Number of people sickened in E. coli outbreak linked to McDonald’s Quarter Pounders rises to 90: CDC

(DURHAM, N.C.) — As hospitals and health care facilities work to get back up and running after Hurricane Helene slammed into Florida’s Big Bend, affecting several states, the medical supply chain could be at risk.

Baxter International, a health care and medical technology company, announced this week that it must close its largest plant in North Carolina due to flooding and destruction caused by the hurricane.

The plant, located in North Cove, 60 miles northeast of Asheville, primarily manufactures IV fluids and peritoneal dialysis solutions, according to Baxter. It is the largest manufacturer of such solutions in the U.S., employing more than 2,500 people, the company said.

“Our hearts and thoughts are with all those affected by Hurricane Helene,” José Almeida, chair, president and CEO of Baxter, said in a statement. “The safety of our employees, their families, and the communities in which we operate remains our utmost concern, and we are committed to helping ensure a reliable supply of products to patients.”

“Remediation efforts are already underway, and we will spare no resource – human or financial – to resume production and help ensure patients and providers have the products they need,” the statement continued.

Baxter said it implemented a hurricane preparedness plan ahead of Helene, which included evacuation plans for staff and moving products to higher ground or to secure storage. However, heavy rainfall and storm surge “triggered a levee breach,” which led to flooding in the facility.

Among those impacted by the Baxter plant closing is Duke University Health System (DUHS), in Durham, North Carolina, according to William Trophi, DUHS interim president vice president of supply chain.

“[Baxter has] published their action items, and they have announced to us that they’re putting a hold on all distribution for 48 hours to understand what they have in their supply line, and then they’re going to be setting up pretty strict allocations based on prior usage to make sure that everyone is getting their fair share based on their volume and their needs,” he told ABC News.

Trophi said DUHS and Duke University have not seen major disruption to their supply chain following Helene’s landfall, but notes there may be delays in the future if the Baxter plant closure lasts for several weeks, if more plants close, and depending on how long the dockworkers’ strike on the East Coast and the Gulf Coast lasts.

“What we’re doing internally is we’re looking at conservation models, so similar with our IV solutions, we’re going to look at what can we be doing differently to treat our patients in a safe, effective manner to conserve IV solutions,” he said. “And we’ll start to look at other high, critical, sensitive items that could be impacted by this, and look at what can we be doing differently to conserve the way in which we treat our patients in a safe, effective manner.”

Paul Biddinger, chief preparedness and continuity officer for the Boston-based Mass General Brigham health care system, told ABC News that facilities typically begin stockpiling and taking inventory of supplies prior to a natural disaster. After the event has happened, health care centers will work to identify what products are affected by supply chain issues and which patients are using the products.

In the case of the Baxter plant, the products are primarily used by kidney patients, cardiac patients and urologic patients, Biddinger said, adding that hospitals and other health care facilities will typically try to conserve as much of the affected product as possible, and will also investigate any alternatives or substitutions for the product.

“If the shortage is so severe that we just can’t continue with normal usage, even with conservation, then we have to start a process of allocating across our clinical services, of course, prioritizing lifesaving care and emergency care, and then going down our list for more scheduled or more elective kinds of procedures,” Biddinger said.

Samantha Penta, an associate professor of emergency management and homeland security at the University at Albany in New York, said one really important factor to consider when understanding the implications of Hurricane Helene is just how large the affected area is.

“We’re not just talking about a couple of counties. We’re not even just talking about one state. This has affected multiple states very significantly,” she told ABC News. “One of the things that organizations, in general, including hospitals, long-term care facilities and like – really, anything in the health care sector – does, is you can rely on neighboring facilities.”

Penta said if health care facilities need to send patients to a neighboring facility because they’re running low on supplies or space, or if their facility is damaged, they typically can do so. The same holds true if one facility is running low on supplies; another facility might send them some of their reserves as part of a mutual aid agreement.

But in the case of Helene, “effectively, the people who need help, their neighbors are also being affected. So, any given hospital, the closest hospitals to them, are likely dealing with the same issues,” Penta said. “That further complicates it, because things have to come from even farther away, whether that’s working within a network or ordering from different vendors.”

Over the weekend, North Carolina became the latest state to have a public health emergency declared by the U.S. Department of Health & Human Services (HHS) in response to Hurricane Helene.

The HHS’s Administration for Strategic Preparedness and Response deployed about 200 personnel to the state, including Health Care Situational Assessment teams to evaluate the storm’s impact on health care facilities such as hospitals, nursing homes and dialysis centers, and Disaster Medical Assistance teams to help state and local health workers provide care.

Copyright © 2024, ABC Audio. All rights reserved.

(NEW YORK) — Infant mortality rates remained relatively unchanged from 2022 to 2023, but racial and ethnic disparities still persist, new provisional federal data released early Thursday finds.

The U.S. provisional infant mortality rate in 2023 was 5.61 infant deaths per 1,000 live births, unchanged from the 2022 rate, according to a report from the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).

The report also found that infants born to Black mothers still died at much higher rates than those born to white and Asian mothers — more than double the rate of white infant mortality, according to the CDC.

Additionally, changes in the neonatal mortality rate from 3.59 deaths per 1,000 live births in 2022 to 3.65 deaths per 1,000 live births in 2023, and the postneonatal mortality rate from 2.02 deaths per 1,000 live births to 1.96 deaths per 1,000 live births from 2022 to 2023 were not seen as statistically significant, the report’s authors said.

Neonatal refers to the first four weeks of an infant’s life and postneonatal refers to the period between 28 days and 364 days after birth.

