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Latest Mental Health http://golegogo.com/cialis-cost/ News buy cialis online safely FRIDAY, Jan. 22, 2021 (HealthDay News)Deaths from overdoses of methamphetamine are rising across the United States, especially among Blacks and American Indians/Alaska Natives, a new study warns."While much attention is buy cialis online safely focused on the opioid crisis, a methamphetamine crisis has been quietly, but actively, gaining steam -- particularly among American Indians and Alaska Natives, who are disproportionately affected by a number of health conditions," said researcher Dr. Nora Volkow, director of the U.S. National Institute on Drug Abuse (NIDA).The researchers found that fatal meth overdoses more than quadrupled among American Indians and Alaska Natives from 2011 to 2018 buy cialis online safely (from 5 to 21 per 100,000 people). In this group, deaths for men rose from nearly 6 to 26 per 100,000 and from nearly 4 to 16 per 100,000 among women.Black Americans, too, are experiencing a big upsurge in meth overdoses, according to the NIDA report.

That's a worrying trend in a group that previously had very low rates of methamphetamine buy cialis online safely overdose deaths.However, meth-linked deaths are rising among all Americans, NIDA says. Overall, fatal OD rates rose from less than 2 to 10 per 100,000 men, and from 0.8 to 4.5 per 100,000 women -- a more than fivefold increase from 2011 to 2018, the report found.These findings, published Jan. 20 in JAMA Psychiatry, highlight the need to develop prevention and treatment strategies that target specific cultures, the researchers said.Decreased access to education, high rates of poverty and discrimination are among factors that contribute to health disparities for American Indians and Alaska Natives, the study authors noted."American Indian and Alaska Native populations experience structural disadvantages, but have buy cialis online safely cultural strengths that can be leveraged to prevent methamphetamine use and improve health outcomes for those living with addiction," Volkow added in an NIDA news release.A holistic approach to wellness is a deeply rooted tradition among some American Indian and Alaska Native groups, such as talking circles and ceremonies. Using these traditions and other community-based approaches may be a way to help prevent drug use among young people, the study team suggested.According to researcher buy cialis online safely Dr. Beth Han, also from NIDA, "Identifying populations that have a higher rate of methamphetamine overdose is a crucial step toward curbing the underlying methamphetamine crisis.

By focusing on the unique needs of individuals and developing culturally tailored interventions, we can begin to move away buy cialis online safely from one-size-fits-all approaches and toward more effective, tailored interventions."There was a bit of recent good news when it comes to methamphetamine addiction. A pair of prescription drugs, taken together, appears to help patients significantly reduce their meth use, or quit altogether. A trial into the treatment was buy cialis online safely published Jan. 14 in the New England Journal of Medicine.Volkow said the "synergistic" power of using this combo of drugs -- bupropion and naltrexone -- is good news, amounting to the largest effect seen from a large, randomized clinical trial in the treatment of methamphetamine use disorder.More informationFor more on methamphetamine, head to the U.S. National Institute buy cialis online safely on Drug Abuse.SOURCE.

U.S. National Institute on Drug Abuse, news release, Jan. 20, 2021Steven ReinbergCopyright © 2020 HealthDay. All rights reserved. QUESTION What are opioids used to treat?.

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€˜None of us will Where to buy generic cialis be safe until cialis doesnt work everyone is safe. Global access to erectile dysfunction treatments, tests and treatments for everyone who needs them, anywhere, is the cialis doesnt work only way out’. This statement by Dr Tedros Adhanom Ghebreyesus, Director-General of the WHO and Ursula von der Leyen, President of the European Commission1 has become the rallying call for erectile dysfunction treatment vaccination. The success cialis doesnt work of a safe and efficacious erectile dysfunction treatment depends just not only on production and availability but also crucially on uptake.In countries such as the UK where erectile dysfunction treatment prioritisation and rollout are proceeding quickly, attitudes to vaccination have rapidly become a priority.2 treatment hesitancy (‘behavioural delay in acceptance or refusal of treatments despite availability of treatment services’)3 is not a single entity. Reasons vary and there is a continuum from complete acceptance to refusal cialis doesnt work of all treatments, with treatment hesitancy lying between the two poles.

Factors involved include confidence (trusting or not the treatment or provider), complacency (seeing the need or value of a treatment) and convenience (easy, convenient access to the treatment).3 4 Importantly, attitudes to vaccination can change and people who are initially hesitant can still come to see a treatment’s safety, efficacy and necessity.5Developing strategies to address hesitancy is key.6 The expedited development and relative novelty of the erectile dysfunction treatments have led to public uncertainty.4 In addition, efforts to explain the mode of action of these treatments involve a degree of complexity (eg, immune response and genetic mechanisms), which is difficult to communicate quickly and simply. There are genuine knowledge voids (eg, long-term safety data), which cialis doesnt work in some cases have been filled with misinformation.7 Recent studies have assessed potential acceptance rates specifically for the erectile dysfunction treatment. A UK study of more than 5000 adults using a validated scale found 71.7% were willing to be vaccinated, 16.6% were very unsure and 11.7% were strongly hesitant, with hesitancy relatively evenly spread across the population.8 Willingness to take a treatment was closely bound to recognition of the collective importance of this decision as well as beliefs about the likelihood of erectile dysfunction treatment , the efficacy, speed of development and side cialis doesnt work effects of the treatment. This implies that public information emphasising social benefits may be especially effective, at least in a majority of a population, and information that encourages mistrust or undermines social cohesion will lower treatment uptake.We also need to consider more focused strategies about treatment hesitancy for particular groups, including those groups who are most at risk of hesitancy and severe course of illness. As mental health clinicians, we assessed the impact of mental health conditions on erectile dysfunction treatment hesitancy and searched for current guidance in this area using a validated approach.9 We found that there is currently no specific guidance in addressing treatment hesitancy cialis doesnt work in those with mental health difficulties,10 although it is recognised that this is a high-risk group who should be monitored.

People with mental health issues, cialis doesnt work particularly with severe mental illness (SMI), are at particular risk both for with erectile dysfunction treatment and for more severe complications and higher mortality.11 Historically, the uptake of similar treatments such as the influenza treatment in those with SMI can be as low as 25%,12 and so, similar to other low uptake groups, focused efforts are needed to increase this. Suggestions for change include offering specific discussions from mental health professionals and peer workers, treatment education and awareness focused for those with SMI, vaccination programmes within mental health services (with coexistent organisational change to facilitate this), alignment with other preventative health strategies (such as influenza vaccination, smoking cessation, metabolic monitoring), focused outreach and monitoring uptake.13Monitoring of vulnerable groups treatment uptake itself presents problems. In the example of the UK, monitoring of treatment coverage of most routine immunisation programmes relies on cialis doesnt work data extracted from primary care systems. To monitor cialis doesnt work vulnerable groups, the data need to be specifically recorded. For example, Public Health England’s national immunisation equity audit in 2019 identified inequalities in uptake by a number of important variables (such as age, geography, ethnicity) but could not assess others including mental illness due to a lack of systematically collected data.14 Inequalities that were assessed by the audit were not only in overall coverage but also in timing of treatments and completion of treatment schedules.

