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Friday, October 21, 2022

GOP Governors Promise Not To Mandate COVID-19 Vaccine For Children

 by Steve Watson via Summit News,

Following the CDC’s Advisory Committee on Immunization Practices voting 15-0 to add Covid-19 shots to the children’s recommended vaccine schedule, Republican governors have vowed not to institute mandates in their states.

The Covid-19 vaccine has been placed as a recommendation from 6 months of age and older, as well as being approved for the federally funded Vaccine for Kids program, which provides vaccines to children at no or low cost to families.

Florida Governor Ron DeSantis led the way in promising not to institute any COVID vax mandates.

“As long as I am Governor, in Florida there will not be a COVID-19 vaccine mandate for children in our schools,” DeSantis said.

He continued, “That is your decision to make as a parent. These are new shots. I get a kick out of it when people compare to MMR – things that have been around for decades and decades.”

Tennessee Governor Bill Lee said he will ignore the CDC in favour of “personal freedom”:

Oklahoma Governor Kevin Stitt followed suit:

Alabama Governor Kay Ivey vowed to never mandate COVID shots:

As we highlighted yesterday, Senator Rand Paul called the CDC’s decision “appalling,” urging that there is no scientific evidence that the vaccines have any advantages for children at all.

Paul highlighted how Moderna’s CEO admitted that booster shots are not necessary for younger people, and described the CDC’s Advisory Committee on Immunization Practices as ‘Fauci enthusiasts’:

https://www.zerohedge.com/political/gop-governors-promise-not-mandate-covid-19-vaccine-children

How to use anxiety to your advantage

When my son was born with a congenital heart condition, like any parent, I felt lost. He required open-heart surgery and I felt overwhelming uncertainty for what the future might hold. I understood that the outcome might not be good, but I also knew that a positive outcome was possible if I could provide the best care for him.

At a time like that, it was hard to focus on those positives, but I learned that I could use my anxiety to keep me energised. Knowing that the future was uncertain but that my actions could influence the outcome, my anxiety helped me to function in what otherwise might have felt like a hopeless situation. I believe that anxiety can be a tool to help us to cope with the challenges that life throws at us.

However, for many people anxiety can be suffocating, and has become synonymous with feeling bad.

When I was growing up in the 1980s, stress was the go-to shorthand for emotional discomfort. How's your wedding planning? Oh it's great, but I'm stressed. How is your chemotherapy going? Pretty stressful, but I'm managing.

Today, we seem to be living in the age of anxiety. Google Trends shows that searches for the word anxiety have increased over 300% since 2004. Anxiety is on our minds, with good reason. As much as 31% of the US population will experience an anxiety disorder at one point in their lives, which can range from generalised anxiety disorder to panic disorder and social anxiety disorder – which is one of the most common types.

Outside of medical diagnoses, the word also seems to have slipped into our vernacular. It has usurped stress as our language placeholder for feeling uncomfortable – anxious about giving a presentation, about going on a blind date, about starting a new job. The word has become ubiquitous and absorbed meaning, amoeba-like, to encompass everything from dread to pleasant anticipation. Too often, the mere use of it casts these experiences in a negative light, infusing them with threat and a touch of the not-quite-right.

Then there are anxiety disorders – they are the most common of the mental health diagnoses, more common than depression and addiction. Hundreds of millions of people across the world will be diagnosed with an anxiety disorder in their lifetime. Rates of these disorders, especially among the young, continue to rise, as they have been for well over two decades. Yet, there are dozens of validated therapies, 30 different anti-anxiety medications, hundreds of excellent self-help books, and thousands of rigorous scientific studies. While they certainly can help individuals, why have these solutions failed to reduce the scale of the problem so spectacularly?

As I put forward in my book, Future Tenseone reason for this failure is that mental health professionals, myself included, have unintentionally misled people about the nature of anxiety in the past – a misunderstanding that has harmed us. I propose a new, more helpful and hopeful approach to understanding and living with anxiety in the 21st Century – to use it to your advantage.


Negative emotions like anxiety have long gotten a bad rap – irrational at best, destructive at worst. The ancient Roman poet Horace wrote over 2,000 years ago, anger is a short madness. But over the course of the past 150 years, starting with Darwin's The Expression of Emotion in Man and Animals, we have actually come to understand that emotions like anger, fear, and anxiety are more advantageous than dangerous. Like the opposable thumb and language, emotions are tools for survival, forged and refined over hundreds of thousands of years of evolution to protect and ensure that humans can thrive. They do this by providing two things: information and preparation.

