tara narula joins us to talk about this. dr. narula, always great to see you.s we are to break down here. first, let's walk through, how much more are americans spending on their health care? >> a lot more. so this database basically comp the u.s. to other high-income countries. when you look at the numbers in america we are talking about $11,911 . you can look at the full screen, compare it to most of the other countries where we are talking about the range of $5,000, $6,000, $7,000. in south korea it is as low as $3,900. clearly the expenditures are very, high. when you talk about outcomes, which i know we will, it makes it a hard pill to swallow to see how important the outcomes are. >> what did the report discovery specifically about death rates? >> here in the country we have the highest infant and maternal mortality rate. we have the highest death rate from assaults, and that includes gun violence. highest rates of obesity. third highest rate of suicide. in general, the highest rate of chronic conditions, multiple chronic conditions. so really not a great

narula, appreciate it. and human services secretary xavier becerra. nice to see you this morning. picking up with dr. narula just left off, if approved the fact that naloxone would be more accessible to more americans, what do you anticipate in terms of demand? >> erica, we know that the number of deaths from fentanyl continue to increase, we know that we're losing more americans today because of overdose. back in 2021 we changed our overdose prevention strategy because we didn't believe it was focused on 21st century challenges and so the harm reduction that you heard about just now, we're now trying to tackle that at a federal level as well, not just wait until the locals start to do it. we're trying to do everything we can to save a life and to reduce a level of harm that someone might inflect on themselves. so our efforts at the federal level are to boost what they're doing locally with tried and true systems that are in place, evidence-based systems that do save lives. >> locally what we're seeing, dr.

tara narula is here.ad medical professionals around but it's important for everyone to know how to perform cpr. >> it is. would you know what to do if someone in the studio went down, someone in the home went down and three quarters of arrests occur at home so it's typically a loved one, friend, co-worker. we know there's about 350,000 out of hospital sudden cardiac arrests a year, and survival is so low, about one in ten that survive. but with cpr you can increase chances of survival by about two to three times. every minute that goes by that you don't restore a heartbeat their chances of survival drop by 7 to 10%. in this country, the rates of by stander cpr are low, talking in general around 40%. so we need to do a better job as a country about pushing people to get educated in cpr. one of the greatest things they can learn is hands only cpr. people think you have to give breath you don't. >> let's start with adults because it's different for babies so i want to get to that but start with adults. >> if

tara narula has more. >> recent changes by the fda may increase access to abortion.doctor's office to obtain the medication. over the course of the pandemic, restrictions eased a bit so they could have a telehealth visit or receive the medications by mail through a certified pharmacy. now they can visit any brick-and-mortar pharmacy that is certified. this is the first of a two-drug regimen which works by blocking progesterone, a hormone needed to sustain pregnancy, and it could be given as late as the tenth week of a pregnancy. 24 or 48 hours later, the patient could take a second pill which causes uterine contraction and tissue expulsion. people will still need a prescription but many more doctors may be willing to prescribe this now that they don't need to stock the drugs in their office. we will have to wait and see how many pharmacies become certified, but certainly this is a big step to expanding access. >> dr. tara narula, thank you. >>> social media could literally be a brain changer for adolescents and shape the adults that they might become. that is accordi

tara narula joins us now.ription. >> correct. >> but this is different than the morning after pill. >> this is meant to medically induce an abortion and probably expand access to many women, making it easier if they want to get these pills by going to potentially their local pharmacy. so historically in order to get access a woman had to go in-person to a doctor's office, hospital, or clinic and get that drug there. over the course of the pandemic, that was changed a little bit. so a woman could have a telehealth visit and have it sent to them by mail order from a certified pharmacy. now the fda is saying you don't have to go in person and you could go to any of these brick and mortar pharmacies who fill out paperwork to make themselves certified. so it remains to be seen who all is going to do this. what we may see as well is more doctors willing to prescribe the drugs because they don't need to stock them in their office. >> it's interesting over the holidays i saw an ad, could it be for this, because they j

tara narula.de means you need less medication of certain things. >> should we get up and go? >> i think i know the answer. >> bring the studio outdoors. this was an interesting study taking place in finland, they sampled or survey 6,000 adults in the largest cities of finland about their access, use and frequenting of how often they went within green and blue spaces and they found those who had the highest frequency of visits to green spaces had lower use of the medications you mentioned, a 30% reduction in the use of blood pressure medications, and a 25% reduction in the use of asthma medications. >> but maybe more claritin. >> i thought it was vitamin d meaning sunshine and moving. >> they can't really tell from the study what exactly the link is. but interesting, it was not good enough to look at green and blue spaces so you couldn't have a few of the hudson river and have this effect. there's something about getting up and going. so there may be a link there both with increased physical activi

