Early findings grim on the health of Flint kids after water crisis – 60 Minutes – CBS News

You may remember the pictures from the water crisis six years ago in Flint, Michigan. Hundreds of angry residents holding up bottles of rust-colored water and demanding answers. Months of protests were waved off by officials who denied anything was wrong. The turning point came when a local pediatrician found conclusive proof that the children of Flint were being exposed to high levels of lead in their water and prompted the state to declare an emergency. Now, that same doctor is working to solve a mystery that still worries parents in Flint: what lasting damage did the water do to their kids? As we first reported in March, her initial findings were worse than she feared. But we begin with the legacy of Flint’s water crisis.

Once a week, hundreds of cars line up for bottled water at the Greater Holy Temple Church of God in Flint.

Sandra Jones is in command. She is a pastor’s wife with the voice of a four-star general. Jones keeps the cars moving and the water coming. Each family is allowed four cases of water. On this day, they gave away 36,000 bottles.

Sharyn Alfonsi: It just strikes me. It’s been five years and you’re still doing this.

Sandra Jones: Five years. And– and the thing about it is it’s not lightening up. I could see it if it was lightening up. But it isn’t.

It is not. The state stopped giving away bottled water two years ago because it said the water is safe. Sandra Jones relies on donations of water.

Sharyn Alfonsi: What’s it been like?

Larry Marshall: It’s been kinda hard…

Larry Marshall was second in line. The widowed father of four got here at 5 a.m. He’s been waiting five hours for water.

Larry Marshall: Water should be a basic necessity that — we shouldn’t have to wait or stand in line for, you know. This is not a third world country. But we’re living like one.

Marshall, like many in Flint, still refuses to drink tap water.

Sharyn Alfonsi: And if they come to you the city or the state and they say, “You’re drinking water’s safe. Are you gonna believe them?
Larry Marshall: No. They lie so much and we know they lie, and I– when they say something, it’s like– talking to the wind, you know. I don’t believe nothing they say. None of the politicians, none of them.

Flint, once a prosperous hub of the American auto industry was nearly bankrupt back in 2014. Officials hoped to save money by switching the city water source from the Great Lakes to the Flint River.

Almost immediately, residents began noticing something wasn’t right. The water was rust colored and many people had rashes.

But Michigan’s department of environmental quality and the city insisted the water in Flint is safe. Later, a state investigation found those officials hid the fact that the river water was not treated with chemicals that would prevent the pipes from corroding. So, for months the water ate away at Flint’s old pipes, releasing lead into residents’ tap water.

Dr. Mona Hanna-Attisha: They were poisoned. I mean they were poisoned by this water.  They were all exposed to toxic water.

Dr. Mona Hanna-Attisha is a pediatrician in Flint, who her patients call “Dr. Mona.”

Dr. Mona is a bit of a superhero herself here because she was the first to link the water to high levels of lead in the children of Flint.

Dr. Mona Hanna-Attisha: So within a few months of– of being on this water, General Motors, which was born in Flint, and still has plants in Flint, noticed that this water, our drinking water, was corroding their engine parts. Let’s pause. Like, the drinking (LAUGH) water was corroding engine parts. So they were allowed to go back to Great Lakes water.

Sharyn Alfonsi: Didn’t anybody at that point say, “If it’s corroding an engine, maybe this shouldn’t be going into our bodies, into our kids?”

Dr. Mona Hanna-Attisha: I mean that should have been like fire alarm bells. Like, red flags.

Sharyn Alfonsi: So what did it take before your– it– your eyes opened about this?

Dr. Mona Hanna-Attisha: Yeah. It– it– it was the word lead.

Sharyn Alfonsi: Because the word lead, when you’re a physician or a pediatrician signals what in your brain?

Dr. Mona Hanna-Attisha: There is no safe level of lead. We’re never supposed to expose a population or a child to lead. Because we can’t do much about it. It is an irreversible neurotoxin. It attacks the core of what it means to be you, and impacts cognition– how children think. Actually drops IQ levels. It impacts behavior, leading to things like developmental delays. And it has these life-altering consequences.

