Between one-third and one-half of U.S. clinicians experience burnout and addressing the epidemic requires systemic changes by health care organizations, educational institutions, and all levels of government, says a new report from the National Academy of Medicine.

Every year in the United States, nearly 250,000 youths are tried, sentenced, or incarcerated as adults.

For severe acute pain due to surgeries and medical conditions, there is a lack of guidance on the appropriate type, strength, and amount of opioid medication that clinicians should prescribe to patients, says a new report from the National Academies of Sciences, Engineering, and Medicine.

Healthy People 2030 (HP2030) – which will set national objectives for improving the health of all Americans from 2020 to 2030 – should include in its Leading Health Indicators (LHIs) voting as a measure of civic engagement, the health effects of climate change, and indicators of racial and ethnic residential segregation, says a new report from the National Academies of Sciences, Engineering, and Medicine.

The White House Office of Science and Technology Policy (OSTP) this week requested that the National Academies of Sciences, Engineering, and Medicine rapidly examine the information and data needed to help determine the origins of the novel coronavirus that is causing a global outbreak of respiratory illness.

NASA should collaborate with the Federal Aviation Administration (FAA), industry, academia to research the full effects that increased unpiloted air vehicle traffic would have on society, including ramifications to sound, privacy, environmental matters, and cybersecurity, says a new report from the National Academies of Sciences, Engineering, and Medicine.

Feb. 26 Symposium Will Explore How Scientific Research Should Evolve in Coming Decades

WASHINGTON — In response to the COVID-19 outbreak, the White House Office of Science and Technology Policy has asked the National Academies of Sciences, Engineering, and Medicine to establish a Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats.

Today the National Academies of Sciences, Engineering, and Medicine released its review of the National Toxicology Program’s (NTP) draft monograph Systematic Review of Fluoride Exposure and Neurodevelopmental and Cognitive Health Effects.

The National Academies of Sciences, Engineering, and Medicine announced today that Harvey Fineberg, former president of the Institute of Medicine (now the National Academy of Medicine) and current president of the Gordon and Betty Moore Foundation, will serve as the chair of the Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats.

Although less invasive and more evidence-based approaches are available for temporomandibular disorders (TMDs) – a set of 30 disorders that cause pain or malfunction in the jaw joint and muscles of the jaw – some dentists continue to rely on aggressive or costly procedures as a first-line treatment, says a new report from the National Academies of Sciences, Engineering, and Medicine.

Symposium participants examine what climate change, obesity, and personalized medicine mean for nutrition in the future

Formed earlier this month, the National Academies’ Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats was assembled at the request of the White House Office of Science and Technology Policy and the Office of the Assistant Secretary for Preparedness and Response in response to the COVID-19 outbreak.

The National Academies stand ready to convene America’s best minds in research, government, medicine, and private industry to marshal evidence-based insights and advice for confronting today’s pandemic and future crises.

In light of the present situation in the U.S., we believe that it is essential to explore a wide range of options for treating the increasing numbers of very ill patients with COVID-19 respiratory illness.

As the COVID-19 pandemic grips the nation and the world, policymakers and the public are counting on science, engineering, and medicine to discover how the virus infects humans, slow its spread, treat those infected, and provide solutions that lay the groundwork for recovery.

The recently formed National Academies Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats, assembled at the request of the White House Office of Science and Technology Policy and the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response in response to the COVID-19 outbreak, has been providing rapid expert consultations on several topics, such as social distancing and severe illness in young adults.

The recently formed National Academies Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats, assembled at the request of the White House Office of Science and Technology Policy (OSTP) and the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response in response to the COVID-19 outbreak, has been providing rapid expert consultations on several topics, such as social distancing and severe illness in young adults.

A new rapid expert consultation from a standing committee of the National Academies of Sciences, Engineering, and Medicine responds to questions from the White House Office of Science and Technology Policy (OSTP) regarding survival of the COVID-19 virus in relation to temperature and humidity and potential for seasonal reduction and resurgence of cases.

