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As Flu Becomes More Widespread, CDC Pushes Antiviral Meds

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FILE- This April 30, 2009, file photo shows a box of Tamiflu in a Toronto health clinic. The Centers for Disease Control and Prevention on Friday, Jan. 9. 2015, sent a new alert to doctors, advising prompt use of Tamiflu and other antivirals for hospitalized flu patients and those at higher risk for complications like pneumonia. (The Canadian Press, Darren Calabrese, File/Associated Press)

The Centers for Disease Control and Prevention on Friday, Jan. 9. 2015, sent a new alert to doctors, advising prompt use of Tamiflu and other antivirals for hospitalized flu patients and those at higher risk for complications like pneumonia. (The Canadian Press, Darren Calabrese, File/Associated Press)

 

NEW YORK — In the midst of a worrisome flu season, health officials are pushing doctors to prescribe antiviral medicines more often.

The Centers for Disease Control and Prevention on Friday sent a new alert to doctors, advising prompt use of Tamiflu and other antivirals for hospitalized flu patients and those at higher risk for complications like pneumonia.

CDC officials say a nasty strain of flu is going around that is more dangerous to elderly people and very young children. What’s more, officials think the flu vaccine doesn’t work well against this particular virus. So “it’s more important than usual” that doctors treat certain patients with Tamiflu or other antiviral medications, CDC Director Dr. Tom Frieden said at a press conference Friday.

CDC officials said flu was reported to be widespread in 46 states last week, up from 43 the week before. But there was a small drop in states reporting high numbers of flu-related doctor’s office visits. That’s one sign that for some areas, the worst stretch of the current flu season may be ending.

Flu seasons tend to last about 13 weeks, and CDC data suggests the nation is about seven weeks in, Frieden said. “It seems we’re right in the middle of flu season,” he said.

However, while flu may be ebbing in some states, it’s increasing in others, and it’s not clear whether flu has peaked overall, health officials said.

CDC research suggests doctors prescribe antivirals to one in five high-risk flu patients. CDC officials say the number should be higher.

When given promptly — within two days of the beginning of flu symptoms — they can shorten the amount of time someone is sick with the flu, a number of studies have found. The drugs also can prevent patients from becoming sick enough to end up in a hospital intensive care unit — or worse, Frieden said.

“Antiviral flu medicines save lives,” he said.

The CDC sent an advisory to physicians last month, warning them this could be a potentially bad flu season and encouraging prompt treatment with antivirals. CDC officials said doctors should not wait for test results confirming the flu if they are dealing with an elderly patient, someone who is very sick from the flu, or someone with pre-existing conditions like asthma, diabetes and heart disease.

The CDC sent a second alert to doctors Friday that repeated earlier recommendations and noted a new antiviral was approved by the U.S. Food and Drug Administration last month. It’s called Rapivab, and is an infusion that can be given to sick patients who aren’t able to take Tamiflu pills or another, inhalable antiviral medicine called Relenza.

Doctors have been cautious about prescribing antiviral medicines for a number of reasons, CDC officials say. Some want a lab result confirming flu before they prescribe a flu drug. In cases in which patients delayed seeking treatment, doctors may worry the patients are already be too far into the illness for the drugs to do much good.

And there also is uncertainty about the drugs’ effectiveness in reducing hospitalizations and complications.

Last year, a respected international network of researchers — the Cochrane Collaboration — published a review of past studies on the medications, and found there was no good evidence to support claims that Tamiflu reduces flu complications or flu-related hospitalizations. At best, it shortens flu symptoms by half a day, the Cochrane report said.

The CDC shouldn’t be promoting antivirals unless there is strong proof they prevent hospitalizations and key complications, said one of the Cochrane study’s authors, Peter Doshi, in an interview Friday. He is an assistant professor at the University of Maryland School of Pharmacy, and an associate editor of BMJ — the British medical journal in which the study was published.

CDC officials say the Cochrane review had limitations; for example, Cochrane looked at high-quality studies but none that included hospitalized patients. CDC officials say the agency is giving greater weight to observational studies, which are considered less rigorous than the research Cochrane focused on, but which offered a look at what happened in hospitalized patients. And that research did find a benefit.

Also, there aren’t really other options: Against flu, antiviral medicines are what’s left in the medical arsenal when the vaccine doesn’t work, experts say.
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Online:

CDC flu update: http://www.cdc.gov/flu/weekly/

 

Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Doctors Seeing More Cases of Preventable Childhood Illnesses

OAKLAND POST — Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

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By Stacy M. Brown

Doctors across the United States say they are treating children for illnesses that routine vaccinations once made increasingly uncommon, raising concerns that years of declining immunization rates are beginning to reverse decades of public health progress.

Pediatricians have described seeing more cases of whooping cough, rotavirus infections, bacterial pneumonia and other potentially life-threatening illnesses that vaccines have long helped suppress. Some physicians reported treating conditions they had rarely encountered during their careers, while others said that growing vaccine hesitancy is changing how emergency rooms and hospitals care for children.

The reports come as measles outbreaks continue to spread across multiple states and vaccination coverage remains below federal public health targets.

Johns Hopkins University’s International Vaccine Access Center reported 2,077 confirmed measles cases nationwide as of May 29. Researchers warned that outbreaks reported across the country have raised concerns about continued transmission, additional hospitalizations and deaths, and the possible loss of the nation’s measles elimination status.

Public health experts have long viewed measles as a warning sign because of its ability to spread rapidly through communities with lower vaccination coverage. The New York Times reported that physicians increasingly fear the resurgence of measles may be followed by the return of other vaccine-preventable diseases.

Doctors say that is already happening.

