Health
CDC no longer recommends universal contact tracing, case investigation
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The Facilities for Illness Management and Prevention (CDC) introduced this week that it not recommends common case investigation and make contact with tracing.
As a substitute, the company mentioned state, tribal, native and territorial (STLT) well being departments ought to prioritize particular settings and teams at elevated danger.
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The up to date steerage mentioned these establishments ought to focus their efforts on selling confirmed prevention methods to cut back transmission of COVID-19 locally.
Choices to provoke contact tracing and case investigation ought to be made individually, with investigations focusing on COVID-19 circumstances and shut contacts with onsets and exposures within the earlier 5 days for these settings and teams at elevated danger.
Moreover, STLT well being departments ought to seek the advice of with colleges, companies and organizations that present important providers to assist them implement applicable COVID-19 prevention measures, assist public well being training, provide COVID-19 vaccinations and have the authority to find out how case investigation and make contact with tracing ought to be carried out regionally.
“Case investigation and make contact with tracing are separate processes which have distinct advantages and outcomes,” the CDC mentioned. “Implementation of every exercise ought to be thought of individually. Not all circumstances which are investigated will outcome within the elicitation and notification of shut contacts. It is very important prioritize investigation of COVID-19 circumstances with symptom onset or optimistic viral take a look at inside the earlier 5 days. Notification of shut contacts ought to happen inside 5 days of their final identified publicity to somebody with COVID-19.”
“This time-based technique may have the best affect on onward transmission and guarantee precedence circumstances and their precedence shut contacts will be reached in enough time comply with really helpful isolation and quarantine steerage and search therapy as applicable,” the company added.
The well being departments ought to think about the investigation of circumstances, clusters and outbreaks involving long-term care amenities, correctional amenities and homeless shelters, uncommon clusters of circumstances and novel or rising variants that would pose important dangers for extreme illness, hospitalization and loss of life.
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Alternatively, the departments ought to emphasize elicitation and notification of shut contact with publicity within the earlier 5 days recognized through the investigations, together with these really helpful for quarantine and people at elevated danger of extreme well being outcomes and loss of life.
Nonetheless, the CDC famous that broad-based notification of potential publicity and testing “could also be more practical” than contact tracing for responding to outbreaks and controlling virus transmission.
Because the suggestions regulate, the company wrote that well being departments might have to regulate staffing ranges accordingly.
Moreover, to enrich these actions, STLT well being departments ought to provide vaccination and testing, implement testing methods, join these with COVID-19 who’re in danger for extreme well being outcomes to antiviral and different remedies, encourage people who find themselves optimistic to inform their very own shut contacts, increase using digital instruments, promote using well-fitting masks and bodily distancing in neighborhood settings and promote the advantages of being updated with COVID-19 vaccination.
These modifications come as public well being specialists stay cautiously optimistic about present pandemic traits, with new circumstances and hospitalizations persevering with to fall.
Information from the Johns Hopkins Coronavirus Useful resource Middle reveals 52,355 new circumstances and almost 2,100 new deaths prior to now day.
New York Metropolis’s contact tracing program will finish its common tracing efforts towards the top of subsequent month and Indiana state officers introduced Thursday that its colleges and little one care applications will not need to conduct contact tracing or report COVID-19 circumstances to the state Division of Well being as of subsequent Wednesday.
The Related Press contributed to this report.
Health
'Miracle therapy' could correct heart failure in kids
Fox News’ Health newsletter brings you stories on the latest developments in health care, wellness, diseases, mental health and more.
TOP 3:
– Stem cell therapy could correct heart failure in children, say doctors and specialists at the Murdoch Children’s Research Institute in Melbourne, Australia.
– Doctors saved a pregnant woman and her baby after discovering a grapefruit-sized tumor in her chest cavity.
– A second-grade boy saved his friend from choking by doing the Heimlich maneuver in the school cafeteria – and it was caught on camera.
MORE IN HEALTH
REST AND RECHARGE – Quality sleep can be tough to come by during the holidays. A clinical psychologist offers expert advice for snoozing during the busy season. Continue reading…
‘MAJOR STEP FORWARD’ – The FDA has approved the first medication for obstructive sleep apnea, which also promotes weight loss. Continue reading…
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Health
Pregnant woman and baby saved after doctors find grapefruit-sized tumor: 'Extremely rare'
A Chicago woman was just weeks away from giving birth when a nagging cough led to a shocking medical discovery.
MaKenna Lauterbach, then 26 years old, began experiencing severe coughing fits in the last three months of her pregnancy.
“They would be so severe that I would become winded and nauseous to the point of vomiting,” she told Fox News Digital.
