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  • Nearly 1 in 30 clinical trials, including cancer research, affected by NIH cuts, paper says

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    Nearly 1 in 30 clinical trials were interrupted by funding cuts to the National Institutes of Health, affecting more than 74,000 patients and research into cancer, infectious disease and more, according to a newly published paper. 

    Clinical trials are the best way for researchers to study how medical interventions affect a patient population, doctors say. 

    “The types of trials that are affected are among the most rigorous way that we generate scientific evidence: randomized clinical trials,” said Dr. Anupam B. Jena, a study author and professor at Harvard Medical School. “It would be one thing if studies affected by terminated grants focused on less rigorous or important forms of research, but clinical trials are important, gold-standard in terms of evidence generation, time-intensive, and costly. Those are the last types of studies we would want to stop mid-stream.”  

    The paper, published Monday in JAMA Internal Medicine, found that 383 clinical trials were interrupted by the funding cuts, which Jena said was “surprisingly high” to the research team. To calculate that number, the researchers looked at all clinical trials that received NIH funding between Feb. 28, 2025, the day of the first reported grant termination, and Aug. 15, 2025. There were about 11,008 clinical trials funded by NIH grants during that time period. 

    More than 36% of the interrupted trials have since been completed. Another 35% were recruiting patients. About 11% of the trials were active and not recruiting patients, while 14% were active but not yet recruiting. The remaining trials were enrolling patients by invitation. Trials that had their funding interrupted had more expected participants enrolled than trials that were not affected, the researchers found.

    Trials that were active and not recruiting, where participants may have been receiving interventions, had a total of 74,311 patients enrolled in them, the researchers said. 

    The researchers looked at the trial details to learn more about what kind of research was being interrupted. Trials conducted outside the U.S. were disproportionately affected, and within the United States, the Northeast had the highest rate of interrupted trials. More than 115 trials studying cancer were interrupted, as well as 97 trials that looked at infectious diseases. Trials studying cardiovascular diseases, mental health and reproductive health were also affected. 

    Jena warned that the interruptions could lead to “avoidable waste” and “impact the future willingness of patients to participate in trials.” 

    Jena said there is no systemic data on how often clinical trials are paused for funding lapses. Termination of federal grant funding was “exceedingly rare” before 2025, he said. 

    “Clinical trials aren’t light switches,” said CBS News medical contributor Dr. Céline Gounder, an editor-at-large for public health at KFF Health News. “You can’t just flip them off without consequences. Cutting off funding mid-trial wastes research dollars and puts patients at risk. This is a breach of trust with every person who volunteers for research.”

    The NIH said it strongly rejected the “intentionally misleading portrayal of our grant management process” in the letter and accused the researchers of having conflicts of interest, though it did not specify what those were. The NIH highlighted the “more than 42,500 active, recruiting, or planned clinical trials across every major disease area” that it currently funds and oversees, and said the paper had a “selective focus on a handful of appropriately paused studies.” 

    “What they fail to mention is that NIH is undergoing a strategic realignment. We are prioritizing high-impact, high-urgency science … The biomedical research enterprise is being refocused and that’s what will keep America at the forefront of global science, safety, and innovation,” the NIH said. The agency also said the terminated or interrupted studies “likely happened because this research prioritized ideological agendas over scientific rigor and meaningful outcomes for the American people.” 

    The NIH is the largest funder of biomedical research. More than $2 billion in federal research grants were canceled by the NIH earlier this year as part of President Trump and the Department of Government Efficiency’s efforts to downsize the federal government. Agency spending has also been slowed, and 1,300 employees have been fired. Thousands of universities and U.S. institutions rely on NIH funding for their research. 

    Former NIH head Dr. Francis Collins, who led the agency for 12 years across three administrations, told CBS News in April that “every dollar that NIH gave out in 2024 to a grant is estimated to have returned $2.46 just in a year.”  

    “When you’re talking about medical research, when you’re talking about people’s lives, when you’re talking about clinical trials for Alzheimer’s disease or cancer that may take three or four years, you can’t just go in and decide, ‘I’m going to shut those down and maybe I’ll try something else.’ Those are people’s lives at risk,” Collins told CBS News. 

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  • Denver officials defend use of bleach on unlicensed taco vendor’s food

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    Denver health officials defended an inspector’s decision to pour bleach into an unlicensed taco vendor’s food over the weekend, after a video of the incident spread on social media.

    Two Denver health inspectors approached a table operated by Tacos Tacolorado near the intersection of Evans Avenue and Colorado Boulevard on Saturday evening. Health officials had previously cited the vendor and thrown out its food for failing to follow various food safety rules, according to inspection reports reviewed by The Denver Post. When inspectors approached Saturday, the vendor placed some food into the back of a truck so it couldn’t be disposed of, prompting one health inspector to pour bleach into the remaining food, according to Emily Williams, spokeswoman for the Denver Department of Public Health and Environment.

    The incident was caught on video, showing the inspector dumping the chemical into plastic containers of food on a tablecloth-covered table.

    Though uncommon, using bleach to intentionally contaminate food is a tool inspectors use to ensure food can’t be served, said Danica Lee, Denver’s director of public health investigations.

    “It is a tool that we use not really often, because we prefer to use different methods, but from time to time, it is necessary,” she said.

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    Seth Klamann

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  • PHOTO ESSAY: Summer camp for kids with autoimmune diseases

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    CLARYVILLE, N.Y. (AP) — Autoimmune diseases like lupus, myositis and forms of arthritis can strike children, too. At a sleepaway camp in upstate New York, some young patients got a chance to just be kids.

    That’s how a 12-year-old recently diagnosed with lupus found himself laughing on a high-ropes course as fellow campers hoisted him into the air.

    “It’s really fun,” said Dylan Aristy Mota, thrilled he was offered this rite of childhood along with the reassurance that doctors were on site. If “anything else pops up, they can catch it faster than if we had to wait til we got home.”

    Autoimmune diseases occur when your immune system attacks your body instead of protecting it. With the exception of Type 1 diabetes, they’re more rare in kids than adults.

    “It’s very important that people know that these diseases exist and it can happen in kids and it can cause significant disabilities,” said Dr. Natalia Vasquez-Canizares, a pediatric rheumatologist at Children’s Hospital at Montefiore in New York.

    When symptoms begin early in life, especially before puberty, they can be more severe. Treating growing bodies also is challenging.

    Montefiore partnered with Frost Valley YMCA to bring several children with autoimmune diseases to a traditional sleepaway camp, after reassuring parents that doctors would be on hand to ensure the kids take their medicines and to handle any symptom flares.

    “Their disease impacts how they can participate and a lot of the time the parents are just very nervous to send them to a summer camp,” Vasquez-Canizares said.

    Ethan Blanchfield-Killeen, 11, has a form of juvenile idiopathic arthritis, causing joint pain and stiffness and “my legs get, like, sleepy.”

    But at camp, Ethan said he’s mostly forgetting his illness. “The only time I get pain is like when I’m on long walks, my legs start getting stiff, and then I kind of feel pain, like achy.”

