Health
California schools now allow kids to attend with cough and cold symptoms, health department says
A growing number of schools are relaxing their restrictions and opening their doors to kids with coughs, sore throats and other symptoms.
This is a marked difference from the strict guidelines during the COVID-19 pandemic — when parents were advised to keep students home at any sign of illness.
California is one of the states that has relaxed its restrictions, as outlined on the state health department’s website.
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Students may attend school or child care even if they have cough and cold symptoms, including a runny or stuffy nose, sneezing, congestion or body aches — with the exception of those who also have a fever, uncontrolled coughing fits or difficulty breathing.
Kids who have a headache or a stiff, painful neck may also come to school in the absence of a concussion or infection, according to the California Department of Public Health (CDPH).
A growing number of schools are relaxing restrictions and opening their doors to kids with coughs, sore throats and other symptoms. (iStock)
The Golden State also allows kids to go to school with pink eye, as long as they don’t have vision problems, pain or injury.
Stomach pain is also OK, unless it involves an injury, vomiting, diarrhea or fever.
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In some cases, students may even attend with an earache, diarrhea or wheezing, according to the health department’s guidelines.
California has also updated recommendations for individuals who have tested positive for COVID-19, the CDPH said in an email to Fox News Digital.
Although those who test positive are still advised to monitor symptoms and stay home if they have a fever and feel ill, the days of mandated quarantines appear to be over.
The state of California has relaxed its restrictions, as outlined on the state health department’s website, and has opened its schools’ doors to kids with coughs, sore throats and other symptoms. (iStock)
“Instead of staying home for a minimum of five days, individuals may return to work or school when they start to feel better, meaning that their symptoms are mild and improving, and they have not had a fever for a full day (24 hours) without the use of fever-reducing medication,” the CDPH told Fox News Digital.
The department does still recommend 10 days of masking for students who have tested positive for COVID or have respiratory symptoms.
“Instead of staying home for a minimum of five days, individuals may return to work or school when they start to feel better.”
The state has also relaxed its COVID testing guidance.
“People who have been exposed to a confirmed case of COVID-19 and do not have COVID-19 symptoms are only recommended to test if they are at higher risk of severe disease and would benefit from treatment OR if they have contact with people who are at higher risk for severe COVID-19 infection,” the agency said.
“The reason for these changes is that we are now at a different point in time with reduced impacts from COVID-19 compared to prior years due to broad immunity from vaccination and/or natural infection, and readily available treatments for infected people,” the CDPH added.
A child who has a fever along with another symptom or sign of illness should not attend school or child care, according to the CDPH. (iStock)
The city of Boston, Massachusetts, also has relaxed its stay-at-home restrictions for sick kids.
On the Boston Public Schools website, the district states that students can attend with “common” respiratory infections.
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“If the child does not have fever, does not appear to have decreased activity or other symptoms, it is not necessary for the child to stay home,” the guidance says.
Students may also attend if they have vomited once in the past 24 hours — but vomiting two or more times is grounds for staying home, the district stated.
Public health agencies’ recommendations
The Centers for Disease Control and Prevention (CDC) still adheres to stricter guidelines, stating that people with symptoms of respiratory or gastrointestinal infections, including cough, fever, sore throat, vomiting or diarrhea, should stay home.
The CDC also recommends that anyone who experiences symptoms of COVID-19 should be tested for the virus right away.
The AAP states that children should be kept home from school if they’ve had a fever above 101 degrees Fahrenheit within the past 24 hours, if they’ve had episodes of vomiting or diarrhea within the past 24 hours, or if they are not well enough to participate in class. (iStock)
The American Academy of Pediatrics (AAP) states on its website that children should be kept home from school if they’ve had a fever above 101 degrees Fahrenheit within the past 24 hours, if they’ve had episodes of vomiting or diarrhea within the past 24 hours, or if they are not well enough to participate in class.
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“If your child has been ill and is feeling better, but still wakes up with minor problems such like a runny nose or slight headache … you can send them to school if none of the three circumstances listed above is present,” the AAP stated.
The AAP warned of the dangers of “chronic absenteeism,” including lower literacy levels in young children and a higher risk of failing, getting suspended or dropping out among older students. (iStock)
The AAP also warned of the dangers of “chronic absenteeism” — including lower literacy levels in young children and a higher risk of failing, getting suspended or dropping out among older students.
“Chronic absenteeism is also linked with teen substance use, as well as poor health as adults,” the organization added.
Doctors’ input on school policies
Dr. Shana Johnson, a physical medicine and rehabilitation physician in Scottsdale, Arizona, said that more relaxed school policies reflect “a better balance” between illness prevention and the impact of absences.
“Sick policies in schools have evolved to reflect the transition from a COVID public health emergency to COVID being endemic, or ever-present, in our communities,” she told Fox News Digital.
