Tick-borne illness babesiosis is spreading in the US, CDC report shows

Tick-borne illness babesiosis is spreading in the US, CDC report shows
Tick-borne illness babesiosis is spreading in the US, CDC report shows
rbkomar/Getty Images

(NEW YORK) — The number of new cases of babesiosis, a tick-borne illness, increased significantly between 2011 and 2019 in the United States, a new CDC report found. It’s also spreading consistently in three new states — now, the disease is endemic in 10 states in the Northeast and Midwest.

The increase isn’t surprising, said Dr. Peter Chin-Hong, an infectious disease specialist at the University of California, San Francisco, in an email to ABC News. It’s consistent with what experts are seeing with other tick-borne diseases, like Lyme disease.

There are likely multiple factors behind the increases, including human behavior and warmer weather. More people are moving to areas with ticks and are interacting with animals (like deer and mice) that the ticks feed on, Chin-Hong said. Climate change may also be playing a role, he says. “A warmer climate may increase tick survival, shorten the life cycle of ticks (so many more cycles possible in a season) and increase the duration of tick season.”

Usually, the parasite infects humans after being bitten by certain ticks. These ticks are commonly found in wooded, bushy or grassy areas. They are most likely to bite during the spring, summer and fall, though adult ticks may still bite during the winter if temperatures are above freezing. While there is no vaccine available, the disease can be prevented by limiting tick exposure.

Once infected, symptoms can vary. Symptoms can range from none at all to fevers, headaches, kidney failure, and even death. In 2019, there were a total of eight deaths reported. According to the CDC, patients with symptoms can be treated with a combination of antibiotics and antiparasitic drugs.

Before this new report, the CDC only considered seven U.S. states to have consistent number of babesiosis. This included Connecticut, Massachusetts, Minnesota, New Jersey, New York, Rhode Island, and Wisconsin. However, the newly released data shows that Maine, New Hampshire and Vermont have similar or higher number of new cases.

Between 2011 and 2019, 16,456 cases of babesiosis were reported in 37 states, according to the report. Most cases overall were reported in New York (4,738). The highest incidence was reported in Rhode Island (18 cases per 100,000 people in 2015). Vermont, Maine and New Hampshire had the largest increase in the number of new cases. Rates of new cases increased in Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island and Vermont.

In addition to changes in human behavior and climate, there has also been increased awareness of babesiosis in the past decade, said Dr. Amesh Adalja, an infectious disease expert at Johns Hopkins Center for Health and Security, in an email to ABC News. That may also contribute to the increased number of cases. “More clinicians are ordering tests,” he said. With testing, doctors started to find cases in new areas.

Preventing babesiosis and other tick-borne illnesses

People should be aware of their risk of contracting babesiosis when traveling or living in areas where the illness is more common. The best way to prevent tick-borne illnesses is avoiding ticks. People can minimize tick exposure by covering exposed skin, using repellants and walking on cleared paths in wooded areas, the CDC says.

Anyone spending time outside in areas where there might be ticks should check their body, clothing, and pets for ticks after coming inside, the CDC says. Showering within 2 hours of being outdoors and putting clothes in the dryer on high heat can also prevent tick bites.

If you do find a tick, pull it straight out with tweezers.

Babesiosis isn’t the only disease ticks can carry — they can also spread Lyme disease, Rocky Mountain spotted fever, and anaplasmosis.

People should seek medical attention if they happen to fall ill after a tick bite, Chin-Hong says.

Lauren M. Cuénant, D.O., is a Physical Medicine and Rehabilitation resident at the University of Miami/Jackson Memorial Hospital and a contributor to the ABC News Medical Unit.

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Double lung transplants successfully treat late-stage lung cancer, in a first with new technique

Double lung transplants successfully treat late-stage lung cancer, in a first with new technique
Double lung transplants successfully treat late-stage lung cancer, in a first with new technique
Shannon Fagan/Getty Images

(NEW YORK) — A new double lung transplant technique was successful for two patients with lung cancer, Northwestern Medicine announced. The hospital said it’s leveraging that success into a new clinical program that will offer transplants to patients with end-stage lung cancer.

“Every morning when I open my eyes, like, I just can’t believe it, and life has different meaning now,” said Tannaz Ameli, the second person with lung cancer to receive the transplant, during a press briefing.

