Saturday, December 23, 2023

 

Reindeer sleep while chewing their cud


Peer-Reviewed Publication

CELL PRESS

Reindeer 

IMAGE: 

REINDEER

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CREDIT: LEO RESCIA





Researchers report December 22 in the journal Current Biology that the more time reindeer spend ruminating, the less time they spend in non-rapid eye movement (non-REM) sleep. EEG recordings revealed that reindeer’s brainwaves during rumination resemble the brain waves present during non-REM sleep, and these brainwave patterns suggest that the reindeer are more “rested” after ruminating. The researchers speculate that this multitasking might help reindeer get enough sleep during the summer months, when food is abundant and reindeer feed almost 24/7 in preparation for the long and food-sparse arctic winter.

“The more reindeer ruminate, the less additional non-REM sleep they need,” says first author and neuroscientist Melanie Furrer of the University of Zurich. “We think it's very important that they are able to save time and cover their sleep and digestive needs at the same time, especially during the summer months.”

Light-dark cycles are absent in the Arctic during winter and summer, and previous studies showed that Arctic-dwelling reindeer don’t display circadian behavioral rhythms during these seasons, though they tend to be more active during the daytime during the spring and autumn equinox, when light-dark cycles are present. However, it was unknown whether these seasonal differences also impacted how much—and how well—reindeer sleep.

To investigate the influence of seasonal light-dark cycles on reindeer sleep patterns, the researchers performed non-invasive electroencephalography (EEG) on Eurasian tundra reindeer (Rangifer tarandus tarandus) in Tromsø, Norway (69°N), during the autumn equinox, summer solstice, and winter solstice. The reindeer, who were all adult females, were part of a captive herd at UiT The Arctic University of Norway in Tromsø, and the experiments were conducted in indoor stables with controlled lighting, unlimited food, and constant temperature.

They found that reindeer slept approximately the same amount during winter, summer, and autumn, despite the fact that they were much more active during the summer. This is in contrast to other species who change the amount they sleep in response to environmental conditions. On average, the reindeer spent 5.4 hours in non-REM sleep, 0.9 hours in REM sleep, and 2.9 hours ruminating during a given 24-hour period, regardless of season. 

“The fact that reindeer sleep the same amount during winter and summer implies that they must have other strategies to cope with limited sleep time during the arctic summer,” says Furrer.

One possible strategy is the opportunity for rest during rumination—the re-chewing of partially digested food, which is an important component of digestion for reindeer and other ruminants. Domestic sheep, goats, cattle, and Lesser mouse-deer have all been previously observed to produce sleep-like brain waves during rumination, but it was unclear whether rumination could serve a similar restorative function to sleep.

The researchers found that the reindeer’s EEG readings during rumination resembled brainwave patterns that are indicative of non-REM sleep including increased slow-wave activity and sleep spindles. Sleeping and ruminating reindeer also displayed similar behavior, tending to quietly sit or stand during both activities, and were less reactive to disturbances such as a neighboring reindeer sitting down or getting up—reindeer directly responded to these disturbances (by looking toward the neighboring reindeer) 45% of the time if they were awake, but only 25% of the time if they were ruminating, and 5% of the time if they were in non-REM sleep.

Next, the researchers tested whether rumination could reduce the reindeer’s drive to sleep by depriving the reindeer of sleep for 2 hours and measuring their brain waves during sleep before and after this deprivation. Following sleep deprivation, the reindeer’s EEG readings showed increased slow-wave activity, which is indicative of a build-up of “sleep pressure”—the unconscious biological drive for more and deeper sleep—suggesting that reindeer experience deeper sleep following sleep deprivation.

However, when the reindeer ruminated, this slow-wave activity was decreased during subsequent sleep, and the more they ruminated, the more the slow-wave activity decreased. “This suggests that rumination reduces sleep pressure, which could benefit the reindeer because it means they don’t have to compromise on sleep recovery when they spend more time ruminating,” says Furrer.

This is especially important during the summer, because the more they eat, the more time the reindeer need to spend ruminating. “Rumination increases nutrient absorption, so it’s crucial for reindeer to spend enough time ruminating during the summer in order to gain weight in anticipation of winter,” says Furrer.

Since reindeer appear to sleep while ruminating only some of the time, follow-up studies should compare the impact of rumination while sleeping with rumination while awake and would also ideally measure reindeer behavior and sleep in more natural outdoor conditions, the researchers say. However, such measurements would require surgically implanted EEG sensors rather than the non-invasive surface electrodes used in this study.

