Asthma and Allergy Foundation of America (AAFA) and IMPACT DC Partner on Bridging Health Disparities Gap

AAFA, IMPACT DC team up with a focus on expanding nationwide community health programming

Image courtesy IMPACT DC
Image courtesy IMPACT DC
Image courtesy IMPACT DC

Washington D.C., Oct. 08, 2020 (GLOBE NEWSWIRE) — In the United States, the burden of asthma falls disproportionately on poor, low-wealth, and minority populations. Decades of research and public health data show stark disparities in asthma prevalence, mortality and health care utilization along socioeconomic, racial, and ethnic lines with Black, Hispanic and Indigenous Americans under the heaviest burden. This was once again demonstrated in the comprehensive report Asthma Disparities in America: A Roadmap to Reducing Burden on Racial and Ethnic Minorities issued by the Asthma and Allergy Foundation of America (AAFA).

The problem can’t be solved alone. That’s why AAFA and the Improving Pediatric Asthma Care in the District of Columbia (IMPACT DC) Asthma Clinic at Children’s National Hospital are coming together to lead a national collaborative dedicated to reducing asthma disparities by strengthening self-sustaining, community-based asthma management. The goal is to implement a new, national model that will reduce emergency room visits, cut death rates, lower school and work absences, bring down health care spending, and improve quality of life within the next ten years.

“Community programs have proven to be an effective intervention tool for improving health outcomes in local communities,” said Kenneth Mendez, president and CEO of AAFA. “Unfortunately, systemic barriers get in the way of the growth of these programs on a national scale. Our partnership with IMPACT DC helps advance our mission of prioritizing policies and programs to improve asthma health for Americans most at risk while dismantling systems that fuel harmful disparities. Making a real and lasting difference is an achievable goal when groups and individuals with a shared, critical interest come together. Partnering to find sustainable solutions will help lead to a vast reduction in asthma disparities and help promote health parity overall. When we narrow gaps in asthma care and outcomes for underserved groups of people, we truly advance care and management for everyone with asthma.”

“Despite novel treatments and guideline-based care, asthma remains a significant public health problem, disproportionately affecting minorities and socioeconomically disadvantaged children. Asthma health disparities are often due to the effects of poverty and substandard housing, with environmental triggers as a major contributor. At IMPACT DC, we partner with local housing organizations and the government to improve poor indoor air quality due to mold and other hazards,” said Dr. Shilpa Patel, medical director at IMPACT DC and attending physician in the division of emergency medicine at Children’s National Hospital. “Coordinating world-class care at Children’s National Hospital, with our incredible community partners, has allowed us to improve the lives of the most at-risk children with asthma.  We hope to leverage AAFA’s national platform to bring together programs in other cities so that we can learn from each other and create a best-practice model to address pediatric asthma health disparities at the national level.”

AAFA and IMPACT DC will bring leading experts together to share best

Biden Says He Will Debate Trump Following President’s COVID-19 Diagnosis if Experts Say It’s Safe | America 2020

Democratic presidential nominee Joe Biden on Monday indicated he would participate in the next scheduled debate with President Donald Trump if experts determined it was safe.

“I’ll do whatever the experts say is appropriate to do,” Biden told reporters before he boarded his campaign plane.

He said he would “listen to the science” to make the decision, adding that “we should be very cautious.”

The former vice president and his wife, Jill Biden, are scheduled to deliver remarks in Miami later Monday. The pair has so far tested negative for the virus following the news that Trump and several people in his inner circle were diagnosed with COVID-19.

Photos: Donald Trump, the Past 2 Weeks

trump covid

Biden declined to comment on Trump’s excursion from Walter Reed National Military Medical Center on Sunday to wave at supporters from inside a car. He also did not want to comment on Trump’s health, saying he would “leave that to the doctors.”

The next presidential debate is scheduled for Oct. 15.

The Centers for Disease Control and Prevention recommends that isolation and other precautions for most people can generally be discontinued 10 days after symptom onset if they have been fever-free for 24 hours without the help of medication and other symptoms are improving. But if a patient was admitted to a hospital and needed oxygen, they might need to isolate longer, possibly up to 20 days after symptoms first appeared.

Trump used supplemental oxygen on Friday, according to his medical team, and was later admitted to Walter Reed medical center.

But Trump could stop isolation earlier than the criteria indicates if he receives two negative tests results in a row at least 24 hours apart from each other, according to CDC guidance.

The latest in Trump’s inner circle to test positive for the virus was White House press secretary Kayleigh McEnany on Monday.

The president’s medical team indicated on Sunday that Trump could be released from the medical center to return to the White House as early as Monday. The team noted two incidents of drops in Trump’s oxygen levels since he tested positive. The most recent drop, which happened Saturday morning, prompted doctors to put the president on dexamethasone, a widely available steroid that has been shown to reduce death in severe COVID-19 cases.

