public

Characteristics of high-drug-cost beneficiaries of public drug plans in 9 Canadian provinces: a cross-sectional analysis

Background:

Drugs are the fastest growing cost in the Canadian health care system, owing to the increasing number of high-cost drugs. The objective of this study was to examine the characteristics of high–drug-cost beneficiaries of public drug plans across Canada relative to other beneficiaries.

Methods:

We conducted a cross-sectional study among public drug plan beneficiaries residing in all provinces except Quebec. We used the Canadian Institute for Health Information’s National Prescription Drug Utilization Information System to identify all drugs dispensed to beneficiaries of public drug programs in 2016/17. We stratified the cohort into 2 groups: high–drug-cost beneficiaries (top 5% of beneficiaries based on annual costs) and other beneficiaries (remaining 95%). For each group, we reported total drug costs, prevalence of high-cost claims (> $1000), median number of drugs, proportion of beneficiaries aged 65 or more, the 10 most costly reimbursed medications and the 10 medications most commonly reimbursed. We reported estimates overall and by province.

Results:

High–drug-cost beneficiaries accounted for nearly half (46.5%) of annual spending, with an average annual spend of $14 610 per beneficiary, compared to $1570 among other beneficiaries. The median number of drugs dispensed was higher among high–drug-cost beneficiaries than among other beneficiaries (13 [interquartile range (IQR) 7–19] v. 8 [IQR 4–13]), and a much larger proportion of high–drug-cost beneficiaries than other beneficiaries received at least 1 high-cost claim (40.9% v. 0.6%). Long-term medications were the most commonly used medications for both groups, whereas biologics and antivirals were the most costly medications for high–drug-cost beneficiaries.

Interpretation:

High–drug-cost beneficiaries were characterized by the use of expensive medications and polypharmacy relative to other beneficiaries. Interventions and policies to help reduce spending need to consider both of these factors.




public

The SARS-CoV-2 Outbreak: Diagnosis, Infection Prevention, and Public Perception

At the end of 2019 and early 2020, an outbreak of pneumonia of unknown etiology emerged in the city of Wuhan in China. The cases were found to be caused by a novel beta coronavirus, which was subsequently named SARS-CoV-2 by the World Health Organization (WHO). The virus has since spread further in China and to other regions of the world, having infected more than 88 K people, and causing close to 3000 deaths as of March 1, 2020. More than 50 million people remain in quarantine at this time. Scientists and clinicians globally are working swiftly to combat COVID-19, the respiratory disease caused by the virus. Notably, diagnostic assays have been developed rapidly in many countries, and have played significant roles in diagnosis, monitoring, surveillance, and infection control. Starting February 29, 2020, the development and performance of molecular testing for SARS-CoV-2 in high complexity Clinical Laboratory Improvement Amendments (CLIA) laboratories prior to emergency use authorization was allowed by the US FDA. Although the epidemic is evolving rapidly, many valuable lessons have been learned and many questions remain to be answered. Here we invited multiple experts across the globe from clinical laboratories, public health laboratories, infection control, and diagnostic industry to share their views on the diagnosis, infection control, and public perception of SARS-CoV-2.




public

Emergence of a Novel Coronavirus Disease (COVID-19) and the Importance of Diagnostic Testing: Why Partnership between Clinical Laboratories, Public Health Agencies, and Industry Is Essential to Control the Outbreak




public

Survey: Half of Americans concerned about new moms, babies being in public amid COVID-19

A new national U.S. survey finds that nearly 80 percent of respondents would be concerned about themselves or an expectant mother in their life in the midst of the current COVID-19 outbreak, with almost half expressing fear of going to a scheduled prenatal appointment.




public

White House Misled Public, Buried CDC Reopening Guidelines and is Now Preparing for Second Coronavirus Wave

The White House is making "contingency plans" for a second wave of coronavirus after emails reportedly contradict their claims that Centers for Disease Control and Prevention guidelines to safely reopen the economy were set aside because medical experts did not approve of them.




public

Bill Maher Says Republicans 'Don't Care' About Tara Reade's Biden Allegations, Challenges Timing of Sexual Assault Claims

Bill Maher said Republicans "don't care" about Tara Reade's sexual assault allegations, saying such claims are simply used as a "unilateral weapon" against Democrats.




public

Ebola epidemic in Democratic Republic of the Congo to be declared over

The DRC’s Ebola epidemic will be declared over on 12 April but there’s little time to celebrate as the country pivots towards tackling the coronavirus




public

Three new Ebola cases detected in Democratic Republic of the Congo

Fresh cases of Ebola have been detected just days before the deadly epidemic in the eastern Democratic Republic of the Congo was to be declared over




public

Republicans want review of aid to WHO, Democrat may subpoena Pompeo

Five U.S. Senate Republicans introduced a bill on Wednesday seeking a review of U.S. participation in the World Health Organization and other international institutions, after President Donald Trump's administration suspended U.S. contributions to the U.N. health agency and accused it of mishandling the coronavirus pandemic.




