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CHAPEL HILL, N.C. – The pandemic ignited a global fight against a fast-moving and deadly virus. “In the beginning, a lot of manufacturers shifted gears and started doing more COVID manufacturing," said Dr. Melissa Miller, a clinical lab director.Manufacturers began ramping up testing production and diverting supplies to combat the virus. But in the months ahead, laboratories started facing another threat due to a strained supply chain. Not only were labs facing shortages of supplies needed for COVID-19, but several other common illnesses. “Probably the biggest one was for sexually transmitted diseases, chlamydia, gonorrhea being the most common ones we diagnose in the labs," said Dr. Miller. The American Society for Microbiology (ASM) partnered with the Association of Supply Chain Management to track shortages across the country. ASM leaders say the data collection tool provides a near real-time visualization into the capacity, utilization, and resources necessary to meet consumer and patient demand for testing.“It was a bit of a surprise of how overwhelming it was throughout the country and that there weren’t just hot spots; it really indicated that this was a major national issue," said Dr. Miller. “The first week of the survey, almost 90% of the laboratories that responded reported a shortage of tests for STI’s.”Dr. Miller has a leadership role within ASM and has also been experiencing shortages in the lab firsthand."It’s a guessing game. Many times we don’t know when the next shipment is coming for some of the items we’re short on," said Dr. Miller. Since September, 134 CLIA-certified labs have responded to the survey, which is updated every week. Dr. Miller says the figure for STI testing supplies has improved but is still too high around 50%. And she says 47% of labs have a shortage of non-COVID-19 testing supplies to detect routine bacteria, including the bacteria that cause strep throat, pneumonia, bronchitis, and urinary tract infections."Since June, I have been worried about this exact moment," said Dr. Miller. “You have the COVID surge, the upcoming holidays, and the winter season, and you have respiratory season."The survey also showed 74% of labs have a shortage of commercial testing kits for COVID-19.She says the hope is to include more labs in the weekly survey to get a clearer picture of the supply chain issues.“Data is power; we need the data that this is a problem. And getting some federal action on this, I think, is critical," said Dr. Miller. And she says the longer labs wait for critical supplies, the more Americans in need of critical testing could be turned away. 2641

CHAPEL HILL, N.C. - Vaping and COVID-19.Could using e-cigarettes put you at greater risk for viral infections like coronavirus or the flu? It's a question researchers at the University of North Carolina (UNC) are looking into in the midst of the pandemic.“E-cigarette use has been shown, from this study, not to be safe,” Dr. Meghan Rebuli, Assistant Professor with the UNC Department of Pediatrics said.Rebuli and others at UNC are studying the impacts of viral infections on e-cigarette users.“We want to know what factors will affect someone more, so will smoking make you more at risk for COVID-19, or will e-cigarette use make you more at risk for COVID-19?"In their study, researchers found vaping e-cigarettes could impair your body's normal immune response to viral infections.“E-cigarette users and smokers had a less powerful immune response against the virus,” Rebuli said.“What we found is that these genes and proteins that are really critical to making sure that your immune process and your immune response to this virus is working at top capacity, are impaired,” Rebuli added. “This is really critical when it comes to respiratory viruses and could also potentially be applicable to something like the coronavirus.”News 3 Medical Expert Dr. Ryan Light said this study is important to cut back or stop e-cigarette use to keep you safe.“As we find more out about e-cigarettes, we find that they're more dangerous than we once thought,” Light said. “An ounce of prevention, at this point, is worth a pound of cure.”Both Light and Rebuli believe it's also a reminder to keep up with health guidelines during the pandemic, especially if you vape.“Maybe this should indicate that they need to take kind of hypervigilance or hyperawareness when they're using PPE; when they're maintaining six-foot distance; when they're washing their hands,” Rebuli said.This story was first reported by Zak Dahlheimer at WTKR in Norfolk, Virginia. 1949

