Health
New York health officials warn of whooping cough outbreak among children
An outbreak of whooping cough (pertussis) has been reported on Long Island, New York, according to health officials.
On Dec. 30, 2023, Suffolk County Health Commissioner Dr. Gregson Pigott released a statement noting that the county’s health department is tracking a growing number of pertussis cases.
Of the 108 cases that have been reported, the “vast majority” are children who attend local school districts and their parents, according to the release.
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Most of the patients were vaccinated and have only mild symptoms.
No hospitalizations have been reported thus far.
An outbreak of whooping cough (pertussis) has been reported on Long Island, New York, according to health officials. (iStock)
“With so many respiratory illnesses currently circulating, some for which there is no treatment, we wanted to make sure that parents know that pertussis, also called whooping cough, can be treated with antibiotics if diagnosed early,” said Pigott in the release.
“Whooping cough can be very serious for infants too young to be vaccinated, which is why we are alerting both medical providers and the public that this illness is circulating.”
What is whooping cough?
A highly contagious respiratory tract infection, pertussis gets its more common name “whooping cough” from the severe hacking cough that some people develop.
While the vaccine offers protection against severe illness for children, infants who are too young for vaccination are at the highest risk, according to Mayo Clinic.
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In addition to the cough, initial symptoms mimic those of a cold — including nasal congestion, runny nose, fever, and red, watery eyes.
Symptoms get worse over time, often leading to severe and uncontrollable coughing fits, which end with a “whooping” sound after the patient breathes in due to a buildup of mucus in the airways, Mayo Clinic noted.
Who is most at risk?
Infants are at the highest risk of severe disease and life-threatening complications from whooping cough, including interrupted breathing, pneumonia, seizures or, rarely, death.
“Pregnant women, individuals with compromised immune systems, and older adults are also more susceptible to severe symptoms,” Katy Dubinsky, a New York pharmacist and the CEO and co-founder of Vitalize, a private supplement company, told Fox News Digital.
Of the 108 cases that have been reported so far in Long Island, New York, the “vast majority” are children who attend local school districts and their parents, according to the release. (iStock)
“The condition becomes dangerous when it leads to severe coughing spells that cause difficulty breathing, vomiting or interrupting normal breathing patterns in infants.”
There are some 24 million cases of pertussis worldwide each year and 50,000 in the U.S., according to Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor.
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The primary treatment for pertussis is antibiotics, which are most effective when administered early.
Azithromycin is the common treatment for children and doxycycline is prescribed to adults, Siegel said.
“It’s also important to manage symptoms, especially in severe cases,” Dubinsky added. “This might include hospitalization for infants or those with severe symptoms to monitor and treat complications.”
What causes outbreaks?
Cases of whooping cough decreased during the pandemic, Siegel noted.
“They are increasing more now as our immune systems are exposed to viruses and bacteria we haven’t seen and are slower to respond,” he noted.
Due to the potential severity in young infants and those with weakened immune systems, it’s important to seek medical attention if pertussis is suspected, an expert stressed. (iStock)
Whooping cough outbreaks typically occur when there are populations with low vaccination rates, noted Dubinsky.
“Pertussis is highly contagious, and in areas where herd immunity is not strong due to insufficient vaccination, the disease can spread more easily,” she told Fox News Digital.
“Additionally, the immunity from the vaccine or previous infection wanes over time, which can also contribute to outbreaks.”
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The best way to combat and contain an outbreak is through vaccination, according to Dubinsky.
“The DTaP vaccine for children and the Tdap booster for adults and adolescents are crucial,” she said.
It is recommended that pregnant women get the Tdap vaccine during each pregnancy, as it helps protect the newborn until they can receive their own vaccinations, Dubinsky added.
It is recommended that pregnant women get the Tdap vaccine during each pregnancy, as it helps protect the newborn until the child can receive his or her own vaccinations. (iStock)
Siegel agreed that the vaccine is effective at decreasing severity, but noted that even vaccinated people can still get a mild case with cough and congestion.
During outbreaks, Dubinsky emphasized the need to practice good hygiene, such as regular hand washing and the use of tissues or elbows to cover coughs.
“Isolating infected individuals is another key step in preventing the spread,” she said.
