(NEW YORK) — Comedian Amy Schumer revealed Monday that she is taking the COVID-19 treatment Paxlovid as part of her overall care package as she recovers from the infection.
Paxlovid is a Food and Drug Administration-authorized treatment given as a series of pills over five days that can dramatically reduce the risk of severe illness. The U.S. government has purchased millions of doses in an effort to expand access to the drug for everyday Americans.
But in a series of social media posts, Schumer rhetorically asked if she is eligible for Paxlovid considering she is also taking the antidepressant, Lexapro. Although experts say it’s safe to take Lexapro and Paxlovid at the same time, they say Schumer’s posts raise awareness of an important issue: Paxlovid works, but it should be used with caution.
“Paxlovid is very important and has really been a game-changer as it’s the first oral antiviral that’s been authorized by our FDA and recommended by the CDC for high-risk patients with COVID 19 symptomatic infection…and has been shown to decrease hospitalization and death by close to 90%,” said Dr. Todd Ellerin, director of Infectious Disease and Chief of Medicine at South Shore Health.
But the drug shouldn’t be used at the same time as many common prescription drugs, including some medications to treat mood disorders, heart conditions, high cholesterol, hypertension, migraines and many others. A full list of drugs that can react with Paxlovid can be found on the FDA Fact Sheet.
According to Ellerin, anyone taking a prescription medication should speak to their pharmacist or doctor before taking Paxlovid.
In some circumstances, people can stop taking their existing medication for five days while they take Paxlovid. In other cases, a doctor might be able to adjust drug doses, or recommend an alternative to Paxlovid, such as Remdesivir or a monoclonal antibody to help reduce the risk of severe COVD-19.
Paxlovid contains two drugs, Nirmatrelvir and Ritonavir and experts warn that Ritonavir in particular can cause unsafe reactions with a long list of medications. Paxlovid can inhibit the ability to break down other medicines within the body, leading to an unsafe buildup of those medicines when recently taken.
Ellerin says people shouldn’t feel discouraged from seeking Paxlovid to ease COVID-19 symptoms, but anyone with questions should speak to a healthcare provider first.
“Your pharmacist can be really helpful,” said Ellerin. “If they say you have to be careful with these meds, then you want to speak to your provider.”
(NEW YORK) — A growing proportion of COVID-19 deaths are occurring among the vaccinated, a new ABC News analysis of federal data shows.
In August of 2021, about 18.9% of COVID-19 deaths occurred among the vaccinated. Six months later, in February 2022, that proportional percent of deaths had increased to more than 40%.
Comparatively, in September 2021, just 1.1% of COVID-19 deaths occurred among Americans who had been fully vaccinated and boosted with their first dose. By February 2022, that percentage had increased to about 25%.
Experts said the increase in breakthrough deaths is expected with more Americans reaching full vaccination status.
“These data should not be interpreted as vaccines not working. In fact, these real-world analyses continue to reaffirm the incredible protection these vaccines afford especially when up to date with boosters,” said Dr. John Brownstein, an epidemiologist at Boston Children’s Hospital and an ABC News contributor.
In addition, many vulnerable Americans are more than one year out from their primary vaccinations and have yet to receive booster doses.
To date, more than 220 million Americans have been fully vaccinated, 100 million of whom have received their first COVID-19 booster. However, about 91.5 million eligible Americans — about half of those currently eligible — have yet to receive their first booster shot.
The increase in breakthrough deaths comes as a growing proportion of older Americans enter the hospital for COVID-19 related care.
Last summer, after more vulnerable, older populations had been vaccinated, the share of Americans ages 65 years and older in the hospital had dipped to a pandemic low — with younger populations representing the largest age groups of people in need of care. However, throughout the omicron surge, the average age of those in the hospital with COVID-19 has steadily gotten older again.
More than 90% of seniors have been fully vaccinated, but a third of them have yet to receive their first booster shot. Even with overall high vaccination rates in older populations, in recent months, during the omicron surge, 73% of deaths have been among those 65 and older.
Health experts said vaccines and boosters continue to provide significant protection against severe disease. However, waning immunity re-emphasizes the urgency of boosting older Americans and high-risk Americans with additional doses.
“This trend in increased risk among the elderly further supports the need for community wide immunization. Older populations, especially those with underlying conditions, continue to be at great risk of severe complications, especially as immunity wanes. The best way to protect them is to make sure everyone around them is fully immunized,” Brownstein said.
All Americans over the age of 50, immunocompromised people over the age of 12, and people who received two doses of the Johnson and Johnson vaccine, are currently eligible for a second booster.
Approximately 10.5 million people in the U.S. have received their second booster dose.
“Given the fact that immunity is waning, we’ve got to get people boosted,” Dr. Anthony Fauci told GBH News’s Boston Public Radio on Monday.
