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At Long Last, Can Malaria Be Eradicated?

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At Long Last, Can Malaria Be Eradicated?

All via childhood, Miriam Abdullah was shuttled out and in of hospitals, her skinny physique wracked with fever and ravaged by malaria. She was so sick so usually that her fixed remedies drained her mother and father, who additionally cared for her many siblings, each financially and emotionally.

“Sooner or later, even my mum gave up,” recalled Ms. Abdullah, now 35.

In Nyalenda, the poor neighborhood in Kisumu, Kenya, the place Ms. Abdullah lives, malaria is endemic and ubiquitous. A few of her buddies developed meningitis after turning into contaminated; one died. “Malaria has actually tormented us as a rustic,” she stated.

There are tens of hundreds of thousands of horror tales like Ms. Abdullah’s, handed down from era to era. However now change is within the air: Malaria is the uncommon international well being scourge about which consultants are sanguine — a lot in order that some have begun to speak about eradicating the illness.

“I believe there’s a lot room for optimism,” stated Philip Welkhoff, director for malaria applications on the Invoice and Melinda Gates Basis. “Later this decade, we may really launch a push that will get us all the way in which to zero.”

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China and El Salvador had been licensed malaria-free final yr, and the six international locations within the Larger Mekong area, together with Vietnam and Thailand, have pushed down instances by about 90 %. About 25 international locations are anticipated to have eradicated malaria by 2025.

The majority of infections now happen in Africa. Even there, regardless of the restrictions imposed by the coronavirus pandemic, almost 12 million extra African youngsters acquired preventive malaria medicine in 2020 than in 2019.

However it’s the arrival of two new vaccines that portend a sea change. The primary, known as Mosquirix, was 35 years within the making. It was accredited by the World Well being Group simply final yr and could also be distributed as quickly as late subsequent yr.

A extra highly effective malaria vaccine, developed by the Oxford staff that created the AstraZeneca Covid vaccine, could also be only a yr or two away. Many consultants imagine it’s this formulation, which has proven an efficacy of as much as 80 % in scientific trials, that will rework the struggle towards malaria.

Nonetheless extra choices are on the horizon, together with an mRNA vaccine being developed by the German firm BioNTech; monoclonal antibodies that may stop malaria for six months or longer; mattress nets coated with long-lasting pesticides or with chemical substances that paralyze mosquitoes; in addition to new methods to lure and kill mosquitoes.

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“It’s an thrilling time,” stated Dr. Rose Jalang’o, who led a pilot take a look at of the Mosquirix vaccine in Kenya, the place it was given to youngsters alongside different immunizations.

However attending to a malaria-free world would require greater than promising instruments. In lots of African international locations, distribution of vaccines, medicine and mattress nets requires overcoming myriad challenges, together with tough terrain, different pressing medical priorities and misinformation.

Whereas the funding for malaria applications is extra beneficiant than for a lot of different illnesses that plague the poorest nations, sources are nonetheless restricted. Cash devoted to 1 strategy usually leads funders to neglect others, fueling competitors and generally rancor.

Mosquirix price greater than $200 million to develop over greater than 30 years, however its efficacy is roughly half that of the Oxford vaccine, known as R21. The primary doses of Mosquirix won’t be delivered to African youngsters till late 2023 or early 2024. The availability can be severely constrained for plenty of causes, and is predicted to stay so for years.

In December, Gavi, a nongovernmental group that helps vaccinations worldwide, dedicated $156 million to distribute Mosquirix. And in August, Unicef granted the vaccine’s producer, GlaxoSmithKline, a $170 million contract, sufficient to supply 18 million doses over the following three years.

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However that may be a far cry from the estimated 100 million doses that can be wanted every year.

R21, the second vaccine, seems to be extra highly effective, cheaper and simpler to fabricate. And the Serum Institute of India is ready to supply greater than 200 million doses of R21 per yr.

