment.

Some public health officials, such as NIH Director Francis Collins, said this helps show that even with the compressed testing timeline, safeguards are working.Nonetheless, another treatment maker, Pfizer, said it might still have its treatment ready before the election.The recent controversy at the FDA over the emergency authorization of plasma to treat hair loss treatment patients and the awkward decision at the Centers for Disease Control and Prevention to change guidelines for testing asymptomatic people have created a credibility gap among some Americans and played into concerns that the administration is undercutting science.Also this week, Rovner interviews KHN’s Elizabeth Lawrence, who reported the August NPR-KHN “Bill of the Month” installment, about an appendectomy gone wrong, and the very big bill that followed. If you have an outrageous medical bill you would like to share with us, you can do that here.Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read too:Julie Rovner. ProPublica’s “A Doctor Went to His Own Employer for a hair loss treatment Antibody Test. It Cost $10,984,” by Marshall AllenJoanne Kenen. The Atlantic’s “America Is Trapped in a propecia Spiral,” by Ed YongSarah Karlin-Smith.

Politico’s “Emails Show HHS Official Trying to Muzzle Fauci,” by Sarah OwermohleMary Ellen McIntire. The Atlantic’s “What Young, Healthy People Have to Fear From hair loss treatment,” by Derek ThompsonTo hear all our podcasts, click here.And subscribe to What the Health?. on iTunes, Stitcher, Google Play, Spotify, or Pocket Casts. Related Topics Elections Multimedia Public Health The Health Law hair loss treatment FDA KHN's 'What The Health?. ' NIH Podcasts Trump Administration U.S.

Congress treatmentsSOBRE NOTICIAS EN ESPAÑOLNoticias en español es una sección de Kaiser Health News que contiene traducciones de artículos de gran interés para la comunidad hispanohablante, y contenido original enfocado en la población hispana que vive en los Estados Unidos. Use Nuestro Contenido Este contenido puede usarse de manera gratuita (detalles). El gobernador de Florida, Ron DeSantis, trató de aliviar el temor a volar durante la pandemia en un evento con ejecutivos de aerolíneas y compañías de alquiler de autos.“Los aviones simplemente no han sido vectores cuando se observa la propagación del hair loss”, dijo DeSantis en el encuentro en el Aeropuerto Internacional Fort Lauderdale-Hollywood el 28 de agosto. “La evidencia es la evidencia. Y creo que es algo que la gente puede hacer con seguridad “, agregó.¿La evidencia es realmente tan clara?.

La afirmación de DeSantis de que los aviones no han sido “vectores” de la propagación del hair loss es falsa, según expertos. Un “vector” disemina el propecia de un lugar a otro, y los aviones han transportado a pasajeros infectados a través de distintas regiones, lo que hace que los brotes de hair loss treatment sean más difíciles de contener.Joseph Allen, profesor asociado en la Universidad de Harvard y experto en exposiciones a propecia, calificó a los aviones como “excelentes vectores para la propagación viral” en una llamada de prensa.En contexto, DeSantis parecía estar haciendo hincapié en la seguridad de volar en avión en lugar del papel que desempeñaron los aviones en la propagación del propecia de un lugar a otro.Cuando se le consultó a la oficina del gobernador sobre datos que respaldaran los comentarios de DeSantis, el secretario de prensa Cody McCloud no presentó ningún estudio ni estadística. En cambio, citó el programa de rastreo de contactos del Departamento de Salud de Florida y escribió que “no ha proporcionado ninguna información que sugiera que algún paciente se haya infectado mientras viajaba en un vuelo comercial”.El programa de rastreo de contactos de Florida se ha visto envuelto en una controversia sobre informes que denuncian que no tiene suficiente personal y que es ineficaz. CNN llamó a 27 residentes del estado que dieron positivo para hair loss treatment y descubrió que solo cinco habían sido contactados por las autoridades de salud. (El Departamento de Salud de Florida no respondió a las solicitudes de entrevista).Expertos aseguran que, en general, los aviones brindan ambientes seguros en lo que respecta a la calidad del aire, pero agregaron que el riesgo de infección depende en gran medida de las políticas que las aerolíneas puedan tener sobre los asientos de los pasajeros, el uso de máscaras y el tiempo de embarque.Según indicaron, el riesgo de contraer el hair loss en un avión es relativamente bajo si la aerolínea sigue los procedimientos de salud pública.