In 2015, Dr. Mona and a colleague started digging through blood test records of 1,700 Flint children.   Including the kids she sees at the Hurley Children’s Clinic.

The non-profit clinic serves most of Flint’s kids. The city is 53% black and has one of the highest poverty rates in the country.

Dr. Mona Hanna-Attisha: So we looked at the children’s blood lead levels before the water switch. And we compared them to the children’s blood lead levels after the water switch. And in the areas where the water lead levels were the highest, in those parts of the city, we saw the greatest increase in children’s lead levels.

Armed with the first medical evidence that kids were being exposed to lead from the water, Dr. Mona did something controversial. She quickly held a press conference to share the blood test study, before other doctors reviewed her work.

Dr. Mona Hanna-Attisha:  So it was a bit of an academic no-no. Kind of a form of academic disobedience. But I l–

Sharyn Alfonsi: And you knew that?

Dr. Mona Hanna-Attisha: I– I knew that. But, like, but there was no choice– there was no way I was going to wait to have this this research vetted.

Two weeks later, Michigan Governor Rick Snyder ordered the water switched back to the Great Lakes and declared a state of emergency.

Rick Snyder at State of the State: I say tonight as I have before I am sorry and I will fix it.

But the damage was done. Dr. Mona estimates 14,000 kids in Flint under the age of six may have been exposed to lead in their water.

Dr. Mona Hanna-Attisha: I never should have had to do the research that literally used the blood of our children as detectors of environmental contamination.

Three years after the crisis began, the percentage of third graders in Flint who passed Michigan’s standardized literacy test dropped from 41% to 10%.

Kenyatta Dotson: I’m very concerned about my children. And not only my children, but I’m concerned about the children of Flint.

Kenyatta Dotson is still fearful of the water, even though the state is spending more than $300 million to fix the water system.

The city promised to replace all 12,000 supply lines that may have been contaminated with lead by last fall. Now, they say the work won’t be done until summer. 

Dotson says she and her daughters will continue to use bottled water for cooking and brushing their teeth.

Kenyatta Dotson: I need time to come back to a place where I feel whole again.

Sharyn Alfonsi: You don’t feel whole right now?

Kenyatta Dotson: Oh no.

Sharyn Alfonsi: Would this have happened in a rich, white suburb?

Kenyatta Dotson:  Maybe it would’ve happened in– in a rich, white suburb. Would it have continued for as long as it has? I don’t believe so.

We found many parents in Flint still bathe their young children with bottled water — first warmed on the stove then brought to the tub.

Dr. Mona Hanna-Attisha: When I’m in clinic– almost every day– a mom asks me, “Is my kid gonna be okay”? So that’s a number one kind of anxiety and– and concern right now–

Sharyn Alfonsi: How do you answer that?

Dr. Mona Hanna-Attisha: Oh, I– I sit down. I sometimes hold their hand. And I reassure my patients and their parents just as I would before the crisis… to keep doing everything that you’re supposed to be doing to promote your children’s development.

In January of 2019, she launched the Flint registry, the first comprehensive look at the thousands of kids exposed to lead in Flint. The goal of the federal and state-funded program is to track the health of those kids and get them the help they need.

The registry refers hundreds of kids to specialists who conduct 8 hours of neuro-psychological assessments of their behavior and development.

Dr. Mona shared her preliminary findings with 60 Minutes.

Before the crisis, about 15% of the kids in Flint required special education services. But of the 174 children who went through the extensive neuro-exams, specialists determined that 80% will require help for a language, learning or intellectual disorder.

Sharyn Alfonsi: What are you gonna do?

Dr. Mona Hanna-Attisha: So there’s not much we can do. So there’s no magic pill. There’s no antidote.  There’s no cure. We can’t take away this exposure. But incredible science has taught us that there’s a lot we can do to promote the health and development of children and that’s exactly what we’re doing.

Through the registry, already 2,000 Flint children who were exposed to lead have been connected to services such as speech and occupational therapy, which some may need for the rest of their lives.

