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Pasco jail nurse exposed inmates to HIV and other viruses, lawsuit says – FOX 13 Tampa Bay

Posted: January 20, 2022 at 2:35 am

Lawsuit says Pasco jail nurse reused needles on diabetic inmates

Aaron Mesmer reports

LAND O' LAKES, Fla. - Attorneys for five Pasco County inmates announced a class action lawsuit Wednesday that accuses a nurse in the county jail of exposing inmates to HIV and other potentially-deadly viruses.

The lawsuit is filed against Wellpath, a medical company contracted by the Pasco County Sheriff's Office to work in the jail. According to the complaint, a nurse regularly re-used syringes while treating diabetic inmates.

"This is an absolute nightmare that shocks the conscience," said Kevin Conway, an attorney with Peiffer Wolf, the firm representing five inmates. "I can't even fathom this occurring. This is truly a practice that is avoided like the plague by IV drug users: dirty needles, dirty vials every single day. It's unbelievable."

During a virtual news conference, Conway and attorney Ashlie Case Sletvold told reporters the nurse would inject an inmate with insulin and, if that person needed more, she would re-use the syringe to extract insulin from a new, multi-dose vial.

According to attorneys, the nurse would then use the same, potentially-contaminated vial for a new patient.

Conway and Case Sletvold said one of the patients is known to have HIV, meaning the virus could have been spread to other inmates.

"Diabetics who rely on insulin to survive shouldn't have to fear that the medicine they take to save their lives might be ending it," said Case Sletvold.

The plaintiffs also accuse Wellpath of failing to notify the inmates who may have been exposed. Instead, attorneys said, the company began testing some, but not all, of the inmates for blood-borne illnesses and treating several with preventative HIV medications, without indicating why.

Conway and Case Sletvold said this nurse worked at the jail for about a year, and they worry there are inmates released or still incarcerated who aren't yet aware they were exposed.

"This was a complete lack of care for some of the most vulnerable members of our society who were in Pasco County's custody," said Case Sletvold.

Amanda Hunter, public information officer for the sheriff's office, released the following statement:

"The Pasco Sheriffs Office is aware of this complaint and immediately began working with Wellpath, the third-party medical provider for detention center inmates, to investigate this matter. Wellpath employees, including the nurse involved in the alleged incident, are not employees of the Pasco Sheriffs Office.We are unable to provide specific details on this matter as it involves confidential medical information and pending litigation. It is our understanding that Wellpath took immediate corrective action upon being notified of a possible issue with insulin dispensation, and CDC exposure guidelines were followed as safety precautions. At this point, no adverse reactions have been reported by any affected individuals. We are taking the reported complaint very seriously, and will continue to work with Wellpath regarding investigation of this matter and steps to ensure a situation like this does not happen in the future."

The county and sheriff's office are not defendants in the case at this time.

Wellpath has not yet responded to a request for comment.

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She will not become dull and unattractive: The charming history of menopause and HRT – The Guardian

Posted: January 20, 2022 at 2:35 am

For centuries the symptoms of menopause were documented, but women went through it with little intervention. It wasnt until the advent of science as we know it that physicians (all male at the time obviously) started more commonly treating its symptoms. Its clear now they had no idea what they were dealing with, since treatments ranged from the benign (cupping, cold water) to downright mutilation (clitoridectomy, anyone?).

Suffice it to say, the history of misogyny in medicine goes way, way back; all founded in the idea of women as inferior, and of menstrual blood as evil and poisonous. Fast-forward to the early 20th century, when it was discovered that oestrogen, in the form of conjugated equine oestrogen yes, from horses could be used as a hormone treatment for the symptoms of menopause. In 1942 the first oestrogen product was marketed under the name Premarin.

Premarin was marketed as not only a cure for menopause (which had by this time started to be framed as a disease to be treated) but as a fountain of youth. And it was promoted in ways that to our modern eyes are pretty sexist. Advertising of the era speaks of womens misery and fear. One ad I found spells it out: [A woman] is likely to feel that her charm is gone, and the golden days of her womanhood are irrevocably past.

There were also ads targeted at men, who were obviously the real victims here. Husbands, too, like Premarin, said one ad from the 1950s. The hormone pills, men are assured, make a woman pleasant to live with once again. A particularly low point was the publication in 1966 of Feminine Forever by Robert A Wilson, an American gynaecologist. In the bestselling book, he called menopause a serious, painful and often crippling disease. Even more alarming: All post-menopausal women are castrates. Charming.

But no worries all could be solved. HRT meant a womans breasts and genital organs will not shrivel. She will be much more pleasant to live with and will not become dull and unattractive. These misogynistic assertions did the trick; the drug companies making HRT one of which, it was later revealed, had paid Wilson for his trouble got great value from their stealth salesperson. Sales of HRT quadrupled in the years after the release of Wilsons book.

From the 40s through until the mid-1970s, oestrogen for menopause was given to women on its own. But in 1975, evidence started to emerge that without another hormone a progestogen unopposed oestrogen therapy led to an increased risk of endometrial cancer.

