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LingSter Games founder honored by Small Business Development Center
John Ling of LingSter Games was honored as Veteran Small Business Owner of the Year by Finger Lakes SBDC after expanding to a Stoneridge Plaza storefront.
Britain Politics
British Prime Minister Andy Burnham, right, his wife Marie-France van Heel, left, pose with veterans Naomi Hall, second right, Anthony Coughlan, centre, and Laurence Moore at No 10 North at
Bogdan Bogdanović Could Steal Reed Sheppard’s Minutes in Houston
As the Rockets are laser-focused on their postseason success, Ime Udoka might lean more on Houston’s veteran offseason addictions. See how that can impact a young star on the rise, and why it all might be a part of the plan in H-Town.
Fred VanVleet Rests and Marcus Smart Gets the Keys Over Reed Sheppard
Ime Udoka prioritizes veteran stability as Houston manages Fred VanVleet’s recovery. Defensive stalwart Marcus Smart takes the starting reins during back-to-backs, keeping rookie Reed Sheppard in a reserve role.
Ham: LaVine Hits ‘DeMar DeRozan Moment’ in Kings Tenure
Despite looming trade rumors, Zach LaVine is embracing a veteran leadership role in Sacramento, delivering efficient scoring while mentoring a young core during a pivotal contract year.
Marlins Could Target Veteran Free Agent Due to New CBA
With a salary floor almost certain for next season, Miami should make an offer to Ian Happ
Packers Express Interest in Another Colts Defensive Tackle
As Indianapolis begins a fire sale, Green Bay is aggressively hunting for veteran interior pressure to bolster its defensive front and solidify a serious Super Bowl push.
OPINION: Miami Heat Should Target Free Agent Shooting Guard
Following a dismal long-range shooting performance on opening night, the Miami Heat could look for a veteran marksman to restore the team's perimeter threat.
Crowell & Moring Adds Veteran DOJ Health Care Litigator Jeff McSorley in Washington, D.C.
Jeff McSorley, a first-chair trial lawyer with 20 years of litigation experience including a decade as senior trial counsel in the DOJ Civil Division's Fraud Section, has joined Crowell & Moring's Health Care Group in Washington, D.C. He led more than 70 FCA investigations at DOJ, securing more than $500 million in recoveries for the United States.
Birmingham AI security startup launches with $10M seed round
A Birmingham startup has raised $10 million to develop its software that polices AI agents.
Noteworthy Arms to Consider as Padres Offseason Acquisitions
The San Diego Padres' pitching staff was one of many highlights for the organization in 2026, headlined by a remarkable turnaround from the starters after the All-Star break. With the late-season returns of Nick Pivetta and Joe Musgrove from the injured list, San Diego's front office still remains focused on acquiring additional starting pitching for …
Zach Charbonnet Injury Update: Seahawks RB’s Week 7 Status Revealed
Zach Charbonnet was supposed to be the leader of the Seattle Seahawks backfield in 2026, but the veteran running back has yet to suit up thanks to an ACL injury he suffered during the team's Super Bowl run last season. Originally selected in the second round of the 2023 NFL Draft, the UCLA product spent …
How employers are offsetting soaring medical costs
Employers are raising premiums and deductibles while resisting broader GLP-1 coverage, reflecting ongoing pressure from high healthcare costs.
Lakers forwards Ziaire Williams and Matisse Thybulle grab final two starting spots
The veteran forwards are defensive specialists who join Luka Doncic, Austin Reaves and Walker Kessler against Golden State in season opener.
Jameis Winston reacts to losing job to J.J. McCarthy
The New York Giants have had a revolving door at the quarterback position this season. Jaxson Dart opened the season as the starter, but lost his season to a brutal knee injury. A veteran journeyman was inserted into the roll to replace Dart, but after he struggled with interceptions, a common theme throughout his career,…
David Charvet brings up ex-girlfriend Pamela Anderson on “Special Forces” (exclusive)
“She was the most beautiful thing I’ve ever seen in my life.”
RCTC and Bridges Health offering free dental and wellness services for veterans
The services will be offered Oct. 30, Nov. 6 and Nov. 13.
Your Voice, Your Vote: Stanley Langlow, Chelan County sheriff candidate
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Your Voice, Your Vote: Adam Musgrove, Douglas County sheriff candidate
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Your Voice, Your Vote: Tyler Caille, Douglas County sheriff candidate
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Why Brewers Must Put May on World Series Roster
Despite recent struggles, the veteran reliever brings the only championship ring to the Milwaukee Brewers clubhouse.
