The European Commission has today adopted a new
EU Global Health Strategy to improve global health security and deliver better health for all in a changing world. With this strategy, the EU strengthens its leadership and reaffirms its responsibility to address the main global challenges and inequalities in health. The unfinished agenda for global health and the fight against health threats in the age of pandemics.
This strategy positions global health as an integral pillar of EU foreign policy, a geopolitically important sector and the center of the EU’s strategic autonomy. Promote sustainable, meaningful and equitable partnerships with our global portal. As an external aspect of the European Health Union, this strategy is designed to guide EU action to ensure better preparedness for and response to health threats in a seamless manner.
A new approach to address global challenges
The strategy advocates for three interrelated key priorities to address global health challenges.
Improve the health and well-being of people throughout the life course.
Strengthen health systems and promote universal health coverage.
Apply the One Health approach to prevent and address health threats, including pandemics.
The strategy aims to make up lost ground to achieve the universal health-related targets in the 2030 Sustainable Development Goals. To do so, this strategy refocuses our actions to achieve universal health coverage, strengthen primary health care, and address the root causes of ill-health, such as poverty and social inequality. This strategy underscores the importance of addressing critical factors that undermine health, including climate change, environmental degradation, food security, conflict, and other humanitarian crises. Therefore, this strategy introduces a strong ‘health in all policies’ approach to ensure that different policies genuinely contribute to health objectives. It identifies three key ingredients for better health: digitization, research, and a skilled workforce with concrete actions to advance globally in these areas.
The strategy also aims to improve global health security and protect citizens from threats by strengthening prevention, preparedness and response, and early detection. These threats can be chemical, biological, nuclear, or pandemic, including silent killers that are resistant to antibiotics. This strategy suggests a variety of actions to address these threats.
More equitable access to vaccines and treatments by strengthening local pharmaceutical systems and manufacturing capacity.
Strict and binding international rules on pandemics
Tighter monitoring and detection of pathogens
A holistic approach that addresses all the links between the environment, animal/plant health and human health (“One Health Approach”)
As a new world health order emerges, this strategy charts a path for the EU to contribute through more strategic, assertive and effective engagement to help shape the order:
In a complex geopolitical environment, the world needs to sustain a new type of strong global governance. This includes deepening cooperation with the G7, G20 and other global, regional and bilateral partners to create stronger, more effective, accountable and sustainable policies at the core of the publicly funded WHO multilateral system.
Expand the EU’s international partnership on health as part of the Global Gateway, on the basis of joint ownership and joint responsibility of our partners. Improving their health sovereignty ensures their resilience and autonomy, allowing us to focus on those who need it most and where our impact is greatest. Partnerships with developed countries will also be sought.
Harnessing the Team Europe approach with a truly unique and strong voice, ensuring close coordination with Member States to ensure that policy actions and financial instruments are closely linked to new priorities.
More effective financing through innovative financing, pooling international resources and facilitating joint investment by partner countries and other actors such as the private sector. Both the EU and its Member States are among the largest global health funders in the world, and this strategy will make this significant financial contribution to global health even more effective through close mapping and monitoring of impacts.
The new EU Global Health Strategy provides the framework for EU health policy up to 2030. It sets out political priorities and guiding principles and identifies concrete courses of action to shape global health. It describes what the Commission does and what Member States are encouraged to do.
The strategy includes input from EU Member States, including the Council Presidency, the European Parliament, civil society, including the Civil Society Shadow Health Strategy 2020, and other key stakeholders within and outside Europe, according to contributions received during a broad public consultation. This strategy will be released in parallel with the first Health Preparedness Report.
No One is “Too Old” for Plastic Surgery
The common myth for plastic surgery is that one needs to be in their late 30s to middle age to get the most out of plastic surgery. If a person is after 65 there’s no point. In reality, people in their 60s and 70s can benefit from plastic surgery and appearance improvement just as much as anyone else. The myth is generated because of the association with people under 55 still actively being involved in careers and needing to worry about public appearance versus being past 60 years of age and being assumed as retired.
