Health
Bird flu surges in several US states with reports of new outbreaks: 'Getting worse'
Avian influenza A (H5N1), commonly known as bird flu, continues to make its way through the U.S., as Hawaii joins the list of affected states.
The Hawaiian Department of Agriculture (HDOA) reported last week that bird flu was confirmed in a backyard flock of various birds in Central Oahu.
At least 10 birds — including ducks, geese and a zebra dove — were reported dead on the property on Nov. 12 and were then sent for confirmatory testing.
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The department stated in a press release that highly pathogenic avian influenza (HPAI) causes “severe illness with a high mortality rate among affected birds.”
The presence of bird flu was detected through the National Wastewater Surveillance System, marking the first confirmed detection in Hawaii.
The HDOA has issued a quarantine order for the site of infection, requiring all birds on the property to be “depopulated and the premises cleaned and disinfected.”
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It is confirmed to be the same strain that has infected dairy cows and domestic poultry in U.S. mainland states, including California.
As of Nov. 18, California has confirmed 27 human cases of bird flu, according to the California Department of Public Health (CDPH).
The California Department of Food and Agriculture also confirmed bird flu in 335 dairy farms in Central California as of that same date.
“We can’t afford to give this virus more opportunities to spill over into humans.”
These outbreaks have affected more than one-fourth of California’s farms, per reports, boosting the national total in dairy herds to 549 in 15 states.
The CDPH confirmed on its website that the agency is monitoring bird flu in animals and people working closely with poultry and cows, and has distributed protective gear to these individuals.
Meanwhile, Arizona reported its first bird flu outbreak on Nov. 15 in poultry at a commercial farm in Pinal County.
The farmers spotted signs of illness in their poultry on Nov. 11. Officials confirmed that any eggs produced after the onset of illness have not entered the food supply.
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Experts believe the surge stems from the Pacific Flyway, where birds are heading south for winter. The potential of human infection is less of a threat, according to state agencies.
Hawaii’s Department of Agriculture reassured that Hawaiians are “unlikely to get sick” from bird flu at this time, as human illness is “uncommon.” Symptoms among humans infected in the U.S. have been mild, the agency added.
California’s Department of Public Health has warned that while human infections are rare, it can happen if the virus enters a person’s eyes, nose or mouth.
People can also be infected by drinking raw milk; touching raw milk, cow or bird feces and other contaminated surfaces; and handling sick or dead animals carrying the virus.
Symptoms of bird flu in humans can include eye redness or discharge, cough, sore throat, runny or stuffy nose, diarrhea, vomiting, muscle or body aches, headaches, fatigue, trouble breathing, high fever, pneumonia and seizures, according to medical experts.
Expert calls for ‘decisive action’
Sam Scarpino, PhD, director of AI and life sciences at Northeastern University in Boston, said he considers the increased H5N1 influenza cases “quite concerning.”
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“From ducks and geese in Hawaii and dairy cows in California to human cases in the U.S. and a severe human infection in Canada, it’s clear that the avian influenza outbreak is getting worse, not better,” he told Fox News Digital.
“We can’t afford to give this virus more opportunities to spill over into humans — and the economic costs on the agricultural side are piling up.”
Scarpino suggested that the federal government must take “decisive action” regarding testing and serosurveillance (estimates of antibody levels) of missed infections and wastewater, as well as vaccinating dairy cows against the virus.
“We also need to ensure that farm workers are protected and should strongly consider offering them access to H5N1 vaccines,” he said.
“It’s clear that the avian influenza outbreak is getting worse, not better.”
The expert added that it will be more difficult to differentiate bird flu cases from non-bird flu cases during the seasonal influenza season.
“We need investment from the federal government to ramp up public health laboratory test capacity and educate physicians and hospitals around the need to test influenza A positive samples for H5N1,” Scarpino said.
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Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, urged people to “stay away from any dead birds and sick birds, pigs or cows” as a preventive measure, and to keep pets away from wild animals.
“This H5N1 has proven extremely lethal in ferrets and primates, and many of the infected birds have been found dead,” Glanville told Fox News Digital. “Researchers have shown it to be capable of airborne transmission between mammals.”
Among the 52 Americans who have been infected with bird flu, Glanville noted that almost all of them were farm workers who had contact with cows or birds.
“Historically, from 2003 to 2024, 261 H5N1 infections have killed about 50% of the infected, being very lethal but not easily transmissible from human to human,” he said.
“Scientists don’t understand why this current strain is causing only mild infections so far, or how many mutations it would take to make it human-human transmissible and more lethal.”
Health
The year in cancer: Advances made in 2024, predictions for 2025
At the beginning of 2024, the American Cancer Society predicted that 2,001,140 new cancer cases and 611,720 cancer deaths would occur in the United States.