Giants Urged to Move on From Chapman
Saddled with a massive $100 million contract and declining production, the San Francisco Giants must offload veteran third baseman Matt Chapman to clear payroll and pursue fresh international talent.
Scott Eilert named head of K-State animal science department
Alumnus and veteran animal protein executive has been with Cargill for 31 years and an adjunct professor in the department since 2010.
Area Events & Entertainment Community Calendar
Oct. 22 - Lincoln County Outdoor Recreation Community Workshop (brainstorming and action planning) - 9 a.m. to 3:30 p.m. in Room 255, Lincoln County Service Center, Merrill Oct. 22 - Veterans Coffee …
National Business Capital Expands to West Coast, Appoints Veteran Investment Banker Eric D. Coonrod to Lead Institutional Partnerships
New California office marks a major milestone in National Business Capital’s continued expansion and investment in
Tennessee Titans re-sign Erick Hallett to the practice squad
The Tennessee Titans released veteran Jordan Elliott and shuffled their practice squad roster ahead of the Cleveland Browns game.
Mental health support available for San Diego service members and families
The Veterans Village of San Diego is partnering with California to provide active-duty servicemembers and their families with the mental health support they need. NBC 7's Military Reporter Dana Williams has the details.
Dusty May Says Dwight Powell ‘Exemplified Everything’ Mavericks Want
Dusty May says Dwight Powell exemplified what the Mavericks want and believes the veteran still has “some miles in the tank.”
Mental health support available for San Diego service members and their families
After USS Abraham Lincoln's return to San Diego, service members and families can access mental health resources through Veterans Village San Diego.
Rams to Sign Kicker Brandon McManus Pending a Physical
The Los Angeles Rams are set to sign veteran kicker Brandon McManus, provided he can pass a physical
Alexander County Veterans Service Officer Cherry Kilby published in NC Medical Journal
Alexander County Veterans Service Officer Cherry Kilby has been recognized for her contributions to rural veterans’ health with the publication of her article, “The Quiet Crisis: A Call for Community-Embedded Solutions for Rural Veterans,” in the Fall 2026 issue of the North Carolina Medical Journal (NCMJ). The article appears in the journal’s special issue, “North […]
Edinburg Veterans Day Parade Entry Deadline is Oct. 29th
The City of Edinburg is proud to announce the upcoming Veterans Day Parade, honoring past and present members of the U.S. Armed Forces. The parade will take place along Closner Boulevard—affectionately known as the "Boulevard of Heroes"—on Saturday, November 7, 2026, beginning at 10 a.m.
Louisiana receives $3 million in grants to support veterans’ mental health
Five Louisiana groups awarded ~$3M in VA Staff Sergeant Fox Grants for veterans' mental health peer support and outreach, including two in Northeast Louisiana. State also launching its first Veteran Business Outreach Center.
Gratitude and honor
Louis Campos, who works in the facilities electrical department, installs new ground lights on the Northeastern Veterans Memorial in preparation for the upcoming Veterans Day ceremony on the Boston campus.
Entertainment & Media Publicity Veterans Laura Puig & Michelle Ciciyasvili Join Forces to Launch Maeve
New Publicity and Strategic Communications Company to Focus on Entertainment, Media, and Talent Services
Kenny Atkinson Makes Candid Admission About Mario Hezonja’s Cavaliers Role
Kenny Atkinson says Cleveland is still learning how Mario Hezonja fits and does not want to put the returning NBA veteran in a box.
Three Tigers Hitters Detroit Should Move on From This Offseason
Detroit must prioritize offensive consistency by cutting ties with underperforming veterans to clear paths for rising prospects and revitalize a lineup stagnant from injuries and regression.
New York Giants release running back Najee Harris
The New York Giants released veteran running back Najee Harris, a league source told UPI on Tuesday. Harris had signed with the Giants in August.
Jauan Jennings Trade: Raiders, Vikings Connected In Rumor
Jauan Jennings has not lived up to expectations with the Minnesota Vikings, and the team could part ways with the veteran receiver before the trade deadline. A seventh-round pick in the 2020 NFL Draft, the Tennessee product spent his early years in a supporting role before earning more snaps later in his career. He first …
Titans release veteran defender after 'incident' at team facility
The Titans have released Jordan Elliott, a veteran defensive tackle, after an 'incident' at the team facility. Here's what we know.
Giants release veteran linebacker after just 2 games
Giants quickly move on from Jihad Ward after two unimpressive games.
