Breaking News
February 23, 2019 - Surprise rheumatoid arthritis discovery points to new treatment for joint inflammation
February 23, 2019 - A just-right fix for a tiny heart
February 23, 2019 - Owlstone Medical and Shanghai Renji Hospital collaborate to initiate breath biopsy lung cancer trial
February 23, 2019 - AMSBIO’s comprehensive portfolio of knock-out cell lines and lysates
February 23, 2019 - New app reliably determines physicians’ skills in forming accurate, efficient diagnoses
February 23, 2019 - Peripheral nerve injury can trigger the onset and spread of ALS, shows study
February 23, 2019 - Researchers uncover mechanisms that prevent tooth replacement in mice
February 23, 2019 - Once-a-day capsule offers new way to reduce symptoms of chronic breathlessness
February 23, 2019 - FDA Adds Boxed Warning for Increased Risk of Death with Gout Medicine Uloric (febuxostat)
February 23, 2019 - Phone-based intervention aids rheumatoid arthritis care
February 23, 2019 - Opioid epidemic makes eastern inroads and targets African-Americans
February 23, 2019 - New identified biomarker predicts patients who might benefit from HER2-targeted agents
February 23, 2019 - Study offers new insights into mechanisms of changes in erythrocytes under stress
February 23, 2019 - Antipsychotic polypharmacy may be beneficial for schizophrenia patients
February 23, 2019 - Researchers investigate how marijuana and tobacco co-use affects quit attempts by smokers
February 23, 2019 - Patients with diabetes mellitus have high risk of stable ischemic heart disease
February 23, 2019 - Transparency on healthcare prices played key role in Arizona health system’s turnaround
February 23, 2019 - A comprehensive, multinational review of peppers around the world
February 23, 2019 - Study finds modest decrease in burnout among physicians
February 23, 2019 - A simple change can drastically reduce unnecessary tests for urinary tract infections
February 23, 2019 - Deep Learning-Enhanced Device Detects Diabetic Retinopathy
February 23, 2019 - Researchers discover new binding partner for amyloid precursor protein
February 23, 2019 - Modest decrease seen in burnout among physicians, researchers say | News Center
February 23, 2019 - Transplanting bone marrow of young mice into old mice prevents cognitive decline
February 23, 2019 - Mogrify to accelerate novel IP and cell therapies using $3.7m USD funding
February 23, 2019 - Johns Hopkins study describes cells that may help speed bone repair
February 23, 2019 - Scientists demonstrate influence of food odors on proteostasis
February 23, 2019 - Researchers unlock the secret behind reproduction of fish called ‘Mary’
February 23, 2019 - Acupuncture Could Help Ease Menopausal Symptoms
February 23, 2019 - Researchers use AI to detect early signs of Alzheimer’s
February 23, 2019 - On recovery, vulnerability and ritual: An exhibit in white | News Center
February 23, 2019 - Memory Stored in Unexpected Region of the Brain
February 23, 2019 - Several health experts worldwide gather at EUDONORGAN event
February 23, 2019 - Discovery of potent compound in native California shrub may lead to treatment for Alzheimer’s
February 22, 2019 - Researchers create new map of the brain’s own immune system
February 22, 2019 - ICHE’s reviews on surgical infections, unnecessary urine tests, and nurses’ role in antibiotic stewardship
February 22, 2019 - UK Research and Innovation invests £200 million to create new generation of AI leaders
February 22, 2019 - Takeda collaboration to boost fight against Alzheimer’s and other neurodegenerative diseases
February 22, 2019 - Heavy drinking may change DNA, leading to increased craving for alcohol
February 22, 2019 - U.S. opioid deaths jump fourfold in 20 years; epidemic shifts to Eastern states | News Center
February 22, 2019 - 5 Questions with William Turner on Diversity in Medicine