Dr. Joel Aronowitz notes that the life expectancy rates of people today are far higher than it has ever been. That means, in a nutshell, people are living longer. And it also means that people may need to have more benefits from their appearance as well, instead of being assumed to “throw in the towel” at the traditional retirement age. Judgments about people based on their appearance still happen, and with folks living longer, it matters more into older age these days than social impacts ever did before.
Remember, plastic surgery also doesn’t need to be a big fanfare the way it is made out in the media. There are plenty of plastic surgery procedures and operations that can be handled with small, outpatient methods and produce significant results. As an expert in plastic surgery, Dr. Joel Aronowitz himself has applied plastic surgery applications on dozens of patients, with notable results and impacts on their confidence and social life after the fact.
Some 40 years ago, the rumor of plastic surgery is a second chance in one’s 30s made sense. It was common for someone to reach their life expectancy at 55 or 60 in those days. However, health standards, medical procedures, and related science have advanced tremendously since then, and Dr. Joel Aronowitz notes that reaching 75, 80 and even 90 is quite common today. So, it makes perfect sense for someone to consider plastic surgery in their 50s and even 60s today. There’s a very good chance patients can easily realize another 20 to 30 years on their personal investment and life opportunities.
So, if you’re older and thinking you’re past the benefits of plastic surgery now, Dr. Joel Aronowitz would argue to reconsider. It’s your life, so why not enjoy your time to the fullest instead of resigning yourself to being a late chapter? Plastic surgery can be a restart and a new direction in the next phase of your time.
What did you read on NC Health News in 2022?
What did you read on NC Health News in 2022? These are the stories that have caught the attention of readers and received the most views over the past year.
Will Atwater, Ann Blythe, Rachel Krampler, Clarissa Donnelly-DeRoven, Thomas Goldsmith, Rose Hoban, and Taylor Knopf
Will North Carolina legalize medical marijuana?
Our most read stories of the year focus on the state of medical marijuana in the state. North Carolina remains one of 13 states that have yet to legalize any cannabis products for medical use, although this may change soon. The North Carolina Compassionate Care Act, first introduced by the North Carolina Senate in April 2021, will make medical marijuana available to a small group of people with chronic conditions such as cancer, HIV/AIDS, and PTSD.
On June 6, the bill was approved by the Senate and submitted to the State House of Representatives. Two days later he was transferred to the House Rules, Timing and Operations Committee, a committee where bills are often sent to die. Of course, since then the account has not gone anywhere.
North Carolinians of all political persuasions overwhelmingly support the legalization of medical and recreational marijuana. A poll conducted by SurveyUSA and WRAL found that 72 percent of voters supported legalizing medical marijuana, while 57 percent supported legalizing recreational marijuana.
Because many people who use medical marijuana do so for pain relief, researchers across the country have been investigating whether medical marijuana can be used as a substitute for opiates. Two 2015 studies, one in the Journal of Health Economics and another in JAMA Internal Medicine, found that states where medical marijuana is legal have lower levels of opioid addiction and overdose deaths than states where it remains illegal.
Third year of the coronavirus pandemic
North Carolina started the year with Omicron’s wrath. On New Year’s Eve, the state Department of Health and Human Services reported a daily count of 19,174 new cases of the novel coronavirus, with new infections caused by new variants of COVID-19.
A record number of hospitalizations followed in a matter of weeks, and the healthcare system groaned under the strain.
Labor shortages have further complicated the situation at hospitals trying to cope with the influx of patients.
According to a tracker created by DHHS, North Carolina’s highest average case count of 235,688 occurred during the week of January 15, 2022.
The Omicron variant proved to be a survivor, evolving into sub-variants that continued to threaten as 2022 drew to a close.
Last year showed how significant advances in vaccine technology have led to rethinking vaccines and boosters, such as the Omicron bivalent booster. While vaccines and antibodies against COVID infections have helped North Carolinians and others return to some pre-pandemic activities (travel, sporting events, concerts, large gatherings, in-person school, and work in office and retail), COVID can still .
People have learned to isolate and mask when infected and to manage risks that not only protect them from serious illness, but also help prevent large spikes in morbidity and mortality.
In just three years, scientists and researchers have developed treatments like Paxlovid and monoclonal antibodies that can be taken for days after infection to prevent serious illness, but as the virus continues to mutate, some of these treatments have become less effective or completely ineffective. .