In February, unvaccinated adults were 10 times more likely to die of COVID-19 compared to vaccinated individuals and five times more likely to require hospitalization, according to data from the Centers for Disease Control and Prevention.
Compared to fully vaccinated and boosted adults, unvaccinated people were about 20 times more likely to die of COVID-19 and seven times more likely to require hospitalization.
(NEW YORK) — ABC News correspondent Bob Woodruff and his cameraman Doug Vogt were covering the Iraq War in 2006 and embedded with U.S. and Iraqi forces when an explosion nearly killed them.
Woodruff and Vogt were severely injured and rushed to the hospital in Baghdad, the place where Woodruff met the medic who he says helped save their lives, Sgt. Dave Williamson, including by giving them pharmaceutical-grade fentanyl to manage their pain.
Once in the trauma bay, Williamson and his surgical team were able to treat Vogt and Woodruff.
“We knew that [Woodruff and Vogt] were in, in serious, serious, serious dire straits … we just needed to get a tube in your throat and have you breathing off machines,” Williamson said.
Due to the severity of Woodruff’s injuries, Williamson injected him with multiple drugs, including fentanyl. Williamson said he had complete control over the drug, and he knew that it was the kind of opioid that would manage Woodruff’s pain.
“Our go-to drug was fentanyl. So at the time the fentanyl that we had was given in micrograms and it was glass vials,” Williamson said. “We had a very solid understanding of what it is, what it’s capable of doing and also how dangerous it was.”
Fentanyl was developed in 1959 to be used for chronic pain, anesthesia as well as sedation, according to the Drug Enforcement Administration. The drug, according to the National Institute on Drug Abuse, is 50 to 100 times more potent than morphine.
Although fentanyl and other opioids are intended for patients suffering from extreme pain, they are also powerfully addictive and carry strong warnings about the potential for harm.
Today, medical experts say illicit versions of the drug are driving the opioid crisis and contributing to one of the leading causes of drug overdoses in America.
Originally made for sedation during surgery, fentanyl rapidly began infiltrating the illicit drug market. Considered to be one of the most powerful opioids ever created — Mexican cartels are pouring tons of fentanyl over the U.S. border every year, according to the DEA.
Woodruff and Vogt safely returned to the U.S. and, as the war began to wind down, Williamson left the military. The effects of the war, however, stayed with him for years after his return and he was soon diagnosed with post-traumatic stress disorder.
“You’re looking for anything to numb the pain. Even though it may not be physical pain, it’s something that just doesn’t go away,” Williamson said. “It just stays with you and it just gnaws and you’re trying to emotionally cope with everything that happened over the course of 18 months for 12 to 14 hours a day, seven days a week, and you don’t have time to deal with it then, and now you’re home or you’re out of the Army and now you’ve got time to process it.”
Now at home and away from the conflict, the medic who administered opioids to numb his patients’ pain, developed an addiction to them.
“They prescribed me Percocet,” Williamson said about a surgery he had shortly after returning home. “And I rifled through those Percocet like it was nobody’s business and then I just wanted to do it more and more and more and more and more,” he said.
Williamson was then introduced to OxyContin by a close friend, making his addiction even worse. He would often buy the drug on the street and, before realizing it, the spiral descended from painkillers to meth and even heroin.
“So it’s just this sense of loneliness, of solitude and, before you know it, it’s spiraling out of control,” Williamson said.
His wife, Jessica Williamson, also suffered from opioid addiction. Jessica said she had her first contact with the drug after a car wreck when she was 17. She was prescribed painkillers to help her recovery.
“OxyContin came around and that was a huge problem for me, that was really when things got pretty bad for me,” Jessica said.
The couple began struggling to access OxyContin due to its high price, so they found themselves turning to the streets and using cheaper drugs, such as heroin.
One night, the couple says they believe the pills they got from a dealer were laced with fentanyl — the same extremely powerful opioid Williamson had used to treat Woodruff’s nearly fatal injury.
“We’re sitting in this parking lot and David did his and immediately was, you know, nodding out and was in and out. And I thought, ‘Wow, he did too much.’ Then I started throwing up, I thought, ‘Oh my gosh, I did too much.’ But I knew that I hadn’t done more than what I normally do. And I was sick. I mean, it was scary. It was very scary,” Jessica said.
The couple said they would not knowingly take fentanyl. They both believe that without their years of building a tolerance to opioids, those pills would have easily killed them.
The couple’s turning point, however, was when their 3-year-old son witnessed what they had been hiding for years.
“One of the things that was a turning point was when my 3-year-old walked into my room when I was shooting up and I screamed at him to shut the door,” Dave Williamson said.
“And I mean… “Is this what I’m going to do when he’s 30?”