“Current policies better balance limiting the spread of disease with the harms of excessive absences.”
“Current policies better balance limiting the spread of disease with the harms of excessive absences, which include detriments to children’s education, social development and mental health,” she added.
The “hard-lined” COVID policies that were enacted in many states resulted in “tremendous harm” to children, Johnson said — including substantial learning loss, arrested social development and a spike in mental health crises.
“Now, four years following the emergence of COVID, we understand the virus better and have vaccines and treatments that reduce the severity of illness it causes,” she said.
The state of California still recommends 10 days of masking for students who have tested positive for COVID or have respiratory symptoms. (iStock)
“Also, a large portion of the population has been exposed to COVID and has a level of protective immunity,” the doctor added. “All of the above lowers the risk of harm from the virus.”
Sick policies in schools are now more reflective of those in place before the pandemic, according to Johnson.
“Before the pandemic, children attended school with a mild cold; they stayed home with moderate or severe symptoms such as fever and excessive cough,” she said.
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“Some children have back-to-back colds for six months out of the year, especially younger children,” the doctor went on. “The hard-line policies would have these kids out of school for half the year.”
She added, “For a virus that causes mild symptoms in kids, missing half the year is not reasonable.”
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, said that kids with infectious-type symptoms, especially frequent upper respiratory symptoms, should not attend school. (Fox News)
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, said that kids with infectious-type symptoms, especially frequent upper respiratory symptoms, should not attend school at all.
“An occasional cough or sneeze or a confirmed allergy is one thing, but sore throat, cough, body aches or congestion are consistent with an ongoing contagion that is easily spread at school,” he warned.
“Not only that, but there is the issue of the child recuperating and being at full strength.”
During what Siegel described as a particularly bad flu, RSV and COVID season, he stressed the importance of “doing our best to not spread these bugs at school.”
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Health
Dairy consumption linked to lower dementia risk in surprising new study
RFK Jr. touts whole milk as healthier than alternatives
Fox News medical contributor Dr. Nicole Saphier joins ‘Fox & Friends Weekend’ reacting to HHS Secretary Robert F. Kennedy Jr.’s promotion of high-fat, high-protein foods and warning that replacing fat with sugar has fueled America’s obesity crisis.
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A large Swedish study suggests that some high-fat dairy foods are linked to a lower risk of dementia.
Researchers in Sweden used data from the Malmö Diet and Cancer cohort, which included 27,670 adults aged 45 to 73 in Malmö, Sweden.
The team then conducted interviews, collected food diaries, and asked the patients questionnaires to calculate how much of each dairy product people ate per day. They also separated dairy into high-fat and low-fat types. High-fat cheese was defined as more than 20% fat, and high-fat cream as more than 30% fat.
Participants joined the study between 1991 and 1996 and were followed for an average of 25 years afterward.
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People who consumed at least 20 grams per day of high-fat cream had about a 16% lower risk of all-cause dementia than non-consumers. (iStock)
The main outcome they looked at was all-cause dementia, while Alzheimer’s disease (AD) and vascular dementia (VaD) were studied separately. Over the follow-up period, 3,208 people developed dementia. Within these groups, those who consumed high-fat cheese were significantly less likely to develop dementia.
“We were a bit surprised to see a lower dementia risk among people who ate more high-fat cheese,” Emily Sonestedt, associate professor of nutritional epidemiology at Lund University in Sweden, told Fox News Digital.
At the same time, she says it isn’t entirely unexpected to see a link with vascular dementia.
Most other dairy products, including low-fat cheese, low-fat cream, milk and fermented milk, showed no consistent association with overall dementia risk. (iStock)
“Many dementia cases involve damage to small blood vessels in the brain. Our own previous work, and several international studies, including from the US, have shown neutral or slightly protective associations between cheese and cardiovascular disease.”
The study adjusted for factors such as age, sex, education, smoking, physical activity, alcohol use, body mass index, hypertension, overall diet quality and other dairy products.
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People who ate at least 50 grams per day of high-fat cheese had a lower risk of all-cause dementia compared with those eating less than 15 grams per day. They also had a lower risk of vascular dementia.
High butter intake was associated with a higher risk of Alzheimer’s disease, while high-fat cheese was linked to lower Alzheimer’s risk only among people without the APOE ε4 genetic risk variant. (iStock)
High-fat cream showed a similar pattern: people consuming at least 20 grams per day had a 16% lower risk for all-cause dementia compared with non-consumers.
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Other dairy products did not show clear links with overall dementia risk. Low-fat cheese, low-fat cream, milk, fermented milk, and butter generally showed no association with all-cause dementia.
One exception was that high butter intake (at least 40 grams a day) was associated with a higher risk of Alzheimer’s disease. The study also found that high-fat cheese was linked to lower AD risk only among people who did not carry the APOE ε4 risk variant, a genetic variant linked to Alzheimer’s.