 “Another thing we could add is to look at young reindeer,” says Furrer. “We know sleep need is much higher in young children and babies compared to adults, so it would be interesting to look at sleep in younger reindeer.”

Screenshot of reindeer surveillance

CREDIT

Current Biology/Furrer et al.

This research was supported by the Swiss National Science Foundation and UiT The Arctic University of Norway.

Current Biology, Furrer et al., “Rumination can substitute for sleep in reindeer” https://www.cell.com/current-biology/fulltext/S0960-9822(23)01667-6

Current Biology (@CurrentBiology), published by Cell Press, is a bimonthly journal that features papers across all areas of biology. Current Biology strives to foster communication across fields of biology, both by publishing important findings of general interest and through highly accessible front matter for non-specialists. Visit http://www.cell.com/current-biology. To receive Cell Press media alerts, contact press@cell.com.

 

Malta Targeting Phage Therapy 2024: The next clinical revolution


Meeting Announcement

MITOCHONDRIA-MICROBIOTA TASK FORCE

Malta Will Host Targeting Phage Therapy 2024 in June 

IMAGE: 

THE 7TH WORLD CONGRESS ON TARGETING PHAGE THERAPY WILL TAKE PLACE ON JUNE 20-21, 2024 AT CORINTHIA PALACE MALTA.

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CREDIT: TARGETING PHAGE THERAPY 2024




Building on the momentum of the 6th World Congress on Targeting Phage Therapy, that gathered more than 150 attendees from over 30 countries and featured over 71 presentations, the highly anticipated Targeting Phage Therapy 2024 is set to unfold.

Mark Your Agendas for the 7th World Congress on Targeting Phage Therapy

  • Date: June 20-21, 2024
  • Location: Corinthia Palace, Malta

What to Expect:

  1. Cutting-edge insights into phage therapy advancements and its potential to revolutionize medicine.
  2. Engaging keynotes and expert panels tackling current challenges head-on.
  3. Focused discussions on regulatory frameworks, phage selection, and the critical role of clinical trials.

Gain insights into the direction of Targeting Phage Therapy 2024 by exploring the concluding remarks of 2023.

How to contribute?

We welcome submissions for innovative sessions and talks. If you have groundbreaking insights to share, be part of shaping tomorrow's medical landscape.

 

A Look Back at Targeting Phage Therapy 2023: Award Winners

1. Best Scientific Contribution

Martha Clockie, Editor in Chief of PHAGE Journal, University of Leicester, United Kingdom

Topic: Challenges and Opportunities for Bacteriophage Therapy

2. Best Scientific Innovation

Amanda (Curtis) Burkardt, CEO of PHIOGEN, USA

Topic: Creating Patient Ready Products in a Remedy Ready World.

3. Best Short Oral:

Brieuc Van Nieuwenhuyse, UC Louvain, Belgium

Topic: Bacteriophage-Antibiotic Combination to Allow Liver Transplantation

4. Best Poster:

Pantiora Panagiota, Agricultural University of Athens, Greece

Topic: Thermostable Bactericidal Endolysin Discovery

 

Revisit Targeting Phage Therapy 2023: Replay is Available

Explore the Targeting Phage Therapy 2023 replay to preview what's in store for 2024. Whether you missed the event or want to rewatch it, the replay is available. Access 40+ talks and innovations from key industries like Phiogen, Armata Pharmaceuticals, BiomX, Cellexus, and more.

The Abstracts Book is also accessible for additional insights.

Learn more about available materials.

 

Wishing you a joyous holiday season, we anticipate the pleasure of meeting you at Targeting Phage Therapy 2024 in Malta. For more information about the event, please visit our website.


SEE

https://plawiuk.blogspot.com/search?q=PHAGES

 

Strong connections found between vaccine hesitancy and support for vaccinating pets


Study findings raise the stakes for public health efforts to improve attitudes about vaccination rates across the board.


Peer-Reviewed Publication

TEXAS A&M UNIVERSITY




Texas A&M University School of Public Health research on attitudes toward pet vaccination and how they may be linked with human vaccine hesitancy was the subject of a new study recently published in the journal Vaccine.