Some malaria consultants observe that given the pressing want, the world wants each possibility it could possibly get. However others fear that each greenback directed to Mosquirix now’s a greenback much less for creating different instruments.

“Current malaria management measures are already underfunded,” stated Dr. Javier Guzman, director for international well being coverage on the Middle for World Improvement in Washington. “I don’t wish to be unfavorable, however a brand new software with out further funding principally means sacrifices and means a possibility price.”

Malaria is among the many oldest infectious illnesses and one of many deadliest. Years of fast progress stalled a few decade in the past, leaving the toll in 2019 at a staggering 229 million new infections and 558,000 deaths.

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Whereas the Covid pandemic didn’t ship malaria infections skyrocketing, as occurred with tuberculosis, the pandemic reversed a sluggish downward pattern in malaria deaths, which ratcheted as much as 627,000 in 2020.

Almost the entire lives misplaced to malaria are in sub-Saharan Africa, the place about 80 % of the deaths are in youngsters youthful than 5.

Many methods to struggle malaria are dated, but nonetheless inaccessible to hundreds of thousands. Solely about half of African youngsters sleep beneath insecticide-treated mattress nets, as an example, and even fewer obtain seasonal medicine that stop the an infection.

Malaria compounds social inequities. It robs youngsters of the power to struggle different pathogens, overwhelms well being care techniques and devastates complete communities. One untreated particular person with malaria can stay unwell for six months, giving mosquitoes the chance to unfold the parasite to as many as 100 different folks.

Designing a vaccine towards a parasite has proved far more difficult than creating one towards a virus or bacterium. Plasmodium falciparum, the organism that causes malaria in Africa, quickly cycles via a number of life levels, morphing into a brand new kind every time.

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The physique struggles to acknowledge and defend itself towards this shape-shifter, leaving folks susceptible to repeated bouts of illness.

A mosquito chew delivers solely about 10 “sporozoites,” the type of the parasite that may be transmitted. However inside half-hour of an infection, the sporozoites invade the liver, and start multiply into an unbeatable military of 1000’s. Mosquirix and R21 goal sporozoites within the couple of minutes earlier than they enter the liver.

The parasite wrecks the physique so rapidly that by the point youngsters are taken to the hospital, many are in dire want of a blood transfusion. However blood is usually in brief provide in sub-Saharan Africa, and utilizing a bag for a small baby can imply that half or extra can be discarded, stated Dr. Mary Hamel, who leads the W.H.O.’s malaria vaccine implementation program.

“You see a baby who’s so pale and floppy and respiration so quickly, and so they’re simply splayed on the cot — and there’s nothing you are able to do,” she stated.

“You’ve bought to stop malaria — it simply progresses too quick,” she added.

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Mosquirix, the primary vaccine towards any parasite, is a technical triumph. However its efficacy, at about 40 %, is far decrease than scientists had hoped.

Ideally, the vaccine could be deployed alongside present controls, like insecticide-treated mattress nets and preventive medicine, based mostly on knowledge indicating the place the instruments are most wanted and delivered by a sturdy well being care work power.

“In case you mix with the fitting software, you will get a a lot, a lot greater affect,” stated Dr. Thomas Breuer, chief international well being officer at GlaxoSmithKline, which manufactures Mosquirix.

The vaccine, which may be refrigerated, was examined in Kenya, Ghana and Malawi in youngsters youthful than 2 years — and extra simply than some consultants had feared. “It’s extra deliverable in rural, distant settings than many different vaccines have been,” stated Prashant Yadav, an knowledgeable in well being care provide chains on the Middle for World Improvement.

Group well being employees went door-to-door to publicize Mosquirix, and governments unfold the phrase by way of native tv and radio exhibits. Regardless of misinformation that circulated on WhatsApp and social media, uptake of the vaccine was akin to that of routine immunizations.

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However in lots of African international locations, distrust of vaccines is excessive. In a single survey, about half of individuals in Niger and the Democratic Republic of Congo stated they’d not belief a malaria vaccine.