Now, as the year draws to a close, experts are looking back and reflecting on the discoveries and advances that have been made in the field of cancer treatment and prevention.
Fox News Digital spoke with four oncologists from the Sarah Cannon Research Institute in Nashville, Tennessee, about the most notable accomplishments of 2024 and what they see on the horizon for 2025.
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See the answers and questions below.
Krish Patel, MD, director of lymphoma research
Q: What do you see as the most important cancer advances in 2024?
A: In the field of lymphomas, we see growing momentum for therapies that use the patient’s own immune system to fight their cancer, such as CAR T-cell therapy and bispecific antibodies.
These are treatments that are now being studied and are making an impact earlier in the disease course, including one now being studied as the very first treatment a patient might receive for their lymphoma.
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These treatments are helping us to be less dependent on chemotherapies (which may be effective but have broad side effects) for the treatment of lymphomas.
Q: What are your predictions for cancer research in 2025?
A: Every year we are improving the curative treatment options we have for specific types of lymphomas, such as diffuse large B-cell lymphoma (DLBCL), which is the most common lymphoma we see.
We are also gradually becoming better able to offer these treatments closer to – or in – patients’ homes and communities, so they can receive the best care as close to home as possible.
“Every year, we are improving the curative treatment options we have for specific types of lymphomas.”
I believe that in 2025, we will continue to see more advancement in immunotherapies, development of more targeted therapies (including oral medicines), and hopefully soon the approval of next generations of immunotherapies that may work for patients who have already received today’s immunotherapies but need more treatment options.
Q: How has the state of cancer in your specialty area changed and evolved over the past decade?
A: It has changed and evolved dramatically. A decade ago, care for lymphomas was primarily chemotherapy-based. Now, we are shifting rapidly away from chemotherapies in some types of lymphomas in favor of immunotherapies and targeted oral therapies that lead to excellent long-term outcomes for patients, with fewer side effects than historical treatments.
Q: What can people do to reduce their cancer risk?
A: We think of lymphomas as diseases of aging for most patients. Some patients may have select risk factors, such as being on specific immunosuppressants or having exposure to very specific industrial chemicals.
Those risks may or may not be so modifiable for patients, and they represent the minority of patients who develop lymphoma.
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While it is not entirely clear what modifiable risks patients may have, there is ongoing work to help better answer that question. However, we know that the better general health someone is in, the more likely they are to have any and all treatment options available to them.
I would say that for most people, exercising regularly, eating well and sleeping regularly are important.
Q: Anything else people should know?
A: There is great hope and a lot of exciting science happening to help us drive toward more cures, more effective treatments and less toxic treatments for lymphomas.
We have already made major strides in the last decade, and we continue to build on that momentum through clinical trials that provide early access to cutting-edge therapies.
For patients, participating in clinical trials may help to close that time gap between the treatments that are broadly available today and the treatments we expect to be available years from now.
They also provide a way for patients to contribute positively to the care patients in future generations may receive, which I have been told by many of my patients is something they really want to do and something that is important to them.
Erika Hamilton, MD, director of breast cancer research
Q: What do you see as the most important cancer advances in 2024?
A: The two most exciting focuses of 2024 were 1) expansion of targeted therapies in the curative setting for hormonally driven breast cancer and 2) antibody drug conjugates.
First, three different CDK4/6 inhibitors have been approved in the metastatic setting, and they improve survival and outcomes.
In 2024, we saw the approval of a second one in the curative setting, enabling us to identify the highest-risk patients and offer them something additional to endocrine therapy to improve cure rates.
Second, we now have multiple antibody drug conjugates approved across all types of breast cancer. These therapies target a chemotherapy drug directly to the tumor via an antibody-honing mechanism and largely spare normal body cells.
“I anticipate drugs that are better tolerated with decreased side effects for patients, and a continued emphasis on personalized medicine.”
Q: What are your predictions for cancer advances in 2025?
A: I anticipate seeing more targeted agents in 2025 and the approval of antibody drug conjugates in curative early breast cancer — currently, most are only approved in metastatic cancer.
[I also anticipate] drugs that are better tolerated with decreased side effects for patients, and a continued emphasis on personalized medicine.
Q: How has the state of cancer in your specialty area changed and evolved over the past decade?
A: In 2024, truly personalized medicine is possible, from mutation testing to direct targeted therapy to what a cancer needs to grow — as well as being able to provide many HR+ breast cancer patients with curative chemotherapy through personalized risk stratification assays.
Q: What can people do to reduce their cancer risk?
A: Continued breast screening with mammograms yearly is really important to find cancers earlier when a cure is more likely.
People can also reduce their risk through avoiding alcohol and cigarettes and making sure they get regular exercise and maintain a normal body weight.
Vivek Subbiah, MD, chief of early-phase drug development
Q: What do you see as the most important cancer advances in 2024?