In addition, cialis doesnt work the extent of a particular inequality varies when it intersects with one or more other factors. In the case of mental illness, multiple long-term conditions across mental and physical health domains as well as socio-economic factors means that both vulnerability and inequality are likely to be additive.11 However, treatment impact may be greater among the most vulnerable despite lower treatment uptake because the baseline absolute risk is so high.15 Therefore, in the context of a erectile dysfunction treatment programme, even if treatment uptake falls short in cialis doesnt work some high-risk groups, even small increases in treatment uptake will still have significant health benefits.14Uptake of vaccination is crucial both for the individual and protection of others. It is in everyone’s interests to ensure that groups where a low uptake is predicted have extra care and input. At the moment there is little formal guidance on how to support those with mental health issues to access clear and cialis doesnt work reliable information, and practical and easy access to vaccination for those who are willing. If we are to ensure that ‘everyone is safe’, we need a concerted and global effort16 to guide and focus strategies to support and inform those who are both potentially most hesitant and most vulnerable, including and prioritising those with mental health difficulties..

€˜None of buy cialis online safely Where to buy generic cialis us will be safe until everyone is safe. Global access to erectile dysfunction treatments, tests and treatments for everyone who needs them, anywhere, is the only way out’ buy cialis online safely. This statement by Dr Tedros Adhanom Ghebreyesus, Director-General of the WHO and Ursula von der Leyen, President of the European Commission1 has become the rallying call for erectile dysfunction treatment vaccination. The success of a safe and efficacious erectile dysfunction treatment depends just not only on production and availability but also crucially on uptake.In countries such as buy cialis online safely the UK where erectile dysfunction treatment prioritisation and rollout are proceeding quickly, attitudes to vaccination have rapidly become a priority.2 treatment hesitancy (‘behavioural delay in acceptance or refusal of treatments despite availability of treatment services’)3 is not a single entity. Reasons vary and buy cialis online safely there is a continuum from complete acceptance to refusal of all treatments, with treatment hesitancy lying between the two poles.

Factors involved include confidence (trusting or not the treatment or provider), complacency (seeing the need or value of a treatment) and convenience (easy, convenient access to the treatment).3 4 Importantly, attitudes to vaccination can change and people who are initially hesitant can still come to see a treatment’s safety, efficacy and necessity.5Developing strategies to address hesitancy is key.6 The expedited development and relative novelty of the erectile dysfunction treatments have led to public uncertainty.4 In addition, efforts to explain the mode of action of these treatments involve a degree of complexity (eg, immune response and genetic mechanisms), which is difficult to communicate quickly and simply. There are genuine knowledge voids (eg, long-term safety data), which in some cases have been filled with misinformation.7 Recent studies have assessed potential acceptance rates specifically buy cialis online safely for the erectile dysfunction treatment. A UK study of more than 5000 adults using a buy cialis online safely validated scale found 71.7% were willing to be vaccinated, 16.6% were very unsure and 11.7% were strongly hesitant, with hesitancy relatively evenly spread across the population.8 Willingness to take a treatment was closely bound to recognition of the collective importance of this decision as well as beliefs about the likelihood of erectile dysfunction treatment , the efficacy, speed of development and side effects of the treatment. This implies that public information emphasising social benefits may be especially effective, at least in a majority of a population, and information that encourages mistrust or undermines social cohesion will lower treatment uptake.We also need to consider more focused strategies about treatment hesitancy for particular groups, including those groups who are most at risk of hesitancy and severe course of illness. As mental health clinicians, we assessed the impact of mental health conditions on erectile dysfunction treatment hesitancy and searched for current guidance in this area using a validated approach.9 We found that there is buy cialis online safely currently no specific guidance in addressing treatment hesitancy in those with mental health difficulties,10 although it is recognised that this is a high-risk group who should be monitored.

People with mental health issues, particularly with severe mental illness (SMI), are at particular risk both for with erectile dysfunction treatment and for more severe complications and higher mortality.11 Historically, the uptake of similar treatments such as the influenza treatment in those with SMI can buy cialis online safely be as low as 25%,12 and so, similar to other low uptake groups, focused efforts are needed to increase this. Suggestions for change include offering specific discussions from mental health professionals and peer workers, treatment education and awareness focused for those with SMI, vaccination programmes within mental health services (with coexistent organisational change to facilitate this), alignment with other preventative health strategies (such as influenza vaccination, smoking cessation, metabolic monitoring), focused outreach and monitoring uptake.13Monitoring of vulnerable groups treatment uptake itself presents problems. In the example of the UK, monitoring of treatment coverage of most routine immunisation programmes relies on data extracted from primary care buy cialis online safely systems. To monitor vulnerable buy cialis online safely groups, the data need to be specifically recorded. For example, Public Health England’s national immunisation equity audit in 2019 identified inequalities in uptake by a number of important variables (such as age, geography, ethnicity) but could not assess others including mental illness due to a lack of systematically collected data.14 Inequalities that were assessed by the audit were not only in overall coverage but also in timing of treatments and completion of treatment schedules.

In addition, the extent of a particular inequality varies when it buy cialis online safely intersects with one or more other factors. In the case of mental illness, multiple long-term conditions across mental and physical health domains as well as socio-economic factors means that both vulnerability and inequality are likely to be additive.11 However, treatment impact may be greater among the most vulnerable despite lower treatment uptake because the baseline absolute risk is so high.15 Therefore, in buy cialis online safely the context of a erectile dysfunction treatment programme, even if treatment uptake falls short in some high-risk groups, even small increases in treatment uptake will still have significant health benefits.14Uptake of vaccination is crucial both for the individual and protection of others. It is in everyone’s interests to ensure that groups where a low uptake is predicted have extra care and input. At the moment there buy cialis online safely is little formal guidance on how to support those with mental health issues to access clear and reliable information, and practical and easy access to vaccination for those who are willing. If we are to ensure that ‘everyone is safe’, we need a concerted and global effort16 to guide and focus strategies to support and inform those who are both potentially most hesitant and most vulnerable, including and prioritising those with mental health difficulties..

What may interact with Cialis?