Furthermore, Mosquirix have to be given in 4 doses, the primary at 5 months of age and the fourth after 18 months of age. However few different vaccines are given to youngsters older than 18 months, and lots of mother and father in Africa face monumental logistical hurdles in taking youngsters to a clinic.

Mother and father may wrongly assume that the primary three doses of Mosquirix are protecting sufficient, researchers stated. (In contrast, R21 has an efficacy of 70 % after three doses given earlier than 17 months of age. A booster given a yr later maintains and even enhances its efficiency.)

“It might be simpler if the final shot was at 18 months,” Dr. Kwame Amponsa-Achiano, a doctor and epidemiologist who leads the vaccine program at Ghana’s ministry of well being, stated of Mosquirix.

In comparison with the billions of {dollars} poured into Covid vaccines, the funds for malaria are a pittance. The Gates Basis spends about $270 million a yr preventing the illness, not counting its contributions to the World Fund to Struggle AIDS, Tuberculosis and Malaria.

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The shortage of sources signifies that folks — and organizations — find yourself choosing favourite methods. Some preserve that controlling mosquitoes is the logical path, whereas others push vaccines. Nonetheless others say monoclonal antibodies are the way in which ahead.

In such a extremely aggressive enviornment, Mosquirix doesn’t emerge as the apparent winner.

“Deploying a software which is pricey, and never that efficient, with a brief length of motion, will not be the factor that you just wish to result in first,” stated Dr. Scott Filler, head of malaria applications for the World Fund, which helps greater than half of malaria applications worldwide.

The cash could be higher spent growing use of mattress nets, or making certain that individuals have entry to fundamental main well being companies, together with testing, treating and monitoring for malaria, Dr. Filler stated.

Even the Gates Basis, which has poured greater than $200 million into the event of Mosquirix, is now lukewarm on the vaccine and is focusing as an alternative on dashing newer instruments to Africa.

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“A few of this different stuff within the portfolio goes to be higher, cheaper, simpler to deploy and simpler to scale up,” Dr. Welkhoff stated.

However different consultants imagine that given malaria’s devastation, a vaccine with low efficacy is healthier than none.

“Now we have this vaccine that has been examined very, very extensively — greater than any vaccine previous to approval,” stated Michael Anderson, a former director common of Britain’s Division for Worldwide Improvement who now heads MedAccess, a nonprofit group financed by the British authorities.

R21 has price lower than $100 million to develop. If regulators are as quick and nimble as they had been with Covid vaccines, it might be approved just a few months after the researchers submit ultimate knowledge on the finish of this yr.

The 2 vaccines will not be essentially in competitors, stated Dr. Adrian Hill, R21’s architect and director of the Jenner Institute on the College of Oxford.

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The most important downside with Mosquirix “is there isn’t sufficient of it,” Dr. Hill stated. Nonetheless, R21 could be easier to ship as a result of it’s “a extra fashionable product,” he added. “It was designed in 2012, not within the Eighties and Nineteen Nineties.”

For a lot of mother and father in Africa, a vaccine can not come quickly sufficient. In Kisumu, Ms. Abdullah is anxious to immunize her 2-year-old daughter, who has already had malaria as soon as, towards the sickness that marred her personal childhood.

“I’d go for it instantly,” she stated. “In reality, I’d go for it earlier than I even go for the Covid-19 vaccine.”

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New Jersey woman recovering after receiving successful pig kidney transplant

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New Jersey woman recovering after receiving successful pig kidney transplant
  • Lisa Pisano faced heart and kidney failure, rendering her ineligible for traditional transplants, but a pioneering procedure at NYU Langone Health offered hope.
  • Doctors implanted a mechanical heart pump to stabilize Pisano’s failing heart, followed by a kidney transplant from a genetically modified pig.
  • Pisano’s recovery is progressing well, marking a significant advancement in animal-to-human transplantation.

