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The art of infection prevention

Preventing infection is an important facet of nearly all programs designed to promote effective use of antibiotics, an area known as antimicrobial stewardship. According to the World Health Organization (WHO), global efforts to preserve the effectiveness of antibiotics must include strategies for preventing any infection that might be treated with the drugs, whether justifiably or not. Teena Chopra, an infectious-disease specialist at the Wayne State University School of Medicine, is fully behind this approach. Because infections are difficult to diagnose and treat quickly, Chopra says that the biggest impact will come from preventing infections in the community, not just in hospitals. Chopra is keen to keep this hygiene momentum going, and points out that the pandemic has revealed considerable weak spots. “This COVID-19 pandemic exposed a lot of vulnerabilities in our core health infrastructure,” she says. “We dealt with a lack of infection control in alternative health-care settings, like nursing homes, schools, daycare centers, dialysis centers, nursing facilities and rehab facilities.” She thinks that those who run these services need to have a more prominent role in antimicrobial stewardship. Without such measures, people will continue to transfer microbes to each other. The risk of transmission can be limited by using microbe-destroying surfaces such as copper, and through rigorous disinfection with chemicals and exposure to ultraviolet light. However, such measures can be difficult to implement in communities. The only two universally effective methods are hand hygiene and staying away from others, Chopra says. “Hand hygiene is the cornerstone — not only in the hospital, but everywhere.” These strategies might seem simple, but they require people to change their behavior, and that is easier said than done.
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Wayne State tells campus community: Take Oct. 30 as a mental health day

The disrupted college lifestyle is weighing on Wayne State University students, its leaders have found. So, on Oct. 30, they want a pause in activities, including classes, for a mental health day. "We've been checking in on students and they're feeling pretty stressed," Interim Provost and Senior Vice President for Academic Affairs Laurie Clabo told the Free Press. "We know they're tired. We're seeing students who are feeling isolated. We're just worried about them." So the university will drastically slow down on that day. "We want them to take a day to just take a pause and recharge so they are ready to finish out," Clabo said. M. Roy Wilson, the university's president, said in a pair of emails sent Thursday morning to the campus community. "The purpose of this day is to allow you time to focus on your health and emotional well-being during these challenging times, connect with fellow students, learn more about the resources available to help you cope and thrive, or close the laptop and dedicate the day to self-care. Faculty are being encouraged to give students some leeway on assignments, and even cancel classes for the day, if feasible."  Wilson encouraged faculty and staff to give themselves a break as well. "Many faculty and staff have not been on campus since March, and continue to face additional stresses, from Zoom/Teams fatigue' and balancing work and child care, to the loss of working alongside our colleagues and the benefits that come with in-person engagement and collaboration. Many are working harder — and longer — and are not taking earned vacation time. While the changes in how we work were made with safety in mind, they bring new challenges, some of which can be unhealthy if not addressed." If Oct. 30 isn't feasible as a mental health day, leaders should consider allowing people to use another day, Wilson said.

WSU Theater and Dance offers digital portal to creative performance and learning

While its theaters may be dark, Wayne State University’s Department of Theatre and Dance has reinvented its offerings to reach its audiences digitally, despite the pandemic precautions which keep live performance venues silent. Thomas Karr, director of marketing and audience engagement for the Magee Allesee Department of Theatre and Dance, said the 2020-21 season is three-fold, offering digital content to audiences worldwide, and includes a Productions Series, a Dialogue Series and Studio Hours. The Productions Series offers streaming and recorded theater performances. “Our Productions Series is where you’ll find the digital experience of viewing fully-realized theatrical productions, similar to what you might experience when attending in-person at the theatre,” Karr said. “Anyone can attend these digital performances for free, but we suggest a $10 ticket to help us maintain the high quality you’ve come to expect from us.”
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These 1960’s Black activist groups fought for economic opportunity in Detroit

A new collection at the Walter P. Reuther Library Archives at Wayne State University showcases documents and materials from Black activist groups in Detroit in the 1960’s. In the second half of the 20th century, the Great Migration of African Americans began moving from the south to the north in search of economic opportunity. They joined a burgeoning worker and union rights movement, forming several activist groups across Southeast Michigan to demand better working conditions and access to unionized work. Several industries from the medical field to the auto industries had workers protesting for equality. The Detroit Revolutionary Movement or (DRUM) left a trove of files and materials are available online through the Walter P. Reuther Library Archives at Wayne State University. “We believe during this moment in history, there’s gonna be an increased interest in organizations like this,” said Louis Jones, a field archivist with the library of labor and urban affairs.
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Purple heroin and a new opioid drug may be Michigan's next big threat

