China’s ‘zero COVID’ policy: A look back as protests erupt across the country

China’s ‘zero COVID’ policy: A look back as protests erupt across the country
China’s ‘zero COVID’ policy: A look back as protests erupt across the country
yorkfoto/Getty Images

(NEW YORK) — Over the past several days, protests have erupted in cities across China, as citizens push back against the country’s so-called “zero COVID” policy.

Since the virus began spreading across the world in January 2020, China has enforced harsh restrictions, including lockdowns and mass testing in an attempt to prevent outbreaks.

As most countries ease mitigation measures and focus on the importance of vaccination and boosting, China has kept the strict policy in place.

But public resentment over the disruption to daily life is growing, posing a problem for leader Xi Jinping and the ruling Chinese Communist Party.

“The Chinese government does not have a plan B or has not prepared for a way out of this zero COVID policy, and all these lockdowns,” Dr. Ali Mokdad, an epidemiologist with the University of Washington’s Institute for Health Metrics and Evaluation in Seattle, told ABC News.

“You cannot keep a country locked down. Why? Because right now what’s happening in China is the economy has been impacted, the livelihood has been impacted and as a result, lives are being impacted meaning more mental health [crises], quality of life is really bad, more chronic conditions,” Mokdad said.

China implements its zero COVID policy

After the first cluster of patients were discovered in Wuhan in December 2019, a public notice was released on Dec. 31 and, about a week later, Chinese officials announced they had discovered a novel coronavirus.

Lockdowns were implemented in Wuhan, then in the larger Hubei Province — where Wuhan is located — and lastly in most of China. Travel was banned and those who tested positive for COVID with mild or moderate symptoms were removed from their homes to prevent household transmission.

COVID-19 cases peaked in China in early February 2020 before declining to low levels by the end of summer 2020.

At the end of the first wave, the Chinese Centers for Disease Control and Prevention published an article arguing for a zero COVID strategy over more lax mitigation measures.

“The successful containment effort builds confidence in China, based on experience and knowledge gained, that future waves of COVID-19 can be stopped, if not prevented,” the authors wrote. “Case identification and management, coupled with identification and quarantine of close contacts, is a strategy that works.”

Only about 5,000 deaths have been reported in mainland China since the start of the pandemic, fewer than most countries with large populations including the U.S. and the U.K.

“The COVID policies were very effective in preventing people in China from getting the infection and dying, and that was a real achievement for the Chinese government,” Robert Sutter, a professor of practice of international affairs at George Washington University — with expertise in U.S.-China relations and China’s domestic and foreign affairs — told ABC News. “In 2020, they looked really good compared to the United States in particular, and they were handling it just fine and it was working well.”

“With the severe lockdown in Wuhan, they bought us time, all of us to be prepared and the Chinese health officials early on were really open about what they are seeing shared information, which really helped everybody’s response,” Mokdad added. “So, we need to give them that credit.”

Following the first outbreak, similar strict measures were enforced to control outbreaks happening elsewhere in China. But cases are now on the rise and the country reported its first COVID-19 deaths since May.

“Right now, the Chinese government, the policy that they have implemented, as successful as it was in the past first year, is a failure right now quite honestly,” Mokdad said.

Less effective vaccines

In July 2020, the Chinese government allowed the Sinovac COVID-19 vaccine to be administered under emergency use authorization. More than 90% of the population has been vaccinated, according to the government.

However, research has shown the Sinovac vaccine is just 60% effective at preventing severe disease compared to 90% for the Pfizer vaccine and 97% for the Moderna vaccine.

What’s more, when it comes to booster shots, only 69% of those aged 60 and older and 40% of those aged 80 and older have gotten boosted.

A combination of low vaccination rates and people not being exposed to the virus due to lockdowns has led to low immunity coverage.

“So, here you have a country that started a policy of locking down, but it resulted in less immunity,” Mokdad said. “The country, at the same time, has low vaccination coverage, a vaccine that is not effective or has low effectiveness against Omicron and all the variants that came after.”