Suffolk County health officials recommend that anyone diagnosed with whooping cough stays home from work or school until completing five days of antibiotics.
Due to the potential severity in young infants and those with weakened immune systems, it’s important to seek medical attention if pertussis is suspected, Dubinsky stressed.
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Health
Alzheimer’s prevention breakthrough found in decades-old seizure drug
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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.
The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.
Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)
“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release.
“Our new results uncovered new biology while also opening doors for new drug targets.”
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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted.
“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)
That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.
In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.
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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.
The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.
“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)
“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.
Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.
Limitations and caveats
The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.
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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.
Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.
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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”
“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”
The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.
It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.
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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.
Fox News Digital reached out to the drug manufacturer and the researchers for comment.
Health
Seniors over 80 who eat specific diet may be less likely to reach 100 years old
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Older adults who avoid meat in their golden years may be less likely to reach age 100 than their meat-eating counterparts, new research suggests.
Researchers tracked more than 5,000 adults aged 80 or older who were enrolled in the Chinese Longitudinal Healthy Longevity Survey.
Between 1998 and 2018, data showed that those who did not eat meat were less likely to reach their 100th birthday than those who consumed animal products regularly.
The findings seem to contradict previous studies that have linked vegetarianism and plant-based diets to lower risks of heart disease, stroke, diabetes and obesity.
Most evidence supporting the benefits of plant-based diets comes from studies tracking younger populations, the researchers noted.
The findings contrast with previous research praising plant-based diets for their positive influence on heart health. (iStock)
The study, published in The American Journal of Clinical Nutrition, points to losses in muscle mass and bone density with age, shifts that can increase the risk of malnutrition and frailty in the “oldest old.”
As people enter their 80s and 90s, the nutritional priority often shifts from preventing long-term chronic diseases to maintaining day-to-day physical function, experts say.
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“The headline ‘vegetarians over 80 less likely to reach 100’ sounds surprising, because it contrasts with decades of data linking plant‑forward diets to lower chronic disease risk earlier in life,” Erin Palinski-Wade, a New Jersey-based registered dietitian, told Fox News Digital.
“However, once you see that this research is limited to adults over the age of 80 who are also underweight — and that this link disappears with the consumption of eggs, dairy and fish — the results are less surprising.”
While diets earlier in life tend to emphasize avoiding long-term disease, older age necessitates nutrients and weight maintenance, experts say. (iStock)
In those over 80, restricting animal proteins may be less likely to promote longevity, according to Palinski-Wade, who was not involved in the study.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies, the nutritionist said.
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In addition to a higher tendency to be underweight, older populations also face a greater risk of bone fractures due to lower calcium and protein intake.
Potential limitations
The lower rate of vegetarians reaching 100 was only observed in participants identified as underweight, the researchers noted. No such association was found in people who maintained a healthy weight.
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Because being underweight is already linked to greater frailty and mortality risk, the researchers noted that body weight may partly explain the findings, making it difficult to determine whether diet itself played a direct role.
Those incorporating animal-sourced products other than meat were just as likely to live to 100. (iStock)
Additionally, the shortened lifespans were not found in people who continued to eat non-meat animal products, such as fish, dairy and eggs.
Older adults with these more flexible diets were just as likely to live to 100 as those eating meat, as these foods may provide the nutrients necessary for maintaining muscle and bone health, the researchers noted.
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“This is an observational study, so it can only show associations, and does not prove that avoiding meat directly reduces the odds of reaching 100,” Palinski-Wade added.
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The researchers suggested that including small amounts of animal-sourced foods could help older seniors maintain essential nutrients and avoid the muscle loss often seen in those who stick strictly to plants.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies. (iStock)
Palinski-Wade offered some guidance for those looking to optimize nutrition later in life.
“For adults in their 80s and beyond, especially anyone losing weight or muscle, the priority should be maintaining a healthy weight and meeting protein and micronutrient needs — even if that means adding or increasing fish, eggs, dairy or well‑planned, fortified plant proteins and supplements.”
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Strict vegan or very low‑protein patterns at that age should be carefully monitored by a dietitian or clinician, with attention to B12, vitamin D, calcium and total protein, according to Palinski-Wade.
“Younger and healthier adults can still confidently use plant‑forward or vegetarian patterns to lower long‑term chronic disease risk,” she added.
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