    One day a doctor examined his hands at camp. Another day, he was running across the lawn splattered in a fierce game of paint tag.

    “It’s really nice just doing the special activities and just messing around with your friends and all day just having a blast.”

    To the doctor, forgetting their chronic disease for a little bit was the point.

    “They blend perfectly with the other kids,” Vasquez-Canizares said. “You can just see them smiling, running, like any other normal child.”

    ___

    Neergaard reported from Washington.

    ___

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

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  • Kids get diseases like lupus, too. As researchers hunt better treatments, this camp brings joy

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    A doctor advising … sleepaway camp? That’s how a 12-year-old diagnosed with lupus found himself laughing on a high-ropes course as fellow campers hoisted him into the air.

    “It’s really fun,” said Dylan Aristy Mota, thrilled that he got a chance at the rite of childhood — thanks to doctors reassuring his mom that they’d be at this upstate New York camp, too. Dylan felt good knowing if “anything else pops up, they can catch it faster than if we had to wait til we got home.”

    It may sound surprising but diseases like lupus, myositis and some forms of arthritis — when your immune system attacks your body instead of protecting it — don’t just strike adults. With the exception of Type 1 diabetes, these autoimmune diseases are more rare in kids but they do happen.

    People often ask, “Can kids have arthritis? Can kids have lupus?” said Dr. Natalia Vasquez-Canizares, a pediatric rheumatologist at Children’s Hospital at Montefiore, which partnered with Frost Valley YMCA last summer so some of those youngsters could try a traditional sleepaway camp despite a strict medicine schedule and nervous parents.

    “Imagine for an adult, it’s difficult. If you have that disease since you’re young, it’s very difficult to, you know, cope with,” she said.

    Special challenges for kids

    The younger that someone is when certain illnesses hit, especially before puberty, the more severe symptoms may be. And while genes can make people of any age more vulnerable to autoimmune conditions, usually it takes other factors that stress the immune system, such as infections, to cause the disease to develop.

    But genes are more to blame when disease strikes early in life, said Dr. Laura Lewandowski of the National Institutes of Health who helps lead international research into genetic changes that fuel childhood lupus.

    Symptoms among children can be sneaky and hard to pinpoint. Rather than expressing joint pain, a very young child might walk with a limp or regress to crawling, Vasquez-Canizares said.

    “Before, I looked like everybody else, like normal,” Dylan said. Then, “my face turned like the bright pink, and it started to like get more and more red.”

    His family thought it must be allergies, and Dylan recalled many doctor appointments before being diagnosed with lupus last January.

    Treatment has unique challenges, too. Medicines that tamp down symptoms do so by suppressing young immune systems — just as they’re learning to fend off germs. They can also can affect whether kids build strong bones.

    Research underway to help kids

    But there are promising treatments in development. Seattle Children’s Hospital recently opened the first clinical trial of what’s called CAR-T therapy for pediatric lupus. Those “living drugs” are made by reprogramming some of patients’ own immune soldiers, T cells, to find and kill another type, B cells, that can run amok. Tests in adults with lupus and a growing list of other autoimmune diseases are showing early promise, putting some people in long-term, drug-free remission.

    And occasionally a mother’s autoimmune disease can harm her child, such as a rare fetal heart defect that requires a lifelong pacemaker if the baby survives. Dr. Jill Buyon at NYU Langone Health is studying how to block that defect — and just reported a healthy girl born to a mom with mild lupus.

    “This is a rare example where we know the exact point in time at which this is going to happen,” allowing a chance at prevention, said Dr. Philip Carlucci, an NYU rheumatology fellow and study co-author.

    What happens: A kind of antibody, found in lupus, Sjögren’s and certain other autoimmune diseases, can damage the heart’s ability to beat properly if enough crosses the placenta during key cardiac development. Some treatments can lower but not eliminate the risk. Buyon’s team is testing if a drug used to treat a different autoimmune disease could better shield the fetus.

    Kelsey Kim jumped at the experimental treatment in her last pregnancy, “partly in the hopes of saving my own baby and partly in the hopes of saving other people’s babies and saving them from the pain that I had experienced.”

    Her first daughter was born healthy although doctors didn’t mention the baby’s temporary lupus-related rash was a warning that future pregnancies might be at risk. Kim then lost a son to congenital heart block at 22 weeks of pregnancy. Her second daughter’s heart sustained milder damage, and she’s now a thriving 2-year-old thanks to a pacemaker.

    A third daughter was born healthy in June after Kim got the experimental drug in weekly visits, spanning about three months, to NYU from her northern Virginia home. A single case isn’t proof, and Buyon has NIH funding to start a clinical trial for other high-risk pregnancies soon.

    Helping kids be kids

    Back at the New York sleepaway camp, the goal was some normalcy for kids ruled by strict medication schedules that can make it difficult to be away from family.

    “I do kind of get to forget about it,” Ethan Blanchfield-Killeen, 11, said of the form of juvenile idiopathic arthritis — similar to rheumatoid arthritis in adults — that can leave his joints stiff and achy.

    One day a doctor examined his hands at camp. Another day, he was running across the lawn splattered in a fierce game of paint tag.

    “Just seeing them in a different perspective” than the sterile doctor’s office “almost brings tears to my eyes,” said Vasquez-Canizares, the Montefiore rheumatologist.

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  • Judge approves opioid settlement for Purdue Pharma and Sackler family members who own the company

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    A federal bankruptcy court judge on Tuesday formally approved OxyContin maker Purdue Pharma’s plan to settle thousands of lawsuits over the harms of opioids.

    U.S. Bankruptcy Judge Sean Lane gave reasoning Tuesday for approving the plan, which requires members of the Sackler family who own the company to contribute up to $7 billion over 15 years. Most of the money is to go to government entities to fight the opioid crisis that has been linked to 900,000 deaths in the U.S. since 1999.

    A portion of the money is to be distributed next year to some people who had OxyContin prescriptions and their survivors.

    “My heart goes out to all those who have suffered such pain,” Lane said.

    The new agreement replaces one the U.S. Supreme Court rejected last year, finding it would have improperly protected members of the family against future lawsuits. Under the current agreement, entities that do not opt into the payments can still sue members of the family.

    The deal, which the judge said he would accept last week, is among the largest in a series of opioid settlements brought by state and local governments against drugmakers, wholesalers and pharmacies that totaled about $50 billion.

    Sackler family members agreed to pay up to $7 billion over 15 years, providing most of the cash involved in the settlement.

    The funds distributed to state, local and Native Americans is to be used mostly to address the opioid crisis, as has been the case with other opioid settlements.

    About $850 million of that is to go to individual victims, including children born with opioid withdrawal.

    People with addiction and survivors of those who died must prove they were prescribed OxyContin to participate. Those who do could receive payments of around $8,000 or around $16,000, depending on how long they received the drug and how many other people qualify. The money for individual victims is to be distributed next year.

    Members of the Sackler family are agreeing to give up ownership of Purdue.

    For them, that won’t be a major change since no family member has served on Purdue’ board or received money from the company since 2018. The plan calls for Purdue to be replaced with a new company, Knoa Pharma, to be controlled by a board appointed by states and with a mission of benefiting the public.

