Health
Mysterious Vaping Lung Injuries May Have Flown Under Regulatory Radar
LOS ANGELES SENTINEL — It was the arrival of the second man in his early 20s gasping for air that alarmed Dr. Dixie Harris. Young patients rarely get so sick, so fast, with a severe lung illness, and this was her second case in a matter of days. Then she saw three more patients at her Utah telehealth clinic with similar symptoms. They did not have infections, but all had been vaping. When Harris heard several teenagers in Wisconsin had been hospitalized in similar cases, she quickly alerted her state health department.
By Sydney Lupkin and Anna Maria Barry-Jester
It was the arrival of the second man in his early 20s gasping for air that alarmed Dr. Dixie Harris. Young patients rarely get so sick, so fast, with a severe lung illness, and this was her second case in a matter of days.
Then she saw three more patients at her Utah telehealth clinic with similar symptoms. They did not have infections, but all had been vaping. When Harris heard several teenagers in Wisconsin had been hospitalized in similar cases, she quickly alerted her state health department.
As patients in hospitals across the country combat a mysterious illness linked to e-cigarettes, federal and state investigators are frantically trying to trace the outbreaks to specific vaping products that, until recently, were virtually unregulated.
As of Aug. 22, 193 potential vaping-related illnesses in 22 states had been reported to the Centers for Disease Control and Prevention. California is investigating 22 cases. Wisconsin, which first put out an alert in July, has at least 16 confirmed and 15 suspected cases. Illinois has reported 34 patients, one of whom has died. Indiana is investigating 24.
Lung doctors said they had seen warning signs for years that vaping could be hazardous, as they treated patients. Medically it seemed problematic, since it often involved inhaling chemicals not normally inhaled into the lungs. Despite that, assessing the safety of a new product storming the market fell between regulatory cracks, leaving doctors unsure where to register concerns before the outbreak. The Food and Drug Administration took years to regulate e-cigarettes once a court determined it had the authority to do so.
“You don’t know what you’re putting into your lungs when you vape,” said Harris, a critical care pulmonologist at Intermountain Healthcare in Salt Lake City. “It’s purported to be safe, but how do you know if it’s safe? To me, it’s a very dangerous thing.”
Dr. Laura Crotty Alexander, a pulmonologist and researcher with the University of California-San Diego, said she saw her first case about two years ago. A young man had been vaping for months with the same device but developed acute lung injury when he switched flavors. She strongly suspected a link but did not report the illness anywhere.
“It wasn’t that I didn’t want to report it, it’s that there’s no pathway” to do so, Alexander said.
She said she’s concerned that many physicians haven’t been asking patients about e-cigarette use and that there’s no way to document a case like this in the medical coding system.
Off The Radar
When electronic cigarettes came to market about a decade ago, they fell into a regulatory no man’s land. They are not a food, not a drug and not a medical device, any of which would have put them immediately in the FDA’s purview. And, until a few years ago, they weren’t even lumped in with tobacco products.
As a result, billions of dollars of vaping products have been sold online, at big-box retailers and in corner stores without going through the FDA’s rigorous review process to assess their safety. Companies like Blu, NJoy and Juul, which is based in San Francisco, quickly established their brands of devices and cartridges, or pods. And thousands of related products are sold, sometimes on the black market over the internet or beyond.
“It makes it really tough because we don’t know what we’re looking for,” said Dr. Ruth Lynfield, the state epidemiologist for Minnesota, where several patients were admitted to the intensive care unit as a result of the illness. She added that if it turns out that the products in question were sold by unregistered retailers and manufacturers “on the street,” outbreak sleuths will have a harder time figuring out exactly what is in them.
With e-cigarettes, people can vape — or smoke — nicotine products, selecting flavorings like mint, mango, blueberry crème brûlée or cookies and milk. They can also inhale cannabis products. Many are hopeful that e-cigarettes might be useful smoking cessation tools, but some research has called that into question.
The mysterious pulmonary disease cases have been linked to vaping, but it’s unclear whether there is a common device or chemical. In some states, including California and Utah, all of the patients had vaped cannabis products. One or more substances could be involved, health officials have said. The products used by several victims are being tested to see what they contained.
Because e-cigarettes aren’t classified as drugs or medical devices, which have well-established FDA databases to track adverse events, doctors say there has been no clear way to report and track health problems related to vaping products.
And this has apparently been the case for years.
Multiple doctors described seeing earlier cases of severe lung problems linked to vaping that were not officially reported or included in the current CDC count.
Dr. John E. Parker of West Virginia University said he saw his first patient with pneumonia tied to vaping in 2015. Doctors there were intrigued enough to report on the case at the annual meeting of the American College of Chest Physicians. Parker and his team didn’t contact a federal agency, and Parker said it was unclear whom to call.
