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The Trump administration is moving ahead with a visa rule change that will require some medical trainees to seek government approval to remain in the country long enough to finish their programs. The Department of Homeland Security’s policy change for F, J and I nonimmigrant visas was floated as a draft last August and finalized last week with a Sept. 15 effective date. (Muoio, 7/20)

Channing House, a senior living community just a mile from Stanford University, is home to pioneering scientists, tech executives and inventors. But during a recent meeting, its residents confronted a problem they felt powerless to fix: the sudden loss of their caregivers to immigration policies. “Our work force is being drastically disrupted, relationships are being severed and lives are being upended right now,” said Rhonda Bekkedahl, the center’s chief executive, who convened the gathering in June that was attended by about half of the 250 residents of the community in Palo Alto, Calif. (Jordan, 7/20)

The Agency for Healthcare Research and Quality (AHRQ) cut dozens of grants last week, issuing what appeared to be batch termination notices to researchers. Termination letters shared with MedPage Today and posted online had similar wording, noting that AHRQ "is adjusting its discretionary health services research award portfolio in order to better prioritize agency resources." (Fiore, 7/20)

The Trump administration will not renew direct federal funding of community-based organizations that work on HIV prevention, according to multiple groups impacted by the freeze. The move is the latest step in the administration’s push to eliminate funding for DEI-focused initiatives that help the LGBTQ community. (Cohen, 7/20)

The claims surrounding peptides are sweeping: They’re promoted as treatments for everything from faster healing to younger-looking skin, better sleep and even a longer life. The evidence is far less expansive. A Food and Drug Administration advisory panel is scheduled to meet Thursday and Friday to discuss whether to loosen restrictions on seven popular peptides, a move that would make it easier for compounding pharmacies to make them. (Lovelace Jr., 7/20)

Biotech companies are lobbying the Trump administration to exclude treatments for rare diseases from programs that lower brand drug prices in Medicare. (Wilkerson, 7/21)

The reference manual was partly funded by a grant from the National Science Foundation to the National Academies of Sciences, and the president wrote in his post that he was ordering officials to scrutinize the funding. “Our Taxpayers should not be funding Climate Fraud, and Judges should never have relied upon it,” Mr. Trump wrote. (Zraick, 7/20)

The U.S. Food ​and Drug Administration ‌on Monday said that ​traceback investigation ​data gathered as part ⁠of ​a probe into ​an outbreak of cyclosporiasis pointed to ​shredded ​iceberg lettuce from Taylor ‌Farms ⁠locations in central Mexico. The agency's latest statement ​came ​after ⁠it had concluded ​that tests ​on ⁠the lettuce showed a ⁠false ​positive. (7/20)

The Food and Drug Administration’s reversal on a key piece of its cyclosporiasis investigation has sparked confusion in the U.S., but the agency said Monday that it has not changed its main conclusions about the outbreak. The agency said Sunday a test that indicated a sample of iceberg lettuce supplied by Taylor Farms de Mexico carried the cyclospora parasite was a false positive. However, that only applies to one specific shipment of lettuce supplied by the company, which the agency does not believe was the vehicle that sickened more than 1,600 people and potentially thousands of others. (Gomez, Neelakandan and Peebles, 7/20)

The hard, and nauseating, truth about cyclospora is that it’s spread through human feces. Over decades of research, scientists have not found a single place aside from the human gut where the parasite grows. So now that we’re in the midst of the largest recorded outbreak in United States history, one has to ask: How did human excrement get into our food? (Callahan and Hopkins Legaspi, 7/21)

Cyclospora is chlorine-resistant, has no animal reservoir, and requires time in the environment (often via contaminated irrigation water) before it becomes infectious. (Hoban, 7/21)

Did the Food and Drug Administration really walk back its recall of Taylor Farms iceberg lettuce? Can I eat romaine instead? And what can I do if I want to eat my favorite foods from Taco Bell? (Sun, 7/21)