tara narula joins us now.it's amazing that so many parents are giving tablets to kids who are less than 12 months old. >> it's a babysitter. >> i mean, it's become so much a part of our culture. we have kids, the kids want to use screens. how do we navigate this. this study gives us an idea of just how potentially damaging this can be. and so in this study they looked at a little over 400 children, and they assessed their screen time as early as 12 months and on average it was about two hours, which is a lot. and then they followed them for about nine years, and they found that once the kids reached about nine years, they actually showed signs of decreased executive functioning and attention. what is executive functioning, it's really how we focus, how we pay attention. multitask, make decisions, plan. it's so critical to our professional academic success, our ability to mentally and emotionally regulate ourselves and function, so these are really critical skills, and the other spinteresting part of the study

tara narula, thank you so much. >>> all right. the political chaos in the u.s.presentatives, well, it had some members munching popcorn as if they were enjoying the movies. straight ahead, our jeanne moos has her take on the turmoil. >>> first, one of new york city's oldest music stores is tuning up an electric stock of instruments. have a look and listen in today's "start small, think big." >>> there was a need in new york city to have a place where all the different cultures that came here found they could be understood, their musicians could be understood. music is -- it's a music store here since 1958. they're a source to provide instruments from everywhere. they are categorized by the upstairs being all string instruments of every type. downstairs is just every kind of percussion instrument. the oldest instrument in this store is probably 1,000 years old if not more. from japan it's called the wagon. somebody hired us to make a solid body electric tambora. it's an indian drone instrument that requires gluing together pieces of wood into the shape and then a

tara narula. biden is having something known as a mother's surgery.t that is. >> in americans may not be familiar with this, iet ace common procedure and way to treat skin cancels, particularly basil cell and squamous cell which are the most common. what happens is dermatologists do advanced training to become mo surgeons, they take the patient to their office. in the office setting they'll remove the cancer with a special technique where they then take the tissue, freeze it, put it under a microscope in the office while the patient is waiting and examine it section by section until they have taken enough of the tissue that they're sure that the margins are clear. the reason this is such a nice procedure is because really everything happens in this one instance. the patient has the cancer removed, the tissue is examined to make sure margins are clear and then the excision is closed at the same time by the dermatologist in most instances. the success rate for this is really 99% for first-time cancers in terms of getting all the cancers and 94% for recu

tara narula.one may or may not be at the table. >> not me. >> what are the results of the study. >> so many people are fascinated by intermittent intermittent fasting. they took individuals and gave them a mobile app saying we want you to use this to tell us when you wake up, sleep, eat and the size of your meals. so they were able to tell the interval between the first meal of the day and the last. and from all the information they were able to find that it was the size and frequency of eating meals that was associated with a small increase in weight gain but the time interval between your first and last meals did not have any impact on weight gain or loss. so, essentially, from this study you would say that changing the timing of when you're eating or what we talk about as intermittent fasting had no impact on helping people lose weight. they also did find and we talked about the value of breakfast. you and i eat breakfast early. people who started early in the morning and wait from when they wo

tara narula joining us now. i mean, this is -- i would say -- very troubling.ther not entirely surprising. >> this was essentially 12 studies they reviewed together from 12 country, around 13,000 pregnant women, 11,000 without k0ed, 2,000 who tested positive during the pregnancy and did find there was an increase in not only maternal morbidity but effects on the baby and saw for women would tested positive for covid there was a four times increased rick of having to go to the icu. a 15 times more higher likelihood of needed to be ventilated and a seven times increase likelihood of death. in addition, they saw more hypertensive disorders like pre-eclampsia and clotting disorders and for the baby, increases in preterm delivery, low birth weight and the need for the baby to go to the neonatal icu. none paints a pretty picture for getting covid during pregnancy and highlights the need for vaccination. >> it does. it underscores how important that vaccine can be, because we know that the vaccines, most cases, mean less severe illness, less death. >> correct. and so

tara narula. people have known eating healthy is go for you. in this study that people should take away with it. >> well the donuts are not on the the list. let's be clear. so this is one of the longest studies to look at the idea of dietary patterns and how that translates into your risk of dying. so they looked at over 70,000 women and 40,000 men and they gave them food questionnaires every few years and followed them for about 36 years and they found that those who had the highest adherence to four different healthy dietary eating plans or pattern had a 20% lower risk of mortality. they also looked across the diseased spectrum and found that this lower mortality related to decreased cancers and more and more data to point us in the direction that nutrition really matters in terms of our health. we think of medications and procedures but something as simple as food could just have such a tremendous impact. >> okay. you could boil it down for us. give us some basics here. >> yeah. the four eating patterns we're talking about were pretty simila

tara narula. >> i've done all of these by the way. >> don is like, guilty, guilty, guilty.i'm guilty of that as well, i feel terrible to my children because now i exposed them to something bad. we think about tap water as being safe. it is safe when it comes to drinking and cooking. it's treated for that purpose. but what happens is it's not treated to get rid of all the micro organisms it's not sterile. in the pipes and wells and plumbing systems can live micro organisms. if you use it in your eyes or inhale it through a humidifier or a c pap machine or vapor riser, it can potentially increase your risk for serious infections you may have heard of brain eating amoeba from people using nettipots. as you mentioned in the survey they did of 1,000 people in 2021, about one third thought, incorrectly, that tap water did not contain living organisms and about 60% thought it was okay to use in a humidifier -- for nasal reasons, 50% for contact lenses and 40% for c pap machines. >> i have a thing on my sink that has filter. >> someone asked me that yesterday those are not meant to