Do not take Cialis with any of the following medications:

  • nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin

Cialis may also interact with the following medications:

  • certain drugs for high blood pressure
  • certain drugs for the treatment of HIV or AIDS
  • certain drugs used for fungal or yeast s, like fluconazole, itraconazole, ketoconazole, and voriconazole
  • certain drugs used for seizures like carbamazepine, phenytoin, and phenobarbital
  • grapefruit juice
  • macrolide antibiotics like clarithromycin, erythromycin, troleandomycin
  • medicines for prostate problems
  • rifabutin, rifampin or rifapentine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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Read fast-track articles.Editorial BoardInformation for AuthorsSubscribe to this TitleInternational Journal of Tuberculosis generic cialis 10mg online and Lung DiseasePublic Health ActionIngenta Connect is not responsible for the content or availability of external websitesBACKGROUND does cialis work the first time you take it. Understanding how TB case notification rates (TB-CNR) change with TB screening and their association with underlying TB incidence/prevalence could inform how they are best used to monitor screening impact.METHODS. We undertook a systematic review to identifyarticles published between 1 January 1980 and 13 April 2020 on TB-CNR trends associated with TB screening in the general-population. Using a simple compartmental TB transmission model, we modelled TB-CNRs, incidence and prevalence dynamics during 5 years does cialis work the first time you take it of screening.RESULTS.

Of27,282 articles, seven before/after studies were eligible. Two involved population-wide screening, while five used targeted screening. The data suggest does cialis work the first time you take it screening was associated with initial increases in TB-CNRs. Increases were greatest with population-wide screening, where screening identifieda large proportion of notified people with TB.

Only one study reported on sustained screening. TB-CNR trends were compatible with does cialis work the first time you take it model simulations. Model simulations always showed a peak in TB-CNRs with screening. Following the peak, TB-CNRs declined but were typically sustained above baselineduring the intervention.

Incidence and prevalence decreased during does cialis work the first time you take it the intervention. The relative decline in incidence was smaller than the decline in prevalence.CONCLUSIONS. Published data on TB-CNR trends http://www.ec-prot-obermodern-zutzendorf.ac-strasbourg.fr/?p=2604 with TB screening are limited. These data are does cialis work the first time you take it needed to identify generalisablepatterns and enable method development for inferring underlying TB incidence/prevalence from TB-CNR trends.No Reference information available - sign in for access.

No Article MediaNo MetricsKeywords:active case-finding;community TB;enhanced case-finding;incidence;mathematical modelling;prevalenceDocument Type. Research ArticleAffiliations:1. London School of Hygiene & does cialis work the first time you take it. Tropical Medicine, London, UK, Zambart, University of Zambia School of Public Health, Ridgeway, Zambia 2.

School of Health and Related Research, University of Sheffield, Sheffield, UK 3. London School of Hygiene & does cialis work the first time you take it. Tropical Medicine, London, UKPublication date:01 December 2021More about this publication?. The International Journal of Tuberculosis and Lung Disease (IJTLD) is for clinical research and epidemiological studies on lung health, including articles on TB, TB-HIV and respiratory diseases such as erectile dysfunction treatment, asthma, COPD, child lung health and the hazards of tobacco and air pollution.

Individuals and institutes can subscribe to the IJTLD online does cialis work the first time you take it or in print – simply email us at [email protected] for details. The IJTLD is dedicated to understanding lung disease and to the dissemination of knowledge leading to better lung health. To allow us to share scientific research as rapidly as possible, the IJTLD is fast-tracking the publication of certain articles as preprints prior to their publication. Read fast-track articles.Editorial BoardInformation for AuthorsSubscribe to this TitleInternational Journal of Tuberculosis and Lung DiseasePublic Health ActionIngenta Connect is not responsible for the content or availability of external websites.

The International Journal of Tuberculosis and Lung Disease (IJTLD) is for clinical research and epidemiological studies on lung health, including articles on TB, TB-HIV and respiratory diseases such as erectile dysfunction treatment, buy cialis online safely asthma, COPD, child lung health and the hazards of tobacco and air pollution. Individuals and institutes can subscribe to the IJTLD online or in print – simply email us at [email protected] for details. The IJTLD is dedicated to understanding lung disease and to the dissemination of knowledge leading to better lung health.

To allow us to share scientific research as rapidly buy cialis online safely as possible, the IJTLD is fast-tracking the publication of certain articles as preprints prior to their publication. Read fast-track articles.Editorial BoardInformation for AuthorsSubscribe to this TitleInternational Journal of Tuberculosis and Lung DiseasePublic Health ActionIngenta Connect is not responsible for the content or availability of external websitesBACKGROUND. Understanding how TB case notification rates (TB-CNR) change with TB screening and their association with underlying TB incidence/prevalence could inform how they are best used to monitor screening impact.METHODS.

We undertook a buy cialis online safely systematic review to identifyarticles published between 1 January 1980 and 13 April 2020 on TB-CNR trends associated with TB screening in the general-population. Using a simple compartmental TB transmission model, we modelled TB-CNRs, incidence and prevalence dynamics during 5 years of screening.RESULTS. Of27,282 articles, seven before/after studies were eligible.

Two involved population-wide screening, while five used buy cialis online safely targeted screening. The data suggest screening was associated with initial increases in TB-CNRs. Increases were greatest with population-wide screening, where screening identifieda large proportion of notified people with TB.

Only one buy cialis online safely study reported on sustained screening. TB-CNR trends were compatible with model simulations. Model simulations always showed a peak in TB-CNRs with screening.

Following the peak, TB-CNRs declined but were typically sustained buy cialis online safely above baselineduring the intervention. Incidence and prevalence decreased during the intervention. The relative decline in incidence was smaller than the decline in prevalence.CONCLUSIONS.

Published data on TB-CNR trends with TB screening are limited buy cialis online safely. These data are needed to identify generalisablepatterns and enable method development for inferring underlying TB incidence/prevalence from TB-CNR trends.No Reference information available - sign in for access. No Article MediaNo MetricsKeywords:active case-finding;community TB;enhanced case-finding;incidence;mathematical modelling;prevalenceDocument Type.

Research ArticleAffiliations:1 buy cialis online safely. London School of Hygiene &. Tropical Medicine, London, UK, Zambart, University of Zambia School of Public Health, Ridgeway, Zambia 2.

School of Health and Related Research, University of Sheffield, Sheffield, buy cialis online safely UK 3. London School of Hygiene &. Tropical Medicine, London, UKPublication date:01 December 2021More about this publication?.

The International Journal of Tuberculosis and Lung Disease (IJTLD) is for clinical research and epidemiological studies on lung health, including articles on TB, TB-HIV and respiratory diseases such as erectile dysfunction treatment, asthma, COPD, child lung health and the hazards of tobacco and air pollution.

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The ferocity cialis safe online of the erectile dysfunction treatment cialis did what Black Pittsburgh — communities that make up a quarter of the city’s population — thought http://emukconsultancy.co.uk/levitra-tablet-buy-online/ impossible. It shook the norms. Black researchers, medical professionals and allies knew that people of color, even before erectile dysfunction treatment, experienced bias in public health policy cialis safe online. As the deadly cialis emerged, data analysts from Carnegie Mellon and the University of Pittsburgh, foundation directors, epidemiologists and others pooled their talents to configure databases from unwieldy state data to chart erectile dysfunction treatment cases.

