to a community health center. my understanding is the governor of the state of vermont gets his primary care at a community health center. 2 that's what i love about them. as you well know, you mentioned, what they do is not only provide primary health care, many of them provide dental care, which is a huge issue. many provide the mental health counseling which as you indicated we have a major crisis in. they also provide lower-cost prescription drugs. so what they say is that regardless of your income, you've got medicare, come on in. you've got medicaid, come on in. you've got private insurance, fine. you've got no health insurance, we're going to work on a sliding scale. by expanding these community health centers all over america, we're going to provide millions of people the opportunity to get the health care they need. that is what exists in vermont right now and we want to see that expanded all over the country. mr. marshall: mr. president. the presiding officer: the senator from kansas. mr. marshall: senat

be as but in health care -- labs but in health care organizations that do testing around the country. we saw this happen with imposter response now too. we should have treatments off the shelf because we know what kind of virus or infectious agent this is, that we can try to apply in the kind of testing framework that janet was talking about quickly. we have synthetic biology that enables us to make monoclonal antibodies and other technologies, treatments, a matter of weeks to months show that they can work and manufacture them at scale. and vaccines too. but we also need along with that a capacity to engage the public so they understand what's going on, what we do and don't know, at each step of the way. starting to detect the infection, hopefully understanding it and taking good steps quickly to contain spread. and respond. and that requires not just c.d.c. but also our assistant secretary for preparedness and response and it requires the health care system to act differently. we had heroic health care responses during the pandemic as new york and other parts of the country were hi

pay for health care services with health care dollars to ensure medicaid access. incentivize the health care industry to partner with schools. prioritizing youths first. build on categorical funding opportunities. increase flexibility. with the support for the carl perkins and department of labor grants to build hope. require states to match your investment. has tacoma done everything we do? not yet. we are making a difference. we have evidence. we know through engage. our students are being more successful dealing with individual emotions and stresses. developing their social awareness and working academically at all times. finally, america schools and individual communities can't do this alone. we must work through partnership. we know it's not easy. there are egos. however we are in this together. we may not be united on everything, but our future is with us now and we must be united in our commitment to senator sanders: let me begin the questioning. ms. russell tucker, you mentioned summer programs and after school programs. one of the things that we have to g

, mental health and behavioral health services. medicaid enrolled children who need services in school can fall into two categories. eligible children who need general health care services and students with disabilities who receive services under the individuals with disabilities education county act. in 2021, schools received nearly $6 billion in total payments for school-based health care to medicaid students. schools also received about $14 billion in federal idea funding. in 2014, the centers for medicare and medicaid services issued a letter to state medicaid directors clarifying reimbursable services in a school-based setting. the c.m.s. letter explained that schools can seek payment for all medicaid services to all students enrolled, not those with disabilities. as of may, 2023, 21 states have used this policy to expand their school-based medicaid programs. most states use these funds to hire and sustain essential personnel who can deliver or facilitate the delivery of health and mental health services. as you can see, the d

the environmental health branch is regulatory brarch fwr the health department and enforce the health codes. you heard from jonathan a couple weeks ago about article 38. here tonight or this evening because we propose to amend one of othe regulations we enforce and those regulations are article 31. it should be noted that we are not proposing to amend the actual ordinance. we are actually just proposing to amend the regulations tonight, which requires a vote of approval from the health commission. if we amending the actual ordinance we would need to go to the board of supervisors and legislative process. next slide, please. this slide should look familiar from jonathan's presentation. this shows where we are located in the department of public health. we are in population health division. i'm circled on there, and i report to dr. susan phillip who is the director of the branch. she is also the health officer for san francisco and i'm going to be asking her to address questions when i'm done raised by the community and public health committee when we met with them. next slide, please.