As a novel coronavirus spreads throughout the world and the number of cases and deaths continues to rise, almost no country or community remains untouched by this rapidly evolving threat.

A new rapid expert consultation from a standing committee of the National Academies of Sciences, Engineering, and Medicine.

A new rapid expert consultation from a standing committee of the National Academies of Sciences, Engineering, and Medicine responds to questions from the White House Office of Science and Technology Policy (OSTP) regarding the effectiveness of homemade fabric masks to protect others from the viral spread of COVID-19 from potentially contagious asymptomatic or presymptomatic individuals.

It is critical for the U.S. to continue its funding for the World Health Organization in the midst of the COVID-19 pandemic given the WHO’s lead role in coordinating an international response, especially in developing countries.

At colleges and universities around the nation, scientists and graduate students are seeking out ways to bring their knowledge, skills, and resources to bear in the struggle against COVID-19.

Researchers are scrambling to find effective treatments for COVID-19, which has infected more than 1 million people around the word.

Anthony Fauci and other panelists explored the status of the pandemic, research underway, and the key role of vaccines in bringing the pandemic to an end.

The National Academies of Sciences, Engineering, and Medicine and the National Science Foundation announced today the formation of a Societal Experts Action Network (SEAN) to connect social and behavioral science researchers with decision-makers who are leading the response to COVID-19. SEAN will respond to the most pressing social, behavioral, and economic questions that are being asked by federal, state, and local officials by working with appropriate experts to quickly provide actionable answers.

When it comes to COVID-19 testing, questions remain about which of the tests available are reliable, how much testing is needed, and how to ensure access to testing. The latest COVID-19 Conversations webinar explored the challenges ahead.

The 1.3 million nursing home residents in the U.S. make up less than 0.5 percent of the nation’s population, but represent approximately 15 percent of COVID-19 related deaths to date.

The U.S. Department of Energy’s plan to dilute and dispose of 34 metric tons of surplus plutonium in the Waste Isolation Pilot Plant (WIPP) in New Mexico is technically viable, provided that the plan’s implementation challenges and system vulnerabilities are resolved.

National Academy of Medicine President Victor J. Dzau will provide remarks on behalf of the Global Preparedness Monitoring Board during a virtual event on May 4 to launch an online pledging effort, the Coronavirus Global Response.

From N-95 masks that are protecting health care workers during the COVID-19 pandemic to food packaging found in every aisle of the grocery store, plastics play an essential role in our lives.

The novel coronavirus has been called “the great equalizer,” when in reality, it has only exacerbated health inequities that racial and ethnic minorities have experienced for decades.

Less water in Hoover Dam means less power coming from the Dam's generating units. ; Credit: Dawn Danby/via Flickr

Monday's fat stack of news also includes some views about what to do about drought and Western water supplies.

The New York Times has published six answers to the questions "What are the best ways to share the water? And how can we ensure it lasts for the foreseeable future?" Pat Mulroy, former general manager of the Southern Nevada Water Authority, weighs in, as do several other think tankers:

[N]ew energy and fuel production options have become more water intensive. Unconventional oil and gas production methods such as hydraulic fracturing have significant implications for local and regional water quality and quantity. Bioenergy consumes water at various stages of production (including irrigation for crops) and also has impacts on water quality and quantity...We should be pursuing cleaner energy and streamlined approaches to conserving water in order to truly safeguard our water supply. (Newsha Ajami/Stanford University)

An incredible 40 percent of the water consumed by Americans goes into meat and dairy production. Livestock must drink water and there is some water use at the farm, but most of this water is for the producing animal feed...Is this a wise allocation of the limited supply of freshwater in America? (Arjen Hoekstra/University of Twente, Netherlands)

• Closer to home, the Sacramento Bee has an ongoing series about drought solutions. Mariposa County resident Tom DeVries, who lives in forestland at 4,000 feet, offers his take:

