<p></p>\n<p><b>--SUPERS</b>--</p>\n<p>Thursday </p>\n<p>Philadelphia, PA</p>\n<p></p>\n<p>Commissioner John Stanford</p>\n<p>Philadelphia Police Department</p>\n<p></p>\n<p></p>\n<p><b>--SOT</b>--</p>\n<p>We had a total of 10 victims, eight adults and two Children. We have a total of five first responders that were injured in this incident, one firefighter and four police officers. They were all at area hospitals at this time.</p>\n<p><b>-----END-----CNN.SCRIPT-----</b></p>\n<p></p>\n<p><b>--KEYWORD TAGS--</b></p>\n<p>PENNSYLVANIA 30TH STREET STATION AMTRAK ISRAEL JEWISH PALESTINE GAZA HAMAS ATTACK WAR CEASEFIRE </p>\n<p></p>

NEWSFEED: 11/25-28/05 BLACK FRIDAY CHRISTMAS SHOPPERS, CHINESE SECURITY DEMONSTRATION, EARTHQUAKE IN PAKISTAN, SADDAM HUSSEIN TRIAL PHILADELPHIA HOLIDAY SHOPPING NX Aerial shopping mall, bustling parking lot. NYC WOODBURY COMMONS NX drive by store windows MACYS THANKSGIVING DAY PARADE ACCIDENT HS M&M float going down, police & paramedics around injured RUSSIA HOSPITAL FIRE NX smoke drifting from window, emergency vehicles leave, WS hospital w/dark section, barricades COLUMBIA VOLCANO NX gas station, peds wearing surgical masks, DX dusty roads, checkpoint, sweeping up ashes, volcano ;CHINA OLYMPICS SECURITY TRAINING (yeah right, maybe the Falun Gong Olympics) police practice karate, police come out of vans ;Police on firing range, German shepherd attacks cyclist & jumps into moving car (yeah, they had that on 'the Daily Show') Police in riot gear practice their moves, terrorist kidnaping simulations, police scale side of bldg, busting in ;HI HOSTEL WHERE MISSING MAN LAST SEEN 'Unmaintained trail- use at your own risk', small hostel, pictures of missing person; ANGELINA JOLIE QUAKE AID touring earthquake damage in Pakistan, tent, men knocking down remains of collapsed bldg ;Tent village, Jolie visiting women. RUSSIA CHINESE TOXIC SPILL frozen sea, snowy peds/traffic, Int research lab NJ GARDEN STATE MALL Pre-dawn Aerial shopping mall, queue waiting for shops to open ;NJ HOLIDAY SHOPPING NX black Friday Aerial people pushing shopping carts full of stuff out of Walmart, line waiting to get in... ; JOLIE QUAKE AID press conf in Pakistan. CHINA WATER CONTAMINATION river & skyline, foam along polluted river, toxic spill ;Men distributing bottled water...people lined up for water with kettles and jugs, WS causeway ;NJ HOLIDAY SHOPPING DX aerial shopping mall, bustling parking lot, people lined up to get into store ;POPE BENEDICT XVI VISITS GEMELLI HOSPITAL Int chapel, Pope holds up picture, DX greets crowd before departing ;UK SOCCER LEGEND GEORGE BEST walking along canal, 1960s soccer match, tabloids, Best in 1960's ;FL CROWD AT WALMART employees getting psyched...early shoppers come charging in & are cheered by employees ;NX line going into store, police cars on hand, Int police distributing merchandise to crowd (laptops) ;NO TITLE must be aid workers setting up shelters in rural Pakistan. NO TITLE Saddam Hussein trial!; There's no translation but Hussein makes the judge laugh.TX CINDY SHEEHAN RETURNS greeted in airport. WI ICE RESCUE Aerial rescue workers in icy pond; WV SHOPLIFTERS Dusk police cars with lights, man in back seat, police with arrested man, shopping bags in truck ;WV SHOPPERS NX line of people going into Target store. OH SHOPPERS NX people lined up, going into Best Buy, Int shopping ; MACYS THANKSGIVING PARADE ACCIDENT home video of float catching on street light, chorus of 'oh!' IL AMERICAN GIRL PROTEST anti-abortion protest. OP PRO HAWAII surfing competition, winner receives plaque NHL FLYERS/BRUINS. NCAA FOOTBALL VA TECH NORTH CAROLINA. NOTRE DAME STANFORD ;MALTA ON UGANDA HUMAN RIGHTS dignitaries arriving, Int procession, photo-op. UT SHOPPERS NX line outside store, going into store IRAQ HUSSEIN TRIAL street scenes, Int coffee shop men watching trial on tv set, men singing & waving guns (they're smiling); School children cheering & waving Iraqi flags & marching around. ITALY TIBER RIVER FLOOD muddy river going under bridge ;VATICAN ABUSE VICTIMS skyline, street scenes. NYC OFFICER SHOT NX Bloomberg going to visit hospital, police activity ; NX police putting up yellow tape. PAKISTAN snowcapped mtns. AR TORNADO Aerial houses destroyed by tornado ;OH POWER STATION EXPLOSION NX Aerial industrial fire, roaring flames coming from power grid