Vaccines for young children have been developed. The percentage of children younger than 4 years of age who received the vaccine is only about 4 percent, but nearly the entire population 65 years and older received two doses of the COVID-19 vaccine, according to the DHHS COVID Dashboard.
Five to nine percent of North Carolinians who completed the initial vaccination series also received a booster shot, but only 19 percent received a bivalent booster shot specifically targeting Omicron, according to the dashboard.
Given the increased availability of home tests, the 3.316 million cases in North Carolina may be an underestimate because many home test results are not reflected in the data.
COVID-19 has caused social change that is likely to last beyond the end of the pandemic. Working from home is a trend that many businesses are likely to take further advantage of, and the use of masks for respiratory illnesses during the winter months could become more common indoors with frequent travel.
A medical worker is talking to a patient through a video feed using a webcam and monitor.
Cisco employee Colleen Coogan talks with her doctor Alison Guptill about a new blood pressure medication via video link. All clinic examination rooms will be equipped with telemedicine. Photo: Rose Hoban Credit: Rose Hoban
Cody Kinsley, the DHHS secretary who took over after former Secretary Mandy Cohen resigned in 2021, hopes to convince lawmakers to better fund and expand public health infrastructure built during the pandemic as North Carolina transitions to recovery and reform regimes.
In the short term, Kinsley used DHHS funding to set up a temporary telemedicine program with StarMed, through which people infected with COVID without insurance or a primary care physician can schedule free appointments and get prescriptions for oral antivirals.
“More than 1 million people in North Carolina do not have health insurance, making access to care for COVID-19, like other illnesses, very difficult,” Kinsley said in a statement. “This program provides a temporary bridge to serve many in rural and historically underserved communities, but we still need long-term investment to close the coverage gap.”
Changes in Medicaid after one year
In July, the Medicaid program in North Carolina turned one year old. Early in the transition, providers spoke of a significant administrative burden, and patients shared their confusion when they registered with one of the contracted public companies. A year or so later, things look much the same, though thankfully with fewer lapses in care than expected.
While the technicalities of transitioning a state to Medicaid are important, we also oversee North Carolina’s unique pilot project, the Healthy Opportunities Program, which suggests that using Medicaid dollars to help people access unpaid services medical essentials, like housing and healthy eating, the state can save money on long-term health care.
This summer, we published a three-part series on the show and hosted a monthly half-hour health care show with some of the people who do the show. I think each story is worth reading, but to sum it up, the pilot has a lot of potential, but faces a lot of obstacles.
There are issues with the referral process and with the increase in the number of documents for housing providers. As of September, the state has yet to find a way to make the domestic violence portion of the program feasible, given the serious privacy concerns associated with supporting people in the experience.
But for people who received services through the program, the effect was enormous. Case in point: After receiving free foods and whole grains through the program, Mary K., who has diabetes, saw her A1C (three-month average blood sugar score) drop from 10.8 to 7.6. Mary had suffered from one health problem after another in the previous months, so the impact of the good news could not be underestimated.
The mental health system in crisis
The pandemic has put a strain on every part of the social safety net and the mental health system has nearly collapsed under its weight. With the help of a grant from the Foundation for Investigative Journalism, I spent this year documenting the flow of patients going to emergency rooms across the state seeking mental health care.
The data we found showed an increase in mental health-related emergency room visits, an increase in involuntary commitments, and an increase in wait times at psychiatric hospital beds. Health experts explained that these are symptoms of much larger problems in the state’s mental health system that have persisted for more than a decade as community treatment resources dwindle. As more patients find themselves in crisis, the current care system leaves some more traumatized than when they first sought help.
I wrote a story about an 11-year-old girl at risk of suicide who, against her parents’ wishes, was sent to a private hospital where she was allegedly sexually abused. Police records show that law enforcement regularly visits this particular hospital in response to calls with allegations of sexual harassment or rape. Many, including some lawmakers, have called for reforms in response to the story.
Health leaders dealing with these problems have ideas on how to solve them, but this will require significant financial investment in the public mental health system.