Dr. Mona Hanna-Attisha: But we also realized that our research, our science, this data and facts was also an underestimation of the exposure.

Sharyn Alfonsi: Why underestimated?

Dr. Mona Hanna-Attisha: Because we were looking at blood lead data done as part of these surveillance programs, which are done at the ages of 1 and 2. Lead in water impacts a younger age group. It impacts the unborn.

To determine that impact, Dr. Mona turned to a novel technique developed by Dr. Manish Arora at New York’s Mount Sinai Hospital. He examines baby teeth. Baby teeth begin to grow in utero.
Dr. Manish Arora: And just like growth rings in trees, every day a tooth forms a ring. And anything that we’re exposed to in our diet, what we eat, what we breathe, what we drink gets trapped in those growth rings.

A laser cuts through the tooth to analyze whether lead is embedded in the growth rings of teeth. Dr. Mona has sent teeth from 49 Flint kids to be analyzed. This was a scan on the tooth of a child who was 6 months old when the water source switched in Flint.

Dr. Manish Arora: As we hit that six month mark where the–

Sharyn Alfonsi: Oh, my gosh–

Dr. Manish Arora: –water– the water supply was change, you can see how–

Sharyn Alfonsi: Look at that.

Dr. Manish Arora: You can see how the lead levels go up and then they just keep– keep going up as more and more lead’s entering the body.

Sharyn Alfonsi: It shoots straight up.

Dr. Manish Arora: Exactly.

Sharyn Alfonsi: Wow.

For the first time, researchers can pinpoint to the day, even before birth, when a child was exposed to lead from the water and at what levels. Those early years are a critical time for brain development.

As we were following Dr. Mona’s work in Flint, another American city was forced to hand out cases of water. Testing on the drinking water in Newark, New Jersey, found lead levels four times higher than the federal limit. In some places, higher than Flint. Newark officials were warned about it’s water more than two years ago.

Dr. Mona Hanna-Attisha: Newark, New Jersey is like living Flint all over again. If we cannot guarantee that all kids have access to safe drinking water, not just privileged kids, but all kids have access to safe drinking water. That’s just one issue. Like, who are we?

Sharyn Alfonsi: This is not isolated to Flint–

Dr. Mona Hanna-Attisha: This is– this is an everywhere story. This is an America story.

Last month, we made another visit to Flint to check in with Sandra Jones.

She was still in command despite temperatures in the single digits. Hundreds in Flint are still coming to her church parking lot for their weekly supply of water, more than five years after the crisis began.

Produced by Guy Campanile and Lucy Hatcher. Broadcast associate, Cristina Gallotto. Edited by Matt Richman.

This content was originally published here.

How Young Can Kids Get Braces? An Orthodontist Weighs In

Youve adored your childs goofy grin since forever. Then, those beautiful little baby teeth fall out and in come the permanent ones. If your kids teeth begin to grow in crooked or flaring, you might find yourself thinking about correcting that dental dilemma. So how young can your child get braces if it turns out they might need it not only for a straight smile, but also help the way they might eat and speak.

“The American Association of Orthodontics (AAO) recommends that children have their first orthodontic consultation at the age of seven, Dr. Erika Faust, an orthodontist at Elite Orthodontics in New York City, tells Romper. By this age, your childs first adult molars have appeared and her permanent bite has been established. So, if there is any deviation from a normal bite we can take steps to correct it early. Of course, there are some exceptions to this rule, such as correcting a thumb-sucking habit or for a patient who might need to learn proper tongue placement while swallowing, reported the American Association of Orthodontics (AAO).

During an initial visit, there are some things that orthodontists look for to see if getting braces at an early age might be necessary. At the first consultation, we determine if there are any severe bite or alignment issues that need to be immediately addressed, and if so, we begin treatment, says Dr. Faust. In many cases, more moderate orthodontic treatment is recommended and the patient can wait until most baby teeth have come out. That said, an early intervention procedure might be performed prior to getting braces, such as removing a baby tooth, so that a permanent tooth can take its place. Orthodontists also evaluate for proper tooth development and eruption to make sure that all of the permanent teeth are coming in properly. Thats why taking your child to the orthodontist for an initial appointment sooner rather than later can help determine if early intervention methods might be necessary.

