Turmoil at the CDC Endangers Public Health

Sowing distrust in the science behind CDC guidance.

The turmoil roiling the Centers for Disease Control and Prevention (CDC) was on full view last Thursday at the Senate hearing convened to review the Trump administration’s health care agenda. The proceedings quickly descended into a shouting match as senators, both Republican and Democrat, challenged health secretary Robert F. Kennedy Jr. on his policies and recent actions, particularly regarding vaccines and the firing of CDC director Susan Monarez. Kennedy defended his positions while attacking the agency, as he has done repeatedly, accusing its medical experts and scientists of corruption and collusion with the pharmaceutical industry.

In late August, Kennedy called Monarez into his office and pressured her to resign, a mere 29 days after appointing her. At the time of her appointment, Kennedy lauded Monarez as “a public health expert with unimpeachable scientific credentials,” stating that he had “full confidence in her ability.”

Photo credit: Shutterstock

According to White House press secretary Karoline Leavitt, Monarez was fired […]

Investigating Nurse-Reported Missed Care: Recommended Reading in AJN’s September Issue

The September issue of AJN is now live.

This month features two Original Research articles:

“Exploring the Human Experience in Health Care,” the first article in a new series from health care performance improvement organization Press Ganey, discusses the emerging concept of human-centered care—and how data can be used to help deliver it.

Read “Pneumococcal Vaccination in Adults” to learn about updated pneumococcal vaccine recommendations from the Centers for Disease Control and Prevention, which include two new vaccines.

What can nurses do to protect patient safety and provide good care in light of record-high, ongoing national drug shortages? See AJN Reports to find out.

See also the extensive health care news sections, the Journal Watch and Drug Watch sections, a Specialty Spotlight column highlighting the role of the […]

2023-08-28T09:13:22-04:00August 28th, 2023|Nursing|0 Comments

February Issue: Racism in Nursing, Employer Vaccine Mandates, More

“Members of the health professions team should recognize, and join their colleagues in dismantling, structural racism.”—Bernice Rumala and Kenya Beard in their February Viewpoint article, “Resilience Will Not Erase Structural Racism”

The February issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers.

Special Feature: An Overdue Reckoning on Racism in Nursing

The authors discuss a project they launched to encourage honest discussion of racism in nursing and promote meaningful actions all nurses can take to achieve an antiracist nursing profession.

CE: Using Smart IV Infusion Pumps Outside of Patient Rooms

An overview of one medical center’s use of an innovative IV pump relocation practice in response to COVID-19—and how nurses addressed concerns for safety and efficacy.

Update from the CDC: Understanding Filtering Facepiece Respirators

A discussion of the National Institute for Occupational Safety and Health (NIOSH) respirator approval process, the competition from non-NIOSH-approved respirators, and how to ensure your respirator offers adequate protection.

[…]

2022-01-31T09:10:42-05:00January 31st, 2022|Nursing|1 Comment

COVID-19: Where Do We Go From Here?

By AJN editor-in-chief Shawn Kennedy

It’s mid-April and I feel like I’m in one of those B-rated movies of the 1950s—where the atomic bomb hit and everyone is sequestered in bunkers, only venturing out to forage for food.

I’m entering our 5th week following stay-at-home recommendations and I guess it’s paying off—New York (where I usually work) and New Jersey (where I live) seem to be seeing a slight “flattening of the curve.” (Does anyone not know about the COVID-19 curve? See this site by the University of Michigan for an explanation).

But that good news is tempered by the fact that some states have yet to see their peak. In addition, we’ve yet come with grips in how to deal with the spread of the coronavirus in nursing homes, prisons, and shelters.

It’s worrisome to me that there is already talk of relaxing stay-at-home orders and social distancing before we have sufficient testing to have a clear understanding of how the disease spreads, before some states have reached their peak, and before we have refined the process of supplying and protecting health care workers. No one doubts that the economic shutdown is causing tremendous suffering, but without a firm grasp on how best to contain this disease […]

If I Want to Wear a Face Mask to Prevent COVID-19, Why Shouldn’t I?

By Betsy Todd, MPH, RN, nurse epidemiologist and AJN clinical editor. Published. March 6; updated March 12.

Times are uncertain. We don’t know how the spread of the new coronavirus will play out, or what parts of the country will be affected next. Many people continue to insist that wearing a mask in public places is “added insurance” against infection. But the reasons for NOT wearing a face mask far outweigh the purported benefit of keeping your nose and mouth covered when you’re out and about.

First, some background.

Health care workers use two main kinds of mouth and nose protection: either a regular surgical face mask, or an N95 respirator.

The purpose of a surgical mask is to prevent the wearer’s respiratory secretions from contaminating other people or surfaces. This is an example of “source control” in preventing infections. It is the reason the surgical team wears masks during operations and other invasive procedures.

N95 respirators look very much like face masks. They are designed to protect the wearer from inhaling hazardous particles (infectious agents, dust, etc.). Health care workers wear these when caring for people with COVID-19 or other serious respiratory infections.

But at least a face mask provides a physical barrier. Why shouldn’t I wear […]

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