Public health authorities have issued warnings about a new drug called purple heroin which is tied to overdoses in the Upper Peninsula and the death of one person in west Michigan. Purple heroin — which gets its name because it is often purple in color — contains the synthetic opioid fentanyl, acetaminophen (the ingredient found in Tylenol), flualprazolam (an illicit sedative similar to Xanax), buspirone (an anti-anxiety drug), niacinamide (a form of Vitamin B) and, most notably, a new drug named brorphine. "We want to try to get ahead of it to make sure … it's not making its way down the state," said Varun Vohra, a director of the Michigan Poison Center at Wayne State University which issued an alert Wednesday. Little is known about brorphine. “Not many people know about it. It was a surprise to us as well," said Vohra. Vohra asks that anyone who needs information on purple heroin or has come across it to call the Michigan Poison Control Center, 800-222-1222. The center is not tied to law enforcement.
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Michigan riding ‘second’ COVID wave that could bring more deaths

Michigan’s battle with the novel coronavirus has taken a sharp turn, with the volume of cases sharply increasing almost daily along with hospitalizations, emergency room visits and deaths. For the past week, there have been over 1,100 newly confirmed cases a day. More than 1,000 people with COVID-19 are now in Michigan hospitals, following a recent low of 500 on Sept. 25. And deaths, which had been low, are creeping up in a likely “second wave” that will bring more cases. The recent rise in COVID-19 infections has not brought with it the volume of deaths suffered last spring. Cases are more widely distributed across the state and therapies and treatments have improved in Michigan, as they have elsewhere. Experts attribute the improved outcomes to a host of factors. Fewer patients spread across more hospitals have allowed for better care. Treatments have changed and some therapies have emerged, like using remdesivir,  which aided in President Trump’s recovery. And after the coronavirus ravaging nursing home residents in Michigan and elsewhere, changes were made to better protect those populations and many more are taking their own precautions, such as wearing masks and avoiding crowds. “All these precautions are definitely helping,” said Dr. Teena Chopra,  a professor of infectious diseases at Wayne State University who is in charge of infection control at Detroit Medical Center. Chopra said she has noticed that patients she sees at the Detroit Medical Center are younger, by about a decade, than those who were arriving in March and April. That’s made them more resilient to COVID-19. But it doesn’t mean it’s no longer to be feared. “The virus is not going to magically disappear,” Chopra said.
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Sean Anderson Foundation donates $10,000 for Wayne State's HIGH Program

The Sean Anderson Foundation has donated $10,000 to benefit the Wayne State University HIGH (Helping Individuals Go Higher) Program. These emergency resources will benefit the program, which has been negatively affected by the COVID-19 pandemic. Big Sean, a native Detroiter, established the Sean Anderson Foundation to provide better opportunities for those in need. Big Sean previously exemplified his commitment to assisting young people’s lives when the foundation created a $25,000 endowment for HIGH Program in 2016. Wayne State first lady Jacqueline Wilson founded the HIGH Program in 2013, when she met a medical student who had experienced homelessness while attending school. The HIGH Program offers a strategic response to the homelessness issue on Wayne State’s campus. The program assists financially challenged, precariously housed, and homeless students reach their goal of earning their college degree.
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WSU Police Dept. spearheads national de-escalation training initiative

A National De-escalation Training Center (NDTC) has been established to teach law-enforcement personnel innovative and nonviolent ways to resolve conflicts with the public, and the Wayne State University Police Department has been selected as the center's regional headquarters. Was Wayne State chosen because of Detroit's enduring reputation for crime and violence? Because the city is nearly 80 percent African American? Because of our history of fierce run-ins between civilians and police? None of the above, according to Dr. Patrick Guarnieri, the Florida-based chairman, CEO, and creator of the NDTC program. It was selected because of Wayne State's national reputation as a major urban research university. And because of WSU Police Chief Anthony Holt. "It was originally going to start elsewhere," says Guarnieri, former director of training for the National Intelligence Program at the University of South Florida. "But as we were forming it and weighing our options, Wayne State provided the most amenable campus for what we wanted to do, to set up regional centers across the United States and have the headquarters co-located with a university. "Chief Holt gets the credit for this," says Guarnieri. "Oh, God, what a great human being. It's because of his perspective on progressive and innovative policing and [WSU President M.] Roy Wilson's perspective on community police relations. "This is not a 'one-size-fits-all' training," says Holt, a stalwart on WSU's force for more than four decades. "The goal is to reduce the number of incidents where force comes into play. That horrible incident in Minneapolis could possibly change the whole scope of the culture of law enforcement. You've got to look deep within your organization. When you talk about community policing, now you've got to take a deep dive into it."
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Wayne State University completes STEM Innovation Learning Center