A: In 2024, precision cancer treatment made big strides with many new drug approvals by the FDA, specifically for treatments guided by specific biomarkers, which means treatments can be more precisely tailored to the genetic makeup of a person’s cancer.
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A key change was moving some therapies from faster, temporary approval processes to full approval, showing strong evidence that these targeted therapy drugs, such as tepotinib and amivantamab for certain types of lung cancer, are effective and safe.
There were also new drug approvals for rare cancers, including tovorafenib, a BRAF precision medicine for a rare type of brain tumor in children, and afamitresgene autoleucel, a type of immunotherapy for a rare cancer called synovial sarcoma. This highlights important progress in treating these challenging conditions.
We have also seen the approval of precision therapies that work on different types of cancer — not just one specific cancer. This is what we call “tissue-agnostic therapies.”
One such drug is an antibody drug conjugate called trastuzumab deruxtecan, which acts like a smart missile targeting HER2-positive cancers. Another is repotrectinib, which works on any cancer that has the NTRK biomarker, regardless of where it is in the body.
Q: What are your predictions for cancer advances in 2025?
A: By 2025, cancer research is likely to see advancements in precision oncology and the use of artificial intelligence.
In precision oncology, we can expect more personalized treatment plans based on an individual’s genetic makeup, leading to more effective and targeted therapies with fewer side effects.
Additionally, AI will likely play a larger role in analyzing vast amounts of data to identify new drug targets, predict patient responses to treatments and enhance early detection methods.
These advancements have the potential to improve cancer diagnosis, treatment and overall patient outcomes.
Q: How has the state of cancer in your specialty area changed and evolved over the past decade?
A: In the last 10 years, cancer treatment has changed dramatically. By using genetic information to create personalized treatments that match the specific details of each person’s cancer, therapies are more effective and less harmful.
New technologies such as analyzing cancer’s genetic profile, blood tests that detect cancer, and treatments that boost the immune system have greatly improved how we diagnose, track and treat cancer, leading to better results for patients.
Q: What can people do to reduce their cancer risk?
A: To lower the risk of cancer, people can avoid smoking, eat a healthy diet, exercise regularly, limit alcohol, protect their skin from the sun and maintain a healthy weight.
Q: Anything else people should know?
A: Get vaccines for viruses like HPV and hepatitis B, as they can lead to some cancers. Also, go for regular health checks to catch any signs of cancer early.
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We are in a unique time when treatments can be tailored specifically to each person, and many of these are available through clinical trials. If you or a loved one is diagnosed with cancer, ask your doctor if there are any clinical trials that might be a good fit.
Meredith McKean, MD, MPH, director of melanoma and skin cancer research
Q: What do you see as the most important cancer advances in 2024?
A: The first cellular therapy, Lifileucel, was approved in melanoma after decades of research in academia and industry.
“We are in a unique time when treatments can be tailored specifically to each person, and many of these are available through clinical trials.”
This is a significant step forward for both patients with melanoma, but also the field of oncology at large.
Q: What are your predictions for cancer advances in 2025?
A: As we look to bring effective therapies from the metastatic setting into early stages of disease, we are anxiously awaiting updates in the next 18 to 24 months for a number of ongoing trials for combination therapy for patients with high-risk stage 2 or 3 melanoma.
Q: How has the state of cancer in your specialty area changed and evolved over the past decade?
A: Outcomes for melanoma have significantly changed over the past 10 years.
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The five-year survival for patients with a diagnosis of stage 4 melanoma was less than 5% before 2010, and now clinical trials have shown that more than 50% of patients are still alive 10 years after being treated with FDA-approved immune checkpoint inhibitors.
Q: What can people do to reduce their cancer risk?
A: Lifelong sun protective measures, such as wearing sunscreen, avoiding direct UV exposure during peak hours of 10 a.m. to 2 p.m., and avoiding tanning beds continue to be important starting at an early age.
Health
First severe case of bird flu detected in US, CDC confirms
- A patient was hospitalized with a severe case of bird flu in Louisiana, the CDC said.
- This case is the first confirmed instance of a severe human infection linked to the H5N1 virus.
- The CDC said its assessment of risk to the public remains low.
The U.S. Centers for Disease Control and Prevention said on Wednesday that a patient has been hospitalized with a severe case of H5N1 infection in Louisiana, marking the first known instance of a severe human illness linked to the bird flu virus in the United States.
The case was confirmed by the agency on Friday, it said.
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The CDC said that a sporadic case of severe H5N1 bird flu illness in a person is not unexpected as has previously been experienced in other countries during 2024 and prior years, including in cases that led to death. The agency said its assessment of risk to the public remains low.
The CDC said that partial viral genome data from the infected patient shows that the virus belongs to the D1.1 genotype, recently detected in wild birds and poultry in the United States and in recent human cases in British Columbia, Canada, and Washington state.