Trees take water; a big one can draw 100 gallons a day out of the ground. All that junk forest in California is sucking up water that should be filling my spring and well and flowing downhill toward the rest of you. (Sac Bee)

• You know who else has good ideas about how to conserve water in drought? Australians. (KQED)
• Jay Lund from UC Davis modeled a "mega-drought" with his team and found that the economic consequences of a big drought event could be mostly managed through smarter water conservation policies. (California Water Blog)
• Falling water levels at Lake Mead are lowering Hoover Dam's energy production. Generating units have recently been "derated," meaning that they're expected to have a lower capacity for producing electricity now that there's less water to turn turbines. (EE News)
• Jason Dearen and Garance Burke report on "senior rights holders," and how poorly California accounts for water use by people who have rights dating back before 1914 at anytime, and how much that matters now during the drought. (AP)
• You're gonna see a lot of these stories all week: it's a terrible year for setting off fireworks. I bet rural fire chiefs have their teeth on edge already. (Merced Sun-Star)
• And we'll finish up in Southern California. In the first of a duo of Dana Bartholomew stories, the Daily News reports on Turf Terminators, a company that offers to leverage the recently-raised turf removal incentive and swap out homeowners' lawns for less thirsty landscapes...essentially for free, since the company's premise is that it can do the work for the price of the rebate. (Daily News)
• In the second, Bartholomew profiles a Studio City water-conservation demonstration at homes along Rhodes Avenue. (Daily News)
• And a UCLA project examining water use and conservation potential in territory served by the Los Angeles Department of Water and Power suggests that we're not pricing water well enough to encourage conservation. Authors of a policy brief with the California Center for Sustainable Communities say dual metering, for inside and outside, would also improve conservation. (Imperial Valley News)

How has your community been affected by the drought? Share your story with a photo on Twitter or Instagram. Tag it #mydrought. For more details on our photo project, click here.

This content is from Southern California Public Radio. View the original story at SCPR.org.

Exide begins to remove lead-polluted soil on Monday morning at a house on the 1200 block of La Puerta Street in Boyle Heights.; Credit: Maya Sugarman/KPCC

All five members of the Los Angeles County Board of Supervisors have signed a letter imploring California Gov. Jerry Brown to intervene in the state’s handling of contamination around the Exide Technologies plant in Vernon.

The letter criticizing the state’s “piecemeal approach to an urgent environmental hazard” comes as workers paid for by Exide are removing lead-contaminated topsoil from two homes near the intersection of Olympic and Indiana avenues in L.A. 

Signed Tuesday, the letter asks for “guaranteed state funding to immediately begin testing” at 37 more homes also sampled, but to less specific degrees, during November 2013. In the words of the board, “further testing and remediation of the other 37 homes has not been confirmed and may not begin until at least October 2014 because Exide has not yet agreed to comply with DTSC directives issued last March.”

The supervisors also say the state has “reneged” on its commitments to test for lead inside the homes as well as outside.

The Department of Toxic Substances Control says that the two homes workers are at this week will be cleaned inside and out — even without indoor testing.  The DTSC’s Rizgar Ghazi said Monday that crews will use HEPA filters, vacuums and shampooing equipment on “basically any flat surface” inside the two residences.

Read the L.A. Board of Supervisors’ letter to Gov. Brown here:

http://www.scribd.com/doc/236655733/LA-County-Supervisors-Letter-to-Gov-Brown-8-12-14

This content is from Southern California Public Radio. View the original story at SCPR.org.

On Broad Beach in Malibu, high tide not only wets sand but also retaining walls and broken down rock revetments. What happens next in homeowners' efforts to get sand trucked in here will go to the State Lands Commission - and the next Controller likely will weigh in on the problem. ; Credit: Molly Peterson/KPCC

The most common question I’ve been asked about the statewide Controller race this election year is the same question I get every four years. “Wait, we have one?”

