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The Nation

Disaster Awaits Us if the NIH Dies

Biomedical and public health research in the United States now finds itself in an existential moment. The government’s proposed changes, if allowed to take place, will absolutely decimate not just the nation’s but the world’s ability to study disease, therapeutics, and health outcomes.
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Wall Street Journal

Fatal overdoses in U.S. fall to pre-pandemic levels

The number of people who died of drug overdoses in the U.S. dropped dramatically in 2024, a promising sign amid a national fentanyl crisis that has fueled a surge in drug-related deaths in recent years. “This progress is encouraging, but it’s fragile,” said Alexandria Macmadu, an assistant professor of epidemiology at Brown University’s School of Public Health. “We can’t mistake this progress for victory. Sustained investment is essential if we want to build on this momentum instead of backsliding.”
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Professor Alex Macmadu, an epidemiologist who has spent her career studying the opioid and overdose crisis, shares insights on Rhode Island’s bold step in opening the first state-approved overdose prevention center in the U.S. and what her research reveals about community attitudes toward harm reduction.
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In Rhode Island, the terminations have come in steadily since February, officials at both Brown University and the University of Rhode Island said, and it’s not clear when they will stop. The Trump administration is also seeking to slash overhead costs for research across the board, and has threatened to freeze an unspecified $510 million from Brown, roughly double the Ivy League institution’s annual federal funding.
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News from SPH

Are we ready?

Five years after the start of the global COVID-19 pandemic, School of Public Health experts look to Washington as they weigh in on where our biosurveillance tools and preparedness systems stand now: What’s changed, what hasn’t and what must be built to make us ready for the next pandemic?
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With the United States facing its largest single measles outbreak in 25 years, Health and Human Services Secretary Robert F. Kennedy Jr. will direct federal health agencies to explore potential new treatments for the disease, including vitamins, according to an H.H.S. spokesman. The decision is the latest in a series of actions by the nation’s top health official that experts fear will undermine public confidence in vaccines as an essential public health tool.
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Disease trackers say cases are likely not connected, but definitive answers may prove elusive....“Without additional information, no conclusion can be reached: if it is due to chance, or some potential work-related exposure,” said Tongzhang Zheng, an epidemiology professor in the Brown School of Public Health, who is not involved in the Newton-Wellesley investigation.
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There’s a theory of cancer causation that I’ve been thinking about recently called the two-hit hypothesis. It proposes that cancer begins with two mutations: one that can be inherited and one that is influenced by environmental or other factors. Public health seems to be in the midst of experiencing two hits. The result could be deadly.
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What are the biggest threats to the health security of the American people? There are some strong candidates. Avian influenza is spreading in birds, cattle, and 50 mammalian species. Measles cases are surging at home and abroad. COVID-19 is still spreading and could mutate into a more deadly strain. Farther afield, Uganda continues to respond to an Ebola outbreak and Mpox has been seen in 127 countries. But perhaps the biggest threat to America’s health could be self-inflicted.
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Per- and polyfluoroalkyl chemicals are everywhere—in our homes, our clothing, the personal care products we use and in our bodies. Postdoctoral researcher Amber Hall explains the dangers PFAS pose, especially to developing humans, and offers suggestions for avoiding them.
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When I began my Ph.D. in an interdisciplinary environmental studies program, students further along in the program warned it was going to be particularly hard for us to get academic jobs. They pointed out that among the brilliant and productive faculty who enthusiastically taught our program, none had in fact received training like ours— they all had Ph.D.s in clearly defined fields.
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Americans who test positive for COVID-19 no longer need to stay in isolation for five days, U.S. health officials announced Friday. The Centers for Disease Control and Prevention changed its longstanding guidance, saying that people can return to work or regular activities if their symptoms are mild and improving and it’s been a day since they’ve had a fever.
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In mid-February, a measles outbreak started at the Manatee Bay Elementary School in Broward County in South Florida. There are now at least nine cases in the county and one additional one in Polk County in Central Florida.
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News from SPH

The Road to Recovery

Dr. Francesca Beaudoin was the first physician in the nation to serve patients in a mobile drug recovery unit. The van, an innovative public health intervention on wheels, delivers services to individuals suffering from substance use disorder in Rhode Island’s underserved communities.
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News from SPH

A healthier New York City

Dr. Ashwin Vasan, Commissioner of the New York City Department of Health and Mental Hygiene, visits Brown to share perspective on public health response in New York — from the Omicron wave to today.
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Time Magazine

What It Will Take to Avoid a Tripledemic This Winter

Over the coming months, more than 100,000 Americans will likely die, mostly unnecessarily, from respiratory infections. Yes, that is the reality we are now facing this fall and winter—and likely every fall and winter for the foreseeable future. Unless we act.
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COVID cases are on the rise and this week the Centers for Disease Control and Prevention has recommended that anyone who is six months or older get the new COVID-19 vaccines. Health reporter Lynn Arditi talked about the new vaccines with Doctor Ashish Jha, former White House COVID advisor and current dean of Brown University’s School of Public Health.
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NPR

Fighting Noise Pollution

Noise pollution is a physical and mental stressor with real health impacts, Professor Erica Walker tells NPR. "It's going to the emergency room for a panic attack, it's 'I can't sleep,' 'I can't hear my children.' It's all of those things," she says.
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Given the late summer wave of COVID infections, you might have questions about how best to protect yourself and others. In The Boston Globe, Professor Jennifer Nuzzo tackles one of the most pressing issues: When should you get your next shot?
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News from SPH

Meeting the Moment

In tackling monkeypox head on, Brown faculty members bypass the ivory tower in favor of the streets.
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New research supported by the National Institute on Aging will study the effects of multiple medications on older adults with the aim of reducing harms and improving efficiency.
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