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Black Women Less Likely to Get Laparoscopic Fibroid Surgeries

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Surgery for uterine fibroids can often be done through minimally invasive techniques that avoid a hospital stay. But Black and Hispanic women may be less likely to receive these treatments, a recent study finds.

Uterine fibroids are non-cancerous growths in the uterus. Sometimes they cause no problems, but when they do — like heavy monthly bleeding and pain — treatment may be necessary.

One option is surgery: a myomectomy, which removes just the fibroids; or a hysterectomy, which removes the uterus. Either surgery can often be done in a minimally invasive way — vaginally or through small incisions in the abdomen.

Yet in the new study, researchers found that Black and Hispanic women often did not receive those less extensive procedures — instead getting traditional surgery, with a large abdominal incision and a hospital stay.

The reasons are not completely clear, the researchers said.

But the investigators did find that Black and Hispanic women were less likely than white women to see a doctor who specialized in minimally invasive techniques.

Uterine fibroids are very common, but especially so among Black women, said researcher Dr. Rebecca Schneyer, an obstetrician/gynecologist at Cedars-Sinai Medical Center, in Los Angeles.

Studies show that about 80% of Black women will have uterine fibroids by age 50, as will 70% of white women. But Black women typically develop them sooner: By some estimates, one-quarter of Black women have fibroids by age 30.

They are also more prone to having numerous or large fibroids, suffer more intense symptoms, and more often undergo surgery compared to white women.

“That’s all the more reason we should be trying to reduce disparities in care,” Schneyer said.

Traditional abdominal surgery for fibroids is generally safe. But it causes more pain and blood loss, and has a longer recovery time than minimally invasive procedures.

For the new study — recently published in the Journal of Minimally Invasive Gynecology — Schneyer’s team examined records of more than 1,300 women who had surgery for uterine fibroids at Cedars-Sinai in recent years.

Most had a minimally invasive myomectomy or hysterectomy, but there were substantial racial gaps: Among white women, 81% underwent minimally invasive procedures, versus 57% of Black women and 65% of Hispanic women. Asian women, meanwhile, had a rate comparable to white women.

Schneyer said there are times when traditional surgery is the better option, depending on the number of fibroids or size of the uterus, for example.

But those factors did not explain the disparities in surgery type, the study found.

Instead, Black and Hispanic women were less likely than white women to see a doctor who specialized in minimally invasive techniques: They often saw an obstetrician/gynecologist without that “sub-specialty” training.

Why is unclear, since all patients were treated at the same medical center and nearly all had private insurance.

It’s possible, Schneyer said, the doctors whom Black and Hispanic women initially saw were less likely to refer them to sub-specialists, perhaps due to “implicit biases.”

But she suspects that “disparities in awareness” might play a bigger role: White women may be more likely to know about minimally invasive options, or seek a second opinion.

Dr. Hye-Chun Hur specializes in minimally invasive gynecologic surgery at NYU Langone Hospital Brooklyn. She said that in her experience, some patients with uterine fibroids are indeed more likely to “doctor shop” and seek second or third opinions, while others accept the initial option presented to them.

The onus should be on doctors, both Schneyer and Hur said, to explain all treatment options.

It’s also important, they said, for primary care doctors and general ob/gyns — the ones who refer women to sub-specialists — to be aware that minimally invasive procedures can often be done even when there are numerous fibroids or the uterus is large.

“A lot has changed in the past 20 years,” Schneyer said. “More often than not, minimally invasive surgery is an option.”

For women who have traditional surgery recommended, Hur said, “seeking a second opinion is always a good idea.” But they should try, if possible, to get that opinion from a specialist in minimally invasive techniques, she added.

Author: WebMD

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Ondo bans unverified alcohol after 29 die

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The Ondo State Government has ordered the immediate ban on the sale and distribution of unverified alcoholic drinks and other substances following the deaths of 29 people in Odigbo Local Government Area of the state.

The government also directed security agencies to take immediate action against the sale and distribution of illegal and unapproved products across the state.

