China is ‘heavily underreporting’ number of COVID-19 deaths, WHO says

China is ‘heavily underreporting’ number of COVID-19 deaths, WHO says
China is ‘heavily underreporting’ number of COVID-19 deaths, WHO says
Massimiliano Finzi/Getty Images

(GENEVA) — The World Health Organization said Wednesday China is “heavily underreporting” the number of COVID-19 deaths as a wave of infections sweeps the country.

The Chinese Center for Disease Control and Prevention has not posted a daily briefing on COVID-19 to its website since Jan. 8 and has reported just 37 deaths since the “zero COVID” policy was lifted on Dec. 7 for a total of 5,272 deaths since the pandemic began.

According to data from Johns Hopkins Coronavirus Resource Center, China has seen nearly 18,000 deaths since the pandemic started.

“WHO still believes that deaths are heavily underreported from China, and this is in relation to the definitions that are used but also to the need for doctors and those reporting in the public health system to be encouraged to report these cases and not discouraged,” Michael Ryan, executive director of WHO Health Emergencies Program said during a press conference in Geneva.

Ryan praised many of China’s measures to reduce the burden of disease including administering antivirals early in the course of infection and expanding designated beds in intensive care units but called for more reporting.

“We are working ever closer with our colleagues in China to try and understand better the transmission dynamics, but we still do not have adequate information to make a full comprehensive risk assessment,” he said.

Throughout most of the pandemic, China implemented very strict measures, including widespread lockdowns, quarantines in government buildings and mass testing in an attempt to prevent outbreaks.

However, after large outcries and growing public resentment over the disruption to daily life, Beijing eased the restrictions and reopened its borders.

Public health experts have said that under-vaccination and large swaths of unprotected vulnerable populations in China will lead to hundreds — if not thousands — of deaths.

The WHO has said that it has not detected a variant of concern in China, but cases have skyrocketed.

In response, Japan and South Korea have enacted entry requirements for people traveling from China.

Japan has restricted flights from China to certain Japanese cities but is allowing visitors from China provided they show proof of a negative COVID-19 test. Meanwhile, South Korea is also requiring proof of a negative COVID-19 test and stopped issuing short-term visas at its consulates in China through January.

In retaliation, China stopped issuing new short-term visas to both countries and said the rule will remain in place until the “discriminatory” entry restrictions are lifted.

ABC News’ Joseph Simonetti contributed to this report.

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Cancer death rates down but racial disparities persist among Black men and women

Cancer death rates down but racial disparities persist among Black men and women
Cancer death rates down but racial disparities persist among Black men and women
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(NEW YORK) — Black men and women are more likely to die from prostate, uterine and breast cancer compared to other races, according to new data from the American Cancer Society.

That’s despite vast improvements in cancer death rates overall in the United States. Rates of cancer deaths have declined by 33% overall since 1991, according to the group’s annual report on cancer trends. The analysis projects that 609,820 people will die from cancer in 2023.

Advancements have been made to raise public awareness about the importance of cancer screening and make healthcare resources more readily available to under-represented populations in the U.S., according to the report. However, racial disparities still persist despite these advancements.

Gaps in survival are particularly notable for prostate cancer. The death rate for prostate cancer among Black men was two to three times higher than those in every other racial group, according to the new report.

“Disparities are profound,” said Dr. Karen Knudsen, chief executive officer at the American Cancer Society, at a press briefing Thursday.

Experts say the reasoning behind those disparities isn’t entirely clear. “A higher incidence of genetic changes associated with more aggressive disease may be one cause. However, other causes—such as reduced access to healthcare and higher uninsured rates—are equally important,” said Dr. Paul Corn, interim chair of genitourinary medical oncology at The University of Texas MD Anderson Cancer Center.

Overall, prostate cancer is the second leading cause of cancer death in men. Since 2014, rates have increased by 3% per year after two decades of decline. This means 99,000 more cases of prostate cancer are being diagnosed compared to what would be expected if the number of cases remained stable.

In addition, doctors are catching cases of prostate cancer at more advanced stages, making them harder to treat. “We are not catching these cancers early enough to have an opportunity to cure men of prostate cancer,” Knudsen said.