    Sackler family members are also agreeing not to have their name put on institutions in exchange for contributions — something they’ve done often in the past, though many institutions have cut ties with them.

    The company has also agreed to make public a trove of internal documents that could shed additional light into how the company promoted and monitored opioids.

    One feature that won’t be repeated under this new deal that was in a previous one: forcing members of the Sackler family to hear directly from people harmed by OxyContin.

    Purdue filed for bankruptcy protection in 2019 when it was facing thousands of opioid-related lawsuits from state and local governments and others.

    A judge approved a settlement two years later. But the U.S. Supreme Court later rejected that plan because it gave members of the Sackler family protection from lawsuits over opioids even though they were not personally declaring bankruptcy.

    The latest plan allows lawsuits against Sackler family members by those who don’t opt into the deal. That change was a key to getting the new version approved in the aftermath of the high court’s ruling.

    This time, few parties objected to the settlement, although some people who represented themselves and who were addicted to opioids — or had loved ones who were — raised concerns during the three-day confirmation hearing last week.

    One of those self-represented people told Lane during the virtual hearing Tuesday that she planned to appeal.

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  • UPMC doc: Prioritize mental health during holiday season

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    CUMBERLAND — The holiday season is often described as “the most wonderful time of the year,” but for many, it can be a source of anxiety and stress.

    Dr. Tooba Qadir of UPMC Western Maryland recently offered advice ahead of the holiday season designed to help people prioritize mental health.


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    Natalie Leslie can be reached at 304-639-4403.

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    Natalie Leslie nleslie@times-news.com

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  • UPMC doc: Prioritize mental health during holiday season

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    CUMBERLAND — The holiday season is often described as “the most wonderful time of the year,” but for many, it can be a source of anxiety and stress.

    Dr. Tooba Qadir of UPMC Western Maryland recently offered advice ahead of the holiday season designed to help people prioritize mental health.


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    Natalie Leslie can be reached at 304-639-4403.

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    Natalie Leslie nleslie@times-news.com

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  • UPMC doc: Prioritize mental health during holiday season

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    CUMBERLAND — The holiday season is often described as “the most wonderful time of the year,” but for many, it can be a source of anxiety and stress.

    Dr. Tooba Qadir of UPMC Western Maryland recently offered advice ahead of the holiday season designed to help people prioritize mental health.


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    Natalie Leslie can be reached at 304-639-4403.

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    Natalie Leslie nleslie@times-news.com

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  • Medicaid providers indicted for allegedly stealing over $530K

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    OHIO — Attorney General Dave Yost, R-Ohio, announced Tuesday that nine Medicaid providers are facing charges for allegedly stealing a combined $530,888.

    “Cheating Medicaid earns you nothing but a court date and a criminal record,” Yost said. “We’re working hard for Ohioans to recover ill-gotten gains and bring fraudsters to justice.”

    Yost said the Medicaid Fraud Control Unit investigated the cases, and it has secured indictments in Franklin County Common Pleas Court.

    The individuals indicted include:

    • Monica Dean, 46, of Cleveland for a $45,205 loss to Medicaid.
    • Mustafa Issa, 34, and his wife, Ayshia Mustapha, 28, for a $344,602 loss to Medicaid.
    • Andrea Johnson, 53, of South Charleston for a $22,886 loss to Medicaid.
    • Mary Moore, 52, of Cincinnati for a $2,896 loss to Medicaid.
    • Elizabeth Nawrot, 38, of Uhrichsville for a $5,337 loss to Medicaid.
    • Tiara Portis, 32, of Akron for a $36,380 loss to Medicaid.
    • Alayjah Terrell, 29, of Cleveland for a $63,471 loss to Medicaid.
    • Gerri Toney, 59, of West Union for a $10,111 loss to Medicaid.

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    Lydia Taylor

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  • Mercy Health reaches agreement with Humana

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    ELYRIA, Ohio — Mercy Health announced it has reached an agreement with Humana, leaving many patients in network for their coverage. 


    What You Need To Know

    • Mercy Health and Humana have been working on an agreement for months now ahead of the Dec. 1 deadline
    • Patients under Humana will have access to Mercy Health’s hospitals, urgent cares, surgery centers and more
    • Mercy Health added in an earlier statement that emergency department facilities will always be available for patients for covered emergency services

    Mercy Health and Humana have been working on an agreement for months now ahead of the Dec. 1 deadline. Mercy Health didn’t provide details of the agreement, but ensured patients under Humana will have access to Mercy Health’s hospitals, urgent cares, surgery centers and more. 

    Additionally, Mercy Health providers and facilities remain in network for patients with Managed Medicaid Insurance and Medicare Advantage insurance through Humana. 

    “We understand that the possibility of us being out of network was incredibly difficult for many of our patients,” Mercy Health wrote in a statement on their website. “Our goal has always been to have long-term, equitable agreements with major payers so our patients can have seamless access to quality care in their communities.”

    Mercy Health added in an earlier statement that emergency department facilities will always be available for patients for covered emergency services. 

    If patients wish to make a change, the Medicare enrollment period is ongoing until Dec. 7. Changes will take effect Jan. 1, 2026. 

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    Lydia Taylor

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  • Judge to explain why he’s approving Purdue Pharma settlement plan

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    A U.S. Bankruptcy Court judge is set to give his reasoning Tuesday for approving OxyContin maker Purdue Pharma’s plan to settle thousands of lawsuits over the toll of opioids.

    The deal calls for members of the Sackler family who own the company to pay up to $7 billion over time.

    Judge Sean Lane said last week that he would accept the plan, which ranks among the largest opioid settlements ever and would do something other major ones don’t: Pay some victims of the crisis.

    Sackler family members agreed to pay up to $7 billion over 15 years, providing most of the cash involved in the settlement.

    The funds distributed to state, local and Native Americans is to be used mostly to address the opioid crisis, as has been the case with other opioid settlements.

    About $850 million of that is to go to individual victims, including children born with opioid withdrawal.

    People with addiction and survivors of those who died must prove they were prescribed OxyContin to participate. Those who do could receive payments of around $8,000 or around $16,000, depending on how long they received the drug and how many other people qualify. The money for individual victims is to be distributed next year.

    Members of the Sackler family are agreeing to give up ownership of Purdue.

    For them, that won’t be a major change since no family member has served on Purdue’ board or received money from the company since 2018. The plan calls for Purdue to be replaced with a new company, Knoa Pharma, to be controlled by a board appointed by states and with a mission of benefiting the public.

    Sackler family members are also agreeing not to have their name put on institutions in exchange for contributions — something they’ve done often in the past, though many institutions have cut ties with them.

    The company has also agreed to make public a trove of internal documents that could shed additional light into how the company promoted and monitored opioids.

    One feature that won’t be repeated under this new deal that was in a previous one: forcing members of the Sackler family to hear directly from people harmed by OxyContin.

    Purdue filed for bankruptcy protection in 2019 when it was facing thousands of opioid-related lawsuits from state and local governments and others.