Emotions are tools for survival, forged and refined over hundreds of thousands of years of evolution to protect and ensure that humans can thrive

Anxiety is information about the uncertain future: something bad could happen, but something good could still happen, too. Anxiety is waiting for your Covid test to come back positive or negative, or anticipating that difficult conversation with your boss that might go well or might go completely sideways. Anxiety isn't, however, information about certain and present threats – that's fear, like seeing a shark fin rise out of the water mere yards away from where you're swimming. Fear primarily prepares us to fight, take flight, or freeze, whereas anxiety is a civilisation builder. It prepares us to persist, remain vigilant, and act in ways that avert future disaster but also can make positive possibilities into reality.


When we're anxious, not only are we more creative and innovative, but our brains respond with greater focus and efficiency when we face the unpredictable. Anxiety is thus more than the "fear circuitry" of the brain. Anxiety also activates our drives for reward and social connection, impelling us to work for what we care about, connect with others, and be more productive. That's why, from the perspective of evolutionary theory, anxiety isn't destructive. Anxiety embodies the logic of survival.

Yet, evolutionary theory and research have not trickled down into the public consciousness – or into that of most medical professionals. Far from treating anxiety as a potential ally, we treat it like an enemy howling at the gates.

While anxiety disorders can be paralysing, the widespread use of the term anxiety to mean a general ill-feeling is problematic because it means we accept two key fallacies: (a) experiencing anxiety is dangerous and destructive; and (b) the solution to its pain is to prevent or eradicate it. It is a way of thinking that has led us to perceive daily anxieties as malfunctions to fix. Yet, it is only anxiety disorders – when extreme anxiety and our attempts to cope with it interfere with our daily lives – that are recognised as mental health conditions. The emotion of anxiety, in contrast, should be considered healthy and normal – and even beneficial.

The inexorable logic of this disease metaphor requires us to take it even one step further – like other illnesses, from infectious diseases to cancers, until we have suppressed anxiety, we cannot be mentally healthy, just as the mere presence of a cancerous cell means that we're sick.

This disease metaphor traps us rather than uplifts us because it causes us to mistake normal anxiety for a disorder, and to fear, avoid, and suppress any anxious feelings as soon as we experience them.

Unlike an infectious disease or cancer, avoidance and suppression of anxiety will almost certainly amplify it, while simultaneously exacting an opportunity cost by preventing us from finding productive ways to cope and to build skills of emotional resilience. This is the vicious cycle of anxiety, spiralling it out of control: feeling anxiety as dangerous, fearing it, and ultimately fleeing from it through suppression and avoidance.


The harm caused by the disease metaphor for anxiety doesn't stop there. It also blocks us from seeing that anxiety isn't just something to soothe and manage. Anxiety is something to harness and leverage because it evolved to help us persist, innovate, socially connect, and remain hopeful in the face of uncertainty so that we can create a better future.

But if anxiety is so great, why does it feel so bad?

Anxiety must feel bad to do its job. Even the word's origins, derived from the ancient Latin and Greek words for choked, painfully constricted, and uneasy, reflect this essential unpleasantness. Only something so unpleasant can consistently compel us to sit up and pay attention, can effectively demand that we work hard to avoid future danger and chart a more positive course.


Yet, most of us have learned to avoid and ignore this useful emotion – to our detriment. Think of anxiety like a smoke alarm, warning that the house is catching fire, and priming us to take useful action. What if, instead of running out of the house and calling the fire department we just ignored the alarm, or removed the battery, or avoided places in the house where the alarm was loudest. So, instead of benefitting from the alarm, putting out the fire, and preventing future fires, we just hope and pray the house doesn't burn down.

We can't ignore the role that unrelenting stress and adversity play. Sometimes, life just doesn't let up and any one of us in such situations would feel intense and overwhelming anxiety. But no matter what the cause, listening to our anxiety – believing there is wisdom inherent in what it tells us and that we can use it to our advantage – is the very first step in learning to be anxious in the right way.

Making this mindset shift has a powerful positive impact. A Harvard study, for example, showed that when socially anxious people were asked to do a truly stressful task – give a public speech in front of a panel of judges with no time to prepare – but were also taught to think of their anxious responses as a signal that they were ready to rise to a challenge (instead of a signal of distress) they performed better under pressure. They were more confident, less anxious, and had steadier heart rates and lower blood pressure when focused and engaged.