Racial disparities are also pronounced in breast and uterine cancer. Black women are 40% more likely to die from breast cancer than white women, and have the highest death rates from uterine cancer, according to the recently released report. These rates persist even though Black women have a lower likelihood of being diagnosed with uterine cancer, and a 4% lower breast cancer incidence compared to white women.

There has been limited success in development treatment strategies to improve life expectancy for women with uterine cancer, which ranks 24th in National Cancer Institute research funding. The new report highlights the importance of directing more resources to uterine cancer research, said Dr. Jolyn Taylor, assistant professor of Gynecologic Oncology at The University of Texas MD Anderson Cancer Center.

Still, there’s been major progress in addressing other types of cancer. There was a 65% decrease in cervical cancer rates in women between 2012 and 2019, according to the report, which shows the impact of the HPV vaccine. That vaccination can prevent cancers caused by the HPV virus, which includes cervical cancer.

The American Cancer Society also says it’s taking steps to tackle rising rates of prostate cancer. Today the organization announced the launch of an initiative called IMPACT — Improving Mortality from Prostate Cancer Together. The initiative will include research, patient support, and advocacy programs, according to a statement. The organization aims to “reduce death rates from prostate cancer in all demographics and disparities for Black men by 2035,” Knudsen said in the statement.

Jennifer Miao, MD, is a fellow physician in cardiology at Yale School of Medicine/Yale New Haven Hospital and a member of the ABC News Medical Unit.

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Companies look at increasing price of their COVID-19 vaccines. Sen. Bernie Sanders is not happy

Companies look at increasing price of their COVID-19 vaccines. Sen. Bernie Sanders is not happy
Companies look at increasing price of their COVID-19 vaccines. Sen. Bernie Sanders is not happy
Morsa Images/Getty Images

(NEW YORK) — Vermont Sen. Bernie Sanders, the incoming chair of the committee focused on health, on Tuesday called out Moderna for looking at a more-than-quadruple spike of its COVID-19 vaccine prices.

“How many of these Americans will die from COVID-19 as a result of limited access to these lifesaving vaccines?” Sanders wrote to Moderna’s CEO, Stéphane Bancel. “In the midst of a deadly pandemic, restricting access to this much needed vaccine is unconscionable.”

“I am writing you to reconsider your decision and refrain from any price increases,” he urged.

Sanders’ letter was in response to recent comments from Moderna’s CEO that the company was considering raising prices for its COVID-19 shots to $110-130 per dose, once vaccines move into the private market. That’s up from the $26 per dose now, which is what the vaccines cost under the current government contract.

Pfizer, too, has said that it plans to increase its prices to somewhere between $110-130 per dose.

In a statement to ABC News, Moderna maintained that its “COVID-19 vaccines and boosters will continue to be available at no cost for the vast majority of people in the United States.”

“While we are still in discussions with stakeholders on the price of our COVID-19 vaccines, Moderna is committed to pricing that reflects the value that COVID-19 vaccines bring to patients, healthcare systems, and society,” a company spokesperson said.

A Pfizer spokesperson referred ABC News to an investor call in the fall in which company officials stressed that they believed the majority of people would not have to pay out of pocket but that the increased price of the vaccine matched its value.

For the duration of the COVID-19 pandemic, the government has purchased bulk quantities of vaccine and distributed them for free to Americans. But without more funding, which Congress has not been able to agree upon, the government plans to move vaccines and COVID-19 treatments to the private market, where they will be covered by insurance or paid for upfront by uninsured patients.

The move to the commercial market could happen as soon as this fall but depends on when the federal supply of vaccines runs out.

Sanders, in his letter to Moderna on Tuesday, disagreed with the vaccine companies’ assessments that the majority of people wouldn’t feel the price increase.

He argued that it will cost taxpayers billions of dollars because Medicaid and Medicare will continue to pay for vaccines, as mandated by the CARES Act, but will now have to do so at much higher price.

He also wrote that people on private insurance could see premiums go up as companies try to offset the rising cost of vaccines. Private insurance companies also have to continue to cover vaccines because of the CARES Act — though it’s not clear to what extent.

The biggest impact will be felt by uninsured people, who will have to pay outright for vaccinations, Sanders wrote.

He called the consideration to raise prices “particularly offensive” because Moderna developed its COVID-19 vaccine in partnership with the National Institutes of Health, a government agency, and was given $1.7 billion by the government to develop its mRNA vaccine.

