Suicides are increasing among young people

Good morning, and TGIF. For those in Florida and South Carolina, we hope you stay safe. A quick programming note: We’ll be in your inbox only three days next week. See you bright and early Tuesday.

Today’s version: Hurricane Ian forced the evacuation of thousands of people in nursing homes and hospitals. The Food and Drug Administration A controversial experimental drug for amyotrophic lateral sclerosis has been approved. But first…

The suicide rate is almost back to its highest level in 2018

The country’s suicide rate rose in 2021 for the first time in two years with the largest rise seen among males aged 15-24.

The provisional data released today shows a 4% increase in suicides last year. It comes as the country is still grappling with the after-effects of covid-19 disruptions and amid calls for officials to address the growing mental health crisis.

The Centers for Disease Control and Prevention He did not speculate on the reason for the increase and its causes Complicated suicide It is often determined by multiple factors. These can consist of depression, a family history of suicide, physical illness, childhood trauma, and more. experts Also specific issues That could exacerbate that risk, such as the rising number of guns in the home, the loss of jobs and loved ones amid the pandemic, the rise of COVID-19 last year and the impact of social media on teens, our colleague. Lenny Bernstein reports.

The latest numbers may put more pressure on Congress and the administration to take additional measures to respond to the nation’s mental health crisis. Case received renewed interest From lawmakers and the White House this year, driven in part by the pandemic, but supporters are pressing for more.

trend line: Increase in suicides 35 percent From 1999 to 2018, then decreased 5 percent In total until 2020.

The decline in 2020 surprised some experts, who originally expected a rise amid the grief, isolation and fear of the pandemic’s first year. Instead, suicides fell that year, then rose 4 percent in 2021 when the country began to return to normal.

Explanation is not entirely clear. “The tale of this epidemic in terms of mental health will take many years to be addressed,” he said. Hannah Wisolosky, Senior Advocacy Officer for National Alliance on Mental Illness, Lenny said.

Last year’s sharp rise almost erased recent declines in suicides, bringing the rate close to an all-time high. 48,344 deaths In 2018. Here’s what the CDC reported this morning:

  • The number of suicides increased from 45979 In 2020 to 47,646 last year.
  • Suicide rate now 14 per 100,000 people.
  • Suicides increased 8 percent Among males aged 15-24, the largest rate increase is for 2021.
  • The number of male suicides 38,025Compared with the 9621 for females.

Warning: The data is not final yet, but it is not expected to change significantly.

In December, the general surgeon Vivek Murthy sound the alarm About a crisis in the mental health of young people. Since then, the White House and Congress have released proposals aimed at supporting the mental health workforce, expanding access to telehealth and strengthening mental health services for young people.

However, some management suggestions You need to sign out of Congress. On Capitol Hill, lawmakers enacted the most significant response to gun violence in decades this summer, which included some mental health provisionssuch as the nationwide expansion of a major way to fund community behavioral health clinics.

Additional legislation has been underway since early this year, but it’s unclear what could be sent to President Biden’s office in a weakened Congress after the midterm elections. Some key lawmakers say they will push for mental health legislation to be passed, and the next opportunity will likely be in a year-end deal.

  • “Every vehicle that moves, Senator Krabow and I will see if we can advance our mental health agenda,” Ron Wyden (D-Ore), leader Senate Finance Committee, He told The Health 202, referring to the senator. Mike Krabow (R-Idaho), top Republican on the board.

In the meantime… a new, easy-to-use and promising helpline is emerging. The 988 suicide prevention hotline number was launched in mid-July, and there was a number 45% jump In total volume for August compared to August 2021. Approx. 88 percent From calls, texts and conversations answered Last month, a 4 percent higher than in July despite the increase in total connections.

Florida health care providers scramble to evacuate thousands as Ian strikes

thousands of people evacuated From more than 40 nursing homes and hospitals across Florida yesterday, as Hurricane Ian made its way across the state, bringing deadly waters, relentless rain and catastrophic winds, News agency reports.

While the extent of the storm damage is still unknown, Biden said, while speaking at Federal Emergency Management Agency Headquarters, said hurricane ‘could be deadliest’ In the history of Florida.