He added, “So now if they open up, what will happen is they’ll have more cases, more mortality. They’ll overwhelm their hospitals.”

Sutter said it’s not clear why the Chinese government has rejected the Pfizer or Moderna vaccines, but it may be due to rejecting medicine from the traditional West in favor of their own vaccines or trying to convince the rest of the world they have the situation under control.

“On the one hand, they don’t want to bring in the U.S. vaccines given the state of their attitude toward the United States,” Sutter said. “And on the other hand, they don’t want to acknowledge that they mishandled the situation.”

Frustration bubbling

During the early days of the lockdown, Sutter said there was support among the Chinese public for the stringent measures.

However, tensions have been rising and protests have rung out in cities across China, including Shanghai, Guangzhou and the capital Beijing, after a fire in a high-rise building in Urumqi, a city that was under lockdown, led to the deaths of 10 people.

People have questioned whether COVID restrictions prevented residents from fleeing the burning building and first responders from helping.

In addition, the Draconian measures have also led to food shortages and have prevented people from visiting doctors’ offices for non-COVID-related visits.

“The zero COVID policy, it’s very disruptive for people’s lives and it leads to a lot of frustration,” Sutter said. “This has been going on now for three years and so I think there’s just a fatigue factor with it all. And people are fed up with the policy, particularly, as they learn more about other countries in the world, they’re all opening up.”

The government has tried to appease protesters, with Beijing announcing gates will no longer be erected around apartment complexes where COVID-19 cases are detected.

Sutter said he believes local officials may be worried about lifting restrictions because they will get blamed for any deaths.

“The local officials seem to be under the impression that they’re going to be held responsible if there are deaths in their area,” he said. “So, it leads to a very confused situation with a lot of local officials being cautious and therefore not changing the zero COVID policies because if they have a lot of deaths, they will be held responsible, and they will suffer the consequences.”

Meanwhile, over the last week, China has been reporting a record number of COVID-19 infections, mainly due to more transmissible variants.

Mokdad said if China is ever to exit from the zero COVID strategy, officials need to convince the government to accept more effective vaccines and to ease restrictions slowly.

“That’s the key message for the Chinese government, that the virus is not going anywhere,” he said. “It’s mutating, and we have more deadly or more infectious variants. And unless you have immunity, you’re not going to be able to avoid getting infected. And the only way to get immunity is either through infection, which we don’t want, or through vaccination.”

Copyright © 2022, ABC Audio. All rights reserved.

What goes into protecting Prince William and Princess Kate as they visit the US?

What goes into protecting Prince William and Princess Kate as they visit the US?
What goes into protecting Prince William and Princess Kate as they visit the US?
Max Mumby/Indigo/Getty Images

(NEW YORK) — Months before Prince William and Catherine, princess of Wales, were set to visit Boston — their first trip to the U.S. since 2014 — one little-known American government agency sprang into action.

The royal couple on Wednesday begins a three-day swing in Massachusetts culminating in an awards ceremony Friday night.

Agents from the Diplomatic Security Service (DSS) — diplomats with badges and guns — make up their protective detail, according to two senior DSS officials who spoke with ABC News.

“We are the law enforcement and security arm of the U.S. Department of State and we protect the secretary of state, foreign dignitaries who are visiting the United States foreign ministers, former heads of state, members of the royal family, in this case, as well as U.S. citizens, athletes, corporate sponsors,” Andrew Wroblewski the deputy assistant secretary and assistant director of the U.S. Department of State’s Diplomatic Security Service (DSS) for domestic operations, said.

Wroblewski, who served on various protective details himself during his tenure at the agency, said they have been working with the United Kingdom to get the schedule and protection strategy firmed up.

“So, whenever the Diplomatic Security Service has a visiting foreign dignitary, what we do is we assess the threat against that dignitary in the United States,” he explained without getting into specifics about the royal couple’s visit. “We have our Threat Investigations and Analysis Directorate, they’ll actually look at all source reporting from open source to classified intelligence. And we’ll make it a determination on whether or not we need to protect that person and at what level we need to provide protection.”

