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COVID is the fourth leading cause of death according to CDC

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COVID-19 dropped to fourth leading cause of death in 2022, dropping from third in 2020 and 2021, according to preliminary CDC mortality data.

It has been replaced by “unintentional injuries” that have followed heart disease and cancer as long-standing top causes of death, said Farida B. Ahmad, MD, and her colleagues in Weekly Morbidity and Mortality Report (MMVR).

Unintentional injury deaths, largely due to drug overdose deaths, were actually down slightly from 2021, but COVID-19 deaths were down more, at 47%. COVID-19 was listed as the underlying or contributing cause of 244,986 deaths (61.3 per 100,000) in 2022, compared to 462,193 deaths (115.6 per 100,000) in 2021.

The age-adjusted crude death rate also fell by 5.3%, from 879.7 to 832.8 per 100,000 people from 2021 to 2022.P<0.05).

The drop in COVID-19-related deaths was “a welcome relief given the overall burden of the pandemic since its global eruption in late 2019,” said David Aronoff, MD, director of infectious diseases at Vanderbilt University School. medicine in Nashville, Tennessee, and a member MedPage today editorial team.

The highest weekly total and COVID-19 related deaths occurred in the first months of 2022; they have since fall further in 2023.

Although Aronoff predicted that the CDC would continue to make recommendations to prevent COVID-19, “cancer, heart disease, and unintentional injury (including drug overdose) remain the leading causes of illness and death, and it is likely that they will remain in the spotlight.” public health improvement strategies led by the CDC, state and local health departments.”

Ahmad and colleagues suggested that their data “may guide public health policies and measures to reduce mortality directly or indirectly associated with the COVID-19 pandemic and among those most affected, including the elderly, men, or members of certain racial and ethnic groups. minorities.”

Both COVID-19 and overall death rates were highest among non-Hispanic blacks and non-Hispanic American Indians or Alaska Natives.

Mortality associated with COVID-19 was higher in men than in women (76.3 versus 49.8 per 100,000), which is also true for overall mortality. Of the people who had COVID-19 listed on their death certificate, about 76% listed it as the underlying cause, and 5.9%, 3.9%, and 1.6%, respectively, had heart disease, cancer, and chronic respiratory disease listed as the main reason. , as detailed in the corresponding MMVR.

In 2022, heart disease accounted for 699,659 deaths, cancer for 607,790 deaths, and unintentional injuries for 218,064 deaths. The number of unintentional injuries was slightly higher in 2021 at 219,487.

Drug overdose deaths have more than doubled since 2015. according to CDCand grew from 2021 to 2022. Deaths from opioids and synthetic opioids such as fentanyl have skyrocketed, and reached 106,699 in 2021. — 32.4 per 100,000 population.

The report used the National Center for Health Statistics (NCHS) National Vital Statistics System (NVSS), which is based on US death certificate data. It uses preliminary data or a preliminary estimate of deaths before the final release of data based on the flow of death certificate data into the system. 19

COVID-19 death rates declined for many demographics in 2022, but increased for those under 15. They have declined for those aged 85 and over, although they are still higher than in other age groups.

A higher proportion of COVID-19 deaths have occurred in homes, nursing homes, or long-term care facilities. The proportion of deaths in inpatient hospitals has declined, but still accounts for the majority of COVID-19 deaths.

Limitations of the study included the use of preliminary data that are estimates. The authors also mentioned differences in the timeliness of the death certificate date by jurisdiction and the possibility of misclassification of some of the race and Hispanic categories listed on death certificates.

  • Sophie Putka is an entrepreneur and investigative journalist for MedPage Today. Her work has appeared in the Wall Street Journal, Discover, Business Insider, Inverse, Cannabis Wire, and more. She joined MedPage Today in August 2021. Follow

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Weekly Morbidity and Mortality Report

Link to source: Ahmad F.B. et al. Preliminary Mortality Data – USA 2022. MMWR 2023; DOI: 10.15585/mmwr.mm7218a3.

secondary source

Weekly Morbidity and Mortality Report

Link to source: Ahmad F.B. et al. COVID-19 Mortality Update – USA 2022. MMWR 2023; DOI: 10.15585/mmwr.mm7218a4.

HEALTH

North Carolina lawmakers pass 12-week abortion ban; the governor vetoed

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ROLEY, North Carolina — North Carolina lawmakers on Thursday approved and sent the governor a ban on nearly all abortions after 12 weeks of pregnancy, up from the current 20 weeks, in response to last year’s repeal of Roe v. Pregnancy. Wade on the US Supreme Court.

The ban is one of the least onerous of the many bills Republican-led parliaments have pushed through in recent months since the Supreme Court struck down constitutional protections for abortion. In other states, this procedure is prohibited almost completely or throughout pregnancy.

However, the Senate’s 29–20 party-line vote was met with loud cheers of “Right to Abortion Now!” from about 100 observers who gathered in the gallery to watch the debate. The police quickly cleared the area, but the protesters were still shouting “Shame!” because of closed doors. The House of Representatives passed the measure Wednesday night in a similar party-line vote.