Their work documented yet another life-threatening disparity between white and Black Pittsburgh. People of color were at cialis safe online higher risk of catching the deadly cialis and at higher risk of severe disease and death from that . More than 100 weeks after advocates began pinging and ringing one another to warn of the cialis’ spread, these volunteers are the backbone of the Black Equity Coalition, a grassroots collaboration that scrapes government data and shares community health intel. About a dozen members of its data team of 60 meet twice weekly to study hospitalization rates and employment statistics.

Social media advisers turned health equity into a buzzy online effort, with videos and cialis safe online weekly Facebook town halls, to encourage vaccinations. Local ministries are consulted, and volunteers take surveys at pop-up clinics, sponsored by other groups, at barbershops and hair salons. Elected lawmakers seek its counsel. €œWe came together because we were concerned about saving lives,” said Tiffany Gary-Webb, associate dean for diversity and inclusion at the cialis safe online University of Pittsburgh, who oversees the data effort.

€œIt evolved, with us realizing we can do more than address erectile dysfunction treatment.” Advocates within the Black Equity Coalition ― a grassroots collaboration of volunteers, community leaders, and data analysts ― gather to discuss their ongoing mission to uncover the life-threatening disparities between white and Black Pittsburgh. (Left to right) Karen Abrams, Tiffany Gary-Webb, Fred Brown and Mark Lewis(Martha Rial for KHN) erectile dysfunction treatment ravaged communities across the United States — more than 787,000 Americans have died, including Colin Powell, the first Black secretary of state and a decorated Army general — and laid bare how marginalized populations lose out in the scrum for public health dollars and specific populations were left vulnerable. Months before the cialis cialis safe online began, the Rev. Ricky Burgess led the Pittsburgh City Council to declare racism a public health crisis.

€œInstitutional racism is for real,” the councilman said in a recent interview. €œYou are talking about generational cialis safe online disproportional investment and generational disproportional treatment. And it impacts all that you see.” The erectile dysfunction treatment cialis proved how structural inequities have been missed or ignored, Burgess said. €œI’ve lost friends, family and a lot of church members.

My son had cialis safe online erectile dysfunction treatment. For me it’s personal,” he said. €œI knew immediately it would have a disproportionate effect.” In 2020, erectile dysfunction treatment reduced overall U.S. Life expectancy by 1.5 years, cialis safe online according to the National Center for Health Statistics.

Black and Hispanic people fared the worst, losing more than three years in life expectancy. White people saw a 1.2-year drop. Using county data, the Black Equity researchers found a sobering racial gap in cialis safe online the Pittsburgh area. Black residents of Allegheny County saw disproportionate hospitalization rates — and were more likely to land in the ICU or on a ventilator — in the cialis.

Weekly hospitalization rates were higher during surges of in April, July and December 2020 and again in March and October 2021. Deaths, too, were disproportionate but fluctuated after cialis safe online December 2020. For much of the cialis, death rates were higher for African Americans than for other racial groups, the coalition said. €˜It’s All a Shade of Bad’ Kellie Ware has long considered health inequity a deadly problem.

She graduated from Pittsburgh public schools, left for law school in cialis safe online Boston, and months before erectile dysfunction treatment began its global assault she was working in her hometown mayor’s office as an equity and diversity policy analyst. Ware was at her desk in late 2019 when her phone started ringing. A damning report, compiled by university sociologists and the city’s gender commission, had yet again detailed glaring disparities. The blandly titled report, “Pittsburgh’s Inequality Across Gender and Race,” jolted emotions in the city of 303,000 people — and underscored how health disparities track cialis safe online with income.

Among the findings. Black people in Pittsburgh earned far less than their white neighbors and suffered far worse from disease. For every dollar white men earned, the report found, Black women earned cialis safe online 54 cents, making them five times as likely to live in poverty as white men. With notably higher cardiovascular disease and cancer rates, Black residents’ life expectancy was about eight years less than white Pittsburghers’.

The report sparked a furor, which Ware met with perspective shaped over years away from the former steel town. €œThe report was factual,” Ware said, “but I cialis safe online know this. There’s not a ton of places where it’s great to be a Black woman. Those earnings?.

It’s 54 cents to a cialis safe online dollar for women in Pittsburgh. It’s 68 cents nationally. It’s all a shade of bad.” Kellie Ware is the director of community partnerships and sustainability for the Forbes Funds. A Pittsburgh cialis safe online native, Ware worked in the mayor’s office as an equity and diversity policy analyst months before erectile dysfunction treatment began its global assault.

(Martha Rial for KHN) Karen Abrams is a program officer for Heinz Endowments, a foundation in Pittsburgh that spends $70 million a year on community programs. (Martha Rial for KHN) The first signs of the cialis supercharged Ware and others. As erectile dysfunction treatment devastated New York in March 2020, Karen Abrams, a program officer at the cialis safe online Heinz Endowments, a foundation in Pittsburgh that spends $70 million a year on community programs, began connecting the dots in texts and calls with nonprofits, business owners and university researchers. erectile dysfunction treatment spread quickly in dense multi-generational households and in Black neighborhoods in Chicago, Washington, New Orleans and Detroit.

Abrams was among the advocates in Pennsylvania who watched county and state health systems race to prepare and who feared that Black residents would be underserved. In Philadelphia, early on in the cialis, volunteer doctors in mobile units began distributing protective equipment and erectile dysfunction treatment tests in Black cialis safe online neighborhoods. In Pittsburgh, Abrams asked tech-minded allies to document the reality of erectile dysfunction treatment in Pittsburgh. €œWe intuitively knew what was happening,” she said cialis safe online.

€œBut without that data, we couldn’t target our attention and know who needed the help most.” Within days, volunteers were on daylong rounds of video calls and appealing to county and state bureaucrats for more race-based statistics to bolster their research. Fred Brown, president of the nonprofit Forbes Funds, and Mark Lewis, who heads the Poise Foundation, were stalwarts of a “huddle,” a core of longtime advocates who eventually founded the coalition. Fred Brown is the president and CEO of the Forbes Funds, which assists the Pittsburgh area’s human services cialis safe online and community-based nonprofits in building their management capacity and outreach. (Martha Rial for KHN) Mark Lewis is president and CEO of the Poise Foundation, which supports Pittsburgh’s Black community through collective giving, grant-making and advocacy.

(Martha Rial for KHN) Brown emphasized pulling labor statistics to show that the essential workers keeping the city running — among them nursing homes aides and home care staff — were overwhelmingly Black or Latino. Mapping erectile dysfunction treatment cialis safe online testing centers and analyzing data proved sobering, he said. It turned out that the people most likely to be tested lived in Pittsburgh’s predominately white neighborhoods. Largely employed in tech, academia and finance, they could easily adapt to lockdowns.