Sales of Premarin nosedived, until it was found that adding a progestogen to a lower dose of oestrogen mitigated this risk. The result was combined oestrogen progestogen therapy, marketed as Prempro.

Sales of HRT took off again, along with aggressive marketing. This was helped by popular culture promoting the idea of menopause as a terrible disease of decline that needed treating. By the early 90s, Premarin was one of the most prescribed drugs in the US.

Evidence over the first decades of its use backed HRT as an effective therapy, not only for menopause symptoms but also as a preventative treatment for some chronic diseases. Studies showed it as useful for bones and heart health. In 1988 it was approved by the US Food and Drug Administration as a preventative treatment for osteoporosis. There was emerging evidence around HRTs possible benefit in preventing heart disease, and so in 1991, a big study was started that changed the course of how HRT would be perceived for the next 30 years.

The Womens Health Initiative (WHI) trial was the largest randomised study to date on HRT, and it would be a gamechanger. Unfortunately, not in a good way. It was, according to endocrinologist Megan Ogilvie, one of the worst things to happen to womens health in a long time. It did a whole generation of women, and probably two generations of women, a huge disservice.

The reasons for that are many. The WHI was set up to find the effect of HRT (along with other, non-HRT-related interventions) on the most common causes of death and disability in post-menopausal women: things like cardiovascular disease, cancer and osteoporosis. Its important to note that this study wasnt about testing HRTs effectiveness in treating actual menopause symptoms. What the researchers wanted to know was whether HRT could be used in other ways to prevent other diseases that happened to women after menopause.

In 2002 a shocking announcement came from the researchers running the WHI study: the HRT arm of the study was being stopped early, after just five years.

In those first trial results, the researchers had observed that in women with a uterus who were taking combined HRT, there was an increased incidence of coronary heart disease and breast cancer. There was also, incidentally, some good news: a reduction of osteoporotic fractures and in incidence of colorectal cancer. Still, they concluded, it seemed the risks outweighed the benefits, and the trial was prematurely discontinued.

At the time, this was big news. The media published stories with sensational headlines and the message women and doctors took from them was that HRT was dangerous.

The effect was large-scale stopping of HRT. Women threw away their pills, and doctors newly afraid of prescribing something that might do more harm than good stopped prescribing HRT. The drug companies were spooked too not least because, predictably, they started getting sued.

Theres nothing like a lawsuit to make a drug company wary of developing new drugs in the same area. Predictably, funding for and interest in research and development for HRT, and midlife womens health in general, waned.

However, the results of the WHI study were misreported even by the people who wrote the initial results paper.

This emerged as a bit of a scandal, in a 2017 paper written by one of the WHI studys authors, Prof Robert D Langer. In it he revealed that highly unusual circumstances prevailed when the WHI trial was stopped prematurely.

He went on to detail how he and other researchers were aghast at what they read in the paper that had been submitted in their names to the Journal of the American Medical Association, which they only saw for the first time when the paper was about to be published. Though they tried to submit edits to correct the misinterpretations and reword the press release, it was too late. The paper was published, the press conference held, and the rest is history.

That headline, wrote Langer, pandering to womens greatest fear the fear of breast cancer ensured that word of the study would spread like wildfire. And it ensured that the conversation would be driven much more by emotion and politics than by science.

The WHI reporting meant that many doctors were too scared to continue prescribing HRT to any woman. Now, they told women, basically, youre on your own. Government health bodies didnt help; they issued new advice to doctors to only prescribe HRT to the most severely affected women, and then in the lowest possible dose, for the shortest possible time.

Prescribing rates went down all over the world. What this also meant was that doctors stopped learning much at all about menopause and its potential treatments.

One of the things the WHI reporting did is it allowed menopause education to be removed from medical schools, notes Ogilvie. And it lost us funding on a lot of different HRT products.

Even now, theres limited education on menopause for trainee and practising doctors, unless they seek it out or are particularly interested. This is really sad, because it can lead to women suffering unnecessarily. As Langer noted in his 2017 paper, the facts that most women and clinicians consider in making the decision to use, or not use, HRT, are frequently wrong or incorrectly applied.

This is an edited extract from This Changes Everything: The Honest Guide to Menopause and Perimenopause by Niki Bezzant (Penguin, NZ$37)

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Junction City native is promoted – JC Post

Posted: January 20, 2022 at 2:35 am

Josh Eckel

MAYPORT, Fla. - (Jan 8, 2022) - Hospital Corpsman 1st Class Josh Eckel, a native of Junction City, Kansas, was recently promoted to petty officer first class.

Eckel graduated from Junction City High School in 2010 and obtained his associates degree from American Military University in 2017.

As a member of the U.S. Navy Reserve, Eckel works as a hospital corpsman.

"Previously as a preventative medicine technician I would identify, evaluate, monitor, and respond to diseases and environmental factors that threaten human health," said Eckel. But now as a command fitness leader, I handle monthly medical reports and my goal is to make it easier to check on our sailors and bump up medical readiness.

Eckel was promoted to his current rank on December 10, 2021.