health center.et me give you one other example of the irrationality's of our current system and my own state of vermont last year major hospital spent $125 million in one year of traveling nurses because we do not have enough local nurses to support the needs of the hospital and many other facilities in vermont. meanwhile young people want to become nurses they are applying to nursing school but that nursing school don't have the faculty to educate them. i recently talked to a senator who told me that in her state 1100 young people were applying for a space and nursing school the school could only provide 80 openings. we have nursing crisis, we are not addressing it. hospitals are spending three and four times as much money on traveling nurses as they are on homegrown nurses we are not . that may make sense to someone that does not make great sense to me. mr. president the legislation center marshall and i've introduced today does not solve by any means all the healthcare crises we face. but if this

care data and health care system data from the private health care system integrated into public health. this does not happen as much as it shed. it happens to some degree but there is an opportunity to make it timely and to find better ways to collaborate rather than a sort of data -- buying a block of data and transferring it which means it will be old before you can use it. and you don't necessarily know all the details of what the data means. but to build collaborative systems of public health to do analyses is one thing we are trying to work through. also at the cdc center. i think the structure is, in a way, a constraint in the policy could work within that constraint. i think we have a lot we can improve through those kinds of purchases. >> unfortunately, we are out of time and i want to make sure we have the chance to think our panelists and prepare for our next panel. please stick around enjoying be in thinking them. [applause]

would you consider health professionals? and as i'm prepared and preventing damage to mental health during the pandemic, i don't think any of us in any set to we're prepared for what happens. we depend every, unless your bill gates the cost and the new and for the rest of us. but i think we, we can actually look forward now, and the us surgeon general has disrupted advisory with specific guidelines to educate mental health professionals and health care professionals. on the intersection between our physical well being admin to wellbeing and social connection and the benefits of social connection to out healing as a, as a species. now that knowledge was not as prevalent, and you can imagine during the time that makes the health care professionals mental health was a lease for the 1st year, depends or make. let's look at a secondary to the emergency that was people's physical health. so we can't really, i wouldn't like to put any lens of blaming anyone was saying they weren't prepared because i don't think any of us were very

and you can imagine during the pandemic for health care professionals. mental health was a, at least for the 1st year, depends or make. let's look at a secondary to the emergency that was people's physical health. so we can't really, i wouldn't like to put any lens of blaming any want to saying they weren't prepared because i don't think any of us were very well prepared. we can only look now into following the surgeon general's advisory and the advisory by the researches into making better integration for that awareness around social connection and health benefits. that link will 9 across the health care sector. what is the correlation between loneliness and physical distancing? absolutely, so let's explain 1st what is happening in the body with loneliness, and that will explain how the physical touch helps us as human sapiens. so when we were evolving is early humans, we obviously vote in tribes and i think a lot of people, none of this, but a brain quickly connected safety with numbers. and so there was a sense of calm when we were socially connected with the not pride. our entire

this _ support the concern about the public health threat.— health threat.es? _ health threat. this is evidence that has been used in cases? this - health threat. this is evidence that has been used in cases? this has l has been used in cases? this has been laid out _ has been used in cases? this has been laid out to _ has been used in cases? this has been laid out tojuries, _ has been used in cases? this has been laid out to juries, it's - has been used in cases? this has been laid out to juries, it's beenl been laid out tojuries, it's been subject— been laid out tojuries, it's been subject to — been laid out tojuries, it's been subject to incredible _ been laid out tojuries, it's been subject to incredible scrutiny - been laid out tojuries, it's been subject to incredible scrutiny for decades— subject to incredible scrutiny for decades now _ subject to incredible scrutiny for decades now— subject to incredible scrutiny for decades now. ~ ., , , g; ~ decades now. when we approached 3m for comment — decades now. when we approached 3m for comment they _ decad

national health council in washington, d.c. if everyone can take their seat, that would be great. thank you. we had to get pictures taken, didn't get a selfie but anyway, welcome, everyone. my name is kenny mendez the president and ceo of the foundation of america. also the current nih seaboard chair and on behalf of the board, welcome to today's event. it's great to see everyone. and before i turn it over to randy i just want to make a quick pitch. i don't think you're going to find an organization like us in this area that brings together patient organizations and our mission is to amplify the patient voice and other stakeholders in the health ecosystem under one roof. so, there's a membership tableand registration you can ak about membership but really appreciate everyone here and hopefully today's event you will see is exactly what the nhc does, bringing together diverse stakeholders, amplifying the patient voice and bringing in terrific speakers that you can learn from, so with that i'm going to turn it over to the nhc pre