Numerous other cases have been reported in medical journals and at professional conferences in the years since. The FDA’s voluntary system for reporting tobacco-related health problems included 96 seizures and only one lung ailment tied to e-cigarettes from April through June of this year. The system appears to be utilized most by concerned citizens, rather than manufacturers or health care professionals.
But several lung specialists said that due to the patchwork nature of regulatory oversight over the years, the true scope of the problem is yet to be identified.
“We do know that e-cigarettes do not emit a harmless aerosol,” said Brian King, a deputy director in the Office on Smoking and Health at the CDC in a call with media on Aug. 23 about the outbreak. “It is possible that some of these cases were already occurring but we were not picking them up.”
Regulatory Limits
The FDA has had limited authority to regulate e-cigarettes over the years.
In 2009, Congress passed the Family Smoking Prevention and Tobacco Control Act, empowering the FDA to oversee the safety and sale of tobacco products. But e-cigarettes, still new, were not top of mind.
Later that year, the FDA tried to block imports of e-cigarettes, saying the combination drug-device products were unapproved and therefore illegal for sale in the United States. Two vaping companies, Smoking Everywhere and NJoy, sued, and a federal judge ruled in 2010 that the FDA should regulate e-cigarettes as tobacco products.
It took the agency six years to finalize what’s become known as the “deeming rule,” in which it formally began regulating e-cigarettes and e-liquids.
By then, it was May 2016. The e-cigarette market had swelled to an estimated $4.1 billion, Wells Fargo Securities analyst Bonnie Herzog said at the time. Market researchers now project that the global industry could reach $48 billion by 2023.
Critics say the FDA took too long to act.
“I think the fact that FDA has been dillydallying [has made] figuring out what’s going on [with this outbreak] much harder,” said Stanton Glantz, a University of California-San Francisco professor in its Center for Tobacco Control Research and Education. “No question.”
The agency began by banning e-cigarette sales to minors and requiring all new vaping products to submit applications for authorization before they could come to market. Companies and retailers with thousands of products already on the market were granted two years to submit applications, and the FDA would get an additional year to evaluate the applications. Meanwhile, existing products could still be sold.
But when Dr. Scott Gottlieb arrived as the new FDA commissioner in 2017, the rule hadn’t been implemented and there was no formal guidance for companies to file applications, he said. As a result, he pushed the deadline back to 2022, drawing ire from public health advocates, who called foul over his previous ties to an e-cigarette retailer called Kure.
“I thought e-cigarettes at the time — and I still believe — that they represent an opportunity for currently addicted adult smokers to transition off of combustible tobacco,” he said in an interview, adding that other parts of the deeming rule went into effect as planned. “All I did was delay the application deadline.”
Gottlieb’s thinking changed the following year, when a national survey showed a sharp rise in teen vaping, which he called an “epidemic.” He announced that the agency would rethink the extended deadline and weigh whether to take flavors that appeal to kids off the market.
A judge ruled last month that e-cigarette makers would have only 10 more months to submit applications to the FDA. They’re now due in May 2020.
Asked about the lung injuries appearing now, Gottlieb, who left the FDA in April, said he suspected counterfeit pods are to blame, given the geographic clustering of cases and the fact that, overall, the FDA is inspecting registered e-cigarette makers and retailers to make sure they’re complying with existing regulations.
“I think the manufacturers are culpable if their products are being used, whether the liquids are counterfeit or real,” he said. “Ultimately, they’re responsible for keeping their products out of the hands of kids.”
Juul, the leading e-cigarette maker, agreed that children shouldn’t be able to vape its products, and said curtailing access should be done “through significant regulation” and “enforcement.”
“When people say ‘Why aren’t these being regulated?’ They actually are all being regulated,” Gottlieb said.
For example, companies are required to label their products as potentially addictive, sell only to adults and comply with manufacturing standards. The agency has conducted thousands of inspections of e-cigarette manufacturers and retailers and taken enforcement actions against companies selling e-cigarettes that look like juice boxes, and a company that was putting the ingredients found in erectile dysfunction drugs into its vape liquid.
Health departments investigating the outbreak told Kaiser Health News that e-cigarettes’ niche as a tobacco product instead of a drug has presented challenges. Most weren’t aware that adverse events could be reported to a database that tracks problems with tobacco products. And, because e-cigarettes never went through the FDA’s “gold standard” approval process for drugs, doctors can’t readily look up a detailed list of known side effects.
But like other arms of the FDA, the tobacco office has tools and a team to investigate a public health threat just as the teams for drugs and devices do, Gottlieb said. It may even be better equipped because of its funding.
“I don’t think FDA is operating in any way with hands tied behind its back because of the way that the statute is set up,” he said.
Teen vaping has exploded during this regulatory tussle. In 2011, 1.5% of high school students reported vaping. By 2018, it was 20.8%, according to a CDC report.
Unknown Components
Still, doctors and researchers are concerned about the ingredients in e-cigarettes, and how little the public knows about the risks of vaping.