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Lauterbach, who lives on a farm in Washburn, Illinois, also began noticing shortness of breath while tending to her horses and goats.
“I give hay to the horses every morning and noticed how winded I was becoming with a dry cough,” she said. “My body felt like I just ran two miles, when, in reality, I had only walked to the barn and back.”
Some doctors dismissed Lauterbach’s symptoms, she said, repeatedly telling her, “It’s because you are pregnant.”
Eventually, though, when the coughing led to vomiting, doctors performed scans and detected a large, grapefruit-sized tumor in her middle chest cavity and right lung, which was completely blocking the artery to the right lung.
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“It’s extremely rare to see this type of tumor invading into the major blood vessels of the heart,” said Chris Mehta, M.D. — a cardiac surgeon with the Northwestern Medicine Bluhm Cardiovascular Institute who specializes in complex heart reconstruction — in a press release.
“It’s extremely rare to see this type of tumor invading into the major blood vessels of the heart.”
“We may see something like this once every few years.”
The tumor had put Lauterbach — and her baby — into respiratory distress.
‘In real trouble’
Lauterbach was flown to Northwestern Memorial Hospital in Chicago, where a large medical team was waiting for her.
“MaKenna was in real trouble, and we had to act quickly – this wasn’t something that could wait for Monday morning,” said Lynn Yee, M.D., maternal-fetal medicine specialist at Northwestern Medicine, in the release.
“When you’re pregnant with a baby that’s nearly full term, your lungs already aren’t functioning at full capacity, and when you add a huge tumor on top of it, you run the risk of having respiratory collapse and cardiac arrest.”
The baby was not tolerating the contractions well and Lauterbach’s blood pressure was plummeting.
THE YEAR IN CANCER: ADVANCES MADE IN 2024, PREDICTIONS FOR 2025
The team performed an emergency cesarean section — and on Easter Sunday, a healthy baby boy, Colten, was born.
‘Blindsiding news’
After the delivery, it was time to address the tumor.
“The tumor was sitting on top of MaKenna’s heart and extended into the right lung, impacting all three lobes and the entire main trunk of the pulmonary artery,” said Kalvin Lung, M.D., a thoracic surgeon with the Northwestern Medicine Canning Thoracic Institute, in the release.
Doctors performed a biopsy and diagnosed Lauterbach with stage 3 melanoma.
The doctors believe she may have had a melanoma on her skin at some point, and that “a cell or two escaped” and began growing inside her body.
“It was truly blindsiding news,” Lauterbach told Fox News Digital. “When I first got the diagnosis, I went through a roller coaster of emotions.”
“I was grieving the birth plan I had spent months preparing, while also dealing with the news of my unexpected diagnosis.”
After first feeling relief at having an answer, she said she felt some anger that her symptoms had been dismissed earlier. Then there was the fear of the cancer itself.
“Because of the tumor, the delivery happened so quickly. I was grieving the birth plan I had spent months preparing, while also dealing with the news of my unexpected diagnosis,” she said.
“My situation was serious, and while my clinical team was working on a plan to treat my cancer, it was comforting to know that the NICU nurses [at Northwestern] were taking such wonderful care of our son.”
Taking life-saving action
The team at Northwestern recommended that Lauterbach undergo three cycles of immunotherapy before surgery, which helped shrink her tumor by 30%.
Dr. Lung and Dr. Mehta removed Lauterbach’s entire right lung, parts of the main pulmonary artery and her lymph nodes.
“The surgery was risky relative to other cancer surgeries due to the need for cardiopulmonary bypass, and the need to repair the main artery going to both lungs, but it was done under very safe conditions with well-proven techniques,” Dr. Lung told Fox News Digital.
“We were concerned that even with the extent of surgery, we would not be able to completely remove the tumor,” he went on.
If the tumor had grown just slightly more into the main artery going to the lungs, or if it had involved the heart, it would have been a different outcome.
But the surgery was a success, and Lauterbach’s latest scans showed no evidence of metastatic melanoma.
“Her outcome was very good,” Dr. Lung told Fox News Digital. “She has recovered from surgery almost entirely, and her main issue is shortness of breath, which is a consequence of only having one lung.”
“In terms of cancer prognosis, we expect it to be quite good, given that the entire tumor responded to the immunotherapy treatment she received.”
‘New normal’
Today, though he was born three weeks early, little Colter Lauterbach is a thriving, happy baby boy.
“As for myself, I am still healing, emotionally and physically,” said MaKenna Lauterbach. “My lung capacity is getting close to ‘the new normal’ for me and I’m finally starting to return to some sort of normal routine.”
“There are some days when the bad memories and the unknowns haunt my thoughts.”