California's attorney general sued Sutter Health, accusing the hospital giant of illegally quashing competition and for years overcharging consumers and employers.The lawsuit marked a bold move by state Attorney General Xavier Becerra against the dominant health care system in Northern California as concerns mount nationally about consolidation among hospitals, insurers and other industry middlemen."It's time to hold health care corporations accountable," Becerra said at a news conference Friday. "We seek to stop Sutter from continuing this illegal conduct."The antitrust suit, filed in San Francisco County Superior Court, asks the court to prevent Sutter from engaging in anticompetitive practices and "overcharges."It said Sutter employs a variety of improper tactics, such as gag clauses on prices, "punitively high" out-of-network charges and "all-or-nothing" contract terms that require all of its facilities to be included in insurance networks.Taken together, Sutter's actions "improperly block any and all practical efforts to foster or encourage price competition between Sutter and any rival Healthcare Providers or Hospital Systems," according to the state's complaint. "Sutter's conduct injured the general economy of Northern California and thus of the state.Sutter, which owns 24 hospitals, reported net income of 3 million last year on .4 billion in revenue. Sutter's nonprofit health system also has 35 surgery centers, 32 urgent-care clinics and more than 5,000 physicians in its network.In a statement, Sutter it was reviewing the complaint and couldn't comment on specific claims.Overall, Sutter said, "healthy competition and choice exists across Northern California" for consumers seeking medical care. It also said its charges for an inpatient stay are lower than what other nearby hospitals charge."Sutter Health is proud to save patients, government payers and health plans hundreds of millions of dollars each year by providing more efficient and integrated care," the statement said.This high-profile legal fight caught the attention of employers and policymakers across the country amid growing alarm about the financial implications of industry consolidation. Large health systems are gaining market clout and the ability to raise prices by acquiring more hospitals, outpatient surgery centers and physicians' practices.Martin Gaynor, a health care economist at Carnegie Mellon University, said California's lawsuit may portend more litigation at the state level."There are a number of markets in the U.S. that are dominated by one very large, powerful health system," Gaynor said. "It could be that we're going to see a new level of activity by state antitrust enforcers looking at competition in their own backyards."Glenn Melnick, an economist and expert on hospital finances at the University of Southern California, said if the state prevails against Sutter it could put "a chill on anticompetitive practices that are being adopted across the U.S. and that could help slow down hospital price increases. That would be good news for consumers."The complaints about Sutter's high prices and market power have persisted for years.The state said its investigation started in 2012 under Kamala Harris, California's previous attorney general and now a U.S. senator. Six years ago, her office sent subpoenas to several health systems and insurers seeking information about market concentration and its effect on medical prices.A 2016 study found that hospital prices at Sutter and Dignity Health, the two biggest hospital chains in California, were 25% higher than at other hospitals around the state. Researchers at the University of Southern California said the giant health systems used their market power to drive up prices — making the average patient admission at both chains nearly ,000 more expensive.Last week, researchers at University of California, Berkeley issued a report that examined the consolidation of the hospital, physician and health insurance markets in California from 2010 to 2016. The authors said 44 of California's 58 counties had "highly concentrated" hospital markets.After the report was issued Monday, Becerra said his office would be reviewing those findings and pledged to apply more scrutiny to health care mergers and anti-competitive practices across the state.Sutter Health has gobbled up doctors' practices across the Bay Area, gaining market muscle that has pushed costs upward. Obstetricians employed by Sutter Health, for example, are reimbursed about three times more for the same service than independent doctors, according to a KHN review of OB-GYN charges on several insurers' online cost estimators. It's a key reason why Northern California is the most expensive place in the country to have a baby.At his news conference, Becerra said he's committed to scrutinizing other players besides Sutter in the health care industry who may be engaging in anticompetitive behavior and potentially harming consumers.Consumer advocates and state lawmakers applauded Becerra's aggressive action because of the toll high prices take on millions of Californians. Many residents struggle to pay rising insurance premiums and out-of-pocket expenses for emergency room visits or routine hospital tests."Consumers bear the burden of these monopolistic activities," said state Sen. Ed Hernandez (D-West Covina), chairman of the Senate health committee. "To ensure health care is affordable and accessible to all, we have to get a handle on predatory pricing."In many ways, Becerra's lawsuit mirrors a similar civil case filed in 2014 by a grocery workers' health plan.The attorney general's office filed a motion in court asking for its lawsuit and the class action to go to trial together before the same judge. The trial is scheduled for June 2019 in San Francisco."While we certainly would have preferred this happened earlier, we respect the attorney general's care in conducting a thorough investigation before filing charges," said Richard Grossman, the lead plaintiffs' lawyer representing the class of more than 1,500 employer-funded health plans.In its lawsuit, the attorney general's office blamed Sutter for much of the increase in health care costs across Northern California because "Sutter embarked on an intentional, and successful, strategy of securing market power in certain local markets." State lawyers also pointed out that Sutter's conduct triggered an "umbrella effect" by encouraging other providers to raise their own prices.The state's lawsuit said Sutter used its windfall from excessive prices to acquire more hospitals and medical groups. It also enabled Sutter to "bestow extremely high salaries for its officers and upper management," according to the state complaint.Patrick Fry, Sutter's chief executive from 2005 to 2016, had .4 million in total compensation during his last year there, according to Sutter's 990 tax filing for 2016, the most recent year available.Overall, 18 executives at Sutter had million or more in total compensation during 2016, the federal tax filing shows.Karen Garner, a Sutter spokeswoman, said Fry's compensation in 2016 reflects retirement benefits he accrued over many years. She added that "industry comparisons show our salaries are reasonable and competitive, given the size, scope and complexity of our organization." 7370

California regulators are considering a plan to charge a fee for text messaging on mobile phones to help fund programs that make phone service accessible to the poor.The California Public Utilities Commission (CPUC) is set to consider the proposal in a vote scheduled for next month, according to The Mercury News.It's not clear how much mobile phone users would be asked to pay under the proposal, but it would likely be billed as a flat surcharge, not a per-text fee, according to the paper.And wireless industry and business groups are not "LOLing." The groups are reportedly already trying to defeat the proposal before it makes its way to the commission.“It’s a dumb idea,” Jim Wunderman, president of the Bay Area Council business-sponsored advocacy group, told the Mercury News. “This is how conversations take place in this day and age, and it’s almost like saying there should be a tax on the conversations we have.”The new surcharges could generate a total of about .5 million a year, according to business groups.The same groups warned that under the proposal's language, the charge could be retroactively be applied for five years, totaling more than 0 million for consumers, the paper reported.Click here for a look at the proposal.The proposal argues that the state's Public Purpose Program budget has increased from 0 million in 2011 to 8 million in 2016, while revenues funding the program from the telecommunications industry saw a "steady decline" from .5 billion in 2011 to .3 billion in 2017.The report calls this "is unsustainable over time."In a statement to the Associated Press, CPUC spokeswoman Constance Gordon said, "from a consumer's point of view, surcharges may be a wash, because if more surcharge revenues come from texting services, less would be needed from voice services." 1849

CBP officers later extracted approximately 3,014 pounds of methamphetamine, 64 pounds of heroin, 29 pounds of fentanyl powder, and almost 37 pounds of fentanyl pills, worth an estimated .2 million. 207