Lung cancer is currently the third most common type of cancer in the United States after skin cancer first, and breast cancer in women and prostate cancer in men second, according to the CDC. Yet more people die from lung cancer than any other type of cancer.

Treatment for lung cancer mostly depends on how much that cancer has spread. Patients may be treated with targeted medications, chemotherapy, radiation or surgery to remove the tumor. But those treatments don’t always work, and for some people, a lung transplant is their only option.

Single lung transplants have been successfully performed since the 1980s, and now, more than 1500 single lung transplants happen each year, according to the CDC. But lung transplants for lung cancer aren’t common.

That’s because there’s a high risk that cancer cells will spread from the lung into the rest of the body during the procedure — making it more likely the cancer will come back, said Dr. Ankit Bharat, chief of thoracic surgery and director of Northwestern Medicine Canning Thoracic Institute, in a press release.

When a patient needs both lungs replaced, the lungs are usually removed one after the other, Bharat said. If the first lung is transplanted while the other cancerous lung is still in the body, there’s a risk of the cancer spreading from that lung to the rest of the body, he said.

But Northwestern Medicine’s surgery team found a way to minimize that risk. Their approach allows surgeons to remove the cancerous lung from the body while the patient is hooked up to a bypass machine, which diverts their blood away from the heart and lungs. If blood doesn’t flow through the cancer during the surgery, the risk of the cancer spreading is less.

“We feel quite confident that we’ll be able to help some patients with no other options,” said Bharat. He said that the surgery involves “delicately taking both cancer-ridden lungs out at the same time along with the lymph nodes, washing the airways and the chest cavity to clear the cancer, and then putting new lungs in.”

He added, “These patients can have billions of cancer cells in the lungs, so we must be extremely meticulous to not let a single cell spill into the patient’s chest cavity or blood stream.”

The team at Northwestern Medicine first used the technique on Albert Khoury, a man from Chicago who came to them in 2021 after chemotherapy failed to treat his stage 4 lung cancer. His condition continued to worsen, and he ended up in the intensive care unit, according to a press release.

His doctor at Northwestern Medicine, oncologist Dr. Young Chae, said that a double lung transplant may be his only hope. Without one, Chae said Khoury wasn’t expected to live more than a year.

So, on Sept. 25, 2021, after 2 weeks on the transplant list, Khoury became the first person with lung cancer to have a successful double lung transplant.

One year later, Ameli, who lived in Minnesota, was also diagnosed with stage 4 lung cancer. She said that she tried chemotherapy, but just like for Albert Khoury, it wasn’t enough. Her husband had seen a video about Khoury’s procedure, she said, and he scheduled an appointment with a surgeon at Northwestern Medicine. She was a candidate — and received the second successful double lung transplant in July 2022.

“We’re so happy,” Ameli said at the press briefing. “I’m back. I did it. I made it.”

Because of those successes, Northwestern Medicine is launching a first-of-its-kind clinical program for people with end-stage lung disease.

The program plans to follow the outcomes of its first 75 patients who receive double lung transplants for lung cancer in a new research registry called DREAM (Double Lung Transplant Registry Aimed for Lung-limited Malignancies). While patients can receive a double lung transplant as a part of the clinical program without enrolling in the voluntary DREAM research registry, researchers hope to use the data to follow overall survival, disease-free survival and transplant rejection rates.

“I hope that all cancer patients can be as lucky as me and Albert were,” Ameli said. “Every day we wake up and we’re thankful for it.”

Aerial Petty, DO, is a family medicine resident at New York-Presbyterian/Columbia University Irving Medical Center and a contributor to the ABC News Medical Unit.

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Utah governor signs bill banning abortion clinics across the state

Utah governor signs bill banning abortion clinics across the state
Utah governor signs bill banning abortion clinics across the state
Darwin Fan/Getty Images

(SALT LAKE CITY) — Utah Gov. Spencer Cox has signed a bill into law banning abortion clinics in the state, making it the latest to restrict the procedure since the Supreme Court overturned Roe v. Wade.

Cox, a Republican, signed H.B. 467 after it passed the state Senate on March 2 and state House on March 3, both along party lines.

Abortion clinics will be required to close either by the end of the year or when their licensee expires, whichever comes first.