Wayne State University has completed construction on the STEM Innovation Learning Center, and commemorated the occasion with an interactive virtual celebration complete with live remarks, a 3D tour, drone flyover and more. The facility, made possible by a $14.75 million commitment from the state of Michigan and bond proceeds to WSU, will serve as a campus hub for interdisciplinary teaching, learning and innovation. The building features 100,000 square feet of flexible classrooms, instructional labs, a maker space, and 3D printing lab with state-of-the-art technology to support hands-on and project-based learning. “The STEM Innovation Learning Center will provide countless educational and research opportunities for students and faculty from across campus,” said Wayne State University President M. Wilson. “In supporting this project, the state of Michigan has also invested in talent and workforce development, and this facility will benefit Wayne State — and the city of Detroit — for generations to come.” In keeping with the university’s current health and safety guidelines, the STEM Innovation Learning Center opened with limited access and will initially be used for space necessary for essential student support services. In the future, it will play a crucial role in achieving Wayne State’s vision for STEM education and research, as well as supporting K-12 students from the greater Detroit area with experiences and exposure to hands-on, creative learning to ignite their interest in science and technology. “Detroit is and always has been a center for innovation in Michigan, and this new facility will provide a crucial resource to Wayne State students and Detroit-area K-12 students who are interested in pursuing a career in STEM,” said Gov. Gretchen Whitmer. “This is exactly what we need to attract more talent and investment to our state and build a strong workforce. I applaud Wayne State University for their dedication to Detroit-area students, and look forward to working with them moving forward.”
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Army sees sharp increase in suicides during coronavirus pandemic

The U.S. Army has seen a worrisome increase in soldier deaths by suicide since March, raising questions about whether troops feeling isolated due to the coronavirus pandemic may be a contributing factor. The total rate of suicides is especially troubling to the Army because for active duty soldiers alone it was 36 per 100,000 so far in 2020 compared to 30.6 the year before. For the total Army forces, including guard and reserve forces, there were 200 suicides by August 31 of this year compared to 166 for the same period in 2019. The highest number of suicides occurred in July with 35 cases, or more than one suicide every day. Army and defense officials privately say they cannot definitively prove that the stress caused by troops feeling isolated during the pandemic played a role. But they believe it may be due to the time frame in which the increase has occurred. Arash Javanbakht, a professor of psychiatry and behavioral neurosciences at Wayne State University, told CNN that the pandemic is likely a factor contributing to the increase in suicides in combination with a list of other factors that come with serving in the military. "When it comes to the military population, there's a higher level of stress. This is a high stress job and situation and there's a higher level of trauma, PTSD, depression, substance use, as well as medical conditions which are already there" regardless of the pandemic, he said.
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Civil rights report lays out ways Michigan schools can level playing field

Michigan schools need more money and less competition to better provide adequate education to all children, according to a new report released Wednesday by the Michigan Commission on Civil Rights. The report calls for changes to the way Michigan funds its K-12 education system, including a weighted funding formula that provides more money to schools with large numbers of students who live in poverty, have special needs or are learning to speak English for the first time. The report isn't binding, but it will be forwarded to policymakers in Lansing and elsewhere with a series of recommendations to make education in Michigan more equitable. Some of the proposals have been suggested before and others are sure to be controversial, including changes to Proposal A, an amendment to the state Constitution that lowered property taxes for schools in exchange for increasing the state sales tax. The proposal helped reduce the funding gap between Michigan's wealthiest schools and its poorest schools, but over time, it slowed the growth of Michigan school funding. "Michigan ranks a dismal 49th among the states in real per-pupil funding growth from 2005 to 2014, with an actual 7% reduction over that period," according to Michael Addonizio of Wayne State University, who testified at one of the meetings. Addonizio noted that in the 1980s, Michigan and Massachusetts funded education at nearly equal levels. Today, Massachusetts spends about 30% more funding than Michigan does. “Year after year, Massachusetts is at or near the top in all testing categories for fourth grade and eighth grade reading and math, according to the National Assessment of Educational Progress,” Addonizio said.
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Michigan officials: Blacks contracting, dying of virus at same rate as whites