Williamson then decided to join a program to seek treatment for his opioid dependency.
With the help of therapy and support groups, the Williamsons said they have stopped using opioids, and their hope is to keep drugs out of their lives forever.
“Once you’re an addict, you’re always an addict. It’s just that we don’t have the want or the need or the desire to chase it anymore,” Williamson said.
“We both see how our lives were then and we see where our lives are now and we like where we’re at now and we know how slippery of a slope it is.”
In elementary school, his father would offer swigs of Budweiser in the car during their daily pilgrimage from Pomona to Hollywood, California to pick up his mother from cosmetology class, he told ABC News.
Decades later, after churning through dozens of jobs, Martin — who spoke under the condition of anonymity to protect his privacy — found himself in the pandemic’s crosshairs.
Seven days into a gig as a short-order chef, in March 2020, his restaurant shut down and the 44-year old began quarantining with his family. Martin said he tried desperately to abstain from drinking — he adored helping his arthritic mother with chores around the house — but the pandemic only deepened his underlying alcoholism.
“All I ever knew about how to spend my time was to get drunk,” Martin told ABC News, “and I had more of my time than ever before.”
In September, his family kicked him out. Two months later, he was passing out cold on the street, he recalled.
Americans had been drinking more for years ahead of the pandemic. But as COVID forced people to lock down, these patterns only intensified.
New research shows that deaths caused by alcohol shot up, too. And younger Americans — people in their late 20s, 30s and early 40s — were the hardest hit.
Struggling to cope with pandemic stressors
That extra glass of merlot was driven in part by people’s attempts to cope with unprecedented circumstances, Anusha Chandrakanthan, a psychiatrist at Santa Clara Valley Medical Center, told ABC News.
“Social isolation, along with fear of the unknown, have always been major triggers for our patients,” Chandrakanthan added.
At the same time, alcohol became easier to get than ever, said Sara Polley, who directs youth continuum services for Hazelden Betty Ford, a national addiction treatment organization that also runs residential centers.
Relaxed alcohol-delivery laws meant people could order merlots, stouts or vodka to their homes across the country. There, they could pour uninhibited by open tabs or last calls, Polley added.
Heightened stressors, plus ease of access, led to Americans purchasing alcohol at the greatest rate in decades, according to IWSR, an alcohol research organization.
By winter 2021, hospitals around the country reported that alcohol-related admissions increased up to 50% compared to prior years. Hospitalizations leapt higher still during intermittent stay-at-home orders.
Increases in deaths particularly high in young adults
New data now shows that alcohol deaths, which are defined as those where alcohol use disorder is a cause of death on death certificates, have skyrocketed as well.
A study published this week found that deaths rates surged by 25% in 2020. They stayed high in 2021 — 21% above the pre-pandemic baseline — a figure equating to tens of thousands of deaths.
The research builds on data from March that likewise showed increases in alcohol-related deaths. It also reinforced another finding: young adults were hit the hardest.
The observation may reflect a sea change in how younger Americans view alcohol, Aaron White, chief of epidemiology and biometry at the National Institute on Alcohol Abuse and Alcoholism, told ABC News.
“Our kids are, on average, drinking less,” he told ABC News, “but they’re drinking alone more when they do — and they’re drinking in combination with drugs.”
Drinking alongside drugs can be particularly deadly. Historically, one out of every seven opioid deaths also involve alcohol. As opioids overwhelm the country, deaths involving both are only accelerating.
The toll may be higher than we know
And bad as the alcohol death data look, they may actually underestimate the toll, White told ABC News.
Since death certificates rely on examiners’ judgment, not all may screen for alcohol or attribute the death to alcohol if it’s detected.
White points to gaps between death certificates and National Highway Traffic Safety Administration data as evidence: about 10,000 deaths due to drinking and driving captured by NHTSA — fully 90% — were not reflected on death certificates in 2020.
“We know for certain that deaths due to alcohol are undercounted,” White told ABC News, “so, the question is, what’s the true number? And really, we have no idea.”
Will the trend continue?
Whether the mortality spikes are a blip or a trend remains up for debate.
Some experts, like Polley, are hopeful they’ll resolve “as peoples’ lives get slowly but surely back to normal,” she told ABC News.
Others are more concerned.
“All the data says to me that we’re fraying at the edges,” White told ABC News.
At Hazelden Betty Ford, admissions to its residential programs — including its center for young adults — have reached record highs in 2022.
“I don’t see anything to say we’re moving in a better direction,” White told ABC News, “at least, not yet.”
Martin, for his part, is hopeful the pandemic can mean a new beginning.
“That popping sound of that first beer, it used to literally be music to my ears — but not anymore,” he told ABC News.
He found a rare room at a rehab in Long Beach, and he said he’s been faithfully attending AA meetings.