U.S. Naval Forces Southern Command/U.S. 4th Fleet supports joint and command military operations by employing maritime forces in cooperative maritime security operations to maintain access, enhance interoperability and build enduring partnerships in the Caribbean, Central and South American region. (U.S. Navy photo by Mass Communication Specialist 3rd Class Jahlena Royer/ Released)

The information was provided by the Navy Office of Community Outreach.

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Pandemic prevention center to stockpile antibodies in Rockville – Washington Times

Posted: January 20, 2022 at 2:35 am

A regional development nonprofit agency has opened in Rockville a facility that will stockpile monoclonal antibodies and study 100 pathogens, including COVID-19, SARS-2, Ebola and MERS.

Connected DMV has opened its Global Pandemic Prevention and Biodefense Center at the U.S. Pharmacopeia building on Twinbrook Parkway, near several National Institutes of Health buildings and the Department of Health and Human Services headquarters.

When an outbreak occurs, the idea is to stop it by having solutions prepared in advance, said Connected DMV CEO Stu Solomon. To have antibodies prepared will allow us to provide preventative care, treatment and a cure to the infected.

The centers AHEAD100 initiative brings together dozens of experts from the scientific, academic and nonprofit communities to accelerate development, Mr. Solomon said.

The federal government, academia and pharmaceuticals industry cant solve this on their own, he said. But when you bring them together, its amazing what can be done from a nonpartisan, public health perspective.

The center raised $2.5 million last year from its primary partners: the Bill and Melinda Gates Foundation, the Maryland Department of Commerce, Montgomery County and the Coalition for Epidemic Preparedness Innovations.

It hopes to raise $2.5 billion this year about $25 million per pathogen for development from private charities, the federal government and foreign governments.

Connected DMV said it chose to establish the center in Montgomery County because of its proximity to 70 federal labs, 800 life sciences companies, four government health agencies, political power and 175 foreign embassies and missions in the D.C. area.

The new Rockville office will allow Connected DMV staff to submit research proposals to receive the government and philanthropic grants they need to expand into research and lab space.

Dr. James Crowe, a pediatrician and infectious disease specialist who studied at the NIH, will serve as the centers chief scientist.

The last three years have clearly shown that our pandemic offense must include a full arsenal of medical countermeasures, stockpiled and ready to deploy anywhere in the world when an outbreak occurs, said Dr. Crowe, a steering committee interim board member.

Future outbreaks are inevitable, but another pandemic doesnt have to be what we do next will determine if we truly have the courage to prepare, he said.

Other board members include Dr. Richard Tubb, former White House physician to President George W. Bush, and Dr. Sachiko Kuno from the cosponsoring Sachiko Kuno Foundation.

Dr. Nahid Bhadelia, an infectious diseases specialist, represents the Boston University School of Medicine on the steering committee. The universitys Center for Emerging Infectious Diseases Policy and Research, which she founded, said in a statement that it will provide expertise and strategic guidance for the new venture.

Correction: An earlier version of this story misidentified one of the centers funding sources.

For more information, visit The Washington Times COVID-19 resource page.

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Will the Doomsday Clock move forward or back? Watch live to find out – Livescience.com

Posted: January 20, 2022 at 2:35 am

A hypothetical timepiece ticks ever-closer to midnight the hour of humanity's annihilation and it's about to be reset.

Since 1947, nuclear scientists and other experts have acted as timekeepers for the Doomsday Clock. A team of advisers, researchers and policy specialists with the Bulletin of the Atomic Scientists (BAS) annually evaluates the state of the world to decide if the clock's hands will tick forward, sweep back or remain where they are. The hands currently stand at 100 seconds before midnight; the BAS set that time in 2020 and it held steady in 2021, Live Science previously reported.

But after a year of COVID-19 and climate disasters unfolding worldwide, what time will the clock show in 2022? You can find out on Jan. 20 at 10 a.m. ET, as BAS announces the Doomsday Clock's update and commemorates the clock's 75th anniversary in a live press event that you can watch here at Live Science, on the BAS website and on the organization's Facebook page.

Related: End of the world? Top 10 doomsday threats

When the clock debuted to the public after World War II, nuclear weapons were thought to be the biggest human-created threat to our existence. In the decades that followed, other looming risks have emerged, including rapidly-accelerating climate change and pandemics. The clock's time for 2021 100 seconds before midnight is the closest the hands have come to the so-called doomsday hour in the clock's history.

Since the Doomsday Clock's last update in January 2021, evidence of escalating climate change has mounted. Sea-level rise is accelerating faster than prior models of worst-case-scenarios had predicted; the burning of tropical rainforests is producing more atmospheric carbon dioxide (CO2) than the rainforests absorb; and even the perpetually frozen region of Antarctica known as the "Last Ice Area" is in danger of melting away.

