内容摘要：“It directly debunks the claim that vaccines were never tested against placebo,” said Dr. Jake Scott, a Stanford University infectious disease physician who’s helping lead the project.

“It directly debunks the claim that vaccines were never tested against placebo,” said Dr. Jake Scott, a Stanford University infectious disease physician who’s helping lead the project.

Many are making headway in their communities and paving the way for other places.The Associated Press examined efforts that are focused on individual patient needs and efforts seeking to improve medical care generally. Here are key takeaways.

Healthy Start is a federal program that has worked with vulnerable populations for decades. This year, the federal government gave out $105 million in grants to fund local projects. Officials say it’s essential part of the Biden administration’sIt “manages women through their pregnancy,” said Corrina Jackson, who heads up a local Healthy Start project in Tulsa, Oklahoma. “You try to get them in their first trimester and then work with them to delivery day, and then we also work with the babies to make sure that they reach their milestones.”Healthy Start programs coordinate prenatal and postpartum care, as well as educate moms on health and parenting; provide referrals to services for things like depression or domestic violence; and help with transportation.

In Jackson’s more than 25-year tenure in Tulsa, she said there have been no maternal deaths among clients. The maternal death rate for Oklahoma as a whole, meanwhile, is currently higher than the national average.California, by contrast, has the lowest maternal mortality in the nation at 10.5 per 100,000 live births. That wasn’t the case before it created a “maternal quality care collaborative” in 2006.

The partnership founded at Stanford University’s medical school brings together people from every hospital with a maternity unit to share best practices on problems that could lead to maternal injury or death, such as high blood pressure, cardiovascular disease and sepsis.

“When you look at the rate of maternal death in the United States compared to California, they basically ran neck-and-neck until it was established,” said Dr. Amanda Williams, clinical innovation adviser for the collaborative. “At that time they totally separated and California started going down. The rest of the country started going up.”the use of COVID shots and raising questions about the broader availability of vaccines. It was released two days ahead of the first meeting of FDA’s outside vaccine experts under Trump.

but with major restrictions on who can get it — and Tuesday’s guidance mirrors those restrictions. The approval came after Trump appointees overruled FDA scientists’ earlier plans to approve the shot without restrictions.A vial of Moderna COVID-19 vaccine rests on a table at an inoculation station in Jackson, Miss., on July 19, 2022. (AP Photo/Rogelio V. Solis, File)

A vial of Moderna COVID-19 vaccine rests on a table at an inoculation station in Jackson, Miss., on July 19, 2022. (AP Photo/Rogelio V. Solis, File)Pfizer and Moderna, makers of the most commonly used COVID shots, each said they would continue to work with the agency.