Simon Haeder, Ph.D., associate professor, analyzed data from an August 2023 survey of more than 2,000 dog and more than 1,400 cat owners to measure pet vaccination rates, perceptions of vaccines and support for pet vaccination requirements.

“Decreasing pet vaccination rates pose challenges to society for a number of reasons, including increased incidents of pet disease and death, increases in exposures for humans, the potential for further genetic adaptations of pathogens, as well as detrimental effects on veterinarians,” Haeder said. “Many individuals consider their pets as part of the family and increases in vaccine-preventable diseases may also affect the financial and emotional health of owners.”

The survey first asked respondents whether they owned a dog, a cat or both. Dog and cat owners were then surveyed about their pets’ vaccine status for five diseases each for dogs and cats. These included rabies for dogs and cats, canine parvovirus and canine distemper for dogs, and feline panleukopenia and feline Bordetella for cats. The respondents then responded with levels of support for vaccination requirements for each of the listed diseases. The survey also queried respondents about perceived safety, efficacy and importance of the various vaccines.

In addition to pet vaccine-specific questions, the survey asked respondents about their level of trust in scientists, support for human vaccination mandates for children, political ideology, religiosity, non-veterinary expenses and frequency of exposure of dogs to other dogs outside the household. Lastly, the survey measured perceptions of safety, efficacy and importance of human vaccines.

The survey found that an overwhelming majority of pet owners had vaccinated their dogs and cats against rabies, though cats were vaccinated less often than dogs. Other core vaccines had slightly lower, but still high uptake, while there appeared to be more hesitancy toward non-core vaccines. Core vaccines are generally recommended for all pets regardless of lifestyle.

Further analysis found that perceptions of importance, efficacy and safety of vaccines served as a reasonable predictor for vaccine hesitancy. Additionally, these perceptions show an association with attitudes toward vaccination requirements. Haeder’s analysis also found that pet owners without non-veterinary expenses such as boarding or training fees showed higher levels of vaccine hesitancy. Lastly, pet vaccination behaviors and perceptions appear to be less associated with political ideology than with human vaccines.

The findings of this study show a high level of confidence in vaccine safety, efficacy and importance for humans and pets. Additionally, the analysis found relations between vaccine hesitancy in humans and animals, with support for animal vaccine requirements being strongly associated with similar requirements for humans. This indicates the potential for spillover effects and the importance of further focus on vaccine hesitancy in humans and animals in research and public health efforts in the future.

“Concerns about growing hesitancy remain and should be taken seriously, for both pets and humans, before the United States falls below important thresholds to prevent major outbreaks of vaccine-preventable diseases,” Haeder said.

 

Scientists develop ‘flying dragon’ robot to fight fires from a distance


Flying firefighter robot can be ready for real-world use in the next decade


Peer-Reviewed Publication

FRONTIERS

Dragon Firefighter 

VIDEO: 

A DRAGON FIREFIGHTER'S EYE OF ITS ACTION WHEN EXTINGUISHING A FIRE

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CREDIT: TADOKORO LABORATORY, TOHOKU UNIVERSITY, JAPAN




Imagine a flying dragon that doesn’t spout fire, but instead extinguishes it with blasts of water. Thanks to a team of Japanese researchers, this new kind of beast may soon be recruited to firefighter teams around the world, to help put out fires that are too dangerous for their human teammates to approach.

The blueprint of this novel firefighter robot, called the Dragon Firefighter, has now been published in Frontiers in Robotics and AI. And as it has been published as Open Science, roboticists around the world may freely use the plans to build their own Dragon Firefighters, for the benefit of all.

“We here present a prototype of a four-meter-long, remotely controllable flying firehose robot, engineered to safely and efficiently extinguish fires in buildings by directly approaching the fire sources,” said joint corresponding author Dr Yuichi Ambe, an assistant professor at Osaka University.

A research team from Prof Satoshi Tadokoro's laboratory at Tohoku University began working on similar flying robots in 2016. Since then, 11 researchers and students have contributed to its further development. Prior and during development, they liaised with Japanese firefighters to better understand their needs.

Jet propulsion

The Dragon Firefighter’s firehose is propelled upward (flying at two meters above the ground) by eight controllable jets of water spouting from its center and head. The firehose can change shape and be oriented towards flames, steered by a control unit in a wheeled cart behind. The cart is connected through a supply tube to a fire truck with a water reservoir of 14,000 liters.