    A judge approved a settlement two years later. But the U.S. Supreme Court later rejected that plan because it gave members of the Sackler family protection from lawsuits over opioids even though they were not personally declaring bankruptcy.

    The latest plan allows lawsuits against Sackler family members by those who don’t opt into the deal.

    This time through, few parties objected to the settlement, though some people who represented themselves and who were addicted to opioids — or had loved ones who were — raised concerns during the three-day confirmation hearing last week.

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  • Federal Rules At Odds With Oregon Guidelines For Providers Seeking Grants To Help Homeless People – KXL

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    (AP) – The Trump administration will require that homeless service providers force people to receive behavioral health treatment in order to access long-term, federally supported housing, a move that could mean organizations across Oregon would have to choose between receiving federal dollars or state dollars — but not both.

    On Thursday, the U.S. Department of Housing and Urban Development (HUD) announced a major overhaul of the $3.9 billion federal Continuum of Care program, the largest homeless services initiative it oversees.

    The changes slash the amount of funding available for permanent housing projects and upend federal support for the longstanding homeless services model known as “Housing First,” which aims to quickly connect people to housing by removing preconditions like stable employment or sobriety that can be barriers to entry.

    The federal dollars also have a slew of new eligibility conditions that several Oregon providers said would put them in conflict with state funding rules. For instance, while federal grantees now must require people placed in permanent housing take part in services like addiction treatment or employment training, Oregon requires all services be “voluntary” to be eligible for the $80 million it set aside for permanent housing projects over the next two years.

    Other provisions in the new federal grant requirements include that applicants must be in areas that enforce laws prohibiting public camping and illicit drug use, comply with federal immigration enforcement and must not use “a definition of sex other than as binary,” referring to the recognition of nonbinary and transgender people.

    “The feds are saying one thing and the state is saying another thing, and that doesn’t work for me, the service provider, to be in compliance,” said Marion County Commissioner Danielle Bethell. “I’m out of compliance with one government or the other.”

    County officials and service providers told InvestigateWest this clash will force them to choose between using either state or federal dollars for their housing projects, forgoing one stream of government funding entirely.

    But since many groups rely on both to keep services afloat, providers would have to scale back their services accordingly, potentially pushing hundreds of formerly homeless Oregonians in federally supported programs back onto the streets almost “overnight,” Polk County Commissioner Jeremy Gordon said.

    The National Alliance to End Homelessness, an advocacy group, goes even further, estimating the Continuum of Care program changes alone could displace upwards of 2,500 Oregonians currently living in permanent supportive housing or rapid rehousing programs.

    “For a lot of providers, they’re going to be asked to do things that are kind of outside our DNA — things that we don’t believe in, things that undermine human dignity,” said Jimmy Jones, director of the Mid-Willamette Valley Community Action Agency, an anti-poverty service provider in Marion and Polk counties that receives about $2.1 million for housing services from the Continuum of Care program.

    “Providers are going to have to make a choice whether or not they’re going to comply with these expectations for federal funds or are going to go their own way,” he continued.

    At a press briefing on Friday morning, federal housing officials lauded the changes as long-overdue reforms to increase fairness and competition among providers, even as some may end up pushed out of the program.

    “We have laid out the rules of the road,” a HUD spokesperson said. “If they want to take us up on this opportunity of funding, organizations are more than welcome. If organizations decide that adherence to certain policies or certain criteria is more important than the federal dollars, they are more than welcome to look at other sources of funding.”

    Both Republican and Democratic members of Congress have raised alarm about the rapid changes.

    In late October, as a leaked draft of the changes circulated, more than a dozen Republicans in the U.S. House of Representatives urged HUD to take a more measured approach to implement its desired policy changes and extend existing awards for another year to avoid destabilizing local programs that keep families housed. On Thursday, 42 members of the U.S. Senate Democratic caucus, including Oregon Sens. Ron Wyden and Jeff Merkley, sent a letter imploring the agency to “immediately reconsider” the policy changes.

    Continuum of Care dollars are expected to continue flowing as normal to communities through the end of the year. After that, federal funding is not guaranteed — and it is unlikely state dollars could fill in the gap, as Oregon has already cut back its housing agency’s budget for the 2025-2027 fiscal year by more than $1 billion due to dropping revenue forecasts.

    Brooke Matthews, a program manager for the Oregon Community Continuum of Care, said the 26 rural and frontier counties she represents rely heavily on federal dollars to conduct outreach and house vulnerable people. The group received nearly $2.8 million for such efforts this year.

    Small and rural counties are already stretching every penny to reach people experiencing homelessness, she emphasized.

    “These are disabled veterans. These are people with disabilities. These are families with children,” said Matthews.

    ‘Out of compliance’
    Established in the mid-1990s, the federal Continuum of Care program created local planning bodies by the same name that serve as the sole applicant for federal dollars supporting homelessness services, such as permanent and transitional housing, data collection, case management, and homelessness prevention.

    Continuums of Care were intended to streamline a largely fragmented process that saw local providers apply for grant opportunities on their own without collaborating on strategies to meet the needs of the broader community.

    Roughly $65 million was allocated across Oregon’s eight continuums in January, during the final days of the Biden administration — the vast majority for permanent supportive housing, a kind of long-term housing with on-site services specifically aimed at helping people with disabilities. The funding also went toward temporary rental assistance known as rapid rehousing.

    Speculation over prospective changes to the program’s funding rules has swirled for months: Providers said federal housing officials began notifying them around September of plans to scrap approved Continuum of Care applications and redo the entire process again for the funds set to be doled out in 2026.

    The requirements ultimately released Thursday mirror an executive order signed by President Donald Trump in July directing agencies to wind down “Housing First” programs in favor of transitional housing and other short-term interventions to curb the homelessness crisis.

    It also gives added preference to faith-based groups previously ineligible for funding opportunities and places a 30% cap on spending for permanent supportive housing. Currently almost 90% of the program’s dollars goes towards this type of housing.

    Trump and other administration officials have long criticized “Housing First” policies for failing to tackle what they say are “root causes” of homelessness, like mental illness and substance use, by providing little incentive for future self-sufficiency.

    “Our philosophy for addressing the homelessness crisis will now define success not by dollars spent or housing units filled, but by how many people achieve long-term self-sufficiency and recovery,” HUD Secretary Scott Turner said in a statement Thursday about the changes.

    Supporters of the model, however, argue that providing affordable housing is more cost-effective than treatment-first tactics and gives people stable ground for them to begin addressing the other struggles they may be facing.

    How HUD intends to define some of the new criteria remains unclear. If interpreted broadly, some of the conditions, like enforcement of anti-camping laws, could put Oregon out of the running entirely, according to Matthews, program manager for the Oregon Community Continuum of Care.

    Matthews asked officials with HUD’s Oregon field office during a meeting if a state law that limits when local governments can intervene with encampments would violate anti-camping grant conditions, and they responded that it would be “a good assumption for us to make,” she recalled.

    “Rural Oregon is scrappy and creative,” Matthews said. But the threat of losing $65 million in Continuum of Care dollars would be a huge hit, she said. “I don’t have a creative enough solution for how you overcome (that).”