An early morning house fire in Rochester, New York claims the lives of four children.Officals say the flames were too intense to attempt a rescue.The children, ages five through thirteen were found in a second floor bedroom.Their mother is hospitalized and their father and another child managed to escape the home.

1965 UNIVERSAL NEWSREEL 11

FTG FOR CS ON SEATTLE SCHOOL SUPERINTENDENT RETIRED GENERAL JOHN STANFORD WHO COMMENTS ON HIS BATTLE W/ LEUKEMIA. 06:00:32 MCU OF STANFORD WHO APPEARS W/ HIS HEAD SHAVED DURING INTV. 06:00:48 HE COMMENTS ON HIS BOOK VICTORY IN OUR SCHOOLS. 06:01:00 STANFORD SAYS IF YOU DON'T LOVE CHILDREN YOU DON'T BELONG IN THE SEATTLE SCHOOL DISTRICT. 06:03:00 STANFORD SAYS HE LEFT HOSPITAL DURING CHEMOTHERAPY EARLY IN THE MORNING & WALKED HOME PULLING HIS INTRAVENOUS BAGS ALONG W/ HIM WHILE SINGING FROM THE SCORE OF MAN FROM LAMANCHA. 06:03:41 B-ROLL OF STANFORD AS HE LOOKS AT GET WELL CARDS FROM STUDENTS W/ CORRESPONDENT JUDY MULLER.

Doctor and nurse talking to injured boy patient in wheelchair in hospital

FTG OF NEONATAL INTENSIVE CARE UNIT / EXT FTG OF STANFORD CHILDREN'S HOSPITAL FOR A CS VO ON MEDICAL RESEARCH

1953 UNIVERSAL NEWSREEL 3

00:00:00:00 SOT Bush introductory remarks; 01:07 The first team we honor is the Indiana Men's Soccer team. They are the champs for the second year in a row; 02:08 they purchased a water buffalo in Laura and my honor and gave it to a family overseas; 02:32 want to welcome the Notre Dame Women's Soccer team; 03:12 And the mighty Titans from Cal State, Fullerton had a motto of their own; 04:09 want to welcome the Stanford Women's Volleyball team; 05:05 I particularly want to thank all the teams not only for being such good role models as you play your games, but also off the fields of play; 05:29 I'm told that the Indiana Men's Soccer team volunteer for youth soccer programs and go to schools encouraging people to make good choices in life; 06:13 the Stanford Women's Volleyball players who read to children at local elementary schools, and then help young girls learn the great value of being on a team sport through a volleyball clinic ... the Cal State, Fullerton players took time out of the World Series last year to go to the hospital and say something to somebody who hurts; 07:15 accepts jersey BUSH 1 from man; 07:40 accepts on from black woman (they laugh at her fumbling of unreadable jersey; 07:44 all laugh when Bush momentarilly loses presenter (w red scarf); white T- Bush 1; white woman gives blue T; 08:24 Bush leaves platform, exits (0:00) /