Consequences of the Dobbs decision
On June 24, the US Supreme Court overturned the landmark 1973 decision in Roe v. Wade who made abortion access a federal right in the United States. The Dobbs decision removed this legal protection, leaving the regulation of abortion to individual states.
In the weeks that followed, many states, especially those in the South, took steps to ban or severely restrict abortion, making a world of difference to the abortion landscape. Abortion remains legal in North Carolina, but access to it has been curtailed after a federal judge reinstated a 20-week ban on Aug. 17, reducing the amount of time women can access the procedure. The Republican-led state legislature has not tried to impose more abortion restrictions because Democratic Gov. Roy Cooper said he would use his veto power to block such attempts.
The state’s 14 abortion clinics have been overwhelmed by an influx of out-of-state patients. The Carolina Abortion Foundation worked to help patients organize the logistics and payment for the procedure.
Doctors have raised concerns about how restrictions on abortion could negatively impact prenatal care. They are concerned that maternal mortality will rise at a time when the United States is already experiencing some of the worst maternal health of any developed country. They expressed concern about how health care providers will be able to handle the additional pregnancies that are certain to occur, and also discussed concerns about how the next generation of physicians will be trained.
In response to limited access to abortion, more women are seeking long-term birth control options and even long-term solutions to prevent pregnancy, such as tubal ligation, a procedure to permanently close a woman’s fallopian tubes. Some women also noted that abortion rules make it difficult to access medicines for other conditions, such as cancer and rheumatoid arthritis.
— Rachel Crumpler
How will NC spend millions on opioid payments?
Over the next two decades, North Carolina will receive hundreds of millions of dollars in interstate opioid settlements with various drug manufacturers and distributors. The first of these payments came to the state this summer. The big questions are how the state will spend the money and whether it will actually be used for the purposes specified in the settlement.
Most of the money will go to North Carolina county governments to help people and communities affected by overdose. The North Carolina Attorney General’s Office and the State Department of Health have very specific guidelines on how each county can use its share of the money. We are documenting growing tensions around which interventions and treatments should be funded, some of which are supported by more scientific evidence for the treatment of opioid dependence than others.
We also worked with Kaiser Health News to take a closer look at an example of one such controversial addiction treatment program. Durham-based TROSA has received millions from the state General Assembly over the years despite a questionable work program and refusal to approve some of the most effective drugs for opioid use disorders.
We will see how the communities start spending their share of the money next year.
— Taylor Knopf
Hospital funding becomes a big problem
The past year has seen further hospital consolidation in North Carolina, with Charlotte-based Atrium Health partnering with Winston-Salem-based Wake Forest Baptist Medical Center to create a massive system that could change the way healthcare is delivered in Western Piedmont Express.
Atrium ended the year with yet another mega-merger, this time with Midwest-based Advocate Health.
The state’s largest hospitals posted record revenues over the past year thanks to federal COVID relief money, but smaller hospitals continue to struggle financially. This reality has fueled efforts by hospitals to push the General Assembly to expand the state’s Medicaid program, even though a bill passed by the State Senate could significantly change the picture of competition between hospitals.
Meanwhile, the state’s rural hospitals continue to struggle, even after seeking refuge in merging with larger systems.
Critics of hospital consolidation continue to point to problems with the Mission Health system, which was bought by hospital giant HCA in 2019, with some doctors leaving the system and becoming the target of nurse unionization efforts.
— Rose Hoban
Pros and cons of new dental sedation rules
A widow from North Carolina sparked a major discussion about sedative dentistry rules after the death of her husband, a New Hanover County cardiologist.
Hemant “Henry” Patel died in August 2020 at New Hanover Regional Medical Center days after visiting a dental surgeon for what was described as a routine dental implant procedure.
During the procedure, Patel’s heart rate and oxygen saturation levels dropped dangerously low while he was sedated.
Mark Austin, former maxillofacial surgeon who anesthetized Patel before and during the procedure.
During the procedure, Patel’s heart rate and oxygen saturation levels dropped dangerously low while he was sedated.
Mark Austin, the former oral and maxillofacial surgeon who placed Patel under anesthesia before and during his implant procedure on July 30, 2020, has agreed to permanently relinquish his dental license and has agreed to participate in a program for health professionals with impaired use. of substances.