    That is if providers are even able to throw together an application that meets the sweeping changes to the Continuum of Care on short notice. Normally, the process of compiling an application takes months of effort, but HUD’s deadline to apply for 2026 funds is 10 weeks away.

    “It’s a big lift,” explained Gordon, the Polk County commissioner. “There’s extensive data gathering, community input and administrative lift. … Asking us to build something brand new or shift in gears, it’s going to cause a lot of sunk costs and red tape.”

    Jones, director of the Mid-Willamette Valley Community Action Agency, said he’s alarmed about how the overhaul could disrupt coordination between local homeless service providers. Some may choose to stay the course with the state’s “Housing First” programs or revert back to the “Housing Ready” model reminiscent of the 1980s and 1990s that HUD is now incentivizing.

    “The entire continuum will be jeopardized in some ways,” Jones said, “because there is no coordinated local approach to homelessness when you have polarization of these two models to such extremes.”

    ‘House of Cards’
    HUD is already facing several lawsuits challenging changes to grant eligibility requirements, including two suits about the Continuum of Care program that predate Thursday’s announcement.

    In May, more than two dozen local governments, including Oregon’s Multnomah County and the cities of Bend, Portland and Wilsonville, sued in the Washington District Court over grant agreements requiring them to comply with federal immigration enforcement and other policies or risk losing their funding. A federal judge has paused any changes while the suit is litigated.

    Another lawsuit brought by the National Alliance to End Homelessness and Women’s Development Corporation challenges changes to a housing development grant that was overhauled in September.

    Ann Oliva, CEO of the National Alliance to End Homelessness who also worked at HUD for a decade across three presidential administrations, said it’s not unusual for a new administration to reissue grant applications or tweak policies unrelated to eligibility before dollars are awarded.

    It is another thing, she said, to rescind already awarded dollars or condition the ability to apply for grants without congressional approval.

    “When Congress says the funds need to be used for this purpose and (awarded) through a national competition, that seems pretty clear that the competition should be national,” Oliva said. “When the criteria is set such that most of the country isn’t even eligible to compete fairly, that’s where a line gets crossed.”

    For Oregon groups, the potential loss of federal Continuum of Care dollars would likely worsen their financial challenges after the state cut funding for tackling homelessness and housing insecurity. In June, citing a roughly $373 million budget deficit, Oregon lawmakers approved a $2.6 billion two-year housing budget for the state’s housing services agency, the Housing and Community Services Department. That’s about $1 billion less than the last budget cycle.

    Eviction prevention programs saw the greatest decrease in funds, dropping about 75% from 2023-25 funding levels. Emergency shelter providers are also seeing reductions to state funding funneled to their region through local homelessness planning groups.

    Gov. Tina Kotek’s office declined to immediately comment on the Continuum of Care program changes and plans to address impacts to Oregon.

    Tillamook County Commissioner Erin Skaar, who previously headed up an anti-poverty nonprofit, said most service providers have “cobbled together” funding sources to make ends meet. For instance, a provider might use a state grant to pay for staffing or wraparound services at a permanent supportive housing site, and rely on a federal grant for the cost of rent and maintaining the building.

    “In many cases, it’s a bit of a house of cards. … You start pulling some of those cards out from underneath it, it may or may not make it,” Skaar said. “I don’t think any of us think that somehow we’re just going to slide through this unscathed and (provide) all the same quantity of services we have in the past.”

    According to Jones, for months, he urged state officials and housing groups to get ahead of the federal government’s full-scale shift in policy and how it would reshape the landscape for providers. He says he was met with responses expressing confidence in state law and the hope the changes would be blocked by a court.

    Even if lawsuits block the most significant changes from going into effect, Jones believes the direction the administration is headed will set back providers’ efforts to address the homelessness crisis for years to come.

    “They can do whatever they like, giving the money to whomever they want,” he said. “It’s going to turn full beds into empty beds and two years from now everyone is going to be writing think pieces about what went wrong.”

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    Jordan Vawter

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  • Novo cuts Wegovy prices, but doctors still see cost challenges for patients

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    Novo Nordisk is chopping prices again for Wegovy, but doctors say the expense will remain challenging for patients without insurance.

    The drugmaker said Monday that it has started selling higher doses of the injectable obesity treatment for $349 a month to patients paying the full bill. That’s down from $499, and in line with terms of a drug pricing agreement outlined earlier this month by President Donald Trump’s administration.

    Novo also started a temporary offer of $199 a month for the first two months of low doses of Wegovy and the drug’s counterpart for diabetes, Ozempic. The new pricing will be available at pharmacies nationwide, through home delivery and from some telemedicine providers.

    Rival Eli Lilly also plans price breaks for its weight-loss drug Zepbound once it gets a new, multi-dose pen on the market. Lilly has said it will sell a starter dose of Zepbound for $299 a month and additional doses at up to $449. Both represent $50 reductions from current prices for sales directly to patients.

    Obesity treatments like Zepbound and Wegovy have soared in popularity in recent years. Known as GLP-1 receptor agonists, the drugs work by targeting hormones in the gut and brain that affect appetite and feelings of fullness.

    In clinical trials, they helped people shed 15% to 22% of their body weight — up to 50 pounds or more in many cases. But affordability has been a persistent challenge for patients.

    A recent poll by the nonprofit KFF found that about half of the people who take the treatments say it was hard to afford them.

    Both Lilly and Novo announced price cuts earlier this year that brought the cost of higher doses of their treatments down to around $500 a month.

    Previous research has shown that people have difficulty paying for a medication when the cost rises above $100 per month, said Stacie Dusetzina, a Vanderbilt University Medical Center professor and prescription drug pricing expert.

    She said Novo’s new prices are “not going to really move the needle for a person who doesn’t have a pretty reasonable amount of disposable income.”

    Dr. Laura Davisson said the medication would still be unaffordable for patients on Medicaid in states where the government-funded program for people with low incomes doesn’t cover the drug.

    The bigger issue is expanding coverage of the treatments, said Davisson, a West Virginia University obesity specialist.

    “We’ve had hundreds of people lose coverage over the last couple of years, and we keep seeing more and more insurers drop coverage,” she said, adding that her practice has started a group support program to help those who have lost coverage.

    Coverage is slated to improve starting next year for at least one big payer under a deal announced by the Trump administration. The federally funded Medicare program, mainly for people ages 65 and older, will begin covering the treatments for people who have severe obesity and others who are overweight or obese and have serious health problems.

    Those who qualify will pay $50 copays for the medicine.

    Administration officials also said lower prices for the drugs that they negotiated for Medicare also will be provided for Medicaid programs.

    That will help expand coverage, according to Dave Moore, Novo’s executive vice president for U.S. operations. He said Medicaid programs in 20 states cover the drug for obesity.

    Novo officials expect around 40 million more Americans will gain access to their drug through coverage expansions for Medicaid and Medicare.

    Neither Moore nor representatives for Eli Lilly would say whether they plan additional price cuts. Both companies also are seeking approval of pill versions of the drugs, which would come with new prices.

    Lilly spokesperson Courtney Kasinger said the company believes obesity treatments should be covered just like those for any other chronic condition.