Additionally, after May 2 of this year, the Utah Department of Health and Human Services will not be allowed to grant or renew a license of an abortion clinic.

Under the legislation, all abortions will be required to take place in a hospital, which is defined as “a general hospital licensed by the state.”

Currently, Utah bans abortion after 18 weeks. The ban was passed in 2019 but didn’t go into effect until the Supreme Court overturned Roe. H.B. 467 also removes the rape and incest exemption from this law.

Cox previously told reporters he would sign the bill, which also defined the term “abortion” to remove any confusion surrounding the law.

“One of the concerns with the trigger bill that medical providers had across the state was there a lack of clarity that would have made it hard for them to perform legal abortions,” Cox said at the time.

The governor’s office referred ABC News to Cox’s press conference on PBS Thursday when reached for comment.

Anti-abortion groups, such as Pro-Life Utah, applauded the decision.

“Thank you, Governor Cox for signing this bill into law!” the group said in a statement. “We value your commitment to protect the pre-born.”

However, abortion rights advocates, slammed the bill and said it basically eliminates access in the state.

“HB 467 is nothing but shameful procedural and political maneuvering intended to get around a valid court decision and prevent Utahns from accessing abortion,” Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America, said in a statement when the bill first passed the state House. “Today’s passage is just one part of a nationwide campaign by anti-abortion extremists to end legal abortion throughout the United States, and it will have devastating impacts on Utah communities.”

Utah lawmakers also passed a law in 2020 banning all abortions except if the mother’s health is in danger or in cases of rape and incest reported to the police.

However, the ban was blocked from going into effect after the 3rd District Court issued an injunction, which was upheld by the state Supreme Court.

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Maternal mortality rates are increasing, highest among Black women

Maternal mortality rates are increasing, highest among Black women
Maternal mortality rates are increasing, highest among Black women
LWA/Dann Tardif/Getty Images

(NEW YORK) — Maternal mortality rates in the United States continue to rise and Black women continue to be most affected, new data shows.

Deaths of women during and just after pregnancy have been steadily increasing over the past few years, according to a report published Thursday by the National Vital Statistics System.

Rates jumped from 23.8 deaths per 100,000 live births in 2020 to 32.9 in 2021, the new report found. Rates went up from 2019 to 2020 as well.

“It was a continuation of what we saw from 2019 to 2020,” Donna Hoyert, author of the report and a statistician at the Centers for Disease Control and Prevention, told ABC News. “But it was a bigger increase than in previous years.”

Mortality rates were highest in non-Hispanic Black women.

According to the report, non-Hispanic Black women died during and just after pregnancy at a rate 2.6 times that of non-Hispanic white women. That gap is consistent with previous reports.

“The maternal mortality rates in black women certainly reflects the systemic racism and discrimination in health care,” Dr. Joanne Stone, professor and system chair of obstetrics, gynecology and reproductive science at the Icahn School of Medicine, told ABC News. “Black women are at a higher risk for complications like preeclampsia and hemorrhage, as well as chronic health conditions.”

People of color often face discrimination or other gaps in care when receiving health care, and that is linked to poorer treatment, according to a study published in the American Journal of Public Health.

Black women often do not receive adequate health care, so pregnancy complications like high blood pressure are not properly treated, which can lead to death, according to another study published in the American Journal of Public Health.

“There are certain things that are happening for some groups that aren’t happening for others,” said Martha Wingate, professor and chair of the Department of Health Policy and Organization at the University of Alabama at Birmingham School of Public Health.

Thursday’s National Vital Statistics System report also found that women 40 years and older had higher rates of death during pregnancy.

That may be because as women get older, they have a higher risk for chronic conditions like hypertension and diabetes, which may complicate childbirth, said Stone. These women are also more likely to need fertility treatments to get pregnant, she said, which can lead to carrying multiple fetuses at the same time and can lead to greater mortality rates as well.

Pregnant people can take some steps to lower their mortality risk. The CDC says that women of reproductive age should maintain a healthy weight and diet, stop use of all substances and take care of health problems before becoming pregnant.

While more research is needed to identify ways to reduce mortality rates and close the gap between inequities in healthcare, Westgate said women should listen to their bodies and seek out care if something feels wrong. Reducing those rates does not just help pregnant people — it helps everyone around them, she said.