“Now, I just want to see a new me,” he told ABC News, “a me that’s old, sober, and can be there for my mom.”
(LIBERTY, Mo.) — At one Missouri hospital, it’s going to be quite a baby bonanza soon.
Ten nurses and one doctor at Liberty Hospital in Liberty, Missouri, are pregnant at the same time. And, in case you were wondering, none of it was planned and nothing’s in the water.
“There’s a lot of nurses saying they won’t drink the water,” Hannah Miller, 29, told ABC News’ Good Morning America. “One of the nurses actually brought her own water bottle the other night and I was joking with her. I was like, ‘Oh, you’re really not drinking the water,'” the postpartum nurse, who’s expecting her first child, added.
Dr. Anna Gorman of Northland Obstetrics and Gynecology is expecting her second child and said it wasn’t likely that all 11 of them would be pregnant together.
“I think it’s really unique because it’s all in the same unit … and especially like our population ratio, I think is quite high. So sure it happens, but it’s pretty exciting when it’s this big,” the OB-GYN said.
Most of the pregnant staff are nurses with Liberty Hospital’s Birthing Center and said they hope to deliver there when the time comes. They’ve also bonded over their shared experience so far.
“This is definitely a great experience and it’s something that I feel like we’ll probably bond over for a lifetime, having the babies due around the same time,” Alex Atcheson, a labor and delivery nurse, told GMA. “It’s been great to have each other for support and go through pregnancy together.”
The 29-year-old is expecting her third child, along with her colleague, labor and delivery nurse Alison Harrell.
“Alex and I figured out pretty early that we were due the same day,” the 30-year-old said. “And then we started making a list of everyone and people just kept adding to the list as time went on.”
Atcheson and Harrell are 37 weeks along and will welcome their little ones in the next two weeks, with both sharing the same due date of May 27. Their labor and delivery co-worker Katie Bestgen is due in a little over two months, on July 20.
Meanwhile, Christen Burns, 26, joined the club more recently.
“I was one of the last ones to tell everybody that I was pregnant,” she said.
The labor and delivery nurse is expecting her first child and said, “I think it was just more exciting to add to the group and have everybody right there with me.”
In addition to delighting in each other’s happy news, the nurses and co-workers have been sharing their own experiences as well.
“It’s been really helpful. Just like getting advice and tips from my coworkers and especially the ones that have had babies before and just relating and like, ‘Oh, do you have problems with your hips too, or different pains or that kind of thing?'” Cheyenne Beaty said.
For the 26-year-old labor and delivery nurse expecting her first child, she’s appreciated having a built-in support group at work.
“It’s just nice that there’s people around me going through the same thing for sure,” she said.
Therese Byrum, 27, said lately, there have been at least two pregnant staffers working together during a shift and they’ve also had instances where everyone was pregnant during a shift. The obstetric float nurse who rotates between labor and delivery, the NICU, and in postpartum, will be one of the last staffers to give birth. The mom of three is expecting her fourth child on Thanksgiving Day.
(NEW YORK) — Following weeks of increasing infection rates, a growing number of Americans are heading into the hospital in need of care.
On average, nearly 2,400 virus-positive Americans are being admitted to the hospital each day, up by 17% in the last week, according to federal data. Forty-one states and territories have reported increases of 10% or more in their daily number of COVID-19-related hospital admissions.
In the U.S., there continues to be an uptick in the overall number of patients requiring care for COVID-19, with now about 19,100 patients hospitalized across the country. Overall, the total remains significantly lower than every other COVID-19 surge. In January, there were 160,000 patients hospitalized with the virus.
The U.S. is reporting more than 68,000 new cases every day, up by 20% in the last week, and 52% in the last two weeks. The nation’s daily case average has more than doubled in the last month.
Over the last week, nearly every state in the county — 45 states and territories — have seen increases of 10% or more in their daily COVID-19 infection rates.
Last week, counties across the Northeast moved into the “high” risk category for COVID-19 risk, after weeks of increasing cases and hospitalizations.
The “high” community-level transmission suggests there is a “high potential for health care system strain” and a “high level of severe disease.” Thus, the Centers for Disease Control and Prevention recommends people wear a mask in public indoor settings, including schools.
As infection rates continue to increase across the country, some health experts are questioning how much higher totals are than initially reported.
“We’re probably missing a lot,” David Dowdy, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health, told ABC News last week. “I would not be surprised to find out that our confirmed case count is under-counting the total number of cases by a factor of two or three. I think it’s quite possible that we’re having right now, as many cases as we were during the, you know, the delta wave of August or September, certainly not what we had this past winter, but we probably are having a lot more cases than what’s currently being reported.”
While some epidemiologists suggest that hospitalization data has become less reliable, as states stop reporting key metrics, health experts said they are more reliable than case numbers.