Hacer cumplir la regla de usar máscara, espaciar los asientos disponibles y examinar a los pasajeros enfermos.“Si observas otras enfermedades, ves pocos brotes en aviones”, dijo Allen. €œNo son los semilleros de infección que la gente cree que son”.Las aerolíneas señalan con frecuencia que los aviones comerciales están equipados con filtros de aire HEPA, recomendados por los Centros para el Control y Prevención de Enfermedades (CDC), que se utilizan en las salas de aislamiento de los hospitales.Los filtros HEPA capturan el 99,97% de las partículas en el aire y reducen sustancialmente el riesgo de propagación viral. Además, el aire en las cabinas se renueva por completo entre 10 y 12 veces por hora, elevando la calidad del aire por encima de la de un edificio normal.Debido a la alta tasa de renovación del aire, es poco probable que se contraiga el hair loss de alguien sentado a varias filas de distancia. Sin embargo, sí podría ocurrir el contagio de alguien cercano.“El mayor riesgo durante el vuelo sería si el pasajero se sienta cerca de alguien que pueda infectar”, dijo Richard Corsi, quien estudia la contaminación del aire en interiores y es decano de Ingeniería en Universidad Estatal de Portland.También es importante señalar que los sistemas de filtración de alta potencia de los aviones no son suficientes por sí solos para prevenir brotes. Si una aerolínea no mantiene libres los asientos del medio ni hace cumplir rigurosamente el uso de máscaras, volar puede ser bastante peligroso.

Actualmente, las aerolíneas nacionales que mantienen abiertos los asientos intermedios incluyen Delta, Hawaiian, Southwest y JetBlue.La razón de esto es que las personas infectadas envían partículas virales al aire a un ritmo más rápido que el que los aviones las expulsan fuera de la cabina. €œSiempre que tose, habla o respira, está enviando gotitas”, dijo Qingyan Chen, profesor de ingeniería mecánica en la Universidad Purdue. €œEstas gotas están en la cabina todo el tiempo”.Esto hace que las medidas de protección adicionales, como el uso de máscaras, sean aún más necesarias.Chen citó dos vuelos internacionales anteriores a la pandemia donde las tasas de infección variaron según el uso de mascarillas. En el primer vuelo, ningún pasajero llevaba máscaras y un solo pasajero infectó a 14 personas mientras el avión viajaba de Londres a Hanoi, Vietnam. En el segundo vuelo, de Singapur a Hangzhou, en China, todos los pasajeros llevaban máscaras faciales.Aunque 15 pasajeros eran residentes de Wuhan con casos sospechosos o confirmados de hair loss treatment, el único hombre infectado en el recorrido se había aflojado la máscara en pleno vuelo y había estado sentado cerca de cuatro residentes de Wuhan que luego dieron positivo para el propecia.Pero, aunque volar es una actividad de riesgo relativamente bajo, se debe evitar viajar a menos que sea absolutamente necesario.“Cualquier cosa que te ponga en contacto con más personas aumentará el riesgo”, dijo Cindy Prins, profesora clínica asociada de Epidemiología en la Escuela de Salud Pública y Profesiones de la Salud de la Universidad de Florida.El verdadero peligro de viajar no es el vuelo en sí.

Sin embargo, pasar por el control de seguridad y esperar en la puerta de embarque es probable que ponga a la persona en contacto cercano con otros y aumente sus posibilidades de contraer el propecia.Además, abordar, cuando el sistema de ventilación del avión no está funcionando y las personas no pueden mantenerse alejadas entre sí, es una de las partes más riesgosas. €œReducir este tiempo es importante para bajar la exposición”, escribió Corsi. €œHay que llegar al asiento con la máscara y sentarse lo más rápido posible”.Con todo, es demasiado pronto para determinar cuánta transmisión de persona a persona ha ocurrido en vuelos.Julian Tang, profesor asociado honorario en el Departamento de Ciencias Respiratorias de la Universidad de Leicester, en Inglaterra, dijo que está al tanto de varios grupos de infecciones relacionadas con los viajes aéreos. Sin embargo, es un desafío demostrar que las personas contrajeron el propecia en un vuelo.“Alguien que presenta síntomas de hair loss treatment varios días después de llegar a su destino podría haberse infectado en casa antes de llegar al aeropuerto, mientras estaba en el aeropuerto o en el vuelo, o incluso al llegar al aeropuerto de destino, porque todo el mundo tiene un período de incubación variable”, dijo Tang.Katherine Estep, vocera de Airlines for America, un grupo comercial de la industria centrado en Estados Unidos, dijo que los CDC no han confirmado ningún caso de transmisión a bordo de una aerolínea estadounidense.La ausencia de transmisión confirmada no es necesariamente una prueba de que los viajeros estén seguros. En cambio, la falta de datos refleja el hecho de que Estados Unidos tiene una tasa de infección más alta en comparación con otros países, dijo Chen.