The COVID-19 pandemic has also continued to surge, fueled by the emergence in 2021 of the highly contagious omicron variant; by public resistance to vaccinations, lockdowns and mask mandates; and by unequal access to vaccines and other preventative resources in countries worldwide. To date, COVID-19 has infected more than 66 million people in the U.S. and has killed more than 850,000 Americans, the Centers for Disease Control and Prevention (CDC) reported on Jan. 18. Globally, more than 330 million people have contracted COVID-19, and more than 5.5 million people have died, according to the Coronavirus Resource Center maintained by Johns Hopkins University and Medicine in Baltimore, Maryland.

How these and other considerations will inform the Doomsday Clock's time in 2022 remain to be seen, but humanity is already in the realm of the two-minute warning period and every second counts, BAS President and CEO Rachel Bronson said in 2020.

"Danger is high, and the margin for error is low," Bronson said.

Originally published on Live Science.

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Preventative Healthcare Technologies and Services Market Analysis 2022-2029: by Key Manufacturers with Countries, Type, Application and Forecast Till…

Posted: January 20, 2022 at 2:35 am

New York, (17-01-2022) A comprehensive Preventative Healthcare Technologies and Services Market analysis report serves to be an ideal solution for better understanding of the market and high business growth. It has become the requisite of this rapidly changing market place to take up such marker report that makes aware about the market conditions around. This market report comprises of an array of factors that have an influence on the market and industry which are industry insight and critical success factors (CSFs), market segmentation and value chain analysis, industry dynamics, drivers, restraints, key opportunities, technology and application outlook, country-level and regional analysis, competitive landscape, company market share analysis and key company profiles.

Preventative Healthcare Technologies and Services Market research document identifies, assesses, and analyses the up-and-coming trends along with major drivers, restraints, challenges and opportunities in the market for industry. The report contains estimations of CAGR values, market drivers and market restraints about the industry which are helpful for businesses in deciding upon numerous strategies. The market type, organization size, availability on-premises, end-users organization type, and the availability in areas such as North America, South America, Europe, Asia-Pacific and Middle East & Africa are kept into view while formulating this Preventative Healthcare Technologies and Services Market analysis report.

Preventative healthcare technologies and services market is expected to gain market growth in the forecast period of 2020 to 2027. Data Bridge Market Research analyses the market to account to growing at a CAGR of 11.10% in the above-mentioned forecast period. The growing awareness amongst the physicians and patients regarding the benefits of advance technology as well as services will help in boosting the growth of the market.

Download Exclusive Sample Report (350 Pages PDF with All Related Graphs & Charts) @ https://www.databridgemarketresearch.com/request-a-sample/?dbmr=global-preventative-healthcare-technologies-and-services-market

Major Players:-

Myriad Genetics, Inc., Quest Diagnostics Incorporated., Medtronic, Abbott., Merck & Co., Inc., GlaxoSmithKline plc., Omnicell, Inc., McKesson Corporation, Pfizer Inc., Dilon Technologies, Inc., OMRON Healthcare Europe B.V., among other domestic and global players.

Global Preventative Healthcare Technologies and Services Market By Type (Early Detection and Screening Technologies, Chronic Disease Management Technologies, Vaccines, Advanced Technologies to Reduce Errors), Application (Hospitals, Clinics, Others), Country (U.S., Canada, Mexico, Germany, Italy, U.K., France, Spain, Netherland, Belgium, Switzerland, Turkey, Russia, Rest of Europe, Japan, China, India, South Korea, Australia, Singapore, Malaysia, Thailand, Indonesia, Philippines, Rest of Asia- Pacific, Brazil, Argentina, Rest of South America, South Africa, Saudi Arabia, UAE, Egypt, Israel, Rest of Middle East & Africa) Industry Trends and Forecast to 2027

Competitive Landscape and Preventative Healthcare Technologies and Services Market Share Analysis

Preventative healthcare technologies and services market competitive landscape provides details by competitor. Details included are company overview, company financials, revenue generated, market potential, investment in research and development, new market initiatives, global presence, production sites and facilities, production capacities, company strengths and weaknesses, product launch, product width and breadth, application dominance. The above data points provided are only related to the companies focus related to preventative healthcare technologies and services market.

Growing awareness among the people regarding the prevalence of preventive measures to improve quality of life, reducing healthcare spending, rising adoption of advanced technology and solutions, growing cases of chronic disorders will likely to enhance the growth of the preventative healthcare technologies and services market in the forecast period of 2020-2027. On the other hand, decreasing birth rate and growing geriatric population will further boost various opportunities that will lead to the growth of the preventative healthcare technologies and services market in the above mentioned forecast period.

This preventative healthcare technologies and services market report provides details of new recent developments, trade regulations, import export analysis, production analysis, value chain optimization, market share, impact of domestic and localised market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market.

Global Preventative Healthcare Technologies and Services Market Scope and Market Size

Preventative healthcare technologies and services market is segmented on the basis of type and application. The growth amongst these segments will help you analyse meagre growth segments in the industries, and provide the users with valuable market overview and market insights to help them in making strategic decisions for identification of core market applications.