In Juul’s terms and conditions, posted on its website, it says, “We encourage consumers to do their own research regarding vapor products and what is right for them.” Many ingredients in e-cigarette products, however, are protected as trade secrets.
Since at least 2013, the flavor industry has expressed concern about the use of flavoring chemicals in vaping products.
The vast majority of the chemicals have been tested only by ingesting them in small quantities, as they’re encountered in foods. For most of these chemicals, there have been no tests to determine whether it is safe to inhale them, as happens daily by millions when they use e-cigarettes.
“Many of the ingredients of vaping products, including flavoring substances, have not been tested for … the exposure one would get from using a vaping device,” said John Hallagan, a senior adviser to the Flavor and Extract Manufacturers Association. The group has sent cease-and-desist letters to e-cigarette companies in previous years for using the food safety certification of the flavor industry to imply that the chemicals are also safe in e-cigarettes.
Some flavor chemicals are thought to be harmful when inhaled in high doses. Research suggests that cinnamaldehyde, the main component of many cinnamon flavors, may impair lung function when inhaled. Sven-Eric Jordt, a professor at Kaiser Health News, says he presented evidence of its dangers at an FDA meeting in 2015 — and its relative abundance in many e-cigarette vaping liquids. In response, one major e-cigarette liquid seller, Tasty Vapor, voluntarily took its cinnamon-flavored liquid off the shelves.
In 2017, when Gottlieb delayed the FDA application deadline, the product was back. A company email to its customers put it this way:
“Two years ago, Tasty Vapor allowed itself to be intimidated by scaremongering tactics. … We lost a lot of sales as well as a good number of long time customers. We no long see reason to disappoint our customers hostage for these shady tactics.”
At the time of publication, Tasty Vapor’s owner did not reply to a request for comment.
Jordt said he is frustrated by the delays in the regulatory approval process.
“As a parent, I would say that the government has not acted on this,” he said. “You’re basically left to act alone with your addicted kid. It’s kind of terrifying that this was allowed to happen. The industry needs to be held to account.”
Kaiser Health News correspondents Cara Anthony, Markian Hawryluk and Lauren Weber and reporter Victoria Knight contributed to this report.
This story was produced by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.
This article originally appeared in The Los Angeles Sentinel.
Black Press
A Legacy of Service, a Future of Hope: North Carolina Juvenile Services Association Commemorates 60 Years of Empowering Youth
THE CAROLINIAN — The North Carolina Juvenile Services Association (NCJSA) recently celebrated its 60th anniversary at a diamond anniversary conference in Greensboro, marking six decades of transformation in the state’s approach to youth justice. Founded in 1966, the organization was established by dedicated practitioners who sought to move juvenile rehabilitation away from the adult correction system.
Greensboro, NC — When the North Carolina Juvenile Services Association (NCJSA) first organized in 1966, juvenile rehabilitation was largely indistinguishable from adult correction. Young offenders were often held in adult facilities, supervised by adult parole officers, and met with rigid punitive measures rather than developmental care. Six decades later, hundreds of frontline practitioners, community advocates, and statewide leaders gathered at the Embassy Suites in Greensboro from October 14–16, 2026, to celebrate sixty years of groundbreaking advocacy, service, and youth empowerment under the banner: “A Legacy of Service, A Future of Hope.”
The three-day diamond anniversary conference reflected both the historic evolution of juvenile justice across North Carolina and the urgent, modern challenges we face today. From youth mental health and social media exploitation to adult court transfer laws and systemic racial disparities, this important conference created a safe space for essential conversations.
Opening the historical retrospective, longtime leaders Pamela Stokes, Eastern Area Manager for the N.C. Department of Public Safety (NCDPS) Division of Juvenile Justice and Delinquency Prevention (DJJDP), and Johnny Wilson, President and CEO of Fayetteville Urban Ministry, walked attendees through the timeline of change.
Stokes detailed how juvenile justice advocates broke away from the adult probation system in 1966 to build specialized juvenile training, establish community youth homes, and eliminate the warehouse penal approach for minors. By 1997, NCJSA formally received its 501(c)(3) nonprofit status, continually expanding its network from court counselors to include clinicians, educators, and grassroots diversion specialists. “Rather than a single founding figure, the NCJSA was a group of dedicated people who collectively formed together to ask: What are we going to do to help our children?” Stokes noted, emphasizing that early pioneers recognized children needed rehabilitation, family support, and genuine guidance rather than adult incarceration.
The dialogue throughout the opening sessions remained uncompromisingly honest. Johnny Wilson challenged the room to recognize that what society often labels as “badness” in a child is frequently untreated trauma. Wilson, drawing on decades of community intervention, urged attendees to confront the blind spots in youth service, “Who is mentoring your child when the adults aren’t looking? Mentorship is repetition and consistent relationship. When one child is impacted by the justice system, the entire family is impacted. We have to be the voice for the voiceless and hope for the hopeless.”