Matthew O’Brien, the assistant special agent in charge of the Boston DSS field office, the lead office for the visit, told ABC News preparations started in September, and have involved 11 law enforcement agencies — from local police to state police and the federal government.

“I’m confident in the plan we’ve we’ve built,” he said. “I will say that we cannot do anything without our state and local partners.”

The Boston field office is one of the 33 different offices in the United States. Where the agency’s presence is really felt is in the 170 countries the agency is in.

They are also protecting the U.S. Men’s National Soccer team at the 2022 World Cup, according to the officials.

The movements of the royal couple are “choreographed down to the minute” and the same goes for the security plan, O’Brien said.

Copyright © 2022, ABC Audio. All rights reserved.

Housekeeper hospitalized after contact with suspicious powdery substance at luxury five-star hotel

Housekeeper hospitalized after contact with suspicious powdery substance at luxury five-star hotel
Housekeeper hospitalized after contact with suspicious powdery substance at luxury five-star hotel
ABC News / WABC-TV

(NEW YORK) — A housekeeper at a five-star luxury hotel has been hospitalized after encountering a powdery substance in a hotel room that was allegedly left by a man who trespassed on the property illegally.

The incident began on Sunday evening at the Park Hyatt Hotel in Manhattan, New York, when the unnamed suspect swiped into a room on the 11th floor of the upscale midtown hotel at approximately 8:30 p.m.

The room he entered had been vacant for several hours after a family who had been staying at the hotel since Nov. 22 checked out earlier that morning. Authorities believe that the family, who had been allocated five room keys, may have dropped one of them while they were checking out, according to ABC News’ New York City station WABC-TV.

The suspect spent the next 14 hours in the room and left at around 10:30 a.m. on Monday morning. However, when a housekeeper went to go clean the room, she encountered a powdery substance that immediately made her sick, according to WABC.

Personnel from the New York City Fire Department were called to the scene to investigate but since the substance had already been swept up during the cleaning process, authorities tested the remaining residue that was left behind which resulted in a positive test for traces of an explosive substance, according to WABC.

As a precaution, authorities subsequently evacuated the entire 11th floor of the hotel so they could test multiple surfaces around the premises.

“All subsequent tests of the surfaces were met with negative results,” said Assistant Chief James McCarthy of the New York Police Department in a press conference following the incident. “There were no trace amounts of hazardous materials detected. At this time we feel that the earlier test results were a false positive.”

The housekeeper who fell ill was taken to the hospital and is expected to survive.

The hotel is currently investigating why the room key card was not deactivated after the prior guests ended their stay and how the man was able to access the room for such a lengthy period of time.

Authorities have reviewed surveillance footage of the suspect at the hotel and confirmed that they were able to identify him. Though police have not yet publicly confirmed his identity, they say that he has 16 previous arrests for low level crimes and was described as homeless.

“I want to stress to all New Yorkers and visitors that there’s no credible threat against the city at this time,” said McCarthy.

The investigation into the incident, as well as the pursuit of the suspect, is currently ongoing.

Copyright © 2022, ABC Audio. All rights reserved.

In brief: ‘Top Gun: Maverick’ returning to theaters, ‘Tell Me Lies’ gets a season 2, and more

In brief: ‘Top Gun: Maverick’ returning to theaters, ‘Tell Me Lies’ gets a season 2, and more
In brief: ‘Top Gun: Maverick’ returning to theaters, ‘Tell Me Lies’ gets a season 2, and more

ABC Audio has confirmed that the year’s biggest movie, Top Gun: Maverick, will return to theaters for a special engagement, starting December 2, and running through December 15. The movie, which has already grossed nearly $1.5 billion, and boasts a 99% fan score on Rotten Tomatoes, comes to streaming for free for  Paramount+ subscribers on December 22…