They had round-the-clock internet at home and cialis safe online could afford food deliveries to limit the chance of . Later, they could access treatments quicker. €œThe communities that had the most tests were the affluent ones,” Brown said. And those with the fewest cialis safe online “were the most resilient, the people who had to go out there and work.” Lewis, a certified public accountant who spent years as a corporate auditor, focused on standards.

County and state health professionals worked mightily to control the spread of erectile dysfunction treatment but didn’t always gather data to ensure fairness in distribution, he said. €œWe realized that, as testing was done, it was not being recorded by race,” Lewis said. €œWhy?. A lot of the issue was — at the state and the local level — there was no requirement to collect it.” Gary-Webb said researchers had a sense of where the inequities would be found because they knew the neighborhoods.

They first layered in percentages of Black families in poverty as well as data on the locations of federally qualified health centers to advise health authorities on where and when to increase testing. University and nonprofit researchers found anomalies as they worked. For instance, race was noted on some testing data, with patients designated as Black, white or, inexplicably, unknown. The “unknowns” were a significant percentage.

So researchers began layering additional census, labor and ZIP code data, to identify neighborhoods, even streets, at risk. The ZIP code data took months to shake loose from state databases, largely because government software was slow in the fast-moving cialis and government data was not updated regularly or formatted in ways that could be easily shared. Their efforts paid off. The group was able to winnow down Allegheny County records that omit race to 12% of positive erectile dysfunction treatment cases.

37% of statewide records are missing race details, the coalition reported. Robert Gradeck, who runs the Western Pennsylvania Regional Data Center, a data collaborative managed by the University of Pittsburgh, said erectile dysfunction treatment should play a lasting role in improving public health reporting. €œWe kept thinking. What can we learn from this?.

€ Gradeck said. €œIt’s not that you can’t answer questions. But you can answer only part of them.” Robert Gradeck manages the Western Pennsylvania Regional Data Center, an open-data collaboration nonprofit and one of the Black Equity Coalition’s early allies. (Martha Rial for KHN) Among the top recommendations to health authorities.

Adopt software practices to ensure that race and other demographic data must be entered into electronic records. And then refine how to share data among counties, states, research institutions and the public. The coalition attracted support in monthly calls with state Health Secretary Rachel Levine, recently sworn in as a four-star admiral in charge of the U.S. Public Health Service Commissioned Corps, which responds to health crises on behalf of the federal government.

€œI thought what they did was critically important,” Levine said, noting that officials recognized the coalition’s research as revelatory. With “a diverse group of professionals, they were able to use and collect data in a very effective way.” Their early research found the erectile dysfunction treatment rate among Black people in Allegheny County, which encompasses Pittsburgh, was three times the rate of white people. Hospitalizations among Black people have been as high as seven times the rate of whites, according to “Missing Our Shot,” the coalition’s 2021 report. A treatment Clinic Campaign Stop Ed Gainey, a state legislator from Pittsburgh, was among the first politicians to say African Americans in his hometown were missing out on erectile dysfunction treatment protections.

Last month, Gainey was elected the city’s first Black mayor, after winning a primary, within months of the murder of George Floyd, that pointed to inequities in health care and policing. A Democrat who worked for two Pittsburgh mayors, Gainey admits he and other Black elected officials were somewhat ill-equipped in the first weeks of the cialis. "I fought hard to get the treatment into the community last year, but I really didn't know the language — the health language — to be able to get it," Gainey said during an interview at a pop-up treatment clinic in the city. Vaccinations have risen because of community efforts, he said, but children are still a source of worry.

Gainey, who grew up in a low-income housing complex, said he understands when some youngsters shrug when asked about erectile dysfunction treatment risks. €œBut I will tell you I know this. If you can make a kid believe in Santa Claus, you can make them believe in the treatment. And you know, I understand some of the young kids’ reluctance.

I didn’t grow up going to the doctor regularly either,” he said. €œI came from the same kind of environment.” As the 2019 report made clear, many of the benefits of Pittsburgh’s tech-based economy — a vaunted “ed-and-meds” renewal against the industrial decline of the 1980s — still was largely bypassing African Americans. The first year of erectile dysfunction treatment was an iterative process of trying to stay ahead of the cialis. Gary-Webb, who earned a doctorate from Johns Hopkins’ public health school, said it was also a time for Black residents to be heard about what they knew and saw in their neighborhoods.

The coalition, sustained by thousands of volunteer hours, attracted some funding earlier this year, notably for outreach and to pay for running datasets. Last month, the Poise Foundation was approved for a three-year, $6.99 million grant, federal money to be administered by the state health department to support an array of health partnerships in the region and, notably, to improve erectile dysfunction treatment uptake in ZIP code areas the Black Equity Coalition identified as vulnerable. Among its goals. Demographic messaging, data analysis on erectile dysfunction treatment testing and education outreach in dozens of counties.

Gary-Webb counts herself among a group of “boomerang” Pittsburghers who have lived other places — in her case, Baltimore, New York and Philadelphia — and erectile dysfunction treatment has helped them recalibrate how Black residents can participate in public health. As she put it. €œThe health planners were saying, ‘Help us get out the message.’ We said, ‘No, we are not just getting out the message. We want to be talking about equity at the same time.’” Related Topics Contact Us Submit a Story TipTexas already had the most restrictive abortion laws in the U.S.

€” and they just got tougher. On Wednesday, a new law took effect that adds penalties of jail time and a fine of up to $10,000 for anyone who prescribes pills for medication abortions through telehealth or the mail. Texas bans all abortions after cardiac activity can be detected in the embryo, which typically occurs about six weeks into pregnancy — often before people realize they’re pregnant. Medication abortions via telehealth or mail were already illegal in Texas, and the new criminal penalties took effect on the day the Supreme Court heard arguments in a Mississippi case that ultimately could overturn Roe v.

Wade, the landmark 1973 ruling that established a constitutional right to abortion. In contrast to a surgical abortion, which usually takes place in a clinic, a medication abortion involves two pills, taken 48 hours apart, that manipulate the hormones to end a pregnancy. Many people prefer this process early in a pregnancy because the pills can be taken at home. The Food and Drug Administration approved the drugs in 2000, and the procedure is effective up to 10 weeks into a pregnancy.

Texas is not the only state that restricts medication abortion and telehealth. This year alone, five other states have passed laws against sending abortion pills through the mail, said Elizabeth Nash, a state policy analyst with the Guttmacher Institute. €œIt’s a squeeze play on abortion,” she said. Nash said this crackdown is partially a response to the cialis, which propelled interest in medication abortions.

€œWe saw the increase and, really, sort of the coming out of telehealth as part of medical practice,” she said. Texas’ new law, known as SB 4, also narrows the legal window for medication abortion to the first seven weeks of pregnancy. State legislators passed this new law on Sept. 17 during a special session — more than two weeks after the other abortion law, often called the “six-week ban,” took effect on Sept.

1. Attempts to halt that law as groups challenge it in court have failed. €œWe already have the most extreme abortion ban in the U.S. And yet our legislature made it a priority to add this additional abortion restriction,” said Sarah Wheat, chief external affairs officer with Planned Parenthood of Greater Texas.