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This was an observational study, so it cannot show cause and effect, and unmeasured factors may still play a role.
“The study was conducted in Sweden, where people mainly eat hard, fermented cheeses, so the results may not apply directly to countries with very different cheese types and eating patterns,” said Sonestedt.
Because the study was observational and diet was measured only once, the results should be interpreted cautiously and cannot be used to conclude that high-fat dairy prevents dementia. (iStock)
Diet was measured only once, so changes over time were not fully captured. Cream intake was measured with less precision than cheese.
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“Although we adjusted for many lifestyle and health factors, it is still difficult to say that the cheese itself is protective. It is more likely part of a broader eating pattern and lifestyle that may support long-term brain health,” researchers noted.
Dementia diagnoses after 2014 were not validated in detail, and baseline cognitive status was not available.
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Some dementia cases may have been missed, and the results are from a Swedish population, which may limit generalization.
The findings were published in Neurology, the medical journal of the American Academy of Neurology.
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Health
Misunderstood illness leaves millions exhausted, with most cases undiagnosed
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Fatigue can stem from a variety of illnesses and life stressors, but when that exhaustion lasts for months — often following an infection — it may indicate a condition called chronic fatigue syndrome.
Approximately 3.3 million people in the United States currently have the syndrome, with about one in four people confined to their bed at some point during the illness, according to the Centers for Disease Control and Prevention.
Despite its prevalence, experts say it’s a poorly understood condition that physicians frequently miss, with past research suggesting that only about 15% of those affected are diagnosed correctly.
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What is chronic fatigue syndrome?
Formally known as myalgic encephalomyelitis (ME), chronic fatigue syndrome (CFS) is a chronic disease that causes fatigue so severe that it impairs the ability to perform daily activities.
Approximately 3.3 million people in the United States currently have the chronic fatigue syndrome, with about one in four people confined to their bed at some point during the illness. (iStock)
The National Academy of Medicine defines the syndrome as having the following three symptoms that last at least six months.
- Severe fatigue that is 1) new and 2) decreases the ability to perform activities that you did normally prior to illness
- “Malaise” that worsens after physical or mental effort that previously was well-tolerated
- Unrestful sleep
People may also experience trouble with thinking and memory (often called “brain fog”) or lightheadedness when standing up.
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There are no tests to confirm chronic fatigue, so doctors diagnose it by talking to their patients, examining them and excluding other disorders, like hypothyroidism and depression, that often share the same symptoms.
Chronic fatigue is frequently missed by physicians, with past research suggesting that only about 15% of those affected are diagnosed correctly. (iStock)
“CFS, fibromyalgia and long COVID are all related conditions with different names,” Dr. Jacob Teitelbaum, author of “From Fatigued to Fantastic” — whose research focuses on chronic fatigue syndrome — told Fox News Digital. “What these illnesses have in common is that they are immune disorders, and immune disorders predominantly affect women.”
Many genes related to immune disorders are on the X chromosome, suggesting a genetic component, the doctor added.
Causes of chronic fatigue
Chronic fatigue syndrome may be triggered by infection or other physiologic stressors, but its causes and symptoms can vary widely from person to person, according to Dr. Julia Oh, a professor in dermatology, molecular genetics and microbiology, and integrative immunobiology at the Duke University School of Medicine in North Carolina.
Teitelbaum compared the condition to a “severe energy crisis” in the body. When energy drops low enough, the “control center” in the brain — the hypothalamus, which regulates sleep, hormones, blood pressure and pulse — may not work as well.
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Although hypothalamic dysfunction can trigger dozens of other symptoms, the hallmark signs are insomnia (despite exhaustion), brain fog and widespread pain, the doctor said.
Anything that causes severe energy depletion can trigger the syndrome, including chronic life stressors, nutritional deficiencies, thyroid and stress hormone imbalances, and sleep problems.
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These triggers are usually associated with a gradual onset of CFS, but sudden onset can be caused by certain infections, with two classic ones being COVID and mononucleosis, past research has shown.
Head and neck trauma and sudden hormonal shifts after pregnancy can also trigger chronic fatigue, Teitelbaum warned.
Anything that causes severe energy depletion can trigger the syndrome, including chronic life stressors, nutritional deficiencies, thyroid and stress hormone imbalances, and sleep problems, according to one doctor. (iStock)
There aren’t currently any blood tests to uniformly diagnose the syndrome, but Dr. Oh said she is hopeful that will change in the future.
Her research team developed an experimental artificial intelligence-based tool, BioMapAI, that has been shown to identify the condition with high accuracy by analyzing stool, blood and other common lab tests, according to early research published in July in the journal Nature Medicine.
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“Instead of finding one smoking gun for the disease, our AI model uncovered a distinct biological fingerprint that was dysregulated in the patients, which spanned changes in gut bacteria, hyperactive immune cells and disrupted metabolism,” Oh told Fox News Digital.