“We’re talking about families,” Westgate said. “It’s not just the mom.”

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No clear association between Paxlovid and COVID-19 rebound, FDA says

No clear association between Paxlovid and COVID-19 rebound, FDA says
No clear association between Paxlovid and COVID-19 rebound, FDA says
Chris Sweda/Chicago Tribune/Tribune News Service via Getty Images

(NEW YORK) — A U.S. Food and Drug Administration analysis did not find a clear association between the COVID-19 antiviral drug Paxlovid and illness rebound, the FDA said in a new report.

Rebound rates are around the same in people who took the drug and those who didn’t, the study said. It’s the first time the FDA has weighed in on COVID-19 rebound.

“Virologic and/or symptomatic rebound may occur as part of the natural progression and resolution of COVID-19 disease, irrespective of PAXLOVID treatment,” the FDA wrote. Around 10 to 16% of people with COVID-19 had rebound symptoms, according to the FDA’s analysis.

Multiple high-profile people experienced COVID-19 rebound after taking Paxlovid, including President Joe Biden and Dr. Anthony Fauci— it was a major talking point around the drug. This new report offers data to counterbalance those anecdotal reports.

Pfizer, which makes Paxlovid, said it’s running two additional studies to try and understand symptom rebound.

One will look at rebounds in immunocompromised patients who take Paxlovid for different amounts of time. The second will check if patients who take Paxlovid and then have symptom rebound should take another course of the drug.

The info was part of the FDA’s briefing document ahead of a meeting of the agency’s advisors Thursday, where they’ll discuss whether the FDA should fully approve Paxlovid. The drug is currently available because of the FDA’s emergency use authorization.

A February study showed COVID rebound is “common” for those who did not take antiviral treatments, “but the combination of symptom and viral rebound is rare.”

The FDA approved pharmacies to prescribe Paxlovid in July 2022.

“The FDA recognizes the important role pharmacists have played and continue to play in combatting this pandemic,” Dr. Patrizia Cavazzoni, director for the FDA’s Center for Drug Evaluation and Research, said in a statement last year. “Since Paxlovid must be taken within five days after symptoms begin, authorizing state-licensed pharmacists to prescribe Paxlovid could expand access to timely treatment for some patients who are eligible to receive this drug for the treatment of COVID-19.”

Overall, the drug has worked as promised, doctors said, by dramatically reducing the chances that an older or high-risk individual might wind up hospitalized or dead.

Doctors have said that Paxlovid is most effective when given as soon after a diagnosis of COVID-19 as possible. Taking it later during the course of the illness may result in the drug not being as effective.

What’s more is that it might help prevent long COVID.

A study released in November 2022 by the Veterans Administration looking at the medical records of 56,000 people found that taking Paxlovid early decreased the chances of experiencing “long COVID” by some 25%.

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Here’s what you need to know as Google expands its health care AI

Here’s what you need to know as Google expands its health care AI
Here’s what you need to know as Google expands its health care AI
Jaap Arriens/NurPhoto via Getty Images

(NEW YORK) — Google is expanding use of its health care artificial intelligence, including helping detect diseases, such as cancer, earlier and answering medical questions.

During the technology company’s annual The Check Up event on Tuesday, employees announced several new updates and partnerships that they claim will help expand access to care and make the field more equitable.

“The future of health is consumer-driven,” Dr. Karen DeSalvo, Google’s chief health officer, said at the event held in New York City. “People will expect a mobile-first experience with more personalized insights, services and care. That means enterprises, including Google, will need to evolve to meet consumers where they are.”

The company unveiled the latest version of its medical large language model, which is designed to provide answers to medical questions, called Med-PaLM 2.

Last year, when it was first introduced, Google said it was the first AI system to get a passing score — meaning more than 60% — when answering multiple choice and open-ended questions that appear on U.S. medical licensing exams.

Google said the latest iteration consistently answered medical exam questions on an “expert” level, scoring 85%.

During the event, Dr. Alan Karthikesalingam, a research lead at Google Health, showed examples of some of the questions Med-PaLM 2 might answer including “what are the first warning signs of pneumonia?” and “can incontinence be cured?”

Many times, the answers were similar to — and even more thorough than — the answers clinicians provided to the same questions.