“In other words, you propose to make the vaccine unaffordable for the residents of this country who made the production of the vaccine possible. That is not acceptable,” Sanders wrote.

Health and Human Services Secretary Xavier Becerra was asked Wednesday morning if the federal government had the ability to work with vaccine companies on the cost increase and said it was largely up to the manufacturers.

The pricing “is something that is within the hands of those manufacturers and the distributors,” he said.

“We will do everything we can to make sure that the cost of a COVID vaccine remains affordable,” he added.

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FDA adds sesame to major food allergen list, updates labeling requirements

FDA adds sesame to major food allergen list, updates labeling requirements
FDA adds sesame to major food allergen list, updates labeling requirements
Roberto Machado Noa/Getty Images

(NEW YORK) — Sesame has joined the U.S. Food and Drug Administration’s list of major food allergens and will soon be added to labels of packaged food to protect consumers.

The eight initial food allergens that cause the majority of serious food-related allergic reactions — all established in 2004 — include milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat and soybeans, according to the FDA. Sesame is the ninth food to be added to the list.

As of Jan. 1, 2023, the agency stated that sesame is required to be labeled as an allergen on food packages, including dietary supplements.

“Even though the requirement that sesame be listed on the label as an allergen is in effect — you still may find food products for sale that don’t list sesame as an allergen on the label,” the FDA stated. “The law establishing this sesame labeling does not require food products that were already on their way to the store or in stock before 2023 to list sesame as an allergen on the label.”

During this transition period, consumers should note that food products on store shelves that were produced prior to Jan. 1 will not be removed or relabeled.

“Because some packaged foods can have a long shelf life, it’s hard to say when pre-2023 stock will be replaced with food products carrying the required labels,” the FDA statement continued. “So, proceed with caution during this transition period.”

The FDA also said that this serves as an important reminder for shoppers to always check labels on food products each time, since labels and ingredients can change, even if it’s a staple you’ve eaten before without an allergic reaction.

With the new labeling requirements, the name of the food source of a major allergen must appear either in parentheses following the name of the ingredient, such as “natural flavor (sesame),” or immediately next to the list of ingredients, such as “contains sesame.”

“Sesame has always been required to be listed in the ingredient statement if it was an added ingredient, with a few exceptions,” the FDA explained. “Now that sesame is a major food allergen, the FDA expects that it be specifically listed as sesame on the label if it’s part of another ingredient, like ‘natural flavor,’ or ‘spice mix.'”

The new sesame labeling requirements apply to packaged foods, but allergen labeling for foods that aren’t packaged, like fresh bagels in a grocery bin, may vary. For customers with allergy concerns, the FDA suggests asking store employees for food allergen information.

The change was made through the Food Allergy Safety, Treatment, Education, and Research (FASTER) Act, a federal law passed in 2021. The other eight major food allergens were defined through a federal law passed in 2004.

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COVID was the leading cause of law enforcement deaths in 2022 for third year in a row: Report

COVID was the leading cause of law enforcement deaths in 2022 for third year in a row: Report
COVID was the leading cause of law enforcement deaths in 2022 for third year in a row: Report
amphotora/Getty Images

(NEW YORK) — COVID-19 remained the leading cause of law enforcement deaths in 2022 despite the number attributed to the virus dramatically declining.

A new report released Wednesday by the National Law Enforcement Officers Memorial Fund looked at preliminary data and found that 226 federal, state, tribal and local law enforcement officers died last year while in the line of duty.

Of those deaths, 70 can be attributed to COVID-19. However, this is an 83% decline compared to the 405 officers who died from COVID-19-related complications in 2021.

“While America’s law enforcement officers are still battling the deadly effects of the COVID-19 pandemic, there has been a significant reduction in such overall deaths, likely attributed to reduced infection rates and the broad availability and use of vaccinations,” the report read.

Marcia Ferranto, CEO of NLEOMF, told ABC News to recognize an officer line of duty death from COVID as such, each case is reviewed by a medical team and then by a group of 13 law enforcement peers.

“At that point, it is determined whether this would be considered a line of duty death,” she said. “At this point, for 2022, we’re looking at recognizing 70 of these COVID-related cases as official line of duty deaths and each one, tragic.”

In 2021, 586 officers died in the line of duty, a 61% decline year-over-year, that can be attributed directly to the reduction of COVID-19 deaths.