A doctor appointment with a mother and her baby girl

<p><pi><b>***This package/segment contains third party material. Unless otherwise noted, this material may only be used within this package/segment.***</b></pi></p>\n<p></p>\n<p><pi><b>***This pkg contains photos from AP/Getty Images that are only cleared for use within the pkg. Affiliates may not cut these photos out of the pkg for individual use.***</b></pi></p>\n<p></p>\n<p><b>--SUPERS</b>--</p>\n<p>:04 - :09</p>\n<p>National Institutes of Health</p>\n<p></p>\n<p>:17 - :25</p>\n<p>Dr. Jonathan Reiner</p>\n<p>CNN Medical Analyst</p>\n<p></p>\n<p>:25 - :29</p>\n<p>Fox/CNN/Megyn Kelly/Tony Perkins</p>\n<p></p>\n<p>:29 - :31</p>\n<p>KCAL/KCBS</p>\n<p></p>\n<p>:31 - :33</p>\n<p>WWNY</p>\n<p></p>\n<p>:33 - :40</p>\n<p>Dr. Jay Bhattacharya</p>\n<p>Professor of Medicine, Stanford University</p>\n<p>From Fox News Channel/July 8, 2021</p>\n<p></p>\n<p>:44 - :51</p>\n<p>Dr. Jay Bhattacharya</p>\n<p>Professor of Medicine, Stanford University</p>\n<p>Via Cisco Webex/December 19, 2020</p>\n<p></p>\n<p>:57 - 1:02</p>\n<p>Dr. Jonathan Reiner</p>\n<p>Professor of Medicine and Surgery, George Washington University</p>\n<p></p>\n<p>1:16 - 1:25</p>\n<p>American Inst. for Economic Research</p>\n<p></p>\n<p>1:28 - 1:30</p>\n<p>Miami-Dade Fire Rescue</p>\n<p></p>\n<p>1:30 - 1:32</p>\n<p>WREG</p>\n<p></p>\n<p>1:32 - 1:34</p>\n<p>KCAL/KCBS</p>\n<p></p>\n<p>1:38 - 1:43</p>\n<p>Dr. Paul Offit</p>\n<p>Director, Vaccine Education Center, Children's Hospital of Philadelphia</p>\n<p></p>\n<p>1:44 - 1:52</p>\n<p>Dr. Jonathan Reiner</p>\n<p>CNN Medical Analyst</p>\n<p></p>\n<p>2:13 - 2:28</p>\n<p>Dr. Paul Offit</p>\n<p>Director, Vaccine Education Center, Children's Hospital of Philadelphia</p>\n<p></p>\n<p>2:28 - 2:36</p>\n<p>AP Images</p>\n<p></p>\n<p><b>--LEAD IN</b>--</p>\n<p>PRESIDENT-ELECT DONALD TRUMP HAS ANNOUNCED A NEW ADDITION TO HIS HEALTH TEAM.</p>\n<p>HE IS PICKING DOCTOR JAY BHATTACHARYA (BH-UH-TAH-CH-AH-R-YUH) AS HIS NEXT DIRECTOR OF THE NATIONAL INSTITUTES OF HEALTH.</p>\n<p>THIS ON THE HEELS OF HIS CONTROVERSIAL CHOICE OF ROBERT F. KENNEDY JUNIOR AS SECRETARY FOR THE DEPARTMENT OF HEALTH AND HUMAN SERVICES.</p>\n<p>C-N-N'S BRIAN TODD TAKES A CLOSER LOOK AT THESE CONTENTIOUS CHOICES.</p>\n<p><b>--REPORTER PKG-AS FOLLOWS</b>--</p>\n<p>PRESIDENT-ELECT DONALD TRUMP SAYS HIS CHOICE TO LEAD THE NATIONAL INSTITUTES OF HEALTH WILL QUOTE "RESTORE THE N-I-H TO A GOLD STANDARD OF MEDICAL RESEARCH."</p>\n<p>BUT MANY MEDICAL EXPERTS SAY DOCTOR JAY BHATTACHARYA, A STANFORD-TRAINED PHYSICIAN AND ECONOMIST COULD CAUSE SIGNIFICANT UPHEAVAL.</p>\n<p>Dr. Jonathan Reiner, CNN Medical Analyst: "I think it's controversial- but also in-keeping with almost all of the president-elect's health picks to date."</p>\n<p>THE 56-YEAR-OLD BHATTACHARYA BECAME A LIGHTNING-ROD DURING THE COVID PANDEMIC FOR SPEAKING OUT AGAINST MASK AND VACCINE MANDATES.</p>\n<p>Dr. Jay Bhattacharya, Professor of Medicine, Stanford University: "You don't bully people. You tell people go talk with your doctor, talk over the risks and then make your own decision. That's the right way to do public health."