colfax director of health. >> good afternoon, health commissioners and members of the public. the director's report for september 5th, is specific and i'll address some questions. so the good news to repeat is long term future of laguna hospital is secure. this was a major step for the city and county of san francisco. in that, the california department of public health and the department of healthcare services, at the state approved laguna honda hospital for recertification meaning and thankfully the critical dollars will continue to flow to the institution. more than 95% of laguna residents rely on medicaid funding for their care and this will ensure that they serve the residents for generations to come. and i want to recognize the incredible work with the honda team as you know many many leaders were deployed to laguna honda, especially the frontline staff who really pulled together and ensure that our quality improvement happened. the partnership with our unions and of course the incredible support of our policy makers including the health commission, mayor london breed an

of health. the most important elements that help us in this term are the deputy health department of the deputy medical department. if you support our work it helps and the coordination between other organizations such as the entire armed forces and the islamic republic of iran's revolutionary guards and those who have the appropriate infrastructure to help us in the field of treatment and health, the means of the organization, the social security organization and the organization blood transfusion and organizations that could so-called help us in this conference , we held many meetings and planned a lot. well, first of all, we should consider the issue of prevention and preventive measures and put independence at the top of our agenda so that we don't let the disease happen. create a domain our health has been a pioneer in this regard, and for this reason, you have discussed the concerns that existed, the discussion of food nutrition, water distribution and education of those who have, how can

we are seeing workplace violence incidents across the gamut of health care, whether it's in home healthher it's at doctor's offices, whether it's on a medical surgical unit, in maternity units, in post anesthesia units, you name it, we are seeing it. john: you mentioned that it seems to be going up or over the past few years. are there reasons that you think account for this increase? >> it's almost like the perfect storm, so nurses are dealing with the inability to provide care to the patients in the way that they would like to be able to provide it in a timely manner. if you have too many patients to care for, you can't get to everyone, you can't be in ten places at once, the other thing is that there are, you know, we have learned there are no consequences oftentimes for these types of behaviors in facilities. you know, patients are allowed to, you know, assault, verbally threaten verbally abuse staff without any consequences to those behaviors, visitors are not banned, they're not you know, they're not screened before they come in, we have weapons in general all across the country,

the last point i want to make is in public health we need public health approaches to problems and notjust medical approaches. as important as medicine is during a public health crisis a pandemic. that means that we need to e think about epidemics according to what they really are, en problems of a population. they have a life of intheir own we need to think about ways to intervene and track the spread of a pandemic. we might deploy interventions for different purposes. my deploy a facemask in order to o protect individuals from becoming infected or harmed. that may need us to look for certain kinds of evidence that tells us whether or not they p are good for doing this. we might also want to look at the ability of interventions to stop the spread of others. to pull in another example testing for infection can have various purposes. it can have the purpose of surveillance, diagnosing individual patients, it can also have the purpose of screening individuals who might be contagious to others. in order to think about how to rationally deploy things we need to think about what kind of evi

soil health, climate health, human health, one conversation. if we grow our food differently, we can capture all that excess carbon in the atmosphere and store it in unlimited quantities in the soil, that will create nutrient dense foods that will take care of most of our civilized diseases. so it's one conversation. people have to understand that they are nature. they can't separate. we started prowling the high plains in the 1870s and by the 1930s, 60 year, we turned it into a dust bowl. that is what ignorance looks like when you don't pay attention to nature. nature bats last. so people have to wake up. wake up. compost. >> it is really easy to get frustrated because we have this belief that you have to be completely sustainable 24/7 in all aspects of your life. it is not about being perfect. it is about making a change here, a change there in your life. maybe saying, you know what? i don't have to drive to that particular place today. today i am going to take the bus or i'm going to walk. it is about having us is stainable in mind. that is

brag about in public health. it is 20 years old today and it pays for medication for people with hiv in more than 50 countries and it was passed during the presidency of president george w. bush. it is the largest investment by any nation to address a single disease in the world and has helped save over 25 million lives. [applause] dr. fauci, that was a bare-bones explanation of pepfar. anything you want to add? dr. fauci: you said it very well. it really involved from a concept that at the time that pepfar was conceived of and then actually developed, was in 2002, which was then made law. it was several years after the availability of truly lifesaving drugs. in 1996, that was a pivotal year where certain drugs completely transform the lives of people with hiv. in those countries and those societies in which drugs were available, it was completely lifesaving, to the point now, people who have these drugs available to them can lead almost a normal lifespan. the thought was over a period of time people in the devel