public

Fight brews in Congress over Republican push to protect business from coronavirus lawsuits

A key U.S. Senate Democrat pushed back on Republican Majority Leader Mitch McConnell's drive to protect employers from coronavirus-related lawsuits when the economy begins to reopen, saying it would be unnecessary if the White House set clearer standards.




public

Top U.S. House Republican calls for pause in coronavirus legislation

The top Republican in the U.S. House of Representatives called for a pause in coronavirus legislation on Thursday, saying Congress should first assess the impact of earlier relief bills and then take a slower path forward through committee hearings.




public

Trump says his administration is talking to Republican senators about work visa issue

President Donald Trump said on Thursday his administration is talking to Republican senators about work visa issues, amid the coronavirus outbreak that has wreaked havoc on the U.S. economy.




public

Bloomberg to pay laid-off staffers' health care through November amid lawsuits, public pressure

Mike Bloomberg is agreeing to pay for health care through November for the more than 2,000 campaign staffers he laid off after suspending his presidential bid as he faces public pressure and multiple lawsuits.




public

Top Republican donor tapped to lead struggling U.S. Postal Service

Trump has long railed against the Postal Service, saying the agency has been swindled by e-commerce giants like Amazon.




public

House Republicans demand Postmaster General turn over plan for financial stability

Republicans on the House Oversight Committee said Friday repeated efforts to learn how the cash-strapped U.S. Postal Service intends to become financially stable have been stymied by U.S. Postmaster General Megan Brennan.

The lawmakers say they've requested a financial plan from Ms. Brennan three different times, but it hasn't been ...




public

US national parks cause public health concern as visitors flood in

Parks have remained open amid the coronavirus and become a haven over the past week, prompting fears for staff and large crowds

Even as Broadway shows were shuttered and Disneyland was closed due to the Covid-19, most US national parks were open for business on Tuesday, confounding public health officials and worrying park staff who did not want to be exposed to the virus.

National parks have become a haven over the past week as the public seeks places to go during spring break. One park employee reported on Facebook that a visitor center at Big Bend national park was full on Monday with hundreds of people. Another shared a photo of shoulder to shoulder crowds at Zion national park waiting to board shuttle buses. (The park closed its shuttle bus system later in the day.)

Continue reading...




public

Trump seizes on pandemic to speed up opening of public lands to industry

Planned sale of land to fossil fuel, mining and and timber concerns mirrors rollback of Obama-era pollution regulations

The Trump administration has ratcheted up its efforts amid the coronavirus pandemic to overhaul and overturn Obama-era environmental regulations and increase industry access to public lands.

The secretary of the interior, David Bernhardt, has sped efforts to drill, mine and cut timber on fragile western landscapes. Meanwhile, the EPA, headed by the former coal lobbyist Andrew Wheeler, has weakened critical environmental laws and announced in March that it would cease oversight of the nation’s polluters during the Covid-19 crisis.

Continue reading...




public

COVID-19 live updates: People defying public health orders a concern in north

The ongoing COVID-19 outbreak in La Loche is being attributed to citizens who've ignored physical distancing measures.




public

Coronavirus vaccine could be available for public by September, Oxford professor says

Read our live coronavirus updates HERE Coronavirus: the symptoms




public

British public stick to Government lockdown rules on beaches and parks despite UK's warmest day of year so far

The British public appeared to stick to the Government's advice on avoiding beaches and parks even as the UK saw its warmest day of the year so far.




public

Donald Trump tells American public to wear scarves as face masks in fight against coronavirus: They would be very good

"You can use a scarf," the US Leader said as he addressed the demand for face masks. "A lot of people have scarves... scarves would be very good.




public

Firefighters release TikTok dance video urging public to stay home and save lives

Coronavirus: the symptoms Follow our live updates HERE




public

New York residents ordered to wear masks or cover face in public amid coronavirus outbreak

Follow our LIVE updates about the coronavirus outbreak here Coronavirus: The symptoms




public

Prince Charles pays tribute to NHS staff who have made the 'ultimate sacrifice' in serving public during coronavirus crisis

The Prince of Wales has paid tribute to NHS staff who have made the "ultimate sacrifice" serving the British public during the coronavirus pandemic.




public

NHS supply of face masks could be put at risk if public advised to wear them, Government warned

Follow our live coronavirus updates here




public

Telling public to wear face masks 'would put NHS supplies at risk'

Confusion over whether face masks would reduce the spread of Covid-19 in public places deepened today as a minister suggested that there may not be enough to go round even if scientists recommend their use on public transport and in offices.




public

UK coronavirus lockdown faces stern test with public urged to stay home for fifth weekend running

The UK's coronavirus lockdown faces a stern test with the public urged to stay home for a fifth weekend running.