Hulu has announced its romantic drama Tell Me Lies will be back for season 2. The series stars Grace Van Patten and Jackson White as college students whose on campus relationship leads to, “an addictive entanglement that will permanently alter not only their lives, but the lives of everyone around them.” The series, which also stars Catherine Missal, Spencer House, Sonia Mena, and Branden Cook, just wrapped up its 10-episode freshman season last month…

In a reversal of a widely-criticized decision from last year’s ceremony, Variety reports that this year’s Oscars telecast will see all 23 categories announced on air. Last year, the Academy of Motion Pictures Arts and Sciences sought to streamline the broadcast by eliminating the categories of makeup and hairstyling, original score, film editing, documentary short, production design, animated short, live action short and sound from the televised show. Jimmy Kimmel returns as host for the 95th Academy Awards on March 12, 2023, live on ABC from Los Angeles’ Dolby Theatre…

Copyright © 2022, ABC Audio. All rights reserved.

Black rhino populations are starting to thrive in Zimbabwe for the first time in decades, experts say

Black rhino populations are starting to thrive in Zimbabwe for the first time in decades, experts say
Black rhino populations are starting to thrive in Zimbabwe for the first time in decades, experts say
International Rhino Foundation

(NEW YORK) — Rhinoceros populations are beginning to rebound in the species’ native home of Zimbabwe, a sign that efforts to preserve the species are working, according to animal conservationists.

The rhino population in Zimbabwe has surpassed more than 1,000 animals for the first time in more than 30 years, according to the International Union for Conservation of Nature Species Survival Commission’s African Rhino Specialist Group. This includes 614 black and 415 white rhinos, listed as critically endangered and near threatened on the IUCN’s Red List of Threatened Species, respectively.

Dedicated conservationists continue to persevere in protecting the country’s rhinos “with great success,” despite soaring costs for food and fuel, according to the International Rhino Foundation, which was founded 31 years ago amid a poaching crisis.

The populations have thrived due to intensive protection, monitoring and management of these animals, Christopher Whitlatch, spokesperson for the International Rhino Foundation, told ABC News.

Included in the population of black rhinos in Zimbabwe’s Bubye Valley Conservancy is Pumpkin, who was injured and orphaned by poachers and continues to flourish after she was re-released into the wild just months later.

During a routine patrol in July 2020, conservationists from the Lowveld Rhino Trust found Pumpkin’s mother, who had been killed by poachers, Whitlatch said. Near her body, the conservationists noticed “little bloody footprints,” to which they tracked down Pumpkin, who was still alive but had been shot in the torso by the poachers and was severely injured, Whitlatch said. She was just about 16 months at the time.

Pumpkin’s will to live was apparent from the get-go, as were her “spunk” and “charisma,” Whitlatch said. She even took a bottle from her caregivers, a foreign concept to baby rhinos that gave them confidence that she would survive.

After some months of rehabilitation, Pumpkin was released in October 2020 back into the protected land, home to most of the rhinos in Zimbabwe and where she continues to thrive today, Whitlatch said.

Pumpkin is monitored on a regular basis, and has even made the acquaintance of a young male black rhino of the same age named Rocky, giving conservationists hope that they will mate and reproduce, Whitlatch added.

However, it has still been a difficult year for rhinos, according to the International Rhino Foundation. After a temporary lull in poaching due to COVID-19 pandemic restrictions, criminal networks have quickly adapted to the new challenges, and poaching rates and trade volume have begun increasing again this year, according to the IRF.

“Large, organized crime groups, who see wildlife trafficking as low-risk, high-reward crime, became even more involved in rhino horn trade during the pandemic, monopolizing key networks and moving higher volumes of horn,” the conservation said in a statement.

Copyright © 2022, ABC Audio. All rights reserved.

Pa. county meeting again to certify midterm results after Republican-led delay

Pa. county meeting again to certify midterm results after Republican-led delay
Pa. county meeting again to certify midterm results after Republican-led delay
adamkaz/Getty Images

(WASHINGTON) — The Luzerne County Board of Elections in Pennsylvania is set to meet on Wednesday to vote again on certifying the county’s results from the 2022 midterm election — two days after an unusual delay caused by two Republicans and one Democrat on the board.