background in health. and we actually have more um, other tools to help us identify someone's health issues that have nothing to do with the my so be my has been shown in, you know, by research standards to have some races under paintings and to give people the idea that they are healthy or unhealthy when it's really not based on health at all . so if we remove the idea of the mind from the table, then that forces us to look at people on an individual basis and look at who they are as a person and look at their health, different health, uh, metabolic factors, instead of just saying, oh, if you are this number on a scale, and this is your height. we're going to assume that you lack health. and the reason why this is important is because when we look at are we used to be my as a measure of how there are people that get over diagnosed. and people that get under diagnose, for example, there are, there are a quarter of normal weight people have metabolic abnormalities, which means people that are considered nor

>> as you are aware the electronic health record is a federal electronic health record. it's been used the department of defense and veterans affairs ruth 96 coast guard and noaa as well. it's the identity system used by the department of defense. the system is architected with the dependency before it was even involved with this project. this is an area we are continuing to work closely with the department of defense. in fact we have meetings scheduled within the next week and half a very senior level. addressing issues around some of these points of intersection of this dependency on the system itself. >> how has this affected the amount of medication? are you aware that work medications were delivered to the incorrect address? i'm not personally aware of that. and i do not know whether my pharmacy colleagues can speak to that. >> thank you doctor evans. i am aware of some of the incidents in which medication was mailed to incorrect address as a result of information being overwritten it is my understanding with block h which was installed february this year the abilit

he's professor of public health at bursley university. a warm welcome to each of you and thanks for joining us today on inside story. patrick, let me start with you today. um, what danger does cobra 19 now ppos and how much cause for concern is there at this particular time. the 1st of all, thank you for having me on the show. a complete 19 now has to be looked at in perspective of all of the various geared towards the viruses, the also circulating and all the other public health emergencies that we have to deal with right now. so. so what's happening from the beginning of the operate to now is that we've built up a lot of hidden units, each will, through our vaccination campaigns, as well as through natural infection. so much of the world has them unity either through one of those or both of those routes. so we're in a much better position to handle new ways of the, the infection now. but it still remains the danger because the buyers is evolving in a way that's faster than some of the other viruses back that we normally, we have have li

to a community health center. my understanding is the governor of the state of vermont gets his primary care at a community health center. 2 that's what i love about them. as you well know, you mentioned, what they do is not only provide primary health care, many of them provide dental care, which is a huge issue. many provide the mental health counseling which as you indicated we have a major crisis in. they also provide lower-cost prescription drugs. so what they say is that regardless of your income, you've got medicare, come on in. you've got medicaid, come on in. you've got private insurance, fine. you've got no health insurance, we're going to work on a sliding scale. by expanding these community health centers all over america, we're going to provide millions of people the opportunity to get the health care they need. that is what exists in vermont right now and we want to see that expanded all over the country. mr. marshall: mr. president. the presiding officer: the senator from kansas. mr. marshall: senat

we're going to assume that you lack health. and the reason why this is important is because when we look at are we used to be in my as a measure of how there are people that get over diagnosed. and people that get under diagnose, for example, there are, there are a quarter of normal weight people have metabolic abnormalities, which means people that are considered normal weight or underway have high blood pressure, high blood, sure, for anti coolest draw. but if you're not looking at their numbers and you're only looking at their weight, those conditions could get missed. further testing might not be asked for because they look like they're in a normal body. likewise, there are, there are folks who are in larger bodies who are, who are being seen as problematic when, if you were to look at their blood work, a quarter of folks who fall under the category of overweight or obese. do not have any metabolic indicators that their health has been compromised. so when we only use health as a diagnosis, we always wait as a way of distri