Dado que tiene tantos casos confirmados, es más difícil determinar exactamente dónde alguien contrajo el propecia. Related Topics Noticias En Español Public Health hair loss treatment KHN &. PolitiFact HealthCheckThis story also ran on NPR. This story can be republished for free (details). Nurses at Alta Bates Summit Medical Center were on edge as early as March when patients with hair loss treatment began to show up in areas of the hospital that were not set aside to care for them. Explore Our Database KHN and The Guardian are tracking health care workers who died from hair loss treatment and writing about their lives and what happened in their final days. The Centers for Disease Control and Prevention had advised hospitals to isolate hair loss treatment patients to limit staff exposure and help conserve high-level personal protective equipment that’s been in short supply.Yet hair loss treatment patients continued to be scattered through the Oakland hospital, according to complaints to California’s Division of Occupational Safety and Health.

The concerns included the sixth-floor medical unit where veteran nurse Janine Paiste-Ponder worked.hair loss treatment patients on that floor were not staying in their rooms, either confused or uninterested in the rules. Staff was not provided highly protective N95 respirators, said Mike Hill, a nurse in the hospital intensive care unit and the hospital’s chief representative for the California Nurses Association, which filed complaints to Cal/OSHA, the state’s workplace safety regulator. “It was just a matter of time before one of the nurses died on one of these floors,” Hill said.Two nurses fell ill, including Paiste-Ponder, 59, who died of complications from the propecia on July 17.The concerns raised in Oakland also have swept across the U.S., according to interviews, a review of government workplace safety complaints and health facility inspection reports. A KHN investigation found that dozens of nursing homes and hospitals ignored official guidelines to separate hair loss treatment patients from those without the hair loss, in some places fueling its spread and leaving staff unprepared and infected or, in some cases, dead.As recently as July, a National Nurses United survey of more than 21,000 nurses found that 32% work in a facility that does not have a dedicated hair loss treatment unit. At that time, the hair loss had reached all but 17 U.S.

Counties, data collected by Johns Hopkins University shows.California Nurses Association members had complained to Cal/OSHA about hair loss treatment patients being spread throughout Alta Bates Summit Medical Center and say the practice was a factor in Janine Paiste-Ponder’s illness and death.(National Nurses United)KHN discovered that hair loss treatment victims have been commingled with uninfected patients in health care facilities in states including California, Florida, New Jersey, Iowa, Ohio, Maryland and New York.A hair loss treatment outbreak was in full swing at the New Jersey Veterans Home at Paramus in late April when health inspectors observed residents with dementia mingling in a day room — hair loss treatment-positive patients as well as others awaiting test results. At the time, the center had already reported hair loss treatment s among 119 residents and 46 propecia-related deaths, according to a Medicare inspection report.The assistant director of nursing at an Iowa nursing home insisted April 28 that they did “not have any hair loss treatment in the building” and overrode the orders of a community doctor to isolate several patients with fevers and falling oxygen levels, an inspection report shows.By mid-May, the facility’s hair loss treatment log showed 61 patients with the propecia and nine dead.Federal work-safety officials have closed at least 30 complaints about patient mixing in hospitals nationwide without issuing a citation. They include a claim that a Michigan hospital kept patients who tested negative for the propecia in the hair loss treatment unit in May. An upstate New York hospital also had hair loss treatment patients in the same unit as those with no , according to a closed complaint to the federal Occupational Safety and Health Administration. Email Sign-Up Subscribe to KHN’s free Morning Briefing.

Federal Health and Human Services officials have called on hospitals to tell them each day if they have a patient who came in without hair loss treatment but had an apparent or confirmed case of the hair loss 14 days later. Hospitals filed 48,000 reports from June 21 through Aug. 28, though the number reflects some double or additional counting of individual patients.hair loss treatment patients have been mixed in with others for a variety of reasons. Some hospitals report having limited tests, so patients carrying the propecia are identified only after they had already exposed others. In other cases, they had false-negative test results or their facility was dismissive of federal guidelines, which carry no force of law.And while federal Medicare officials have inspected nearly every U.S.