</p>\n<p>AND HE WAS A STRONG OPPONENT OF LOCKDOWNS DURING THE HEIGHT OF THE PANDEMIC.</p>\n<p>Dr. Jay Bhattacharya, Professor of Medicine, Stanford University: "The lockdown is devastating for the under 70. If you think about the lockdown harms, they're not just economic. They're medical. They're psychological."</p>\n<p>(Butted to)</p>\n<p>Brian Todd, Reporter: "Did he not have a point about the harm to mental health from the lockdowns?"</p>\n<p>Dr. Jonathan Reiner, CNN Medical Analyst: "Yeah, I think he, I think, you know he has a point that there were harms, you know from lockdowns. But the people running the pandemic response had to play off the theoretical risks to socialized isolation, from the then very known risk of mortality from this virus."</p>\n<p>ONE OF BHATTACHARYA'S MOST CONTROVERSIAL MOVES CAME IN OCTOBER 20-20, WHEN HE WAS ONE OF THE LEAD AUTHORS OF AN OPEN LETTER CALLED THE "GREAT BARRINGTON DECLARATION," STATING THAT COVID PREVENTION EFFORTS SHOULD BE TARGETED TO OLDER, MORE VULNERABLE PEOPLE..</p>\n<p>AND THAT THE VIRUS SHOULD BE ALLOWED TO SPREAD AMONG YOUNGER, HEALTHIER PEOPLE, WHO WERE AT LESSER RISK OF DEATH TO DEVELOP SO-CALLED "HERD IMMUNITY."</p>\n<p>Dr. Paul Offit, Director, Vaccine Education Center, Children's Hospital of Philadelphia: "That's not the kind of virus you could ever eliminate by just letting everybody be naturally infected."</p>\n<p>(Butted to)</p>\n<p>Dr. Jonathan Reiner, CNN Medical Analyst: "Estimates now are if the virus had been allowed to run unimpeded through the population, there would have been another, you know, one to two million deaths in this country."</p>\n<p>BUT BHATTACHARYA HAS CREDIBLE SUPPORTERS.</p>\n<p>DOCTOR ASHISH JHA, FORMER WHITE HOUSE COVID RESPONSE COORDINATOR UNDER PRESIDENT BIDEN, SAYS BHATTACHARYA IS QUOTE "FUNDAMENTALLY A VERY SMART, WELL-QUALIFIED PERSON..."</p>\n<p>STILL, OTHERS ARE WORRIED ABOUT THE MAN TAPPED TO BE BHATTACHARYA'S BOSS, HEADING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES.</p>\n<p>R-F-K JUNIOR.</p>\n<p>Dr. Paul Offit, Director, Vaccine Education Center, Children's Hospital of Philadelphia: "Dr. Bhattacharya may well soon be working for a man, Robert F. Kennedy Junior, who is a virulent anti-vaccine activist. A science denialist, someone who doesn't believe HIV causes AIDS, and a conspiracy theorist. I think I would like to feel better about Dr. Bhattacharya, that he would stand up to that. And I'm not so sure that's true."</p>\n<p><b>--TAG</b>--</p>\n<p>DOCTOR JONATHAN REINER CALLS THE N-I-H ONE OF THE WORLD'S CROWN JEWELS OF MEDICAL RESEARCH, AND HE WORRIES THAT WITH DOCTOR BHATTACHARYA AND ROBERT KENNEDY JUNIOR OVERSEEING THE AGENCY -- SOME OF THE MOST TALENTED DOCTORS AND SCIENTISTS THERE WILL WANT TO LEAVE.</p>\n<p>KENNEDY HAS ALREADY TALKED ABOUT REPLACING ABOUT SIX-HUNDRED OFFICIALS AT N-I-H WITH HAND-PICKED STAFF.</p>\n<p><b>-----END-----CNN.SCRIPT-----</b></p>\n<p></p>\n<p><b>--KEYWORD TAGS--</b></p>\n<p>DONALD TRUMP BHATTACHARYA HEALTH POLITICS </p>\n<p></p>\n<p></p>\n<p><pi><b>***This package/segment contains third party material. Unless otherwise noted, this material may only be used within this package/segment.