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    How to Care for a Loved One With Dementia: 5 Expert Tips

    Gene Hackman was cared for by his wife in his final years. Her unexpected death highlights the essential and challenging job of those who care for Alzheimer’s patients.The details of Gene Hackman’s final days may never be known. But officials in Santa Fe, N.M., said on Friday that it appeared that Mr. Hackman, who had advanced Alzheimer’s as well as heart disease, had spent about a week alone after his wife, who was his caregiver, died at home of a rare viral infection.Mr. Hackman, 95, may have been among the most famous movie stars of the 20th century, but his circumstances point toward a common challenge, according to experts in dementia and family caregiving. Like Mr. Hackman, about seven million Americans have Alzheimer’s, a type of dementia, and their family members, like his wife, Betsy Arakawa, 65, often help care for them as the disease progresses.Laura N. Gitlin, a behavioral scientist at Drexel University who researches ways to support caregivers, said that when a patient is diagnosed with dementia, their loved ones rarely receive all the information they need.“No one really explains to the family what the course of the disease may look like, how to prepare,” she said. “No one checks in on the caregiver.”Knowing how to prepare for this situation can help improve the quality of life for not only patients, as they adjust to life with the disease, but also those who become devoted to their needs. Here are five tips to consider if you become a caregiver for a loved one with dementia.Stay social.People with dementia may feel uncomfortable or anxious around faces they don’t recognize, and stigma can lead some families to retreat from social life. But becoming reclusive can worsen the disease, said Dr. Helen Kales, a geriatric psychiatrist at the University of California, Davis. Isolation can accelerate cognitive decline and even puts caregivers at a higher risk for developing dementia themselves.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. More

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    Trump Administration Sends Politically Charged Survey to Researchers

    Scientists on overseas projects must say whether they work with communist governments and help combat “Christian persecution.”The Trump administration has asked researchers and organizations whose work is conducted overseas to disclose ties to those regarded as hostile, including “entities associated with communist, socialist or totalitarian parties,” according to a questionnaire obtained by The New York Times.The online survey was sent this week to groups working abroad to research diseases like H.I.V., gather surveillance data and strengthen public health systems. Recipients received funding from the Centers for Disease Control and Prevention, the United States Agency for International Development and other federal sources.The questionnaire appears to be very similar to one sent earlier this week to partners of the United States Agency for International Development, which has been all but dismantled by the Trump administration. Both were titled “Foreign Assistance Review.”Recipients were instructed to respond within 48 hours. Some grantees interviewed by The Times feared that impolitic or unsatisfactory answers could lead to cancellation of funding.“Taxpayer dollars must not fund dependency, socialism, corrupt regimes that oppose free enterprise, or intervene in internal matters of another sovereign nation,” the questionnaire said.“A truly prosperous America prioritizes domestic growth, innovation, and economic strength over foreign handouts,” it added.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. More

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    German Court Convicts Five Over Plot to Kidnap Health Official and Spread Chaos

    The defendants, part of a group known as “United Patriots,” aimed to reinstate a 19th-century Constitution by giving power to an all-powerful Kaiser.Five people have been sentenced to prison over what the authorities in Germany described as a plot to kidnap the country’s health minister on live television in 2022 in an attempt to destabilize the German state.After a nearly two-year trial, a court found on Thursday that the five, under a group billed as the “United Patriots,” had planned to create a widespread weekslong power outage and then use the chaos to reinstate a 19th-century Constitution ceding power to an all-powerful Kaiser.They were convicted of founding or joining a terrorist group, of treason and in some cases of owning illegal guns, rifles and explosives.Jörn Müller, a spokesman for the court, in Koblenz in western Germany, said the trial had “shown that a democratic constitutional state is capable of dealing with its alleged opponents on the basis of law and order in a fair and independent trial.”The court sentenced a 46-year-old man whom it had determined to be the group’s central figure to eight years in prison. A 77-year-old woman who holds a Ph.D. in theology and frequently interrupted the court hearings with antisemitic and conspiracy-theory-laced diatribes was handed a sentence of seven years and nine months. Three other men, all in their 50s, received sentences ranging from six and a half years to two years and 10 months.In accordance with German privacy laws, the court identified the defendants only by their initials.The five were part of the Reichsbürger scene, a loosely affiliated antisemitic far-right grouping that does not accept the legitimacy of the modern German state. Their planned overthrow was not directly related to a far more complex, and far more dangerous, plot surrounding a disgruntled prince that is currently being tried in three separate courts in Germany.After meeting and radicalizing on a Telegram chat group during the pandemic, members of the plot tried to buy and hoard weapons and other tools for their plans, according to the case brought by the prosecutors. Police searches after their arrest in 2022 yielded 52 packets of low-grade explosives, with which the authorities said the group hoped to use to disable large parts of the power grid.Members of the group were arrested while trying to buy AK-47 assault rifles, mines and bulletproof vests. The seller was an undercover police officer and the exchange was a setup.The five convicted on Thursday had focused their ire on Germany’s health minister, Karl Lauterbach, a medical doctor and former professor who has taught at the Harvard School of Public Health. During the pandemic, he was an outspoken proponent of vaccination rules, often appearing on television panel shows to explain the medical science behind the spread of the coronavirus.On Thursday, he thanked the German police for keeping him safe. “The state has shown that it can defend itself against violent conspiracy theorists,” he said on social media. More