African Americans in Michigan are contracting the coronavirus at the same rate as whites, according to state data released Monday, reducing the disproportionate impact of cases and deaths the minority suffered during the early stages of the pandemic. State officials released data Monday showing that Michigan has seen "significant progress" in reducing COVID-19 on communities of color in the past two weeks and created a program in hopes of continuing the trend. The development comes after Wayne State University President M. Roy Wilson said last week the gap has been eliminated. State health officials highlighted that Black residents account for 8.2% of cases and 9.9% of deaths in the past two weeks. By contrast, white residents comprised 88.7% of cases and 88%. Earlier in the pandemic. Blacks represented 29.4% of cases and 40.7% of deaths. The pandemic began in March. Black residents make up 14% of Michigan’s population, while whites comprise 79%, according to U.S. Census Bureau statistics. Wayne State's Wilson said last week this issue was not being talked about and that the progress is critical. Nearly four decades have passed since U.S. Health and Human Service Secretary Margaret Heckler’s report on Black and Minority Health reported 60,000 excess deaths annually in black and minority populations due to health disparities. "This health gap persists to this day," said Wilson, who previously served in the U.S. National Institute on Minority Health and Health Disparities. "The experience here in Michigan with COVID-19 provides hope that progress can be made in addressing persistent racial health disparities if we focus deeply and work together."
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After decriminalization of 'magic' mushrooms in Ann Arbor, medical professionals issue warnings

One week after the Ann Arbor City Council voted to decriminalize psychedelic substances like magic mushrooms some medical professionals want users to not be tricked into thinking there's no danger. "I think the public needs more education or at least awareness and that is where the poison center comes in," said Dr. Varaun Vorhra, Wayne State University Poison Control Center. Some advocates tout psychedelic substances as having therapeutic benefits in the treatment of mental illness and other medical problems. But medical professionals are sounding the alarm because of how these substances can interact with medications and even the foods you eat. "You will see a lot of different side effects like racing heart rate, nausea, vomiting, sweating, hallucinations, possible psychosis," Vohra said. "What we would call 'a bad trip.'" Medical experts believe if you are going to use these substances, you should do under certain conditions. "We recommend at least, if you are with a group of people, people who will be able to monitor you, or supervise you in that setting," Vohra said. "Sort of a chaperone in a way." You can also contact the Michigan Poison Center at the Wayne State University School of Medicine to learn more about the substance before using.
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Michigan's racial disparity disappears in new virus cases

The disproportionate number of African Americans among newly reported COVID-19 cases has largely disappeared in Michigan over recent weeks, data suggests. Tiffany Brown, a spokeswoman for Gov. Gretchen Whitmer, confirmed the reduction in COVID-19 cases among African Americans in a text message late Thursday night. She said more on this issue will be coming next week. Wayne State University President M. Roy Wilson referenced the turnaround during a presentation Thursday to the Lansing Economic Club. Wilson, who sits on a gubernatorial task force created to examine racial disparities, appeared with the presidents of Michigan State University and the University of Michigan. "One thing that is not being talked about enough is this huge racial disparity that we saw at the beginning has now been completely eliminated," Wilson said. The university presidents attributed the lowered toll on African Americans to a variety of interventions, although other factors might also be at work. But Wilson warned the African American community should not get complacent and must continue wearing masks, maintain social distancing and avoid large gatherings. "It is still worth pointing out the remarkable turnaround," said Wilson, adding he has worked in the field of racial disparities for a long time, and it's unusual to see efforts have an impact so quickly. "It allowed targeted intervention to make a big difference." Wilson attributed the close to many efforts created as a result of Whitmer creating the Michigan Coronavirus Task Force on Racial Disparities in April, the group on which he sits. The group has been reviewing weekly COVID-19 reports prepared for the Michigan Economic Recovery Council, he said.
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Spotlight on Hispanic Heritage Month on Inside MI's African American Vote series