    “We’re going to continue to work to improve coverage as much as we can across all channels, all stakeholders,” she said.

    ___

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

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  • How to connect with old friends and why it matters

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    NEW YORK (AP) — When Jennifer Austin met Molly in second grade, they quickly became best friends. They giggled through classes until the teacher separated them, inspiring them to come up with their own language. They shared sleepovers and went on each other’s family vacations.

    But they gradually drifted apart after Austin’s family moved to Germany before the girls started high school. Decades passed before they recently reconnected as grown women.

    “Strong friendships really do stay for the long haul,” Austin, 51, said. “Even if there are pauses in between and they fade, that doesn’t mean they completely dissolve or they go forgotten. They’re always there kind of lingering like a little light in the back.”

    Early friendships are some of the deepest: the schoolmates who shared bike rides and their favorite candy. The roommates who offered comfort after breakups. The ones who know us, sometimes better than we know ourselves.

    But as adults take on jobs and the responsibilities of homes and families, it can be challenging to stay connected with everyone we’ve loved.

    Technology plays a role, too. Loneliness has increased since the television was invented and intensified with the introduction of smartphones, according to psychologist Marisa Franco, a University of Maryland assistant clinical professor and author of “Platonic,” a book about the science of attachment.

    Once they’ve lost touch with friends, some people are reluctant to reach out, fearing rejection. But most of those on the receiving end appreciate the effort more than we expect, Franco said.

    This article is part of AP’s Be Well coverage, focusing on wellness, fitness, diet and mental health. Read more Be Well.

    “People are delighted to hear from their old friends and open to connections,” she said.

    Franco suggests reminiscing about a shared memory to span the time and distance. It can be something as simple as, “This pic came up and I just realized I wanted to check in on you,” she said. Propose a meetup. If the friend lives far away, try scheduling a phone date to catch up.

    Below, six people who tried to rekindle lost friendships reflect on distance, loss and reconnection.

    A missing piece

    Heather Robb and Laine DiPasquantonio were nearly inseparable in their 20s, when they both lived in Boston. They went to concerts and vacationed together. DiPasquantonio was there when Robb met her future husband and attended their wedding as a bridesmaid.

    But sometime after Robb married and DiPasquantonio moved to Colorado, their circle of friends scattered. They became busy raising children, juggling jobs and caring for aging parents.

    “It’s terrible because you don’t know it’s happening,” Robb, 60, said in a joint interview. “I think it was simply space and time. We were all in different cities, we were all in that busy time of toddlers.”

    Years passed with occasional holiday cards and texts but few meaningful interactions. DiPasquantonio saw photos on social media of Robb skiing and traveling with other friends. “I wasn’t sure there was so much room for me, from a distance,” she said.

    “Aww, I feel badly about that,” Robb replied. “I would argue that’s the bad side of social media.”

    The women found their way back to each other when Robb, president of Heather Robb Communications, had a business trip to Denver in April. She called to see if DiPasquantonio wanted to get dinner. “I didn’t know if she was going to be that happy to hear from me. I actually had some trepidation in reaching out,” Robb said.

    When she did, Robb learned her friend was about to undergo surgery for breast cancer. Instead of meeting for dinner, DiPasquantonio, a placement specialist at Harmony Senior Referrals, invited Robb to stay for the weekend. A mutual friend flew out to join them.

    “I was so tickled that you called and wanted to get together. It was awesome,” DiPasquantonio, 63, said during their interview. “What took us so long, right?”

    They’ve remained close since.

    “It just feels so good. It feels like there was a missing piece,” Robb said.

    Just do it

    Reyna Dominguez, 18, had the same best friend since first grade. But when Dominguez moved from Long Island to Brooklyn, her friend began college. Dominguez started working in a salon and their schedules didn’t align. About six months passed without communication.

    After graduating cosmetology school, Dominguez texted her friend to share the news.

    “I was a bit anxious that she was not going to respond. But she did, and I was so relieved and happy,” Dominguez said.

    Now they’re in touch about once a month and planning to get together.

    “It’s important to stay in touch because sometimes I do get lonely, like I have no one to really talk to,” Dominguez said. “But with her, she knows all about my life.”

    Dominguez encourages anyone considering reaching out to an old friend to go ahead. “I say just do it. You have nothing to lose,” she said. “I guess the worst they could do is not respond to you, but I feel like you’ll still be happy with the thought, ‘I tried.’”

    Staying close

    Andrew Snyder’s best friend since 5th grade lives a plane ride away, but that hasn’t stopped them from keeping in touch. They call or email each other at least once a month and see each other several times per year.

    At key points in their lives, they’ve visited each others’ homes “so when we talk about things, we actually can understand,” said Snyder, 50, who teaches philosophy and economics in New York City.

    Living in different cities means it requires work to stay connected, but it’s important to Snyder, who feels that friendships are thinning out as people spend more time looking at cellphone screens.

    “Friendship and cooking your own food, and exercising and being outside, these are the things that used to be real life, and now I think they’re all fading,” Snyder said. “I don’t think the real issue is time anymore. I think the real issue is a sense of overwhelm and a sense of depletion that we all feel.”

    No regrets

    Kim Ventresca, 22, drifted from her best friend while attending college. She reached out a few times and they reconnected when the friend was having a rough time. But they stopped talking again when Ventresca was going through mental health and relationship challenges. Eventually, the other young woman told Ventresca she no longer wanted to be friends.

    “I’ve got some new friends now, and I feel like it’s probably better because some things happen for a reason,” she said. “I’m hoping that she’s alright and that she is doing OK.”

    Ventresca, who works as a social media manager and receptionist in New Jersey, said she still recommends reaching out to missed friends, even if it’s awkward.

    “The worst thing that happens is you get ‘left on read’ or delivered or declined,” she said.

    Secret language

    After Austin’s family moved to Germany, she didn’t see her childhood best friend again for 20 years, through a chance meeting on a New York City subway platform. They reconnected briefly, but contact lapsed again.

    Molly’s 2021 visit with one of her children to a college near Austin’s home provided another chance to restore the friendship. They’ve remained close since.

    “Something at that point just shifted,” Austin, owner of KindPoint Communications, said. “Things really picked up and we just basically outright said, ’Let’s just keep this momentum going. Let’s not wait another 20 years.’”

    ___

    Send your wellness questions and story ideas to [email protected]. Follow AP’s Be Well coverage, focusing on wellness, fitness, diet and mental health at https://apnews.com/hub/be-well.

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  • Novo chops Wegovy prices, but doctors still see affordability challenges for patients

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    Novo Nordisk is chopping prices again for its popular obesity treatment Wegovy, but doctors say the expense will remain challenging for patients without insurance.

    The drugmaker said Monday that it has started selling higher doses of the injectable treatment for $349 a month to patients paying the full bill. That’s down from $499 and in line with terms of a drug pricing agreement outlined earlier this month by President Donald Trump’s administration.

    Novo also has started a temporary offer of $199 a month for the first two months of low doses of Wegovy and the drug’s counterpart for diabetes, Ozempic. The new pricing will be available at pharmacies nationwide through home delivery and from some telemedicine providers.