***</b></pi></p>\n<p></p>\n<p><pi><b>***This pkg contains photos from AP/Getty Images that are only cleared for use within the pkg. Affiliates may not cut these photos out of the pkg for individual use.***</b></pi></p>\n<p></p>\n<p><b>--SUPERS</b>--</p>\n<p>:04 - :09</p>\n<p>National Institutes of Health</p>\n<p></p>\n<p>:17 - :25</p>\n<p>Dr. Jonathan Reiner</p>\n<p>CNN Medical Analyst</p>\n<p></p>\n<p>:25 - :29</p>\n<p>Fox/CNN/Megyn Kelly/Tony Perkins</p>\n<p></p>\n<p>:29 - :31</p>\n<p>KCAL/KCBS</p>\n<p></p>\n<p>:31 - :33</p>\n<p>WWNY</p>\n<p></p>\n<p>:33 - :40</p>\n<p>Dr. Jay Bhattacharya</p>\n<p>Professor of Medicine, Stanford University</p>\n<p>From Fox News Channel/July 8, 2021</p>\n<p></p>\n<p>:44 - :51</p>\n<p>Dr. Jay Bhattacharya</p>\n<p>Professor of Medicine, Stanford University</p>\n<p>Via Cisco Webex/December 19, 2020</p>\n<p></p>\n<p>:57 - 1:02</p>\n<p>Dr. Jonathan Reiner</p>\n<p>Professor of Medicine and Surgery, George Washington University</p>\n<p></p>\n<p>1:16 - 1:25</p>\n<p>American Inst. for Economic Research</p>\n<p></p>\n<p>1:28 - 1:30</p>\n<p>Miami-Dade Fire Rescue</p>\n<p></p>\n<p>1:30 - 1:32</p>\n<p>WREG</p>\n<p></p>\n<p>1:32 - 1:34</p>\n<p>KCAL/KCBS</p>\n<p></p>\n<p>1:38 - 1:43</p>\n<p>Dr. Paul Offit</p>\n<p>Director, Vaccine Education Center, Children's Hospital of Philadelphia</p>\n<p></p>\n<p>1:44 - 1:52</p>\n<p>Dr. Jonathan Reiner</p>\n<p>CNN Medical Analyst</p>\n<p></p>\n<p>2:13 - 2:28</p>\n<p>Dr. Paul Offit</p>\n<p>Director, Vaccine Education Center, Children's Hospital of Philadelphia</p>\n<p></p>\n<p>2:28 - 2:36</p>\n<p>AP Images</p>\n<p></p>\n<p><b>--VIDEO SHOWS</b>--</p>\n<p></p>\n<p><b>--LEAD IN</b>--</p>\n<p>PRESIDENT-ELECT DONALD TRUMP HAS ANNOUNCED A NEW ADDITION TO HIS HEALTH TEAM... </p>\n<p>PICKING DR. JAY BHATTACHARYA AS HIS NEXT DIRECTOR OF THE NATIONAL INSTITUTES OF HEALTH...</p>\n<p>THIS ON THE HEELS OF HIS CONTROVERSIAL CHOICE OF ROBERT F. KENNEDY JUNIOR AS H-H-S SECRETARY.</p>\n<p> CNN'S BRIAN TODD IS TAKING A CLOSER LOOK AT THESE CONTENTIOUS CHOICES.</p>\n<p></p>\n<p><b>--VO SCRIPT</b>--</p>\n<p></p>\n<p><b>--SOT</b>--</p>\n<p></p>\n<p><b>--TAG</b>--</p>\n<p></p>\n<p><b>--REPORTER PKG-AS FOLLOWS</b>--</p>\n<p>PRESIDENT-ELECT DONALD TRUMP SAYS HIS CHOICE TO LEAD THE NATIONAL INSTITUTES OF HEALTH, WILL QUOTE "RESTORE THE N-I-H TO A GOLD STANDARD OF MEDICAL RESEARCH"...</p>\n<p><tab />BUT MANY MEDICAL EXPERTS SAY, DR. <u>JAY</u><u>BHATTACHARYA</u>-- A STANFORD-TRAINED PHYSICIAN AND ECONOMIST-- COULD CAUSE SIGNIFICANT UPHEAVAL.</p>\n<p></p>\n<p><tab /><pi>(--SOT/REINER--)</pi></p>\n<p>("I think it's controversial- but also in-keeping with almost all of the president-elect's health picks to date.")</p>\n<p></p>\n<p><tab />THE 56-YEAR-OLD BHATTACHARYA BECAME A LIGHTNING-ROD DURING THE COVID PANDEMIC... FOR SPEAKING OUT AGAINST MASK AND VACCINE MANDATES...</p>\n<p></p>\n<p><tab /><pi>(--SOT/BHATTACHARYA--)</pi></p>\n<p>("You don't bully people. You tell people go talk with your doctor, talk over the risks and then make your own decision. That's the right way to do public health.")