Looking ahead, Lauterbach will continue immunotherapy treatments for one year, and the doctors will continue to monitor CT scans to ensure the cancer doesn’t come back.
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Her cancer is currently considered a “stable disease,” doctors say, which means no new tumors have appeared.
The new mother, who turned 27 in October, said she is looking forward to her son’s first Christmas on the farm.
“Emotionally, I try my best not to let reality weigh on me, but there are some days when the bad memories and the unknowns haunt my thoughts,” she said.
“Colter and my wonderful husband, Parker, are what have given me the strength to make it through everything.”
For more Health articles, visit www.foxnews.com/health
For other women, Lauterbach emphasized the importance of “knowing your body.”
She advised, “If you know something isn’t right, don’t take ‘I don’t know’ for an answer. Find someone who will take your concerns seriously and would rather do extra testing just in case, as opposed to missing something life-threatening.”
Health
5 sleep tips to get better rest during the busy holiday season
Getting a good night’s sleep can be a little more challenging amid the hype of the holidays.
With changes in routine, diet and potentially time zones, quality sleep could be difficult to come by.
Around 42% of U.S. adults struggle with sleep issues during the holiday season, according to a CNET survey.
DO WOMEN NEED MORE SLEEP THAN MEN? HERE’S WHAT EXPERTS THINK
More than half of millennials and Gen Zers said their sleep quality was impacted significantly over the holidays, the survey found.
Dr. Brian Licuanan, a board-certified clinical psychologist in California, told Fox News Digital that there are a variety of reasons sleep can be disrupted, including medical and mental health conditions, diet, alcohol intake and other lifestyle behaviors, like screen exposure.
Spending the holidays in someone else’s home or experiencing a change in a normal wake/sleep routine can also impact sleep quality, he said.
‘HOW MUCH SLEEP IS TOO MUCH?’: ASK A DOCTOR
Licuanan, author of “How to Get Your Resisting Loved One Into Treatment,” offered the following five tips on how to improve sleep during the holiday season.
1. Prepare to sleep away from home
Especially for those who are traveling across time zones, sleep schedules will most likely take a hit.
“Try to adjust accordingly,” the expert suggested. “If you’re in a time zone ahead of your usual one, consider going to bed earlier, since you may feel sleepy sooner.”
“If you’re in a time zone behind your usual one, try delaying your bedtime to allow your body to build up enough sleepiness.”
If you’re staying as a guest in someone’s home or at a hotel, it might be helpful to bring some tools to help ensure a good night’s sleep.
TO IMPROVE YOUR SLEEP, DO THIS ACTIVITY BEFORE BED, EXPERTS SUGGEST
This could include earplugs or eye masks, Licuanan said, which are “good ways to replicate the quiet and darkness that you may have in your home.”
2. Be mindful of changes in diet, alcohol and exercise
As many people may eat and drink more than usual during the holidays, Licuanan advised being mindful of the amount of consumption.
Exercise routines are likely to shift during this time as well.
“[Alcohol] could impair certain stages of sleep, causing you to feel groggy and tired the following day,” he said.
“Carve out time for exercise and healthy eating habits, as that will help you relax and promote better sleep.”
3. Stay organized
Keeping organized during the busy holiday season can help prevent the mind from racing before bed, according to Licuanan.
He recommended making a list of items or tasks that need to be done the next day to organize your thoughts.
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“Writing things down can help you feel more relaxed and take out the extra and unnecessary thoughts that can disrupt your sleep,” Licuanan said.
4. Communicate with your partner
Balancing relationships over the holidays can also cause unwanted stress and sleep disruption.
To prevent unnecessary hiccups, Licuanan encouraged having an open dialogue with your partner about holiday expectations.
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“Divvy up responsibilities, so one person is not overwhelmed with things to do,” he advised.
“Such activities can include buying groceries, wrapping gifts, picking up family members at the airport or providing entertainment for guests.”
5. Practice mindfulness and relaxation techniques
While the holidays can be filled with potential stressors, Licuanan suggested practicing mindfulness and relaxation techniques to fuel good sleep later.
“Continual social gatherings, travel and spontaneous activities can all heighten stress levels,” he said.
For more Health articles, visit www.foxnews.com/health
“Managing the levels of stress with mindfulness and relaxation techniques can help ensure that you are relaxed physically and mentally in order to better accomplish good, relaxed sleep.”
Licuanan encouraged all holiday celebrants to stay positive, have fun and try to enjoy the season.
“Though the holidays may present a level of stress, it’s important to remember things such as gratitude and the positive things in life, as a positive mindset can lower stress, which will likely improve sleep quality,” he added.
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