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The Compounding Effect of Colon Cancer Disparities in America

In August, acclaimed actor Chadwick Boseman tragically passed away at age 43 after a four-year battle with colon cancer. Boseman played the role of Black Panther as well as several African American historical icons, some of which he filmed while quietly undergoing cancer treatment.

(Getty Images)

Colorectal cancer, which is characterized by the uncontrolled growth of abnormal cells in the colon or rectum, accounts for 8.2% of all new cancer cases and is the second leading cause of cancer death in the United States. Colon cancer also disproportionately affects communities of color and economically marginalized populations.

As part of U.S. News’ ongoing series on health equity, U.S. News data analysts took a closer look at disparities in colon cancer and found stark differences in who was diagnosed, at what stage, and how they fared. Black, Hispanic and low socioeconomic status patients were less likely to be screened, more likely to be admitted for an emergent procedure, and had an increased risk of mortality and shorter overall survival time compared with wealthier, white patients. This analysis, combined with an investigation of peer-reviewed literature and interviews with clinical experts, revealed the pivotal role that preventive care has in driving some of these disparities.

Factors that contribute to cancer disparities across racial and socioeconomic lines are complex and interrelated. Socioeconomic status here refers to individuals who are simultaneously enrolled in both Medicare and Medicaid. In 2018 there were 12.2 million dual eligible beneficiaries, 60% of whom have multiple chronic conditions, according to the Centers for Medicare & Medicaid Services.

Many dual eligible patients also experience a higher burden of social risk factors, such as poverty and limited access to community resources, and need ongoing long-term care services and support. The racial breakdown of Medicare beneficiaries by dual eligibility status in Table 1 shows that both Black and Hispanic patients are overly represented in the dual eligible portion of the population, when compared with the breakdown of all eligible beneficiaries. For example, despite making up only 11% of all Medicare beneficiaries, Black patients are 20% of dual eligible beneficiaries. This trend is reversed for white patients, who comprise 80% of all Medicare beneficiaries but just 62% of dual eligible beneficiaries. These statistics indicate that Black and Hispanic Medicare beneficiaries are more likely to be dual eligible than their white counterparts.

Among Medicare patients with colon cancer who underwent surgery, Black and Hispanic patients experienced longer hospital stays, and they were more likely to be readmitted to the hospital within 30 days of the procedure compared with their white counterparts, after accounting for comorbidities. While Hispanic patients had an increased risk of mortality within 30 days of the procedure, there was a reduced risk of death among Black patients, when compared with white patients. Figure 1 demonstrates the risk of these outcomes by race and socioeconomic status. Within each race and ethnic category, we see that dual eligible patients in fact consistently experience a higher risk of poor outcomes after undergoing colon cancer surgery.

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Trump, Biden Butt Heads on U.S. Coronavirus Response, Vaccines and Mask-Wearing | America 2020

President Donald Trump and former Vice President Joe Biden unsurprisingly presented vastly different views of the status of the coronavirus pandemic in the U.S. during the first general election debate Tuesday night.

Trump attempted to blame China for the outbreak, saying that his administration has done a “great job” responding to the pandemic. He claimed that if Biden were in charge, millions instead of hundreds of thousands would have died across the nation.

“We’ve done a great job,” Trump said. “But I tell you, Joe, you could never have done the job we’ve done. You don’t have it in your blood.”

Biden, meanwhile, tried to paint Trump as an uncaring leader with no plan.

“Forty thousand people a day are contracting [COVID-19]. In addition to that, about between 750 and 1,000 people a day are dying,” Biden said. “When he was presented with that number he said, ‘it is what it is.’ Well, it is what it is because you are who you are.”

Biden’s numbers are correct according to government statistics compiled by USAFacts. While cases and deaths are below what they were during their previous peaks, they are still elevated.

(USAFacts)

(USAFacts)

Like much of the debate, the candidates frequently talked over each other and laced their answers with insults and misstatements.

The two clashed on vaccines and mask wearing, with Trump saying that vaccine development is a “very political thing.” The president acknowledged his disagreements with scientists in his own administration, including his past clash with Robert Redfield, director of the Centers for Disease Control and Prevention, over the vaccine timelines and the effectiveness of wearing face coverings.

Trump repeated his claim that a vaccine announcement could come in just weeks, though public health experts have said it will take some time to be made available to the public. He also said it would be delivered to the public “right away.”

Biden appeared to address viewers as he countered: “Do you believe for a moment what he’s telling you, in light of all the lies he’s told you about the whole issue relating to [COVID-19]?”

The former vice president cited comments Trump made to journalist Bob Woodward back in February that the virus is “deadly stuff” and “more deadly than even your strenuous flu.” Trump has repeatedly tried to minimize the backlash he received over his statements to Woodward related to the pandemic.

Trump was also questioned on his view of wearing masks to help prevent the spread of the virus. He said he thinks masks are OK, adding that he puts one on when he feels he needs it. However, Trump earlier this month claimed that masks are a “mixed bag.”