In most cases, braces go on around ages 11-13. At this point, pretty much all of your childs baby teeth will have fallen out and hell have his permanent ones. And thats when you might start seeing superficial issues, like crowding or crooked teeth. But theres a small window when orthodontics will work, and thats mostly due to your child’s age and attitude. Starting treatment later than ages 11-13 risks poorer patient cooperation and the likelihood that treatment wont be finished before important life events like senior pictures, prom, and graduation, explains Dr. Faust. That’s why it’s best for your child to brace himself (ha) and get braces before becoming a full-blown teenager.

But having straight teeth isnt the only end goal of electing to get braces. Proper orthodontic treatment can allow your child to chew and eat correctly as well as speak more clearly. Jaw discrepancies are corrected much easier and faster in growing children than in adults, says Dr. Faust. Neglecting these issues can result in the need for a much longer time in braces in adolescence, extraction of permanent teeth, and in severe cases, jaw surgery later in life.

Getting braces is almost a rite of passage in the tween years. While most children should be assessed during their elementary school years, middle school is often when many kids begin orthodontic treatment. And before you know it, your child’s smile will be picture-perfect once again.

This content was originally published here.

China Never Reported Existence of Coronavirus to World Health Organization

Contrary to claims from both Chinese officials and the World Health Organization, China did not report the existence of the coronavirus in late 2019, according to a WHO timeline tracking the spread of the virus. Rather, international health officials discovered the virus through information posted to a U.S. website.

The quiet admission from the international health organization, which posted an “updated” timeline to its website this week, flies in the face of claims from some of its top officials, including WHO director general Tedros Adhanom, who maintained for months that China had informed his organization about the emerging sickness.

China and its allies at the WHO insisted in multiple interviews and press conferences that China came to the health organization with information about the virus. This is now known to be false. The WHO’s backtracking lends credibility to a recent congressional investigation that determined China concealed information about the virus and did not initially inform the WHO, as it was required to do.

The WHO’s updated timeline, posted online this week, now states that officials first learned about the virus on Dec. 31, 2019, through information posted on a U.S. website by doctors working in Wuhan, where the virus first emerged. This contradicts the agency’s initial timeline, which said that China first presented this information at that date.

That initial timeline stated that the “Wuhan Municipal Health Commission, China, reported a cluster of cases of pneumonia in Wuhan, Hubei Province” on Dec. 31.

These claims were carried in numerous American media outlets that relied on the WHO’s inaccurate timeline, including CNN and Axios.

Chinese officials and state-controlled media also claimed for months that the communist regime informed the WHO on or around Dec. 31. In recent days, however, Chinese officials have dropped that talking point.

Rep. Michael McCaul (Texas), lead Republican on the House Foreign Affairs Committee and a member of Congress’s China Task Force, was one of the first lawmakers to expose China’s lies about reporting the virus. An interim congressional report on the virus’s origins published last month first disclosed the fact that the WHO found out about the virus from online postings, not China.

“I’m glad to see the WHO and the Chinese Communist Party have both read my interim report on the origins of the pandemic and are finally admitting to the world the truth—the CCP never reported the virus outbreak to the WHO in violation of WHO regulation,” McCaul told the Washington Free Beacon in a statement. “The question now is whether the CCP will continue their false propaganda campaign that continues to claim they warned the world, or whether they will come clean and begin to work with the world health community to get to the bottom of this deadly pandemic.”

McCaul’s report makes clear that WHO director general Adhanom parroted China’s claim about self-reporting the virus.

“Director General Tedros actively engaged in an effort to defend the CCP’s leadership from criticism, negatively impacting the world’s understanding of the virus and hampering the global response effort,” the report concluded.