However, the company admitted it’s not ready to be rolled out yet in the real world due to some gaps in answering some medical questions, including not be as detailed.

“You can see from this sort of work that we’re still learning,” Karthikesalingam said.

Google also announced new partnerships that will help detect diseases earlier and identify health information more quickly.

The first partnership, with Kenya-based Jacaranda Health — which focuses on the health of expectant mothers and newborns — is to use AI to replace traditional ultrasound machines.

AI could be implanted in low-income areas that don’t have the machines or have very few of them, which are costly and requires training workers, so more pregnant women can be monitored.

Another partnership with Chang Gung Memorial Hospital in Taiwan will explore using AI models using ultrasound for breast cancer detection rather than traditional mammograms, which can also be costly.

Google is also partnering with the Mayo Clinic to see how AI can help for patients receiving radiation, a common cancer treatment.

The company says its AI may help speed up a process called contour delineation, in which clinicians use CT scans to outline healthy organs and tissue at risk so the radiation can be directed towards the tumor.

Google is also expanding the ability of its search engine to provide information about affordable health care providers.

Hema Budaraju, the senior director of product, health and social responsibility at Google Search, said the company had used Duplex to help users find community health centers that offer free and low-cost care and are adding more doctors with appointments that can be booked online.

“We also know how important it is when you’re searching for healthcare providers that the information you find is accurate, like the clinic’s phone number and address,” she said. “Duplex called hundreds of thousands of healthcare providers in the U.S. to verify their information on Google Search and we’ve used this technology to verify if providers accept certain Medicaid plans in their state.”

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Why some protesters are dressed as kangaroos and clowns amid Texas hearing on abortion pill

Why some protesters are dressed as kangaroos and clowns amid Texas hearing on abortion pill
Why some protesters are dressed as kangaroos and clowns amid Texas hearing on abortion pill
ELISA WELLS/PLAN C/AFP via Getty Images

(AMARILLO, Texas) — A ruling is expected to come down from a federal judge in Texas Wednesday that could see an abortion medication being taken off the market in the United States.

The lawsuit, filed by Alliance Defending Freedom – a Christian conservative legal advocacy group – has asked Judge Matthew Kacsmaryk of the Northern District of Texas to reverse the U.S. Food and Drug Administration’s approval of mifepristone.

If the judge rules in favor of the plaintiffs, there would be a nationwide injunction on mifepristone, affecting even states where the procedure is legal.

Another drug used in combination with mifepristone for abortions, called misoprostol, would still be available, but it’s not approved by the FDA to be used for abortions on its own.

According to a transcript of a closed-door meeting, Kacsmaryk told trial lawyers that he planned to wait until late Tuesday to make public the logistics of the hearing to avoid protests.

“This is not a gag order but just a request for courtesy given the death threats and harassing phone calls and voicemails that this division has received,” Kacsmaryk told attorneys in the case. “We want a fluid hearing with all parties being heard. I think less advertisement of this hearing is better.”

Organizers from the Women’s March said they intend to stage a “kangaroo court” outside the courthouse, where protestors will be dressed in costume to suggest the case is based entirely on fraudulent claims.

Kacsmaryk “says he doesn’t want a ‘circus-like’ atmosphere, all while behaving like a clown who treats our lives like a political game,” the organizers of the Women’s March wrote. “So, we will bring the circus to him. Come in your clown makeup, and we will show the world what the Federal Court is all about here in Amarillo, a kangaroo court!”

If Kacsmaryk rules in favor of ADF, mifepristone would, at least temporarily, be taken off the market. All states where abortion is legal would only be able to offer in-clinic procedures.

This means patients will not be able to access telehealth services to get abortion pills and clinics already experiencing a surge of patients from states where abortion is illegal could be even more inundated.

ABC News’ Anne Flaherty contributed to this report.

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CBD hit the mainstream as a trendy sleep aid, but does it work?

CBD hit the mainstream as a trendy sleep aid, but does it work?
CBD hit the mainstream as a trendy sleep aid, but does it work?
ArtistGNDphotography/Getty Images

(NEW YORK) — Social media users, online groups, and even celebrities like Martha Stewart, are touting CBD as a real aid for sleep, but some are beginning to wonder if the legal chemical found in marijuana really works.

Cannabidiol, known as CBD, is a compound found in marijuana but is not an intoxicant, meaning it does not cause a “high,” according to the Centers for Disease Control and Prevention.