According to the report, firearms-related incidents were the second-highest cause of death in 2022, followed by traffic-related incidents and other.

The “other” category included health-related deaths including heart attacks, stroke and effects from the September 11 attacks as well as accidents including aircraft crashes, falling objects, fires and falling to their deaths.

The report found that Texas had the highest number of law enforcement COVID-19 deaths with 16, followed by Illinois with six, New York with five, Alabama with four and Oklahoma and Tennessee with four each.

Overall, of the 226 fatalities, 204 were male and 22 were female. The average age was 44 years old with an average of 15 years of service. Additionally, each officer left an average of two children behind.

“These numbers bring it close to home and really humanize these men and women, these incredible men and women who are choosing law enforcement as their profession,” Ferranto said.

She said an investment in officer safety and wellness programs can hopefully help drive down these numbers even further in 2023.

Since the COVID-19 pandemic began, only has the virus been the leading cause of death among law enforcement officers but firefighters and other protection service employees had the occupations with the highest death rates from COVID-19.

According to a recent report published by the National Center for Health Statistics — a branch of the Centers for Disease Control and Prevention — those with protective service occupations had the highest COVID-19 death rate at 60.3 deaths per 100,000 workers in 2020.

This was twice as high as the overall workers’ COVID-19 death rate in 2020, which sits at 28.6 per 100,000.

The authors of the report said this was likely attributed to protective service employees not having jobs that allow them to stay at home as well as working in proximity to others — both colleagues and the public — increasing their risk of infection.

One of those deaths was Niagara Falls Police Department detective Kristina Zell, who passed away from a COVID-related illness in November 2022.

According to local affiliate WKBW, Zell began her career with the NFPD in March 2000 and worked her way up from patrol officer to a detective specializing in sex crime investigations.

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More than 24K people have reported COVID test results to new NIH website

More than 24K people have reported COVID test results to new NIH website
More than 24K people have reported COVID test results to new NIH website
SONGPHOL THESAKIT/Getty Images

(NEW YORK) — Tens of thousands of Americans have reported a COVID-19 test result to the National Institutes of Health’s website that launched in November.

The site, MakeMyTestCount.org, allows people to anonymously report the results of any brand of at-home COVID-19 test.

In updated data exclusively provided to ABC News, 24,000 people have reported a test result to the site. Additionally, three-fourths of the results are a positive test and women were more likely to report a test result than men.

“I think there’s a greater number of people who are testing for COVID at this time than are being reported on this website. So, this is just sort of a small raindrop in a huge storm,” Dr. Sarah Elisabeth Waldman, an associate professor in the division of infectious diseases at UC Davis Medical Center, told ABC News.

When asked about the discrepancy in women- and men-reporting levels, “I don’t think it’s specific to COVID. I think this is more specific to women in general, having higher rates of self-reporting on voluntary websites and other programs,” she added.

Public health experts said it’s great that there is a place for people to import test results and that more people are doing so than expected — but questions remain about self reported data that could give scientists a better idea of where the virus is spreading and who is most affected.

They also warned that there may be a bias in who is inclined to report test results.

“The fact that we’re seeing three out of four reported tests as positive definitely doesn’t mean that three out of four people are actually positive. Likely, it means that people are more inclined to report a positive than a negative result,” Andrew Weitz, Ph.D., a program director at the NIH and co-lead of the project, told ABC News.

But that doesn’t mean reporting of at-home test results is not beneficial to health officials. In fact, the more results that are provided, the clearer their understanding of COVID in the community is.

“The absolute numbers may or may not tell the whole story, but what I think the public health community is going to start getting a better handle on is how the trends can help us understand that story,” Dr. Krishna Juluru, a presidential innovation fellow at the NIH and co-lead of the project, told ABC News.

Experts also urged the public to report their at-home test results regardless of whether positive or negative to provide health officials with a better sense of what is going on in the community.

“Without the negatives, we don’t have a good idea of what the overall positivity rate might be, and where we’re seeing real significant increases,” Matthew Binnicker, Ph.D., director of the clinical virology laboratory at Mayo Clinic, told ABC News. “We need to be able to determine where COVID is most prevalent, where we’re experiencing a surge [and] we need to have the total number of tested including positive and negatives to really get a good sense of that.”