    Rival Eli Lilly also plans price breaks for its weight-loss drug Zepbound once it gets a new, multi-dose pen on the market.

    Obesity treatments like Zepbound and Wegovy have soared in popularity in recent years. Known as GLP-1 receptor agonists, the drugs work by targeting hormones in the gut and brain that affect appetite and feelings of fullness.

    In clinical trials, they helped people shed 15% to 22% of their body weight — up to 50 pounds or more in many cases. But affordability has been a persistent challenge for patients.

    A recent poll by the nonprofit KFF found that about half of the people who take the treatments say it was hard to afford them.

    Previous research has shown that people have difficulty paying for a medication when the cost rises above $100 per month for a prescription or refill, said Stacie Dusetzina, a Vanderbilt University Medical Center professor and prescription drug pricing expert.

    She said new prices like those outlined by Novo are “not going to really move the needle for a person who doesn’t have a pretty reasonable amount of disposable income.”

    ___

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

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  • Ethiopia Confirms 3 Marburg Virus Deaths in New Outbreak

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    ADDIS ABABA, Ethiopia (AP) — Ethiopia on Monday confirmed three deaths from the Marburg hemorrhagic virus that has been detected in an area neighboring South Sudan.

    Health Minister Mekdes Daba said Ethiopia’s government, which declared a Marburg outbreak on Friday, had conducted tests in 17 suspected cases in the country’s south. The outbreak was reported in the Omo region.

    The minister said there were no active cases but the government was taking preventive measures. A team from the World Health Organization and the Africa Centers for Disease Control and Prevention has been dispatched to support with testing and outbreak control.

    South Sudan’s health ministry on Sunday issued a public health advisory to residents of four counties to wash their hands frequently and avoid contact with bodily fluids to prevent the spread of the virus. Africa CDC Director-General Jean Kaseya last week called the outbreak a concern because South Sudan has a “fragile health system.”

    Like Ebola, the Marburg virus originates in fruit bats and spreads between people through close contact with the bodily fluids of infected individuals or with contaminated surfaces, such as soiled bedsheets. Without treatment, Marburg can be fatal in up to 88% of people who fall ill.

    Symptoms include fever, muscle pains, diarrhea, vomiting and, in some cases, death from severe blood loss. There is no authorized vaccine or treatment for Marburg.

    Marburg outbreaks and individual cases have in the past been recorded in Rwanda, Tanzania, Equatorial Guinea, Angola, Congo, Kenya, South Africa, Uganda and Ghana, according to WHO.

    Copyright 2025 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

    Photos You Should See – Oct. 2025

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  • Group home opens to help fill mental health housing gap

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    CINCINNATI —   In Ohio, thousands of people living with mental illness are struggling to find stable housing, according to data from the National Alliance on Mental Illness. The group reports that one in five Ohioans experiencing homelessness also lives with a serious mental illness.

    For Jeno Shanklin, the crisis is personal — and the solution; he hopes starts with the home he recently bought. 


    What You Need To Know

    • The National Alliance on Mental Illness (NAMI) reports one in five Ohioans who are homeless also has a serious mental illness 
    • Jeno Shanklin, who grew up in and out of shelters, set out to change that by buying a home to open up as a group home to help men with mental illness 
    • He hopes the house will be one of many group homes that he wants to open on top of a day center to help families affected by mental illness 

    Walking through the doorway of a Cincinnati house, Shanklin pauses at the decoration on the wall and the furniture arranged just as it was years ago.

    “That’s actually an old picture my mom had,” he said. “These couches are actually my grandfather’s.”

    The memories still bring him to tears. Shanklin says he spent part of his childhood living in and out of shelters before his mother moved in with a man who he says struggled with mental illness, a situation that often turned volatile.

    “It was tough being in a house with someone who one second can be laughing and smiling, another second being physically aggressive, verbally abusive to whoever crossed their path,” he said. “I had to grow up really fast being the oldest of four.”

    Shanklin later moved in with his grandfather, and he credits his faith with helping him understand the long-term impact of a stable home.

    “A lot of people overlook adults,” he said. “They think they’re grown; they can handle it. But there are a lot of adults out there that, if they just had some type of stable environment, it would help them.”

    Shanklin recently purchased a home and is turning it into a group home for men living with mental illness — a place he calls the Safe Haven for Healing home in Cincinnati. He said the house will offer group classes, art and music therapy and other programs meant to support mental health and long-term independence.

    “I felt like I could be making a bigger impact on my community and my people,” he said. “So I did some research and found the model group home.”

    Shanklin hopes this first site will be one of many. He plans to open additional group homes and eventually a day center focused solely on mental health services.

    “Come as you are,” he said. “We will do our very, very best to see that when you walk back out these doors, you are better than when you came inside them.”

    As Ohio continues to grapple with gaps in mental health housing, Shanklin said he’s committed to helping one person at a time.

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    Sheena Elzie

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  • Mold causes hidden health crisis as extreme weather risk grows

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    Tallahassee, Florida — After returning from what felt like the best internship of her life, Danae Daniels was excited to unwind and settle into a new semester at Florida Agricultural and Mechanical University. But when she opened the door to her off-campus apartment, she was met with an overwhelming smell — and a devastating reality.

    “There was mold in my bedroom, on my bed, mold in my expensive purse,” Daniels said. “Mold in my closet, my bathroom — literally everywhere.”

    During her absence, a series of severe natural disasters had swept through the Tallahassee area, leaving widespread damage. According to the National Centers for Environmental Information, those storms in summer 2024 caused billions of dollars in destruction, displacing families and leaving businesses in ruin.

    It caused more than just property damage. While the community worked to recover, mold took hold in homes and other buildings across the city, turning the natural disaster into a prolonged crisis with public health implications.

    “If any part of a home is exposed to flooding or leaks and is not fully dried within 24 to 48 hours, mold growth is almost certain,” said Parham Azimi, a research associate at Harvard T.H. Chan School of Public Health, who studies the link between mold exposure and respiratory health, particularly in the wake of natural disasters. “After major storms, we often see spikes in respiratory illnesses, particularly in homes that were affected by flooding.”

    Mold grows inside an apartment in Tallahassee, Florida, on Jan. 22, 2025. 

    Jonathan R.M. Charles for KFF Health News


    A foundation for trouble

    An estimated 47% of residential buildings in the United States contain mold or dampness. So even as the latest hurricane season winds down, the threat of mold-related health risks lingers.

    And with 29% of the nation’s population living in flood-prone coastal counties, the risk of exposure to mold spores and allergens that can trigger respiratory illnesses is immense, leaving some 95 million people vulnerable when extreme weather strikes. That doesn’t count people in inland areas that flood, like in the North Carolina and Tennessee mountains that experienced massive flooding from Hurricane Helene last year — or those whose homes were drenched from the Hill Country flooding in Texas this summer.