“We see that the number of hospitalizations being reported has again increased by about 20 to 30% from the low back in April. So while we may not have a perfect read on those numbers, they are more reliable than the case counts,” Dowdy said.
Despite increases in other metrics, the average of daily COVID-19-related deaths remains at a persistent plateau. The average currently stands at 340 fatalities a day. That is still much lower than during the omicron peak in early February, when the U.S. was reporting more than 2,600 deaths every day.
The U.S. is also now less than 2,500 deaths away from hitting 1 million COVID-19 related deaths, putting the nation on track to reach the milestone in the next week.
(WASHINGTON) — The Biden administration’s stark warning last week that as many as 100 million Americans could be infected during a COVID-19 wave in the fall and winter came as a shock to many in the country.
After all, 70.5% of the eligible U.S. population aged 5 and older are fully vaccinated and 47.8% of those aged 12 and older are boosted, according to the Centers for Disease Control and Prevention.
What’s more, a recent CDC analysis estimated at least three out of every five Americans have antibodies that indicate being previously infected with COVID-19, meaning most people in the U.S. have natural immunity.
So with such high levels of protection, why would up to 30% of the population be infected during a potential new wave?
Scientists and public health experts said the 100 million estimate — based on mathematical models — does not surprise them and that as immunity wanes and people move indoors due to cold weather, cases will inevitably rise.
“Certainly we’re capable of sustaining 100 million infections this winter,” Dr. Shira Doron, an infectious disease physician and hospital epidemiologist at Tufts Medical Center in Boston, told ABC News. “The model doesn’t mean that there will be 100 million cases, but there is the potential for a lot of infections. It doesn’t mean everyone should panic.”
Doron explained that even with the high rates of vaccination in the U.S., immunity diminishes over time and COVID-19’s ability to mutate has helped it evade — at least partially — the protection offered by vaccines.
“Being vaccinated does protect you from serious illness, but it does not [fully] protect you from infection,” she said.
She said when the vaccines first rolled out in the winter of 2020-21, they were based on the original strain of the virus. Because of this, they were protective against infection, severe disease and death.
However, as the virus mutated, those vaccines became less effective at preventing infection while still being highly effective at protecting against the most serious effects of the disease.
“These vaccines are great, but they’re not perfect,” Dr. William Schaffner, a professor of preventive medicine and infectious diseases at Vanderbilt University in Nashville, Tennessee, told ABC News. “They can’t prevent widespread, mild infections. We haven’t got a vaccine that could turn off COVID like a light switch.”
This means it’s possible for Americans who are fully vaccinated and boosted to test positive for COVID-19, but it’s unlikely this group will get severely ill or die.
Another reason the U.S. could see such a high number of infections is because as temperatures drop, people will move indoors, which increases the risk of transmission.
“The weather will get colder, and we’ll start to go indoors again, and we had increased transmission during the last winter season and we may have increases again on the basis of seasonality,” Schaffner said.
The prediction comes as the Biden administration asks Congress for $22.5 billion in funding for testing, vaccines and treatments.
If the funding is secured, a senior administration official told reporters Friday that the country will be better prepared to blunt the effects of the surge and keep hospitalization and death rates low.
If Congress rejects the funding, “the consequences of those 100 million being infected will be higher,” Doron said.
Cuts to funding will decrease testing, leading to COVID-19 infections being spread undetected, and fewer treatments for those at high risk of severe disease, which could lead to hospitalization, she said.
Dr. Peter Chin-Hong, an infectious diseases specialist at the University of California, San Francisco, added this will also limit the number of people who access vaccines, treatments or tests.
“Some vulnerable folks who probably need additional doses will not get it if they have to pay out of pocket for a vaccine or not have it covered,” he told ABC News. “When people are not sure if they will be saddled with a bill, they’ll stay away from accessing care.”
The experts said the best way people can protect themselves ahead of a surge is to make sure they are up to date on their booster shots, whether they are eligible for one or two doses and to follow the advice of public health experts.
“There may be a call to get another dose of vaccine or in specific locations, people may have to wear masks again,” Schaffner said. “Please be open to this. … Be prepared, keep listening and reading updates on the virus in your area.”
Robert Cohen/St. Louis Post-Dispatch/Tribune News Service via Getty Images
(NEW YORK) — The bombshell leak of a draft Supreme Court decision that could overturn Roe v. Wade was disheartening but not surprising to many abortion providers, who have been preparing for the possible end of legal abortion for years.
Whole Woman’s Health operates abortion clinics in Virginia, Maryland, Minnesota, Indiana and Texas. For Marva Sadler, the senior director of clinical services for the abortion provider, recent restrictions on abortion access in Texas offer a hint of what’s to come if Roe is overturned this year.