Doctors have transplanted a pig kidney into a New Jersey woman who was near death, part of a dramatic pair of surgeries that also stabilized her failing heart.

Lisa Pisano’s combination of heart and kidney failure left her too sick to qualify for a traditional transplant, and out of options. Then doctors at NYU Langone Health devised a novel one-two punch: Implant a mechanical pump to keep her heart beating and days later transplant a kidney from a genetically modified pig.

Pisano is recovering well, the NYU team announced Wednesday. She’s only the second patient ever to receive a pig kidney — following a landmark transplant last month at Massachusetts General Hospital – and the latest in a string of attempts to make animal-to-human transplantation a reality.

MASSACHUSETTS MAN, RECIPIENT OF FIRST SUCCESSFUL PIG KIDNEY TRANSPLANT, IS DISCHARGED FROM HOSPITAL

This week, the 54-year-old grasped a walker and took her first few steps.

Lisa Pisano looks at photos of her dog after her surgeries at NYU Langone Health in New York on April 22, 2024. Doctors transplanted a pig kidney into Pisano, who was near death, part of a dramatic pair of surgeries that also included a fix for her failing heart. (AP Photo/Shelby Lum)

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“I was at the end of my rope,” Pisano told The Associated Press. “I just took a chance. And you know, worst case scenario, if it didn’t work for me, it might have worked for someone else and it could have helped the next person.”

Dr. Robert Montgomery, director of NYU Langone Transplant Institute, recounted cheers in the operating room as the organ immediately started making urine.

“It’s been transformative,” Montgomery said of the experiment’s early results.

But “we’re not off the hook yet,” cautioned Dr. Nader Moazami, the NYU cardiac surgeon who implanted the heart pump.

“With this surgery I get to see my wife smile again,” Pisano’s husband Todd said Wednesday.

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Other transplant experts are closely watching how the patient fares.

“I have to congratulate them,” said Dr. Tatsuo Kawai of Mass General, who noted that his own pig kidney patient was healthier overall going into his operation than NYU’s patient. “When the heart function is bad, it’s really difficult to do a kidney transplant.”

THE PIG ORGAN QUEST

More than 100,000 people are on the U.S. transplant waiting list, most who need a kidney, and thousands die waiting. In hopes of filling the shortage of donated organs, several biotech companies are genetically modifying pigs so their organs are more humanlike, less likely to be destroyed by people’s immune system.

NYU and other research teams have temporarily transplanted pig kidneys and hearts into brain-dead bodies, with promising results. Then the University of Maryland transplanted pig hearts into two men who were out of other options, and both died within months.

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Mass General’s pig kidney transplant last month raised new hopes. Kawai said Richard “Rick” Slayman experienced an early rejection scare but bounced back enough to go home earlier this month and still is faring well five weeks post-transplant. A recent biopsy showed no further problems.

A COMPLEX CASE AT NYU

Pisano is the first woman to receive a pig organ — and unlike with prior xenotransplant experiments, both her heart and kidneys had failed. She went into cardiac arrest and had to be resuscitated before the experimental surgeries. She’d gotten too weak to even play with her grandchildren. “I was miserable,” the Cookstown, New Jersey, woman said.

A failed heart made her ineligible for a traditional kidney transplant. But while on dialysis, she didn’t qualify for a heart pump, called a left ventricular assist device or LVAD, either.

“It’s like being in a maze and you can’t find a way out,” Montgomery explained — until the surgeons decided to pair a heart pump with a pig kidney.

TWO SURGERIES IN EIGHT DAYS

With emergency permission from the Food and Drug Administration, Montgomery chose an organ from a pig genetically engineered by United Therapeutics Corp. so its cells don’t produce a particular sugar that’s foreign to the human body and triggers immediate organ rejection.

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Plus a tweak: The donor pig’s thymus gland, which trains the immune system, was attached to the donated kidney in hopes that it would help Pisano’s body tolerate the new organ.