    The health consequences of mold exposure range from mild allergic reactions to severe respiratory conditions. Common symptoms include congestion, asthma flare-ups, and skin irritation, according to the Centers for Disease Control and Prevention. Prolonged exposure can lead to more serious complications, such as hypersensitivity pneumonitis — a rare lung inflammation — and mycotoxin-related illnesses, which can cause neurological damage, liver disease, and kidney dysfunction.

    Now, a key federal program that helps repair housing after disasters and aid from the Federal Emergency Management Agency are in question amid President Trump’s cutbacks and policy changes.

    One of the greatest dangers of mold is that it often goes undetected for months or years, leaving people unknowingly exposed.

    Lauren Lowenstein in Houston knows that all too well. “For five years, my family’s health kept declining, and we had no idea why,” she said.

    After conducting an Environmental Relative Moldiness Index test, Lowenstein said, she discovered that toxic mold spores had been growing inside the walls of her home due to excessive condensation in the HVAC system. She, her husband, and their two children vacated immediately and had to start over again.

    “The mold wasn’t visible, and we had no indication that it was growing,” Lowenstein said.

    Even when mold is detected, removing it is an expensive challenge. On average, mold remediation costs between $1,222 and $3,751, according to the home service clearinghouse Angi, but in severe cases, the price can reach $30,000 or more. Even with home insurance coverage for mold, people may bear some cost.

    Daniels, for example, was forced to leave her Tallahassee apartment and get a hotel for a month while waiting to be moved into a newly renovated unit. She had to replace all her belongings.

    The cost of remediation remains out of reach for many households, Azimi said, and alternative yet affordable housing can be hard to find, which means continued mold exposure.

    “For low-income and marginalized communities, the risks are even greater,” Azimi said.

    For those seeking government assistance, the wait times can be extensive, according to the Rev. Mac Legerton, founder of the Robeson County Disaster Survival and Resiliency School in North Carolina. “In many cases, families are left to choose between living in unsafe conditions or homelessness.”

    A 2019 review funded by the U.S. Department of Housing and Urban Development of 88 disaster grants found that its Community Development Block Grant Disaster Recovery program began distributing funds to applicants on average 20 months after the initial disaster, with disbursements taking two years or longer.

    “When it comes to our disaster response system, mold remediation is one of the most neglected areas at the local, state, and national levels,” Legerton said.

    Legerton’s organization runs a “mold busters” program, a hands-on training and education initiative that helps give people in Robeson County the tools and knowledge they need to safely remove mold from homes, churches, and businesses following natural disasters. The program also provides free mold remediation services to vulnerable communities. He said it was created in response to the lack of timely aid in the central North Carolina community.

    Waiting takes its toll

    Tanya Locklear faced this reality after Hurricanes Matthew and Florence severely damaged her home in Pembroke, North Carolina, in 2016 and 2018, respectively, ultimately leaving it contaminated with mold.

    She applied for assistance through North Carolina’s ReBuild NC governmental program in August 2021 but said she did not receive approval until November 2023. She said repairs finally began in February 2024 — more than two years after her application.

    It was only after local advocacy efforts — including pressure from community leaders and Legerton’s organization — that her case moved forward, Locklear said.

    However, she said, the initial delays had already taken a toll on her family’s health and well-being. While waiting for aid, Locklear and her children remained in the hazardous conditions of the moldy home. She said she and her family suffered health complications such as headaches, nose bleeds, and difficulty breathing.

    Even today, Locklear said, she still has various respiratory issues, showing the long-term risks of remaining in mold-infested homes.

    Legerton, working with his group on the ground in North Carolina, believes that lawmakers and policymakers must focus on streamlining disaster relief programs to ensure effective and timely aid distribution for affected families and communities nationwide.

    Government officials should also increase funding for mold remediation to help prevent displacement and long-term health consequences, and implement stronger building codes and flood-resistant housing designs to mitigate mold risk in disaster-prone areas, according to Legerton and public health experts. Without proactive policies, Azimi said, millions more will face prolonged exposure to unhealthy living conditions.

    “As climate change intensifies, hurricanes and severe storms will become more frequent and destructive, increasing the risk of mold-related illnesses,” Azimi said.

    KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism.

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  • UPMC doc: Prioritize mental health during holiday season

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    CUMBERLAND — The holiday season is often described as “the most wonderful time of the year,” but for many, it can be a source of anxiety and stress.

    Dr. Tooba Qadir of UPMC Western Maryland recently offered advice ahead of the holiday season designed to help people prioritize mental health.


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    Natalie Leslie can be reached at 304-639-4403.

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    Natalie Leslie nleslie@times-news.com

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  • Senior cannabis use hits all-time high

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    RIDGE MANOR, Fla. — A new study suggests that cannabis use among seniors is at an all-time high.

    Research published in the JAMA Internal Medicine journal shows a significant increase in older adults using cannabis.


    What You Need To Know

    • Research in JAMA Internal Medicine shows that cannabis use among seniors is increasing
    • The data shows that cannabis use among older adults increased by 46% between 2021 and 2023
    • A Hernando County senior said he uses cannabis for chronic pain
    • Cannabis use remains federally illegal and the CDC said cannabis use can have health risks


    For many seniors, going to a cannabis dispensary is like picking up a prescription.

    “You get it when and how much you need,” said O,Gary Stein, senior.

    Stein said he started using cannabis in high school and has used it on and off ever since.

    “Since the 1970s, I guess that makes me an OG, or at least just an O” he said.

    The now 68-year-old said he recently picked it back up for medical purposes. He goes to the dispensary as often as he needs to treat his chronic depression and pain.

    “I rather use this than opiates or things of that sort. Even Tylenol eventually becomes toxic to your liver, whereas this is a much healthier alternative,” Stein said.

    Stein isn’t alone. The number of seniors using marijuana is growing. According to a new study published in the JAMA Internal Medicine journal, the number of seniors using cannabis has increased by 46% between 2021 and 2023. 

    “I know a lot of senior citizens who are sick and tired of taking all the pills that their doctors are constantly prescribing for them and having to deal with all the side effects that a lot those pills cause and they prefer a natural solution,” Stein said.

    Dr. Deepa Verma at Synergistiq Wellness has been a licensed medical marijuana prescriber for about eight years. She said she’s written thousands of prescriptions, and lately, a lot more for seniors.

    “Because cannabis is more socially acceptable and with the legalization and people are just more open about seeking other ways to get healthy, they don’t want to be caught in that traditional health care system,” said Verma.

    However, cannabis use remains federally illegal. The Food and Drug Administration has not approved a marketing application for cannabis for the treatment of any disease or condition. 

    No matter how marijuana is used, the Centers for Disease Control said marijuana has brain, heart, lung and mental health risks and can cause cannabis use disorder or unintentional poisoning.

    At home, Stein said he’s weighed other treatment options. He believes cannabis is a great option for seniors wanting a natural remedy. 

    “The best thing to do is to find out what is best for you. The dosage is up to you, and the method of use is up to you,” he said.

    Now that Stein’s prescription is filled, his chronic pain is manageable.

    Researchers also found that people with multiple chronic conditions are more likely to use cannabis. 

    The study said clinicians should consider screening and educating older patients about potential risks of cannabis use.

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    Tyler O’Neill

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