Patel’s death has been described as an exception among his peers in the field of maxillofacial surgery in North Carolina. This did not sit well with Sheetal Patel, the widow of a respected cardiologist. She has sought to require the presence of an anesthetist or registered nurse anesthetist during any operation during which the patient is under deep sedation.
The North Carolina Board of Dental Experts considered changing the rules, but faced opposition from dental surgeons. They argued that the need for additional staff would make the procedures prohibitively expensive for many and create disparities in rural and underserved communities.
In late fall, the board decided not to make sweeping changes, but to provide additional steps for verification and oversight.
Climate change draws the attention of the entire health system
This year, when reporting on environmental health issues, we noticed a new trend: healthcare providers are striving to develop the skills necessary to address the impact of climate change on the health of patients. We first reported on the trend in an article published in April.
Medical students and professors from the University of North Carolina School of Medicine at Chapel Hill discussed the need to include courses on how extreme weather caused by climate change can affect human health. UNC is the only one of North Carolina’s five medical schools to include climate change topics in its curriculum.
UNC is at the forefront of a growing trend as medical schools across the country begin to respond to this need and begin to introduce climate change-related courses into their curriculum, even at schools in conservative states. like Texas.
Medical students are not only seeking to address the challenges of climate change in their training, but physicians are also responding to this need.
On December 6, 2022, Americares, an organization that, among other things, supports clinics that serve low-income, uninsured, and underinsured individuals, merged with Harvard University. Chan School of Public Health and developed the “Climate Resilience for Advanced Clinics” toolkit.
The toolkit is a resource for healthcare providers, patients, and administrators working in “frontline clinics.” The Dare Community Clinic, located in Nags Head, North Carolina, is one of the pilot clinics involved in the development of the instrumentation. Residents of Dare County, located on the coast, have experienced several extreme weather events in recent years, including hurricanes and northern storms. On parts of the barrier islands, some houses are washed away, leaving miles of rubble strewn along the beaches.
The toolkit contains a checklist of activities for clinic managers to complete, such as preparing a building for extreme weather events. This may include ensuring that generators are available in the event of a power outage at the facility. The toolkit also offers tips that healthcare professionals can share with patients on how to keep themselves and their medications, such as insulin, cool in extreme heat.
Medicaid Expansion: So Close, Yet So Far
It was like watching hell freeze over or a pig run away. That’s what it was like to see North Carolina Senate leader Phil Berger (R-Eden) speak on his chamber in June to support expanding the state’s Medicaid program to reach hundreds of thousands of low-income working adults. income.
Berger has resisted implementing the policy for a decade, dating back to early 2013, when the Affordable Care Act allowed states to add many low-income workers to their Medicaid rolls, and federal agencies paid 90 percent. percent of the bill. Normally, the federal government matches North Carolina’s Medicaid spending at a two-to-one ratio, but the law sought to entice states to expand with that nine-to-10 ratio.
As of mid-2022, 39 states and the District of Columbia have agreed to the expansion (South Dakota voters approved the expansion in November), North Carolina remains one of 11 states, mostly in the South, that continue to say no .
What changed the minds of Berger and other Republicans? First, many Republicans and conservatives in rural parts of the state realized that the lack of health insurance for many workers was holding back local economic development. Several leaders from the western part of the state, including a member of the state Senate, spent much of the year defending the policy, saying the expansion would have a positive impact on the state’s annual budget. And the federal government added about $1.7 billion worth of sweetener to go to the state treasury with no strings attached.
Many welcomed the Senate’s decision, but two key players, doctors and hospitals, found they didn’t like it. The Senate bill included several long-awaited policies in addition to expansion: revising state laws governing competition in hospitals and expanding the independence and role of best-practice nurses.
The Senate sent its bill to the House of Representatives. House Speaker Tim Moore (R-Kings Mountain) said he didn’t like the controversial provisions, and the leaders of the two chambers waited until the end of the year for the other to wink. Although the hospitals made some concessions, the bill died when lawmakers allowed the legislative year to expire.
Many advocates find themselves once again hoping that next year will be “the” year that expansion finally happens.