The WHO’s initial timeline “leaves out the fact that the WHO China Country Office was ‘informed’ by the WHO headquarters in Geneva—not PRC health authorities,” according to McCaul’s findings, which are now verified by the WHO’s revised timeline.

While initial reports of the virus did in fact originate in Wuhan, WHO officials in its headquarters found the information on an American early-warning site.

“Director General Tedros’s comments seem to suggest that Wuhan or the PRC informed the WHO of the outbreak, which is untrue,” according to the congressional report.

This content was originally published here.

Ex-dentistry professor sues USC over termination | Daily Trojan






Former professor Jucheng Chen from the Herman Ostrow School of Dentistry filed a civil case lawsuit against the University Jan. 16 for alleged age discrimination, employer retaliation and wrongful discharge in lieu of public policy, according to a lawsuit obtained by the Daily Trojan.

In the lawsuit, Chen named USC, dentistry school Executive Associate Dean for Academic, Faculty and Student Affairs Mahvash Navazesh and Chair of Periodontology, Diagnostic Science and Dental Hygiene Casey Chen as the defendants of the case. Chen is suing the defendants for monetary damages and punitive action regarding his termination.

“We all hope USC would be better, more transparent,” Chen said.

Chen was employed by the University for 20 years and was appointed to the USC Provost’s “Task Force on Teaching Excellence” in March 2016, a year prior to his termination.

Chen alleged that his termination was sparked by an incident in 2017 after he noticed his students’ grades were changed without his approval. His primary role at the time was as a teacher’s assistant, and he was responsible for the grades of 16 freshmen.

“[Chen] believed a hacking mishap was more likely than not since, to his knowledge, his freshman grades had never been changed before and were based off USC’s own grading criteria and procedures,” the lawsuit read.

According to the lawsuit, Chen reported the situation on April 10 to the Office of Academic Affairs as a breach in the University servers, but he was soon notified by the University’s technical department that the course grades had been altered without his own approval.

“[Chen] received startling news from the IT department the next day” the lawsuit read.  “IT confirmed … that the changing of Plaintiff’s grades was intentional and was done at the direction and behest of Associate Dean, Defendant [Mahvash] Navazesh.”

In response to the situation, Chen complained to other faculty and reported the incident, citing a cause of fraud. However, no action was taken thereafter.

Ten days after the complaint was filed, Chen received a termination letter, which he claims was the University’s retaliation to his protected complaint of academic violation.

Navazesh and Chen have denied all accusations, according to the lawsuit.

“When Plaintiff pressed for an explanation regarding the alteration, Defendants Navazeh and Chen could not and/or refused to provide one and wished him well in his future endeavors,” the lawsuit read.

The Daily Trojan reached out to Navazesh and Dr. Casey Chen for comment but was directed to University Media Relations.

“At the request of a number of students, an internal review was conducted of the grades assigned to that portion of the course,” the University wrote in statement to the Daily Trojan. “Based on that review, adjustments were made by a course co-director in a manner that was judged to be a more accurate reflection of the students’ work.”

Though the University maintains that student grades were changed after careful evaluation of the course, Chen alleged that he was wrongfully terminated after reporting the incident.  

“Both Dr. Chen and I care about the integrity of the school … I think it’s very important that when speech of this nature occurs, the victim has the right to tell his narrative and to see justice,” said Chen’s lawyer Kevin Chiang, an alumnus from the Gould School of Law. “Our hope at the end of the day is that Dr. Chen is able to tell his story, let the facts speak for themselves and ultimately to let the judicial system adjudicate this matter in accordance with the law.

The Los Angeles Superior Court has set a jury trial for the case at Stanley Mosk Courthouse. At the time of publication, no trial date had been set. According to University Media Relations, USC is currently not represented by legal counsel.

Chiang said the trial is expected to take anywhere from six months to two years.

“[We] are prepared to litigate the case for however long the process requires,” Chiang said in an email to the Daily Trojan.

This content was originally published here.

