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Morning Rounds Shraddha Chakradhar

Most Americans say they should be vaccinated before the U.S. donates Covid-19 shots elsewhere


A new survey from STAT and The Harris Poll finds that most people in the U.S. believe that the country should donate Covid-19 shots to the rest of the world — but only after everyone here that wants one has gotten it. The responses to whether the U.S. should immediately start donating vaccines, wait until people in the U.S. have been vaccinated to begin donations, or not donate at all, was split among party and generational lines. More millennial and Gen Z respondents to the nearly 2,000-person poll supported immediate donations than middle- and older-aged individuals. More Democrats than Republicans also supported sharing the U.S. supply of vaccines with the rest of the world sooner rather than later. Read more here

Female clinicians still more likely to report burnout than male peers

Consistent with previous research, a small survey of clinicians finds that women are likelier to experience burnout than their male peers. The survey included responses from more than 1,300 physicians at a large academic medical center in April 2019. More than half the women in the survey reported burnout, compared to around 47% of men. The survey also found that spending more time using electronic health records was associated with a slightly less likelihood of burnout. At the same time, an increase in several workplace culture qualities — including diversity, a sense of belonging, and work-life balance — were linked to a decrease in burnout. 

'Gatekeeping' at top medical journals ignores racism's impact on health, experts argue

As medical institutions and publications examine their own role in upholding racism in health, a new analysis finds that "racism" is rarely used in empirical studies, and is almost exclusively found in commentary pieces. Researchers looked at articles published between 1990-2020 in four of the top medical journals, including JAMA and the BMJ. More than 90% of the articles in the four journals mentioning "racism" were viewpoints or other commentaries. Use in empirical scientific investigations ranged from 4% at BMJ and NEJM to 10% at The Lancet. This "gatekeeping," the authors argue, translates to the impression that racism and its impact on health aren't important. It also perpetuates ignorance among health professionals about the issue, makes it so policymakers don't have evidence to enact change, and excludes those who do study racism and health from publishing in high-impact journals, they write. 

Inside STAT: ‘No one was listening’: Long Covid patients struggle to get care for their symptoms


It took seven months for Crystal Williams of Tacoma, Wash., to begin to get her long Covid symptoms addressed. (DANIEL BERMAN FOR STAT)

Chest pain, exhaustion, breathlessness, and brain fog: These are some of the symptoms that those with long-haul Covid-19 experience in the weeks and months following their initial infection. But beyond these enduring physical symptoms, those with long Covid are increasingly facing an uphill battle in being heard by doctors. Thousands of those with long-haul illness are struggling to get follow-up appointments with providers, and even when they do get one, feel like their problems are not taken seriously. “At first, doctors listened, but they became dismissive the longer things went on,” 30-year-old Crystal Williams tells STAT contributor Allison Bond, who has the full story here

Latest 'State of the Air' report finds racial disparity in exposure to unclean air

The latest "State of the Air" report from the American Lung Association finds that more than 40% of people in the U.S. breathe unhealthy air, and that people of color were more than 60% likelier than white people to live in a county with unhealthy air. 

  • Cleanest cities: Burlington, Vt., and Honolulu are among the top cleanest cities, designated as such for having no ozone pollution or pollution from particle matter.
  • Particle pollution: Due to wildfires and residential wood-burning, several cities in California — including the Sacramento and San Francisco areas — were ranked among the cities with the worst short-term particle matter pollution. 
  • Ozone pollution: This kind of pollution, which shows up as smog and has been linked to metabolic disorders and asthma attacks, was highest again in several California cities, as well as in Denver and Phoenix. 

A cellphone-based screening could help detect atrial fibrillation among Native Americans

Native Americans are at a higher risk of atrial fibrillation than other racial groups, and a new study finds that a smartphone-based system can help spot previously undetected disease in this group. Scientists enrolled more than 1,000 Native American individuals aged 50 and older to be screened with a mobile ECG app that detects any irregularities in heart rhythm. Compared to a control group of more than 1,200 individuals who received care at a tribal health system location without screening, atrial fibrillation was found in 1.5% of the screening group, compared to only 0.3% of those in the control group. Of those in the screened group, all but one individual was at high risk of stroke, suggesting that this simple mobile intervention could be deployed to help this vulnerable population. 

Covid-19 in the U.S. 

Cases yesterday: 54,672
Deaths yesterday: 776

What to read around the web today

  • Opinion: No, we don’t know if vaccines change your period. The New York Times
  • Why hospitals hate Bernie Sanders’ latest health reform push. STAT+
  • Florida lawmakers endorse wide-ranging reforms in program to aid brain-damaged babies. ProPublica/Miami Herald
  • Pfizer shareholders are urged to reject political spending that contradicts ‘company values.’STAT+
  • Middle-aged people who sleep six hours or less at greater risk of dementia, study finds. The Guardian

Thanks for reading! More tomorrow,

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