Surgeons implanted the LVAD to power Pisano’s heart on April 4, and transplanted the pig kidney on April 12. There’s no way to predict her long-term outcome but she’s shown no sign of organ rejection so far, Montgomery said. And in adjusting the LVAD to work with her new kidney, Moazami said doctors already have learned lessons that could help future care of heart-and-kidney patients.

Special “compassionate use” experiments teach doctors a lot but it will take rigorous studies to prove if xenotransplants really work. What happens with Pisano and Mass General’s kidney recipient will undoubtedly influence FDA’s decision to allow such trials. United Therapeutics said it hopes to begin one next year.

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‘Sleep disorder drove my son to suicide,’ New York mother says: ‘Broke my heart’

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‘Sleep disorder drove my son to suicide,’ New York mother says: ‘Broke my heart’

This story discusses suicide. If you or someone you know is having thoughts of suicide, please contact the Suicide & Crisis Lifeline at 988 or 1-800-273-TALK (8255).

Chronic lack of sleep can cause a long list of physical and mental issues — and for one young man, his mother believes it led to his death.

Derek McFadden was just 23 when he took his own life on Aug. 17, 2018, in Tucson, Arizona.

His mother, Robin McFadden, who lives in Tuxedo Park, New York, said she believes her son’s insomnia was the “only driver” of his suicide.

SLEEP DISORDERS AND SUICIDE: A MENTAL HEALTH EXPERT REVEALS THE CONCERNING LINK

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Derek McFadden was an “extremely funny kid” who loved swimming, snow-skiing and cuddling, his mother said — but for most of his life, he struggled with debilitating insomnia.

At around 8 years old, he started taking small doses of sleeping medication, which helped for several years.

Derek McFadden, pictured at left with his mom Robin McFadden, was 23 when he took his own life on Aug, 17, 2018, in Tucson, Arizona. (Robin McFadden)

Around the time he turned 18, during his senior year of high school, the medication stopped working, McFadden said.

“He never got a good night’s sleep, but he soldiered through his school day and then would come home and lie down on his bed, exhausted, but couldn’t fall asleep,” she told Fox News Digital in an interview.

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McFadden took her son to multiple doctors and they tried different medications — none of which worked, she said. 

“Derek would just lie there at night, and he was so tired, but he couldn’t fall sleep,” she said.

Amid the sleep struggles, her son managed to graduate from high school — but things got even worse when he left for college at the University of Arizona.

Derek McFadden, left, is pictured with his older brother Jake McFadden. (Robin McFadden)

He’d chosen Arizona because he was an “avid outdoorsman” who loved fly-fishing, going off-roading in his Jeep and spending time with his dog, which he’d adopted for emotional support.

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“Our hope was that with Derek being in Arizona, the sunshine during the day would stimulate his brain to wake up so he could go to sleep at night, but it just didn’t work,” McFadden said.

The doctor’s visits continued, but none of the experts could figure out what was causing the insomnia. 

“There was something wrong in his brain that was preventing him from sleeping.”

“Every doctor would assume it was sleep hygiene, and that he was doing something wrong,” McFadden said.

AMERICANS NEED MORE SLEEP, LESS STRESS, EXPERTS SAY, AS GALLUP POLL REVEALS TROUBLING FINDINGS

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“They assumed that because he was 18, 19 or 20 years old that he was playing video games all night.”

She added, “But Derek knew sleep hygiene. He had done so much research on his own. There was something wrong in his brain that was preventing him from sleeping.” 

McFadden family

Derek McFadden, far left, is pictured with his brother, mother and father. (Robin McFadden)

The family looked into holistic approaches, including hypnosis, acupuncture and “brain training,” but “nothing seemed to work,” McFadden said.

Many nights, he would go the entire night without sleeping — sometimes up to three days in a row, she said.

“It was really, really bad,” McFadden said.

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Physical and mental toll

As the months went by and sleep continued to elude her son, McFadden said it began to take a toll on his immune system.