mental health is... bbc radio 5 live. the voice the uk. listen on— bbc radio 5 live. the voice the uk. listen on bbc— bbc radio 5 live. the voice the uk. listen on bbc sounds _ bbc radio 5 live. the voice the uk. listen on bbc sounds and - bbc radio 5 live. the voice the uk. listen on bbc sounds and watch . listen on bbc sounds and watch iptayer — here is the news in the sport. thank you, nicky. a5 here is the news in the sport. thank you, nicky. as we have been hearing of uk workers have been taking more sick days and at any time in the last decade. the chartered institute of personnel and development is blaming stress, covid and the cost of living crisis. home secretary suella braverman is to question whether the un's 1951 to question whether the un'51951 refugee convention is fit for our modern age. she is making a speech in washington, dc later. hundreds of schools in scotland are closed because of a strike over pay by support staff. the three day work—out, involving kitchen workers, classroom assist

on health because the health of— focusing on health because the health of the individuals in the countrydividuals in the country and the health of the economy— country and the health of the economy is central to building a better_ economy is central to building a better future for all of us and we are going — better future for all of us and we are going to hear a bit of his own personal— are going to hear a bit of his own personal story, he will refer to that, _ personal story, he will refer to that, but — personal story, he will refer to that, but that is for him to tell you and — that, but that is for him to tell you and not me. we will be leaving here knowing we have had a buoyant conference. — here knowing we have had a buoyant conference, the results in the by—elections have been in our favour and we _ by—elections have been in our favour and we go _ by—elections have been in our favour and we go away from here with one 'ob and we go away from here with one job in_ and we go away from here with one job in mind, — and we go away from here with one job in mind, and that is changing th

the ministry of health. the most important elements that i help in this term are the deputy health department from the deputy medical department. we help and inter-departmental coordination that other organizations such as the least number of the armed forces and the islamic republic of iran's revolutionary guard corps and those who have the appropriate infrastructure to help us in the field of treatment and health, healthy equipment, the names of the three social security organizations and the blood transfusion organization and organizations that could so-called help us in this conference , we held many meetings and planned a lot. well, first of all, we should consider the issue of prevention and preventive measures and put pleasure at the top of our work. be the field our health has taken the lead in this regard, and for this reason, you discussed the concerns that existed, the issue of water distribution and the training of carpet owners, how can they absorb the cold food chain in this excruciating heat .

let me just say the american public health association test only been support of a health system with everyone in and no one out. >> host: mary in nevada. >> caller: good morning. i had a question on how much, for the doctor, how much further would we have been ahead, arm how much better off we would have been, or how many lives would be saved if we knew the origins of the covid? like especially like patient zero. and the fact that the cia covered up that it was, it originated in the lab instead of in that wet market. how much more information we would have gathered, so much faster. can you comment onn that? >> guest: so first of all let me just say that i do think it's important we understand what the origin of this virus is. because i think it helps us with forward leaning in terms of being able to protect ourselves in the future. that's the first thing. secondly, i think there are lots of delays in our understanding ofar this because of the fact i don't think we got early information from china that we really needed to have early on. i think that did inhibit this and our understand

it is about children and their health. very special hospital. the world known as the pope's hospital but to me that is not why it is unique. it is evident are great little hospital cannot solve the problems of all of the children in the world. however, it seeks to be a sign a testimony that it is possible with the many struggles to bring together worth caring for children and the gratuitous welcoming of people in need. rarely are these two things found together. at such a high level. the hospital welcomes children. here in the vatican two or three times the helicopter has arrived with children who need urgent help from different parts of the world. in these terrible months marked by war as are treated more than 2000 small patients from ukraine and the healthcare sector today, more than ever, the first and most concrete form of charity is science the capacity to care. which it must be accessible to all. the hospital is a concrete sign of charity and mercy. of the church. there are illnesses that cannot be cured. but there are no children who cann

yes, we do have a public mental health i do have a public mental health crisis. under resourced, chronically understaffed services and that has been the case for many years. unfortunately since the pandemic and since of living crisis, people's mental health has worsened, particularly children and young people. particularly children and young --eole. ., , ., ., people. tell me a bit more about that because _ people. tell me a bit more about that because those _ people. tell me a bit more about that because those two - people. tell me a bit more about that because those two areas, i people. tell me a bit more about| that because those two areas, the pandemic, we have had a lot about but the cost of living crisis, you are seeing that first hand now. the impact that is having on many people's mental health?- impact that is having on many people's mental health? yes, we know, all people's mental health? yes, we know. all the _ people's mental health? yes, we know, all the evidence _ people's mental health? yes, we know, all the evidence shows i people's mental health?