public

UK coronavirus LIVE: Public urged to stick with Covid-19 lockdown this weekend as hospital death toll passes 19,500

Follow our live updates below...




public

NHS launches campaign urging public to seek medical help if they need it during coronavirus pandemic

The NHS is launching a campaign encouraging ill people to seek urgent care during the coronavirus outbreak after A&E visits dropped by 50 per cent this month.




public

Dangerous drivers hitting speeds of 151mph during lockdown as Home Secretary Priti Patel begs public to stay at home

Home Secretary Priti Patel revealed that police have been called to respond to some "extraordinarily dangerous driving" as car lovers take advantage of the quieter roads "as their own personal race track".




public

Labour leader Sir Keir Starmer steps up demand for lockdown 'exit strategy': the British public deserve to be treated like adults

Labour leader Sir Keir Starmer has called for a coronavirus lockdown "exit strategy" with the Government facing increasing pressure to reveal its next steps.




public

Public to quiz ministers at Government's daily coronavirus press conference

Members of the public will now have the chance to put questions to the Government, as the daily Downing Street coronavirus briefing opens up for the first time.




public

Prince William and Kate Middleton thank public for 'lovely messages' as they celebrate ninth wedding anniversary

The Duke and Duchess of Cambridge have marked their ninth wedding anniversary with a throwback photo of their glittering wedding day.




public

Public chooses favourite NASA Earth Observatory image for Earth day

An aerial photo of ocean sands in the Bahamas has been voted the NASA Earth Observatory's all-time best image.




public

Captain Tom Moore thanks public for helping him find 'renewed purpose' as he turns '100 years young' today




public

Beijing reopens parks and museums to the public as Covid-19 crisis eases

Moves to ease restrictions in China's capital come after authorities record no new Covid-19 deaths for the 16th consecutive day




public

Japanese aquarium asks public to video-chat eels who are forgetting humans exist

An aquarium in Japan has urged the public to video-chat their eels, who are forgetting that humans exist.




public

Kim Jong-Un 'seen in public' in North Korea after weeks of ill health rumours

Kim Jong Un has reportedly made his first public appearance in 20 days amid speculation about the North Korean leader's health.




public

Labour urges Government to 'get ahead of the game' on plans for public wearing face masks

Ministers have been urged to "get ahead of the game" by assuring the public about what their plans are for stockpiling face masks before lockdown measures are eased.




public

Labour MP claims she was sacked as temporary carer after speaking publicly about PPE shortages

A Labour MP has claimed she was sacked from her job as a temporary carer amid the coronavirus pandemic after speaking out about personal protective equipment (PPE) shortages.




public

Joe Exotic's Oklahoma zoo officially reopens to the public under the name of Tiger King Park

The animal park behind Netflix hit Tiger King has official reopened its doors for business after closing due to the coronavirus outbreak.




public

Raw meat dog foods pose 'international public health risk' due to high levels of drug-resistant bacteria, scientists warn

Uncooked pet food could be source of pathogens dangerous to humans, research suggests




public

Public Health Experts Say Many States Are Opening Too Soon To Do So Safely

By Monday at least 31 states will be open or partially open. This as President Trump pushed for the country to get back to work despite public health experts warning that it's too soon.




public

Why Are Republicans Stampeding to Reopen?

Sasha Abramsky

They’re following the lead of Trump, who encourages gun-toting protesters, blames immigrants and China, and demonizes the media.

The post Why Are Republicans Stampeding to Reopen? appeared first on The Nation.





public

Iowa’s Republican Governor Sacrifices Citizens to Trump

Emily Berch

The state has some of fastest-growing Covid-19 outbreaks in the country. That hasn’t stopped Governor Kim Reynolds from rushing to reopen.

The post Iowa’s Republican Governor Sacrifices Citizens to Trump appeared first on The Nation.




public

Our commitment for press freedom, and autonomy of public broadcast is absolute: Prakash Javadekar

"Now there is a stage three and stage four of digitisation, we will take a call on this only after taking all things into account."




public

Republicans trying to strip Democratic governors of authority on COVID-19 response

The efforts to undermine Democratic governors who invoked stay-at-home orders are most pronounced in states such as Wisconsin, Michigan and Pennsylvania, all three of which have divided government and are key to President Donald Trump's path to reelection.




public

Public bemused by Labour infighting over leaked 'hate' dossier, says Anneliese Dodds

Labour was embroiled in recriminations today over the leak of an internal report that apparently exonerated Jeremy Corbyn's team of failing to crack down on anti-Semitism and instead blamed his opponents for stoking up controversy to damage him.




public

Labour leader launches 'Call Keir' virtual meetings for members of the public in bid to help resuscitate party

Labour leader Sir Keir Starmer will hold virtual meetings with members of the public over Zoom as he tries to resuscitate the party after its historic electoral defeat.