Dr. Danielle Ely, co-author of the report and a health statistician at the NCHS, said 2022 was the first year there was a significant increase in the infant mortality rate in about 20 years. That the rate did not increase in 2023 shows the rise in 2022 was likely not a fluke, she said.

“So what we’re seeing is that what we were hoping would be just a one-year blip is now a two-year higher rate,” she told ABC News. “It is unfortunate that it did not go down again to where it was in 2021 at least or at least down from 2022. It just quite literally stayed the same, the infant mortality did.”

Black infants died at a rate of 10.9 infant deaths per 1,000 live births, more than double the rate of 4.5 deaths per 1,000 live births for white women and 3.4 deaths per 1,000 live births for Asian women, per the CDC data.

Infants born to American Indian and Alaska Native women also had higher rates than white and Asian women at 9.2 deaths per 1,000 live births, according to the report.

Data also showed infants born to Hawaiian or Pacific Islander women died at a rate of 8.2 deaths per 1,000 live births, and those born to Hispanic women died at a rate of 5.0 deaths per 1,000 live births.

Why racial disparities continue to persist is “the $100 million question,” Dr. Kirsten Bechtel, a pediatric emergency medicine physician at Yale New Haven Children’s Hospital and an expert in infant mortality, told ABC News.

“One of things that’s great about this data is that it helps us work backward. It’s like the canary in the gold mine,” Bechtel, who was not involved in the report, said. “Death is an outcome that everyone agrees on is a problem, but why that problem happens is oftentimes subject to vigorous discussion.”

She said one reason behind the disparities could be that Black mothers have a higher rate of pre-term birth, and pre-term birth is associated with higher infant mortality.

“That has a lot to do with access to timely prenatal care,” Bechtel said. “Trying to get folks access to timely care during pregnancy and timely care that is evidence-based. We also know there is some elements of structural racism that is built into some of the care these women receive.”

Bechtel said the findings show that pregnant people need to be supported financially with access to medical care and by the community helping take care of a child.

“Raising a child can be very daunting, especially if you have socioeconomic challenges or you have to go to work and you can’t take time off after your baby’s birth,” she said. “So we really need to look at policies that support pregnant people.”

Harika Rayala, M.D., MSJ, is a neurology resident physician at the University of Virginia and a member of the ABC News Medical Unit.

Copyright © 2024, ABC Audio. All rights reserved.

(NEW YORK) — Fury, anger and resentment toward the health care industry have exploded in the public rhetoric in the wake of UnitedHealthcare CEO Brian Thompson’s killing and one activist said that “volcanic” eruption of emotion has been boiling up for years.

People have been flooding social media posts with statements chastising UHC for its policies, bringing up times they were personally denied coverage or hit with huge bills for services.

In some instances, some users have even praised Thompson’s murder and the shooter, who is still on the lam and not been publicly identified as of Friday evening. UHC’s Facebook post memorializing Thompson was filled with “laughing” emojis and comments chastising the insurer before comments were shut off.

Derrick Crowe, a spokesman for the nonprofit People’s Action Institute, a social advocacy nonprofit that has protested UHC and other health care, told ABC News that he was horrified by Thompson’s shooting and offered his condolences to his loved ones.

However, he noted the anger online has been a long time coming.

“I think the reason that anger was pent up and it came out in such a volcanic way is that corporations have too much power in this country and they’re standing in the way of dealing with two big epidemics,” he told ABC News. “One is the epidemic of gun violence, which we saw an example of in Manhattan, and one is an epidemic of care denials across the country.”

Crowe said more than 250 million health claims are denied annually by health insurance companies. He claimed the UHC “by far leads the clear care denials of people’s claims when they’re seeking health care.”

He cited examples such as patients claiming they were denied coverage for a congenital defect or infant care.

“Many of the folks that we’ve talked to have had personal stories of needing acute health care quickly and have found that this company has been standing in their way,” he said.

When asked by ABC News about the increase in rhetoric against the healthcare industry following the shooting, a UHC spokesperson deferred to its latest statement about Thompson’s killing.

“While our hearts are broken, we have been touched by the huge outpouring of kindness and support in the hours since this horrific crime took place. So many patients, consumers, health care professionals, associations, government officials and other caring people have taken time out of their day to reach out. We are thankful, even as we grieve,” the statement said.

“Our priorities are, first and foremost, supporting Brian’s family; ensuring the safety of our employees; and working with law enforcement to bring the perpetrator to justice. We, at UnitedHealth Group, will continue to be there for those who depend upon us for their health care. We ask that everyone respect the family’s privacy as they mourn the loss of their husband, father, brother and friend,” the statement continued.

In the past, protests have been held against UHC in Minneapolis, where its headquarters are based, including one back in July.

Crowe said that his organization has led many movements to call out the insurance companies for their practices.

“The purpose of that action was to draw attention to the epidemic of claims, denials and care denials across the country, and to bring people who have had their health care directly affected by a care denial by this corporation to the place where the denial is coming from, and to demand that they stop putting profits over people’s lives,” he said.

Crowe reiterated that his group only supports non-violent and peaceful means of protesting the industry and condemned Thompson’s murder. However, he reiterated that the fight against greed in the health insurance industry needs to continue.

“We believe that in keeping with the principles behind the First Amendment, that there are democratic, powerful, nonviolent ways that we can take that private pain and turn it into public power when we bring people together. And we’re going to continue to do that. And we think that’s an essential part of making change in our democracy,” he said.

Copyright © 2024, ABC Audio. All rights reserved.