Wilson pointed out that while nearly two-thirds of high school students report having an adult at school they can talk to, too many youth still feel unsafe at home and in their communities, leading them toward risky street influences and firearm possession as a misguided shield. He stressed that authentic diversion must bridge safety, accountability, and development before a child ever reaches a courtroom desk.
This protective sentiment was further echoed in a critical digital safety session on internet crimes against children. Law enforcement presenters highlighted the explosion of digital exploitation, online grooming, extortion, and non-consensual artificial intelligence imagery targeting minors, noting a 1,000% statewide increase in related investigations since 2019. Law enforcement and child protection experts urged workers to act swiftly in preserving evidence, report via the National Center for Missing & Exploited Children via MissingKids.org, CyberTipline, and the SBI, and remember above all else: “The child is the victim, not the offender.”
Another powerful keynote on policy and data briefing by Deputy Secretary William “Billy” Lassiter of the NCDPS Division of Juvenile Justice shared vital metrics shaping the state’s current juvenile justice landscape, alongside a recorded welcome address from Governor Josh Stein. Lassiter delivered welcome news: overall juvenile crime complaints across North Carolina experienced a significant decline over the past year—marking nearly 2,000 fewer youth entering the system. However, Lassiter and state analysts pointed to complex systemic dynamics beneath the topline numbers: There has been disproportionate minority contact. Deep racial disparities persist across North Carolina’s system. While African American youth make up approximately 21% of the state’s juvenile population, they accounted for over 21,000 of the complaints filed last year, compared to roughly 8,000 for white youth. Lassiter emphasized that disparities are most severe at the system’s entry and exit points (referrals and secure detention), urging practitioners and lawmakers to directly address these inequities with targeted community resources.
A major concern is the adult transfer burden. Following the implementation of recent statutory changes, including House Bill 834, which directs 16- and 17-year-olds facing Class A through E felonies into adult court, juvenile detention centers are increasingly filled with adult-transferred youth awaiting trial. Lassiter reported that these youths now make up 60% to 70% of daily detention beds, with an average length of stay reaching 276 days, compared to just 25 days for youth under juvenile jurisdiction. Strikingly, approximately 60% of transferred homicide/murder charges against juveniles are eventually dismissed due to accessory or bystander involvement rather than principal culpability.
As we know as a community, there are intensive mental health needs. More than 99% of youth held in Youth Development Centers (YDCs) have at least one mental health diagnosis, averaging nearly five distinct diagnoses per child. In response, NCDPS recently broke ground on a specialized, 10-bed juvenile crisis unit in partnership with New Hope Treatment Centers, set to open on November 1 to provide intensive stabilization and eliminate long, draining emergency room waits.
Finally, Lassiter highlighted North Carolina’s upcoming $451 million settlement from Meta, structured in $45 million annual distributions over nine years, intended to curb screen addiction, fund crisis lines like 988, and expand outdoor and community-based Juvenile Crime Prevention Council (JCPC) programs.
Celebration was central to the diamond anniversary and the overall mood of the conference. Despite such a serious subject matter, there was also a solid focus on fun and celebration. The association paid tribute to its founding and lifetime members, including pioneers like Jane Steinberg, Renee Walker, and Judy Juliet, whose early service paved the path for today’s statewide continuum.
NCJSA presented several prestigious awards. In a special tribute, the NCJSA Board and Fayetteville Urban Ministry surprised Johnny Wilson with lifetime honors for his steadfast leadership, faith-driven advocacy, and deep commitment to North Carolina’s children and families since joining the association in 2006.
The conference closed with a resounding call to sustain both youth and the professionals who care for them. Keynote reflections framed the transition from mere bureaucratic compliance to genuine human connection, urging attendees to practice self-care and mutual support. Using the metaphor of an airplane’s oxygen mask, speakers reminded caseworkers, court counselors, and facility staff not to leave their own oxygen masks on the floor while rushing to save others, “We cannot serve our children and families effectively if we are operating on empty. To reach year 61 and beyond, we must see each other, celebrate our small victories, heal our own spirits, and remember our ‘why.’”
As attendees stood with linked arms across the ballroom, the message of NCJSA’s 60th anniversary was unmistakable: the past six decades prove that prevention, compassion, and community-centered intervention work. For North Carolina’s youth, the next sixty years will depend on sustaining the people and programs who refuse to give up on their promise.
Based on reporting by The Carolinian.
BlackPressUSA
Mathew Knowles Shares Breast Cancer Survival Story at Houston’s Inaugural Pearl’s Pink Promise Gala
Breast cancer survivor Dr. Mathew Knowles shared his journey of early detection and self-advocacy at Houston’s inaugural Pearl’s Pink Promise Gala, hosted by Dr. Ashley LaRue to honor her grandmother and raise awareness about breast cancer.
