Volume III, Issue 38

Sept. 19, 2016
Rick Scott Urges Action, Says More Zika Dollars Needed 
WH
In a September 15, 2016 CBS Miami post by Michele Gillen:
 
Fresh off his visit to the nation's capital, Gov. Rick Scott...<couldn't> shake his concern over the lack of action in Congress to pass a Zika funding bill. Despite a full court appeal and push from many Florida leaders, he returned from D.C. empty handed.
 
...The governor also called on the Center for Disease Control to step up promised assistance to Florida.
 
WIM
...there is also a backlog of Zika prevention kits. The CDC is on record saying that it will soon run out of funding if Congress does not take action.
 
Meanwhile, state and local officials say South Florida is facing a public health crisis over the spread of Zika and community concern is growing over the use of aerial spraying over Miami Beach.
 
Ice machine, sinks linked to Legionnaires' cases at UW Medical Center
WH
Originally published September 14, 2016 and updated September 15, 2016, JoNel Aleccia of the Seattle Times reports:

University of Washington Medical Center officials say a second person linked to an outbreak of Legionnaires' disease has died.

The bacteria that cause Legionnaires' disease have been detected in part of the water supply at the University of Washington Medical Center, where officials said a second person linked to an outbreak has died.
An ice machine and two sinks in cardiac units of the hospital's Cascade Tower were found to be contaminated with the germs that can cause the potentially deadly form of pneumonia, officials said Wednesday.

...It's a relatively rare disease. Most people don't get sick if they're exposed to the bacteria, but some might, particularly if they're older than 50, current or former smokers, have a chronic lung disease or have immune systems weakened by disease or medications.

WIM
Hospital patients are at high risk due to their already compromised health. This is bad PR for all American hospitals who already suffer from a well-deserved reputation of spreading infectious disease.
The Ambiguity of Diagnosing Brain Death 
WH 
Gene Uzawa Dorio, MD, in a 9.12.16 KevinMD post, writes:
 
Today, a cost of care has been added to the patient treatment discussion forcing medical decision-making to look closely at expense. Financial considerations have come to the forefront as preservation of resources will be important to national health care. This can be a threat to hospitalized patients teetering on the edge of life where the gray-zone of technology does not provide all answers, especially regarding brain death. There are adverse and often tragic results of uncertainty in this diagnosis.
 
WIM
The author describes some hypotheticals:
  • A two-year-old is swiftly removed from life support by a hospital before the family can appeal a court order
  • A son has power of attorney to make decisions for his recently stroked mother and requests a feeding tube, but is denied by the hospital
  • A family sees their father declared "brain dead" by two doctors, both employed by the hospital, and the ventilator is disconnected
He then asks "Can we assure a hospital is making decisions solely on behalf of the patient they serve, as opposed to maximizing profits that personally benefit administrators in salaries, bonuses, and retirement packages?"

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About Us
Florida Health Industry Week in Review is published every Monday by FHIcommunications

Each Monday morning we share the top healthcare headlines of the previous week and summarize What Happened (WH) and Why It Matters (WIM).

To learn how you can join our team of editorial contributors, contact Jeffrey Herschler.

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