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This genotype of the virus is different from the B3.13 genotype detected in dairy cows, human cases than multiple states, and some poultry outbreaks in the country, CDC said.
There have been a total of 61 human cases of H5 bird flu reported in the United States since April, according to the CDC.
Health
Traveling for Christmas? Stay healthy with these 7 tips
Travel is a big part of the holiday season, with statistics showing that more than 119 million Americans plan to embark on some type of journey between Christmas and New Year’s.
Unfortunately, traveling also increases the risk of getting sick — but there are steps you can take to increase your chances of staying healthy while away from home.
“When you’re traveling, when you’re on the road, there’s a lot of risk of stress and disorientation,” Dr. Marc Siegel, clinical professor of medicine at NYU Langone Health and Fox News senior medical analyst, told Fox News Digital.
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“You’re not in your usual habitat, and that can make people disoriented, upset, anxious or even sleep-deprived, especially when changing time zones.”
Siegel shared some of his top tips for preventing illness during holiday travel.
1. Stay well-hydrated
Staying hydrated has been shown to boost the immune system and protect against illness.
Water is always best, but other hydrating fluids include plain coffee or tea, sparkling or flavored waters, 100% vegetable juice, and milk or milk alternatives.
2. Keep up with your exercise routine
It’s best to travel while “well-exercised,” Siegel said.
“If you have a regular exercise routine, I wouldn’t suspend it a week before travel,” he said.
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“If you’re regularly exercising, sleeping right and eating right before you go, I think that that puts you in much better shape when you’re traveling.”
3. Wipe down surfaces
Siegel said he’s a “big believer” in wiping down surfaces, especially when traveling by plane.
“You wouldn’t believe what these surfaces carry — we’ve studied that,” he said. “There are a lot of germs in that tray table, and it’s the person next to you who could be sick.”
The HEPA filters on planes are “quite good,” Siegel said, but most of the time they don’t start working until you’re up in the air, he noted.
“So you want to be most cautious when you’re on the runway or just getting onto the plane,” he added.
4. Stay up-to-date on vaccines
“When you’re about to take a trip, it is a good time for you to think about whether you’re up-to-date on your vaccines,” Siegel said.
One immunization that isn’t given enough attention, according to the doctor, is Tdap, a combination vaccine that protects against tetanus, diphtheria and pertussis (whooping cough).
It is given at least once every five to 10 years.
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“There’s a ton of whooping cough around this year,” Siegel said. “Thousands of cases are reported, but many thousands aren’t.”
The doctor also recommends the shingles shot for those over the age of 50 and the pneumonia vaccine for people 60 and older.
“When you’re under stress from travel, that might be when you could get sick,” Siegel said, as the immune system isn’t functioning at an optimal level.
“When you’re under stress from travel, that might be when you could get sick.”
“That’s when shingles might reappear,” he warned. “Shingles is actually a chickenpox virus that’s dormant in your body for years, but can recur at times of stress.”
The Centers for Disease Control and Prevention (CDC) also recommends that everyone 6 months and older receives COVID and flu vaccinations, with rare exceptions.
5. Pack a travel health kit
For those who take multiple daily medications, the doctor recommends traveling with one pill bottle and putting the various pills in it, making it less likely for any to get misplaced.
“Make sure you have more than enough,” he advised. “You never know when you’re going to get delayed, especially around holiday travel.”
Siegel recommends bringing three or four extra days of pills for all medications.
“Depending on what chronic illnesses you may have, it’s a good idea to be up-to-date with blood draws and visits to your doctor” before traveling, he added.
6. Get sufficient, quality sleep
It can be challenging to maintain a regular sleep cycle while traveling, Siegel noted, especially when time zones are changing.
“The more you can catch some winks while traveling, the better off you’re going to be,” he said.
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For those who have trouble falling asleep while on the road, Siegel recommends identifying what makes you drift off at home and using those same techniques.
“I get asked a lot for sleeping aids,” he said. “For people who are traveling on long trips, I personally am uncomfortable giving medication if the patient hasn’t been taking it already.”
7. Use masks as needed
While masks “got a bad name” during the pandemic because of mandates, Siegel noted that they are tools that can be used for those who are ill or at a higher risk.
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“If you’re a person who’s at risk of an infectious disease or has a chronic illness, the last thing you need is to get the flu, COVID or RSV.”
The doctor recommends considering a mask for tight spaces where there are a lot of people around.
“You don’t know what they have or what they are harboring,” he said.
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“That’s why I would consider one, especially if you’re at high risk, if you’re on a plane that’s sitting on the runway and the air isn’t circulating and the HEPA filters aren’t yet engaged.”
Overall, Siegel said, “staying hydrated, eating right and sleeping properly as best as possible is the way to go in decreasing stress while traveling.”
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