The Commissioner for Information and Orientation, Idowu Ajanaku, announced the directive in a statement on Saturday following the deaths and reported cases of illness in several communities in Odigbo.

The state Commissioner for Health, Dr Banji Awolowo-Ajaka, had earlier confirmed that 29 people had died after consuming a suspected contaminated alcoholic drink, while 60 suspected cases had been recorded.

Ajaka said three of the affected persons were receiving treatment in hospitals, while 27 others were under medical observation.

According to him, 95 per cent of those affected were males aged between 16 and 55, with cases reported mainly in Orita Odigbo, Araromi-Obu, Newtown, Odole, Okele and Oniparaga communities.

The commissioner listed the symptoms recorded among the victims as headache, body pain, general weakness, visual disturbance, difficulty in breathing and altered consciousness.

He said some of the patients deteriorated rapidly, resulting in death within a few hours.

Ajaka, however, said the government had yet to establish scientifically that the suspected alcoholic drink was responsible for the deaths.

“The pattern of illness and reported history of exposure have raised strong epidemiological suspicion of exposure to a probable toxic alcoholic substance.

“However, we are yet to have laboratory evidence of the cause of the deaths,” he said.

The commissioner said 36 blood and urine samples had been collected from affected persons for laboratory analysis, while samples of the suspected alcoholic substances had also been submitted for toxicological investigations.

Meanwhile, the state government said scientific officers from the Ministry of Health had been deployed to the affected communities to investigate the substance suspected to be responsible for the deaths and determine its exact composition.

The government urged residents to stop purchasing or consuming unverified alcoholic drinks and other substances, particularly products packaged in sachets or bottles without the approval of the National Agency for Food and Drug Administration and Control.

It also warned sellers and distributors against purchasing, selling or making available for public consumption any substance whose source, content or regulatory status could not be verified.

“Anyone found violating this directive will face the full wrath of the law,” the government warned.

The government said the directive was aimed at preventing further loss of lives and ensuring that the incident did not spread to other parts of the state.

It urged residents to remain vigilant and report suspicious products and activities to the relevant authorities.

The government said the directive was part of the efforts of the administration of Governor Lucky Orimisan Aiyedatiwa to unravel the circumstances surrounding the deaths, protect residents and prevent further casualties.

It assured residents that the investigation would continue until the substance responsible for the deaths, if confirmed, was identified.

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Ebola: WHO seeks 5,000 health workers for DR Congo

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Health workers in Personal Protective Equipment (PPE) practice safety check protocols on each other during a training by medical charity, Médecins Sans Frontières (MSF) to reinforce regional emergency response capacity for Ebola in the Democratic Republic of Congo (DRC) at Ongata Rongai, Kajiado County in Kenya on July 10, 2026.

The World Health Organisation (WHO) on Tuesday said it needed an additional 5,000 health workers to help contain the Ebola outbreak spreading across the Democratic Republic of Congo.

The outbreak, officially detected on May 15, has spread to six provinces in the country’s conflict-affected eastern and northeastern regions.

The WHO, citing official Congolese figures, said more than 6,600 people had been confirmed infected, while 3,175 had died since the outbreak began.

The development has put further pressure on health facilities in the affected areas, many of which are already struggling with shortages of medical personnel and other essential resources.

Ebola is a highly contagious viral disease transmitted through contact with the bodily fluids of infected persons. It can cause severe bleeding, organ failure and death.

The UN health agency said it was working to establish 3,000 beds in Ebola treatment centres across the affected areas to cope with the rising number of patients.

A senior technical official with the WHO, Luca Fontana, said the expansion would require thousands of additional healthcare workers.

“More than 900 beds have been built within the first two months of the response, and we have now reached close to 1,400 beds across 59 treatment centres,” Fontana told a press briefing in Geneva.

He said another 1,600 beds would be required to meet the rapidly increasing demand.

“Despite this extraordinary effort, we estimate that another 1,600 beds will be required to meet the rapidly growing needs,” he said.