Dr. Scott Atlas disputes COVID-19 fear mongering tactics from our health officials –

Dr. Scott Atlas disputes COVID-19 fear mongering tactics from our health officials

SAN DIEGO (KUSI) – As coronavirus cases continue to increase across the United States, health officials and Democrat politicians seem to be using that statistic to fear monger and justify closure orders.

Dr. Scott Atlas of the Hoover Institute, discussed why we don’t need to be scared of the increase spread of coronavirus on Good Morning San Diego with KUSI’s Paul Rudy.

Atlas said that he has done more than a superficial analysis of the numbers, and after analyzing them, he doesn’t get scared.

Explaining, “When you look all over at the states who are seeing a lot of new cases, you have to look at who is getting infected because we should know by now, that the goal is not to eliminate all cases, that’s not rational, it’s not necessary, if we just protect the people who are going to have serious complications. We look at the cases, yes there’s a lot more cases, by the way they do not correlate in a time sense to any kind of reopening of states. If you look at the timing, that’s just a misstatement, a false narrative. The reality is they may correlate to the new protests and massive demonstrations, but it’s safe to say the majority of new cases are among younger, healthier people.”

Furthermore, Dr. Atlas emphasized the fact that the death rates are not going up, despite the increase in cases. “And that’s what really counts, are we getting people who are really sick and dying, and we’re not, and when we look at the hospitalizations, yes, hospitals are more crowded, but that’s mainly due to the re-installation of medical care for non COVID-19 patients.”

Dr. Atlas used Texas of an example saying, “90+% of ICU beds are occupied, but only 15% are COVID patients. 85% of the occupied beds are not COVID patients. I think we have to look at the data and be aware that it doesn’t matter if younger, healthier people get infected, I don’t know how often that has to be said, they have nearly zero risk of a problem from this. The only thing that counts are the older, more vulnerable people getting infected. And there’s no evidence that they really are.”

Dr. Atlas then pointed out the hospitalization length of stay is about half of what it once was.

This content was originally published here.

Health expert Zeke Emanuel says 250,000 Americans could die of COVID by end of year – CBS News

Bioethicist Dr. Zeke Emanuel is predicting that up to 250,000 Americans could die directly from the coronavirus by the end of the year. In an interview with CBS News chief Washington correspondent Major Garrett, Emanuel, who is the vice provost for Global Initiatives and chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, slammed the Trump administration’s response to the pandemic as “incompetent and pretty disastrous.”

“Before the year is out, we’ll probably have, I would think, between 220,000 and 250,000 Americans who died directly from COVID, not to mention those people who are dying indirectly,” Emanuel said in this week’s episode of “The Takeout” podcast. Emanuel singled out people with heart conditions or in need of cancer treatment who may not visit the doctor due to concerns about catching the virus as factors contributing to high indirect mortality rates.

“You’ll have a huge increase in mortality because of COVID, and that is, it seems to me, to be a failure,” Emanuel said. Emanuel is also a senior fellow for the left-leaning think tank Center for American Progress, and he is also on former Vice President Joe Biden’s campaign task force to address the coronavirus.

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Highlights from this week’s episode:

Emanuel noted that several states have seen an uptick in cases in recent weeks, and that the daily death tolls are comparable to what they were at the onset of the pandemic in the U.S. in March.

“That’s not progress, that’s regression. In some ways, you can say we’ve wasted four months,” Emanuel said. He also shot down President Trump’s claim that 40 million people had been tested. Forty million tests have been administered, with some people receiving multiple tests.

“We were extremely slow to develop good testing, and we still don’t have the best testing that we should,” Emanuel said.

However, Emanuel and the Trump administration do agree on one point: Schools should be reopened safely in the fall.

“We need to open up primary and secondary schools in the fall. I think it’s really important. I think you can do it safely. But whenever I say it, I don’t mean ‘no COVID,’ I mean ‘you will get COVID and kids will get COVID,’ but you can do it in a way that tries to minimize those cases,” Emanuel said. “It’s not risk-free. Life is not risk-free. But I think it’s probably worth it.”