Engaging with anxiety is often the key to healing. Take research on combat veterans, who reduce their risk of developing PTSD by paying more attention to anxiety-provoking information, rather than distracting from it. Or consider the heart transplant patients who required fewer days of hospitalisation while waiting for a heart transplant and therefore were more likely to qualify for a transplant when they were anxious.


Learning to be anxious in the right way means finding ways to work through it rather than around it, to leverage and channel anxiety to meet goals, and to discern when anxiety isn't useful and practice letting it go. Think of this virtuous cycle of anxiety as having three parts: listen, leverage, and let go.

Listen. Anxiety helps to boost our focus and drive as we close the gap between where we are now and where we want to be. That's why anxiety contains hope – we can see future threats, but also have our eyes on the prize and believe that we can work to make good outcomes into reality.

But for anxiety to achieve this, it has to be uncomfortable so that we sit up, pay attention, and listen to what it's telling us. Terrible feelings, ones that can't be ignored, also make us want to turn away. That's why, when it comes to listening to anxiety, curiosity is our best friend.

Leverage: Finding useful information in anxiety prepares us to channel and direct our energies to work towards goals and pursue purpose. Taking time to think about purpose lifts mood, improves concentration and learning. These benefits can persist for months or even years.

When we channel our anxiety towards pursuing and prioritising purpose, that's when it becomes courage. Anxiety fuels our momentum, unleashes our strength.

Let go. But anxiety isn't useful or straightforward every time. Sometimes, it's slow to reveal its message. Other times, it's pointless – life is truly challenging, and there is plenty of emotion but no useful information. It sends us spinning into the future tense, worried and feeling overwhelmed. The best way to let go? Seek out activities that slow us down and immerse us in the present: read a favourite poem or find solace in music. Check out that new podcast. Exercise or take a meandering walk. Call up one's therapist, or reach out to a friend who always brings a helpful perspective. It's in these moments that we also build the emotional awareness and skills to work through – not around – our difficult emotions, and to seek support when we need it.


Anxious in the right way

In this era of pandemic, political polarisation, and climate change, many of us rightfully feel overwhelmed by anxiety for our future. To cope, we have learned to think of the emotion like we do any ailment – we want to prevent it, avoid it and stamp it out at all costs.

But the fact is we've got it backwards. The problem isn't anxiety. Anxiety is the messenger – telling us that we're facing uncertainty and need to rise to the challenge; or pointing us to ways that our life needs to change or we need support. Instead, one of the key problems is that our beliefs about anxiety stop us from believing we can manage it, from accessing and benefitting from coping strategies and treatments that do exist, and to learn to use it to our advantage. And when our beliefs make anxiety worse, we are at greater risk for travelling down the path towards debilitating anxiety and anxiety disorders.

The key problem for someone diagnosed with an anxiety disorder is not that they experience intense anxiety, it's that the tools they have at their disposal to turn down the dial on those feelings are causing functional impairment. This gets in the way of self-care, working, connecting with others, and living a fulfilling life. Changing our approach to anxiety can help no matter where we are on the spectrum of anxiety. And we're all on it somewhere.

Over 180 years ago, the Danish philosopher Soren Kierkegaard wrote: "Whosoever learns to be anxious in the right way has learned the ultimate." We are all born anxious. The work of being human is to learn that although anxiety can be hard, sometimes terrifying, we can learn to make it an ally, a benefit, and a source of ingenuity. When we rescue anxiety, we will rescue ourselves.

https://www.bbc.com/future/article/20221017-how-to-use-anxiety-to-your-advantage

Medicines Patent Pool, Novartis pen deal to boost access to generic leukaemia drug

 The Medicines Patent Pool (MPP) and Novartis have unveiled a new voluntary licensing agreement to allow generic drugmakers in seven middle income nations to develop, manufacture, and supply generic versions of the leukaemia treatment nilotinib.

Fittingly announced on the sidelines of the World Cancer Congress, this marks the first time that the MPP has signed a license for a cancer treatment, and the first time a company is licensing a patented cancer medicine through a public health-oriented voluntary licensing mechanism.

Nilotinib is a twice-daily oral medication used to treat chronic myeloid leukaemia (CML). In 2017, the drug was added to the World Health Organization’s list of Essential Medicines for treatment in adults. Following this, Nilotinib was then added to the Essential Medicines List for Children in 2019 as second-line therapy for the treatment of CML that is resistant to imatinib.