Because of the six-week ban, the new limits on medication abortions won’t have an immediate impact. €œMost people at this stage of a pregnancy are already banned from accessing abortion in Texas,” Wheat said. But the new law could significantly affect future access to abortion. By criminalizing the use of telehealth and mail-order prescriptions to acquire abortion pills, the state seeks to forestall a possible workaround to the shrinking number of reproductive health clinics in Texas.

Already, many Texans live hundreds of miles from the nearest clinic offering abortion services. Advocates have promoted the use of telehealth for medication abortions in places where clinics are few and far between, and some states experimented with greater telehealth flexibility — including for abortion pills — during the cialis shutdowns. The new law “is creating additional fear and additional stigma for people who may be seeking access to medication abortion,” Wheat said. Anti-abortion groups in Texas hailed SB 4 as a victory — an important second step, after the six-week ban, in their efforts to curtail all access to the procedure in the state.

John Seago, legislative director for Texas Right to Life, said his group wanted to ensure that law enforcement officials could prosecute people who skirt the state’s strict limits by administering medication abortions. €œThis piece is really important for this period but also moving into the future, when we see even after [Roe v. Wade] we have organizations and individuals advertising that they will mail abortion-inducing drugs,” he said. Nash of the Guttmacher Institute said that in some states it has become easier for people to obtain medication abortions through telehealth services.

Seago said he wants to make sure that doesn’t happen in Texas. €œThis is going to be a future public policy issue around abortion, no matter what happens to Roe v. Wade,” he said. So far, no lawsuit has challenged Texas’ law restricting access to abortion pills.

Mounting a legal challenge to halt the law is complicated because Texans already are effectively prohibited from all abortions after six weeks. Finding legal standing to sue would likely be difficult for any Texas plaintiff. Ultimately, Wheat said, Texas’ latest law is a sign of what could happen elsewhere. She said it shows there is no end to efforts aimed at making abortions harder to get.

€œTake note of Texas, because what you see is that our politicians, they do not quit, and they can find endless ways to add fear, intimidation and restrictions,” Wheat said. This story is part of a partnership that includes KUT, NPR and KHN. Ashley Lopez, KUT. alopez@kut.org, @‪AshLopezRa‪dio Related Topics Contact Us Submit a Story TipKHN Midwest correspondent Cara Anthony discussed how Black entrepreneurs in the medical-technology industry are looking to fill health care gaps on Newsy on Wednesday.

KHN Colorado correspondent Rae Ellen Bichell discussed erectile dysfunction treatment sick leave programs on KUNC’s “Colorado Edition” on Wednesday. KHN correspondent Aneri Pattani discussed the unintended consequences of the Drug Enforcement Administration’s policies regarding medications for substance abuse on the podcast “Scope of Practice” on Wednesday. On Newsy, KHN contributor Charlotte Huff on Oct. 19 discussed how an increasing number of rural hospitals are closing their labor and delivery units.

Related Topics Contact Us Submit a Story Tip.

The ferocity of the erectile dysfunction treatment cialis did what Black Pittsburgh — communities buy cialis online safely that make http://emukconsultancy.co.uk/levitra-tablet-buy-online/ up a quarter of the city’s population — thought impossible. It shook the norms. Black buy cialis online safely researchers, medical professionals and allies knew that people of color, even before erectile dysfunction treatment, experienced bias in public health policy.

As the deadly cialis emerged, data analysts from Carnegie Mellon and the University of Pittsburgh, foundation directors, epidemiologists and others pooled their talents to configure databases from unwieldy state data to chart erectile dysfunction treatment cases. Their work documented yet another life-threatening disparity between white and Black Pittsburgh. People of color buy cialis online safely were at higher risk of catching the deadly cialis and at higher risk of severe disease and death from that .

More than 100 weeks after advocates began pinging and ringing one another to warn of the cialis’ spread, these volunteers are the backbone of the Black Equity Coalition, a grassroots collaboration that scrapes government data and shares community health intel. About a dozen members of its data team of 60 meet twice weekly to study hospitalization rates and employment statistics. Social media advisers turned health equity into a buzzy online effort, with videos and weekly Facebook town halls, to encourage buy cialis online safely vaccinations.

Local ministries are consulted, and volunteers take surveys at pop-up clinics, sponsored by other groups, at barbershops and hair salons. Elected lawmakers seek its counsel. €œWe came together because we were concerned about saving lives,” said Tiffany Gary-Webb, associate dean for diversity and buy cialis online safely inclusion at the University of Pittsburgh, who oversees the data effort.

€œIt evolved, with us realizing we can do more than address erectile dysfunction treatment.” Advocates within the Black Equity Coalition ― a grassroots collaboration of volunteers, community leaders, and data analysts ― gather to discuss their ongoing mission to uncover the life-threatening disparities between white and Black Pittsburgh. (Left to right) Karen Abrams, Tiffany Gary-Webb, Fred Brown and Mark Lewis(Martha Rial for KHN) erectile dysfunction treatment ravaged communities across the United States — more than 787,000 Americans have died, including Colin Powell, the first Black secretary of state and a decorated Army general — and laid bare how marginalized populations lose out in the scrum for public health dollars and specific populations were left vulnerable. Months before the cialis buy cialis online safely began, the Rev.

Ricky Burgess led the Pittsburgh City Council to declare racism a public health crisis. €œInstitutional racism is for real,” the councilman said in a recent interview. €œYou are talking about generational disproportional investment and generational disproportional buy cialis online safely treatment.

And it impacts all that you see.” The erectile dysfunction treatment cialis proved how structural inequities have been missed or ignored, Burgess said. €œI’ve lost friends, family and a lot of church members. My son buy cialis online safely had erectile dysfunction treatment.

For me it’s personal,” he said. €œI knew immediately it would have a disproportionate effect.” In 2020, erectile dysfunction treatment reduced overall U.S. Life expectancy buy cialis online safely by 1.5 years, according to the National Center for Health Statistics.

Black and Hispanic people fared the worst, losing more than three years in life expectancy. White people saw a 1.2-year drop. Using county data, the Black buy cialis online safely Equity researchers found a sobering racial gap in the Pittsburgh area.

Black residents of Allegheny County saw disproportionate hospitalization rates — and were more likely to land in the ICU or on a ventilator — in the cialis. Weekly hospitalization rates were higher during surges of in April, July and December 2020 and again in March and October 2021. Deaths, too, were buy cialis online safely disproportionate but fluctuated after December 2020.

For much of the cialis, death rates were higher for African Americans than for other racial groups, the coalition said. €˜It’s All a Shade of Bad’ Kellie Ware has long considered health inequity a deadly problem. She graduated from Pittsburgh public schools, left for law school in Boston, and months before erectile dysfunction treatment began its global assault she was working in her hometown mayor’s office as an equity and buy cialis online safely diversity policy analyst.