On Friday, October 16, Houston-based therapist and television personality Dr. Ashley LaRue hosted the inaugural Pearl’s Pink Promise Gala at the Omni Hotel—turning personal grief into an urgent public health movement.
The gala honored the memory of LaRue’s grandmother, Pearline, who passed away from breast cancer in 2025. What began as a granddaughter’s tribute became an all-pink, curated experience with a pink-carpet arrival, a cocktail reception, and a room packed with advocates, survivors, and civic leaders.
Throughout the evening, 15 distinguished honorees were recognized for their resilience and service. But the night’s emotional centerpiece was the guest of honor: global music executive, author, and breast cancer survivor Dr. Mathew Knowles.
In 2019, Dr. Knowles publicly revealed his diagnosis, shattering cultural taboos around male breast cancer. During an intimate 30-minute fireside chat moderated by Dr. LaRue, Knowles delivered a candid, masterclass-level lesson on self-advocacy. He recounted the exact moment he knew something was wrong after noticing blood on his shirt—a warning sign that prompted him to immediately request comprehensive testing.
Knowles reflected on the difficult conversations that followed with his daughters and family, emphasizing that early detection and understanding personal genetic risk saved his life. The conversation quickly shifted into an open exchange with the room, leaving several attendees moved to tears as audience members shared their own experiences with diagnosis and caregiving.
“This experience has made me so proud, and my heart is filled with joy,” Dr. LaRue shared.
For LaRue, Pearl’s Pink Promise isn’t a one-and-done October event. Moving forward, she plans to expand the initiative to include year-round safe spaces, community resources, and educational programs tailored to both men and women navigating complex medical diagnoses.
To learn more about Pearls Pink Promise, visit: https://www.pearlspinkpromise.com
Black Press
It’s Time to Lose Weight Before the Holidays
Licensed internist Dr. H. Geoffrey Watson has joined gastroenterologist Dr. Ralph Peterson at Oakland’s MacArthur GI to address the rising obesity epidemic. With U.S. obesity rates reaching 42.4%, the clinic offers supervised weight-loss programs and screenings for fatty liver disease. Treatments include dietary counseling and various medications, such as GLP-1 receptor agonists, which regulate digestion and appetite. As certain populations continue to be disproportionately affected by chronic health conditions, medical experts are highlighting new tools available to help patients reach their goals before the holiday season. Read more.
Dr. H. Geoffrey Watson, a licensed internist, has joined renowned gastroenterologist Dr. Ralph Peterson at MacArthur GI in Oakland to address obesity, provide supervised weight-loss programs including GLP-1 therapy, and screen for and treat fatty liver disease.
The Obesity Epidemic
Obesity is associated with numerous chronic health problems, including hypertension, diabetes, heart disease, sleep apnea, asthma, depression, joint disorders, fatty liver disease, and high cholesterol. Its causes include genetics, environment, stress, medication side effects, hormonal imbalances, and other factors.
Since 1999, the prevalence of obesity in the United States has risen from 30.5% to 42.4%. Childhood obesity rates are also climbing, with approximately 19.3% of children and adolescents now affected.
Measuring Obesity: Body Mass Index
Obesity is measured using a formula called the Body Mass Index (BMI). You can calculate your own BMI on most smartphones by searching “BMI calculator” and entering your height and weight. A BMI of 25 to 29.9 is classified as overweight, and a BMI of 30 or greater is classified as obese.
Populations Disproportionately Affected
Obesity affects certain populations at higher rates. Among U.S. adults, obesity prevalence is 49.9% in Black adults, 45.6% in Hispanic adults, 41.4% in White adults, and 16.1% in Asian adults.
Treatment Options
A variety of treatments are available for obesity, including dietary counseling, exercise programs, bariatric surgery, and anti-obesity medications.
Common oral medications include:
• Adipex (phentermine): A stimulant that works by suppressing appetite.
• Contrave (bupropion/naltrexone): A combination of an antidepressant and an anti-addiction medication that helps control appetite and cravings.
• Qsymia (phentermine/topiramate): A combination of a stimulant and an anti-seizure medication that reduces appetite and cravings.
GLP-1 Receptor Agonist Therapy
Glucagon-like peptide-1 (GLP-1) receptor agonists were originally approved to treat type 2 diabetes. GLP-1 is a hormone produced naturally by the body that regulates digestion, blood sugar, and appetite by communicating with GLP-1 receptor cells throughout the digestive tract. These medications reduce cravings, appetite, and food intake by influencing the hunger hormones ghrelin, which stimulates hunger, and leptin, which signals fullness.
What We Offer
Drs. Peterson and Watson provide FDA-approved tirzepatide injections, a GLP-1 receptor agonist medication indicated for weight management. Each patient receives a comprehensive history and physical examination to ensure the safety and appropriateness of the medication as part of an overall weight-loss protocol. Dr. Peterson also offers ultrasound screening for fatty liver disease.