After consecutive nights without sleeping, he developed bruises all around his eyes.

SUICIDE RATES REACH ALL-TIME HIGH IN US, PER CDC DATA

“Derek was constantly getting sick, and that made him feel like he was not a normal kid,” she said. “He just couldn’t fight anything off. He was always at Urgent Care.”

Her son developed severe acid reflux and stomach pain, to the point where it became difficult for him to eat.

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“Sometimes his insomnia got so severe that he couldn’t keep any food or fluids down at all,” McFadden said. 

Multiple times, he ended up in the emergency room with dehydration and severe cramping, she said.

Derek McFadden

Derek was an “avid outdoorsman” who loved fly-fishing, going off-roading in his Jeep and spending time with his dog, which he’d adopted for emotional support, his mother said. (Robin McFadden)

The lack of sleep also changed her son’s demeanor and personality, McFadden said.

“Derek had tremendous mood swings — he became anxiety-ridden and depressed,” she recalled.

“He would have hallucinations, and was constantly losing things. He couldn’t think clearly.”

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On the rare occasion that her son had a good night’s sleep, McFadden said, he was “a completely different person, as happy as could be.”

IMPROVE YOUR SLEEP BY OPTIMIZING 6 BIOMARKERS: ‘INTEGRAL TO HEALTH’

“It broke my heart, because he was such a happy, funny, huge-hearted person, and it was really sad to watch his decline.”

Unable to keep up with his studies, her son had to drop out of college.

“He couldn’t even hold a job because he couldn’t sleep at night,” McFadden said. 

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“He saw there was no cure, no future, and he just didn’t see a point in going on.”

In July 2018, when her son came home from Tucson for the summer, McFadden knew something had shifted.

“We were sitting on the sofa and he said to me, ‘Mom, I’m gonna die young,’” she recalled. 

“And I said, ‘Derek, why do you say that?’ And he said, ‘Because my mind and body can’t take the sleep deprivation.’”

Derek McFadden and brother

Derek McFadden, left, is pictured with his older brother. After the tragedy, his mother said she realized her son had likely been planning his suicide in recent weeks. (Robin McFadden)

Her son had also expressed that he didn’t want to have children because he didn’t want to pass on the disorder, McFadden said.

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“He saw there was no cure, no future, and he just didn’t see a point in going on,” she said. “Physically, he was starting to fall apart, and mentally, his cognitive ability was going.”

“Physically, he was starting to fall apart.”

Four weeks later, McFadden got an early-morning call from the Tucson Police Department notifying her that her son had taken his life.

After the tragedy, McFadden realized that her son had likely been planning his suicide in recent weeks.

FOR QUALITY SLEEP, TIMING IS EVERYTHING, EXPERTS SAY: HERE’S THE SECRET OF SUCCESSFUL SLUMBER

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“He had contacted some old friends, and in his text messages and phone calls, he sounded very serene, relieved and calm,” she recalled. “I truly believe Derek had made the decision. He just saw no future for himself.”

The sleep-suicide link

Studies have suggested a likely connection between sleep and suicide.

Research published in the journal Current Psychiatry Reports found that treating insomnia and nightmares, or addressing the source of those issues, could help prevent “the rising threat of suicide.”

“Sleep is crucial for emotional and psychological balance.”

Dr. Brett Osborn, a Florida neurologist and longevity expert with the firm Senolytix, said there is a “significant body of research” suggesting a link between sleep deprivation and an increased risk of suicide. 

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“Sleep is crucial for emotional and psychological balance,” he told Fox News Digital in an interview.

“Lack of sleep can lead to mood disturbances, irritability and decreased stress tolerance, all of which can worsen feelings of despair or depression — potentially leading to suicidal thoughts.”