February 22, 2019 - HHS Finalizes Rule Seeking To Expel Planned Parenthood From Family Planning Program
February 22, 2019 - Researchers uncover biochemical pathway that may help identify drugs to treat Alzheimer’s
February 22, 2019 - Biologist uses new grant to find ways to eliminate schistosomiasis
February 22, 2019 - Bag-mask ventilation to help patients breathe during intubation prevents complications
February 22, 2019 - AbbVie Announces New Drug Application Accepted for Priority Review by FDA for Upadacitinib for Treatment of Moderate to Severe Rheumatoid Arthritis
February 22, 2019 - Nature versus nurture and addiction
February 22, 2019 - New website connects researchers with data experts, resources | News Center
February 22, 2019 - Today’s Concerns About Drug Prices Echo The Past
February 22, 2019 - CT and Doppler equipment have low accuracy in detecting cerebral vasospasm and ischemia
February 22, 2019 - Study finds out similarity in function between healthy retina cell and tumor cell
February 22, 2019 - CWRU awarded NIH grant to identify effective treatments for intimate partner violence
February 22, 2019 - Oncotype DX Not Cost-Effective for Low-Risk Breast Cancer
February 22, 2019 - Scientists discover new type of immune cells that are essential for forming heart valves
February 22, 2019 - Talk About Déjà Vu: Senators Set To Re-Enact Drug Price Hearing Of 60 Years Ago
February 22, 2019 - Genetic defect linked to pediatric liver disease identified
February 22, 2019 - New cellular atlas could provide a deeper insight into blinding diseases
February 22, 2019 - Growing number of cancer survivors, fewer providers point to challenge in meeting care needs
February 22, 2019 - Innovative compound offers a new therapeutic approach to treat multiple sclerosis
February 22, 2019 - $1.5 million grant to develop opioid treatment program for jail detainees
February 22, 2019 - FDA’s new proposed rule would update regulatory requirements for sunscreen products in the U.S
February 22, 2019 - Most Hip, Knee Replacements Last Decades, Study Finds
February 22, 2019 - Wellness problems prevalent among ob-gyn residents
February 22, 2019 - In the Spotlight: “The world is your oyster in geriatrics”
February 22, 2019 - Successful testing of multi-organ “human-on-a-chip” could replace animals as test subjects
February 22, 2019 - Analysis of cervical precancer shows decline in two strains of HPV
February 22, 2019 - Sugary stent eases suturing of blood vessels
February 22, 2019 - From surgery to psychiatry: A medical student reevaluates his motivations
February 22, 2019 - Is New App From Feds Your Answer To Navigating Medicare Coverage? Yes And No
February 22, 2019 - New pacemakers powered by heartbeats could reduce need for surgery
February 22, 2019 - The United States records highest drug overdose death rates
February 22, 2019 - Heart attacks more likely to be fatal in women and rates are rising
February 22, 2019 - Morning walks could be better than drugs at lowering blood pressure
February 22, 2019 - Phase 1 data reinforce safety profile of new drug for treating Duchenne muscular dystrophy
February 22, 2019 - Vitamin D supplementation less effective in the presence of obesity, shows study
February 22, 2019 - Novostia raises CHF 6.5 million to advance its aortic, mitral heart valve to clinical trials
February 22, 2019 - CPRIT awards nearly $20 million to The University of Texas MD Anderson Cancer Center
February 22, 2019 - Sarepta Announces FDA Acceptance of Golodirsen (SRP-4053) New Drug Application for Patients with Duchenne Muscular Dystrophy Amenable to Skipping Exon 53
February 22, 2019 - An institutional effort to reduce the amount of opioids prescribed following lumbar surgery
February 22, 2019 - Family-history-based models perform better than non-family-history based models
More $$ Needed for Health Emergencies, Senators Told

