Family handoutsTwo premature babies died within weeks of each other after neglect by a hospital, an inquest jury has found.

A young woman died months after begging her GP for help with her chronic fatigue syndrome, an inquest heard.

Many other conditions have similar symptoms, experts say, so avoid the pull of self-diagnosis.The 6-year-old boy sitting across from Douglas Tynan, a child and adolescent clinical psychologist based in Delaware, clearly did not have attention deficit hyperactivity disorder. Dr. Tynan was sure of that. But the boy’s first-grade teacher disagreed.He could be inattentive in class, but at home his behavior wasn’t out of the ordinary for a child his age. A voracious reader, he told Dr. Tynan that he liked to bring his own books to school because the ones in class were too easy.What his teacher had not considered was that the child was most likely academically gifted, as his mother had been as a child, Dr. Tynan said. (Studies have shown that Black children, like the boy in his office, are less likely to be identified for gifted programs.)Further testing revealed that Dr. Tynan was correct. The child wasn’t inattentive in school because of A.D.H.D. It was because he was bored.A.D.H.D. is a neurodevelopmental disorder that begins in childhood and typically involves inattention, disorganization, hyperactivity and impulsivity that cause trouble in two or more settings, like at home and at school.But those symptoms — for children and adults alike — can overlap with a multitude of other traits and disorders. In fact, difficulty concentrating is one of the most common symptoms listed in the American Psychiatric Association’s diagnostic manual, and it’s associated with 17 diagnoses, according to a study published in April.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

34 minutes agoBy 

A fierce battle with Georgia over a Medicaid experiment with stricter enrollment underscores the vast divide between parties over how to cover lower-income Americans.The Affordable Care Act was once a potent electoral issue that could swing campaigns with its more familiar moniker, Obamacare. But the 2010 health law, a core piece of President Biden’s re-election campaign, did not factor into last week’s Republican National Convention.The Republican National Committee’s platform made only vague reference to a Trump health plan, saying that the party will “increase transparency, promote choice and competition, and expand access to new affordable health care.” Former President Donald J. Trump, who said last year he was “seriously looking at alternatives” to Obamacare, made little reference to health policy in his speech on Thursday accepting the Republican nomination.The fight over Obamacare has instead shifted more to state capitals, in part because a provision of the law allows states — which jointly finance Medicaid with the federal government — to expand their programs to cover more adults.No state represents the continuing divisions over the Affordable Care Act’s place in the safety net more than Georgia, one of the last 10 holdouts that have refused to take up Medicaid expansion.Last July, Georgia officials implemented a stricter alternative to Medicaid expansion, known as Georgia Pathways to Coverage. The new program required participants to show that they were working, enrolled in college or doing community service for at least 80 hours each month — activities that Republican state lawmakers said would encourage a spirit of accountability among recipients of publicly subsidized health benefits.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