</p>\n<p></p>\n<p><tab />AND HE WAS A STRONG OPPONENT OF <u>LOCKDOWNS</u>, DURING THE HEIGHT OF THE PANDEMIC... </p>\n<p></p>\n<p><tab /><pi>(--SOT/BHATTACHARYA--)</pi></p>\n<p>("The lockdown is devastating for the under-70. If you- if you think about the lockdown harms, they're not just economic. They're medical. They're psychological.")</p>\n<p><tab /><pi>(--SOT/BRIEN-REINER--)</pi></p>\n<p><pi>(BRIAN: </pi>"Did he not have a point about the harm to mental health, from the lockdowns?")</p>\n<p><pi>(REINER: </pi>Yeah, I think he- I think, you know, he has a point that there were harms, you know, from lockdowns. But the uh the people running the pandemic response had to play off the theoretical risks to socialized isolation, from the then very known risk of mortality from this virus.")</p>\n<p></p>\n<p><tab />ONE OF BHATTACHARYA'S MOST CONTROVERSIAL MOVES CAME IN OCTOBER 2020- WHEN HE WAS ONE OF THE LEAD AUTHORS OF AN OPEN LETTER CALLED THE "<u>GREAT</u><u>BARRINGTON</u><u>DECLARATION</u>"...</p>\n<p><tab />STATING THAT COVID <u>PREVENTION</u> EFFORTS SHOULD BE TARGETED TO <u>OLDER</u>, MORE VULNERABLE PEOPLE..</p>\n<p><tab />AND THAT THE VIRUS SHOULD BE ALLOWED TO <u>SPREAD</u> AMONG <u>YOUNGER</u>, HEALTHIER PEOPLE, WHO WERE AT LESSER RISK OF DEATH.. TO DEVELOP SO-CALLED "HERD IMMUNITY."</p>\n<p></p>\n<p><tab /><pi>(--SOT/OFFIT--)</pi></p>\n<p>("That's not the kind of virus you could ever eliminate by just letting everybody be naturally infected.")</p>\n<p><tab /><pi>(--SOT/REINER--)</pi></p>\n<p>("Estimates now are, if the virus had been allowed to run unimpeded through the population, there would have been another, you know, 1- to 2-million deaths in this country.")</p>\n<p></p>\n<p><tab />BUT BHATTACHARYA HAS <u>CREDIBLE</u> SUPPORTERS.</p>\n<p><tab />DR. <u>ASHISH</u><u>JHA</u>, FORMER WHITE HOUSE COVID RESPONSE COORDINATOR UNDER PRESIDENT BIDEN, SAYS BHATTACHARYA IS QUOTE <b>"FUNDAMENTALLY A VERY SMART, WELL-QUALIFIED PERSON...</b>"</p>\n<p><tab />STILL- OTHERS ARE WORRIED ABOUT THE MAN TAPPED TO BE BHATTACHARYA'S <u>BOSS</u>.. HEADING THE DEPARMTENT OF HEALTH AND HUMAN SERVICES.</p>\n<p></p>\n<p><tab /><pi>(--SOT/OFFIT--)</pi></p>\n<p>("Dr. Bhattacharya may well soon be working for a man, Robert F. Kennedy Junior, who is a virulent anti-vaccine activist; a science denialist; someone who doesn't believe HIV causes AIDS; and a conspiracy theorist. I think I would like to feel better about Dr. Bhattacharya, that he would stand up to, to that. And I'm not so sure that's true.")</p>\n<p></p>\n<p><pi>(BRIAN: DR. <u>JONATHAN</u><u>REINER</u> CALLS THE N-I-H ONE OF THE WORLD'S CROWN JEWELS OF MEDICAL RESEARCH.. AND HE WORRIES THAT WITH DR. BHATTACHARYA AND ROBERT KENNEDY JR. OVERSEEING THE AGENCY, SOME OF THE MOST TALENTED DOCTORS AND SCIENTISTS THERE WILL WANT TO <u>LEAVE</u>.</pi></p>\n<p><tab /><pi>KENNEDY HAS ALREADY TALKED ABOUT REPLACING ABOUT 600 OFFICIALS AT N-I-H WITH HAND-PICKED STAFF.</pi></p>\n<p><tab /><pi>ALEX...</pi></p>\n<p><tab /><tab /><tab /><tab /><tab /><tab /><tab /><tab /><tab /><tab /><pi>###</pi></p>\n<p></p>\n<p></p>\n<p><b>-----END-----CNN.SCRIPT-----</b></p>\n<p></p>\n<p><b>--KEYWORD TAGS--</b></p>\n<p>US POLITICS TRUMP TRANSITION HEALTH TEAM CABINET MEMBERS CONTROVERSIAL CHOICES </p>\n<p></p>

