August 2023

Amazon is adding video telemedicine visits in all 50 states to a virtual clinic it launched last fall, as the e-commerce giant pushes deeper into care delivery.

Amazon said Tuesday that customers can visit its virtual clinic around the clock through Amazon’s website or app. There, they can compare prices and response times before picking a telemedicine provider from several options.

The clinic, which doesn’t accept insurance, launched last fall with a focus on text message-based consultations. Those remain available in 34 states.

Virtual care, or telemedicine, exploded in popularity during the COVID-19 pandemic. It has remained popular as a convenient way to check in with a doctor or deal with relatively minor health issues like pink eye.

Amazon says its clinic offers care for more than 30 common health conditions. Those include sinus infections, acne, COVID-19 and acid reflux. The clinic also offers treatments for motion sickness, seasonal allergies and several sexual health conditions, including erectile dysfunction.

It also provides birth control and emergency contraception.

Chief Medical Officer Dr. Nworah Ayogu said in a blog post that the clinic aims to remove barriers to help people treat “everyday health concerns.”

“As a doctor, I’ve seen firsthand that patients want to be healthy but lack the time, tools, or resources to effectively manage their care,” Ayogu wrote.

Amazon said messaging-based consultations cost $35 on average while video visits cost $75.

That’s cheaper than the cost of many in-person visits with a doctor, which can run over $100 for people without insurance or coverage that makes them pay a high deductible.

While virtual visits can improve access to help, some doctors worry that they also lead to care fragmentation and can make it harder to track a patient’s overall health. That could happen if a patient has a regular doctor who doesn’t learn about the virtual visit from another provider.

In addition to virtual care, Amazon also sells prescription drugs through its Amazon Pharmacy business and has been building its presence with in-patient care.

Earlier this year, Amazon also closed a $3.9 billion acquisition of the membership-based primary care provider One Medical, which had about 815,000 customers and 214 medical offices in more than 20 markets.

One Medical offers both in-person care and virtual visits.

Anti-monopoly groups had called on the Federal Trade Commission to block the deal, arguing it would endanger patient privacy and help make the retailer more dominant in the marketplace. The agency didn’t block the deal but said it won’t rule out future challenges.

That deal was the first acquisition made under Amazon CEO Andy Jassy, who took over from founder Jeff Bezos in 2021. Jassy sees health care as a growth opportunity for the company.
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Unknown gunmen killed two police officers in southwestern Pakistan in an attack Tuesday on polio vaccinators.

The deadly shooting occurred during a national immunization campaign in Quetta, the capital of Baluchistan province.

Area police officer Asif Marwat said that health workers were administering polio doses to children in the Nawa Killi area when two men riding a motorcycle opened fire on them and fled the scene.

The shooting left two police guards dead, but the polio vaccinators escaped unhurt, Marwat said. He added that the polio campaign in the area had been suspended.

There was no immediate claim of responsibility for the deadly shooting, but militant attacks against polio teams are not uncommon in Pakistan. The violence has killed scores of health workers and security forces escorting them.

Pakistan launched the latest polio vaccination drive Tuesday to eradicate the highly contagious virus in the country.

A polio program spokesperson told VOA the weeklong campaign aims to immunize nearly 8 million children under five across 61 districts, including those in Baluchistan. He said the government had deployed around 65,000 “front-line workers” to administer polio drops to the targeted population.

In conservative Pakistani rural areas, hardline religious groups have long opposed and viewed polio inoculation campaigns as a ploy to leave Muslim children infertile. Anti-state militants operating in Baluchistan and elsewhere in the country view polio vaccinators as government spies.

The propaganda against the vaccine and the deadly militant attacks have set back Pakistan’s efforts to eradicate the crippling disease.

The South Asian country of about 230 million people has detected only one case of polio paralysis in a child so far in 2023 compared to 20 victims last year.

The highly contagious virus used to paralyze thousands of children annually in Pakistan until the 1990s when authorities launched internationally supported nationwide vaccination campaigns.
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There are now more golden lion tamarins bounding between branches in the Brazilian rainforest than at any time since efforts to save the species started in the 1970s, a new survey reveals.

Once on the brink of extinction, with only about 200 animals in the wild, the population has rebounded to around 4,800, according to a study released Tuesday by the Brazilian science and conservation nonprofit Golden Lion Tamarin Association.

“We are celebrating, but always keeping one eye on other threats, because life’s not easy,” said the nonprofit’s president, Luís Paulo Ferraz.

Golden lion tamarins are small monkeys with long tails and copper-colored fur that live in family groups led by a mated pair. Usually, they give birth annually to twins, which all family members help to raise by bringing them food and carrying them on their backs.

The monkeys, which live only in Brazil’s Atlantic Forest, are still considered endangered.

The population survey was conducted over roughly a year. Researchers went to specific locations and checked whether monkeys responded to recordings of the tamarins’ long call, which basically means “I’m here. Are you there?” said James Dietz, a biologist and president of the U.S.-based nonprofit Save the Golden Lion Tamarin.

The new population figures are notable because the species had experienced a sharp decline from a yellow fever outbreak. In 2019, there were 2,500 monkeys, down from 3,700 in a 2014 survey.

Scientists intervened by vaccinating more than 370 monkeys against yellow fever, using shots adapted from a formula for humans — a fairly novel approach for conservation.

Scientists “cannot pinpoint a single exact cause for the recovery,” but believe several factors may be at play, said Carlos R. Ruiz-Miranda, a State University of Northern Rio de Janeiro biologist who advised on the population study.

Firstly, the yellow fever outbreak has subsided, perhaps due to a combination of the virus’ natural cycle and the vaccination campaign.

The animals may also be benefiting from an increase in forest habitat, said Dietz, who is also a research associate at the Smithsonian Institution’s Conservation Biology Institute. Between 2014 and 2022, the amount of connected forest habitat increased 16%, mostly through forests regrown on converted cattle pasture, he said.

Currently about three dozen farmers and ranchers in the Atlantic Forest region participate in such reforestation programs.

“It makes me so happy to see the tamarins playing free on my farm. They don’t only live in protected areas,” said Ayrton Violento, a farmer and entrepreneur in the small city of Silva Jardim. His family’s Fazenda dos Cordeiros has planted native fruit trees and also manages a tree nursery for native Atlantic Forest seedlings to plant on other farms.

“Recently, every year I see more tamarin families, more frequently,” he said.

Ferraz, of the nonprofit Golden Lion Tamarin Association, said that despite the good news, he was still concerned about a renewed risk of trafficking for the illegal pet trade. The problem was rampant in the 1960s, but had almost disappeared in recent decades due to enforcement.

In July, the anti-poaching nonprofit Freeland Brazil reported that Suriname’s forest service had seized seven golden lion tamarins and 29 endangered Lear’s macaws believed to have been trafficked from Brazil for sale in Europe.

“We have seen the resilience of the species, but also know they are still vulnerable,” said Ferraz.
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The commission that enforces U.S. election rules will not be regulating AI-generated deepfakes in political advertising ahead of the 2024 presidential election. Deana Mitchell has our story.
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