Health
As New Jersey investigates mumps outbreak, experts share what to know about symptoms, protection
The New Jersey Department of Health is investigating a suspected cluster of mumps cases in Hunterdon County among eight family members who traveled internationally, according to a recent press release.
No additional information was provided due to privacy concerns, the release indicated.
The U.S. Centers for Disease Control and Prevention (CDC) has reported at least 50 cases of mumps from over 20 states this year.
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Health officials say that vaccination is the most effective protection.
“The best way to keep you and your loved ones safe is to get the MMR shot,” said Dr. Kaitlan Baston, the acting health commissioner, per the release.
The U.S. Centers for Disease Control and Prevention (CDC) has reported at least 50 cases of mumps from over 20 states this year. (iStock)
“These viruses are incredibly contagious, so if you suspect you may have measles, mumps or rubella, it is important to call ahead before visiting any health care provider or facility so they can take special precautions,” she added.
What is mumps?
Mumps is an infectious disease caused by a virus.
It’s spread by direct contact with saliva, such as kissing or sharing water bottles with someone who has mumps.
It can also spread by respiratory droplets from the mouth, nose or throat from an infected person who is talking, coughing or sneezing, according to the CDC.
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Outbreaks often occur in settings where there is frequent close contact, such as on college campuses or in large gatherings.
“Mumps itself typically causes swelling of the glands in the head and neck that make saliva — most often the parotid glands, which are the largest salivary glands that sit just in front of the ears,” Dr. Mike Smith, chief of pediatric infectious diseases at Duke University School of Medicine in Durham, North Carolina, told Fox News Digital.
Symptoms of mumps
Someone who is infected with mumps can spread the infection several days before the parotid glands start to swell and up to five days after, the CDC stated.
Some people may not develop any symptoms; but for those who become symptomatic, they generally start to feel sick anywhere from 12 to 25 days after infection.
Mumps typically causes swelling of the glands in the head and neck, said an infectious diseases expert. (iStock)
Typical symptoms include fever, headache, muscle aches, fatigue and loss of appetite.
Most people get better on their own within two weeks.
In rare cases, especially in adults, swelling may occur in other parts of the body.
The most common complication of mumps in males is inflammation and swelling of the testicles, or orchitis, which occurs in about a third of unvaccinated men, Smith said.
Why is mumps making a comeback?
Reported cases of the mumps fell by more than 99% after the MMR vaccine was introduced in the U.S., the CDC noted.
Outbreaks and cases have been increasing since 2006, however — with most diagnoses occurring in young adults and previously vaccinated individuals, the agency adds.
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“There is no individual vaccine against mumps, but it is part of the MMR vaccine that prevents measles, mumps and rubella,” Smith said.
It is recommended that children get two doses, starting with the first dose at 12 to 15 months old and a second dose between 4 and 6 years of age, according to the CDC’s website.
Adults who are not immune are advised to get at least one dose of the MMR vaccine.
Outbreaks and cases of mumps have been increasing since 2006, per the CDC. (iStock)
“Mumps immunization rates unfortunately are not where they should be,” Dr. Aaron Glatt, chief of infectious diseases at Mount Sinai South Nassau Hospital on Long Island, New York, told Fox News Digital.
Only about 90% of children are fully vaccinated for mumps by 24 months of age, according to the CDC.
If people receive the standard recommendation of two mumps vaccinations as a child, there still is a chance that immunity will wane and they will get mumps if exposed later in life, according to Glatt.
“As such, we actually recommend that a third dose be given to people in an outbreak setting,” he said.
Differences between measles and mumps
Measles and mumps are caused by different viruses that belong to the same family of viruses called Paramyxoviridae, which are known to spread disease by respiratory droplets, according to the National Institutes of Health.
“Worldwide, both measles and mumps are very significant problems, with over 100,000 deaths due to measles in the previous year,” Glatt said.
There is no individual vaccine against mumps, but it is part of the MMR vaccine that prevents measles, mumps and rubella. (iStock)
The MMR vaccine protects against both viral infections, but measles is more contagious than mumps, with the highest mortality rate among the three infections that it protects against, Smith added.
“Measles is a far more serious illness than mumps, and is also making a resurgence in the U.S. after we thought we had eradicated it in 2002,” Glatt noted.