Nursing home in recent months and states have occasionally levied fines and cut off new admissions for isolation lapses, hospitals have seen less scrutiny.The Scene Inside SutterAt Alta Bates in Oakland, part of the Sutter Health network, hospital staff made it clear in official complaints to Cal/OSHA that they wanted administrators to follow the state’s unique law on aerosol-transmitted diseases. From the start, some staffers wanted all the state-required protections for a propecia that has been increasingly shown to be transmitted by tiny particles that float through the air.The regulations call for patients with a propecia like hair loss treatment to be moved to a specialized unit within five hours of identification — or to a specialized facility. The rules say those patients should be in a room with a HEPA filter or with negative air pressure, meaning that air is circulated out a window or exhaust fan instead of drifting into the hallway.Initially, in March, the hospital outfitted a 40-bed hair loss treatment unit, according to Hill. But when a surge of patients failed to materialize, that unit was pared to 12 beds.Since then, a steady stream of propecia patients have been admitted, he said, many testing positive only days after admission — and after they’d been in regular rooms in the facility.From March 10 through July 30, Hill’s union and others filed eight complaints to Cal/OSHA, including allegations that the hospital failed to follow isolation rules for hair loss treatment patients, some on the cancer floor.So far, regulators have done little. Gov.

Gavin Newsom had ordered workplace safety officials to “focus on … supporting compliance” instead of enforcement except on the “most serious violations.”State officials responded to complaints by reaching out by mail and phone to “ensure the proper propecia prevention measures are in place,” according to Frank Polizzi, a spokesperson for Cal/OSHA.A third investigation related to transport workers not wearing N95 respirators while moving hair loss treatment-positive or possible hair loss patients at a Sutter facility near the hospital resulted in a $6,750 fine, Cal/OSHA records show.The string of complaints also says the hospital did not give staff the necessary personal protective equipment (PPE) under state law — an N95 respirator or something more protective — for caring for propecia patients.Nurse Janine Paiste-Ponder died July 17 of hair loss treatment. Her colleagues held a vigil for her on July 21.(National Nurses United)Instead, Hill said, staff on floors with hair loss treatment patients were provided lower-quality surgical masks, a concern reflected in complaints filed with Cal/OSHA.Hill believes that Paiste-Ponder and another nurse on her floor caught the propecia from hair loss treatment patients who did not remain in their rooms.“It is sad, because it didn’t really need to happen,” Hill said.Polizzi said investigations into the July 17 death and another staff hospitalization are ongoing.A Sutter Health spokesperson said the hospital takes allegations, including Cal/OSHA complaints, seriously and its highest priority is keeping patients and staff safe.The statement also said “cohorting,” or the practice of grouping propecia patients together, is a tool that “must be considered in a greater context, including patient acuity, hospital census and other environmental factors.”Concerns at Other HospitalsCDC guidelines are not strict on the topic of keeping hair loss treatment patients sectioned off, noting that “facilities could consider designating entire units within the facility, with dedicated [staff],” to care for hair loss treatment patients.That approach succeeded at the University of Nebraska Medical Center in Omaha. A recent study reported “extensive” viral contamination around hair loss treatment patients there, but noted that with “standard” control techniques in place, staffers who cared for hair loss treatment patients did not get the propecia.The hospital set up an isolation unit with air pumped away from the halls, restricted access to the unit and trained staff to use well-developed protocols and N95 respirators — at a minimum. What worked in Nebraska, though, is far from standard elsewhere.Cynthia Butler, a nurse and National Nurses United member at Fawcett Memorial Hospital in Port Charlotte, on Florida’s west coast, said she actually felt safer working in the hair loss treatment unit — where she knew what she was dealing with and had full PPE — than on a general medical floor.She believes she caught the propecia from a patient who had hair loss treatment but was housed on a general floor in May. A similar situation occurred in July, when another patient had an unexpected case of hair loss treatment — and Butler said she got another positive test herself.She said both patients did not meet the hospital’s criteria for testing admitted patients, and the lapses leave her on edge, concerns she relayed to an OSHA inspector who reached out to her about a complaint her union filed about the facility.“Every time I go into work it’s like playing Russian roulette,” Butler said.A spokesperson for HCA Healthcare, which owns the hospital, said it tests patients coming from long-term care, those going into surgery and those with propecia symptoms.