The death toll in Congo’s Ebola outbreak has risen to at least 930, the country’s Ministry of Health said on Monday, with 37 new deaths reported in a 24-hour span Friday into Saturday, one of the highest totals. ... At least 36 health workers infected with the virus have died. (7/20)

Kenyan activists on Monday accused authorities of violating a court order from last month halting the setting up of an American-backed Ebola quarantine center after reports surfaced that Americans were being quarantined in the country. (Musambi, 7/20)

Some people have fought Ebola containment measures in the Democratic Republic of Congo. Scholars have seen similar responses across societies and throughout history. (Fink, 7/20)

The mood inside the National Quarantine Unit was electric with despair and fury. It was May 17, six days after United States health officials had evacuated 18 Americans from the cruise ship at the center of a hantavirus outbreak that had killed three people, and taken them to the special facility in Omaha, Neb., for what they had said would be a quick 72-hour evaluation before the passengers could go home to quarantine. (Mandavilli, 7/21)

After an outbreak of Andes hantavirus on a cruise ship infected 11 people and killed three earlier this year, a review published last week in JAMA Neurology highlights the often-overlooked neurologic complications of hantavirus infection. Brain and nerve involvement is uncommon, but it can be severe and may require both acute and long-term neurologic care. (Bergeson, 7/20)

Some compounding pharmacies are making slight tweaks to the composition of their GLP-1s to sidestep an FDA ban on copying approved semaglutide and tirzepatide products, suggest the findings of a study published July 17 in JAMA Health Forum. Surging demand for GLP-1s led the FDA to add semaglutide, tirzepatide and liraglutide to its shortage list between 2022 and 2023, fueling a robust market for compounded versions sold through weight-loss clinics, medical spas, and telehealth platforms. However, the FDA has since declared the shortages resolved and banned compounders from producing exact copies of the branded drugs. (Bean, 7/20)

When Molly Taylor started taking Mounjaro in the fall of 2024, she marveled at the speed of results. She wasn’t overweight, but she hadn’t been comfortable in her body. Now, she could eat whatever she wanted, just in smaller portions, and people were complimenting her looks. She no longer felt self-conscious. Then her mindset began to shift. (O'Brien, 7/20)

One of Rhode Island’s most-wanted fugitives — a former doctor convicted of sexual assault but on the run for 20 years — appears to have been living a secret life as a biotech executive. (Feuerstein, 7/20)

The National Institutes of Health recently announced a remarkable achievement: the world’s largest database of human genomes, a repository of information that the agency says will help usher in a new era in personalized medicine. Scientists are already developing clinical tools and techniques based on genomic information gathered from the agency’s All of Us program. ... But there’s a glaring problem: The tools were trained overwhelmingly on the DNA of people of European descent, so they often fail to accurately assess risks for anyone else. (Baumgaertner Nunn, 7/20)

In a well-publicized case in 2016 that alerted many Americans to the rising threat of drug-resistant bacterial infections, the Centers for Disease Control and Prevention (CDC) and health officials in Nevada reported a bacterial infection in a 70-year-old woman that was resistant to all 26 of the antibiotics available to her doctors. (Dall, 7/20)

The number of Arizonans getting SNAP benefits has fallen by about half in less than a year, a remarkable drop in nutrition aid that may preview the program’s future nationwide following a landmark law to limit assistance that President Trump championed last year. (DeParle and Zehbrauskas, 7/20)

The State of Indiana has opted out of the SUN Bucks program for the second year, which Democratic state leaders and educators condemned because it takes away federal funding to support hungry children amid the state’s billions of dollars in surplus. (Kukulka, 7/20)

���ϳԹ��� News: A Deloitte-Run System Denied Medicaid Benefits For Michigan’s Disabled. Now Trump’s Law Piles On. 