Jessica Ater, a mother of two in Washington state, said she’s been struggling with sleep.

“I can’t sleep at night. Like that’s when my brain starts going crazy,” Ater told ABC News’ Good Morning America. “Nothing worked and, if it did work, not long term.”

After reading about CBD in an online mom’s group, Ater said she bought some CBD gummies at a dispensary that helped.

“My anxiety I mean I still have it at night, but it definitely helps shut my brain off so that I’m able to sleep,” said Ater.

However, Annie Guthrie, a college student who wanted to fall asleep earlier, said her experience with CBD chocolates didn’t work for her at all.

“I had the hardest time sleeping so I needed to try something that could help that,” Guthrie told GMA. “Nothing happened. It didn’t work. It didn’t work at all.”

Dr. Ryan Vandrey, one of the country’s preeminent scientific researchers on CBD, said CBD may have better results for people with anxiety or pain compared to those who have a hard time falling asleep.

“Someone who has insomnia might not benefit from it unless the insomnia is secondary to something else like anxiety, or pain condition,” Vandrey said to GMA.

The Food and Drug Administration has indicated that they want to create more regulations for CBD. So far they’ve only approved it for the treatment of some seizure disorders.

Vandrey said that studies that exist on CBD are small and some found that the chemical doesn’t always isolate from THC, the part of cannabis that makes you high.

“So we don’t have the large randomized controlled trials,” he said. “So we see a lot of promise but we still need more evidence.”

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Illinois man accused of defrauding US government of $83M in COVID testing scheme

Illinois man accused of defrauding US government of M in COVID testing scheme
Illinois man accused of defrauding US government of M in COVID testing scheme
Jakub Porzycki/NurPhoto via Getty Images

(CHICAGO) — An Illinois man has been indicted for allegedly cheating the U.S. government out of millions of dollars for his pop-up COVID testing company and allegedly lied about test results.

Zishan Alvi, 44, was the co-owner of Laboratory Elite, headquartered in Chicago, which purported to offer two types of COVID-19 testing, PCR tests and 15-minute rapid antigen tests, according to an indictment from the U.S. Attorney’s Office for the Northern District of Illinois.

The company also offered a service where people could pay a fee to receive expedited PCR test results

Between February 2021 and February 2022, Alvi and others at his company allegedly devised a plan to seek reimbursements for tests under the government’s Health Resources and Services Administration, which covered the cost of COVID-19 testing for those without health insurance.

These tests were either never performed, performed in such a way that the results were unreliable; or had already been paid for by patients, according to the indictment.

Additionally, to reduce costs and increase profits, Alvi allegedly told employees to use less materials for the PCR tests including reagents, which is a substance or mixture the test uses for a chemical analysis. Using less of these materials made the tests unreliable, the indictment said.

Over the course of this period, Laboratory Elite received more than $83 million from the HRSA Uninsured Program, some of which Alvi allegedly transferred to a personal account.

Prosecutors said he then used this money to cover personal expenses, including vehicles and investments in stocks and cryptocurrency.

“The indictment seeks forfeiture from the defendant of at least $6.8 million in alleged ill-gotten gains, in addition to five luxury vehicles and funds from other trade and investment accounts” according to the U.S. Attorney’s Office.

What’s more, Alvi allegedly told employees to provide negative test results to people who had been swabbed, but their specimens were thrown out.

He was indicted by a federal grand jury on 10 counts of wire fraud and one count of theft of government funds.

“It is absolutely reprehensible that the defendant would use a public health crisis to allegedly defraud taxpayers and further put public health at risk by providing fraudulent COVID-19 test results,” Illinois Attorney General Kwame Raoul said in a statement.

If Alvi is found guilty, each count of wire fraud is punishable by up to 20 years in federal prison and the count of theft of government funds is punishable by up to 10 years, according to the U.S. Attorney’s Office.

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Masks are effective but here’s how a study from a respected group was misinterpreted to say they weren’t

Masks are effective but here’s how a study from a respected group was misinterpreted to say they weren’t
Masks are effective but here’s how a study from a respected group was misinterpreted to say they weren’t
Paul Yeung/Bloomberg via Getty Images

(NEW YORK) — Recently, a review from the Cochrane Library set off a firestorm after headlines declared research published by the respected organization’s study found masks don’t work and don’t stop community transmission of respiratory viruses like COVID-19.