Common complications of measles include diarrhea and ear infections, but severe cases can include brain swelling (encephalitis) and pneumonia.
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The CDC estimates that up to 90% of people who are exposed to someone with measles will get infected if they are not already immune.
Among the current measles outbreaks in the U.S., almost all cases have involved unvaccinated individuals, according to Smith.
Many young people who get infected with mumps, however, have received vaccinations.
Typical symptoms of mumps include fever, headache, muscle aches, fatigue and loss of appetite. (iStock)
A 2021 CDC report that reviewed cases of mumps from 2007 to 2019 in children and adolescents found that approximately 94% of people who contracted mumps were previously vaccinated.
The two infections also have different symptoms.
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People infected with measles usually develop their first symptoms within seven to 14 days after getting exposed, while people who get mumps usually experience illness around two weeks after infection.
The most classic sign of measles is cold symptoms followed by a red rash that starts on the face and moves downward.
With mumps, a telltale sign is puffiness of one or both cheeks, which occurs after non-specific symptoms.
Most people with mumps and measles get better within one to two weeks.
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Health
Aging process could accelerate due to ‘forever chemicals’ exposure, study finds
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A new study suggests that middle-aged men may be more vulnerable to faster biological aging, potentially linked to exposure to “forever chemicals.”
The research, published in the journal Frontiers in Aging, examined how perfluoroalkyl and polyfluoroalkyl substances, more commonly known as PFAS, could impact aging at the cellular level.
PFAS are synthetic chemicals commonly used in nonstick cookware, food packaging, water-resistant fabrics and other consumer products, the study noted.
Their chemical structure makes them highly resistant to breaking down, allowing them to accumulate in water, soil and the human body.
Chinese researchers analyzed blood samples from 326 adults enrolled in the U.S. National Health and Nutrition Examination Survey between 1999 and 2000.
A new study suggests that middle-aged men could face accelerated biological aging at the cellular level due to exposure to PFAS. (iStock)
The researchers measured levels of 11 PFAS compounds in participants’ blood and used DNA-based “epigenetic clocks” — tools that analyze chemical changes to DNA to estimate biological age — to determine how quickly their bodies were aging at the cellular level, the study stated.
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Two compounds, perfluorononanoic acid (PFNA) and perfluorooctanesulfonamide (PFOSA), were detected in 95% of participants.
Higher concentrations of those chemicals were associated with faster biological aging in men of certain age groups, but not in women.
“People should not panic.”
The compounds most strongly linked to accelerated aging were not the PFAS chemicals that typically receive the most public attention, the researchers noted.
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“The associations were strongest in adults aged 50 to 64, particularly in men,” Dr. Xiangwei Li, professor at Shanghai Jiao Tong University School of Medicine and the study’s corresponding author, told Fox News Digital.
“While this does not establish that PFAS cause aging, it suggests that these widely present ‘forever chemicals’ may be linked to molecular changes related to long-term health and aging.”
The study found that two of the compounds were detected in 95% of participants, and higher levels were linked to faster biological aging in men ages 50–64. (iStock)
Midlife may represent a more sensitive biological period, when the body becomes more vulnerable to age-related stressors, according to the researchers.
Lifestyle factors, such as smoking, may influence biological aging markers, potentially increasing vulnerability to environmental pollutants.
While Li said “people should not panic,” she does recommend looking for reasonable ways to reduce exposure.
That might mean checking local drinking water reports, using certified water filters designed to reduce PFAS, and limiting the use of stain- or grease-resistant products when alternatives are available.
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Meaningful reductions in PFAS exposure will likely depend on broader regulatory action and environmental cleanup efforts, Li added.
The researchers noted that midlife could be a particularly sensitive stage, when the body is more susceptible to stressors associated with aging. (iStock)
Study limitations
The researchers outlined several important limitations of the research, including that the findings show an association, but do not prove that PFAS directly causes accelerated aging.
“The study is cross-sectional, meaning exposure and aging markers were measured at the same time, so we cannot determine causality,” Li told Fox News Digital.
The study was also relatively small, limited to 326 adults age 50 or older, which means the findings may not apply to younger people or broader populations.
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Researchers measured PFAS levels using data collected between 1999 and 2000, and today’s exposure patterns may differ.
Li added that while PFAS is known to persist in the environment and the body, these results should be validated through larger, more recent studies that follow participants over time.
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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.
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