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Too few new antibiotics are under development to combat the threat of multidrug-resistant infections, according to a new World Health Organization report published Tuesday. Adding to the concern: It is likely that the speed of increasing resistance will outpace the slow drug development process.As of May, a total of 51 antibiotics and 11 biologicals -- medical products often made from natural sources -- are being developed, the new report said."The idea is that biologicals could replace use of antibiotics, which could help in overcoming the resistance problem," Peter Beyer, an author of the report and senior adviser to the WHO's Department of Essential Medicines and Health Products, wrote in an email.Seemingly, this large number of potential new drugs should suffice, yet it is not nearly enough.First, just 33 of the antibiotics in the pipeline target priority pathogens. This year, the WHO published a list of a dozen "priority pathogens": 12 separate families of antibiotic-resistant bacteria that pose the greatest threat to human health.Among the priority pathogens is a drug-resistant tuberculosis, which kills about 250,000 people around the world each year, and a variety of multidrug resistant strains -- Acinetobacter, Pseudomonas and various Enterobacteriaceae -- which are responsible for infections in hospitals and nursing homes and among patients whose care requires ventilators and catheters.Of the 33 potential medicines for treating priority bug infections, only eight are innovative treatments. The other 25 are simple modifications of existing families of antibiotics. At best, then, the 25 will serve as short-term solutions since it is expected bacteria will quickly adapt to and resist these new (though somewhat familiar) drugs, according to the WHO."It is difficult to speculate why companies develop specific new medicines," Beyer noted. "But in general many new treatments do not necessarily constitute advances over existing treatments."TB infections require a combination of at least three antibiotics, according to the new report, yet only seven of the new TB medicines are even in clinical trials. Soon, there will be a serious lack of treatment options for this infection, the report warns.The same is true for gram-negative pathogens, which can cause severe, often deadly infections typically in hospitals and nursing homes.Gram-negative bacteria have more complex cell walls than gram-positive, explained Beyer. "In a nutshell, it is more complex to develop a novel antibiotic that can penetrate the complex gram-negative cell wall and stay inside the bacterium," he wrote.Finally, the WHO sees too few oral antibiotics being developed. These are necessary "to target the critical priority pathogens (and) be accessible in low- and middle-income countries," Beyer noted.To address the problem of developing new antibiotics, the WHO and the Drugs for Neglected Diseases Initiative set up the Global Antibiotic Research and Development Partnership. However, new drugs alone cannot combat the threat of antimicrobial resistance. The WHO is also working to improve infection prevention and control while developing guidance for the responsible use of antibiotics."Always seek medical advice before taking antibiotics and then always follow the advice of the health-care professional," Beyer noted.The new report is a "fantastic (and very useful!) summary" of the antibiotic situation, wrote Bill Hanage, an associate professor of epidemiology at Harvard T.H. Chan School of Public Health, in an email. Hanage, who has also published studies of antibiotic resistance, was not involved in the new report.Although the risk of getting a completely resistant infection is low in the United States, about 2 million people each year become infected with "resistant enough" bacteria that are harder to treat, Hanage said. And every year, more than 20,000 people die of these infections."More resistant infections don't just mean you or someone you care about is more likely to die from one, they also mean healthcare will get even more expensive," Hanage said. "Many of the procedures we take for granted in medicine, from cancer treatments to surgeries, depend on our ability to handle infections that happen in the course of treatment."The number of new drugs in development is simply not enough, he said."The great majority will not make it into the hands of doctors or your treatment," Hanage wrote. "As the report states, for drugs to be used in humans they have to pass 3 hurdles, the phase 1, 2 and 3 trials. Drugs entering that pipeline have just a 14% chance of getting all the way through to be used in humans." 4676
Thousands of people are expected to pay their respects at the Supreme Court to the late Justice Ruth Bader Ginsburg, the women’s rights champion, leader of the court’s liberal bloc and feminist icon who died last week.Even with the court closed to the public because of the coronavirus pandemic and Washington already consumed with talk of Ginsburg’s replacement, the justice’s former colleagues, family, close friends and the public will have the chance Wednesday and Thursday to pass by the casket of the second woman to serve on the Supreme Court.The sad occasion is expected to bring together the remaining eight justices for the first time since the building was closed in March and they resorted to meetings by telephone.Ginsburg will lie in repose for two days at the court where she served for 27 years and, before that, argued six cases for gender equality in the 1970s.Following a private ceremony Wednesday in the court’s Great Hall, her casket will be moved outside the building to the top of the court’s front steps so that public mourners can pay their respects in line with public health guidance for the pandemic.Since her death Friday evening, people have been leaving flowers, notes, placards and all manner of Ginsburg paraphernalia outside the court in tribute to the woman who became known in her final years as the “Notorious RBG.” Court workers cleared away the items and cleaned the court plaza and sidewalk in advance of Wednesday’s ceremony.Following