Although the North Carolina bill may be less restrictive, it has far-reaching implications. Prior to its passage, many women from neighboring states with stricter laws traveled to the state to have abortions later in their pregnancy.

Supporter of abortion rights, Democratic governor. Roy Cooper vowed to veto the bill, calling it “a blatant, unacceptable attack on the women of our state.” While GOP seat margins and assurances from House leaders indicate the veto is likely to be overridden, Republicans appear to have little wiggle room with votes for the bill to become law at the moment.

Democrats unsuccessfully attempted several parliamentary maneuvers to get the measure back in committee during many hours of debate. Senate Minority Leader Dan Blue of Wake County said it was “unprecedented” that all 20 members of the Democratic caucus in the House spoke out on the bill. He called the abortion vote “one of the most important things we’ve done in this House.”

Currently, state law prohibits almost all abortions after 20 weeks of pregnancy. From July 1, the restriction will be tightened to 12 weeks. It will also limit new exceptions, limiting abortions to 20 weeks in cases of rape or incest and 24 weeks in cases of “life-limiting” fetal anomalies, including certain physical or genetic disorders that can be diagnosed prenatally. The existing exemption for cases where the life of a pregnant woman is in danger will remain.

The 46-page bill, which was unveiled just this week after months of private negotiations with Republican lawmakers, also includes additional medical and paperwork requirements for patients and doctors, as well as licensing requirements for abortion clinics.

GOP lawmakers are also allocating at least $160 million for services such as maternal health, adoption care, contraceptive services, and paid leave for teachers and government employees after the birth of a child.

Senator Joyce Kravetz, a Forsyth County Republican who negotiated the measure, said during Thursday’s debate that “many of us who have worked for decades to save the unborn in the name of the sanctity of human life, we saw this as an opportunity to put forward a very life-protecting and women-protecting legislation.”

“This is a life protection plan, not a ban on abortion,” she added.

Cooper and other critics say the measure remains an infringement on reproductive freedoms and deprives women of the ability to make their own health decisions.

“This bill is an extreme and repressive step backwards for our society, and it will remove women’s right to make decisions about their own health and future,” Democratic Senator Sydney Batch of Wake County said during the debate.

Batch and others also pointed to provisions in the bill that would make it harder for abortions to take place within the new legal deadlines. They cite, for example, the requirement for women to visit a doctor in person at least 72 hours in advance. Under current law, a three-day waiting period can be initiated by telephone. The bill would also require a doctor to schedule a return visit for women who have had a medical abortion, adding to the hardship for those who work and for those traveling to North Carolina from out of state.

Republicans have been more aggressive in pushing for measures that Cooper opposed or had previously vetoed following the GOP seats in the November election. The party won a majority in both houses last month when Democratic Rep. Tricia Cotham switched to the Republican Party. Cotham, who has previously spoken out in favor of abortion rights but expressed willingness to consider further restrictions, voted in favor of the bill on Wednesday.

In a video released late Thursday night, Cooper named Cotham and three other Republican lawmakers who he said had expressed a low profile on abortion and said viewers should urge them to support his upcoming veto. One of the four was absent from the House vote on Wednesday.

The measure contains other restrictions that Cooper had successfully vetoed in previous years. Women would be banned from having abortions based on the race of the child or a prenatal diagnosis of Down syndrome. The other requires doctors and nurses to protect and care for children born alive as a result of failed abortions later in pregnancy.

Yet North Carolina Republicans, stung by defeat in the 2022 elections in suburban and congressional districts where abortion was a problem, ultimately refused to push for stricter bans like other states had done.

Meanwhile, at least 19 Democratic-dominated states have taken steps — through laws, constitutional amendments or executive orders — to protect access to abortion.

Last year, Cooper signed an executive order protecting out-of-state abortion patients from extradition and preventing government agencies under his control from assisting other states in prosecuting those who travel for the procedure.

In most states where the abortion status quo has not changed, the political leadership is divided between two parties.

___

Schoenbaum is a member of the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on hidden issues.

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What happened, what does it mean

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The following story contains spoilers for Guardians of the Galaxy Volume 3.


THERE ARE NO another way to express it: Guardians of the Galaxy Volume 3 it’s the end of an era. Writer/director James Gunn is now co-CEO of DC Studios, and his focus for the next decade (at least!) is on figuring out how to give another universe full of superheroes as much life as he gave the universe. Guardian of the Galaxy MCU subfranchise for the latter.

Although this era guardians one can conclude, there is no doubt about the other: the MCU will continue. For some characters, the journey ends volume 3. But for others – we’re looking at you, Adam Warlock – the adventure is just beginning. Gunn may be turning his attention to Superman and Lois Lane, but he’s more than willing to leave someone else a head start on where to take his Guardians.