Dr. Meghan Hofto, a pediatric hospitalist at the University of Alabama at Birmingham, said she has already treated roughly as many children with rotavirus this year as she saw during the previous decade. Rotavirus once caused tens of thousands of hospitalizations annually before vaccines sharply reduced its spread. None of the children she treated this year had been vaccinated.

Hofto also described caring for infants with pertussis, commonly known as whooping cough.

“It’s hard to know when they’re safe to go home,” Hofto told The Times.

The rise in whooping cough cases has been particularly striking. More than 28,000 cases were reported nationwide last year, compared with approximately 7,000 in 2023, according to figures cited by The Times. Many of the affected infants were too young to receive vaccinations themselves and relied on broader community protection to reduce their exposure.

Other doctors described similarly troubling cases.

Dr. Jessica Kirk, a pediatric hospitalist in Alabama, recently treated an unvaccinated toddler hospitalized with pneumonia caused by simultaneous infections of Haemophilus influenzae and Streptococcus pneumoniae. Vaccines exist to protect against both illnesses. The child required oxygen and antibiotics to recover.

Researchers at Johns Hopkins have been tracking vaccination trends nationwide and found continuing signs of vulnerability.

At the same time, vaccine policy has become increasingly contentious in state legislatures.

Johns Hopkins researchers reported that lawmakers across the country continue to introduce bills affecting childhood vaccination requirements, vaccine access and non-medical exemptions. Researchers also noted that state policies governing exemptions remain a significant factor in vaccination coverage and disease transmission risks.

Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

For doctors confronting the return of illnesses that vaccines once pushed to the margins of American medicine, the challenge is becoming increasingly personal.

“It just feels like you’re a tiny little boat with a giant tidal wave coming at you,” Dr. Erin Charles, a regional pediatric hospitalist at Seattle Children’s Hospital, told reporters. “And you might convince one family here and there.”

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Community

Asm. Isaac Bryan’s Environmental Reparations Bill Passes on Assembly Floor

“All this bill does is allocate resources from that repair fund and direct cash assistance to families that have had negative health impacts as a result of living next to that oil field,” said Bryan during remarks on the Assembly floor.

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Asm. Isaac Bryan (D-Ladera Heights). File photo.

By Bo Tefu, California Black Media

On May 26, the California State Assembly passed legislation to provide direct financial assistance to families harmed by pollution from a major urban oil field in South Los Angeles.

Assembly Bill (AB) 1661, introduced by Assemblymember Isaac Bryan (D-Ladera Heights), cleared the Assembly floor with a 44-10 vote after lawmakers concluded debate on the measure.

The bill would direct money from a community repair fund toward families who suffered negative health effects from living near what Bryan described as the state’s largest toxic urban oil field. The repair fund was created under legislation approved two years ago that shut down the oil field and required polluters to contribute financially to community recovery efforts.

“All this bill does is allocate resources from that repair fund and direct cash assistance to families that have had negative health impacts as a result of living next to that oil field,” said Bryan during remarks on the Assembly floor.

Bryan called the proposal “the largest environmental reparations opportunity for South LA” and told lawmakers the bill had not received opposition during the legislative process.

The legislation is part of California’s broader push to address environmental justice concerns in communities historically exposed to industrial pollution. South Los Angeles residents and environmental advocates have long raised concerns about health risks associated with oil drilling operations near homes, schools and parks.

Supporters say the measure represents a new approach to environmental accountability by ensuring that communities affected by pollution directly benefit from funds collected from responsible companies.

After debate concluded, Assembly leadership opened the roll call vote, and the measure passed with majority support from lawmakers.

AB 1661 now moves to the Senate for further review.

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Activism

Rep. Kamlager-Dove Introduces Bill to Protect Women in Custody After Reports Detailing Miscarriages and Neglect

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

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By Bo Tefu, California Black Media

Congresswoman Sydney Kamlager-Dove (D-CA-37) on May 7, reintroduced updated legislation aimed at strengthening protections and healthcare standards for pregnant and postpartum women held in federal custody, including in immigration detention facilities.

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

The legislation builds on a bipartisan version previously passed by the House during the 117th Congress. The updated bill includes new standards for healthcare access, mental health and substance use treatment, high-risk pregnancy care, family unity protections and increased federal oversight.

“Proper pregnancy care is a human right, regardless of your immigration or incarceration status,” Kamlager-Dove said in a statement. “It’s unacceptable that there are virtually no legal safeguards for pregnant women in federal custody.”

The bill would also limit the use of restraints and restrictive housing for pregnant women, improve data collection on maternal health in custody and require additional staff training and enforcement measures.

Supporters of the measure said the legislation is intended to address long-standing concerns about maternal healthcare and safety in detention settings, particularly for Black women and low-income women who are disproportionately impacted by incarceration and health disparities.

“Pregnant women in custody should never be subjected to dangerous and inhumane treatment that threatens their health, dignity, or the well-being of their babies,” said Patrice Willoughby, chief of policy and legislative affairs for the NAACP and a longtime public policy and government affairs strategist, in a statement.

A 2021 report estimated there are about 58,000 admissions of pregnant women into U.S. jails and prisons each year. Kamlager’s statement also cited a recent investigation by NBC News and Bloomberg Law that identified allegations of severe mistreatment or medical neglect involving at least 54 pregnant women or families in county jails between 2017 and 2024.

Federal policy under the Department of Homeland Security restricts the detention of pregnant, postpartum and nursing immigrants except in extreme cases. However, the agency reported that ICE deported 363 pregnant, postpartum or nursing women between January 2025 and February 2026, including 16 recorded miscarriages during that period.

The bill is cosponsored by several House Democrats and backed by organizations including the NAACP and the Vera Institute of Justice.

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