. >> so let's bring in medical correspondent tara narula.is is more literature to support getting the covid during pregnancy increases the risk for mom and baby. about 13,000 pregnant women and 12 countries and 12 studies all put together and they looked at the 2000 women who got covid and compared them to the 11,000 that didn't. they found that those who are covid had a four times more likely chance of getting admitted to an icu and 7 times more likely to die and then increased risk of conditions like pre-eclampsia and clottingment and the babies were at risk of pre-term birth and low birth weight and getting admitted to a neonatal icu. so more data to support getting vaccinated. >> what could women do to protect themselves and we know the answer. >> about 80 countries still don't have any recommendations for pregnant women to get vacci vaccinated: but they all support the safety and the benefits of guesting vaccinated during apprec pregnancy. >> and also if you're conceiving and getting treated for covid for women who may get covid and the

tara narula is with us.y say it's an apparent cardiac arrest she died after being rushed to the hospital after the apparent cardiac arrest. she was so young. what would lead to? >> we've been talking about cardiac arrest a lot lately with hamlin it's important to understand what that means. a lot of people think it's a heart taek but a cardiac arrest is a primary electrical problem with the heart, it's not beating effectively or appropriately. and you're not able to pump blood out to the rest of the body to the brain, the other organs and quickly, within minutes you can have death result if you're not treated with things like cpr or potentially defibrillation. we talked about 350,000 cardiac deaths a year outside of the hospital. but this really is, you know, it's another sad, you know, tragic event and unfortunately 50% of the time, the first manifestation of heart disease is sudden cardiac arrest. so people may not know they had risk factors. >> she had been getting medical attention her family said. do we

narula. >>> and now, this is a clip out of hawaii that we saw a small clip of it before the break, butboom, and apparently the boulder passed right in front of me which didn't know. i didn't see it. all i heard was the boom. then, somebody asking me if i was okay. >> it looks like something out of a movie. caroline says that the family had just moved back into their newly rebuilt home when this happened saturday night. >> they claim a development project in the mountain just behind their neighborhood has caused these falling, and now they are calling on the city council to get involved. >> that is so close to herb and this is so scary. glad she is okay. thank you for joining us. i'm erica hill. >> i'm jim sciutto. kate bolduan will join us after a quick break. so you only pay for what you need! whoo! we gotta go again. only pay for what you need. ♪liberty libertrty liberty♪ ♪liberty♪ my most important kitchen tool? my brain. so i choose neuriva plus. unlike some others, neuriva plus is a multitasker supporti 6 key indicators of brain health. to help keep me sharp. bye, bye cough. later

tara narula is here. thanks for being here. the shortage was real and widespread. >> great news. to demand and so walgreens has removed, as you mentioned, that online purchase limit. there was no in-store limit. cvs still has a limit on two products but it seems like the picture is looking better and numbers improving. flu and rsv seeming to have peaked and numbers coming down. >> that continues to be -- i mean, any family, anyone with children in school, you know that it's coming and has been kind of coming in waves, these illnesses and flu has hit really hard this season but where are we? what are the numbers suggesting when it comes to the winter season and rsv included? >> it does seem like we've peaked with flu and rsv. there are 24 million illnesses overall. over 200,000 hospitalizations, 16,000 deaths. did same to start earlier. with rsv we know 5 in 1,000 kids under the age of 5 had been hospitalized so it's welcome relief to parents to know who have little kids that hopefully this is, you know, on the downtrend now. >> it is really nice to know that -- maybe it's not ent

and finally, last but not least, we have mina narula, ahmed, born in calcutta, india and she has enjoyed a varied working as a development consultant, journalist and, the foreign correspondent for new delhi television based in london. she has written and has eds and articles published in the age seminar. the wall street journal, the washington and post, cnn and the atlantic monthly. in her book in the matter of india, a matter of trust india, u.s. relations from truman to trump, she draws a trove of presidential papers, newly declassified documents, memoirs and interviews to reveal the prejudices, insecurities and political imperatives that are so often have cast a shadow over this vital relationship. and with that i turn it over to the panel. great. well, thanks for the introduction. so when i took delivery of three books on three very different subjects, i understood immediately that these authors are united in their talent but divided what they write about and. you know, we've got a book on india, we've got a book on china, we've got a book on russia. okay. so all of these countries a