Based on type, preventative healthcare technologies and services market is segmented into early detection and screening technologies, chronic disease management technologies, vaccines, and advanced technologies to reduce errors. Early detection and screening technologies have been further segmented into automated screening, personalized medicine, and other advanced screening technologies. Chronic disease management technologies have been further segmented into blood pressure monitors, asthma monitors, cardiovascular monitors, and glucose monitors. Vaccines have been further segmented into infectious diseases vaccine, cancer vaccine, autism vaccine, allergy vaccine, and other new vaccines. Advanced technologies to reduce errors have been further segmented into electronic prescribing, clinical decision supports system, smart infusion pumps, computerized provider order entry system, smart packaging and automated prescription formulation and dispensing.

Preventative healthcare technologies and services market has also been segmented based on the application into hospitals, clinics, and others.

Healthcare Infrastructure growth Installed base and New Technology Penetration

Preventative healthcare technologies and services market also provides you with detailed market analysis for every country growth in healthcare expenditure for capital equipments, installed base of different kind of products for preventative healthcare technologies and services market, impact of technology using life line curves and changes in healthcare regulatory scenarios and their impact on the preventative healthcare technologies and services market. The data is available for historic period 2010 to 2018.

Table of Contents-Snapshot

Executive Summary

Chapter 1 Industry OverviewChapter 2 Industry Competition by ManufacturersChapter 3 Industry Production Market Share by RegionsChapter 4 Industry Consumption by RegionsChapter 5 Industry Production, Revenue, Price Trend by TypeChapter 6 Industry Analysis by ApplicationsChapter 7 Company Profiles and Key Figures in Industry BusinessChapter 8 Industry Manufacturing Cost AnalysisChapter 9 Marketing Channel, Distributors and CustomersChapter 10 Market DynamicsChapter 11 Industry ForecastChapter 12 Research Findings and ConclusionChapter 13 Methodology and Data Source

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Key Insights in the report:

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3 Key Supplement and Wellness Trends to Watch in 2022 – Green Entrepreneur

Posted: January 20, 2022 at 2:35 am

Opinions expressed by Entrepreneur contributors are their own.

The coronavirus has fundamentally altered and elevated the health and wellness space in the last two years in ways that will continue to impact brands in 2022.

Faced with existential uncertainty and chronic stress, many people chose to focus on stabilizing their own health and wellness, taking active measures in order to reduce stress, improve sleep, and maintain both physical and mental health.

The demand for supplements skyrocketed, which makes sense. When reality feels out of control, consumers reach for products that help with mood, prevent illness and strengthen our systems for the challenges of uncertaintyand that demand is only predicted to grow.

Another by-product of the pandemic: Cannabis proved itself to be recession-proof, and millions of Americans found cannabinoids to be a key source of plant-derived stress relief. Mushrooms are having a moment as well (both psychedelic and otherwise), and their popularity further underscores the revived Western interest in ancient herbal medicine traditions and rising consumer appetite for plant-based alternatives to pharmaceutical drugs. Millennials and Gen Z are leading the charge in their openness to natural remedies and integrative healththeyre all about the ounce of prevention.

All of these developments are good news for consumers, brands, and investors in the supplement space as well as those in cannabis, hemp, and fungi. Here are the trends I see dominating markets in 2022.

Related:Here Are Some Smart Cannabis Predictions for 2022

Supplements that enhance cognitive performance are in higher demand than everafter all, who doesn't want a better brain? But increasingly, consumers are taking the long view, investing in supplements like pharmaceutical grade Omega-3s, CBD, herbs, and mushrooms with neuroprotective properties. Preserving brain function is top of mind for many older Americans; Gen Xers and millennials also want nootropics, but for different reasons. They seek natural brain boosters that will help them focus and increase their productivity without the unpleasant side effects of caffeine, sugar, or prescription medications.

Stress and upheaval of the pandemic have led people to place a higher priority on calm, clear thinking. The pandemic fundamentallyaltered our approach to mental healthmost of us found life tougher to navigate, and many people needed more support to cope with issues like fatigue and brain fog. No wonder nootropics that have been shown to reduce the impact of stress spiked in popularity.

The year 2022 may very well be fungis biggest year yet. Books like Michael Pollans How To Change Your Mind, the documentary Fantastic Fungi, and regular headlines on the genuinely thrilling new research emerging from the Johns Hopkins Psychedelic Research Unit have brought psychedelic exploration and therapeutics into the mainstream. Psychedelics are looking like the next big investor movementindeed, the psychedelic market is projected to reach $10.75 billion by 2027. At Fortune, investor Sean McClintock linked the rush to invest to the pandemic: In the context of a post-COVID world, psychedelic health care will become an essential tool in the treatment of worsening mental health issues.

Science is also revealing that even non-magic mushrooms have some pretty astounding qualities: from lion's mane and its impact on brain health, cordycepss immune system effects, and chagas anti-inflammatory properties, its no wonder a population newly interested in preventative health is seeking them out.