Derek McFadden with mother

On the rare occasion that her son had a good night’s sleep, McFadden said, he was “a completely different person, as happy as could be.” Derek McFadden is pictured here with his mother, Robin McFadden. (Robin McFadden)

Sleep deprivation can also affect cognitive functions, the doctor continued. 

“This impairment can make it harder for individuals to see alternative solutions to problems or seek help, potentially increasing the risk of suicidal behavior,” he said.

LACK OF SLEEP COULD BE A FACTOR IN A ‘SILENT EPIDEMIC,’ EXPERTS WARN

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Sleep problems are also commonly associated with psychiatric disorders, such as depression and anxiety, which are themselves significant risk factors for suicide, according to Osborn.

“Sleep pathology is extremely complex and challenging, because sleep itself is poorly understood.”

“Insomnia and disrupted sleep patterns are particularly prevalent in these conditions,” he warned. “This can be a source of diagnostic confusion and resultant treatment errors.”

Sleep also affects various biological processes, Osborn noted — “including the regulation of neurotransmitters like serotonin (which is involved in mood regulation) and stress hormones like cortisol.”

Derek McFadden

Derek McFadden was an “extremely funny kid” who loved swimming, snow-skiing and cuddling, his mother said. (Robin McFadden)

“Chronic sleep deprivation may lead to dysregulation in these systems, which could contribute to depressive symptoms and suicidal ideation.”

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While the majority of insomnia patients respond to lifestyle changes and/or medications, Osborn noted, there is a subset of patients who are “more difficult to manage.”

“Often, there are underlying medical problems, like reflux, that fly under the radar and predispose the individual to insomnia,” he told Fox News Digital. 

Derek McFadden

Derek McFadden, center, in cap and gown, is pictured with his family at his high-school graduation.  (Robin McFadden)

“Another issue is the potentially reciprocal relationship between depression and anxiety,” Osborn said.

“Sleep pathology is extremely complex and challenging, because sleep itself is poorly understood,” he continued. “A multimodal, interdisciplinary approach — involving a psychiatrist and a sleep specialist — is always best.”

SURPRISING SLEEP TRENDS REVEALED IN NEW SURVEY, INCLUDING THE RISE OF ‘SCANDINAVIAN SLEEPING’

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Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, agreed that there is a proven link between insomnia, stress, anxiety and depression.

“Since suicide is a manifestation of severe depression, I think there is a link there, too, though insomnia wouldn’t be the entire cause,” he told Fox News Digital.

Derek McFadden

Fly-fishing was one of Derek McFadden’s favorite hobbies. (Robin McFadden)

Siegel refers to it as a “cycle of worry.”

“Anxiety interferes with sleep, which then makes you more anxious and more sleepless, especially if you add caffeine to combat the grogginess,” he said.

During sleep, the brain relaxes and “cleanses” itself, Siegel said.

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“Waking up refreshed can improve mood, especially when accompanied by exercise,” he noted. 

For those with severe insomnia, Siegel recommends undergoing a full sleep study/evaluation — typically with an EEG or video monitoring — to help determine the causes.

“Severe, resistant cases require evaluations by sleep specialists, neurologists and psychiatrists,” he added.

Call for awareness

The most “disheartening” part of her son’s tragedy, according to McFadden, was a lack of support from the health community, in her view.

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“Other than sleep apnea and bad sleep hygiene, the medical community does not seem to believe that severe insomnia really exists,” she told Fox News Digital. 

“And that just infuriates me.”

Today, McFadden’s goal is to raise awareness of chronic insomnia — “because there are so many people in this world who are suffering from this.”

For more Health articles, visit www.foxnews.com/health.

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Bird flu virus found in grocery store milk, but no risk to customers, FDA says

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Bird flu virus found in grocery store milk, but no risk to customers, FDA says

Samples of pasteurized milk on grocery store shelves have tested positive for remnants of the bird flu virus that has already infected herds of dairy cows, the U.S. Food and Drug Administration (FDA) said Tuesday.