We look forward to helping you reach your weight-loss goals and feel your best this holiday season.
H. Geoffrey Watson, M.D., runs the MacArthur GI Clinic at 10520 MacArthur Blvd., Oakland, CA. He can be reached at (510) 562-7467.
Black Press
OP-ED: She’s Not Non-Compliant, She’s Hungry: Addressing Food Justice to Improve Breast Cancer Outcomes
CHICAGO DEFENDER — Food insecurity in Chicago’s South Side and surrounding suburbs disproportionately affects Black women with breast cancer, impacting their treatment and recovery.
Here’s a transformational idea: everyone should have access to safe, healthy and affordable food.
If this idea doesn’t feel radical to you, then perhaps you haven’t spent much time in the Southside of Chicago and its adjoining suburbs.
Food insecurity is rampant in our neighborhoods. If you live in Washington Heights, you are practically guaranteed to experience lower food access than the average Chicagoan – with similar circumstances in the South Shore, West Englewood or West Pullman.
It has been clearly documented that “Food is Medicine.” In fact, according to countless scientific studies, good nutrition is critical during cancer treatment. It empowers your body to maintain muscle, rebuild damaged tissues and better withstand aggressive radiation or chemotherapy. A patient with access to nutritious food will experience fewer side effects, like fatigue and nausea, and will have less need for extra medicines. In short, good food improves a patient’s daily life.
Instead, though, a Black woman with breast cancer in our South Side neighborhoods or suburbs has the opposite experience. In fact, if “food is medicine,” then we are inarguably in a crisis, and it is disproportionately affecting Black women with breast cancer.
As co-authors of the Pinkprint and members of the Chicago Better Together Breast Cancer Disparities Think Tank, an initiative launched to address the disproportionate impact of breast cancer mortality on Black women in Chicago’s South Side and South Suburbs, we know that by combining data-informed strategies with community-driven advocacy and leadership, we will create equitable, sustainable outcomes for those most affected by breast cancer and the lack of access to nutritious foods in their communities.
Solutions start as local initiatives. We must pilot community-driven solutions in areas with the highest breast cancer mortality rates and limited access to nutritious food.
Existing local programs – food pantries, community fridges and even hospital-run delivery systems – are a critical piece of this local infrastructure. They are just a component, though, of the robust nutrition infrastructure the South Side lacks. In the long-term, our neighborhoods need clean, well-stocked grocery stores – and we must demand that our elected officials do everything they can to attract and retain these food corporations to invest in our communities.
This is just one item on their to-do list. Long-term solutions will include policy changes and targeted incentives at the city, state and federal levels. Just this spring, over 150,000 people in Illinois lost SNAP benefits, a devastating cut with ripple effects across families into entire neighborhoods. These cuts disproportionately affect people in the South Side of Chicago – not to mention, overwhelm food banks and other centers that serve as part of our social safety net. The Families Receiving Emergency Support for Hunger (FRESH) program in Illinois provides a one-time, automatic $400 cash payment per eligible household member to residents who lost their SNAP food benefits. This will help ease the immediate negative effects of these cuts and is much appreciated. But it is not a long-term solution.
When we started conversations in work groups about this project, we started with the idea that Black women deserve equitable access to quality breast cancer care. Any conversation about breast cancer care and goals for improved outcomes, must include a conversation about nutrition justice.
Nutrition justice is not just a transformational ideal: it is an idea that will literally transform our neighborhoods and the quality of life of every single person living in them. It will put grocery stores in empty storefronts; it will deliver food to a breast cancer patient going through chemotherapy.
Nutrition justice will help improve breast cancer outcomes for Black women on Chicago’s South Side. And Black women should not have to wait.
This op-ed is the second in a series focusing on eliminating breast cancer mortality in Black women on Chicago’s Southside. The authors are part of the Chicago Better Together Breast Cancer Disparities Think Tank, an initiative launched to address the disproportionate impact of breast cancer mortality on Black women in Chicago’s Southside and South Suburbs. Together with other community leaders, they have co-authored the Pinkprint, a strategic multistep plan and call-to-action on this critical issue.
The post She’s Not Non-compliant, She’s Hungry: Addressing Food Justice to Improve Breast Cancer Outcomes appeared first on Chicago Defender.
Based on reporting by Chicago Defender.
Black History
Cash for Moms: As Medicaid Cuts Loom, Cities Test a New Approach to Black Maternal Health
LOUISIANA WEEKLY — WORD IN BLACK — A maternal health crisis continues to disproportionately impact the Black community, with Black mothers experiencing significantly higher mortality rates during childbirth and their infants facing increased risks of prematurity and death. Data indicates Black moms die at three times the rate of white moms, and Black infants are about twice as likely to die as white infants in some states.