This seeming pipe dream of national cannabis legalization could actually become a reality in 2022. The first-ever Republican-proposed federal bill to legalize marijuana was introduced this past November; nearly half of the Republican voters support decriminalization at the federal level. A whopping 91% of Americans support legalization in some form. The DEA has signaled that Delta 8 (a controversial cannabinoid similar to THC thats usually derived from hemp) is not federally prohibited, which puts even more pressure on the federal government to act on legalization. A recent report from the Economic Policy Institute states frankly that Federal legalization of the cannabis industry appears likely to happen within the next few years. We may actually reach the tipping point for legalizing cannabis nationwide in the coming yearwhich would unleash a flood of change. New tax revenue alone is estimated at $128.8 billion, and legalization could result in 1.6 million new jobs. Research on cannabis therapeutics will explode. The economic impact will create disruption the likes of which Silicon Valley technologists could only dream of. Im keeping a close eye on this spaceanyone adjacent to health and wellness should do the same.

If weve learned anything in the pandemic, it's the need for resilience and the ability to adapt in the face of disruption and change. But consumers growing interest in natural and preventative health measures is, in my view, a positive development. Seeing health as a long-term commitment that involves daily choices, proactivity and self-care wont just drive marketsit will result in better health outcomes for everyone.

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Mental imagery interventions to promote face covering use among UK university students and employees during the COVID-19 pandemic: study protocol for…

Posted: January 20, 2022 at 2:35 am

This article was originally published here

Trials. 2022 Jan 18;23(1):51. doi: 10.1186/s13063-021-05852-y.

ABSTRACT

BACKGROUND: The 2020 COVID-19 pandemic has witnessed wide-ranging efforts to minimize the spread of the virus and to protect those most vulnerable to becoming unwell following viral infection. Core COVID-19 preventive measures include social distancing, regular hand washing, and wearing face coverings in public places. Understanding links between social cognitive factors relating to beliefs/skills is important in the context of the COVID-19 pandemic, as this can suggest which factors might be targeted via behaviour change interventions to promote adherence to COVID-19 preventative behaviours. In this context, mental imagery exercises-self-directed imagining of an anticipated outcome or processes linked to a defined behaviour/activity-offer a well-evidenced, relatively simple behaviour change intervention. In the mental imagery invention reported in this protocol, individuals will be randomly assigned to one of four separate conditions (outcome imagery, process imagery, outcome and process imagery, control).

METHODS: The primary objective of this randomized controlled study is to assess the effectiveness of a mental imagery intervention on wearing face coverings, as a defined core COVID-19 preventative behaviour. Participants will consist of UK university students and university employees of any age. Participants will be randomized to complete an outcome imagery or a process imagery exercise, both exercises (i.e. a combined condition) or neither exercise (i.e. a control condition). A total of 260 individuals will be recruited into the study. Outcomes for all study condition arms will be assessed at baseline (Time 1), immediately post-intervention (Time 2), and at 1-month follow-up (Time 3). The primary outcome is frequency of wearing face covering, as reported at T2 and T3. Secondary outcomes include intervention effects on face covering attitudes, social norms, perceived behavioural control and barrier self-efficacy at T2 and T3. Putative moderators of intervention effects are conscientiousness, narcissism and light triad personality traits.

DISCUSSION: This trial will contribute toward the currently sparse evidence base concerning behaviour change techniques designed to promote COVID-19 preventative behaviours among UK university students and university employees.

TRIAL REGISTRATION: ClinicalTrials.gov (U.S. National Library of Medicine) NCT04583449 . Retrospectively registered on 20 October 2020.

PMID:35042564 | DOI:10.1186/s13063-021-05852-y

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From staples to self-care: The rise of subscription boxes – The New Statesman

Posted: January 20, 2022 at 2:35 am

Its January 2021, the depths of lockdown 2.0. Social interactions are limited to a walk in the park with one friend. The glow of the TV is filling you with lethargy and YouTube workouts are wearing thin. But then a surprise package arrives through your letterbox the perfect pick-me-up when popping to the supermarket is the only highlight of your day.

Subscription boxes, which range from food to beauty and crafts, experienced a renaissance during the pandemic when other businesses struggled. During a time of such little joy, it is no surprise that these services were popular research from the Royal Mail found that consumers spent nearly 1.4bn on subscription boxes in 2020, while over half of people said they signed up to a box during Covid-19 because they wanted to treat themselves. As we return to normality, the trend does not appear to be slowing down the UK market is expected to double in size to 1bn by 2022.

Grocery boxes, which send subscribers pre-measured ingredients for specific recipes, were a desirable option during lockdown when the alternative was socially distanced supermarket queues or failing to secure a home delivery slot.

In 2020, Gousto more than doubled the number of monthly meals it delivered from 2.5 to six million, marking its first full year of profitability. It is now selling eight million monthly meals while rival HelloFresh attracted three million more customers in 2021 compared with the previous year.

Gousto co-founder Timo Boldt quit his job in investment banking in 2012 to start the company, on the basis that those with busy lifestyles struggled to find time to cook healthy meals from scratch. He believes that this penchant for pre-planned eating is permanent due to a seismic shift in the grocery market driven by three key trends: convenience, health and sustainability.