Spotlight on the News: Inside Michigan's African American Vote series celebrated Hispanic Heritage Month and examined the impact and influence of the largest minority group in America. How are leaders of Michigan's Hispanic and Latino/a community using their power and voice to increase the cultural diversity of the U.S.? Among the guests was Jorge Chinea, History professor  and Director, Center for Latino/a & Latin American Studies.
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MSU, U-M, Wayne State presidents: In-person classes likely won't resume until fall 2021

The presidents of Michigan's top three research universities said it’s likely it will be another year before their students return to classrooms full-time. Most students at Michigan State University, University of Michigan and Wayne State University are taking their courses remotely this fall due to the COVID-19 pandemic. Each university's president expects online classes to continue through the academic year, with students returning in person in the fall of 2021. "The truth of the matter is that this is going to be with us for a while," said Wayne State University President M. Roy Wilson, who spoke with the MSU President Samuel Stanley and U-M President Mark Schlissel during a Lansing Economic Club panel on Thursday. "I anticipate that the winter semester will be basically the same as it is this semester."
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Wayne State opening of STEM Innovation Learning Center Oct. 1

Wayne State University will open its new STEM Innovation Learning Center on Thursday, Oct. 1, and host virtual pop-up mini events throughout the day from 9:15 a.m. to 3:30 p.m. Students, faculty, staff, and the community are invited to join the celebration. The virtual event will include remarks from university and state leadership, a tour of the building, a drone flyover, and more. Construction on the project, which was made possible by a $14.75 million commitment from the state of Michigan as well as bond proceeds to WSU, began in March 2019. “Now more than ever is a time for innovation and optimism, and this facility will help further a culture of collaboration and creativity across disciplines,” says Tonya Matthews, associate provost for inclusive workforce development and director of the STEM Innovation Learning Center. “Students, faculty and the city of Detroit will benefit from the ideas and opportunities generated within this cutting-edge, state-of-the-art learning space for years to come.” This fall, the building will soft open with limited access while equipment is moved in and final systems are tested. The STEM Innovation Learning Center, however, has already begun to play a role in achieving Wayne State’s vision for STEM education and research for current and future Warriors through various community partnerships that could build upon the spirit of inclusive, collaborative STEM.
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Off-campus students remain a challenge in Detroit’s census response

According to the city census data map, Midtown and the Wayne State University area — neighborhoods that have plenty of traditional and campus housing— still have some of the lowest census responses in the city, about 28 percent, while the city itself has pushed past the halfway mark with a response rate of 50.1, as of Wednesday. Wayne State officials said that they had been working with Victoria Kovari, who is leading Detroit’s Census initiative, for the past 1.5 years to encourage residents and students to respond to the 2020 Census. Wayne State ran volunteer events and education campaigns to help students understand that they could participate in the census for their campus address. “We just wanted to let students know that the Census was coming up and talked about the areas in which it effected funding, roads, Pell education, healthcare and trying to find things that would matter to students,” said Carolyn Berry, WSU associate vice president of marketing and communications. 

New article shows how science could reveal racism's real impact on the body and brain

A novel publication in the Nature journal Neuropsychopharmacology asserts that the stress of racism produces an increased risk for mental health disorders like anxiety and post-traumatic stress disorder in the Black community, especially in the current climate brought on by COVID-19 and the Black Lives Matter movement, leading to a critical need to utilize science to understand racism's true biological impact. Wayne State University School of Medicine Professor of Psychiatry and Behavioral Neurosciences and the David and Patricia Barron Endowed Chair in PTSD and Trauma Neurobiology Tanja Jovanovic, Ph.D., wrote "The critical importance in identifying the biological mechanisms underlying the effects of racism on mental health" with Tracy Bale, Ph.D., a professor of Pharmacology at the University of Maryland School of Medicine in Baltimore. Jovanovic has studied the impact of trauma on the brain and behavior in primarily African American urban communities for more than 15 years. The focus of her work has been in exposure to neighborhood and domestic violence, and post-traumatic stress disorder. She is now investigating the impact of racial discrimination "above and beyond that of other types of trauma." "It is clear that the impact of racism is chronic, pervasive, and for many, unavoidable. Moreover it leaves the brain and body vulnerable to many disorders, including PTSD and many physical diseases," she said.