Friday, June 28, 2024

Cold turkey for child smartphone addicts

The ideas and innovators shaping health care
Jun 28, 2024 View in browser
 
Future Pulse

By Ruth Reader, Carmen Paun, Daniel Payne, Erin Schumaker and Toni Odejimi

AROUND THE NATION

WASHINGTON, DC - MAY 08: David Banks, chancellor of the New York City Department of Education, speaks during a hearing with subcommittee members of the House Education and the Workforce Committee in the Rayburn House Office Building on May 08, 2024 in Washington, DC. Members of the Early Childhood, Elementary, and Secondary Education subcommittee  held the hearing to speak with   education workers and a member of the ACLU to discuss cases of antisemitism in K-12 schools. (Photo by Anna Moneymaker/Getty Images)

Banks says the smartphones have got to go. | Getty Images

Mental health concerns drove New York City’s decision this week to ban city schoolchildren from using cellphones.

David Banks, chancellor of the nation’s largest public school system serving more than 900,000 kids, said doctors concerned about smartphone addiction and other harms connected to social media apps kids access on their phones had advised the city to make the move.

The city plans to issue detailed rules early next month, our Madina Touré reports from New York.

Our kids are fully addicted to these phones,” Banks said in an interview on NY1. “We've got to do something about it.”

Why it matters: The ban in New York comes amid a nationwide movement to curb phone use in schools and growing worry about how smartphones affect children.

Surgeon General Vivek Murthy wrote in a New York Times op-ed last week that social media is so harmful to kids that Congress should force apps to include warning labels like those required on cigarettes and alcohol.

California Gov. Gavin Newsom, a Democrat, vowed last week to limit smartphone use during the school day. The school board in Los Angeles — the country’s second-biggest school district — also recently approved restrictions that will go into effect in January. And in Florida, Republican Gov. Ron DeSantis last year signed a similar measure into law.

New York Gov. Kathy Hochul — a Democrat who recently signed a bill that would require social media platforms to turn off personalized recommendation systems for pupils — also plans to propose legislation that would prohibit smartphones in schools statewide.

Overseas, France has long banned smartphones for kids in middle school and younger, and the U.K. is considering a ban.

 

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WELCOME TO FUTURE PULSE

Damariscotta, Maine

Damariscotta, Maine | Shawn Zeller/POLITICO

This is where we explore the ideas and innovators shaping health care.

Here’s another innovation spurred by the pandemic: Scientists are using Google Street View to identify stray dogs in the Peruvian city of Arequipa to vaccinate them against rabies. The technology led to an accurate count during the country’s lockdown, when people couldn’t go outdoors to find them, Science reports.

Share any thoughts, news, tips and feedback with Carmen Paun at cpaun@politico.com, Daniel Payne at dpayne@politico.com, Ruth Reader at rreader@politico.com, Erin Schumaker at eschumaker@politico.com, or Toni Odejimi at aodejimi@politico.com.

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TECH MAZE

A doctor is pictured. | AP Photo

AI tools may soon get independent vetting. | AP Photo

An alliance of big tech companies and major hospitals has dropped a 187-page draft framework for responsible health artificial intelligence.

The framework from the Coalition for Health AI is designed to guide health systems, payers, device manufacturers and technology vendors in their development of AI tools. The document sets out how institutions should think about AI usability, fairness, transparency, safety and privacy.

Dr. Brian Anderson, CEO of CHAI, said he hopes to create consensus. Right now, the Food and Drug Administration offers guidance on how AI tools should perform, but it’s far from comprehensive.

CHAI’s proposal gets into the weeds of how AI developers should design and deploy their products.

Why it matters: The FDA doesn’t have the resources to vet AI tools that can evolve and change over time or perform differently in different settings. So CHAI, with input from federal agency officials, plans to set up a network of labs that will vet AI tools.

So far, 30 labs are in progress with a goal to launch later this year.

The new AI framework is a foundation for those assurance labs to build their evaluation metrics around.

And it comes with the backing of CHAI’s founders, including Google, Microsoft, Johns Hopkins Medicine and the Mayo Clinic, among other big names.

What’s next? CHAI has invited its members and the public to review and comment on the draft standards over the next 60 days. Anderson expects to have a final version published by the end of the year.

 

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CONNECTING THE DOTS

FORT LAUDERDALE, FLORIDA - OCTOBER 20: In this photo illustration, Janine Ramirez, Hearing Aid Specialist with the Hear Again America co., places a hearing aid on an ear on October 20, 2021 in Fort Lauderdale, Florida. The Food and Drug Administration announced that people with mild or moderate hearing loss could soon buy hearing aids without a medical exam or special   fitting. The agency says 37.5 million American adults have difficulties hearing. (Photo by Joe Raedle/Getty Images)

Congress passed a 2017 law directing the FDA to approve over-the-counter hearing aids. | Getty Images

A two-year old FDA rule that allows people to buy hearing aids over the counter without a prescription hasn’t led to “an era of greater choice, innovation and consumer price relief,” says a report out today from the Global Council on Brain Health, a collaborative of scientists, health professionals and policy experts convened by the AARP, an advocacy group focused on issues affecting people over age 50.

“The private sector can do more to make sure consumers are not left adrift in a confusing marketplace of varied products and services,” the report says.

The report advises people who want to purchase a hearing device to do some research before buying an over-the-counter hearing aid and consult a health professional.

 Why it matters: About one in three people in the U.S. between 65 and 74 have hearing loss due to aging, according to the National Institute on Deafness and Other Communication Disorders.

But people often do not seek care for it or don’t think they need hearing aids, the report says.

A majority of the more than 800 people over 50 the AARP surveyed earlier this month said they didn’t need hearing aids, even if their hearing wasn’t as good as it used to be. Some 16 percent among them had hearing difficulty.

Untreated hearing loss puts people at higher risk of dementia, as a growing body of evidence has shown over the past decade, the report says.

It’s also more likely to isolate people experiencing hearing loss and make them feel lonely, anxious or even depressed.

The risk of falls goes up too, as the loss of hearing undermines the awareness of environmental sound cues that are important for balance, according to the report.

What’s next? The report says removing the stigma surrounding hearing aids as a visible sign of advanced age or disability is a good place to start.

While the AARP wants to increase awareness of the relationship between decreased cognitive abilities and untreated hearing loss, health care providers and policymakers should be mindful of concerns that the link between the two may exacerbate this stigma and find ways to mitigate it, the report says.

 

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Carmen Paun @carmenpaun

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