The company has more than 50 different weekly meals and uses artificial intelligence to analyse customer preferences and personalise meal choices. In future, Boldt hopes its data-driven menu will be able to curate boxes to manage specific health issues such as diabetes, obesity and hypertension, in a shift from reactive to preventative medicine.

Linda Ellett, head of consumer markets at Big Four accounting firm KPMG, adds that food boxes are considered better value for money than other luxury experiences. Doing all your grocery shopping via recipe boxes would be expensive, she says. But its a cheaper or healthier alternative to going out for dinner or getting a takeaway.

Subscriptions also help to reduce food waste, Boldt argues, due to precise portion sizes and forecasting algorithms that predict supply needs in fulfilment centres, while supermarkets are estimated to waste 190 million meals a year on average. However, excessive packaging will be a consideration for sustainability-sensitive consumers in 2022. If something with a lot of packaging arrives on your doorstep every week, consumers are going to notice, even if its recyclable, says Ellett. These businesses need to get ahead and make sure that packaging is minimised.

Changing working patterns will be another challenge for fresh food boxes, says Ellett. A return to normality means less consistency, with more spontaneous nights out or late nights at work. People will be less planned in their consumption and may feel the pressure of regular boxes, she says. These businesses need to think about how they can flex to that behaviour.

Hobby and craft boxes also surged in popularity during the pandemic. Caroline Haegeman and her partner Jai set up Box 42 in May 2020 as the ultimate date night in. With venues and restaurants shut, there was a gap in the market, she says: Wed watched every movie and cooked each other dinner 500 times and needed something else to do. We realised that other couples must feel like this too, and people would enjoy the convenience of a regular date night sent to them with no planning involved.

Such boxes have allowed people to find new hobbies within the privacy of their own homes, says Ellett, as a life-drawing class or a shared pottery wheel might feel intimidating to an amateur. People were happy to experiment with things they wouldnt necessarily do outside, she says. It was a great way to explore in the safety of your own environment.

Box 42 delivers monthly themed boxes, ranging from murder mysteries to pottery evenings. The pair have done everything themselves, from product sourcing to shipping and marketing, putting in 1,000 to get the venture off the ground and reinvesting profits as theyve gone along. The start-up has since grown sales by 300 per cent, and is now selling 2,000 boxes a month with 500 regular subscribers.

At 32 per month, Haegeman says the products are intended to be reused and have been sourced from local businesses rather than retail giants such as Amazon. All the packaging is either biodegradable, compostable or recyclable, which also increases the price point. This is a shift were seeing in a lot of companies, says Haegeman. There is more customer sensitivity to sustainability and quality.

She thinks that hobby boxes helped to fill the gap in immersive real-life experiences created by the pandemic but is nervous about a potential dip in popularity now that things have fully reopened and says they have started tailoring for regular subscribers rather than the broader approach they took at the start. People now have more appreciation of a nice night in, and I dont think that will go away, she says. But we need to look in detail at who our subscribers are through market research and customer service channels. One big challenge for any small business is the need to constantly re-evaluate how you do things.

Peoples reignited interest in personal projects is unlikely to change, adds Ellett but Box 42s tailored approach is crucial for success. I think people have re-fallen back in love with creativity, whether thats craft or cooking, and they will continue to advocate for it, she says. [Subscription services] are already data-driven so they need to use that to focus on metrics like order frequency, average order cost and preference.

In peoples pursuit for mindful or solo activities, reading became a much more popular hobby while people were confined to their homes, with sales of fiction books growing by more than 100m 16 per cent during lockdown despite bookstores being shut.

A Box Of Stories was set up by Aasha Chauhan in 2018 to stop lesser-known books being destined for destruction due to a lack of sales millions of items, including books, are thrown away each year by Amazon and other retailers.

The subscription service is rated by lovers and curated by code, says Chauhan data analysis is used to sift through thousands of online reader reviews to curate boxes with the least-known but highest-rated books. This helps it compete with online giants and traditional bookstores, which tend to highlight top-of-shelf bestsellers, she says.

The start-up grew its subscribers by 3,000 per cent during the pandemic, when bookstores and libraries were closed and online retailers focused on delivering essential goods. By default, it was the book subscription businesses that were lean enough to continue supplying to book lovers, says Chauhan. They could source and deliver. Users benefit from the ease of online purchasing while challenging themselves beyond their usual reading habits.

For a subscription to be successful, entrepreneurs should pick a sector where customers want frequent refurbishing and regularly consume the product, she adds hence why recipe boxes are also popular. Focus on retaining customers more than acquiring new ones because that will tell you a lot about the long-term feasibility of your idea.

Natalie James set up Tingle as a solution for those who were not able to buy beauty products during lockdown. As the brand has grown, she has changed direction to self-care and wellness.

James funded the venture herself through an initial 300, selling 200 boxes in her first month and has since gone on to ship worldwide to more than 1,000 monthly subscribers. Tingles success can be put down to its affordability 10 per month and contacts made through her main job in public relations (PR), helping her source subsidised products and compete with bigger players like Birchbox.