Treatments and therapies
Given how differently chronic fatigue syndrome can affect people, there is no universally effective therapy, according to Oh.
The CDC recommends that patients with CFS work with their doctors to create a management plan based on the symptoms that most affect quality of life.
There are no tests to confirm chronic fatigue, so doctors diagnose it by evaluating symptoms and excluding other disorders.
Treatments generally include a combination of lifestyle changes, therapies and medications. Patients and their physicians should weigh the potential benefits and risks of any approach.
There are some alternative therapies that have shown to be effective for some. Teitelbaum developed a protocol called SHINE, which focuses on sleep, hormones and hypotension, infections, nutrition and exercise. Some research has shown that this approach can help to improve the quality of life for people with CFS and fibromyalgia.
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Others may find alternative treatments, like physiotherapy (physical therapy) to be helpful.
Those who experience persistent fatigue that hinders their ability to participate in regular activities or impacts their quality of life should speak with a doctor.
Health
Ancient plague mystery cracked after DNA found in 4,000-year-old animal remains
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Long before the Black Death killed millions across Europe in the Middle Ages, an earlier, more elusive version of the plague spread across much of Eurasia.
For years, scientists were unsure how the ancient disease managed to spread so widely during the Bronze Age, which lasted from roughly 3300 to 1200 B.C., and stick around for nearly 2,000 years, especially since it wasn’t spread by fleas like later plagues. Now, researchers say a surprising clue may help explain it, a domesticated sheep that lived more than 4,000 years ago.
Researchers found DNA from the plague bacterium Yersinia pestis in the tooth of a Bronze Age sheep discovered in what is now southern Russia, according to a study recently published in the journal Cell. It is the first known evidence that the ancient plague infected animals, not just people, and offers a missing clue about how the disease spread.
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“It was alarm bells for my team,” study co-author Taylor Hermes, a University of Arkansas archaeologist who studies ancient livestock and disease spread, said in a statement. “This was the first time we had recovered the genome from Yersinia pestis in a non-human sample.”
A domesticated sheep, likely similar to this one, lived alongside humans during the Bronze Age. (iStock)
And it was a lucky discovery, according to the researchers.
“When we test livestock DNA in ancient samples, we get a complex genetic soup of contamination,” Hermes said. “This is a large barrier … but it also gives us an opportunity to look for pathogens that infected herds and their handlers.”
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The highly technical and time-consuming work requires researchers to separate tiny, damaged fragments of ancient DNA from contamination left by soil, microbes and even modern humans. The DNA they recover from ancient animals is often broken into tiny pieces sometimes just 50 “letters” long, compared to a full human DNA strand, which contains more than 3 billion of those letters.
Animal remains are especially tough to study because they are often poorly preserved compared to human remains that were carefully buried, the researchers noted.
The finding sheds light on how the plague likely spread through close contact between people, livestock and wild animals as Bronze Age societies began keeping larger herds and traveling farther with horses. The Bronze Age saw more widespread use of bronze tools, large-scale animal herding and increased travel, conditions that may have made it easier for diseases to move between animals and humans.
When the plague returned in the Middle Ages during the 1300s, known as the Black Death, it killed an estimated one-third of Europe’s population.
The discovery was made at Arkaim, a fortified Bronze Age settlement in the Southern Ural Mountains of present-day Russia near the Kazakhstan border. (iStock)
“It had to be more than people moving,” Hermes said. “Our plague sheep gave us a breakthrough. We now see it as a dynamic between people, livestock and some still unidentified ‘natural reservoir’ for it.”
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Researchers believe sheep likely picked up the bacteria from another animal, like rodents or migratory birds, that carried it without getting sick and then passed it to humans. They say the findings highlight how many deadly diseases begin in animals and jump to humans, a risk that continues today as people move into new environments and interact more closely with wildlife and livestock.
“It’s important to have a greater respect for the forces of nature,” Hermes said.
The study is based on a single ancient sheep genome, which limits how much scientists can conclude, they noted, and more samples are needed to fully understand the spread.
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The researchers plan to study more ancient human and animal remains from the region to determine how widespread the plague was and which species may have played a role in spreading it.
Researchers (not pictured) found plague-causing Yersinia pestis DNA in the remains of a Bronze Age sheep. (iStock)
They also hope to identify the wild animal that originally carried the bacteria and better understand how human movement and livestock herding helped the disease travel across vast distances, insights that could help them better anticipate how animal-borne diseases continue to emerge.
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The research was led by scientists at the Max Planck Institute for Infection Biology, with senior authors Felix M. Key of the Max Planck Institute for Infection Biology and Christina Warinner of Harvard University and the Max Planck Institute for Geoanthropology.
The research was supported by the Max Planck Society, which has also funded follow-up work in the region.
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