FTG OF NEONATAL INTENSIVE CARE UNIT / EXT FTG OF STANFORD CHILDREN'S HOSPITAL FOR A CS VO ON MEDICAL RESEARCH

President Clinton speaks about the Patients Bill of Rights.

UNIVERSAL NEWSREELS

<p>https://www.cnn.com/2024/06/18/health/childhood-obesity-recommendations-uspstf/index.html</p>\n<p>To help children with high BMI, expert panel recommends 26 hours of behavior coaching — but not weight-loss drugs</p>\n<p></p>\n<p>The US Preventive Services Task Force updated its final recommendations Tuesday for how primary care clinicians can best help children with a high body mass index, the measure most practitioners use to determine whether a person has obesity.</p>\n<p></p>\n<p>The task force suggested that extensive and intensive behavioral interventions are the best way to help a child get to a healthy weight.</p>\n<p></p>\n<p>Recent studies have shown that popular weight-loss drugs and surgical procedures are also highly successful treatments for children, and they are recommended as viable options under American Academy of Pediatrics guidelines.</p>\n<p></p>\n<p>But neither option is part of the USPSTF’s latest recommendations, and along with the large number of hours the task force recommends for behavioral interventions, it has left some doctors frustrated. Several providers characterize the new recommendations as unrealistic or problematic.</p>\n<p></p>\n<p>The latest recommendations from the task force – a volunteer panel of independent medical experts – suggest that clinicians provide intensive behavioral interventions for children who are at least 6 years old with a high BMI, or refer children for such services.</p>\n<p></p>\n<p>A high BMI for a child is defined a little differently than it is for adults, although both use height and weight to estimate mass. A BMI of 30 or higher is within the obesity range for adults, but a child is considered to have a high BMI if they fall at or above the 95th percentile for their age and sex. That means the child’s BMI is higher than that of 95% of other kids of the same age or gender, based on growth charts from the US Centers for Disease Control and Prevention. Parents can use the CDC’s online calculator to estimate their child’s body fat percentage.</p>\n<p></p>\n<p>The USPSTF’s recommended interventions can include self-monitoring, goal-setting, supervised physical activity, instruction in healthier eating and limits on screen time. Providers can tailor these options to fit the patient and their family, the task force says, but the interventions should involve at least 26 hours in a calendar year and include supervised physical activity.</p>\n<p></p>\n<p>According to research that the USPSTF reviewed before making its recommendations, most children who were a part of such intensive programs experienced small weight loss and reductions in BMI after six months to a year. Those who did better spent a larger number of hours with the clinician and had physical activity as a part of their program.</p>\n<p></p>\n<p>A high BMI in children can lead to several significant and even life-threatening health conditions including diabetes, breathing issues, bone and joint problems, liver issues, skin problems, high blood pressure and high cholesterol, which itself may lead to heart diseases. Obesity can also make a child a target of bullying, affecting their emotional well-being and self-esteem.</p>\n<p></p>\n<p>Nearly 20% of children in the US have what’s considered a high BMI. The number of children with obesity has grown significantly, tripling over the past four decades, studies show.</p>\n<p></p>\n<p>The USPSTF recommendations help primary care providers determine what preventive care works and what doesn’t, and insurance companies use them to help decide what treatments to cover.</p>\n<p></p>\n<p>The task force gives its guidelines letter grades based on the most up-to-date science. Under the Affordable Care Act, private insurers must cover preventive services that get a grade of A or B; the new child obesity recommendations got a B grade.</p>\n<p></p>\n<p>Dr. Susma Vaidya, a pediatrician who runs a weight loss clinic at Children’s National Hospital in Washington, says intensive behavioral intervention is essential and important, but she thinks the recommendation of 26 hours per year – which averages out to an hour every other week – is a nearly impossible goal.</p>\n<p></p>\n<p>“Unfortunately, we don’t have the infrastructure currently to provide this intensive behavioral therapy management,” she said. “It’s very challenging for providers. It’s challenging for parents and for kids to be able to commit to that number of hours. And we know that the amount of BMI improvement can be fairly minimal.”</p>\n<p></p>\n<p>Dr. Mona Sharifi, an associate professor of pediatrics and biostatistics at the Yale School of Medicine, worked on the American Academy of Pediatrics guidelines that came out last year on helping doctors manage patients with obesity. She was happy to see that the USPSTF recommendations reiterate the strength of the evidence around intensive behavioral treatments, she said, but the group’s last two sets of recommendations on this topic – issued in 2010 and 2017 – were similar, and little has changed.