By now, there’s little question that a maternal health crisis is rocking the Black community. The data tells the story: Black moms are dying during childbirth at three times the rate of white moms, a disproportionately high percentage of Black children are born prematurely, and Black infants are about twice as likely to die as white infants in states like Louisiana.
But new data from a handful of pilot projects also suggests a potential solution that could significantly improve outcomes for Black mothers and their babies: cash payments, no strings attached.
Studies show the unrestricted money led to fewer preterm births, higher newborn birth weights, and fewer critical-care infant hospitalizations. It also reduced stress among new moms who would otherwise struggle to attend prenatal check-ups, pay for food and formula, or keep a roof over their heads.
“This makes so much sense to me,” says Tamara Mason, an official with the nonprofit March of Dimes who worked on an Atlanta project distributing money to low-income pregnant women. “Why isn’t everyone doing this?”
Sen. Cory Booker, a New Jersey Democrat, is among several sponsors of legislation that would provide direct financial aid to new mothers, similar to the expanded child tax credit in 2021. The credit sent monthly payments of up to $300 per child straight to most families’ bank accounts; experts credit it with lifting millions of children out of poverty.
When it expired, child poverty rose again.
“I believe that we need to, for moms, flood resources to them through things like the child tax credit,” Booker said during an August press briefing on the Black Maternal Health Momnibus Act. “We were able to cut child poverty virtually in half for our communities, and that actually does affect child outcomes.”
Those positive outcomes in part spurred the March of Dimes to launch trial programs providing universal basic income, or UBI, to pregnant women and new moms in two cities: Atlanta, which Bloomberg ranked as the most economically unequal large city in the country, and New Orleans, which March of Dimes gave an F grade.
No strings attached
In Atlanta, the Guaranteed Basic Income Program gave each participant $1,000 a month during pregnancy and her baby’s first year. Women most likely to live in poverty in that city are Black women of reproductive age; 25 pregnant women in two of the area’s highest-need ZIP codes received the cash.
March of Dimes ran the pilot through an Atlanta collective-impact partnership known as the collaborative. It is modeled on San Francisco’s Abundant Birth Project and, organizers say, rooted in an idea the Rev. Martin Luther King Jr. championed decades ago.
Funders Skeptical at First – Then All In
Mason said she spent months pitching foundations on the idea, which some considered outside her organization’s lane.
“I was honestly surprised that a couple of foundations,” Mason says. “Funders were like, ‘Why is March of Dimes in this space? You all are the birth defects people. You’re the preterm birth people.’”
The Community Foundation for Greater Atlanta signed on as the primary funder. The Liz Blake Giving Fund and the Jesse Parker Williams Foundation funded data gathering and evaluation Emory University conducted.
The nonprofit Center for Black Women’s Wellness handled recruitment, and more than 110 women applied for the 25 spots, Mason said. Applicants had to live in one of the two ZIP codes, earn no more than 200 percent of the federal poverty level, and be 12 to 28 weeks pregnant.
Cash, Diapers and a Network
Stipends were paid through a prepaid card, letting evaluators track spending without restricting it. Helping Mamas, a nonprofit focused on diaper insecurity, supplied 300 diapers and eight packs of wipes a month, plus a car seat and other essentials. The Georgia Black Doula Network encouraged, but didn’t require, participants to hire doulas.
Early results from Emory’s evaluation, as described by Mason, show a 20 percent decrease in financial stress and a 66 percent decrease in hopelessness, a figure she called striking. Prenatal outcomes trended better than average.
Mason was careful not to oversell what $1,000 a month can fix. Several participants lost housing; one or two dealt with domestic violence.
Even though GBI reduced financial stress, “it still is one piece of the puzzle,” Mason said.
New Orleans: Overcoming Crisis
March of Dimes runs a similar program in New Orleans, GBI Rx, offering pregnant patients in their first or second trimester $12,000, as a lump sum or $1,000 a month. Two partner medical clinics enroll patients for healthcare, and the payment card blocks cash withdrawals and spending on liquor and gambling.
In Louisiana, “we have a maternal and infant health crisis – specifically, a Black maternal and infant health crisis,” said Robin Gruenfeld, director of collective impact for March of Dimes in New Orleans. ”And it’s been that way for a long time.”
Black infants there died at about twice the rate of white infants from 2021 to 2023. Gruenfeld said Orleans Parish has the state’s lowest prenatal care utilization rate.
Gruenfeld said the program’s city seed money, federal pandemic relief funds, and foundation funding were “zeroed out” without notice. Most funds were later restored at a lower level, forcing organizers to scale down to 94 participants instead of the 100 planned. They also enrolled on a first-come, first-served basis.
Recipients spent lump sums on housing, cars and insurance. But spending priorities for the participants changed when the federal government stopped paying out SNAP food benefits during last fall’s federal shutdown.
“During that time, more than a quarter of the funds that we gave folks was going to groceries,” Gruenfeld said.