After Texas’ near-total ban on abortions, SB8, went into effect last year, the number of patients seeking abortions at Whole Woman’s Health’s Texas clinics declined by upward of 50%, Sadler said. Meanwhile, Texas patients have traveled as far as Virginia to obtain an abortion due to waits at closer clinics. Whole Woman’s Health’s Minnesota clinic has seen a 30% increase in the number of patients from Texas since SB8 went into effect, Sadler said.
“Unfortunately, Texas has given us great insight in exactly what we’ll see happening on a much bigger, larger scale,” Sadler told ABC News.
Preparing for an influx
The leak of the Supreme Court draft opinion is not a final decision in the case of Dobbs v. Jackson Women’s Health Organization, which involves a ban on abortions in Mississippi after 15 weeks of pregnancy — before the fetal viability line established by Roe.
The Mississippi law remains under review by the Supreme Court, but 26 states are certain or likely to prohibit abortions if Roe is overturned, according to the Guttmacher Institute, a reproductive health policy research organization.
That includes every state that borders Illinois. Planned Parenthood of Illinois expects between 20,000 to 30,000 more patients would travel to the state each year for abortion care if Roe falls.
“We really do anticipate that that’s going to happen,” Jennifer Welch, president and CEO of Planned Parenthood of Illinois, told ABC News. “And what we have been doing is preparing for a number of years for this eventuality.”
Preparations include expanding the sizes of its health centers, opening two new clinics on the Indiana and Wisconsin borders, launching telehealth services for medical abortions and working with partners like abortion funds and other affiliates “to make sure that there’s a navigation program in place so patients can get the care they need here in Illinois,” Welch said.
Whole Woman’s Health has been assessing the needs at its clinics for years, as abortion access has changed in the states it covers and their neighbors. The organization has already started the process of readjusting its staffing needs should Roe be overturned “to make sure that we are well aware of how far we can expand … and what we need to obtain to move forward,” Sadler said.
Responding to evolving needs
In the wake of SB8, which bans abortions after about six weeks of pregnancy, Whole Woman’s Health has helped women get abortion care out of state if they are unable to in Texas. It launched its Abortion Wayfinder Program, which refers patients to a Whole Woman’s Health clinic in a haven state like Maryland, Minnesota or Virginia, as well as connects them to other ally organizations and funding support. So far, the program has helped over 85 women access or obtain abortion care outside of Texas, Sadler said.
“That program has grown so fast that we’ve not been able to keep up,” she said.
If Roe is overturned, Sadler anticipates its clinics will reassess the needs of the communities they serve in order to continue to provide reproductive health care, such as by continuing to help patients access abortion care outside of Texas.
“Texas will absolutely be one of the states where abortion will become illegal very shortly after and if Roe falls, and so we do have to be prepared and are prepared for what does that post-Roe atmosphere look like for our Texas clinics,” Sadler said. “We’re going to do whatever we possibly could do to see as many patients as we possibly can — where we can, while we can. And in the event that we cannot, then we’ll reassess what those patients in those communities need and how we can be of assistance to them.”
Expanding in safe havens
Some abortion clinics are anticipating opening new facilities in states that are less likely to enact sweeping bans should Roe be overturned.
Shannon Brewer, the director of Mississippi’s only abortion clinic, Jackson Women’s Health, told ABC News’ podcast “Start Here” last week that she’s seeking to open a new location in New Mexico.
“This is not something that is going to just affect Mississippi within the year. This is going to affect upwards of 25 to 26 states, which is half of the United States,” said Brewer.
Sadler said that opening more clinics is “absolutely part of the conversation” at Whole Woman’s Health.
“If women are going to have to make a mass exodus outside of the state to go to where they need to go, we definitely need to pay attention and are paying attention to where those safe havens are, what the current situation can hold and who can hold the influx and where the need may arise in the near future,” Sadler said.
Welch said Planned Parenthood of Illinois is considering opening a new location in southern Illinois.
“We need to know that we have a location that is safe and appropriate for our patients and our staff,” she said. “That would be a while down the road, so we’re so focused on the other ways that we can welcome 20[,000] to 30,000 additional patients into Illinois per year when the Supreme Court overrules Roe.”
‘We’re not leaving these communities’
Trust Women operates abortion clinics in Oklahoma City and Wichita, Kansas. Both have seen an influx of patients since SB8 went into effect; patient volume at the Oklahoma City clinic has doubled since September, with a majority of patients now coming from Texas, according to communications director Zack Gingrich-Gaylord.
The Texas ban has increased waits for care at both clinics. With the Oklahoma governor signing a six-week abortion ban similar to the one in Texas last week, the abortion provider expects delays at its Kansas clinic to get even worse.
