DRUgs
The worrisome drug withdrawal popping up in jails
Natsumi Chikayasu for STAT
A powerful tranquilizer has started to accompany fentanyl in the country’s illicit opioid supply, and jails are struggling to handle the drug’s excruciating, complicated withdrawal symptoms.
Jails already have a poor record safeguarding prisoners who go into withdrawal upon incarceration. They now face the added challenge of medetomidine withdrawal, which can require complex treatment with both oral and intravenous medications, some so heavily controlled they are available only in intensive care unit settings. And rapid urine toxicology panels are not even designed to detect medetomidine.
Medetomidine, also called “dex” for dexmedetomidine, has been found in drug samples across 20 sites, with highest prevalence in the Northeast and lowest in the West, according to the CDC. Read more about this new drug and the fight to treat withdrawal from it.
POLITICS
Trump admin eyes tighter political control over CDC with new office
Political appointees may soon have more control over the information and research coming out of the CDC under a proposal to add a separate science office atop the agency.
In April, the agency published a notice seeking contractors to support the creation of the Executive Advisory, Science, and Operations Unit. The new office would review scientific publications, including Morbidity and Mortality Weekly Report, intended for peer-reviewed journals, or briefings by the director on preparedness activities.
It’s not yet a done deal because no funding has been found. But if the agency does find the funding, it will continue the Trump administration’s quest to control the information coming from the CDC. Read more for the inside scoop about the agency, from STAT’s Chelsea Cirruzzo.
VACCINES
New vaccine committee charter takes shape
Speaking of tighter political control, we finally have a new charter for the panel that advises the CDC on vaccine use, and it dramatically reshapes the committee to downplay its role in recommending the use of new vaccines and giving it responsibility to assess alternatives for disease prevention.
The new version, posted to the CDC’s website on Thursday, stipulates that the panel as a whole should represent a balanced range of scientific, clinical, and public health expertise — a broad umbrella under which people with little experience in vaccines or vaccination policy might conceivably fit.
Public health experts say the new document paves the way for Kennedy to circumvent a court challenge to his reconfiguration of this committee, known as the Advisory Committee on Immunization Practices.
Read more about the new charter from STAT’s Helen Branswell and Anil Oza.