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    Trump’s Nominee for N.I.H. Chief Faces Questions From Senators

    Dr. Jay Bhattacharya, a Stanford University health economist who came to prominence crusading against lockdowns during the coronavirus pandemic, faced questioning from the Senate health committee on Wednesday morning as President Trump’s nominee to direct the National Institutes of Health.The agency, the world’s largest funder of biomedical research, with a $48 billion budget and 27 separate institutes and centers, has been rocked lately by the Trump administration’s efforts to block government spending and shrink the federal work force. Hours before Wednesday’s hearing, the Department of Government Efficiency, the cost-cutting group led by Elon Musk, trumpeted the cancellation of N.I.H. grants.Dr. Bhattacharya, who has a medical degree and is a professor of medicine but has never practiced, has expressed an interest in restructuring the agency and reducing the power of “scientific bureaucrats” who he has said end up “dominating a field for a very long time.”His views on medicine and public health have at times put Dr. Bhattacharya at odds with many of the scientists whose research the N.I.H. oversees.While he has defended vaccines and has said he was dubious that they caused autism, Dr. Bhattacharya told an interviewer last year that he could not rule out a link. “I don’t know that for a fact,” he said. Extensive evidence shows no link between immunizations and autism.Dr. Bhattacharya became a go-to witness in court cases challenging Covid policies, including mask mandates. In several cases, judges said he was disregarding facts or was untrustworthy. His detractors note that while he has published studies on health policy issues — like drug prices and the link between different types of health insurance and H.I.V. deaths — he is not a scientist conducting biomedical research, the core mission of the agency.But supporters have said that Dr. Bhattacharya could bring needed reform to the N.I.H. and have defended some of his contrarian views on Covid.Dr. Bhattacharya burst into the news at the height of the pandemic in October 2020, when he co-wrote an anti-lockdown treatise, the Great Barrington Declaration, that argued for “focused protection” — a strategy that would focus on protecting the elderly and vulnerable while letting the virus spread among younger, healthier people.The nation’s medical leadership, including Dr. Francis S. Collins and Dr. Anthony S. Fauci, then director of the National Institute of Allergy and Infectious Diseases, denounced the plan. Referring to Dr. Bhattacharya and his co-authors as “fringe epidemiologists,” Dr. Collins wrote in an email that “there needs to be a quick and devastating takedown of its premises.”Dr. Collins, who later stepped down as the N.I.H. director to pursue his laboratory research, retired last week in anticipation of Dr. Bhattacharya’s arrival. More

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    DOGE Cuts 9/11 Survivors’ Fund, and Republicans Join Democrats in Rebuke

    After 20 percent of the World Trade Center Health Program staff was terminated last week, Democratic lawmakers were outraged. On Wednesday, Republican lawmakers joined them.In a rare pushback against President Donald J. Trump, a coalition of congressional Republicans from the New York area rebuked the president for cuts to a federal program that administers aid to emergency workers and others suffering from toxins related to the terrorist attacks of Sept. 11, 2001.In a letter to Mr. Trump, seven Republicans urged Mr. Trump “as a native New Yorker who lived in New York City as it recovered from the 9/11 terrorist attacks” to reverse the cuts to the World Trade Center Health Program and rehire staff members who were fired several days ago.They echoed the immediate outcry from Democratic lawmakers and advocates when the cuts were made beginning late last week, as part of Elon Musk’s so-called department of government efficiency, or DOGE, which is cutting spending and eliminating jobs across a wide swath of federal agencies. On Monday, New York’s Democratic senators, Chuck Schumer and Kirsten Gillibrand, issued a letter demanding the cuts be restored.The initial reaction from Republicans was more muted, but by Wednesday, as it became clearer that the blowback to the firings was widespread, the Republican resistance grew more vocal, especially from districts in and around New York City, where the memory of 9/11 still resonates powerfully.“This staff reduction will only make it more difficult for the program to supervise its contracts and to care for its members who are comprised of the brave men and women who ran towards danger and helped in the aftermath of the 9/11 terrorist attacks,” the congressional members wrote in the letter.It was largely written by Representative Andrew R. Garbarino, a Republican from Long Island, and co-signed by five other Republican congressional colleagues from New York and Representative Chris Smith from New Jersey. The other congressional co-signers were Nick LaLota, Mike Lawler, Claudia Tenney, Nicole Malliotakis and Nick Langworthy, all supporters of Mr. Trump.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. More