More $$ Needed for Health Emergencies, Senators Told

image_pdfDownload PDFimage_print

WASHINGTON — The Department of Health and Human Services (HHS) needs more funding to effectively prepare for public health emergencies, an HHS official said at a Senate hearing Wednesday.

“We can’t do more things with limited resources,” Robert Kadlec, MD, HHS assistant secretary for preparedness and response, told members of the Senate Health, Education, Labor, & Pensions (HELP) Committee. “We have to highlight the fact that right now we’re operating with about half an aircraft carrier [in terms of the] resources to do this mission, to protect 320 million people. And that’s a challenge.”

“We have a $3.3 trillion healthcare system, of which we invest $250 million for preparedness … It’s just a drop in the bucket.”

The hearing focused on the pending reauthorization of the Pandemic and All-Hazards Preparedness Act (PAHPA), a 2006 law that established Kadlec’s position at HHS and implemented several programs aimed at getting the nation ready for emergencies, such as developing and acquiring drugs and vaccines to be used when needed.

“We should be proud of the accomplishments of PAHPA and the progress made over the past decade,” said committee member Sen. Richard Burr (R-N.C.). “It’s created greater certainty and accountability … and established a clear strategy with which we can combat public health threats we face today. But despite this progress, we’re not fully prepared, and more work remains to accomplish this goal.”

The hurricane in Puerto Rico provided solid evidence that much work still remains, testified FDA Commissioner Scott Gottlieb, MD. “The hurricane showed the importance of Puerto Rico to the medical product manufacturing base, and the inadequacies of our supply chain,” he said.

Saline solution in particular has been in and out of shortage for several years, and when one manufacturers lowers production there is stress on the entire system, Gottlieb continued. “One [major saline manufacturer] is Baxter and their [big site] is in Puerto Rico … Many plants lost power after the storm and roads were disabled … We worked to make sure they could get back on the power grid on priority basis to stabilize production.” The agency also worked to get saline imported from abroad.

But the shortage also had ripple effects, he added. “One strategy had hospitals compounding the product themselves, causing an increased demand for empty IV bags … The FDA is taking steps to address this situation; I’ve reached out to some [bag] manufacturers personally to [find out about] increased production should the shortage continue to increase.”

Sen. Patty Murray (D-Wash.) the committee’s ranking member, asked what was being done to help special needs patients during public health emergencies, including people with disabilities, children, and pregnant women. “PAHPA acknowledges that specific attention needs to be paid to at-risk individuals,” she said.

Stephen Redd, MD, director of the office of public health preparedness and response at the CDC, said guidance at his agency “requires states to have a plan for persons with functional needs. We also work closely with the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists to make sure those needs are being covered.” And in the drug stockpile that the government keeps for emergencies, “we’ve made progress producing products for kids, such as oseltamivir (Tamiflu) in suspension form which is targeted to children.”

While the law gave the FDA new authority with regard to pediatric dosing requirements, “we need better animal models … that allow us to predict what the therapeutic impact is going to be on the pediatric population,” said Gottlieb. “This is a scientific base that still needs further development.”

HHS worked to help patients with disabilities during the hurricanes, Kadlec noted. The agency’s emPOWER initiative, for example, “allows us to identify people who are dependent on medical equipment. In Florida we were able to do reverse 911 calls to people at risk, well before evacuation orders, to advise them that they should consider leaving before things get worse.”

The National Disaster Medical System is one area that needs more work, he added. “We would like to take the lessons we learned from Ebola, where we created a national center of excellence in Nebraska for infectious diseases, and replicate that” in other areas, such as pediatrics, as a way to create a critical mass of expertise.

Although the hearing was generally convivial, Murray expressed disappointment at the meeting’s outset that CDC director Brenda Fitzgerald, MD, couldn’t testify because of conflicts of interest presented by her investments.

“Our CDC director still has to recuse herself on some of the important health issues that we face, including issues related to data collection and information sharing, which are very relevant to the conversation we’re having today. I’m concerned she still can’t give her full attention to all of the pressing health threats we face, and I hope all these conflicts will be resolved soon,” she said.

Committee member Sen. Johnny Isakson (R-Ga.) responded that, as chairman of the Senate Select Committee on Ethics, he had spoken with Fitzgerald on Wednesday “and I have gotten her in touch with the appropriate people to deal with the issue. She is forthrightly dealing with it to the best I can determine and I’m working expeditiously to see that we can get it done as quickly as possible, so she will not be in conflict to testify whatsoever. And that is her desire as well.”

The committee will continue discussing PAHPA at a hearing next Tuesday.

2018-01-17T16:45:37-0500

Tagged with:

About author

Related Articles