(NEW YORK) — Elevated levels of lead have been found in 12 of 36 ground cinnamon products and spice blends, according to a Consumer Reports article published Thursday.
The U.S. Food and Drug Administration does not set lead-level thresholds for spices, but three of the products exceeded a proposed cutoff set by the American Spice Trade Association, and 12 exceeded a more stringent cutoff level set by New York State.
The level of lead identified in these products is not likely to pose an immediate health risk. There are trace levels of lead and other heavy metals in many of the foods we eat.
The problem, experts say, can come from repeat exposure or exposure to higher levels, especially for children or pregnant women.
Because of these health concerns, the FDA is actively monitoring ground cinnamon supplies and has recently alerted the public about certain products.
Last year, a major recall of apple cinnamon pouches with high lead levels led to health problems in at least 90 confirmed cases. This year, the FDA has released multiple health alerts for ground cinnamon products with elevated lead levels.
In July, several New York distributors recalled ground cinnamon products that were potentially contaminated with increased levels of lead.
The cinnamon tested in the Consumer Reports investigation included store-bought cinnamon and other cinnamon-containing spice mixtures. Again, three of these products had levels exceeding a proposed cutoff set by the American Spice Trace Association. When contacted by Consumer Reports, two of the three companies (Paras and EGN) said they would withdraw those products from the market.
Cinnamon may have a higher lead level risk because cinnamon trees grow for years before their bark is harvested, giving them more time to absorb lead in the soil.
In small amounts, lead exposure may not lead to any symptoms, but the Centers for Disease Control and Prevention notes that significant or chronic lead exposure can cause various health issues including hypertension, kidney dysfunction, or cognitive issues in adults, and central nervous system damage like seizures and developmental defects such as learning disorders or other long-term health problems in children.
Doctors say there is no known safe level of lead for children.
(NEW YORK) — A new report by March of Dimes found that over 5.5 million women live in U.S. counties experiencing limited to no access to maternity care resources that include hospitals or birthing centers, obstetric care or obstetricians.
The report is the latest by the maternity care-centric nonprofit to highlight a worsening state of maternity care in the U.S., with a rise in closure of hospital obstetric units contributing to what the organization calls “a growing maternal and infant health crisis.”
March of Dimes estimated that more than 2.3 million women of reproductive age live in counties deemed to be maternity care deserts, with approximately 150,000 births in these counties. More than three million additional women live in counties with limited maternity care access.
“We’re going from bad to worse. We already have the worst maternal mortality rate of our industrial peer countries, and we know that access matters,” Dr. Amanda Williams, March of Dimes’ chief medical officer, told ABC News. “If we don’t have access, then we don’t even have a chance.”
Maternity care deserts have a significant impact on health outcomes for expecting women. Data shows that women in maternity care deserts have a 13% chance of experiencing preterm birth, and receive inadequate prenatal care at higher rates, according to the report. Low-income and women of color are disproportionately affected.
People in maternity care deserts have to travel approximately 2.6 times further to receive care than those who live in counties where care exists, and early data has found that ob-gyns are leaving states with strictest abortion bans, Williams said.
“As the report suggests, the Dobbs decision — the effects of which have yet to be fully realized — is likely playing a major role in the already shrinking ob-gyn workforce in many rural areas of the country,” Dr. Stella Dantas, president of the American College of Obstetricians and Gynecologists, said in a statement.
“As we continue to find ways to increase access, we must also vigorously combat legislative interference in the practice of medicine so that clinicians are free to practice without fear of criminalization and patients are able to get the care they need and deserve in the communities they live and raise their families in,” the statement continued.
Approximately 35% of all U.S. counties are now considered maternity care deserts, having no birthing facilities or obstetricians. North Dakota, South Dakota, Alaska, Oklahoma and Nebraska are the most impacted states, according to March of Dimes.
Since 2022, over 100 counties experienced a decline in maternity care access, totaling over 100 hospitals closing their obstetric units, resulting in delayed access to emergency care and forcing families to travel farther to receive critical care, according to the report.
Between 2015 and 2022, the prevalence of pre-pregnancy hypertension rose by over 80%, according to March of Dimes. Preeclampsia, a potentially fatal condition that causes a pregnant woman’s blood pressure to rise, can lead to preterm birth, stroke, seizure, and other complications for expecting women.
In maternity care deserts, the rates of pre-pregnancy hypertension was 1.3 times higher than counties with full access to care, according to the report.
