Category: Blogs

  • CDC urges summer camps to check for measles immunity, as U.S. nears record

    CDC urges summer camps to check for measles immunity, as U.S. nears record

    The U.S. Centers for Disease Control and Prevention is now urging summer camp operators to check for documentation of immunity from measles through vaccination or prior infection for all children, staff and volunteers, amid a deadly year of outbreaks that is now near record levels.

    “Measles can spread quickly in summer camps because campers and staff spend a lot of time together in close contact with each other. Measles is more than just a rash — it can cause serious complications or even death,” the CDC warned in a “checklist” for operators of summer camps published this week.

    The agency’s new guidance says that tracking measles immunity status is important to help health departments quickly identify people who need to be vaccinated or offered antibody injections in the case of an outbreak within a camp.

    “Decide if you will allow unvaccinated campers and staff at your camp. Understand the risk if you do accept a camper or staff member who has not been immunized for measles,” the American Camp Association says in its guidance for camps, which shared the CDC’s checklist.

    Other steps that the CDC recommends summer camps take to prepare for measles spread this year include stocking up on face masks and preparing a potential isolation space to separate campers who are sickened.

    The CDC’s new recommendations come as confirmed measles cases have climbed to 1,197 infections so far in 2025, less than 100 cases away from topping the record 1,274 cases that were confirmed for all of 2019. That marked a record since the U.S. in 2000 declared uncontrolled community spread of the virus eliminated through widespread measles vaccinations. 

    At the time in 2019, health officials said the total number of cases added up to the worst tally on record since the 20th century. 

    This year’s wave is already deadlier than the 2019 wave of outbreaks, which health officials and experts suspect is due to missed infections that have gone unreported. 

    In 2019, summer camps in New York tightened their vaccination requirements amid record outbreaks in the state among underimmunized communities. In response to the outbreaks, then-New York Gov. Andrew Cuomo signed a law that year removing religious exemptions from measles vaccination requirements for school and child day care programs.

    About two in three confirmed measles cases this year have been in children or teens, according to the CDC’s tally. Most have been linked to local outbreaks within the U.S., many from the outbreak in Texas and neighboring states earlier this year.

    While new cases around Texas slowed in April, preliminary CDC data from recently reported measles cases — backdated to when patients’ symptoms began — suggests the pace of new infections nationwide began accelerating again in May.

    The agency also recently stepped up its warning about the risk of catching measles while traveling. The new guidance followed dozens of cases of travelers infectious while flying on airplanes within the U.S., and a suspected case of spread during air travel, CBS News previously reported

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  • Why People Are Having Fewer Kids, Even If They Want Them

    People across the world have been having fewer and fewer children, and it’s not always because they don’t want them.

    The global fertility rate has, on average, dropped to less than half what it was in the 1960s, the United Nations has found, falling below the “replacement level” required to maintain the current population in the majority of countries.

    Amid that historic decline, nearly 20% of adults of reproductive age from 14 countries around the globe believe they won’t be able to have the number of children they want to, the United Nations Population Fund (UNFPA), the UN’s sexual and reproductive health and rights agency, said in a report released this week. For most of them, the report found it isn’t infertility keeping them from doing so. They pointed to factors including financial limitations, barriers to fertility or pregnancy-related medical care, and fears of the state of the world that they say are hindering them from making their own fertility and reproductive choices.

    “There are a lot of people out there who are willing to have children—and have more children than they have—if the conditions were right, and the government’s obligation is to provide those measures of well-being, of welfare, which enable good work-life balance, secure employment, reduce the legal barriers, provide better health care and services,” says Shalini Randeria, the president of the Central European University in Vienna and the senior external advisor for the UNFPA report. But she says policies that some governments are implementing—such as cutting Medicaid in the U.S. and enforcing restrictions on reproductive health and autonomy—are both a step backward for people’s rights and “counterproductive from a demographic point of view.”

    Read more: Why So Many Women Are Waiting Longer to Have Kids

    For the report, UNFPA conducted a survey, in collaboration with YouGov, of people in 14 countries in Asia, Europe, North America, South America, and Africa that, together, represent more than a third of the world’s population.

    “There is a gap between the number of children people would have liked to have had and the number they had,” Randeria says. “For us, it was important to then figure out—by asking them—what it is that causes this gap.”

    Financial barriers

    The most significant barriers survey respondents identified to having the number of children they desired were economic: 39% cited financial limitations, 19% housing limitations, 12% lack of sufficient or quality childcare options, and 21% unemployment or job insecurity.

    The prices for all kinds of goods and services have climbed precipitously in recent years. Global inflation reached the highest level seen since the mid-1990s in July 2022, according to the World Bank Group. While it has declined since then, the current levels are still significantly above those seen before the COVID-19 pandemic.