Silicon Valley GTM and Business Development Veteran Dylan Gittleman Joins Dialogica's Founding Sales Team
/PRNewswire/ -- Dialogica ("Dia"), the voice-first AI secretary for the world's top law firms, today announced that Silicon Valley go-to-market business...
Green Bay Packers add former first-round pick amid defensive line injury concerns
The Green Bay Packers are searching for defensive line help after injuries weakened their options up front. With starting nose tackle Javon Hargrave out, veteran Chris McClellan is expected to fill the role, but Green Bay has limited depth behind him. To strengthen the rotation, the Packers have signed a former first round pick to [...]
Roland n/vision: the first Boutique wavetable Synthesizer
Roland n/vision is the first bi-timbral wavetable Synthesizer in the Boutique format with two oscillators, FX, and a step sequencer.
Roland n/vision Review: Vision for the Future or Late to the Party?
The new Roland n/vision is the company’s first true wavetable synth. Can the latest addition to the Boutique series hold its own against the competition?
Roland unveils a new Jupiter-8-inspired Boutique synth in celebration of the original's 45th birthday – and drops an all-new wavetable synth too
A pint-sized take on the '80s classic, the Jupiter-08 launches alongside the N/vision, a wavetable synth that promises "rich tonalities, evolving textures and sophisticated sound design"
Advanced materials firm founded by LANL veteran moves into Nambé facility
Discovery 2 Scale is working with AI to develop new materials for national security applications and using robotics to test and manufacture them.
Seating supplier Lear names finance VP as its next CFO
Lear tapped a 23-year company veteran to serve as its next CFO
What placing Romeo Doubs on IR means for the Patriots
The veteran wide receiver will be out for at least the next four weeks.
Local business honors World War II veteran
BUFFALO, N.Y. (WIVB) — Local leaders gathered in Tonawanda on Monday as Tony’s Tree and Landscaping honored World War II veteran Dr. John Long. The company, which is owned and run by a …
Changing the mental health conversation, one swing at a time
Next18, a Wisconsin-based nonprofit, offers retreats for military veterans and first responders that combine the game of golf with mental wellness education.
Steelers PFF grades: Germie Bernard shines; Troy Fautanu stagnates
If cornerback Jamel Dean can stay healthy, he may be a rare veteran acquisition to work out for the Pittsburgh Steelers at the position.
Falcons release veteran quarterback after Andy Dalton signing
The Falcons sign one veteran QB and release another.
Katie Hensien Returns to Sölden With Unfinished Business
Katie Hensien, Sölden 2025, GEPA picturesAfter an injury interrupted another promising World Cup season, the Stifel U.S. Ski Team veteran returns to the Rettenbach Glacier healthy, confident, and hungry for more.In October 2024, Katie Hensien pushed out of the starting gate at
New district lines will test if Lodi can help U.S. Rep. Doris Matsui fend off upstart Mai Vang
California's newly redrawn 7th congressional district pits the veteran congresswoman against a Sacramento City Councilmember.
Veteran quarterback reportedly refused to sign with Eagles
The Philadelphia Eagles have been scrambling at quarterback ever since Jalen Hurts landed on injured reserve with a blood clot, and Sunday’s 25-14 loss to the Carolina Panthers only added to the urgency. However, there is one longtime NFL quarterback who seemingly has no interest in offering his asstance. Veteran quarterback Andy Dalton was released…
Clippers rebuild includes developing young core alongside veterans
With the Kawhi Leonard era over and James Harden departed, a healthy Darius Garland will be running point for a team blending youth with veterans.
Five Veterans Groups Receive $1 Million in New SBA Grants to Help Entrepreneurs Boost US Business Production
Funding Earmarked to Further Equip Veteran Business Owners to Support America’s Supply Chain
All Ja Morant Needs is New Scenery
Traded to Portland for a fresh start, the former All-Star joins a veteran backcourt to prove he can still dominate without the pressure of being the centerpiece.
Insurer AmTrust plans 300m City of London tower beside the Gherkin
Canary Wharf veteran Sir George Iacobescu is steering plans to swap the insurer’s London base for one of the tallest buildings in the Square Mile
AmTrust announces plans to be bigger than Lloyd’s in London
The New York specialty insurer has hired Canary Wharf veteran Sir George Iacobescu to plan a skyscraper that would rival the Shard - and the project says a lot about how much London matters to its business
Clarksville Area Chamber of Commerce’s Veteran Business of the Month, Above Standard Building Maintenance - Clarksville Online - Clarksville News, Sports, Events and Information
Clarksville, TN - Above Standard Building Maintenance has been providing services like janitorial services and hard-surface stripping and waxing to folks in
LIFE-HEALTH-GLP-1S-ALCOHOL-FILEPIC-DMT
A Philadelphia Veterans Affairs doctor is leading a national trial testing whether GLP-1 drugs could help patients with alcohol use disorder.