According to ABC affiliate WNEP-TV, two Republican members of the board voted at a Monday meeting against certifying the results while two Democrats voted to certify and one Democratic member abstained.

Local paper The Times Leader reported that the board members who voted not to certify cited paper ballot issues on Election Day, and many who attended the public meeting spoke against certifying the results.

On Election Day in Luzerne County, numerous polling places ran out of ballot paper, but a judge issued an order extending in-person voting hours at the polls.

“We went over everything meticulously as far as the reconciliations, that’s any anomalies were pretty much explained. And it was due to the confusion at the polls because of the paper shortage,” Democratic member Audrey Serniak said at Monday’s meeting.

The board member who abstained, Daniel Schramm, initially told WNEP that “I wanted more information so I could make a sure decision on that it’s right to certify it.”

WNEP later reported that Schramm said Monday, after the vote to delay, that his concerns about the election had been addressed and he was ready to vote to certify.

According to The Times Leader, County Assistant Solicitor Paula Radick said at the Monday meeting that the state or candidates could take legal action against the county for not certifying the results.

The Pennsylvania Department of State told ABC News in a statement on Monday that it had contacted Luzerne County officials “to inquire about the board’s decision and their intended next steps.”

In Pennsylvania’s key statewide races, Republican candidate Mehmet Oz received more votes in Luzerne County in the Senate race, while Democratic candidate Josh Shapiro received more votes by a slimmer margin in Luzerne County in the gubernatorial race.

Shapiro went on to win statewide, defeating Republican Doug Mastriano; Oz lost to Democrat John Fetterman.

The delay in certifying the election results in Luzerne County comes at the same time that a county in Arizona, Cochise County, has also delayed certifying its results, prompting a lawsuit from the Arizona secretary of state.

In Cochise, two Republicans voted on Monday to delay certification over the objections over the board’s lone Democrat, who said in a statement that “the other board members accept[ed] unsubstantiated ideas and unverified claims as facts instead of relying on the Arizona State Elections Office.”

Copyright © 2022, ABC Audio. All rights reserved.

How to build an emergency fund, how much to save for it and how to avoid spending it

How to build an emergency fund, how much to save for it and how to avoid spending it
How to build an emergency fund, how much to save for it and how to avoid spending it
Tetra Images/Getty Images

(NEW YORK) — We’ve been taught to expect the unexpected, and when it comes to finances, the best way to do that is with an emergency fund.

An emergency fund contains cash for unforeseen moments “that throw your life into financial uncertainty and disarray,” said Rebecca Jarvis, ABC News’ chief business and economics correspondent. These could include a death in the family, a debilitating illness, a divorce or a job loss.

“Life is full of surprises and sometimes they have a giant price tag,” Jarvis said.

How much should you save in your emergency fund?

Jarvis points out that emergency funds should be for “hurricanes” as opposed to “rainy day” inconveniences such as car repairs or broken appliances or phones.

“You want to look at your weekly budget — how much are you spending on food and groceries? What is the cost of electricity and utilities? How much do you have to pay for rent or your mortgage? These are all necessities, things that you would have to make payments on in order to keep the status quo,” Jarvis said.

She recommends building up six months’ worth of these expenses for your emergency fund.

“But if you can’t get there right away, at least [try to] have three months worth of savings to cover all the necessities,” Jarvis said, noting that if you have children or job instability, you may eventually wish to save a larger padding.

If that total is a challenge, “it can be helpful to start with a smaller number, like $500, which can still be crucial in getting you through a difficult time,” said Kimberly Palmer, a personal finance expert at NerdWallet, who shared a calculator that can help determine an amount you can strive to reach.

“The goal here is to give yourself that cushion so that you’re not shouldering the financial burden, along with the emotional burden, of these major lifestyle changes,” Jarvis said.