past practice at the tradition-laden court, Ginsburg’s casket is expected to arrive just before 9:30 a.m. EDT Wednesday, the court said. Supreme Court police will carry it up the court steps, which will be lined former Ginsburg law clerks serving as honorary pallbearers.Chief Justice John Roberts and the other justices will be in the Great Hall when the casket arrives and is placed on the Lincoln Catafalque, the platform on which President Abraham Lincoln’s coffin rested in the Capitol rotunda in 1865. A 2016 portrait of Ginsburg by artist Constance P. Beaty will be displayed nearby.It’s unclear whether President Donald Trump would visit the court before he leaves town Wednesday afternoon, though he did pay respects when Justice John Paul Stevens died last year and President Barack Obama visited the court after Justice Antonin Scalia’s death in 2016.The entrance to the courtroom, along with Ginsburg’s chair and place on the bench next to Roberts, have been draped in black, a longstanding court custom. These visual signs of mourning, which in years past have reinforced the sense of loss, will largely go unseen this year. The court begins its new term Oct. 5, but the justices will not be in the courtroom and instead will hear arguments by phone.After the private ceremony inside the court, Ginsburg’s casket will be on public view from 11 a.m. to 10 p.m. Wednesday and 9 a.m. to 10 p.m. Thursday.On Friday, Ginsburg will lie in state at the Capitol, the first woman to do so and only the second Supreme Court justice after William Howard Taft. Taft had also been president. Rosa Parks, a private citizen as opposed to a government official, is the only woman who has lain in honor at the Capitol.Ginsburg will be buried beside her husband, Martin, in a private ceremony at Arlington National Cemetery next week. Martin Ginsburg died in 2010. She is survived by a son and a daughter, four grandchildren, two step-grandchildren and a great-grandchild.Ginsburg’s death from cancer at age 87 has added another layer of tumult to an already chaotic election year. Trump and Senate Republicans are plowing ahead with plans to have a new justice on the bench, perhaps before the Nov. 3 election.Only Chief Justice Roger Taney, who died in October 1864, died closer to a presidential election. Lincoln waited until December to nominate his replacement, Salmon Chase, who was confirmed the same day.When Scalia, Ginsburg’s closest friend on the court, died unexpectedly in 2016, Republicans refused to act on President Barack Obama’s high-court nomination of Judge Merrick Garland. 4075

Treasury Secretary Steven Mnuchin says the Trump administration remains willing to work on a bipartisan agreement to help small businesses, the unemployed, children and schools afftected by the coronavirus outbreak. Mnuchin at a hearing Tuesday accused Democratic leaders of holding up an agreement with hard-line positions. Democrats insist that dire economic conditions persist and say a larger relief package is needed. "I believe a bipartisan agreement still should be reached and would provide substantial funds for schools, testing, vaccines, PPP for small businesses, continued enhanced unemployment benefits, child care, nutrition, agriculture, and the US Postal Service, along with liability protection for universities, schools and business," Mnuchin said. The sides had largely agreed on providing many Americans with a second stimulus check of ,200 before talks broke down in early August. Outside of the direct payments, the sides disagreed on a number of issues. Mnuchin and top congressional Democrats have been in a monthslong stalemate over new relief legislation, with the two sides trillions of dollars apart. Lawmakers left Washington for the August recess without an agreement. At the end of July, a 0 per week unemployment supplement expired. Also funding from the Paycheck Protection Program has long been depleted. The program was implemented to help employers make payroll during the pandemic.The two sides are at odds over how much of unemployment should be supplemented by the federal government. There is also a debate on offering businesses liability protection from coronavirus-related lawsuits. 1638
TORREY PINES, Calif. (KGTV) - The Massachusetts Institute of Technology just named a minor planet after a San Diego teenager who recently completed research that could assist in future droughts. The Cambridge School freshman Emily Tianshi was also awarded ,000 from here work in the prestigious National Broadcam MASTERS Competition in Washington, D.C. “I was absolutely shocked,” said the 14-year-old.Tainshi began studying the needles on Torrey Pines as an eighth grader to see how the trees continue to withstand droughts. She said the needles are uniquely designed to pull moisture from the air and condense it into water for its own needs.Her research won science fairs in San Diego and California. It earned her an invitation to the weeklong Broadcom MASTERS where she competed with and against students from all over the nation.Tianshi walked away with the second largest prize in the country.She said she wants to continue her research and eventually “turn into an engineering project where I build a device replicating the Torrey Pine Needle.”The teenager said her ultimate goal is to become a Stanford-educated doctor. 1162
TORONTO (AP) -- The Toronto Raptors selected 6-foot-1 San Diego State guard Malachi Flynn 29th overall in the NBA draft, and 6-foot-5 Nevada guard Jalen Harris 59th.The Raptors face some uncertainty at point guard. Toronto hopes to re-sign free agent Fred VanVleet, while six-time All-Star Kyle Lowry, now 34, has one year remaining on his contract.Flynn began his college career with two seasons at Washington State before playing his junior season with the Aztecs.Flynn averaged 15.8 points per game in his final season with the Cougars, and boosted that to 17.6 points as a junior at SDSU, adding 5.1 assists and 4.5 rebounds.The 22-year-old Flynn was named the 2019-20 Mountain West Player of the Year and the conference's Defensive Player of the Year. 764
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