Women diagnosed with an early, highly treatable form of breast cancer still face a higher-than-normal risk of eventually dying from the disease, a large new study finds. The study looked at women with ductal carcinoma in situ (DCIS), where cancer cells form in the lining of the milk ducts but have not yet invaded the breast tissue. Sometimes it’s called a “pre-cancer,” other times a “noninvasive breast cancer” — terms that can be confusing, and partly reflect the fact that DCIS is not fully understood. The researchers found that among more than 144,000 U.S. women treated for DCIS, the risk of dying from breast cancer over the next 20 years was about three times higher than that of cancer-free women. The vast majority of women with DCIS did not die of breast cancer during the study period. There were 1,540 deaths from the disease. But given that all underwent surgery — often followed by radiation — the findings show that DCIS treatment does not eliminate the risk of dying from breast cancer, said senior researcher Dr. Steven Narod. “Despite the best treatment available, the risk is still there,” said Narod, of the Women’s College Research Institute in Toronto, Canada. Overall, he said, women faced a 3% chance of dying from breast cancer. And for Black women, the odds were significantly greater — close to 10%.…  read on >

TUESDAY, Sept. 22, 2020 (Healthday News) — While health officials worry about a potential “twindemic” of COVID-19 and the flu this winter, a new study finds that hospital patients who were infected with both viruses were more than twice as likely to die as those infected only with the new coronavirus. British government scientists conducted the research during the early months of the pandemic, and the results were troubling: 43% of patients who were hospitalized with both infections died, compared with 26.9% of people who were hospitalized for coronavirus infection alone, the Washington Post reported. While the study only followed 58 people between the months of January and April, the findings line up with similar research that is underway, the Post reported. “If you get both, you are in some serious trouble, and the people who are most likely to get both of these infections may be the very people who can least afford to in terms of their own immune system, or their risk for serious outcomes,” Yvonne Doyle, Public Health England’s medical director, said in an agency news release. She urged people considered high-risk to go for a flu shot if they were eligible. “The flu vaccine is more important than ever, to help reduce transmission of flu and protect the nation from the double threat of flu and COVID-19,” Doyle said. As…  read on >

The coronavirus pandemic could cause short-term decreases in life expectancy in many parts of the world, according to a new study. Using a computer model, the researchers concluded that infection rates of only 2% could cause a drop in life expectancy in countries where average life expectancy is high (about 80 years). At higher infection rates, the decline would be greater, especially in Europe and North America, according to the study published online Sept. 17 in the journal PLOS One. “At 10% prevalence, the loss in life expectancy is likely to be above one year in high life-expectancy countries such as those in Europe and North America. At 50%, it would translate into three to nine years of life lost in high life-expectancy regions. In less developed regions, the impact is smaller given that there is already lower survival at older ages,” said study leader Guillaume Marois, a researcher at the International Institute for Applied Systems Analysis in Laxenburg, Austria. “However, even in the most affected regions, the life expectancy will likely recover once the pandemic is over,” Marois added in an institute news release. Study co-author Sergei Scherbov noted that it took Europe decades for average life expectancy at birth to increase by six years — from 72.8 years in 1990 to 78.6 years in 2019. “COVID-19 could thus set back this indicator in…  read on >

MONDAY, Sept. 21, 2020 (Healthday News) — As the U.S. coronavirus case count neared 200,000 on Monday, public health experts debated whether the spread of the virus will continue to slow or a new surge will come, as cold weather returns to much of the country. “What will happen, nobody knows,” Catherine Troisi, an infectious disease epidemiologist at The University of Texas Health Science Center at Houston, told The New York Times. “This virus has surprised us on many fronts, and we may be surprised again.” In the United States, fewer new coronavirus cases have been detected week by week since late July, but the nation’s daily count of new cases has started to climb again in recent days, the Times reported. Meanwhile, at least 73 other countries are seeing second surges in new cases. Dr. Tom Inglesby, director of the Center for Health Security at the Johns Hopkins Bloomberg School of Public Health in Baltimore, told the Times it was conceivable that the death toll in the United States could reach 300,000 if Americans start to relax social distancing measures. As case counts started trending upward again, 1,400 public schools in New York City reopened Monday for nearly 90,000 pre-K students and children with advanced disabilities. The remaining 1 million students will start their school year online, with the option of returning to classrooms…  read on >

FRIDAY, Sept. 18, 2020 (Healthday News) — New details surfaced on Thursday on an unexplained neurological condition that struck a volunteer who was participating in AstraZeneca’s coronavirus vaccine trial. In an internal safety report obtained by CNN, company officials describe how a healthy 37-year-old woman “experienced confirmed transverse myelitis” after receiving her second dose of the vaccine. She was hospitalized on Sept. 5. The report describes how the patient had the first dose of the coronavirus vaccine in early June and was fine. She received her second dose in late August. While out running on Sept. 2, she “had a trip [not fall] with a jolt.” The report noted that she did not have any obvious injury to her spine when examined, according to CNN. The next day, the report said, she had difficulty walking, pain and weakness in her arms, pain and reduced sensation in her torso, a headache and reduced ability to use her hands. The report mentions twice that the woman was diagnosed with “confirmed” transverse myelitis, CNN reported. The condition, which can be triggered by viruses, causes inflammation in the spine. No other similar cases have been diagnosed among other study volunteers, according to the report. The woman’s neurologist also noted that the woman has started to feel better. The report, dated Sept. 10, was sent out to doctors who are…  read on >

As the coronavirus pandemic wears on, it’s clear that not everyone’s on the same page when it comes to preventing the risk of infection. Lots of people wear masks, try to maintain social distancing and avoid large gatherings. But plenty of others forgo a mask or wear it on their chin, go to busy bars and attend social gatherings, like weddings. Both sides think they’re right. And that’s led to friction and frustration among friends and families. How can you deal with these differences and keep your relationships intact? “This is a super-charged topic. Your beliefs about science are now injected with politics,” said Dr. Richard Catanzaro, chief of psychiatry at Northern Westchester Hospital in Mount Kisco, N.Y. “My fundamental approach to stuff like this is to be as direct as possible. Express the concerns that you have, and acknowledge that the other person might not agree, but explain it’s how you feel. For example, ask the person to wear a mask when you’re interacting with them. If they refuse, say, ‘Let’s talk virtually then,’” Catanzaro said. He added that the tone of the conversation hinges on how important the relationship is to you. “In a marriage or more permanent relationship, be more open with the person, and try to get them to see how their behavior is impacting you,” Catanzaro said. For more casual…  read on >