    Read more: Why Affordable Childcare Is Out of Reach for So Many People

    Rising costs have hit both housing and childcare hard. In the U.S., for instance, the Treasury Department has found that housing costs have increased faster than incomes for the past two decades, surging about 65% since 2000 when adjusted for inflation. And research has found that the cost of child care in the U.S. has shot up in recent years, surpassing what many Americans pay for housing or college.

    The current housing crisis is impacting “every region and country,” the United Nations Human Settlements Programme said in a report last year, estimating that between 1.6 billion and 3 billion people around the world do not have adequate housing.

    Reproductive obstacles

    People cited other factors getting in the way of them having as many children as they want as well, including barriers to assisted reproduction and surrogacy.

    Several countries—including France, Spain, Germany, and Italy—have banned surrogacy. The UNFPA report also points out that many countries restrict or ban access to assisted reproduction and surrogacy for same-sex couples. In Europe, for instance, only 17 out of 49 countries allow medically-assisted insemination for people, no matter their sexual orientation or gender identity, according to the report.

    The UNFPA notes that, as global fertility rates are declining, some governments are taking “drastic measures to incentivize young people to make fertility decisions in line with national targets.” But the report argues that the “real crisis” is “a crisis in reproductive agency—in the ability of individuals to make their own free, informed and unfettered choices about everything from having sex to using contraception to starting a family.”

    According to the Center for Reproductive Rights, 40% of women of reproductive age around the world live under restrictive abortion laws. Many countries—including Brazil, the Philippines, and Poland, among others—have severely restricted abortion. In 2022, the U.S. Supreme Court overturned the landmark ruling Roe v. Wade, striking down the constitutional right to abortion. Since then, more than a dozen states have enacted near-total bans or restricted abortion. There have been many reports of pregnant people being denied critical care because of state laws restricting abortions, and many women have said they don’t feel safe being pregnant in states where abortion is banned.

    And while a growing share of women around the world are having their family planning needs met, around 164 million still were not as of 2021, the UN found in a report released in 2022.

    In addition to considering access to family planning a human right, the UN also notes that it is key to reducing poverty.

    Fear for the future

    About 14% of respondents in the UNFPA report said concerns about political or social situations, such as wars and pandemics, would lead or have already led to them having fewer children than they had wanted. And about 9% of respondents said concerns about climate change or environmental degradation would lead or had already led to them having fewer children than they had desired.

    Read more: Terrified of Climate Change? You Might Have Eco-Anxiety

    Violence and conflict have been on the rise around the globe in recent years. The period between 2021 and 2023 was the most violent since the end of the Cold War, according to the World Bank Group, and the numbers of both battle-deaths and violent conflicts have climbed over the past decade.

    That violence has contributed to years of rising displacement: More than 122 million people across the world have been forcibly displaced, the UN’s refugee agency reported Thursday, nearly double the number recorded a decade ago.

    The impact of the global pandemic has been even more widely felt, and is unlikely to fade from anyone’s memory any time soon as COVID-19 continues to spread, develop new variants, and take a toll on people whose recovery from the virus can take months, or even years. Even beyond COVID, outbreaks of infectious diseases are becoming more commonplace—and experts predict that, in the years ahead, the risk of those outbreaks escalating into epidemics and pandemics will only rise.

    In a 2024 UN Development Programme survey, which statistically represents about 87% of the global population, about 56% of respondents said they were thinking about climate change on a daily or weekly basis. About 53% of the respondents also said they were more concerned about climate change now than they were a year before. A third of respondents said that climate change is significantly affecting their major life decisions.

    “I want children, but it’s becoming more difficult as time passes by,” a 29-year-old woman from Mexico is quoted as saying in the report. “It is impossible to buy or have affordable rent in my city. I also would not like to give birth to a child in war times and worsened planetary conditions if that means the baby would suffer because of it.”

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  • Which states have the most private-equity owned hospitals? – Healthcare Economist

    Data from the Private Equity Stakeholder Project (PESP) provides the answer. Data below are sorted by most to least number (N) private equity-owned hospitals. One can clearly see that Texas is leading the way in terms of raw numbers but New Mexico has the highest share of hospitals that are PE-owned.

    https://pestakeholder.org/private-equity-hospital-tracker/

    You can find more data on private equity ownership of hospitals here.

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  • Journalists Assess RFK Jr.’s Remaking of Vaccine Committee and Trend of Kids Caring for Elders

    Céline Gounder, KFF Health News’ editor-at-large for public health, discussed on “CBS Mornings Plus” on June 10 how Health and Human Services Secretary Robert F. Kennedy Jr.’s removal of members of the CDC vaccine advisory committee could affect public health.