Here is a snapshot of the state of play, according to the Associated Press:

  • Nearly 3,400 nursing home residents have been evacuatedHundreds of them occurred in the hard-hit Fort Myers area.
  • Storm damage cuts off drinking water to at least nine hospitals in southwest Florida.
  • Up to 20 facilities reported power outagesbut generators are now powering those buildings.

for example: storm hit HCA Florida Fawcett . Hospital In Port Charlotte – located north of Fort Myers – is particularly difficult. High winds tore off part of the ceiling of the fourth floor of the intensive care unit, while staff used buckets and towels to absorb storm floods that engulfed the lower-level emergency room.

Health care providers across the state braced for the storm earlier this week, moving patients, canceling elective procedures, and supporting their facilities. still up, Mary MayhewCEO of Florida Hospital AssociationAnd the described the consequences Hurricane as a worst-case scenario ‘which everyone fears’ is our colleague Sabrina Malhi reports.

Footage from Fawcett Memorial Hospital, according to ABC 11’s Josh Chapin:

The US Food and Drug Administration approved the first drug for ALS in five years, following pleas from patients

The Food and Drug Administration I overcame the skepticism of the agency’s scientists yesterday and Agree to a highly discussed drug For devastating ALS, our colleague Laurie McGinley reports.

The drug – which will be sold under the brand name RELIVERIO Designed to slow the progression of fatal neurological disease by protecting nerve cells in the brain and spinal cord that have been destroyed by neurological disease. Price information coming soon, Amylyx, The biotech company that makes the drug.

reaction: Patients and advocates applauded the decision, which marks the first new treatment option approved for the disease in five years. But the move has raised concerns of some experts about whether drugs for difficult conditions are under adequate scrutiny.

in note On approval, the FDA said the drug showed “statistically significant therapeutic benefit” and met its clinical trial goal — slowing decline in ALS patients. She also said that the drug provides a survival benefit, and that there are no safety concerns.

But the agency acknowledged that there were “limitations” to the findings that led to some of them suspicion About the degree of efficacy of the drug. The agency said the regulatory flexibility was acceptable because of the “serious and life-threatening nature of ALS and the significant unmet need” for treatment. Previously, only two other drugs were approved for this disease but their efficacy was very limited.

The decision comes after a turbulent course of the drug. At the first meeting of the FDA’s advisory committee in March, a panel of independent experts recommended against FDA approval. painting She changed her position Earlier this month, when the agency held a rare second meeting to consider additional analyzes the company had provided.

CMS determines how you plan to negotiate drug prices

The Medicare and Medicaid Services Centers Get to the details on how it plans to implement sweeping new drug pricing provisions passed by Congress this summer, stat reports.

according to Suggestion or offer Sent to lawmakers earlier this month, the agency wants to hire 95 full-time employees to help stand up to the new Medicare Negotiations and Discounts Groupwhich will consist of six sections, such as Contract Support, Manufacturer Compliance, and Oversight.

Next steps: While the first round of negotiated prices won’t take effect until 2026, penalties for drug companies raising drug costs faster than inflation will start next year, and the benchmarking period begins on Saturday. The agency plans to release guidelines to help drugmakers understand how the program works so they can stay in compliance, Stat’s Rachel Kors Writes.

we took: It is not easy to turn a legislative text into action. All eyes will be on to see if agency officials can implement the new division’s rollout to meet critical deadlines set out in the Policy Implementation Act — something the CMS chief previously told Health 202 that her agency vow to hit.

  • On tap today: The House of Representatives is expected to vote in favour Maintain government funding As of December 16, the legislation includes a five-year reauthorization of the FDA user fee, but excludes $26.9 billion The White House was seeking to combat monkeypox and the coronavirus pandemic.
  • on the hill: Democratic Representatives. Corey Bush (mu) and Ayanna Presley (Mass.) Submit a bill Yesterday aims to remove barriers to reproductive and sexual health care for people with disabilities, our colleague Amanda Morris Writes.
  • Medicare Advantage Beneficiary Premiums Will Decrease nearly 8 per cent next year, With an average forecast of $18 per month, CMS announced yesterday.
  • The Congressional Budget Office released a report on cutback approaches What commercial insurance companies pay for medical services, which Includes policies To promote competition and price transparency.

How McKinsey got into addiction (by Walt Bogdanich and Michael Forsyth | The New York Times)

My brain processes a 17-year-old without his parents’ consent. They found out the day he died. (By Khadija Safdar | The Wall Street Journal)

Children at risk of lead contamination in federal child care says watchdog (Joe Davidson, Washington Post columnist)

Thanks for reading! See you all Tuesday.

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