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    Kennedy’s Anti-Vaccine Views Don’t Represent America

    There is very little that Americans can agree on these days. Half of people report that religion is very important to them, while more than a quarter say it’s not. Just under half of parents are satisfied with the quality of their children’s education, while the other half are not. Even sports, often considered America’s pastime, draw the interest of only a little over one third of Americans.But one thing nearly everyone agrees on? Vaccines are good.This simple fact has been overshadowed by fears about what will happen to vaccine policy under Robert F. Kennedy Jr., the new secretary of health and human services. Mr. Kennedy has a long history of vaccine skepticism, and critics fear his leadership could lead to interference with vaccine programs or even withdrawal of vaccines from the market. Such moves are already roiling some state health programs. In Louisiana, the Health Department will “no longer promote mass vaccination,” instead leaving vaccine education to medical providers.What has been overlooked in discussions about Mr. Kennedy’s future agenda is one key fact: Vaccines remain enormously popular. Given this broad support, politicians should think twice about targeting something so widely valued.Recent reports in the news media and medical journals highlight a decline in the proportion of kindergartners who have received the measles, mumps, rubella shot. In the last five years, national coverage has fallen to 93 percent, from 95 percent, and in some states like Idaho, it is as low as 80 percent. But while these numbers fall short of the national goal of 95 percent required to maintain herd immunity for measles, they remain a resounding show of confidence.This confidence extends not just to the M.M.R. vaccine. Some 92 percent of American children received the polio vaccine by age 2, and more than 90 percent were vaccinated against hepatitis B. And it’s not just because of school requirements. Nearly nine in 10 Americans — including 86 percent of Republicans — say the benefits of childhood vaccines outweigh the risks.Unlike children, who typically have regular checkups and managed vaccination schedules through their pediatricians, many adults don’t have a doctor checking in with them on immunization. Yet nearly eight in 10 adults have still received at least one Covid-19 vaccination. Four in 10 get the annual flu vaccine, which prevents severe illness but not infection. That number rises to 70 percent among older adults, the population most at risk. While there is room for improvement, these numbers are solid indicators that vaccines are in good standing.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. More

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    How Trump’s Medical Research Cuts Would Hit Colleges and Hospitals in Every State

    A proposal by the Trump administration to reduce the size of grants for institutions conducting medical research would have far-reaching effects, and not just for elite universities and the coastal states where many are located. Also at risk could be grants from the National Institutes of Health to numerous hospitals that conduct clinical research on […] More

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    Don’t Cut an Agency So Vital to Our Health

    More from our inbox:Needed: More Maternity WardsRacial Inequities in the Overdose CrisisVet the Presidential CandidatesTech Tycoons in ChargeA building on the N.I.H. campus in Bethesda, Md. The agency comprises 27 institutes and has a budget of $48 billion.Hailey Sadler for The New York TimesTo the Editor:Re “Long Government’s ‘Crown Jewel,’ Health Institute Is Becoming a Target” (news article, Dec. 3):Your article describes the National Institutes of Health as a “crown jewel” of the federal government based on its track record of success in driving medical and health research and innovation. The article also captures the longstanding bipartisan support for the agency and its work.When asked in a national survey we commissioned this year, Americans of all political persuasions expressed their support for federally funded research:Eighty-eight percent of Americans agree that basic scientific research is necessary and should be supported by the federal government.Some 62 percent would be willing to pay $1 per week more in taxes to support additional medical and health research.And 89 percent say it is important that the U.S. is a global leader in research to improve health.Continuing to treat the N.I.H. as a top national priority is a strategy that will spur new treatments and cures for the health threats facing our population. It will also drive U.S. business and job growth across the life science, technology, manufacturing and service sectors that in the end will keep us globally competitive.Mary WoolleyNew YorkThe writer is the president and C.E.O. of Research!America.To the Editor:The suggestion to cut infectious disease funding displays dangerous historical amnesia. Just as the 1918-20 flu pandemic killed millions of people globally, Covid-19’s emergence in 2020 demonstrated how quickly a novel pathogen can upend society. While vaccines helped curb Covid-19’s impact, we face an equally urgent crisis: antibiotic resistance.Currently, drug-resistant bacteria infect over two million Americans annually, causing more than 20,000 deaths. Without sustained funding and research, projections show antimicrobial resistance could cause 10 million annual deaths globally by 2050.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. More