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Rx pizza: 1 free meal can sway doctor prescribing

CHICAGO (AP) — As little as one free meal from a drug company can influence which medicines doctors prescribe for Medicare patients, according to a study using Medicare records and recently released data from the health care law’s Open Payments program.

Chile reports first case of sexually transmitted Zika

Authorities Saturday reported the first sexually transmitted case of Zika in mainland Chile, where there is no known presence of the mosquito generally blamed for passing on the virus suspected of causing birth defects. The Health Ministry said a 46-year-old woman contracted the virus from a man who had become infected in Haiti. “This is the first documented case of Zika virus through sexual transmission in mainland Chile, where there is no presence of the Aedes aegypti mosquito that transmits the disease,” the ministry said in a statement.

Michigan auditors will probe state health agency on Flint water

Snyder called for the state’s Auditor General and the health agency's inspector general to investigate the problems in Flint and surrounding Genesee County, and they agreed, the state said. Snyder has repeatedly apologized for the state's poor handling of the water crisis but has rejected calls to resign.

U.S. pedestrian deaths from car crashes surge

By Lisa Rapaport (Reuters Health) – Pedestrian deaths from car crashes surged the most in at least four decades last year and now account for about 15% of fatalities from motor vehicle accidents, a U.S. report suggests. Nationally, pedestrian deaths rose 10% in 2015 from the previous year, researchers estimated based on data supplied by states for January through June. “We are projecting the largest year-to-year increase in pedestrian fatalities since national records have been kept, and therefore we are quite alarmed,” said study co-author Richard Retting of Sam Schwartz Consulting, referring to a fatality reporting system established in 1975.

Drug-coated ring cuts HIV risk by more than half in some women

By Gene Emery (Reuters Health) – An experimental drug-infused ring inserted in the vagina once a month cut the odds of becoming infected with HIV by more than half among women who used the device consistently, in a study in four African countries where the risk of AIDS is high. “Use of the product was enough to demonstrate HIV protection of 27 percent” over placebo, chief author Dr. Jared Baeten, a professor of medicine and global health at the University of Washington in Seattle, told Reuters Health by phone. “And in some groups of women who appeared to use it better, such as women over age 21, the risk of HIV was reduced by more than half.” Such silicone rings, infused with a different drug, are already used for birth control.

Hospitals to pay U.S. $28 million to settle false spinal treatment claims

A group of 32 hospitals will pay a total of $28 million to settle allegations that they submitted false claims to Medicare for a type of spinal fracture treatment, the U.S. Department of Justice said on Friday. The hospitals, located in 15 states, frequently billed Medicare for inpatient stays following a procedure known as kyphoplasty, a treatment for certain spinal fractures caused by osteoporosis, the Justice Department said. Hospitals that agreed to some of the largest penalties in the settlement include Citrus Memorial Health System in Inverness, Florida ($2.6 million), Martin Memorial Medical Center in Stuart, Florida ($2 million), and the Ohio-based Cleveland Clinic ($1.74 million).

Stimulant medications may harm sleep for kids with ADHD

By Kathryn Doyle (Reuters Health) – Taking stimulant medications may decrease quantity and quality of sleep for kids with attention-deficit hyperactivity disorder (ADHD), according to an analysis of existing studies. “Some researchers note that stimulants may improve sleep, because they reduce bedtime-resistant behaviors,” said lead author Katherine M. Kidwell, a psychology doctoral candidate at the University of Nebraska. “However, our study shows that stimulant medications impair sleep in children,” Kidwell told Reuters Health by email.

Sierra Leone: Officials confirm new Ebola death

FREETOWN, Sierra Leone (AP) — Health officials in Sierra Leone on Sunday confirmed an Ebola death less than a week after the country’s last known patient was discharged from a hospital.