The NIH is also launching a pilot program in one county in Pennsylvania that will provide free COVID-19 health services entirely virtually. Up to 8,000 eligible residents are anticipated to participate in the program.

Under the program, a patient sick with COVID-19 could receive at-home rapid tests, telehealth sessions and at-home treatments like Paxlovid without leaving their house.

“It’s largely focused on a home setting, but we also allow individuals to have options so if they want to pick up a test at a local community center, after a telehealth consultation if they want to go pick up their medications at a local pharmacy, we allow that as well,” said Juluru.

Since anti-viral drugs, such as Paxlovid, cannot be taken with some other medications, patients must meet with a clinician before any therapeutics are sent to their home.

There are plans to expand the program to multiple other sites throughout the year.

“This is a pilot program, so we’re kind of doing it in the spirit of learning as much as possible,” said Weitz.

A main goal for the scientists at the NIH is, “to understand what’s working, what’s not and how can we improve things if there were to be a larger scale rollout of this program,” he added.

Copyright © 2023, ABC Audio. All rights reserved.

Hochul outlines $1 billion plan to address mental health in New York

Hochul outlines  billion plan to address mental health in New York
Hochul outlines  billion plan to address mental health in New York
Lev Radin/Pacific Press/LightRocket via Getty Images

(NEW YORK) — Gov. Kathy Hochul announced Tuesday that New York will invest $1 billion to address mental health needs.

Hochul laid out her plans for addressing the mental health care system in a speech at the Assembly Chambers in Albany on Tuesday afternoon.

“When it comes to keeping people safe and protecting their well-being, fixing New York’s mental health care system is essential — and long overdue,” the governor said at the State of the State address.

According to Hochul, over 3,000 New Yorkers experiencing “severe mental illness or addiction” live on the city’s streets and in their subways, and there aren’t enough inpatient psychiatric beds and outpatient services.

As part of her plan, New York will add 1,000 inpatient psychiatric beds, provide funds for 150 new beds in state-run facilities and add 850 psychiatric beds back to hospitals. This accounts for over half the beds the state lost since 2014, Hochul said.

“I’m declaring that the era of ignoring the needs of these individuals is over. Because our success as government leaders is measured by our ability to lift up and support all our constituents,” she said.

New York also plans to build more than 3,500 housing units offering mental health services.

Rates of mental illnesses in the state has been on the rise and the problem was only exacerbated because of the COVID-19 pandemic, according to Hochul.

A coalition of pediatric groups declared children’s mental health challenges during the COVID-19 pandemic a “national emergency” in October 2021.

“Young people have endured so much throughout this pandemic and while much of the attention is often placed on its physical health consequences, we cannot overlook the escalating mental health crisis facing our patients,” Dr. Lee Savio Beers, American Academy of Pediatrics president, told ABC News in a statement at the time.

Hochul said New York plans to “reduce unmet mental health needs among children by at least half in the next five years.”

“Whether we’re talking about a child with behavioral challenges or an adult suffering from depression, no one should go without a screening or a doctor’s appointment or counseling,” the governor said. “And cost should never be a barrier.”

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Why thousands of New York City nurses are striking and what’s at stake

Why thousands of New York City nurses are striking and what’s at stake
Why thousands of New York City nurses are striking and what’s at stake
Selcuk Acar/Anadolu Agency via Getty Images

(NEW YORK) — The nurses strike in New York City has extended into its second day with more than 7,000 walking out of two major hospitals.

Nurses at Montefiore Medical Center in the Bronx and Mount Sinai Hospital in Harlem say that low pay, lack of staffing and unsafe working conditions are burning out hospital employees and putting patients at risk.

“Can’t stop, won’t stop until we get a fair contract!” the New York State Nurses Association tweeted Monday night, announcing that the picket line would continue into Tuesday.

The hospitals have been forced to divert ambulances to other medical centers, postpone non-elective surgeries and call in temporary staffers, but the nurses say they’ve been pushed to the brink.

“There’s multiple reasons for why we all need to be paying attention,” Gretchen Purser, an associate professor of sociology and a labor expert at Syracuse University’s Maxwell School of Citizenship and Public Affairs, told ABC News. “Nurses are really bargaining for the collective good. They are putting, first and foremost, patients’ safety above all else and that was the breaking point — they’ve been working under less-than-ideal conditions that jeopardized the safety of patients.”