North Carolina seniors had a lot to choose from in 2022
Whether they’ve grown wiser with age or lost their more defined traits over the years, older North Carolinians face many important decisions in 2022.
Among the decisions with the greatest potential in everyday life were which type of Medicare health insurance to choose and, often involving family members or guardians, which long-term care facility would care for them in times of weakness.
State officials said more than 150 Medicare Advantage plans across the state have been offered to people age 65 and older, as well as some people with disabilities. These are plans run by private insurance companies that receive federal funds for health care, unlike the original Medicare practice of paying providers on a fee-for-service basis. Medicare Advantage as a whole continued to increase its percentage of beneficiaries, although studies have shown that it cost the country more, but it did not produce clearly better results.
Everything You Need to Know About THCV
If you’re looking for information on the THCV drug, you’ve come to the right place! This article will give you all the important facts you need to know about the drug. It will cover everything from the side effects of the medication to the risks it carries. You’ll also learn about the advantages it offers over other prescription drugs.
When you buy thcv, you should know it is for appetite suppression. The cannabinoid has been dubbed “diet weed” and has been linked to short and long-term weight loss. Although more studies are needed to understand the effects of THCV on the human body fully, the evidence suggests that it may have a role in obesity.
THCV is a cannabinoid found in marijuana plants. It is an antagonist of the CB1 receptor, which is involved in energy metabolism. It can antagonize the CB1 receptor, which may help suppress hunger and boost energy levels.
It is also a stimulant, which is not the only reason it has earned the title of “skinny pot” or “diet weed.” THCV is associated with some health benefits, including decreased risks for weight gain and type 2 diabetes.
THCV, short for tetrahydrocannabivarin, is a cannabinoid that has been shown to reduce obesity. Unlike THC, which has psychoactive properties, THCV has been found to suppress appetite and increase satiety, among other things. Its unique characteristics make it a potential candidate for clinical use.
THCV is a naturally occurring cannabinoid that inhibits the signaling of endogenously produced endocannabinoids. This effect is primarily due to interaction with the CB1 receptor, though it also interacts with other receptor sites. This inhibition of the endocannabinoid system is a promising approach to treating obesity. It may also have anti-psychotic, anti-addiction, and metabolic effects.
Up-Regulation of Energy Metabolism
THCV is a compound that decreases appetite and improves energy metabolism. It has strong potential to be a viable treatment for obesity and type 2 diabetes. It is also a powerful neuroprotective agent and could be used to treat other neurological disorders.
The endocannabinoid system (ECS) is an intercellular framework involved in many body processes, including energy homeostasis. The ECS is responsible for controlling body weight, which is kept at a steady state by matching the amount of caloric intake to the amount of caloric output. Several cannabinoid receptors have been implicated in the regulation of metabolic control. The CB1 and CB2 receptors are thought to be implicated in regulating hunger and food intake.
A 9-tetrahydrocannabivarin (THCV), an endogenous metabolite of delta-9-tetrahydrocannabinol (THC), has been shown to have anticonvulsant properties.
In this study, D9-THCV was used to evaluate its effects on epileptiform behavior in vivo. During a 20-week intervention period, the number of seizures and the duration of motor seizures were reduced. During the same time, improvements were noted in the quality of life questionnaires and electroencephalogram.
The dose-related anticonvulsant activity of D9-THCV was investigated using the pentylenetetrazole (PTZ) model of generalized seizures. Treatment of adult rats with PTZ-induced seizures reduced the occurrence and severity of seizures in the D9-THCV group. The reduction was associated with a decrease in mortality rates.
Tetrahydrocannabivarin (THCV) is a cannabinoid with the same chemical makeup as THC, but it is an inverse agonist at the CB1 receptor. It affects the endocannabinoid system, which plays an important role in regulating the body’s blood sugar levels. It is also thought to have anti-inflammatory properties.
THCV has the potential as a therapeutic agent in the treatment of diabetes. THCV may reverse insulin resistance, a key component in diabetes. It has improved fasting plasma glucose and oral glucose tolerance in mice. It has also reduced liver triglycerides and body fat content in rodents.
In addition, THCV has been shown to have hypolipidemic effects. It is thought to increase energy expenditure and decrease food intake.
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