She said staffers have access to PPE and practice vigilant sanitation, universal masking and social distancing.The latter is not an option for Butler, though, who said she cleans, feeds and starts IVs for patients and offers reassurance when they are isolated from family.“I’m giving them the only comfort or kind word they can get,” said Butler, who has since gone on unpaid leave over safety concerns. €œI’m in there doing that and I’m not being protected.”Given research showing that up to 45% of hair loss treatment patients are asymptomatic, UCSF Medical Center is testing everyone who’s admitted, said Dr. Robert Harrison, a University of California-San Francisco School of Medicine professor who consults on occupational health at the hospital.It’s done for the safety of staff and to reduce spread within the hospital, he said. Those who test positive are separated into a hair loss treatment-only unit.And staff who spent more than 15 minutes within 6 feet of a not-yet-identified hair loss treatment patient in a less-protective surgical mask are typically sent home for two weeks, he said.Outside of academic medicine, though, front-line staff have turned to union leaders to push for such protections.In Southern California, leaders of the National Union of Healthcare Workers filed an official complaint with state hospital inspectors about the risks posed by intermingled hair loss treatment patients at Fountain Valley Regional Hospital in Orange County, part of for-profit Tenet Health. There, the complaint said, patients were not routinely tested for hair loss treatment upon admission.One nursing assistant spent two successive 12-hour shifts caring for a patient on a general medical floor who required monitoring.

At the conclusion of the second shift, she was told the patient had just been found to be hair loss treatment-positive.The worker had worn only a surgical mask — not an N95 respirator or any form of eye protection, according to the complaint to the California Department of Public Health. The nursing assistant was not offered a hair loss treatment test or quarantined before her next two shifts, the complaint said.The public health department said it could not comment on a pending inspection.Barbara Lewis, Southern California hospital division director with the union, said hair loss treatment patients were on the same floor as cancer patients and post-surgical patients who were walking the halls to speed their recovery.She said managers took steps to separate the patients only after the union held a protest, spoke to local media and complained to state health officials.Hospital spokesperson Jessica Chen said the hospital “quickly implemented” changes directed by state health authorities and does place some hair loss treatment patients on the same nursing unit as non-hair loss treatment patients during surges. She said they are placed in single rooms with closed doors. hair loss treatment tests are given by physician order, she added, and employees can access them at other places in the community.It’s in contrast, Lewis said, to high-profile examples of the precautions that might be taken.“Now we’re seeing what’s happening with baseball and basketball — they’re tested every day and treated with a high level of caution,” Lewis said. €œYet we have thousands and thousands of health care workers going to work in a very scary environment.”Nursing Homes Face Penalties More than 40% of the people who’ve died of hair loss treatment lived in nursing homes or assisted living facilities, researchers have found.Patient mixing has been a scattered concern at nursing homes, which Medicare officials discovered when they reviewed control practices at more than 15,000 facilities.News reports have highlighted the problem at an Ohio nursing home and at a Maryland home where the state levied a $70,000 fine for failing to keep infected patients away from those who weren’t sick — yet.Another facing penalties was Fair Havens Center, a Miami Springs, Florida, nursing home where inspectors discovered that 11 roommates of patients who tested positive for hair loss treatment were put in rooms with other residents — putting them at heightened risk.Florida regulators cut off admissions to the home and Medicare authorities levied a $235,000 civil monetary penalty, records show.The vice president of operations at the facility told inspectors that isolating exposed patients would mean isolating the entire facility.

Everyone had been exposed to the 32 staff members who tested positive for the propecia, the report says.Fair Havens Center did not respond to a request for comment.In Iowa, Medicare officials declared a state of “immediate jeopardy” at Pearl Valley Rehabilitation and Care Center in Muscatine. There, they discovered that staffers were in denial over an outbreak in their midst, with a nursing director overriding a community doctor’s orders to isolate or send residents to the emergency room. Instead, officials found, in late April, the assistant nursing director kept hair loss treatment patients in the facility, citing a general order by their medical director to avoid sending patients to the ER “if you can help it.”Meanwhile, several patients were documented by facility staff to have fevers and falling oxygen levels, the Medicare inspection report shows. Within two weeks, the facility discovered it had an outbreak, with 61 residents infected and nine dead, according to the report.Medicare officials are investigating Menlo Park Veterans Memorial Home in New Jersey, state Sen. Joseph Vitale said during a recent legislative hearing.

Resident council president Glenn Osborne testified during the hearing that the home’s residents were returned to the same shared rooms after hospitalizations.Osborne, an honorably discharged Marine, said he saw more residents of the home die than fellow service members during his military service. The Menlo Park and Paramus veterans homes — where inspectors saw dementia patients with and without the propecia commingling in a day room — both reported more than 180 hair loss treatment cases among residents, 90 among staff and at least 60 deaths.A spokesperson for the homes said he could not comment due to pending litigation.“These deaths should not have happened,” Osborne said. €œMany of these deaths were absolutely avoidable, in my humble opinion.” Christina Jewett. ChristinaJ@kff.org, @by_cjewett Related Topics California Health Industry Public Health States hair loss treatment Hospitals Lost On The Frontline Nursing Homes.