The nozzles spout water at a rate of 6.6 liters per second with a pressure of up to one megapascal. The hose’s tip contains a conventional and thermal imaging camera, which help to find the location of the fire.

Goodness, gracious, great balls of fire

The Dragon Firefighter received its baptism of fire at the opening ceremony of the World Robot Summit 2020 (WRS2020), held in September 2021 in Fukushima. There, it successfully extinguished [49 min 00 s to 51 min 00 s] the ceremonial flame, consisting of fireballs lit by another robot, at a distance of four meters. Besides detailing its design, the present study also discusses lessons learned during this first demonstration of the Dragon’s abilities, as well as specifying further improvements made since.

Dr Yu Yamauchi, an assistant professor at Akita Prefectural University and another corresponding author, said: “Since the demonstration at WRS2020, we have continued to work on improving our Dragon and have learned many new things.”

“For example, we found that the original passive dampening mechanism which counters oscillations of the Dragon Firefighter’s body was impractical: it took too long to prepare for flight. We also found that heat from fires can cause detrimental plastic deformation in outdoor applications of the corrugated tube that holds the water hose and electric cables.”

Other improvements detailed in the study include better waterproofing, a nozzle unit capable of handling a wider range of net forces, and an improved mechanism for channeling water flow. But further developments are in the pipeline.


The Dragon Firefighter in action at the opening ceremony of the World Robot Summit on 08 Oct 2021 in Fukushima, Japan

CREDIT

Tadokoro Laboratory, Tohoku University, Japan

Ready to fly in ten years

“We estimate that it will take approximately 10 more years to deploy our robot in real-world firefighting scenarios,” said Ambe.

“The primary challenge will be to extend its reach to beyond 10 meters. Developing effective firefighting tactics tailored to this robot's unique capabilities will likewise be a critical aspect of further development.”

 

Fleeing drought, vulnerable populations face flood risk in most African countries


The Horn of Africa and southern Africa saw the most people move during droughts, according to a new continent-scale assessment of settlement locations in Africa


Peer-Reviewed Publication

AMERICAN GEOPHYSICAL UNION

Drought in Somalia 

IMAGE: 

DROUGHTS, INCLUDING THE ONGOING SEVERE DROUGHT IN THE HORN OF AFRICA, CAN PROMPT PEOPLE TO RELOCATE CLOSER TO WATER SOURCES OR CITIES. ROUGHLY 80% OF AFRICAN COUNTRIES SAW PEOPLE MOVE TOWARD RIVERS OR TO URBAN AREAS DURING DROUGHT IN RECENT DECADES, A NEW EARTH’S FUTURE STUDY FOUND.

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CREDIT: UNICEF ETHIOPIA





American Geophysical Union
Press Release 23-47
21 December 2023
For Immediate Release

This press release is also available online at: https://news.agu.org/press-release/fleeing-drought-vulnerable-populations-face-flood-risk-in-most-african-countries

AGU press contact:
Liza Lester, +1 (202) 777-7494, news@agu.org (UTC-5 hours)

Contact information for the researchers:
Serena Ceola, University of Bologna, serena.ceola@unibo.it (GMT+1 hours)

WASHINGTON — In 80% of African countries, moved toward rivers and into cities during or following drought, increasing the number of people living in flood-risk areas in recent decades, according to a new study. This resettlement pattern will likely intensify in coming decades as climate change is expected to make droughts more frequent and severe.

"It's a cycle that exacerbates how many people are negatively impacted by drought, and not only in the ways we might normally expect," said Serena Ceola, a hydrologist at the University of Bologna in Italy who led the study. "As regional climates change and both droughts and floods become bigger problems, more people will struggle to find a safe place to settle. People may move from one drought-affected place to another or move somewhere that just poses different climate risks."

In Somalia, for example more than 3.8 million people have been displaced in part by drought over the last three years. Many of those climate refugees sought shelter near rivers, where farming could resume, but heavy rains and flash floods then displaced more than half a million people.

The study was published in Earth’s Future, which publishes interdisciplinary research on the past, present and future of our planet and its inhabitants. Prior to this study, research on drought-driven migrations in Africa focused on single countries or specific drought events, limiting scientists’ understanding of how drought influences patterns of human settlements at large scales. The new study is the first to examine changes in human settlement patterns associated with droughts on a continental scale.

“We want the whole society to be aware of just how many people are moving from one climate threat to another,” Ceola said.

