NATIONAL ACADEMY OF MEDICINE: Months into the pandemic, there’s no reliable estimate of health care worker deaths due to COVID-19. A new rapid expert consultation, co-authored by Center Director Matthew Wynia, MD, MPH, proposes methods to track deaths from occupational exposure to the virus, and deaths by suicide. It also outlines strategies to support the physical safety and mental well-being of health care workers
NEWSWEEK: Over the past four years, only a small handful of private citizens have been granted access to US government facilities to interview children and their families arriving in the United States and check if their conditions are safe, sanitary and appropriate. CBH faculty Warren Binford, JD, EdM and attorney Hope Frye were two of those citizens. In trips to over a dozen facilities and interviews with over 100 children and their families, they exposed hunger, filth, coldness, illness and shame these children have endured at the hands of the U.S. government.
LAWS: The creation and distribution of child sexual abuse material (CSAM) has become one of the fastest growing illicit online industries in the United States. Warren Binford, JD, EdM and co-authors conducted interviews and focus groups with law enforcement agencies and legal representatives throughout the western United States, to understand challenges and complexities of investigating and prosecuting cases of CSAM, and as a foundation to develop best practices in this area.
SOCIAL SCIENCE AND MEDICINE: When health recommendations significantly differ from, or threaten the interests, values and preferred practices of end-users, organized and often very public resistance to guideline implementation may result. Lisa Bero, PhD and co-authors explore why professional stakeholders form active resistances to the implementation of some clinical guidelines, and how professional values, perspectives, interests and/or experiences influence the stakeholders’ stance. The authors suggest strategies to mitigate and resolve these issues, including understanding resistance as a political strategy, increasing transparency of public input and coalition building as a part of the public response to active resistance
JAMA: In an invited commentary, Center Director Matthew Wynia writes, "A ubiquitous aim for crisis triage protocols (but not always the only aim) has been to save the most lives with the resources available. Deliberative community engagement will therefore be required to determine how to weigh these principles in triage protocols."
BRITISH MEDICAL JOURNAL: Lisa Bero, PhD and co-authors found a fairly consistent association between financial conflicts of interest and recommendations that favor clinical interventions relevant to the conflict. They suggest that clinicians and healthcare decision makers avoid using opinion pieces with conflicted authors and primarily use clinical guidelines that are based on rigorous methodology and have clear policies of how to manage conflicts of interest, such as excluding or minimizing the role of members with conflicts and ensuring a broad skill set in the panel. A more detailed publication appears as a Cochrane Review.
NEW YORK TIMES: Ben Carson, Chris Christie and Donald J. Trump all have gotten an antibody treatment in such short supply that Colorado is using a lottery system. CBH Director Dr. Matthew Wynia said that giving the powerful access was patently unfair. “That’s one of the reasons why we decided that we would allocate this only through the state and only through this random allocation process,” he said, “so that no one could get a leg up by virtue of their special connections.”
The Student Professionalism & Ethics Association in Dentistry (SPEA) recognized the University of Colorado School of Dental Medicine with it's 2020 Chapter Award for "Best Fight Against COVID."
THE ATLANTIC: A system of care that privileges only survival odds reinforces existing injustices. “Equity still matters,” even in a crisis situation, Center Director Matthew Wynia said. “Justice matters. Fairness still matters. You’re not just trying to optimize a number.”
9NEWS: Center Director Matthew Wynia, MD, MPH discusses the emerging ethical issues around vaccine allocation in Colorado with 9News reporter Tom Green. View interview>>
Hastings Center Fellows are academic bioethicists, scholars from other disciplines, scientists, journalists, lawyers, novelists, artists or highly accomplished persons from other spheres. Their common distinguishing feature is uncommon insight and impact in areas of critical concern to the Center – how best to understand and manage the inevitable values questions, moral uncertainties and societal effects that arise as a consequence of advances in the life sciences, the need to improve health and health care for people of all ages, and mitigation of human impact on the natural world.
CU ANSCHUTZ 360 PODCAST: Matthew Wynia, MD, MPH reflects on what he’s learned over the course of the pandemic — moments of optimism and profound disappointment. “Back in February, we had a meeting…on public health preparedness for medical and public health disasters. And we all sort of assumed that there would be a whole of government approach and that the nation would pull together around this, just like we do in wartime. Just like we do after a tsunami, just like we do after a hurricane, we all pull together. And the fact that that hasn't happened is just tragic. It's just tragic.”
LA TIMES: UCLA is not among the teams that have enhanced their contact tracing efforts through cellphone apps or wearable devices that track player movement. Christine Baugh, PhD, MPH, said electronic monitoring offers its own ethical dilemmas regarding privacy.
FAT STUDIES: Daniel Goldberg, JD, PhD collaborated with researchers from the UK, Iceland, and the US on this research article. The authors conclude, "As awareness of the inherent injustice and harmful nature of weight stigma reaches critical mass, the perceived political costs and obstacles may amend themselves toward legal reform."
BIOETHICS FOR THE PEOPLE PODCAST: Center Director Matthew Wynia, MD, MPH discussed a range of topics from equity issues to research prioritization and the intertwining of bioethics and humanities. "In the real world of medical practice, of public health practice, of research... the things where we see ethical issues arise; once you get to actual implementation of your careful ethical analysis, it's humanities work."
INEWSOURCE: Center Director Matthew Wynia said the official count kept by the public health office is important, but it “leads us to underestimate the total impact of certain types of disasters.” In September, Wynia and a team of researchers published a national report that Congress commissioned on how to measure a disaster’s death toll. “You can use that information to target resources to neighborhoods that are being very hard hit or other social groups that may be particularly hard hit. When we can figure out why people die, we can maybe intervene to prevent those deaths.”
GREELEY TRIBUNE: COVID-19 is now state’s fourth leading cause of death, but fatalities caused by ODs, heart disease and more also rose. “The pandemic has affected every aspect of our lives, including every aspect of our health care and our health,” said Center Director, Matthew Wynia, MD, MPH.
PHILIPPINE/CANADIAN INQUIRER: In June, the National Research Council set up an 18-member COVID-19 Vaccine Task Force charged with prioritizing vaccine projects and securing commercially available vaccines in Canada. The government declared that it was a “deliberate decision … to include individuals who may have a real or perceived … conflict of interest with respect to one or more proposals to be evaluated by the … task force.” The authors, including Lisa Bero, PhD, find that with Canadian lives on the line, trust has already been jeopardized, and trust in decisions about vaccines is going to be crucial. Both transparency and independence are needed, and task force chairs and most members should not have conflicts.
BOSTON GLOBE: Dr. Matthew Wynia said he worried the public was hearing “contradictory statements” that make “things even more uncertain than they need to be.” He called the information provided about the president’s health “confusing" and said it "suggests that he might be sicker than we’re being told — and that he might have been sick for longer than we’ve been told.”
AMERICAN JOURNAL OF PUBLIC HEALTH: The pandemic has stimulated public health research across the spectrum of prevention, detection, treatment, and recovery. Lisa Bero, PhD is launching a series of methods articles aimed at improving the relevance and rigor of systematic reviews on public health topics. Using case studies from the Cochrane Collaboration, the articles illustrate innovative methods to involve stakeholders, frame questions, and design evidence syntheses