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Wednesday, April 12, 2023
Cameron Hood, Newsletter EditorJonathan Lambert
Public Health Reporter
Welcome to Grid Health, bringing you stories on the intersection of health with policy, politics, technology, misinformation and more. 

Most U.S. schools haven’t taken advantage of billions in available funding to upgrade their ventilation systems — leaving tens of millions of students in classrooms with substandard air quality. What’s behind this delay?

Also in today’s newsletter:  
  • What last week’s medication abortion rulings mean for access 
  • A new federal push for next-generation covid vaccines and treatments 
👋 I want to hear from you: If you’ve got thoughts about what else we should be covering, or questions about health in the news, send me them. 📩 

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FROM THE HEALTH DESK

In 2021, the federal government allocated gobs of money for schools — about $122 billion — to deal with the pandemic, with a special emphasis on upgrading outdated infrastructure to improve indoor air quality. But schools have been slow to make upgrades, according to a new report from the Centers for Disease Control and Prevention. That’s bad news for student health — and academic performance.

As I’ve reported before,
over 40 percent of school districts have outdated HVAC systems, leaving about 50 million students to breathe substandard air. Stagnant air can allow pathogens to become concentrated in classrooms as pupils exhale, making it easier to spread and catch viruses. But stuffy air is also linked to poor academic performance, as higher carbon dioxide levels can hamper focus. 

Schools have a range of options to improve indoor air. Simply keeping HVAC systems running throughout the day can boost ventilation rates, thereby cutting disease transmission and slightly improving cognitive performance. 

But only about half of schools reported maintaining continuous airflow since the pandemic began,
according to the CDC’s survey of over 8,000 districts, highlighting ongoing challenges in communicating the importance of ventilation. Only about a third of districts replaced or upgraded their systems, with just 28 percent deploying portable high-efficiency particulate air (HEPA) filters. 

Schools have until September 2024 to spend the $122 billion set aside by the American Rescue Plan, but the CDC report suggests the majority of districts aren’t prioritizing significant upgrades. It can take years of planning to make such changes, and many districts may not be aware of the significant benefits upgrading HVAC systems can provide, or might not have access to contractors who can do the work. One exception is high-poverty districts, which reported the highest rates of HVAC upgrades and classroom HEPA filter use, perhaps because systems in these districts were in greatest need of repair.

(Photo by MChe Lee/Unsplash)

WHAT WE’RE READING

🏛 Dueling medication abortion rulings: On Friday, a Texas judge issued a preliminary injunction that undoes the Food and Drug Administration’s 23-year-old approval of mifepristone, a drug used in over half of abortions in the United States. The decision could imperil access to mifepristone nationwide, but hours later, a judge in Washington state issued a conflicting ruling that would ensure access in some states. The dueling rulings create a legal quagmire, one likely to be resolved at the Supreme Court. STAT breaks down key questions on what the FDA might do till then, and what this could mean for other FDA-approved drugs.

💉 A federal push for next-gen covid vaccines: In 2020, Operation Warp Speed spurred the production of covid vaccines that are great at protecting against serious illness and death but less able to prevent infection. The Biden administration is launching a new program, with $5 billion, to develop new vaccines that produce more robust protection against infection and work against many variants,
the Washington Post reports. “Project Next Gen” also seeks to make new monoclonal antibodies, as viral evolution has rendered much of physicians’ existing arsenal useless.

💊 The Adderall supply squeeze: For over six months, patients who take Adderall to cope with ADHD have struggled to obtain the drug, creating serious problems for millions of Americans. The shortage stems from supply chain problems that have been exacerbated by how the government regulates production of the drug,
Vox reports

📈 The terrible pervasiveness of gun violence: 54 percent of Americans say that they or a family member has experienced gun violence,
according to a new Kaiser Family Foundation survey of over 1,200 adults. Black Americans are especially impacted, with 34 percent reporting that a family member had been killed by a firearm, while just 17 percent of White adults said the same.

👋 Thanks for reading. Until next week, take care. –Jon

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Cameron Hood and Lillian Barkley also contributed to this edition.
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