Trust Women has been working to increase capacity at its Kansas facility by bringing on additional doctors and increasing the number of clinic days. It also is looking to bring over its Oklahoma staff in the wake of the state’s new restrictions.
If Roe falls, Oklahoma’s trigger law would ban abortion in the state, placing further demand on independent abortion clinics in Kansas, Gingrich-Gaylord told ABC News.
“As more states fall off and access becomes even more limited, then people will not be able to see doctors in clinics,” he said. “There are much better medicines and ways to self-manage abortion now and it’s very safe to do so. But even that still will be out of reach for some people.”
As abortion clinics await the Supreme Court’s decision, Trust Women is working to protect abortion rights in Kansas ahead of an upcoming ballot measure in the August primary that could overturn the constitutional protection for abortion access in the state.
“If Roe falls, Kansas will be the closest legal abortion provider for 7.7 million people across the region,” Gingrich-Gaylord said. “So Kansas’ constitutional protection for abortion matters.”
Though there are challenges to abortion access in Oklahoma and Kansas, Gingrich-Gaylord said Trust Women doesn’t have any plans to leave the states and open clinics elsewhere.
“Our plans are to remain in our communities,” he said. “We may adjust how we do some things, but we’re not leaving these communities and our clinics will stay open and provide some service going forward. We’re not going anywhere.”
(NEW YORK) — At least 109 children have been sickened — including five who have died — from mysterious cases of hepatitis with an unknown cause, officials from the Centers for Disease Control and Prevention said Friday.
Reports of the cases, which have been identified in 25 states and territories over the past seven months, come days after officials from the World Health Organization said that they were investigating similar cases around the globe.
Overall, more than 90% of these patients under investigation in the U.S. were hospitalized, 14% received liver transplants and more than half had a confirmed infection from adenovirus, common viruses that can cause a variety of illness. The majority of these children have fully recovered, officials said.
Officials acknowledged that the increase in cases may be alarming, but overall, the rate of severe pediatric hepatitis cases is still quite rare.
“We know this update may be of concern especially to parents and guardians of young children,” said Dr. Jay Butler, deputy director for infectious diseases for the CDC, told reporters during a phone briefing on Friday. “It’s important to remember that severe hepatitis in children is rare, even with the potential increase in cases that we’re reporting today,”
Officials stressed that this is an evolving situation, and investigators are “casting a wide net” to help determine the cause of these outbreaks.
“Although rare, children can have serious hepatitis, and it’s not uncommon for the cause to be unknown. The 109 patients under investigation were identified as having been all within the past seven months. Not all the cases are recent, and some may of them may ultimately wind up not being linked to the current investigation,” Butler said.
Officials reported that they are working closely with public health experts around the world to understand the global outbreak of cases. Globally, around 278 cases have been identified, according to World Health Organization officials, with many of the sick children under the age of 10.
Thus far, none of the common hepatitis viruses (A, B, C, delta and E) can be traced to the cases and officials do not believe there is any connection to the COVID-19 vaccination, as many children had either not been vaccinated or were not yet eligible to be vaccinated.
Officials repeatedly stressed it is still unknown what is behind this concerning outbreak.
It’s not clear what role other factors may play, such as environmental exposure — including animals, medications, or other infections that the children might have, Butler said.
“Investigators both here and abroad and around the globe are working hard to determine the cause,” Butler said.
A potential connection to adenovirus remains “top of the list” for viruses of interest, and one of the leading hypotheses by investigators for what could be causing the outbreak.
Although there has been no known connection to COVID-19, specifically among the nine cases of severe hepatitis among children in Alabama, Butler said overall, a potential link to COVID-19 is still under investigation.
Health experts recommend that parents be aware of any concerning symptoms that could be linked to hepatitis, including vomiting, dark urine, light colored stools, and yellowing of the skin. Officials encouraged parents to contact their child’s health care provider with any concerns, should any concerning symptoms emerge.
Parents should also take every-day preventative actions to protect against infections, including regular handwashing, avoiding people who are sick, covering coughs and sneezes, and avoiding the touching of the eyes, nose or mouth.
(NEW YORK) — Former NASCAR driver Danica Patrick revealed she had her breast implants removed after suffering medical complications she believes were caused by the implants.
Patrick, who turned 40 in March, shared in an Instagram post that she had her implants removed this month, nearly eight years after undergoing breast augmentation surgery.
“I thought to myself, I want to share this if it makes a difference,” Patrick told ABC News’ Kayna Whitworth in an interview that aired Friday on Good Morning America. “Because I’ve tried so many different things to feel better to look better, all the things, and nothing worked.”
Patrick said she got her silicone implants in 2014, when she was 32-years-old.
“I did it because I wanted to be more perfect,” she said. “I wanted the whole package … I felt like I was very fit and I thought, well, but I just don’t have boobs.”