The inevitable follow-up question: “What does this person do?” Down-ballot races in California’s state election can seem like a tedious part of a the voting process. Most of us just don't take the time to research them. In 2010, the last time we elected statewide executives, 435,308 of those people who voted for Governor just didn’t bother to vote for anybody in the Controller race. 

But in addition to being the chief fiscal officer of the 8th-largest economy in the world, the Controller sits on something like 80 state commissions and boards. And if you’re interested in California’s environment, a biggie there is the State Lands Commission.

The State Lands Commission oversees roughly 4 million acres of submerged land and tidelands, holding them in trust for the public. Right now it's looking at policy alternatives to respond to sea level rise. It manage the state's offshore oil-drilling leases. It even gets authority over historical shipwrecks! 

Three issues coming before to the Lands Commission mean the Controller matters:  

• Coastal Access and Martin’s Beach: At the end of September, Governor Jerry Brown signed a law requiring the State Lands Commission to negotiate with Vinod Khlosa, a private property owner who famously shut down coastal access over his land this year. The commission has all of next year to negotiate with Khlosa. If no deal is reached, it can use eminent domain authority to force public access – something that would represent a big break in historical practice, because that authority hasn’t ever been used in the 76 years that the commission has existed.
• Malibu’s Broad Beach has been rapidly eroding under pressure of waves and storms worsened by climate change, and very rich homeowners there have been seeking to add sand in front of their houses to combat the risk of damage to very expensive properties. Earlier this year, those homeowners successfully completed an application to the State Lands Commission, and the commission was expected to decide on it in October. The decision’s been put over till after the election.
• Fracking: Offshore oil made news late last year and earlier this year when some operators didn’t report that they were using drilling and production techniques collectively referred to as hydraulic fracturing. The news prompted the EPA to require chemical disclosures for drilling operations it oversees.  The state agencies that should be overseeing these issues – the Coastal Commission and the Lands Commission – are considering their next moves too.

Positions on these issues don’t really come up when it comes to the Controller race, though both Betty Yee and Ashley Swearengin have gone on the record to say they’re against fracking. 

This content is from Southern California Public Radio. View the original story at SCPR.org.

Rubber stoppers are placed onto filled vials of the investigational drug remdesivir at a Gilead manufacturing site in the United States.; Credit: /AP

Updated at 4:59 p.m. ET

The Food and Drug Administration has given emergency use authorization to the antiviral drug remdesivir to treat hospitalized patients with the coronavirus, President Trump on Friday told reporters at the White House.

Gilead CEO Daniel O'Day said remdesivir maker Gilead Sciences is donating 1.5 million vials of the drug and will work with the federal government to distribute it to patients in need.

The news comes days after preliminary results from a study of the drug showed it can help patients recover faster. Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, hailed the findings earlier this week as "quite good news."

The authorization means remdesivir can be distributed in the U.S. and given intravenously to treat COVID-19 patients — both adults and children — who are hospitalized with severe disease, the FDA says. The agency defines that category as "patients with low blood oxygen levels or needing oxygen therapy or more intensive breathing support such as a mechanical ventilator."

Discussing the findings about the drug's ability to help COVID-19 patients, O'Day cautioned earlier Friday that remdesivir is used to treat advanced cases, in which people are already hospitalized. The recent positive findings, he said, are a starting point in the fight against the respiratory disease.

"We want to continue to see how we can expand remdesivir to more patient populations," O'Day said on NBC's Today show. "Clearly with other medicines and vaccines to come, this is part, I think — the beginning of our ability to make an impact on this devastating virus."

This content is from Southern California Public Radio. View the original story at SCPR.org.

President Trump walks outside the White House in January. The president received intelligence briefings on the coronavirus twice that month, according to a White House official.; Credit: Saul Loeb/AFP via Getty Images

President Trump twice received intelligence briefings on the coronavirus in January, according to a White House official. The official tells NPR the briefings occurred on Jan. 23 and Jan. 28.