Ware was at her desk in late 2019 when her phone started ringing. A damning report, compiled by university sociologists and the city’s gender commission, had yet again detailed glaring disparities. The blandly titled report, “Pittsburgh’s Inequality Across Gender and Race,” jolted emotions in the city of 303,000 people — and underscored how health disparities track with income buy cialis online safely.

Among the findings. Black people in Pittsburgh earned far less than their white neighbors and suffered far worse from disease. For every dollar white men earned, the report found, Black women earned 54 cents, making them buy cialis online safely five times as likely to live in poverty as white men.

With notably higher cardiovascular disease and cancer rates, Black residents’ life expectancy was about eight years less than white Pittsburghers’. The report sparked a furor, which Ware met with perspective shaped over years away from the former steel town. €œThe report buy cialis online safely was factual,” Ware said, “but I know this.

There’s not a ton of places where it’s great to be a Black woman. Those earnings?. It’s 54 cents to a dollar buy cialis online safely for women in Pittsburgh.

It’s 68 cents nationally. It’s all a shade of bad.” Kellie Ware is the director of community partnerships and sustainability for the Forbes Funds. A Pittsburgh native, Ware worked in the mayor’s office as an equity and diversity policy analyst months buy cialis online safely before erectile dysfunction treatment began its global assault.

(Martha Rial for KHN) Karen Abrams is a program officer for Heinz Endowments, a foundation in Pittsburgh that spends $70 million a year on community programs. (Martha Rial for KHN) The first signs of the cialis supercharged Ware and others. As erectile dysfunction treatment devastated New York in March 2020, Karen Abrams, a program officer at the Heinz Endowments, a buy cialis online safely foundation in Pittsburgh that spends $70 million a year on community programs, began connecting the dots in texts and calls with nonprofits, business owners and university researchers.

erectile dysfunction treatment spread quickly in dense multi-generational households and in Black neighborhoods in Chicago, Washington, New Orleans and Detroit. Abrams was among the advocates in Pennsylvania who watched county and state health systems race to prepare and who feared that Black residents would be underserved. In Philadelphia, early on in the cialis, volunteer buy cialis online safely doctors in mobile units began distributing protective equipment and erectile dysfunction treatment tests in Black neighborhoods.

In Pittsburgh, Abrams asked tech-minded allies to document the reality of erectile dysfunction treatment in Pittsburgh. €œWe intuitively knew what was happening,” she buy cialis online safely said. €œBut without that data, we couldn’t target our attention and know who needed the help most.” Within days, volunteers were on daylong rounds of video calls and appealing to county and state bureaucrats for more race-based statistics to bolster their research.

Fred Brown, president of the nonprofit Forbes Funds, and Mark Lewis, who heads the Poise Foundation, were stalwarts of a “huddle,” a core of longtime advocates who eventually founded the coalition. Fred Brown is the president and buy cialis online safely CEO of the Forbes Funds, which assists the Pittsburgh area’s human services and community-based nonprofits in building their management capacity and outreach. (Martha Rial for KHN) Mark Lewis is president and CEO of the Poise Foundation, which supports Pittsburgh’s Black community through collective giving, grant-making and advocacy.

(Martha Rial for KHN) Brown emphasized pulling labor statistics to show that the essential workers keeping the city running — among them nursing homes aides and home care staff — were overwhelmingly Black or Latino. Mapping erectile dysfunction treatment testing buy cialis online safely centers and analyzing data proved sobering, he said. It turned out that the people most likely to be tested lived in Pittsburgh’s predominately white neighborhoods.

Largely employed in tech, academia and finance, they could easily adapt to lockdowns. They had round-the-clock internet at home and could afford buy cialis online safely food deliveries to limit the chance of . Later, they could access treatments quicker.

€œThe communities that had the most tests were the affluent ones,” Brown said. And those buy cialis online safely with the fewest “were the most resilient, the people who had to go out there and work.” Lewis, a certified public accountant who spent years as a corporate auditor, focused on standards. County and state health professionals worked mightily to control the spread of erectile dysfunction treatment but didn’t always gather data to ensure fairness in distribution, he said.

€œWe realized that, as testing was done, it was not being recorded by race,” Lewis said. €œWhy?. A lot of the issue was — at the state and the local level — there was no requirement to collect it.” Gary-Webb said researchers had a sense of where the inequities would be found because they knew the neighborhoods.

They first layered in percentages of Black families in poverty as well as data on the locations of federally qualified health centers to advise health authorities on where and when to increase testing. University and nonprofit researchers found anomalies as they worked. For instance, race was noted on some testing data, with patients designated as Black, white or, inexplicably, unknown.

The “unknowns” were a significant percentage. So researchers began layering additional census, labor and ZIP code data, to identify neighborhoods, even streets, at risk. The ZIP code data took months to shake loose from state databases, largely because government software was slow in the fast-moving cialis and government data was not updated regularly or formatted in ways that could be easily shared.

Their efforts paid off. The group was able to winnow down Allegheny County records that omit race to 12% of positive erectile dysfunction treatment cases. 37% of statewide records are missing race details, the coalition reported.

Robert Gradeck, who runs the Western Pennsylvania Regional Data Center, a data collaborative managed by the University of Pittsburgh, said erectile dysfunction treatment should play a lasting role in improving public health reporting. €œWe kept thinking. What can we learn from this?.

€ Gradeck said. €œIt’s not that you can’t answer questions. But you can answer only part of them.” Robert Gradeck manages the Western Pennsylvania Regional Data Center, an open-data collaboration nonprofit and one of the Black Equity Coalition’s early allies.

(Martha Rial for KHN) Among the top recommendations to health authorities. Adopt software practices to ensure that race and other demographic data must be entered into electronic records. And then refine how to share data among counties, states, research institutions and the public.

The coalition attracted support in monthly calls with state Health Secretary Rachel Levine, recently sworn in as a four-star admiral in charge of the U.S. Public Health Service Commissioned Corps, which responds to health crises on behalf of the federal government. €œI thought what they did was critically important,” Levine said, noting that officials recognized the coalition’s research as revelatory.

With “a diverse group of professionals, they were able to use and collect data in a very effective way.” Their early research found the erectile dysfunction treatment rate among Black people in Allegheny County, which encompasses Pittsburgh, was three times the rate of white people. Hospitalizations among Black people have been as high as seven times the rate of whites, according to “Missing Our Shot,” the coalition’s 2021 report. A treatment Clinic Campaign Stop Ed Gainey, a state legislator from Pittsburgh, was among the first politicians to say African Americans in his hometown were missing out on erectile dysfunction treatment protections.

Last month, Gainey was elected the city’s first Black mayor, after winning a primary, within months of the murder of George Floyd, that pointed to inequities in health care and policing. A Democrat who worked for two Pittsburgh mayors, Gainey admits he and other Black elected officials were somewhat ill-equipped in the first weeks of the cialis. "I fought hard to get the treatment into the community last year, but I really didn't know the language — the health language — to be able to get it," Gainey said during an interview at a pop-up treatment clinic in the city.