“Knowing that the money is there if you need it creates a peace of mind and a freedom to live in the present and not be thinking constantly about what happens in the future if you don’t have this safety net,” she said.

Where to put your money and how to save

Even though your emergency fund is a last resort, that money should be ready to deploy at a moment’s notice, Jarvis said.

A savings account or a money market fund are options to contain your emergency fund, as are CDs, 401(k)s or even IRAs, but some of these can have fees associated with them for early withdrawals.

As far as contributing toward your emergency fund, Jarvis suggests making it a part of your budget.

“Give a little to that emergency fund every week, every month, until you get to the point where you have those six months of savings on hand,” she said, further suggesting tracking and celebrating your progress along the way.

And if you’re carrying a lot of debt, Jarvis recommends building your emergency savings, even if you have to scale back on debt payments.

“You should be building out that emergency fund before you build out anything else, because it is going to be the underpinnings of having some degree of security and knowing that if the unforeseen crops up, you have the ability to take care of yourself and your family,” she said.

“Having that emergency savings fund can help prevent you from accruing even more debt if you face an unexpected emergency,” Palmer added.

“If you don’t have an emergency savings fund or you’ve depleted your emergency savings fund, create that line item, that small amount in your budget where you are consistently setting a little bit of money aside so that when and if you need it again in the future, you have it,” Jarvis said.

Additionally, Palmer suggests taking a look at your spending on “wants” each month, which can include eating out, subscriptions, clothing, etc.

“If you can cut back on those categories and redirect the money into savings instead, it can be a great way to build up your emergency fund,” she said, noting the 50/30/20 budget plan to assess and reallocate your funds.

Protect your hard work

“In general, you should keep your emergency fund for true emergencies and have other [long-term and short-term] savings accounts for other goals, such as vacations or big purchases,” Palmer said. “Keeping it in a savings account designated for emergencies instead of your daily checking account can be one way to help keep it separate.”

And also make sure you’re assessing “emergencies” with a clear head.

“Here’s a good barometer: Consider whether you actually need something to survive. If you don’t, it’s not an emergency,” Jarvis said.

“Building an emergency savings takes work and the last thing you want is to undo all of that hard work with a decision on the fly,” Jarvis added. “Going on a cruise is not an emergency.”

Copyright © 2022, ABC Audio. All rights reserved.

Festive new holiday candy from Hershey’s, M&Ms and more

Festive new holiday candy from Hershey’s, M&Ms and more
Festive new holiday candy from Hershey’s, M&Ms and more
The Hershey Company

(NEW YORK) — As the holiday season gets underway, confectioners are busily unveiling new festive sweets.

Hershey’s recently shared a peek at some brand new holiday candy, including its first-ever hot chocolate bombs, which are available with marshmallows or cinnamon chips. The chocolate balls will be available for a limited time and melt into a cup of hot cocoa with the addition of warm milk poured directly over top.

“These hot chocolate bombs are the perfect cozy companion to sip on as you wrap holiday gifts and a great stocking stuffer to boot,” The Hershey Company stated in a press release.

Another new confection this year is a Hershey’s Milk Chocolate Holiday bar, which is dressed up for the holidays from the inside out with 24 varieties of seasonal imprinted images such as stars, wreaths, trees, stockings and more.

Dr. Seuss’s The Grinch and The Hershey Company have also partnered once again to make Grinch-themed Hershey’s Kisses. In addition to the 9.5-ounce and 7.4-ounce bags, there is a new tree-shaped decorative gift box filled with the assorted Grinch foil wrapped Kisses.

“The holidays are a special time where we can take a moment to relish in the traditions and enjoy seasonal treats that make the season so cherished,” Katie Behrman, associate brand manager of seasons at The Hershey Company, said in a statement.

For fans of candy coated chocolate M&Ms, the company released a new array of personalized gift jars and dispensers that are perfect for Christmas, Hanukkah or Kwanzaa, priced from $29.99 to $49.99.