Several New Orleans city government officials are now weighing a program modeled on Michigan’s Rx Kids, which a study credits with nearly halving neonatal deaths in Flint, one of the poorest cities in the state.
“We are seeing policies pushed by the political will of predominantly Black women come into effect, and then also the backlash,” says Danielle Atkinson of Mothering Justice Action Fund, a nonprofit advocacy organization. “In Michigan, we have Rx Kids, which is extremely popular [and] the data on the impact is undeniable.”
But recent changes are endangering the success of such programs, particularly amid President Donald Trump’s hostility towards programs focused on diversity, equity and inclusion.
“We’re getting this pushback around identifying race and parental status as systemic areas of oppression,” Atkinson says. It remains to be seen, she says, “whether or not we are going to be able to prevail with the political power and the popular will of these issues, or the rhetoric and the history of racism in our country.”
Washington Looks Elsewhere
That includes the Republican-controlled Congress, which has shown little appetite for cash aid tied to pregnancy.
The Black Maternal Health Momnibus Act, which Booker reintroduced along with Democratic Reps. Lauren Underwood of Illinois and Alma Adams of North Carolina, bundles 14 bills on housing, nutrition, WIC and the perinatal workforce, but not direct cash.
Still, signs suggest the issue – providing cash aid to low-income mothers and their babies – may stay on the front burner as the midterm elections approach in November.
This month, former Vice President Kamala Harris and Michigan Senate nominee Abdul El-Sayed, both Democrats, hosted a Black maternal health roundtable in Detroit. Danielle Atkinson of Mothering Justice took part.
“Black mamas deserve access to quality healthcare that sees us, listens to us, and understands us at every step of the way,” Atkinson said afterward. “The responsibilities we carry do not end at pregnancy, nor do they disappear when we give birth and want to spend time with our newborn. They stay with us throughout all that we experience.”
Based on reporting by Louisiana Weekly.
Black Press
More Families to Benefit from Evidence-Based Home Visiting
BLACKPRESSUSA NEWSWIRE — The MIECHV program reaches families where services are needed most, including those who are rural, low-income, and at greater risk of poor health outcomes. Trained home visitors meet regularly with expecting mothers and families with young children. Decades of gold-standard scientific research show that voluntary home visits during pregnancy and early childhood can help prevent chronic disease and child abuse and neglect.
The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program supports voluntary, evidence-based home visiting for expectant parents and families with young children, particularly in communities facing greater barriers to positive maternal and child health outcomes.
The U.S Department of Health and Human Services’ agency Health Resources and Services Administration (HRSA) recently announced more than $525 million in fiscal year (FY) 2026 Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program awards to 56 state and jurisdiction recipients — the largest federal investment in the program’s history.
There are examples of the program success across the country. For instance, in Florida, Tracy says she gained the confidence and support to overcome challenges and achieve her goals. With the guidance of her home visitor, she strengthened her parenting skills, prioritized her well-being, and advanced her career. Today, Tracy continues to set goals for herself and her family and says, “This program has provided me with the tools to not just survive but to thrive.”
In California, Faraha said “I became pregnant and…I knew I wanted to make a difference in my life and that of my child. The home visiting program not only helped me as a mom, but also with my growth to….better myself, and now I’m in a position that I’ve always wanted to be in.” Faraha is currently employed and pursuing a master’s degree to become a licensed counselor.
HRSA Administrator Tom Engels announced the new awards in Columbus, Ohio, on Child Health Day. The awards will expand access to evidence-based home visiting services that improve maternal and child health, promote healthy child development, and connect families with the support they need during pregnancy and early childhood.
“MIECHV reflects a simple idea: supporting parents early gives children a stronger start. Parents are a child’s first and most important teacher, and by giving them the tools and support they need, we help create a strong foundation for children to thrive,” said Administrator Engels.
The MIECHV program reaches families where services are needed most, including those who are rural, low-income, and at greater risk of poor health outcomes. Trained home visitors meet regularly with expecting mothers and families with young children. Decades of gold-standard scientific research show that voluntary home visits during pregnancy and early childhood can help prevent chronic disease and child abuse and neglect, promote school readiness, and boost families’ economic self-sufficiency.
These awards include both base and matching grants. Base grants provide foundational support for evidence-based home visiting programs in every eligible state and jurisdiction, while matching grants help recipients expand services and reach more eligible families. In FY 2026, 55 of the 56 award recipients applied for and received matching grant awards, reflecting the continued commitment of our state partners to expand evidence-based home visiting services in communities across the country.
Since its reauthorization in 2022, the MIECHV program has served 15 percent more parents and children and delivered 23 percent more home visits. In FY 2025, the program provided more than 1 million home visits to more than 158,000 parents and children across one-third of all U.S. counties, helping connect families with services that support healthy pregnancies, positive parenting, child development, and family economic well-being.
As home visiting services expand, a strong and well-supported workforce is essential to meeting the needs of more families.
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