Vaccinations have risen because of community efforts, he said, but children are still a source of worry. Gainey, who grew up in a low-income housing complex, said he understands when some youngsters shrug when asked about erectile dysfunction treatment risks. €œBut I will tell you I know this.

If you can make a kid believe in Santa Claus, you can make them believe in the treatment. And you know, I understand some of the young kids’ reluctance. I didn’t grow up going to the doctor regularly either,” he said.

€œI came from the same kind of environment.” As the 2019 report made clear, many of the benefits of Pittsburgh’s tech-based economy — a vaunted “ed-and-meds” renewal against the industrial decline of the 1980s — still was largely bypassing African Americans. The first year of erectile dysfunction treatment was an iterative process of trying to stay ahead of the cialis. Gary-Webb, who earned a doctorate from Johns Hopkins’ public health school, said it was also a time for Black residents to be heard about what they knew and saw in their neighborhoods.

The coalition, sustained by thousands of volunteer hours, attracted some funding earlier this year, notably for outreach and to pay for running datasets. Last month, the Poise Foundation was approved for a three-year, $6.99 million grant, federal money to be administered by the state health department to support an array of health partnerships in the region and, notably, to improve erectile dysfunction treatment uptake in ZIP code areas the Black Equity Coalition identified as vulnerable. Among its goals.

Demographic messaging, data analysis on erectile dysfunction treatment testing and education outreach in dozens of counties. Gary-Webb counts herself among a group of “boomerang” Pittsburghers who have lived other places — in her case, Baltimore, New York and Philadelphia — and erectile dysfunction treatment has helped them recalibrate how Black residents can participate in public health. As she put it.

€œThe health planners were saying, ‘Help us get out the message.’ We said, ‘No, we are not just getting out the message. We want to be talking about equity at the same time.’” Related Topics Contact Us Submit a Story TipTexas already had the most restrictive abortion laws in the U.S. €” and they just got tougher.

On Wednesday, a new law took effect that adds penalties of jail time and a fine of up to $10,000 for anyone who prescribes pills for medication abortions through telehealth or the mail. Texas bans all abortions after cardiac activity can be detected in the embryo, which typically occurs about six weeks into pregnancy — often before people realize they’re pregnant. Medication abortions via telehealth or mail were already illegal in Texas, and the new criminal penalties took effect on the day the Supreme Court heard arguments in a Mississippi case that ultimately could overturn Roe v.

Wade, the landmark 1973 ruling that established a constitutional right to abortion. In contrast to a surgical abortion, which usually takes place in a clinic, a medication abortion involves two pills, taken 48 hours apart, that manipulate the hormones to end a pregnancy. Many people prefer this process early in a pregnancy because the pills can be taken at home.

The Food and Drug Administration approved the drugs in 2000, and the procedure is effective up to 10 weeks into a pregnancy. Texas is not the only state that restricts medication abortion and telehealth. This year alone, five other states have passed laws against sending abortion pills through the mail, said Elizabeth Nash, a state policy analyst with the Guttmacher Institute.

€œIt’s a squeeze play on abortion,” she said. Nash said this crackdown is partially a response to the cialis, which propelled interest in medication abortions. €œWe saw the increase and, really, sort of the coming out of telehealth as part of medical practice,” she said.

Texas’ new law, known as SB 4, also narrows the legal window for medication abortion to the first seven weeks of pregnancy. State legislators passed this new law on Sept. 17 during a special session — more than two weeks after the other abortion law, often called the “six-week ban,” took effect on Sept.

1. Attempts to halt that law as groups challenge it in court have failed. €œWe already have the most extreme abortion ban in the U.S.

And yet our legislature made it a priority to add this additional abortion restriction,” said Sarah Wheat, chief external affairs officer with Planned Parenthood of Greater Texas. Because of the six-week ban, the new limits on medication abortions won’t have an immediate impact. €œMost people at this stage of a pregnancy are already banned from accessing abortion in Texas,” Wheat said.

But the new law could significantly affect future access to abortion. By criminalizing the use of telehealth and mail-order prescriptions to acquire abortion pills, the state seeks to forestall a possible workaround to the shrinking number of reproductive health clinics in Texas. Already, many Texans live hundreds of miles from the nearest clinic offering abortion services.

Advocates have promoted the use of telehealth for medication abortions in places where clinics are few and far between, and some states experimented with greater telehealth flexibility — including for abortion pills — during the cialis shutdowns. The new law “is creating additional fear and additional stigma for people who may be seeking access to medication abortion,” Wheat said. Anti-abortion groups in Texas hailed SB 4 as a victory — an important second step, after the six-week ban, in their efforts to curtail all access to the procedure in the state.

John Seago, legislative director for Texas Right to Life, said his group wanted to ensure that law enforcement officials could prosecute people who skirt the state’s strict limits by administering medication abortions. €œThis piece is really important for this period but also moving into the future, when we see even after [Roe v. Wade] we have organizations and individuals advertising that they will mail abortion-inducing drugs,” he said.

Nash of the Guttmacher Institute said that in some states it has become easier for people to obtain medication abortions through telehealth services. Seago said he wants to make sure that doesn’t happen in Texas. €œThis is going to be a future public policy issue around abortion, no matter what happens to Roe v.

Wade,” he said. So far, no lawsuit has challenged Texas’ law restricting access to abortion pills. Mounting a legal challenge to halt the law is complicated because Texans already are effectively prohibited from all abortions after six weeks.

Finding legal standing to sue would likely be difficult for any Texas plaintiff. Ultimately, Wheat said, Texas’ latest law is a sign of what could happen elsewhere. She said it shows there is no end to efforts aimed at making abortions harder to get.

€œTake note of Texas, because what you see is that our politicians, they do not quit, and they can find endless ways to add fear, intimidation and restrictions,” Wheat said. This story is part of a partnership that includes KUT, NPR and KHN. Ashley Lopez, KUT.

alopez@kut.org, @‪AshLopezRa‪dio Related Topics Contact Us Submit a Story TipKHN Midwest correspondent Cara Anthony discussed how Black entrepreneurs in the medical-technology industry are looking to fill health care gaps on Newsy on Wednesday. KHN Colorado correspondent Rae Ellen Bichell discussed erectile dysfunction treatment sick leave programs on KUNC’s “Colorado Edition” on Wednesday. KHN correspondent Aneri Pattani discussed the unintended consequences of the Drug Enforcement Administration’s policies regarding medications for substance abuse on the podcast “Scope of Practice” on Wednesday.

On Newsy, KHN contributor Charlotte Huff on Oct. 19 discussed how an increasing number of rural hospitals are closing their labor and delivery units. Related Topics Contact Us Submit a Story Tip.

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