Fontana said nearly 4,000 healthcare workers were currently working in the treatment centres, adding that 5,000 more were urgently needed.

He said the Congolese Ministry of Health was racing against time to identify qualified medical personnel from other parts of the country for deployment to the affected provinces.

“The problem is to identify those fast enough to make sure that we can cover the growing need,” Fontana said.

He stressed that fully staffed treatment centres would be critical to saving lives and bringing the outbreak under control.

“Every treatment centre that is fully staffed and functional means more life saved and a stronger chance of bringing this outbreak under control,” he said.

The current outbreak is caused by the Bundibugyo strain of Ebola, for which there is currently no approved vaccine or treatment. Several vaccines and treatments, however, are being tested.

The outbreak has also been complicated by the security situation in the affected regions, where government presence is weak, healthcare infrastructure is limited and armed groups have operated for decades.

Fontana said the geographical spread of patients seeking treatment was another indication that the outbreak was expanding.

He explained that while most patients initially admitted to treatment centres came from Bunia, the capital of Ituri Province, infected people were now arriving from villages “far beyond” the original epicentre.

He described the development as “a clear sign” that the outbreak was spreading and said the WHO response would have to adapt accordingly.

Ebola has killed more than 15,000 people in Africa over the past 50 years.

The previous major Ebola outbreak in the Democratic Republic of Congo, which lasted from 2018 to 2020, killed nearly 2,300 people out of about 3,500 reported infections.

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Trump cleared for office, doctor orders weight loss ahead of 80th birthday

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United States President Donald Trump has been declared medically fit to continue in office, with his physician describing him as being in “excellent health” while recommending weight loss and increased physical activity weeks before his 80th birthday.

The White House disclosed on Friday that Trump underwent his annual medical and dental examination on Tuesday at Walter Reed Military Hospital near Washington, amid growing scrutiny over his health and fitness for office.

In a three-page medical memo released by the White House, Trump’s physician, US Navy Captain Sean Barbabella, said the president demonstrated strong overall physical and mental capacity.

“President Trump remains in excellent health, demonstrating strong cardiac, pulmonary, neurological, and overall physical function,” Barbabella stated, adding that the president was “fully fit to carry out all duties of the Commander-in-Chief and Head of State.”

However, the physician advised Trump to adopt healthier lifestyle measures, including dietary adjustments, increased physical activity, continued weight loss and low-dose aspirin therapy for cardiovascular prevention.

According to the report, Trump, who will turn 80 on June 14, stands at 6ft 3in tall and weighs 238 pounds (108 kilograms), about 14 pounds more than he weighed during his last full annual medical check-up in April last year.

Despite concerns surrounding his age, the report noted that Trump’s cardiac health reflected an estimated age roughly 14 years younger than his chronological age.

The president also reportedly scored a perfect “30 out of 30” in a cognitive assessment, a result Trump has repeatedly cited in public while contrasting himself with his Democratic predecessor, former President Joe Biden.

The medical report further addressed concerns over bruising frequently seen on Trump’s right hand, attributing it to “minor soft tissue irritation” caused by repeated handshaking and aspirin use.

The memo also referenced scarring on Trump’s right ear linked to the assassination attempt against him during a campaign rally in Butler, Pennsylvania, in 2024, when a gunman opened fire, killing a supporter and slightly wounding the president.

Trump’s latest health evaluation comes amid public concerns after he was occasionally seen appearing drowsy during White House meetings and events. He had also previously been diagnosed with chronic venous insufficiency, a condition that affects blood circulation in the veins and can lead to swelling in the legs.

Reacting shortly after Tuesday’s examination, Trump wrote on his Truth Social platform that the medical exercise had gone “PERFECTLY,” while the White House later shared his photograph online with the caption, “PERFECT BILL OF HEALTH!”

The release of the report also sparked debate in the United States after the White House initially delayed making the medical details public, breaking with the traditional practice of releasing presidential health summaries shortly after such examinations.

Trump has long faced criticism over transparency regarding his health records, with questions also raised over the scheduling and description of his medical evaluations since returning to office.

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