Marie Noon takes eight medications a day. One keeps her heart rate from spiking to avoid a stroke. One prevents debilitating headaches. Another ensures she doesn’t retain excess fluid. More than a decade ago, Noon said, she was diagnosed with adult-onset Still’s disease, a rare type of inflammatory arthritis that can cause rashes, debilitating pain, and fevers. The disease upended her life. (Pradhan, Liss and Wells, 7/21)

The state of New Jersey has adopted a slate of reforms changing how hospitals handle allegations of substance use in pregnancy, becoming one of the first in the nation to require healthcare providers to confirm the results of drug tests before reporting new parents to child welfare authorities. The new regulations follow reporting by The Marshall Project and Reveal News, which found that hospitals around the U.S. routinely screen pregnant patients with drug tests that, while fast and cheap, are easily misinterpreted and have false positive results as high as 50%. The investigation found that, in 2024, not a single state required hospitals to confirm results with more precise tests before reporting patients to child welfare officials. (Walter and Castellano, 7/16)

Today he is a progressive Democrat calling for “Medicare for all,” the abolition of Immigration and Customs Enforcement and a federal right to abortion. But Troy Jackson got his start in politics as a Republican who was opposed to abortion rights and same-sex marriage. (Epstein and Reinhard, 7/21)

The state’s air monitors are often miles from its biggest polluters and residents have little way of knowing what they’re breathing. That’s no accident. (Alexander, 7/20)

The union for Baltimore firefighters is raising concerns about the lack of working air conditioning in some of the fire department’s vehicles. Union President Josh Fannon told The Baltimore Sun that many of the department’s reserve line apparatuses, or fire engines used when a “first line” vehicle has broken down, don’t have working air conditioning. (Trovato, 7/20)

Last month, the Virginia Association of First Responders hosted the three-day camp for kids ages 8 to 16 on Virginia Tech’s campus in Blacksburg. ... Though the camp focuses on being fun for the students, it also serves a vital role in inspiring the next generation of emergency responders. (Mangrum, 7/21)

���ϳԹ��� News: Severely Ill Prisoners Granted Early Release Are Left Stuck Behind Bars

Christian Alameda used a cane to push himself up out of bed in his cell at the Halawa Correctional Facility in Honolulu. He has been recovering in the prison’s medical infirmary since a January stroke left the right side of his body mostly paralyzed. (Mizuo, 7/21)

San Francisco is seeing a promising drop in overdose deaths this year after years of high death rates. Experts say there are many reasons why the city looks likely to see fewer deaths in 2026 and the city’s trendlines reflect a drop nationwide. Drug overdose deaths in San Francisco declined by 27% in the first six months of 2026 compared to the same period last year. (Brumer, 7/20)

���ϳԹ��� News: Leadership Vacuum: Agencies In New York And Beyond Pass The Buck On Opioid Cash Oversight 

Companies accused of recklessly marketing and distributing prescription opioid painkillers are paying roughly $58 billion to settle lawsuits over their role in fueling the addiction crisis. It’s a pot of gold eyed by addiction treatment providers, companies creating the latest opioid-related products, and government officials struggling to balance budgets. (Pattani, 7/21)

Children’s Hospital Colorado on Monday pleaded not guilty to allegations it has violated a court order to resume gender-affirming care for transgender youth. (Ingold, 7/20)

On July 4, Clover discovered that a hacker had broken into the accounts of three employees and could have accessed members’ personal and protected health information. (Parduhn, 7/20)

Without fail, David Liu of the Broad Institute gets at least 20 messages every week from desperate parents. Their child, they’ll explain, has an ultrarare and devastating disorder caused by a mutant gene. Can he help them develop a gene therapy? (Kolata, 7/21)

After a $50 million investment into an Arlington campus, Lake Erie College of Osteopathic Medicine opened Jacksonville’s first medical school on Friday. LECOM, which built its campus at Jacksonville University, hosted a ribbon-cutting to open its doors to around 75 students in osteopathic medicine, a field that focuses on whole-body care and preventive medicine. (Lister, 7/20)

Men are largely missing out on one of the hottest professions in the U.S. right now: nursing. For registered nurses alone, the Labor Department projects there will be 189,000 job openings each year for the next decade. But only 1 in 8 nurses are men. There have long been efforts to rewrite the script around nursing — to push back on the idea that it's women's work. Now, the economy is helping, too. (Hsu, 7/21)