Through this agreement, selected generic manufacturers in Egypt, Guatemala, Indonesia, Morocco, Pakistan, the Philippines, and Tunisia will have the opportunity to develop, manufacture, and supply generic versions of nilotinib in the licensed territory, subject to local regulatory authorisation. Patents on the product are pending or in force in these seven chosen nations.

According to the WHO, cancer accounts for approximately one in six deaths each year. While great strides have been made in advancing treatments, health inequity remains a key challenge, with patients in lower-income nations, where the cost of drugs can act as a barrier to treatment.

As part of ongoing efforts to address this issue, in May 2022, Novartis and MPP joined the Access to Oncology Medicines (ATOM) Coalition, global initiative led by the Union for International Cancer Control (UICC) to improve access to essential cancer medicines in low and lower-middle income countries

“We’re proud to be pioneering this new licensing model with MPP in collaboration with the ATOM Coalition, but we know too that making a medicine available is only one part of the challenge to increase access to cancer treatments,” said Lutz Hegemann, president of global health and sustainability. “For generic versions of this medicine to reach those who need it, wherever they live, the right diagnostics and quality of care will be critical. That’s why we’ve helped to build the new ATOM Coalition, and we will be relying on the support of our partners from research, non-profits, and the private sector to help deliver on the promise of this initiative.”

https://pharmaphorum.com/news/medicines-patent-pool-novartis-pen-deal-to-boost-access-to-generic-leukaemia-drug/

Text message CBT therapy for depression works in young adults

 Young adults with depression have been treated effectively with a cognitive behavioural therapy (CBT) course – delivered via text message – in a pilot study conducted by researchers in the US.

The trial looked at a four-week CBT course adapted from a face-to-face programme to work via text messages, followed by a four-week follow-up period, in around 100 young adults in the US with at least one symptom of moderate depression and no recent history of antidepressant therapy.

The subjects were recruited using social media (Facebook and Instagram) and underwent an assessment for depression at enrolment and follow-up using the Beck Depression Inventory II scale.

They were then randomised to either the CBT-txt course – a total of 16 individualised, tailored text conversations delivered every other day – or a ‘waiting list’ to get access to the course at the end of the study.

Those who completed screening, baseline, the course, and the one-month follow-up received $125 in Amazon e-gift cards as an incentive, according to the investigators, led by University of Tennessee researcher Michael Mason.

At the end of the study, subjects in the CBT-txt arm were three times as likely to have minimal or mild depression symptoms compared to waiting list participants, with a 14.5-point reduction in BDI-II scores described by the investigators as “particularly encouraging.”

The treatment was particularly helpful for those with severe depressive symptoms at baseline, according to researchers, who have published the results as a pre-press paper in the journal Behaviour Therapy.

The effect appeared after the first month, but started to wane, however, as the follow-up period neared its end, which the researchers said is not uncommon with digitally delivered CBT interventions .

“Producing a three-fold increase in the probability of having minimal or mild depressive symptoms for treatment participants relative to controls provides support for this efficient, cost-effective approach toward addressing young adult depression,” they write.

“Targeting those with the most severe depression with CBT-txt may provide fast symptom relief, which then could be followed-up by a clinician.”

The pilot study’s results tie in with an increasing awareness that digital CBT has an important role to play in depression, particularly in young people.

In 2019, for example, UK health technology assessment (HTA) NICE recommended the use of CBT delivered via mobile phones, tablets, or computers as a first-line intervention for this patient group alongside psychotherapy and group mindfulness sessions. NICE now also backs the use of digital CBT for adults with mild to moderate depression.

While the study used a bespoke CBT approach adapted by the academic team, a range of off-the-shelf digital health programmes are already being offered to patients, from the likes of Happify HealthOrexis, and Limbix.

https://pharmaphorum.com/news/text-message-therapy-for-depression-works-in-young-adults/

Vanda Gets Orphan Status for Cholera Treatment

 Vanda Pharmaceuticals Inc. (Vanda) (Nasdaq: VNDA) today announced the U.S. Food and Drug Administration (FDA) has granted Orphan Drug Designation for VPO-227 for the treatment of cholera.

While the incidence of cholera in the U.S. is low, cholera is a widespread infectious diarrheal disease with estimated 1.4 to 4 million cases worldwide, resulting in 21,000 to 143,000 deaths annually.1 Many of these deaths occur in children, as diarrheal diseases are the second leading cause of death globally among children under 5 years of age.2 Cholera remains a major public health challenge and recognized unmet medical need despite decades-long public health efforts.

https://finance.yahoo.com/news/vanda-pharmaceuticals-announces-orphan-drug-180000283.html

Ian damage leads to spontaneous combustion of EVs in Florida

 Saltwater damage from Hurricane Ian has left South Florida with a new danger: electric vehicles (EVs) that spontaneously combust.