The FDA stressed that the material is inactivated and that the findings “do not represent [an] actual virus that may be a risk to consumers.” Officials added that they’re continuing to study the issue.

Bird flu virus, known as Highly Pathogenic Avian Influenza (HPAI) or H5N1, is a disease that is highly contagious and often deadly in poultry. 

Infection with the virus causes decreased lactation, low appetite and other symptoms in affected cattle, the FDA says.

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The FDA says pasteurized milk on grocery store shelves has tested positive for remnants of the bird flu virus, but there is no risk to customers’ safety. (iStock)

The FDA and U.S. Department of Agriculture (USDA) said that commercial milk supply is safe because of the pasteurization process.

The pasteurization process involves killing harmful bacteria and viruses by heating milk to a specific temperature for a set period of time to make milk safer. Federal regulations require milk that enters interstate commerce to be pasteurized.

“The pasteurization process has served public health well for more than 100 years,” the FDA said. “Even if [the] virus is detected in raw milk, pasteurization is generally expected to eliminate pathogens to a level that does not pose a risk to consumer health.”

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“To date, we have seen nothing that would change our assessment that the commercial milk supply is safe.”

Pasteurization is different from complete sterilization, which extends shelf life but is not required to ensure milk safety, the agency said. 

Officials with the FDA and the USDA had previously said milk from affected cattle did not enter the commercial supply. Milk from sick animals is supposed to be diverted and destroyed. 

FDA officials did not indicate how many samples they tested or where they were obtained. The agency has been evaluating milk during processing and from grocery stores, officials said. Results of additional tests are expected in “the next few days to weeks.”

The PCR lab test the FDA used would have detected viral genetic material even after a live virus was killed by pasteurization or heat treatment, Lee-Ann Jaykus, an emeritus food microbiologist and virologist at North Carolina State University told the Associated Press. 

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AVIAN INFLUENZA: SYMPTOMS OF THE DISEASE AND HOW IT AFFECTS BIRDS AND HUMANS

Cows being milked on a carousel

Cows being milked while riding a slowly-moving carousel.  (Edwin Remsberg/VW Pics/Universal Images Group via Getty Images)

“There is no evidence to date that this is [an] infectious virus and the FDA is following up on that,” Jaykus said.

Scientists confirmed the H5N1 virus in dairy cows in March after weeks of reports that cows in Texas were suffering from a mysterious malady. 

The FDA says HPAI has now been confirmed in domestic livestock in 33 herds across eight states: Idaho, New Mexico, Texas, South Dakota, Kansas, Michigan, Ohio, and North Carolina.

While the virus is lethal to commercial poultry, most infected cattle seem to recover within two weeks, experts say.

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The National Milk Producers Federation (NMPF) echoed the FDA’s assertions that pasteurization is effective against HPAI and that commercial milk supply is safe.

“Viral fragments detected after pasteurization are nothing more than evidence that the virus is dead; they have zero impact on human health,” the NMPF said in a statement. 

“Further, the federal PMO prohibits milk from sick cows from entering the food supply chain. Milk and milk products produced and processed in the United States are among the safest in the world.”

Cows in field

Bird flu virus has been found in samples of pasteurized milk on grocery store shelves but there is no risk to customers, the U.S. Food and Drug Administration (FDA) said Tuesday. (iStock)

The news comes after a goat in Minnesota tested positive HPAI in February, which marked the first U.S. case of bird flu in domestic cattle, sheep, goats or their relatives.

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The positive juvenile goat was residing on a Stevens County farm that already had bird flu infected poultry, according to the Minnesota Board of Animal Health. 

To date, two people in the U.S. have been infected with bird flu. A Texas dairy worker who was in close contact with an infected cow earlier this year developed “eye redness” and has recovered, according to the Centers for Disease Control and Prevention (CDC).

In 2022, a prison inmate in a work program caught it while killing infected birds at a Colorado poultry farm. His only symptom was fatigue and he also recovered.

The Associated Press contributed to this report. 

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