One of the nurses’ biggest grievances is the nurse-to-patient ratio, which measures how many patients a nurse is responsible for, at a hospital.

Research has shown that when staffing levels are high and nurses are only taking care of a few patients, there is a lower risk of patients dying as well as a lower risk of infections, medication errors, ulcers and hospital-acquired pneumonia.

What’s more, patients are more likely to have shorter stays when there are more nurses, officials said.

One New York State analysis, conducted in 2021, estimated adequate nursing staff levels could save 4,370 lives and $720 million over a two-year period due to shorter hospital stays and fewer readmissions.

The nurses say the hospitals are supposed to have low nurse-to-patient ratios, but they often end up being much higher.

Marcelo Cantu, a nurse at Montefiore for 19 years, who works in the cardiothoracic unit, told ABC News every nurse is supposed to have three patients, but can often end up with four or five due to staffing shortages. He said even one extra patient can affect the level of care.

“Our patients require a lot of time — we’re not only monitoring their recovery but teaching them how to physically recover from what they’ve been through, teaching them about their new medications, teaching them about lifestyle changes,” he said. “We’ve had to learn how to prioritize and because we’re working short, sometimes the quality suffers and that’s very difficult to deal with.”

Montefiore said it is offering a 19.1% compounded wage increase over the next three years with pay increases for each level of experience.

What’s more, the hospital has also offered to add 115 registered nursing positions to the emergency department, 11 registered nursing to the labor and delivery department and 23 nurse practitioner positions.

Mount Sinai told ABC News in a statement it also offered a 19.1% increased wage proposal, but those nurses rejected the offer.

The nurses argue that the pay increase is not the main reason for the strike but rather the current contract does not address nurse-to-patient ratios.

“I’ll be the first to say a nurse deserves a fair compensation,” Cantu said. “But it’s not about money, it’s about the allocation of that money in order to provide better care.”

He continued, “It’s frustrating and heartbreaking when we fall short in areas not critical to their life but critical to the patients’ experience. These are human beings, not just a list of symptoms in front of us.”

Labor and economic experts say that when nurses go on strike, the stakes are not just high for them but also for the community at large as well.

“All of us are either going to need care in a hospital or have loved ones who need care in a hospital and its nurses who are the frontlines of that,” Purser said.

“We need nurses to be able to do their jobs properly because if we get sick or we’re older, and we’re at our most vulnerable or disabled, that’s when we need a nurse,” Joelle Leclaire, an associate professor of economics and finance at SUNY Buffalo State, told ABC News. “If we can’t have proper nursing ratios, fewer of us are actually going to be able to overcome conditions that affect our well-being in our health.”

She added that’s an economic impact as well because nurses are not getting paid their full wages when they’re on strike.

“If they’re not being paid now that they’re striking, and the longer that they strike, that money doesn’t go back into the economy,” Leclaire said. “So that’s another piece of it, too, which granted is smaller, but it’s still a piece.”

Montefiore said it has since introduced several new offers, including establishing average patient ratio, to end the strike.

“Montefiore remains at the bargaining table, committed to an equitable agreement that reflects the priorities of our dedicated nurses. Contingency plans remain in place to ensure our hospitals remain open, because Montefiore is, and always will be, here for The Bronx,” a statement released Tuesday read.

ABC News’ Sasha Pezenik, Nicole Wetsman and Youri Benadjaoud contributed to this report.

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OB-GYN sexual abuse trial reminds patients of boundaries doctors should establish during exams

OB-GYN sexual abuse trial reminds patients of boundaries doctors should establish during exams
OB-GYN sexual abuse trial reminds patients of boundaries doctors should establish during exams
The Good Brigade/Getty Images

(NEW YORK) — Opening statements in the federal trial of a Manhattan, New York obstetrician/gynecologist charged with sexually abusing female patients highlighted a rare but devastating type of sexual misconduct — that of a patient by a medical professional.

Robert Hadden, a former obstetrician/gynecologist at Columbia University and New York-Presbyterian Hospital, pled guilty to abusing patients in 2016, but avoided jail time in a controversial deal with the Manhattan District Attorney’s office.