"The president was told that the coronavirus was potentially going to 'spread globally,' " the official said of the first briefing, which came two days after the first case of the virus was reported in the United States. "But the 'good news' was that it was not deadly for most people," the official said the president was told.

Five days after that initial briefing, the president was briefed again, according to the official. This time, "he was told that virus was spreading outside of China, but that deaths from the disease were happening only in China," the official said. "He was also told that China was withholding data."

The question of what Trump knew about the coronavirus, when he was aware of it and the tenor of those conversations have come under heavy scrutiny, as the administration faces criticism that it was slow to respond to early warnings about the virus. In the time since the president's January briefings, the U.S. has reported more than 1.1 million cases of the coronavirus — more than any other nation. In all, more than 66,000 Americans have died.

The president has defended his handling of the crisis — pointing to steps like his decision at the end of January to restrict travel into the U.S. from China. But for much of the following month, the president and some of his top surrogates downplayed the threat of the virus.

"We pretty much shut it down coming in from China," the president said in an interview with Sean Hannity of Fox News early in February. By the end of the month, with the virus reported in several dozen countries at that point, he continued to tell reporters that the risk "remains very low ."

During his State of the Union address, roughly a week after being told that China was withholding data, Trump said his administration was "coordinating with the Chinese government and working closely together on the coronavirus outbreak."

To this point, the White House has offered little clarity publicly about the exact dates when Trump was briefed about the virus. Asked about this on Thursday, Trump told reporters that he spoke with intelligence officials about the coronavirus "in January, later January," adding that intelligence officials had confirmed that this was the case.

On Monday, when The Washington Post reported that Trump received more than a dozen classified briefings in January and February, the Office of the Director of National Intelligence responded, "The detail of this is not true," and declined to elaborate.

This content is from Southern California Public Radio. View the original story at SCPR.org.

Speaker of the House Nancy Pelosi wears a mask on Capitol Hill on April 30. Members in the House will not return over coronavirus fears but the Senate is scheduled to return on Monday.; Credit: Saul Loeb/AFP via Getty Images

House Speaker Nancy Pelosi and Senate Majority Leader Mitch McConnell, in a rare joint statement on Saturday, declined an offer from the White House to make rapid COVID-19 tests available for Congress.

"Congress is grateful for the Administration's generous offer to deploy rapid COVID-19 testing capabilities to Capitol Hill, but we respectfully decline the offer at this time," Pelosi and McConnell said. "Our country's testing capacities are continuing to scale up nationwide and Congress wants to keep directing resources to the front-line facilities where they can do the most good the most quickly."

McConnell, R-Ky., plans to bring the Senate back into session on Monday, while Pelosi, D-Calif., and House Majority Leader Steny Hoyer, D-Md., said this week the House would not bring representatives back over coronavirus fears.

On Friday, Health and Human Services Secretary Alex Azar said on Twitter that the Trump administration would send three Abbott "point of care testing machines and 1,000 tests for their use" to Capitol Hill.

President Trump on Saturday tweeted: " No reason to turn it down, except politics. We have plenty of testing. Maybe you need a new Doctor over there. Crazy Nancy will use it as an excuse not to show up to work!"

Pelosi and Hoyer said they made the decision based on advice from the Capitol's attending physician, Brian Monahan. "The House physician's view was that there was a risk to members that was one he would not recommend taking," Hoyer said Tuesday.

So far, Rand Paul of Kentucky is the only senator to have tested positive for the coronavirus. In the House, seven members have tested positive or presumed to be positive for the coronavirus.

On Friday, McConnell shared guidelines from Monahan urging lawmakers and staff to maintain six feet of distance, limit the number of people in offices and to wear masks when possible.

Monahan has told Republican leaders that his office does not have the capacity to proactively test all 100 senators and can only test those who are ill, Politico reported.

This content is from Southern California Public Radio. View the original story at SCPR.org.