At least nine EVs have caught fire “without warning,” State Fire Marshal Jimmy Patronis told ABC News.

Ian was first major hurricane to crash into a region with widespread EV adoption, Eric Fredericton of recycling nonprofit Call2Recycle told ABC.

Saltwater is an electrolyte — a chemical which helps transmit electric charge. 

The saltwater flooding of a fully charged electric battery can create a dangerous “salt bridge” between the positive anode and negative cathode.

This can create the ingredients for a sudden, uncontrolled transfer of energy — creating a short circuit and, sometimes, a persistent fire.

While the fires have impacted a vanishingly small number of Florida’s EVs, they have become political grist for the state Republican Party.

Sen. Rick Scott (R-Fla.) accused the Department of Transportation in a letter last week of giving “most consumers … the potentially life-threatening misimpression that their EVs will continue functioning properly after saltwater submersion—much like gas-powered vehicles.”

The risk of combustion also “has forced local fire departments to divert resources away from hurricane recovery to control and contain these dangerous fires,” Scott wrote in another letter to EV manufacturers.

While rare, some of these fires were “surreal, and frankly scary,” Patronis wrote in an open letter to Elon Musk, the chief executive EV giant Tesla.

For example in North Collier, Fla., near Naples, firefighters put out six EV blazes — their first ever experience with such fires, E&E News reported.

One burning EV in North Collier continuously reignited, despite being constantly doused with “tens-of-thousands of gallons of water” — before catching fire again, later, on the tow truck, Patronis wrote Musk.

In addition to their tendency to suddenly catch fire, putting out a burning EVs requires five or six times as much time and ten times as much water as a burning gas-powered car.

As the car market goes electric and major storms increase, this risk will only grow, Patronis added.

“As [EVs] grow in popularity, this is a potential threat that we’re going to have to deal with,” he told ABC News. 

In his letter to Musk, Patronis demanded that manufacturers such as Tesla — which, he noted, had received immense public subsidies — take a more proactive role. 

“The unfortunate reality is that there is a population of vehicles that could spontaneously combust, putting our first responders at risk, and the manufacturers are nowhere to be found.”

He described a scenario in which a family returned from Ian to a totaled home — not from wind or waves, but because a storm surge into the garage caused the EV to explode.

“That’s a risk that requires more of a response from manufacturers than just telling consumer to consult the owner’s manual,” Patronis wrote.

https://thehill.com/policy/equilibrium-sustainability/3698784-hurricane-ian-damage-leads-to-spontaneous-combustion-of-evs-in-florida/

Teaching self-regulation 'could help young students learn better'

 For young children, impulse control and self-regulation at school can affect how well they are learning. A team of researchers based in Germany and Switzerland wanted to test whether self-regulation could be taught, and in a way that was easy to implement and integrated into the curriculum. 

In their paper published in Nature Human Behaviour, they detail an experiment that took place during a full school year with a follow up three years later. 

Self-regulation can be defined as the ability to regulate attention, emotion and behavior in order to pursue individual goals, according to the authors. 

In this study, researchers trained teachers to deliver a training module for first graders that helped them think through processes like overcoming barriers to reach an objective. The module was taught over five weeks, each lesson being about 50 minutes.

For example, in one story, a character named Hurdy thinks about climbing to the top of a mountain and identifies the obstacles in his path. He overcomes the obstacles and thinks about how he achieved his goal while enjoying the views at the top. There’s another similar story specifically about reading. 

Some first grade classes were taught this module, called the “mental contrasting with implementation intentions” (MCII), while others received their regular curriculum without this module. 

Students who had been taught the MCII module showed improvement in academic skills like reading. They performed better on reading tests, had better reading ability and were better at finding careless mistakes based on a teacher’s assessments. The effect was smaller early after the module but trended upwards six months and about a year after they were taught the MCII module. 

These students were also more likely to be enrolled in an advanced secondary school track three years later. 

There were some caveats to the study, one being that some of the teachers were not blinded to whether the students received the MCII training or not. This could have biased their assessments of the students’ abilities. There could have also been variation in the teachers’ abilities in teaching the module material. 

https://thehill.com/changing-america/enrichment/education/3698685-teaching-self-regulation-could-help-young-students-learn-better/