Leveraging telehealth services, improving reimbursement policies for obstetric services at hospitals, and improving access to midwifery services are some of the policy solutions to improve care, Williams noted.
“Not only are there people, a lot of people who live in these maternity care deserts, there are beautiful things, just as in the natural desert, you might find a gorgeous flower or cactus,” Dr. Williams said. “There are churches, there are community centers, there are community based organizations. And so we need to figure out how in healthcare and in public health, we can partner with some of those organizations to be able to extend care to those who live in maternity care deserts.”
(WASHINGTON) — Health care was one of the topics at the forefront of Tuesday night’s debate between former President Donald Trump and Vice President Kamala Harris.
Trump said he was interested in replacing the Affordable Care Act — also known as “Obamacare” — but implied that he didn’t have any specific plans in place.
“Obamacare was lousy health care. Always was,” Trump said. “It’s not very good today and, what I said, that if we come up with something, we are working on things, we’re going to do it and we’re going to replace it.”
When asked by ABC News moderator Linsey Davis to clarify if he had a health care plan, the former president said he had “concepts of a plan” to replace the ACA but provided no details.
“If we can come up with a plan that’s going to cost our people, our population, less money and be better health care than Obamacare, then I would absolutely do it,” Trump said.
“But if we come up with something, I would only change it if we come up with something better and less expensive,” he said later in the debate. “And there are concepts and options we have to do that. And you’ll be hearing about it in the not-too-distant future.”
Last year, Trump posted on Truth Social that the ACA “sucks” and that he didn’t want to “terminate” the law but “replace it with much better health care.”
Dr. Dennis Scanlon, a distinguished professor of health policy and administration at Penn State, told ABC News there’s been much less of a focus on repealing and replacing ACA from Trump than seen in 2016 and 2020.
“I think what’s been noticeable in this election cycle [is] less discussion about the Affordable Care Act in terms of let’s repeal it or get rid of it,” he said. “I think last night in the debate, [Trump] basically straddled and said, ‘You know, if I can figure out a way to make it better, and we’re working on some concepts, we’ll do it, but not, that we will get rid of it.’ So I think that’s just different from what it’s been in the last two cycles.”
Scanlon mentioned that repealing the ACA is not even mentioned in the official 2024 Republican Party platform.
In 2010, then-President Barack Obama signed the ACA into law, requiring most Americans to have insurance and directing states to create health insurance exchanges to allow residents to sign up for insurance if they don’t receive coverage via an employer.
During his administration, Trump attempted to partially repeal the ACA by passing the American Health Care Act (ACHA). The plan would have repealed the individual mandate and the employer mandate, amended Medicaid eligibility and weakened protections for patients with pre-existing conditions.
The ACHA passed the House in May 2017 but failed to pass in the Senate. Perhaps mostly infamously, the Senate attempted to pass a so-called “skinny repeal” in late July 2017 but it was rejected, with Republican Sens. John McCain, Susan Collins and Lisa Murkowski siding with Senate Democrats to kill the bill.
In December 2017, a Republican tax reform law was passed that eliminated individual mandates, which Gallup said may have reduced participation in the insurance marketplace.
At the end of 2019, 13.7% of adults were without health insurance at the end of 2018, the highest level seen since early 2014, according to Gallup data.
In December 2019, Trump issued an executive order requiring all hospitals to make public standard charges, payer-specific negotiated charges, the amount the hospital is willing to accept in cash and the minimum and maximum negotiated charges.
“This an area where an attempt has been made … but the way it has played out has been challenging and not very effective,” Scanlon said, referring to a KFF analysis which found that transparency data was often inconsistent and confusing. “Such transparency is fundamental to reform and improvement in health care markets.”
In a statement to ABC News, Karoline Leavitt, national press secretary for the Trump campaign, restated the former president’s commitment to release details soon.
“As President Trump said, he will release more details but his overall position on health care remains the same: bring down costs and increase the quality of care by improving competition in the market place,” she said. “This is a stark contrast to Kamala Harris’ support for a socialist government takeover of our healthcare system which would force people off their private plans and result in lower quality care.”
During the debate, Harris criticized Trump’s previous attempts to repeal the ACA, saying she wants to grow and expand the legislation. Her campaign platform mentions expanding the $35 cap on insulin and $2,000 cap on out-of-pocket prescription medication costs for seniors to all Americans.
“There’s been a little bit of detail from the Harris campaign, but I would say also not much,” Scanlon said. “There’s some discussion about negotiating drugs, insulin prices, there has been some work done in that … but there’s a lot more to be done.”