Untangling drought

Droughts may push people closer to rivers to continue agricultural activities, and others may adapt by moving to cities, which offer diverse economic opportunities when drought limits agriculture. Scientists have hypothesized that drought can be a main driver of human displacement, but many factors — often inextricably linked to drought itself — can contribute to displacement. Drought can exacerbate conflict, political violence and food and job insecurity, each of which can prompt mass migrations on their own.

The researchers chose to focus on drought alone due to its potential impact on many different factors. They used two indices, EM-DAT and SPEI-12, which respectively reflect socioeconomic and evapotranspiration impacts of drought, to look for droughts in 50 African countries from 1992 to 2013. They included in their analyses the years preceding and following the drought to test for strength of the drought signal and lingering effects of drought on human movement.

To determine whether people moved to rivers, the researchers used satellite-based nighttime light detection to check for either changes in existing settlements’ luminosities or the development of new settlements. They used annual, country-based World Bank census data to track populations in urban centers.

Where does drought drive people?

The study found people moved toward rivers or urban centers in up to 80% of African countries experiencing droughts as indicated by at least one of the two indices used. During drought years identified by at least one of the indices, about half to three-quarters of all studied countries had settlements move closer to rivers, and one-third to half of countries had urban populations grow. The urban-growth signal could have been weaker than river-based migration because people may move to cities for many reasons, Ceola said.

Seventeen countries experienced droughts according to both drought indices during the study period. Up to 65% of those countries saw increased human movement toward rivers during drought years when the pre-drought year was included in the analysis.  

Notably, all countries in southern Africa saw drought-related migration toward rivers based on at least one drought index over the study period. Ceola pointed to Burundi, Guinea Bissau and Namibia as particularly interesting.

The methods have some limitations. Nighttime lights are used as a proxy for human settlements and activities, meaning that the amount of observed light may not reflect the number of people.  Smaller concentrations of lights may not show up, and it might leave out the poorest groups that lack enough lights to appear. Limited data for many regions and populations on the continent mean scientists have to get creative with the sources of information available to prepare people and governments for current and future hazards, Ceola said.

“Policy makers need data and detailed information in order to implement strategic planning, support sustainable development and increase the resilience of people living in vulnerable areas. Likewise, people living in those areas need to be aware of the risks and should have the opportunity to freely move to safer locations,” Ceola said.

#

Notes for journalists:

Neither this paper nor this press release are under embargo. The study is published in Earth’s Future, an open-access journal. View and download a pdf of the study here.

Paper title:

“Drought and human mobility in Africa”

Authors:

  • S. Ceola (corresponding author), Department of Civil, Chemical, Environmental, and Materials Engineering, Alma Mater Studiorum Universita di Bologna, Bologna, Italy
  • J. MÃ¥rd and G. Di Baldassarre, Centre of Natural Hazards and Disaster Science, Uppsala, Sweden, and Department of Earth Sciences, Air, Water and Landscape science, Uppsala University, Uppsala, Sweden

#

AGU (www.agu.org) is a global community supporting more than half a million advocates and professionals in Earth and space sciences. Through broad and inclusive partnerships, AGU aims to advance discovery and solution science that accelerate knowledge and create solutions that are ethical, unbiased and respectful of communities and their values. Our programs include serving as a scholarly publisher, convening virtual and in-person events and providing career support. We live our values in everything we do, such as our net zero energy renovated building in Washington, D.C. and our Ethics and Equity Center, which fosters a diverse and inclusive geoscience community to ensure responsible conduct.

 

Where you live matters: A first-of-its-kind study illustrates how racism is interrelated with poor health


Study published in JAMA Network Open points to discrete factors, like voting participation, employment, education, and housing, that may serve as promising targets for interventions


Peer-Reviewed Publication

THE MOUNT SINAI HOSPITAL / MOUNT SINAI SCHOOL OF MEDICINE





Where You Live Matters: A First-of-Its-Kind Study Illustrates How Racism Is Interrelated With Poor Health

 

Study published in JAMA Network Open points to discrete factors, like voting participation, employment, education, and housing, that may serve as promising targets for interventions

 

New York, NY (December 21, 2023) – A team of health equity researchers from several institutions has leveraged a complex web of data to test a hypothesis: That structural racism is associated with resources and structures at the neighborhood level that are closely associated with poor health. What they found in an analysis of highly localized, community level data illustrates how racism is deeply interrelated with poor health outcomes.