As with (almost) every MCU movie, Guardians of the Galaxy Volume 3 uses his post-credits scenes to predict the future. The series does not feature new major characters such as Harry Styles’ Eros or Mahershala Ali’s Blade. eternal and there is no direct preparation for the next film, as in the original iron Man 2 credits the scene that led us right into Thor.

But there are a lot of important things about the characters here that will give us an important hint of what will happen in the next era of the Guardians of the Galaxy, wherever they appear next.

How many Guardian of the Galaxy volume 3 are there any credit scenes?

There are two credits scenes during Guardians of the Galaxy Volume 3– one in the middle of the credits and one at the very end of the credits.

Credits Scene 1: Meet the new Guardians of the Galaxy

Marvel Studios

By the end of the movie, the Guardians of the Galaxy have taken on a whole new form: Star-Lord returned to see his grandfather on Earth (and audiences everywhere shed tears), Nebula and Drax stayed on Sniheer to build a community and raise the Sovereign’s children they had saved from the High Evolutionary, and Mantis set out to seek meaning in the galaxy. Rocket, outlived its entire volume 3 ordeal, Quill appoints the new captain of the Guardians of the Galaxy, a unanimous decision.

So in the first Guardians of the Galaxy Volume 3 In a post-credits scene, we see the new Guardians of the Galaxy lounging around on a desert planet, preparing to take on the attacking enemy. We have Rocket (Bradley Cooper) ahead of us, of course., and his faithful best friend Groot (Vin Diesel) is now very, very big, and right with him. They are joined by Adam Warlock (Will Poulter), Kraglin (Sean Gunn), Cosmo the Space Dog (Maria Bakalava), and one of Sovereign’s children, Phyla-Vell (Kai Zen).

Before they fight their enemy, Rocket puts on Redbone’s “Come and Get Your Love” for old times sake. End of an era, friends!

Credits Scene 2: Kevin Bacon? And the legendary Star-Lord will return (eventually)

star lord

Marvel Studios

After the end of the credits, we find Peter Quill (Chris Pratt) sitting and having breakfast with his grandfather (Gregg Henry, James Gunn’s favorite from his pre-Marvel films). Peter says he finds it funny that a 45-year-old man, the son of his grandfather’s new wife, mows the lawn while they just sit inside and have breakfast.

Peter’s grandfather tells him not to worry about it as we see him reading a newspaper whose headline shows Kevin Bacon detailing his encounter with an alien. This is, of course, a reference to when Mantis and Drax were kidnapped Free another jerks star in V Holiday edition of Guardians of the Galaxy.

As the scene closes, we get one final revelation: a screen that says “The Legendary Star-Lord will return.”

We don’t know if this means Guardians of the Galaxy, Part 4 (Though without the involvement of James Gunn, as he leaves to run DC, this seems unlikely) a Star-Lord solo film or an appearance in some upcoming project, for example Thunderbolts, Avengers: Kang Dynasty, or Avengers: Secret Wars. But we can be sure that at some point in the future we will see Peter Quill again – the legendary criminal!

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Evan is a culture editor for Men’s Health and a contributor to The New York Times, MTV News, Brooklyn Magazine, and VICE. He likes weird movies, watches too much TV, and listens to music more than listening.

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HEALTH

RSV: US approves vaccine for older people

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RSV vaccine approved for older people

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The first vaccine against respiratory syncytial virus, better known as RSV, has been approved by the U.S. Food and Drug Administration (FDA) for adults 60 and older. Vaccine developer, British pharmaceutical company GSKsaid it should be available in the US in a few months.

RSV is a common virus that circulates in autumn and winter. It usually causes mild, cold-like symptoms, but can be life-threatening for very young children and the elderly. In the United States, between 6,000 and 10,000 adults aged 65 years and older die from RSV every year, and up to 160,000 are hospitalized.

“Older adults, especially those with comorbidities such as heart or lung disease or a weakened immune system, are at high risk of severe illness from RSV,” the report said. Peter MarksThis was stated by the director of the FDA Center for Biological Evaluation and Research. “Today’s approval of the first RSV vaccine is a major public health achievement for preventing a disease that can be life-threatening.”

The FDA’s decision was based on data ongoing litigation involving approximately 25,000 adults aged 60 and over. Trials have shown that a single dose of the vaccine is nearly 83% effective in preventing lower respiratory disease caused by RSV and approximately 94% effective in preventing severe disease.

Common side effects of the vaccine include pain at the injection site, fatigue, headache, and joint stiffness. Ten participants in the vaccination group and four participants in the placebo group also developed irregular and rapid heartbeat within 30 days of vaccination, a potential risk that GSK is continuing to investigate.

An advisory committee of the US Centers for Disease Control and Prevention will announce recommendations for the appropriate use of the vaccine in June. Several other countries are expected to decide whether to approve the vaccine later this year.

“Now we are focused on getting vaccine-eligible seniors in the U.S. as quickly as possible and reviewing regulatory agencies in other countries,” he said. Tony WoodGSK Chief Scientist, in a statement.

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