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Morning Rounds Shraddha Chakradhar

On Sept. 9 and 10 we’re (virtually) convening leading executives from the biggest health care, technology, and investment firms to discuss how tech companies are working to improve the lives of patients. Follow along and hear from leaders at Livongo, Teladoc, Google, Lyft, 23andMe and more by purchasing livestream access, here.

Some Covid-19 infections among health care workers may be going undetected

Covid-19 among health care providers treating infected individuals may be higher than reported, according to new CDC data. An analysis of more than 3,200 health workers at 13 academic medical centers across the U.S. found that approximately 6% of them tested positive for SARS-CoV-2 antibodies, suggesting they had previously been infected. Yet, almost a third of these individuals did not recall having any symptoms consistent with Covid-19 infection, nearly 1 in 2 didn't suspect having infection, and two-thirds did not have a previous positive test result for Covid-19. Those who said they wore PPE during all interactions with patients were less likely to have SARS-2 antibodies than those who reported inconsistent PPE use. 

Parents are continuing to report worse mental health than at the start of the pandemic

The latest survey examining parents' well-being during the pandemic finds that more than a quarter still say their mental health has worsened since March. And consistent with a previous survey's findings, this newest 1,000-person poll also found that 1 in 7 parents reported worsening behavioral problems in their children. Nearly 40% of parents say they have seen cancellations or delays in their children's medical visits since the beginning of the pandemic in the U.S.: Nearly 1 in 2 said a well-child visit was delayed, while around 1 in 10 said a behavioral health checkup was delayed. 

American Lung Association announces new plan to target youth vaping

The American Lung Association has launched a new plan to end the youth vaping epidemic, one that includes a public awareness campaign with the Ad Council — featuring new PSAs for parents of preteens and teens to talk to their kids about the risks of vaping — and $2 million for research that examines the effect of vaping on lungs. Even though 1 in 4 high school students have reported trying e-cigarettes, two-thirds of parents say their child is at low or no risk of vaping. The other arms of the plan include the ALA's Vape-Free School Initiative, which helps equip schools with resources to combat teen vaping, as well as continued advocacy against tobacco companies' marketing of devices and products specifically tailored to youth. 

Inside STAT: Telehealth visits are dropping, forcing providers to recalibrate


(STAT; ADOBE)

The surge in telehealth use at the beginning of the Covid-19 pandemic has begun to drop, and health care providers are now being forced to recalibrate their offerings. Telemedicine visits accounted for nearly 70% of health encounters back in April, but only 21% of health visits in the middle of July as people are increasingly returning to in-person meetings with their providers. And while telemedicine now still accounts for a bigger share of health visits than it did before the pandemic, hospitals that rushed to train staff on conducting virtual visits are now experiencing something of a whiplash. “We’re trying to right-size, but it’s really hard because during the pandemic we switched to nearly 100% virtual in some clinical areas, and we know that’s not realistic or sustainable,” Jessie DeVito, director of virtual care at the University of Michigan's health system, tells STAT's Casey Ross. Read more here

Women are still largely underrepresented in senior academic medical positions

Two new studies further illustrate how women are underrepresented in the upper echelons of medical fields. In one study, scientists found that women occupy fewer than 20% of endowed chair positions — which are among the most distinguished in academia — at the top 10 schools with the most NIH awards in 2018, including Johns Hopkins University and Stanford. Even after accounting for specialty, the number of publications, and NIH research grants, men were more likely to hold endowed chair positions than their female colleagues. 

In another study, a 2014-2018 analysis of research papers on 200 cardiovascular trials published in three high-profile journals revealed that women made up only about 1 in 10 members of the trials' leadership committees. Around 40% of the trials had no female investigators, and women accounted for about 10% of first authors or last authors on the published papers. 

ED visits for e-scooter injuries nearly doubled between 2018 and 2019

Emergency department visits for injuries sustained while riding an e-scooter nearly doubled between 2018 and 2019, according to new data. Companies began rolling out electronic scooters in major cities by the end of the 2017, and injuries associated with this mode of transport have steadily increased since. In the new study, scientists found there have been more than 70,000 e-scooter-related visits to EDs going back to 2014, but these visits jumped from around 15,500 in 2018 to more than nearly 30,000 a year later. Two-thirds of the injuries overall were in men, while the head was the most common site of injury. Around 1 in 12 of the injuries in 2019 involved some kind of substance use, most of which was attributed to alcohol.

What to read around the web today

  • UN chief: Virus reversed fragile progress on gender equality. Associated Press
  • ‘No matter what we did, we just couldn’t catch up.’ Reveal
  • Men’s wellness isn’t pleasant. It’s painful. Slate
  • How many people has the coronavirus killed? Nature

Thanks for reading! More tomorrow,

Shraddha

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Tuesday, September 1, 2020

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