Biden said masks “make a big difference,” citing statements from Redfield who has said they are “the most important, powerful public health tool we have.”

The U.S. topped 7 million cases of the coronavirus and 200,000 deaths last week. It’s the most reported infections and fatalities of any country. Public health officials have

America ranks at the top of the world’s 1 million death toll

More than 1 million people have died worldwide from Covid-19, and the United States accounts for more than 20% of the death toll.



a flag on top of a grass covered field: Activists from the COVID Memorial Project mark the deaths of 200,000 lives lost in the U.S. to COVID-19 after placing thousands of small American flags places on the grounds of the National Mall in Washington, Tuesday, Sept. 22, 2020. (AP Photo/J. Scott Applewhite)


© J. Scott Applewhite/AP
Activists from the COVID Memorial Project mark the deaths of 200,000 lives lost in the U.S. to COVID-19 after placing thousands of small American flags places on the grounds of the National Mall in Washington, Tuesday, Sept. 22, 2020. (AP Photo/J. Scott Applewhite)

In less than nine months, the death toll jumped from one coronavirus-related death — in Wuhan, China, on January 9 — to 1,002,628 early Tuesday, according to data from Johns Hopkins University. The US has been hit hard by the virus, with almost 7.2 million reported infections and more than 205,000 deaths.

With recent spikes in US cases, health experts warn things could soon get worse.

Only 20 states are holding steady when it comes to the average of daily new cases compared to last week, while 23 are reporting increases: Alabama, Alaska, Colorado, Idaho, Indiana, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Jersey, New Mexico, North Carolina, North Dakota, Oregon, South Carolina, South Dakota, Utah, Vermont, Washington, Wisconsin and Wyoming.

Seven states show downward trends: Arizona, Florida, Georgia, Maryland, Rhode Island, Texas and Virginia.

Track cases in your state

Fall and winter promise to drive more people indoors and bring about flu season, and experts say Americans need to be consistent in following guidelines. Mask wearing, social distancing and avoiding large crowds will be key, experts say, along with authorities increasing testing as infections surge again.

Worldwide, the US dubiously ranks No. 1 in the total number of reported deaths and fifth per 100,000 people.

Johns Hopkins’ tally shows the US, Brazil, India and Mexico account for more than 50% of coronavirus deaths.

Some states fight spikes while others ease restrictions

As trends vary across the US, some local leaders are stepping back toward normal while others are clamping down on efforts to combat the virus’ spread.

Chicago bars, restaurants, gyms and personal services will be allowed to expand service Thursday because of “sufficient progress in the fight against Covid-19,” Chicago Mayor Lori Lightfoot said Monday.

“Over the past six months, we have asked so much of our business community, but each time, our businesses have stepped up to the plate,” she said in a news release. “This next step in our reopening is good news for business owners as well as the communities they serve and the thousands of residents that work for them.”

Hard-hit California is seeing coronavirus positivity rate, hospitalizations and new cases trending downward, Gov. Gavin Newsom said Monday, but he cautioned the numbers could pick back up if residents don’t remain vigilant.

Meanwhile, New York will release guidance this week to reopen “Covid-safe” homeless shelters, noting a rise in cases among homeless encampments, Gov. Andrew Cuomo said. Cases are also rising at an “alarming” rate in parts of Brooklyn and Queens, the New York City Health Department said.

New Jersey is set to

Arguments Against Universal Healthcare In America

The healthcare field is the subject of a bunch of federal statutes, regulations, tips, interpretive data, and model guidance. There are excellent models of Universal Health Care in different countries. Healthcare prices now usually are not sustainable. The patient could have questions, but feel too uncomfortable to initiate a conversation with a healthcare supplier about sexual considerations. They accomplished this by way of offering complete universal healthcare and also the utilization of non-profit supplementary providers.

Smoking cigarettes leaves an individual’s body weak to hazards similar to cancer, heart disease, heart assault and emphysema. I’ll be taking a more in-depth have a look at completely different aspects of the healthcare debate over the course of the following few weeks.

Current therapy for main ailments are costly, long term therapies a lot of which only scale back the consequences of the disease to make people more comfy however not doing a lot for the illness. One authorities statute that effects patient healthcare is the Anti-Kickback Statute.

The problem is the additional cost for these receiving FREE healthcare is passed onto those paying which incorporates the rich and poor. My father did not pay a cent for his healthcare as a result of he was an illegal on the time. Additionally personal insurance coverage carriers act in some nations in a complimentary manner to cover such medical providers which aren’t coated underneath the governments’ plans, comparable to beauty remedies.

Regardless that there are each professionals and cons to the globalization of healthcare, I have my very own opinion about it. You shouldn’t fear about receiving benefits when it comes time so that you can retire or advantages to your wife or kids within the event of your premature dying or for you in occasion of disability.…