The limited time holiday boxes are an easy, ready-to-go gift, and are filled with the iconic candy.

Another item hitting shelves in time for seasonal celebrations are the new espresso and dark chocolate M&M’s, the latest flavor innovation with a bold burst of coffee flavor.

The new candy bowl must-have ranges from $3.75 to $4.49 per pack.

Copyright © 2022, ABC Audio. All rights reserved.

Concerns grow over online ADHD diagnoses

Concerns grow over online ADHD diagnoses
Concerns grow over online ADHD diagnoses
Virojt Changyencham/Getty Images

(NEW YORK) — Approximately 10 million adults have attention-deficit/hyperactivity disorder (ADHD), according to CHADD, a respected ADHD organization founded in 1987.

Now, some telemedicine services which advertise an easy path to get evaluated for a possible ADHD diagnosis and obtain a prescription, completely virtually, have entered the landscape and some experts and authorities are taking a closer look.

According to the Centers for Disease Control and Prevention, stimulants, a controlled substance, are the best-known and most widely used medications to treat ADHD.

When not used as prescribed, stimulants can also be misused — as they can be addictive, according to a report done by the Drug Enforcement Agency (DEA). Chronic misuse of amphetamines, a category of stimulants that are commonly prescribed for ADHD, and whose effects are similar to cocaine, can produce psychosis, which “is characterized by paranoia, picking at the skin, preoccupation with one’s own thoughts, and auditory and visual hallucinations,” according to the DEA.

Health experts, like Dr. Judith Joseph, a board-certified psychiatrist, say telemedicine can be used safely in many medical contexts, but patients should be cautious.

“Telemedicine is really important. It’s a game changer,” said Joseph. “However, when it comes to prescribing medications that are potentially harmful for your health, you really want to be careful.”

Getting a diagnosis and prescription through telemedicine

In order to understand how the online diagnosis and treatment of ADHD may work in some cases, Joseph and ABC News’ Good Morning America worked with two patients, initially, one with ADHD and one without. They used the platform Done, which describes itself as “a digital health company that is making high quality psychiatric chronic care management more accessible and affordable for patients.”

Emily has been diagnosed with ADHD and on medication for years, while Madeline has never been diagnosed with ADHD and said she doesn’t have the condition.

Both begin the process by taking a quick two-and-a-half-minute questionnaire, answered truthfully, before they set up their telemedicine evaluation.

With the guidance of Dr. Joseph, Emily is the first to meet online with the nurse practitioner, who accesses Emily’s prescription history in the state’s online prescription monitoring program, and offers to renew her same medication.

Madeline is referred to the same practitioner and mentions having some recent stressors that have occasionally affected her concentration, but Joseph said that does not constitute ADHD. After a series of questions, the practitioner offered Madeline a choice from eight medications, including five stimulants and three non-stimulants.

“It felt like I was at a candy store and just could pick whichever one that I wanted,” said Madeline.

Joseph said she’s never seen anything like it in her career.

“What’s interesting is that the actual questionnaire listed all of the criteria, and [Madeline] still did not meet criteria based on the questionnaire. So it’s really quite upsetting,” said Joseph.

As a follow-up, Joseph observes a third patient testing the online diagnosis process. Jamie has also never been diagnosed with ADHD and said she doesn’t have a problem concentrating. She sets up an online appointment and is matched with a different nurse practitioner than the first two patients.

Joseph said she watched the nurse practitioner prescribe medication to Jamie “based on her desire to obtain a prescription.”

“The prescriber literally told the patient that she did not meet criteria for any diagnosis,” said Joseph. “And that he would prescribe her medications if she wanted it and then asked her, ‘Do you want me to diagnose you so that you can get a medication or a prescription?’”

ABC News reached out to both nurse practitioners, but did not hear back from one and the other declined to comment.

Done Global Inc. (Done.) provided ABC News with a statement that said the company “…is not a healthcare provider.”