</p>\n<p></p>\n<p>“Here we are 15 years later from the first version of these, and still, access to this kind of treatment is abysmal – and it might even be worse, really, post-pandemic,” Sharifi said.</p>\n<p></p>\n<p>Many programs remain inaccessible for the vast majority of children and adolescents who need them most, according to an editorial published alongside the latest guidelines Tuesday in the journal JAMA. Even the past recommendations are “still not routinely implemented in clinical practice,” wrote Dr. Thomas Robinson of the Stanford Solutions Science Lab and Department of Pediatrics and Dr. Sarah Armstrong, a professor of pediatrics and chief of the Division of General Pediatrics and Adolescent Health at Duke University Medical School.</p>\n<p></p>\n<p>Several highly effective pediatric programs also shut down during the pandemic and still haven’t returned, Sharifi said. Some doctors are trying to resurrect these programs, she said, but “in the absence of appropriate reimbursement from insurers, it’s just been really difficult.”</p>\n<p></p>\n<p>Dr. Justin Ryder, a pediatric obesity researcher with Stanley Manne Children’s Research Institute at Ann & Robert H. Lurie Children’s Hospital of Chicago, said that such a high benchmark as 26 hours could also mean insurers refuse to cover programs that are less intense.</p>\n<p></p>\n<p>“I’ve got huge problems with these recommendations,” he said. “I think that these recommendations really do a disservice to kids with obesity.”</p>\n<p></p>\n<p>Twenty-six hours of intervention is “extraordinarily difficult” to achieve in the clinical setting, he said. “In a primary care setting, it’s almost impossible.”</p>\n<p></p>\n<p>Lack of recommendations on surgery</p>\n<p>Some doctors are also critical of the USPSTF’s decision not to recommend surgery.</p>\n<p></p>\n<p>Although procedures such as bariatric surgeries are among the options that the American Academy of Pediatrics suggests doctors consider, the task force didn’t review the latest research on the matter, saying surgery is considered “outside the scope of the primary care setting.”</p>\n<p></p>\n<p>“Bariatric surgery has 10 years of data now in adolescents,” Ryder said. “It has some of the most robust and best long-term followup, as well as outcome data, in this patient population, and to not even mention it as a potential option, it’s a clear miss.”</p>\n<p></p>\n<p>Lack of recommendations on medication</p>\n<p>Some of the biggest disagreements with the recommendation involve weight-loss drugs, for which the USPSTF said “the totality of the evidence was found to be inadequate.”</p>\n<p></p>\n<p>However, the task force did examine studies involving the medications liraglutide, semaglutide, orlistat, phentermine and topiramate (sold under brand names such as Saxenda, Wegovy, Alli, Lomaira and Topamax, respectively).</p>\n<p></p>\n<p>In most trials, the medications were associated with larger BMI reductions than with placebos. But there wasn’t enough evidence to determine what effects they could have in the long term, said task force member Dr. John Ruiz, a professor of clinical psychology at the University of Arizona. The drugs also may come with side effects like nausea, vomiting and gallstones.</p>\n<p></p>\n<p>“There’s just such a limited set of studies done that one doesn’t know if those results are reliable and to whether they are generalizable,” he said. “And whether there’s any harms that have come about, particularly, in longer-term use of those medications. That would be important to know.”</p>\n<p></p>\n<p>Vaidya says the drugs have transformed her practice in Washington.</p>\n<p></p>\n<p>“I appreciate that these are children, and we are always very cautious about using medication, but these are FDA-approved medications, and sometimes, these medications facilitate a family or child’s ability to adhere to the lifestyle modifications that we also recommend,” she said.</p>\n<p></p>\n<p>Vaidya said she has seen children struggle for years to get to a healthy weight through lifestyle interventions alone before they finally get “unstuck” with the help of weight-loss medications.</p>\n<p></p>\n<p>“I think the role of pharmacotherapy, honestly, can’t be understated,” she said.</p>\n<p></p>\n<p></p>\n<p></p>\n<p></p>\n<p><b>--TEASE--</b></p>\n<p></p>\n<p><b>--SUPERS</b>--</p>\n<p></p>\n<p><b>--VIDEO SHOWS</b>--</p>\n<p></p>\n<p><b>--LEAD IN</b>--</p>\n<p></p>\n<p><b>--VO SCRIPT</b>--</p>\n<p></p>\n<p><b>--SOT</b>--</p>\n<p></p>\n<p><b>--TAG</b>--</p>\n<p></p>\n<p><b>--REPORTER PKG-AS FOLLOWS</b>--</p>\n<p></p>\n<p><b>-----END-----CNN.SCRIPT-----</b></p>\n<p></p>\n<p><b>--KEYWORD TAGS--</b></p>\n<p></p>\n<p><b>--MUSIC INFO---</b></p>\n<p></p>

ADVANCEMENTS IN ULTRA SOUND TECHNOLOGY ARE HELPING DOCTORS ANTICIPATE POTENTIAL COMPLICATIONS EARLIER.

FORD COLLECTION 8

FTG OF NEONATAL INTENSIVE CARE UNIT / EXT FTG OF STANFORD CHILDREN'S HOSPITAL FOR A CS VO ON MEDICAL RESEARCH