‘This is disgusting’: Nebraska’s independent Senate candidate rips dark money in politics
Democrats are hoping to whittle away at the Republican Senate majority in unexpectedly vulnerable red states like Nebraska. Incumbent Senator Pete Ricketts, a multimillionaire former governor, is defending his seat against independent challenger Dan Osborn, a Navy veteran and industrial mechanic. Osborn says he wants Congress to take back its power, end the war in Iran, lower fuel costs, so we “can worry about little league and bake sales.”
Infectious disease veterans call for clearer federal message on measles
While money is pumped into state and local health departments to help counter the growing measles outbreaks across the country, experts say clear communication from top health leaders seems lacking…
Trump endorses embattled Israeli Prime Minister Benjamin Netanyahu for reelection
President Donald Trump has endorsed embattled Israeli Prime Minister Benjamin Netanyahu for late in his reelection campaign. It's coveted boost because of Trump’s popularity. But it's also an endorsement that
‘Astounded’: DOJ vets shocked by timing of Ilhan Omar search
The investigation into a longtime Trump target just weeks before the election broke long-standing Justice Department traditions
NHS faces more challenging winter than normal, health secretary warns
Yvette Cooper has announced £140m investment in England's urgent care system, after summer heatwaves piled pressure on the NHS.
NHS faces more challenging winter than normal, health secretary warns
Yvette Cooper has announced £140m investment in England's urgent care system, after summer heatwaves piled pressure on the NHS.
Bills star in trouble with the NFL before Raiders showdown
A Buffalo Bills veteran is in some hot water with the NFL ahead of the Las Vegas Raiders game.
Veterans Services Fair promotes mental health support
Shingleton said the former Army slogan “Army of One” was a perfect example of the isolation veterans can experience.
New Survey Reveals What Pet Parents Do for Their Dogs' Health
How much would you do for your dog? A recent Tractor Supply Co. survey sought to answer this question. They surveyed 2,035 dog parents and 50 veterinary professionals in the United States, and discove...
Minnesota veterans receiving claims assistance, health exams at clinic
Some hope to see lawmakers create AI framework for education
Could Senate Republicans prevent Senate Democrats from achieving a veto-proof majority in the upper chamber this election?
Science and Medicine Group (SMG) Names Jasen Holness Senior Vice President, Sales and Marketing to Accelerate Customer Growth
Veteran market research and commercial leader will oversee sales and marketing across all of SMG's insights and digital media brands as the company unifies its portfolio.
Mission 43 is hosting a Military Business Market to support local veterans
This Saturday, the public is invited out to the Military Business Market at the Idaho Outdoor Fieldhouse to shop local while supporting veterans and active duty service members.
Amarillo VA Health Care System to host Veterans Flue Fairs next week
The Amarillo VA Health Care System set to host a walk-in Veterans Flue Fair Next week, October 19-24.
Bears’ Former Veteran Wide Receiver Signs New Deal With Lions
A former Chicago Bears veteran wide receiver has landed a new deal in the NFC North with the Detroit Lions amid the latest NFL signing news. The post Bears’ Former Veteran Wide Receiver Signs New Deal With Lions appeared first on HEAVY.
New RPG From Final Fantasy, Persona Vets Borrows From The Past To Ask How We Can Save The Future
Eternal Anima finds surprising strategic depth in letting you foresee your opponent's next move
Padres' 2.83 ERA reliever gets huge $90M contract prediction
This veteran Padres reliever might be in store for a huge contract this winter.
What Impresses Titans the Most About RB Nick Singleton
Coach Randy Jordan reveals why the Penn State rookie’s explosive physical tools offer a high-upside solution as Tennessee navigates looming contract decisions for its veteran backfield.
'Father Of PlayStation' Ken Kutaragi Blames A 'Mentality Issue' For The Backlash To Killing Discs
The Sony veteran doesn't sound very sentimental about the end of physical media on the platform he spearheaded
Mars Impact Fund Commits $3M to 4-H science pathways
Mars is investing $3 million in National 4-H Council to expand agricultural, food science and veterinary career opportunities for up to 200K young people.