Denny Sanford, the philanthropist who donated billions of dollars to the healthcare industry including his namesake Sanford Health, died Saturday. He was 90. (Kacik, 7/20)

The World Health Organization (WHO) released updated guidelines and evidence-based recommendations to help people reduce their risk of cognitive decline and dementia. The guidelines apply to adults with normal cognition or mild cognitive impairment. They are intended primarily for healthcare providers, though they may help policymakers to support population-level interventions, the WHO said. (George, 7/20)

Spouses of people with dementia had a higher risk of developing dementia themselves, a matched cohort study of nearly 1 million married people in Taiwan showed. (George, 7/20)

The number of former servicemembers enrolled in the Department of Veterans Affairs system who have had traumatic brain injuries spiked considerably in the last four years on record, new data from the department shows. (Donnelly, 7/20)

Only about 1 in 10 people in their 30s (11%) are recommended statins under the new guidelines, rising to 85% of people in their 60s and 94% of those in their 70s, the study showed. The people newly eligible for statins under the updated recommendations tend to have low short-term risk but higher long-term risk, researchers said. They have a less than 3% chance of heart attack or stroke within 10 years, but more than 10% within 30 years. (Thompson, 7/21)

Diet is one of the most important factors shaping health, but it’s surprisingly difficult for researchers to figure out what people eat. Researchers’ usual tools, like food frequency questionnaires or asking people to recall what they ate the day before, are tedious and expensive, said Christopher Gardner, a nutrition scientist at Stanford. Such efforts depend on people being candid and accurate; people forget about 15 to 20 percent of what they ate after a few days. (Bajaj, 7/20)

It’s easy to miss the cannabis beverages that line the refrigerated sections of grocery stores, bodegas, and delis throughout New York City. The rainbow-like array of cans — bearing names such as Oasis, Cann, Milonga, Cycling Frog, Tempter’s, Gigli, and Mighty Kind — often look indistinguishable from iced tea, probiotic sodas, and other wellness-coded “functional beverages” that share their shelf space. (Todd, 7/21)

An Australian woman gave birth last week to naturally conceived identical quadruplet girls who shared one placenta after splitting from one fertilized egg, in what doctors described as an extremely rare event. The woman, Jenitar Sau Na’amoana, 34, and her husband Jortham, have four children aged from 1 to 10, and had not planned on having any more, the Royal Brisbane and Women’s Hospital, where she gave birth, said in a statement on Monday. They were surprised to find they had naturally conceived the quadruplets, the hospital said. And the surprises kept coming. (Chung, 7/21)

Over the weekend, the Food and Drug Administration sent Americans trying to navigate the cyclospora outbreak into a tailspin. A day after Taylor Farms announced a voluntary recall of iceberg lettuce in 27 states — generating one set of alarming headlines — the FDA said that a test linking the company’s lettuce to the parasite had been wrong, leading to seemingly contradictory coverage. (Lisa Jarvis, 7/21)

"Thousands of cases" highlight barriers to interstate telemedicine care. (Steve Lopez, 7/18)

Covid fatigue is real, but policymakers and policy influencers need to wake up to something important: Post-pandemic polarization threatens to lock our memories into attractive, untrue conclusions that will leave us unprotected next time. (Marc Lipsitch and Sara Cody, 7/21)

The Trump administration is centralizing and politicizing science grantmaking to an unprecedented degree. Most recently, the Office of Management and Budget proposed a rule to require political appointees to review grants and ensure the projects they fund “demonstrably advance the President’s policy priorities” and do not “facilitate” any “initiatives that … promote anti-American values.” If the new rule takes effect, the government will be able to terminate a grant if it no longer “effectuate[s] … the national interest” — in other words, if it’s no longer to the president’s liking. (Doni Bloomfield, 7/21)

Science still points to acetaminophen as the safest choice for pain and fever during pregnancy. (Leana S. Wen, 7/21)