Over a two-month period, some commentators and politicians took to op-ed pieces and social media to say the study proved masks weren’t needed the whole time and that mandates had been ineffective.

However, the editor-in-chief of the Cochrane Library, Dr. Karla Soares-Weiser, issued a statement on March 10 to say the analysis had been misinterpreted and that the review didn’t find that masks do not work.

Rather it looked at how effective masking programs, like mandates, were at slowing the spread of respiratory viruses and, from there, found the results to be inconclusive.

“Many commentators have claimed that a recently updated Cochrane Review shows that ‘masks don’t work,’ which is an inaccurate and misleading interpretation,” Soares-Weiser wrote. “It would be accurate to say that the review examined whether interventions to promote mask wearing help to slow the spread of respiratory viruses, and that the results were inconclusive.”

Experts told ABC News the findings from the meta-analysis from the Cochrane Library have not been accurately represented and that evidence shows masks do help prevent the spread of COVID-19.

How the Cochrane review addressed different questions

The Cochrane review, published in late January, looked at several studies that had examined physical interventions to reduce the spread of respiratory viruses.

Many of the studies analyzed looked at masking interventions, meaning how effective masks are if people are given masks and information about masking, and encouraged to wear them.

However, giving people masks does not necessarily mean that people will wear masks.

“The study was misinterpreted and, when you give it a very quick glance, you see how that would happen,” Dr. Jessica Justman, an associate professor of medicine in epidemiology at Columbia Mailman School of Public Health, told ABC News. “It’s looking at interventions that tried to promote the use of different kinds of protective equipment, such as masks, and the outcomes are all going to depend on how well people actually adhere to the particular type of protective equipment.”

She continued, “So, it’s not as much a study of the mask but a study of the intervention to get people to wear a mask.”

Additionally, many of the studies analyzed in the Cochrane review didn’t look at whether people were wearing them all the time, like a at home around others, and if they were wearing them properly, including tight-fitting and covering the nose and mouth.

“Masks work if you wear them,” Justman said. “But if you wear them very imperfectly, if you wear them in a way where they are only loosely fitting on your face and you take them off, let’s say in a crowded restaurant to eat a meal, you can’t then conclude when you get COVID that the mask didn’t protect you because if you don’t wear the mask properly, you’re not going to get the full protection.”

Ramifications of people misinterpreting the results

Because the review was misinterpreted to say masks don’t work rather than the results being inconclusive, Dr. Bruce Y. Lee, a professor of health policy and management at City University of New York School of Public Health, said this could influence people to believe they don’t need to wear a mask, which could have consequences.

“This has potential ramifications like long COVID, potential hospitalization and we have to wonder how many lives could have been saved, hospitalizations could have been averted how many cases of long COIVD be avoided if masks were more prevalent,” he said.

Lee added it helps that the editor-in-chief issued the statement, but worried the misinterpretation has already been widely spread and it will be hard to change people’s minds.

“The concern is that the initial message has already been amplified and the degree to which it was amplified was significant,” he said. “One of the challenges is, once information gets out there, it takes twice, triple, sometimes quadruple, or even more than that, the effort to try to correct information that’s already out there.”

What the science tells us about masks

“We already have information from other studies that show almost a dose-response relationship between wearing no mask at all, wearing a cloth mask, wearing a surgical mask and wearing an N95,” Justman said. “As you go up the ladder, so to speak, with each step of a better-quality mask, you see more protection.”

One example is a study published in February 2022 by the Centers for Disease Control and Prevention examining those who said they wore masks all the time in indoor public settings.

Researchers found cloth masks were associated with a 56% decrease in testing positive for COVID-19, surgical masks by 66% and N95/KN95 masks by 83% compared to those who didn’t wear masks or face coverings.

Lee added that masks are population-based interventions, not individual-based interventions, meaning their efficacy depends on not just one person wearing a mask but how many people are wearing masks too.

“We know that masks not only protect the wearer from other people and from the virus, but they also protect other people from the wearer, because if someone’s infectious and shedding the virus, the mask can prevent them from spewing the virus into air, or at least reducing the amount of virus the air,” he said.

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