To thrive, she says that small businesses need to keep up with changing trends, competition and expand into new products; James recently launched limited edition Christmas and Black Friday boxes, and has listed subscriptions on partner websites such as Virgin Media Days.

As a first-time entrepreneur, she used virtual networking platforms like Clubhouse for advice from other business owners, and says she feels the government should have a clear, simple forum for financial and business advice, adding that she witnessed many entrepreneurs turning to social media for guidance instead. This information is not necessarily accurate, she says. Hearing it first-hand from the government would have been a big help.

Subscriptions have evolved originally associated with mundane monthly outgoings such as phone bills, the market has been reinvigorated, fuelled by streaming services such as Netflix and the online shopping boom. Treating yourself is no longer a one-off but a commitment.

But as the pressures of rising rent and energy bills set in, they could be considered an unnecessary luxury and will need to position themselves as vital, says Ellett, whether thats through wellness, sustainability or value for money. An empathetic customer approach will also be crucial, with clear instructions for cancellation and being mindful of individuals financial health.

Most importantly, they will need to adapt. As we settle into a hybrid mix of socialising and domesticity, in order to thrive, subscription businesses will need to offer something not only more desirable than traditional retail, but more flexible.

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Proposed Legislation In Oregon Would Address Racism As A Public Health Crisis – The Lund Report

Posted: January 20, 2022 at 2:35 am

Rep. Andrea Salinas, D-Lake Oswego, will re-introduce a bill in the upcoming legislative session to address racism and its health effects on Oregons communities of color.

Speaking in an informational meeting with the House Interim Committee on Health Care, Salinas and three advocates spoke about Legislative Concept 238, a revival of last years House Bill 2337.

While HB 2337 failed, the state Legislature did pass its first explicit declaration of racism as a public health crisis with House Resolution 6 in June. It was an important first step, said advocates during Thursdays informational meetings, but they urged legislators to move forward this year with direct action.

It is not enough for a medical provider to make a medical diagnosis. The medical provider and team have to come up with interventions and treatment options for the patient so that they can address the diagnosis, Angela Harris, former president of the Linn Benton Counties NAACP, said. Now that HR 6 has been passed and we have a diagnosis, we must work as a collaborative team to create, pass and implement legislation that will address the problem and work toward better outcomes.

LC 238 would require the Oregon Health Authority to set up a mobile health unity pilot program to provide care for communities where there is a lack of access to care and a higher BIPOC population. The term BIPOC stands for Black, Indigenous and people of color.

Rep. Andrea Salinas, D-Lake Oswego, speaks at a PCUN rally to kick off a campaign for farmworker overtime, a bill theyre introducing again in the short legislative session, on Tuesday, Nov. 16, 2021 at the Oregon State Capitol in Salem, Ore.

In April, the Centers for Disease Control declared racism a serious public health threat and pointed to the COVID-19 pandemic as evidence of inequities that have existed for generations and revealed for all of America a known, but often unaddressed, epidemic impacting public health: racism.

Racism is not just the discrimination against one group based on the color of their skin or their race or ethnicity, but the structural barriers that impact racial and ethnic groups differently to influence where a person lives, where they work, where their children play, and where they worship and gather in community, wrote CDC Director Rochelle P. Walensky at the time. These social determinants of health have life-long negative effects on the mental and physical health of individuals in communities of color.

Leslie Gregory, founder and director of Right to Health, spoke during the informational meeting about her experience with mobile care units. Gregory lives in Clackamas County and practices medicine in Multnomah County.

She spoke about being mentored by her mother, also a clinician and the first Black graduate of her professional school. Her mother developed a mobile unity strategy after being tasked with reducing the number of minorities visiting the emergency room and her major medical center, Gregory said.

This unit went out into communities and screened for the most common metabolic and underlying diseases that disproportionately affect people of color.

I saw first-hand the impact she made on the community and the gratitude and efficacy that further fueled my desire into medicine, Gregory said.As Gregory noted, the Kaiser Family Foundation has estimated that health inequities amount to $93 billion in excess medical care costs and result in $42 billion in lost productivity per year. There are additional economic losses due to premature deaths.

These healthcare dollars could much better be spent, as you are aware, on preventative research strategies for the benefit of all people, Gregory said.

The bill would also create racial affinity groups, hosted by the Oregon Advocacy Commissions Office, to better understand health inequities and disparities. Community members informing and developing recommendations for the OHA would be compensated.

HR 6 was a powerful first step and acknowledgment of the generations of systemic inequities this country and state were built on and continue to maintain but a declaration is empty, added Esther Kim, the co-director of the Oregon Health Equity Alliance in Portland.Kim said the legislation contains the short and long-term strategies needed to address racism and spoke about their work with affinity groups in their own task force. Kim called LC 238 a meaningful investment in community engagement and the beginning of building an anti-racist state.

Dr. Martin Luther King said, of all forms of inequality, injustice in health care is the most shocking and inhumane, Gregory said. It is time for us not only to revere our leaders of color but to honor their imperatives with action. LC 238 presents us with the resources to do so.

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