Emanuel bemoaned how wearing a mask has become politicized, in part because the president has largely avoided wearing a mask in public.

“I heard someone saying, ‘Oh only sissies wear masks.’ Baloney! You wear a mask because you don’t want to spread it to someone else, and you don’t want to catch it from someone else,” Emanuel said. “Will it absolutely protect you? No. Will it decrease your chance of getting COVID? Yes.”

For more of Major’s conversation with Emanuel, download “The Takeout” podcast on Art19, iTunesGooglePlaySpotify and Stitcher. New episodes are available every Friday morning. Also, you can watch “The Takeout” on CBSN Friday at 5pm, 9pm, and 12am ET and Saturday at 1pm, 9pm, and 12am ET. For a full archive of “The Takeout” episodes, visit www.takeoutpodcast.com. And you can listen to “The Takeout” on select CBS News Radio affiliates (check your local listings).  

Producers: Arden Farhi, Jamie Benson, Sara Cook and Eleanor Watson
CBSN Production: Eric Soussanin, Julia Boccagno and Grace Segers
Show email: TakeoutPodcast@cbsnews.com
Twitter: @TakeoutPodcast
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This content was originally published here.

Candid adds connected device to remote orthodontics – MedCity News

The ScanBox connected device helps to monitor patients who are using aligners virtually.

The device looks like a virtual-reality headset. But instead of covering people’s eyes, it peers into their mouths.

A teledentistry startup — Candid — hopes the device can give it an edge in the crowded field of straightening people’s teeth.

The company is one of several offering clear teeth aligners and treatment plans to match. This year the company has been field-testing a technology called Dental Monitoring that involves handing patients a connected device, called a ScanBox. The device connects to a patient’s smartphone, captures images and sends them to a remote orthodontist. The uploaded images also are scanned using an AI algorithm that can track a patient’s progress, assess their oral hygiene and detect any potential health issues, such as visible cavities or gingival recession.

Patients are asked to send images every seven to 10 days, more often than they would go for checkups at a traditional orthodontist, said Dr. Lynn Hurst, chief dental officer for Candid, in a phone interview.

Hurst, who is based in Austin, Texas, had been using an earlier version of the technology in his own practice since 2016. The introduction of the ScanBox has made it easier to use, he said.

“It’s extremely robust,” Hurst said.

Based in New York City, Candid was founded in 2017 and features a network of several dozen orthodontists. Some patients may be assessed in one of Candid’s retail studios in major cities like Atlanta, Chicago, San Diego and Seattle. Others come through online channels.

An orthodontist reviews each patient’s case, determines whether they are eligible for treatment and, if so, comes up with a treatment plan. The aligners are then mailed to patients, who generally must be at least 16 years old and have mild to moderate alignment issues. Orthodontists monitor their treatment.

Altogether, the program costs about one-third as much as traditional teeth straightening, said Nick Greenfield, Candid’s president and CEO.

Dental Monitoring will add a couple hundred dollars to the price. But patients using the ScanBox have been more likely to stick to their treatment plans and complete their plans more quickly, Greenfield said in a phone interview. Compliance typically is around 80% range. Patients on Dental Monitoring were 95% compliant, he said. And their treatment time was 27% shorter on average.

The company evaluated other devices but its orthodontists liked the Dental Monitoring program best. The ScanBox and the program are the products of a company itself called Dental Monitoring.

“For us it was a really exciting opportunity,” Greenfield said, adding that Candid’s goal is to make care safe, accessible and affordable.

The global market for clear aligners is valued at roughly $2.2 billion but is expected to reach $8.2 billion by 2026, according to a report by Fortune Business Insights. Candid has plenty of company in the market. There are Invisalign clear aligners made by Align Technology Inc. and mail-order provider SmileDirectClub Inc. SmileDirectClub went public this year but has faced criticism, as has remote orthodontics in general. The American Association of Orthodontists has issued a consumer alert on direct-to-consumer orthodontic companies.

However, Candid executives defended their approach saying that it exceeds the standard of care offered in bricks-and-mortar offices.