 

Dinushika Mohottige, MD, MPH, Assistant Professor of Population Science and Policy, and Medicine (Nephrology), at the Icahn School of Medicine at Mount Sinai, served as first author of a paper published today in the journal JAMA Network Open that details the study.

 

Dr. Mohottige and her senior author and long-time mentor, L. Ebony Boulware, MD, MPH,
Dean of Wake Forest University School of Medicine, describe in detail how neighborhood prevalence of chronic kidney disease (CKD), diabetes, and hypertension are strongly associated with an increased burden of structural racism indicators.

The research team conducted an observational cross-sectional study in Durham County, North Carolina, using public data sources and deidentified electronic health records to explore how a comprehensive collection of data points associate the presence of structural racism and the neighborhood prevalence of these three chronic health conditions.

 

“It was important to look at these three conditions because they are interconnected and highly associated with heart disease, as well as quality and length of life. Importantly, Black people share a disproportionate burden of these three illnesses,” said Dr. Mohottige, a member of Icahn Mount Sinai’s Institute for Health Equity Research who specializes in kidney health equity and formerly practiced at Duke University with Dr. Boulware. They collaborated with colleagues from Duke, the University of North Carolina at Chapel Hill, North Carolina State University, and the Feinstein Institutes for Medical Research.

The authors explain that structural racism is defined as how societies foster discrimination through a series of systems that are reinforcing, such as housing, education, and unemployment. “These systems cascade into discriminatory beliefs, values, and the distribution of resources,” says Dr. Boulware.

 

“Dr. Mohottige and I agreed it was important to tap the unusual data assets available in Durham to learn how we can improve the health of communities and individuals by identifying the factors that may affect their health the most. Our goal was to use the data to help us identify possible interventions,” says Dr. Boulware. “Data which measure health outcomes such as kidney disease and diabetes––and which also measure social determinants of health, including information on the built environment and reported neighborhood violence––help us understand how the conditions where people live affect their well-being.  This is especially true for groups that, because of their race or ethnicity, historically experience worse health outcomes when compared to others.”

The result of their work, incorporating thousands of data points related to where people live at the most localized level, says Dr. Boulware, is a first-of-its-kind observational study of associations of structural racism constructs with the health of individuals residing in these neighborhoods. “This study fills an important evidence gap and helps us identify factors which might be targeted to address community health inequities,” says Dr. Mohottige.

 

The researchers studied data of aggregate estimates of prevalence of chronic conditions for each of 150 residential neighborhoods in Durham using the Durham Neighborhood Compass, a unique data asset created by public health officials; a corresponding website, Durham Community Health Indicators Project, provides a user-friendly interface in lay language. 

 

Along with the uniquely detailed and comprehensive Compass data, the researchers pulled data from two main buckets. Through global/composite indicators such as the area deprivation index, they gleaned data revealing the extent of Durham’s stark neighborhood advantage and disadvantage. The discrete indicators they drew upon revealed downstream factors widely thought to represent sociopolitical manifestations of structural racism, including reported crime, evictions, police shootings, and election participation. “Very limited evidence exists to tie together these structural racism constructs with the aggregate health of individuals in a given neighborhood using electronic health data and rigorous assessments of chronic conditions,” says Dr. Mohottige.

 

The team found that:

 

 

  • Residential neighborhoods with the highest prevalence of CKD, diabetes, and hypertension, tended to be in neighborhoods with the lowest proportions of White residents, and vice versa.
  • Neighborhoods with the highest prevalence of CKD, diabetes, and hypertension tended to be in areas with the lowest income and higher area deprivation. They also had the lowest rates of college education.

 

 

  • A greater burden of most discrete indicators of structural racism (examples include reported violent crime, eviction rates, election participation, income, and poverty) was associated with greater neighborhood prevalence of the three diseases.

 

 

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About the Mount Sinai Health System

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time—discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. Hospitals within the System are consistently ranked by Newsweek’s® “The World’s Best Smart Hospitals, Best in State Hospitals, World Best Hospitals and Best Specialty Hospitals” and by U.S. News & World Report's® “Best Hospitals” and “Best Children’s Hospitals.” The Mount Sinai Hospital is on the U.S. News & World Report® “Best Hospitals” Honor Roll for 2023-2024.