Four years later, in 2018, Patrick said she started experiencing health concerns, and spent the next four years seeking answers for symptoms including weight gain, inflammation, leaky gut, menstrual changes, heavy metal toxicity and thinning hair.
Patrick said she went to multiple doctors, took thyroid medications, tried a 90-day protocol to heal her gut and at one point was taking “up to 30 pills a day” to improve her health, all to no avail.
Ultimately, Patrick said she came to the conclusion that she had breast implant illness, a term coined by clinicians and patients to describe symptoms reported by women after breast reconstruction or augmentation using implants, according to the Food and Drug Administration.
Dr. Shaun Parson, the Arizona-based plastic surgeon who performed Patrick’s removal surgery, said breast implants can sometimes prompt a “chronic inflammatory response” in the body.
“It’s usually that their bodies have this kind of chronic inflammatory response to this thing, this implant, so your body’s fighting something just like if it had an infection,” said Parson, a board-certified plastic surgeon. “I have seen too many times people get better after you remove their implants, and I think we have work to do to try to figure out why.”
One week after having her implants removed, Patrick said she feels “amazing.”
She said she plans to continue to share her journey with the hope of helping other people.
“My journey is not even over. This is week one,” said Patrick. “There’s going to be tons of testing that still happens. There are going to be physical changes on the inside and outside that I’m happy to share.”
What to know about breast implant illness
Breast implant illness is not yet a recognized medical term but is described by experts as a “diagnosis by exclusion,” according to Diana Zuckerman, Ph.D., president of the National Center for Health Research, who has studied the health impact of breast implants for over 30 years.
“Diagnosis by exclusion means that there is no test for it, but there are tests for other things that have the same symptoms or similar symptoms,” Zuckerman said. “And if there is no other reason for this array of symptoms, then there are doctors who will call it breast implant illness.”
There are as many as 40 symptoms of breast implant illness, but the most common symptoms include joint and muscle pain, fatigue, memory problems or brain fog, hair loss and difficulty breathing, according to Zuckerman.
She said Patrick’s story of taking years to get to a diagnosis is not uncommon for women who suffer health complications due to breast implants.
It can take years for breast implants to start causing complications, which makes it more difficult to link complications back to breast implants, according to Zuckerman, who was not involved in Patrick’s care. She also noted that many of the symptoms of breast implant illness can, and are, attributed to other things.
“When [women] go to the doctor and say, ‘I have joint pain. I’m really tired,’ the doctor will say things like, ‘No wonder you’re tired, you have a young child,’ or, ‘No wonder you’re tired, you’re 45 years old. You’re not 25 years old anymore,” said Zuckerman.
“So there’s been this, some might call it gaslighting, but this sense that these are common symptoms and they could be anything,” she said. “But, what is distinct about them is there are so many women who are experiencing them, and there are very good studies showing when women have these symptoms and they have their breast implants taken out, almost all of them get better.”
Breast implant surgery is considered an elective procedure that is done not only for cosmetic reasons but also for women undergoing breast reconstruction after a medical procedure such as a mastectomy.
Saline-filled and silicone gel-filled are the two types of breast implants approved for use in the United States, according to the FDA.
Breast implants may cause damage if they leak in the body, or because they can cause scar tissue to build in the body, according to Zuckerman.
“When women have a breast implant, their body almost always forms a scar tissue capsule around the implant,” she said. “The body is basically protecting itself by surrounding this foreign body, this breast implant, with scar tissue, and that scar tissue can get very thick and can get very hard and be a bad symptom in that it can be painful.”
Zuckerman said that the popularization of social media has helped women with similar symptoms connect and share their experiences, leading to greater awareness and more diagnoses of breast implant illness.
Patrick wrote on Instagram that she watched “over 100 stories on YouTube” of women with breast implant complications.
“Social media has really made the big difference here,” Zuckerman said. “It wasn’t until Facebook and other social media options became available that women could really share their stories.”
“We’ve certainly known women who’ve spent tens of thousands of dollars on tests and specialists, and nothing helped and then they went online and found a Facebook page or some other social media, and they started reading these stories of other women that sounded just like them,” she said.
In October, the FDA released new guidelines on breast implants, adding a black box warning and a checklist for doctors and patients about potential side effects.
“The patient must be given the opportunity to initial and sign the patient decision checklist and it must be signed by the physician implanting the device,” the FDA noted in its guidelines.
Zuckerman, a member of the working group that advised the FDA on implant safety, said she advises women who are thinking of getting implants to make sure they also have the resources to get them removed later on if needed.
“Don’t get them unless you can afford to have them taken out,” she said. “A lot of women spend all this money getting them put in, and then when they get sick, they don’t have the money to get them taken out. It costs just as much, sometimes more, to have them taken out.”
