September 3, 2019

In This Issue
MMA Gathers for Annual Session in Bar Harbor This Weekend
Portland's PIER Program Featured in New York Times Article
US CDC Asks Physician Help on Vape-related Lung Diseases
New Resource Elucidates Climate Change Impact on Health and Health Care
Maine CDC to Hold Rulemaking on Death With Dignity
EEE Found in Maine Horse
Johnson & Johnson to Pay $572 million in Opioid Case
This Week's Public Health Updates from the AMA
DHHS Commissioner Lambrew and Insurance Superintendent Cioppa Host Health Care Forum
Home Health Changes in CMS Rules: Implications for Primary Diagnosis
CDC Videos on Discussing Vaccines With Parents, Patients
MMA Legislative Calls Finished for the Session
Upcoming Specialty Society Meetings
MICIS Individual Academic Detailing Sessions on Opioid Topics
2019 Clinical & Legal Opioid Update: Tuesday, Sept 10th at the Augusta Civic Center
MICIS: 2019 Clinical & Legal Opioid Update - Fall Dates Scheduled
VA Maine Healthcare System to Host Community Mental Health Summit on MAT September 11th
Qualidigm Rapid Induction Starting in the ED (RISE) Training
Obesity Medicine: There is no 'one size fits all' - Monthly Lecture Series Beginning September 18th
Maine Concussion Management Initiative (MCMI) Training Program - October 9
Celebrate 65 Years of MMA Executive Leadership on Oct. 26. Tickets Available Now
MMA partners with the Maine Suicide Prevention Program and the Maine CDC/Sweetser to offer training for clinicians.
Nurse Practitioner
Full-time, Part-time and Leadership Opportunities for Physicians
Outpatient Internal Medicine Physician Bangor, Maine
BC/BE Family Medicine or Internal Medicine Physician
Northern Light Sebasticook Valley Hospital seeks a BC/BE General Surgeon
Family Medicine Opportunity in Beautiful Western Maine
Physician Director of Primary Care
Family Medicine Specialist or an Internist
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health

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This Week's Public Health Updates from the AMA

Number of cases of mysterious, life-threatening vaping-related illnesses reaches 215

The New York Times (8/31, A1, Kaplan, Richtel) reported physicians are still trying to ascertain the cause of the mysterious vaping-related illnesses. There have now been more than 215 cases of “mysterious and life-threatening, vaping-related illnesses this summer.” Most of the patients affected are “otherwise healthy and in their late teens and 20s,” but “are showing up with severe shortness of breath, often after suffering for several days with vomiting, fever and fatigue.”

The AP (8/30, Perrone) reported, “While the cause remains unclear, officials said Friday that many reports involve e-cigarette products that contain THC, the mind-altering substance in marijuana.”

CDC warns people not to use vaping supplies bought on the street and to stop modifying e-cigarettes

The New York Times (8/30, Kaplan) reported that in response to “more than 200 cases of respiratory illnesses possibly related to vaping,” the CDC “warned people not to use vaping ingredients bought on the street and to stop modifying either nicotine or cannabis e-cigarette device in an effort to curb the vaping-related lung sicknesses that have alarmed health officials in more than two dozen states this summer.”

MedPage Today (8/30, Boyles) reported the agency issued the new recommendations “following growing numbers of reports of respiratory illness – totaling 215 at last count – and one death thought to be linked to vaping.”

Experts advise parents on how to address topic of weight loss with children

The AP (8/30, Choi) reported that “when it comes to addressing the topic” of weight loss “with children, pediatricians and dietitians say there are best practices to consider.” According to experts, “the key is to approach the subject with kindness and caring, and avoid blaming any of the child’s behaviors.” In addition, youngsters should “understand that any changes would be intended to make them feel better, and not about how they look.” The AP added, “Any adjustments to meals and activities should involve the entire family, so children don’t feel singled out.” Parents should also frame changes “in a positive light.” Stephen Pont, an associate professor of pediatrics at the University of Texas Dell Medical School, said, “Guilt and blame are not good motivators for change.”

Opening all clogged arteries after heart attack may be better than reopening only the artery that caused it, research indicates

Reuters (9/2, Emery) reports, “A new study offers some advice for doctors poking around the heart to reopen a clogged artery that has caused one type of heart attack,” and that is to “come back again to finish the job.” In the COMPLETE study that involved patients at “140 centers in 31 countries,” researchers found that when physicians “also open other arteries that are dangerously narrow – either while the patient is still hospitalized or after a month or so – those patients are half as likely to die from heart problems, have a heart attack or need repeat surgery due to chest pain than patients given conventional medical therapy.” The findings were presented at the European Society of Cardiology Congress and simultaneously published online in the New England Journal of Medicine.

TB rates declining among some groups of U.S. children

Reuters (9/2, Carroll) reports a new study in The Lancet Public Health found that “over the past decade, the number of children and teens in the U.S. diagnosed with tuberculosis has decreased by nearly half.” Overall, TB rates among children and adolescents declined 47.8% during the decade studied, including among “all racial and ethnic groups except for Native Americans, Alaska Natives, Native Hawaiians, Pacific Islanders and children and adolescents of 2 or more races.” Yet the incidence of TB “among certain racial and ethnic groups was at least 14 times higher than among non-Hispanic white children and adolescents.”

CDC: More than 1,000 salmonella illnesses linked to home-raised poultry reported

CBS News (9/2, Gibson) reports the CDC on Friday said it “recorded another 235 salmonella illnesses in August, bringing to 1,003 the count of those sickened by salmonella related to home-raised chickens, hens, ducks and turkeys so far in 2019.” So far, two have died from the salmonella outbreak and another 175 have gone to the hospital. According to federal health officials, “the growing trend of raising chickens and other poultry for eggs and companionship is linked to an outbreak that has sickened people in 49 states.”

Study: Physicians more likely to prescribe opioids later in the day or when running late

STAT (8/30, Corley) reported a study published in JAMA Network Open “reveals that physicians were more likely to prescribe opioids later in the day and when appointments were running behind schedule.” The study found that, “overall, physicians were 33 percent more likely to prescribe opioids later in the day and 17 percent more likely to do so if the appointment was running later than its scheduled time. NSAIDs and physical therapy prescribing did not change throughout the day.”

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