The federal Centers for Disease Control and Prevention said 28 people had been hospitalized with listeria infections across a dozen states.At least two people have died and more than two dozen others have been sickened in an outbreak of listeria that appears to be connected to meat sliced at delis, according to the federal Centers for Disease Control and Prevention.The fatalities were recorded in Illinois and New Jersey, the agency said. In all, 28 people across 12 states have been hospitalized with an infection of the bacteria Listeria monocytogenes since May, the C.D.C. said on Friday.“Many people in this outbreak are reporting eating meats that they had sliced at deli counters,” the agency said, adding that the true number of people infected was most likely higher.New York has reported the most cases at seven, followed by Maryland with six. States that have also reported cases include: Georgia, Illinois, Massachusetts, Minnesota, Missouri, New Jersey, North Carolina, Pennsylvania, Virginia and Wisconsin.Patients who gave samples that tested positive for the bacteria between May 29 and July 5 were 32 to 94 years old, including one pregnant person who recovered, according to the investigation.The C.D.C. said public health investigators were using a national database of DNA fingerprints of bacteria that cause food-borne illnesses to identify specific products that had been contaminated.DNA fingerprinting is performed on bacteria using a method called whole genome sequencing, which showed that bacteria from samples of those infected were closely related genetically, suggesting that people became ill from eating the same foods.The U.S. Department of Agriculture’s Food Safety and Inspection Service was working to identify the suppliers of meats, sliced at deli counters, purchased in the outbreak.“Listeria spreads easily among deli equipment, surfaces, hands and food,” the C.D.C. said. “Refrigeration does not kill Listeria, but reheating to a high enough temperature before eating will kill any germs that may be on these meats.”The agency said that it had no evidence of listeria bacteria infections tied to prepackaged deli meats.Listeria bacteria, which are naturally found in soil, can contaminate many foods. When ingested, they are most harmful to people who are pregnant, people who are at least 65 years old or those who have weakened immune systems.Listeria infection is the third leading cause of death from food-borne illness in the United States, according to the C.D.C.Possible symptoms from an infection include fever, muscle aches and tiredness. Listeria can cause pregnancy loss, premature birth and life-threatening infections in newborns. For people who are 65 years or older, or with a weakened immune system, listeria often results in hospitalization and sometimes death.Public health authorities in Canada this month reported that two people had died from listeriosis after consuming plant-based alternatives to dairy milk. In June, dozens of ice cream products were recalled by the manufacturer Totally Cool after the Food and Drug Administration warned of possible listeria contamination.In 2023, several listeria outbreaks were reported, including ones tied to leafy greens, ice cream and peaches, nectarines and plums.

Disruption to GPs caused by a global IT outage may continue into the coming week, NHS England has said.

Officials found no evidence of silent infections in 35 Michigan dairy workers, but experts noted that much more data was necessary.Since an unusual bird flu outbreak was first detected in dairy cows in March, experts have warned that the virus could be infecting more farm workers than have been officially detected. Testing has been severely limited, constraining what health officials know about the ways that the virus is spreading from sick cows and contaminated equipment and how often it is spilling over into humans.In recent weeks, state and federal officials have been working to unravel part of that mystery: whether silent, undetected infections are occurring in farm workers. Officials in Michigan recently began testing the blood of 35 dairy workers for antibodies to the virus, which would provide evidence of past infection.On Friday, the Centers for Disease Control and Prevention shared preliminary results, which showed that none of the workers were carrying antibodies to the virus, known as H5N1. All worked on dairy farms in Michigan that had suffered outbreaks, and many worked directly with sick cows, the agency said.Dr. Natasha Bagdasarian, Michigan’s chief medical executive, noted that the study was small and that the results were not definitive. The farm workers tested were also volunteers, which means that they may not be representative of dairy workers more broadly.Still, she said, the results suggested that asymptomatic transmission “is likely not widespread, and that this disease is not something that is spreading with minimal contact.”In its online update, the C.D.C. noted that the results supported its approach to testing, which has focused on symptomatic people who had been in contact with sick animals.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

Researchers are only beginning to understand why some people embrace retirement while others won’t even consider it.Beth Bergmans liked working as a project manager for an online university based in Minnesota. “We are offering opportunities for people to advance in life — that brought some satisfaction,” she said. “And the people I work with are awesome.”Ms. Bergmans, 63, planned to stay on the job for two years, until she qualified for Medicare. But in recent months, something had shifted, subtly. In her fast-paced workplace, she began to find it harder to recall the details of recent meetings, to retrieve words and to filter out distractions. She took short breaks at her desk to recharge.“You find ways to adapt,” she said. “You use Post-it notes and whiteboards, and you spend more time prepping before a meeting.” Nobody complained or even seemed to notice, but Ms. Bergmans worried.“People don’t really talk about this, the fear that you’re starting to slip professionally,” she said. “The last thing I want is to crash and burn at the end because I didn’t recognize that it was time to stop.”So a couple of weeks ago, Ms. Bergmans told her manager that she would retire at the end of the year.Sometimes it works this way: People engaged in and proud of their careers, intending to continue past typical retirement ages, encounter internal or external difficulties and step aside, even if no one is urging them to resign or retire.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

30 minutes agoGetty ImagesThere is no evidence of a large rise in suicides in young patients attending a gender identity clinic in London,