Be Aware: West Nile ‘Season’ Is Starting Early, and It Could Be a Bad One

Be Aware: West Nile ‘Season’ Is Starting Early, and It Could Be a Bad One

Half the states in the U.S. have already reported cases of West Nile virus this year. While the total number of cases is only 39, the concerning part is that West Nile “season” is generally considered to be the entire month of August. The fact that it’s already on the radar of the Centers for Disease Control and Prevention could be a sign that it will be a heavy year. The type of disease identified …

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CDC Needs Your Help with Acute Flaccid Myelitis

CDC Needs Your Help with Acute Flaccid Myelitis

Cases of acute flaccid myelitis (AFM) have not matched recent outbreaks of influenza and measles in numbers or potential for fatalities, but may be more confounding for physicians and public health officials for one simple reason: While we understand flu and measles and have a bead on why more cases are occurring, AFM continues to be somewhat of a mystery. With the peak season (late summer into early autumn) for new cases of AFM approaching, …

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Stewardship Efforts Really Do Lower Overuse of Antibiotics—and That Can Save Lives

Stewardship Efforts Really Do Lower Overuse of Antibiotics—and That Can Save Lives

JUCM, the Urgent Care Association, the Centers for Disease Control Prevention, and countless state and local health agencies have been beating the “antibiotic stewardship” drum for quite some time now, as data continue to show the high prevalence of drug-resistant organisms (and the equally high cost, in terms of resultant hospitalizations and deaths). New data from the Society for Academic Emergency Medicine (SAEM) show awareness and stewardship interventions can be effective in curbing inappropriate use …

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Want to Ease Your Patients’ Worries? Take a Vacation

Want to Ease Your Patients’ Worries? Take a Vacation

Readers of JUCM News may recall that the World Health Organization officially declared burnout to be a “workplace phenomenon” recently. Now a study conducted by The Harris Poll on behalf of the American Society of Health-System Pharmacists reveals something that is arguably even more alarming: 74% of Americans—your patients—are worried that the healthcare providers treating them could be suffering from burnout. An even higher percentage (80%) believe that burnout diminishes the quality of care an …

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Primary Care Shortage Could Further Set Urgent Care Apart—for Better or Worse

Primary Care Shortage Could Further Set Urgent Care Apart—for Better or Worse

First, the irrefutable statistics: The percentage of primary care positions filled by fourth-year medical students this year was the lowest ever (41%), according to the 2019 National Resident Matching Program. Given that this year also saw the highest number of primary care openings on record (8,116), the potential for a serious shortfall is more than evident. For purposes of categorizing subspecialties, the Match considers “primary care” to encompass internal medicine, family medicine, and pediatrics—notably, not …

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Are You Prepared to Care for Victims of Sexual Assault? You Should Be

Are You Prepared to Care for Victims of Sexual Assault? You Should Be

High-profile cases have made it clear that sexual assaults are more common than many of us may have assumed. We’re no longer “safe” to assume that if we haven’t heard more about them, they’re simply not happening. On the flip side, victims of sexual assault may now be more empowered to come forward earlier. Some may get themselves to the emergency room, or call the police as a first step. Because of the expectation of …

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Don’t Assume Opioids Are Necessary for Acute Extremity Pain; Here’s Why

Don’t Assume Opioids Are Necessary for Acute Extremity Pain; Here’s Why

The opioid crisis in the United States has moved many healthcare facilities, providers, and governing bodies to consider just how often (and for how long) it’s really necessary to prescribe narcotics for acute pain. If new data just published in the Journal of the American Medical Association are any indication, the correct answer may be, “not very often.” In this study, researchers compared three different opioids vs one opioid-free analgesic for relief of severe, acute …

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HCA Keeps Growth Going by Buying 24 MedSpring Urgent Care Centers

HCA Keeps Growth Going by Buying 24 MedSpring Urgent Care Centers

HCA Healthcare continues to expand its footprint by acquiring existing locations from other companies—this time filling its basket with 24 MedSpring urgent care centers previously owned by Fresenius Medical Care. The locations are in markets where HCA already has urgent care facilities, so the latest move should allow HCA to offer services to more patients more conveniently, rather than stretching to cover a broader geographic area. HCA’s network of urgent care centers will now include …

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Summertime, and the Livin’ Is Easy—for Diarrhea-Causing Parasites

Summertime, and the Livin’ Is Easy—for Diarrhea-Causing Parasites

Outbreaks of disease caused by the Cryptosporidium parasite (a key symptom of which is diarrhea) shot up an average of 13% annually between 2009 and 2017, according to a new report from the Centers for Disease Control and Prevention. It’s now the top cause of disease outbreaks via water in the U.S. There were 444 outbreaks over the study period, resulting in hundreds of hospitalizations and one fatality. Around 35% of the outbreaks were linked …

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ACIP: More Patients Should Be Getting MenB and Hep A Shots—and We Need to Take Another Look at Flu, Too

ACIP: More Patients Should Be Getting MenB and Hep A Shots—and We Need to Take Another Look at Flu, Too

The recently concluded meeting of the Centers for Disease Control’s Advisory Committee on Immunization Practices (ACIP) resulted in a few major developments on the vaccine front: Serogroup B Meningococcal (MenB) Vaccine ACIP has recommended MenB vaccine boosters in the past for patients between 16 and 23 years of age. However, recent outbreaks prompted discussion of whether that was adequate; ultimately, the committee decided it is not and now says children 10-years-old and up should receive …

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