    Freelance journalist and KFF Health News contributor Leah Fabel discussed child caregivers on Minnesota Public Radio’s “All Things Considered” on June 4.

    KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

    USE OUR CONTENT

    This story can be republished for free (details).

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  • Brain cortex structure linked to mental abilities and psychiatric disorders

    Regional plots for SA with CP. Credit: Nature Mental Health (2025). DOI: 10.1038/s44220-025-00397-4

    The cerebral cortex, the outermost layer of the brain, is the central driver of various human capabilities, including decision-making, perception, language and memory. Understanding how the morphology (i.e., structure and shape) of people’s cerebral cortex is related to their mental health is a long-standing goal for many neuroscientists, as it could help to predict the risk that people will develop specific neuropsychiatric conditions while also contributing to their diagnosis and potentially informing their treatment.

    Researchers at Maastricht University Medical Centre, Utrecht University and other institutes recently carried out a study aimed at unveiling causal relationships between cortical morphology and traits, including both neuropsychiatric conditions, behavioral patterns and metabolic traits. Their findings, published in Nature Mental Health, suggest that the total surface area (TSA) of the cerebral cortex and mean cortical thickness (MCT) contribute to people’s mental abilities and the development of some severe mental health disorders, respectively.

    “Brain cortical morphology, indexed by its surface area and thickness, is known to be highly heritable,” wrote Bochao Danae Lin, Yunzhi Li and their colleagues in their paper. “Previous research has suggested a relationship of cortical morphology with several neuropsychiatric phenotypes. However, the multitude of potential confounders makes it difficult to establish causal relationships.”

    As part of their study, the researchers analyzed a large amount of data sourced from a large genome-wide database, which was compiled as part of the Enhancing Neuro-Imaging Genetics through Meta-Analysis (ENIGMA) study. This is a brain-imaging study that collected brain imaging data, as well as psychiatric, psychological, behavioral and metabolic information from individuals living in 43 countries worldwide.

    “We employ generalized summary-data-based Mendelian randomization and a series of sensitivity analyses to investigate causal links between 70 cortical morphology measures and 199 neuropsychiatric, behavioral and metabolic phenotypes,” wrote Lin, Li and their colleagues. “We show that total brain cortical surface area (TSA) has significant positive causal effects on 18 phenotypes.”

    Overview of the design of the team’s study. Credit: Lin et al. (Nature Mental Health, 2025).

    To analyze the data sourced from the ENIGMA database, Lin, Li and their colleagues employed a statistical technique called Mendelian randomization, which is useful for estimating causal relationships between traits while also controlling for potentially confounding factors. Their findings suggest that the TSA of the cerebral cortex is in fact causally related to some mental abilities, particularly their cognitive performance (i.e., how well they can memorize information, their ability to focus on specific tasks, their reasoning skills and other mental capabilities).

    “The strongest effects include TSA positively influencing cognitive performance, while reverse analyses reveal small effects of cognitive performance on TSA,” wrote Lin, Li and their colleagues.

    “Global mean cortical thickness (MTH) exhibits significant causal effects on five phenotypes, including schizophrenia. MTH reduces schizophrenia risk, and bidirectional causality is found between MTH and smoking initiation. Finally, in regional analyses, we detect positive influences of the transverse temporal surface area on cognitive performance and negative influences of transverse temporal thickness on schizophrenia risk.”

    Overall, the results of the analyses performed by this team of researchers suggest that cortical morphology does in fact affect both people’s mental capabilities and neuropsychiatric traits. The causal relationships identified by Lin, Li and his colleagues could be explored further in future neuroscience studies, potentially helping to improve the early diagnosis and treatment of specific disorders, including schizophrenia and some cognitive deficits.

    “Our results highlight bidirectional associations between TSA, MTH and neuropsychiatric traits,” wrote Lin, Li and their colleagues. “These insights offer potential avenues for intervention studies aimed at improving brain health.”

    Written for you by our author Ingrid Fadelli, edited by Lisa Lock, and fact-checked and reviewed by Robert Egan—this article is the result of careful human work. We rely on readers like you to keep independent science journalism alive. If this reporting matters to you, please consider a donation (especially monthly). You’ll get an ad-free account as a thank-you.

    More information:
    Bochao Danae Lin et al, Dissecting causal relationships between cortical morphology and neuropsychiatric disorders: a bidirectional Mendelian randomization study, Nature Mental Health (2025). DOI: 10.1038/s44220-025-00397-4.

    © 2025 Science X Network

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    Brain cortex structure linked to mental abilities and psychiatric disorders (2025, June 13)
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