“Done. is an online membership-based platform that allows individuals to connect with qualified clinicians to treat ADHD patients… [Clinicians] evaluate patients and make their own clinical determination on treatment. Clinicians are not employees nor contractors with Done,” said part of the statement.

Done also tells ABC News they are committed to increasing access to ADHD care to help more patients.

When it comes to a proper evaluation, according to CHADD, who conducts the evaluation matters — look for a healthcare provider who is an expert in evaluating and treating ADHD. A proper evaluation takes time and is important to ensure a correct diagnosis prior to stimulant prescription, especially given the risks of stimulant misuse.

Copyright © 2022, ABC Audio. All rights reserved.

Hailey Bieber reveals she has ovarian cyst: What to know about the condition

Hailey Bieber reveals she has ovarian cyst: What to know about the condition
Hailey Bieber reveals she has ovarian cyst: What to know about the condition
ANGELA WEISS/AFP via Getty Images

(NEW YORK) — Hailey Bieber, who suffered a mini-stroke earlier this year, is opening up about another health complication.

Bieber, 26, shared on Instagram Monday that she has a cyst the size of an apple on her ovary.

“It’s painful and achey [sic] and makes me feel nauseous and bloated and crampy and emotional,” Bieber wrote over a photo of herself, posted on her Instagram story.

Bieber also wrote that she has had a cyst on her ovary before, saying, “It’s never fun.”

She also said she does not have endometriosis or polycystic ovary syndrome (PCOS), two conditions that can cause ovarian cysts.

The Rhode Skin founder did not share any additional information about the cyst but said she thought other women could relate to what she’s going through, writing, “We got this,” alongside three peace sign emojis.

According to the U.S. Office on Women’s Health, women form at least one cyst every month as part of the normal ovulation cycle, while around 8% of premenopausal women develop cysts large enough to need treatment.

What to know about ovarian cysts

An ovarian cyst is a fluid-filled sac that forms in the ovaries.

Cysts are formed every single month in the ovulation process, according to the Office on Women’s Health. Most of the cysts are what gynecologists call “functional cysts” and do not cause specific symptoms.

Any cysts that develop after menopause are not normal and should be evaluated by a doctor, as they are more likely to be cancerous, according to the U.S. Office on Women’s Health.

Symptomatic ovarian cysts can be caused by hormonal problems, endometriosis, pregnancy and severe pelvic infections, according to the Office on Women’s Health.

If an ovarian cyst does cause symptoms, they may include bloating, pressure or pain near where the cyst is located.

Most functional ovarian cysts are about the size of a walnut. However, symptomatic ovarian cysts can grow to the size of a grapefruit, and in some cases, can grow to several pounds in weight.

Symptoms for a ruptured ovarian cyst may include dizziness, nausea, vomiting and intense pelvic or abdominal pain on the side of the body where the cyst is located. Ruptured ovarian cysts can mimics symptoms of appendicitis, ovarian torsion and ectopic pregnancies that are medical emergencies. The Office on Women’s Health recommend seeking immediate medical attention if a woman is having sharp, sudden abdominal pain especially if accompanied by vomiting, fever, dizziness, weakness or rapid breathing.

The majority of ovarian cysts resolve on their own and most are benign, according to Dr. Jennifer Ashton, ABC News’ chief medical correspondent and a board-certified OB-GYN.

If a cyst is small, the doctor will implement what Ashton calls “watchful waiting” to see if the cyst resolves itself on its own.

Treatment for a larger ovarian cyst typically begins with a sonogram or ultrasound so the doctor can look for features that would indicate the cyst is benign. If there is not suspicion, the doctor will likely have the patient come back in four to six weeks for another checkup, according to Ashton.

If there is a suspicion of cancer, a doctor will likely order further testing.

Problematic cysts can be removed through surgery. The National Institutes of Health estimates that 5% to 10% of women have surgery to remove an ovarian cyst.

Women with frequent or painful cysts may be advised by their doctor to take over-the-counter pain medication or hormonal birth control, according to the Office on Women’s Health.

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