Veteran Players Manage To Kill New RuneScape In Just Two Weeks
RuneScape Reignited was set to launch in early December
Veteran Western Swing Band Plays Bethlehem Oct. 24
BETHLEHEM, N.H. — The Colonial Theatre welcomes legendary Western swing band Asleep at the Wheel to the stage on Saturday, October 24 at 8 p.m. for an evening of American
Turn Calf Health Records Into Herd Improvements
There is a cycle of incomplete calf health records and limited veterinary feedback. Breaking it requires practical recordkeeping systems and a commitment to turning data into management decisions.
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.
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Plague is stoppable. The next health threat may not be.
The word plague is scary. Centuries ago, the Black Death killed tens of millions of people and changed the course of history. Plague still kills people around the world, and the word still evokes catastrophe. New fears of plague surfaced on October 2, when a lab worker in Irkutsk, Russia, died of pneumonia. Reports suggested that she may have contracted plague through a laboratory exposure. Understandably, people were alarmed. On October 7, the World Health Organization called for the Russian Federation to be transparent about what it knew. WHO issued an update on October 10. Russian authorities told WHO that testing did not identify plague and that investigations found no laboratory release. WHO said confidence in its risk assessment remained limited and that further clinical, epidemiological, and laboratory information was needed. The cause of the woman’s illness remains unknown, and WHO says a laboratory-associated exposure cannot be excluded. As I explained in a recent interview, this incident is very unlikely to lead to a pandemic. Plague is still active, including in the U.S., which sees a handful of cases each year. But it is a disease we can prevent and treat. Plague doesn’t spread readily, and it responds to antibiotics. The standard response—isolate the patient, trace contacts, and administer antibiotics and monitor for symptoms among contacts for seven days—works. We have even planned for antibiotic-resistant plague. At CDC, we developed a playbook for antibiotic-resistant plague and ran exercises on how to find and stop it. CDC guidance anticipates engineered resistance and recommends two different classes of antibiotics if there’s reason to suspect it. There is no evidence that resistance—or even confirmed plague—is involved in this incident. We have thought through how to address plague, but we’re not ready for the next major health threat that emerges from a lab or from animal spillover to humans. What should concern people is how little stands between the world and the next pathogen to get loose. Since peak COVID, epidemic preparedness has fallen off the political agenda, but the risk is greater than ever. More labs handle dangerous pathogens with more ways to make those pathogens deadlier, and more people live and work in close contact with animals. There are actions we can take now: We need better lab safety in every country. The number of labs that work with dangerous pathogens has increased worldwide over two decades, but there’s no enforceable international standard and no inspection regime; the Biological Weapons Convention, fifty years on, still has no verification mechanism. Labs that study dangerous germs need strong safety systems, training, and oversight. We need to reduce spillover events. Three in four emerging human infections start in animals, and there’s a lot we can do to reduce spillover risk, but the world is doing very little of it. Live-animal markets are one place to act. For instance, closing live-bird markets helped control H7N9 influenza in China. Reducing opportunities for people to encounter infected animals can prevent infections before they become outbreaks. In The Formula for Better Health, which is now out in paperback along with the hardcover, Kindle, and audiobook versions, I argue that labs do too many risky experiments with too many dangerous pathogens in too many institutions, and that every experiment should first answer one basic question: Is the likely benefit greater than the risk? Spillover risk can also be reduced: In the book, I discuss how Brazil cut its deforestation rate by 70% from 2004 to 2012 while increasing agricultural production and reducing risky contact between people and forest animals. We need faster detection and response. Delay costs lives. Strong surveillance, good labs, and trained responders can turn a single case into a small cluster of infections instead of an epidemic. Resolve to Save Lives has worked for nearly a decade to help countries find and stop outbreaks faster. The 7-1-7 target, which Resolve to Save Lives developed with partners in Uganda and elsewhere, provides a clear standard: detect within 7 days, notify within 1 day and complete all essential early response actions within 7 days. In Uganda’s Kasese district, for example, a review of a measles outbreak using 7-1-7 identified shortages of accessible funds, fuel, and vehicles that delayed the response. District leaders established funds they could access quickly. When, a few months later, the Crimean-Congo hemorrhagic fever appeared, the district detected it in three days, notified authorities in one, and mounted an effective response in two. Only one case was confirmed, and the patient survived. Because funds were available before the emergency, authorities were prepared and able to act. This kind of preparation can’t wait until the next crisis begins. Plague is an old disease we that know how to stop. The next threat may be harder to recognize, harder to treat, and easier to spread. Safer labs, less risk of spillover, and faster outbreak detection and response need sustained investment now, while we still have time to prevent the next emergency. Share
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