Now, he’s on trial over federal charges. He pled not guilty to the federal charges, which accuse him of enticing women to cross state lines in order to sexually abuse them. His defense called it a “technical crime.”

Obstetricians and gynecologists regularly perform sensitive examinations when patients are emotionally and physically vulnerable. Those exams are medically important, which is why experts say abuse during such procedures is an egregious breach of trust — in addition to violation of physician ethics and also a criminal act.

“Although sexual misconduct is uncommon in clinical care, even one episode is unacceptable,” Dr. Kavita Shah Arora, chair of the American College of Obstetrics and Gynecology (ACOG) committee on ethics, said in an email to ABC News.

Health care providers should always fully explain all medical exams and only perform them with the patient’s consent, ACOG said in its position statement on sexual misconduct. Providers should use the minimal amount of physical contact necessary for the exam and a chaperone should always be in the room for all breast, genital and rectal examinations — regardless of the gender of the patient or health care provider, the group said.

The American Medical Association code of medical ethics recommends that health care providers make chaperones available during exams.

“In my entire career I never examined a patient without my nurse in the room,” says ABC News chief medical correspondent Dr. Jen Ashton, who is also a board-certified obstetrician and gynecologist. “That is for both the patient’s and the doctor’s protection.”

Patients can always ask to see a doctor or care provider of the gender they’re most comfortable with, the Rape, Abuse & Incest National Network (RAINN) says in its guidelines on sexual abuse by medical professionals. They can also ask for a friend or family member to stay in the room during any type of exam, not just gynecologic exams, RAINN says.

RAINN says that it’s unacceptable for providers to refuse to answer questions, conduct exams without gloves, prevent others from coming into the room with a patient, insist on seeing body parts they’re not examining, or ask questions that make a patient uncomfortable.

Patients can also end an exam at any time and leave the room, Ashton says.

“If it feels wrong, trust your instincts and sit up — and end the exam,” Ashton says. “Gynecological exams, done properly, take seconds, not minutes — and they definitely don’t feel sexual.”

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More US schools institute mask mandates as COVID cases rise

More US schools institute mask mandates as COVID cases rise
More US schools institute mask mandates as COVID cases rise
www.fuchieh.com/Getty Images

(NEW YORK) — More schools across the United States are putting mask mandates in place as COVID-19 cases continue to rise.

Before winter break, districts in New Jersey and Pennsylvania announced they would temporarily be requiring masks among students and staff members amid a surge of respiratory illnesses.

Now schools in Massachusetts and Michigan are following suit while Chicago schools are asking students to take rapid tests before classes start.

Chelsea Public Schools in Boston announced in a letter to the community that the decision was due to Suffolk County designated as “high risk” for COVID-19 transmission as defined by the Centers for Disease Control and Prevention.

“As a result of this designation, Chelsea Public Schools will implement a mask mandate, effective on Monday, January 9,” Superintendent Dr. Almi G. Abeyta wrote in the letter. “Masks must be worn in school buildings at all times except when eating or drinking…Mask wearing will continue to remain mandatory for any person visiting our school health offices, and anyone returning to school from a five-day quarantine following a positive COVID-19 diagnosis.”

The letter did not state for how long the mandate would be in place.

Meanwhile, Ann Arbor Public Schools in Michigan said it was instituting a two-week mandate starting Monday, Jan. 9, and ending Friday, Jan. 20.

According to local affiliate WXYZ-TV, the decision comes after a wave of respiratory illnesses led to at least five school closures in December alone.

“The Ann Arbor Public Schools will require well-fitting masks to be worn by students, staff and visitors while indoors in AAPS schools, beginning on January 9th and during the first two weeks following the winter break,” Superintendent Jeanice Kerr Swift wrote in a letter to families, students and staff. “Extra masks are available at all school buildings for use by students and staff.”

Additionally, Chicago Public Schools announced it is asking students and employees to perform a rapid at-home COVID-19 test before entering classrooms.

‘In order to keep our school communities safe, please test for COVID-19 before returning to school,” the notice read. “If you test positive, please report the positive test using the COVID-19 Self-Reporting Form, and follow the guidance outlined on our safety page.”

Data from the CDC shows that COVID-19 cases are increasing even as cases of RSV and influenza are trending downward.

Weekly cases have risen from 309,253 for the week of Nov. 30 to 470,699 for the week of Jan. 4, data shows.

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