but a lot of the major, you know, reproductive health and global health organizations haven't really put any effort into the global infertility problem. and again, just to reiterate about 10 percent of couples in any population are going to be infertile. and there's some parts of the world where that percentage is much higher, where 30 percent of couples in a society are going to be facing infertility problems. it's not an insignificant problem. and so there should be a lot more attention given to it. and unfortunately, there is not so yes we, we could be doing a lot more for infertile couples around the world to help them overcome their, their problem. thank you so much for joining us, professor marsha and horn or no science might never be able to cure every reason which causes infertility. but as we make progress to develop various solutions, it seems like society continues to develop factors which hurt changes for reproduction. whether it be environmental or cultural, what we do is progress might just be the path to mankind to own reduction. i'm sorry. now here's an, this has been

there needs to be that tie up people like work coaches with health staff if we can get health and theld like to see that. sort of extra support. we would like to see that-— to see that. very interesting, the stud that to see that. very interesting, the study that has — to see that. very interesting, the study that has lots _ to see that. very interesting, the study that has lots of _ to see that. very interesting, the| study that has lots of implications for the uk economy. thank you very much for coming out to the programme. we are going to take a short break. our panel will be with us at the top of the next hour. we are going to talk about donald trump who is on its feet in south carolina at the moment, had some very interesting pulling in the american election race. stay with us. —— interesting polling in the american election race. hello there. it was a fine day today. many places stayed dry, a good deal of sunshine around. however, as we move deeper into this week, things will start to turn more unsettled, and by mid—week, we could see a stormy spell of weather with rain and gale

he is a frequent speaker and visionary digital health entrepreneur and innovator in the health sector. he's a start up advisor at microsoft for startups and a special faculty member. doctor gibbons is also an adjunct professor at johns hopkins school of medicine and visiting professor university schools of medicine. and before we get into our thoughtful conversation we would like to hear from katy. >> i will try to have the file off the stage here. [laughter] good morning everybody but is wonderful to see you all. i for one think there's so wonderful to be back in person for these types of events. what a wonderful conversation we have been hearing. this panel, you'll hear from a lot of different perspectives bearlike to get a little glimpse of who is in the audience. how many of you work in policy and advocacy? science and research? in the patient focused activity? patient safety? and communication information knowledge is power. yes fda works at the intersection of all these areas. at the center for devices and radiological health we have a very broad scope. very briefly at my goal f

this is part of the health assistant and the students who want to volunteer. the relationship with indian health , their own classmates, their own village, their own school. announcing that the applicants for registration in this exam only have the opportunity to register in the academic jihad system at 18:00 today, he said that the recruitment of new teachers of exceptional schools in the two fields of speech therapy and occupational therapy , the specialist human resources required by merv schools for the first time, a thousand recruitment rows for the recruitment of occupational therapy and we received word from amanat and the recruitment administrative organization that the process of implementing the candlestick test is now being held, and the call for registration has been announced for the test, and on sunday at 6 p.m., an extension has been extended to register for this test, and the test was held on the 20th and 21st of october. protest according to the results of the poll, candidates for candidacy in the parliamentary elections have until tomorrow, t

he is professor of public health at bristol university.arm welcome to each of you and thanks for joining us today on "inside story." patrick, let me start with you today. what danger does covid-19 pose, and how much cause for concern is there at this time? guest: first of all, thank you for having me. covid-19 has to be looked at in perspective of all the other respiratory viruses also circulating, and all the other public health emergencies that we have to deal with right now. so what has happened from the beginning of the outbreak to know is we have built up over immunity both through our vaccination campaigns as well as our natural infection. much of the world has immunity either through one or both of those programs. we are in a much better position to handle new waves of the infection now. but it still remains a danger because the virus is evolving in a way that is faster than some of the other viruses that we have heard normally, like influenza, rsv and other viruses. so there is still a chance that it can become more serious or that