“Not only am I doing what they’re doing in their practices, I’m actually going beyond that,” said Hurst, a co-founder of Candid. He sees patients through the Candid platform and noted that it is designed and implemented by orthodontists themselves.

“I think that’s extremely critical,” Hurst said. “We’re the experts in that space.”

Hurst was one of five orthodontists in the Candid network who field-tested the Dental Monitoring program. It was offered first to patients who came in through Candid’s studios, where aides could train patients in using the ScanBox. In early 2020 it will be available to patients online.

The program also could allow Candid to expand into moderate and moderate-to-severe cases of misaligned teeth, a condition known as malocclusion, Hurst said.

For now, he said, “We’re just choosing to stay in the shallow end of the pool.”

Hurst said his practice also has been testing remote services for patients under 16, though it means ensuring parents are on board as well.

So far Hurst has tested starting treatment of children with in-person consults at a Candid studio and with remote consults via audio-video conference. Those have gone well, he said. The next step is to start treatment entirely online, where a patient uploads information and waits for the orthodontist’s response and treatment plan.

“Ultimately our patients will tell us, and our parents will tell us, does that make them comfortable,” Hurst said.

Photo: Candid

CORRECTION: An earlier version of the story wrongly identified the chief dental officer of Candid. His name is Lynn Hurst and not Nick Hurst. The company is based in New York, not Austin.

This content was originally published here.

Bumpy’s owner arrested over health code violation in Schenectady

SCHENECTADY — The owner of a city soft ice cream stand has been arrested for allegedly keeping the business open despite a Schenectady County Department of Health order.

David Elmendorf, 35, the owner of Bumpy’s Polar Freeze on State Street, was arrested by city police on Wednesday on a charge of obstructing government administration, County Attorney Christopher Gardner said. He was released without bail pending a future City Court appearance.

Gardner said that Elmendorf also faces two citations under Public Health Law for operating without Health Department authorization since May 9, and for not properly securing a kitchen sink spray nozzle that was first brought to his attention as a code violation last fall. For each of those two charges, Gardner said Elmendorf could be fined up to $1,000 per day.

The Bumpy’s property has been posted with a Department of Health violation notice, Gardner said, and Elmendorf has removed it and continued to operate the business.

“[County Public Health] has been on his property several times and he has been uncooperative,” Gardner said on Thursday. “He just does not seem to want to obey the law.”

Gardner said the spray nozzle violation could have been settled with a small repair and a $100 fine, but the situation escalated this spring when an inspector returned and the spray nozzle issue had not been addressed and the fine hadn’t been paid. That led to the orders to close the business — the orders Elmendorf is accused of ignoring.

“His behavior is one of obstruction, non-cooperation and not obeying rule of law,” Gardner said.

Bumpy’s is located at 2013 State St., next door to the county Department of Motor Vehicles office, and has been in business for decades. Elmendorf, a former Schenectady County corrections officer, has operated it since 2012.

David Byrne and his wife ran Bumpy’s from 1996 until 2012, when they leased it to Elmendorf, and have since moved to Florida. Byrne said on Thursday that Elmendorf has never made good on a plan to buy the business and he continues to operate there even though the lease has expired.

“We have not been paid since February,” Byrne said. “We want to evict him and have sent him an eviction notice to come into eviction court, but we haven’t got into court [because of the pandemic.] We can’t physically remove him because we don’t have a court order. He doesn’t communicate with us. It’s very difficult.”

The arrest isn’t Elmendorf’s first brush with municipal code violations. In 2017, after a parking lot that customers had used was fenced off as part of the county DMV construction next door, Elmendorf was cited for not getting a permit before tearing down the car wash on the other side of Bumpy’s, which he owned, to create new parking.

Elmendorf would not respond to a request for comment Thursday. “We are not taking any questions at all,” said a man who answered the phone at Bumpy’s and identified himself as an employee.

Reach staff writer Stephen Williams at 518-395-3086, [email protected] or @gazettesteve on Twitter.

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