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Dairy Workers May Have Passed Bird Flu to Pet Cats, CDC Study Suggests

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Dairy Workers May Have Passed Bird Flu to Pet Cats, CDC Study Suggests

Two dairy workers in Michigan may have transmitted bird flu to their pet cats last May, suggests a new study published on Thursday by the Centers for Disease Control and Prevention.

In one household, infected cats may also have passed the virus to other people in the home, but limited evidence makes it difficult to ascertain the possibility.

The results are from a study that was scheduled to be published in January but was delayed by the Trump administration’s pause on communications from the C.D.C.

A single data table from the new report briefly appeared online two weeks ago in a paper on the wildfires in California, then quickly disappeared. That odd incident prompted calls from public health experts for the study’s release.

The new paper still leaves major questions unanswered, including how the cats first became infected and whether farmworkers spread the virus to the cats and to other people in the household, experts said.

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“I don’t think we can say for sure if this is human-to-cat or cat-to-human or cat-from-something-else,” said Jennifer Nuzzo, director of the Pandemic Center at the Brown University School of Public Health.

Officials in Michigan began investigating two households last May when exclusively indoor cats showed respiratory and neurological symptoms and, after death, tested positive for the virus, called H5N1. The officials interviewed the cats’ owners and household members and offered to test them for the virus.

The owners of both cats were dairy workers. The first farmworker did not work with cows directly, and the farm was not known to have infected herds. But the worker reported that many of the barn cats on the farm’s premises recently died. The worker also reported having experienced vomiting and diarrhea before the first household cat became ill.

The second farmworker reported being splashed in the face and eyes with milk and experiencing eye irritation. Both workers declined to be tested.

“This study provides yet more concerning evidence that farmworkers with high-risk exposures may refuse testing,” Dr. Nuzzo said.

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“In order to protect people and stay ahead of this virus, we need to remove disincentives for patients to get tested,” she added. “People should not fear that testing positive will cause financial distress or other personal harms.”

In the household of the first farmworker, the first cat to become ill showed decreased appetite, lack of grooming, abnormal gait and lethargy, and quickly deteriorated. She was euthanized on the fourth day of illness.

A second cat in the household developed watery eye discharge, rapid breathing and decreased appetite four days after the first cat became ill. This cat recovered and was not tested for the virus. A third cat had no symptoms and tested negative for the virus 11 days after the first cat became ill.

Neither the cats nor the humans in the household drank unpasteurized milk. How the cats might have become infected is unclear, but experts said that the farmworkers were likely to have become infected with H5N1 at their workplace and to have brought the virus home to their cats.

“If you love your cat, you probably give it head kisses if it lets you,” said Kristen K. Coleman, an infectious disease researcher at the University of Maryland.

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Three people in the household — an adult and two adolescents — tested negative for H5N1. Six days after the first cat became sick, one of the adolescents became ill with a cough, sore throat and body aches, and the other reported a cough that was attributed to allergies.

But because the adolescents were tested late — 11 days after the first cat became sick — it was not impossible that they became infected with H5N1 that they picked up from the cats, Dr. Coleman said.

Later in May, a pet cat in the second household developed severe neurological symptoms, including anorexia and minimal movement, and died within a day; the cat tested positive for bird flu after its death.

The cat’s owner transported unpasteurized milk, including from farms with known bird flu outbreaks. According to the study, the owner “did not wear personal protective equipment (PPE) while handling raw milk; reported frequent milk splash exposures to the face, eyes and clothing; and did not remove work clothing before entering the home when returning from work.”

The cat that became ill was known to “roll in the owner’s work clothes,” the study noted.

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Virus in raw milk splattered on those clothes may be the source of infection in the cat, said Dr. Keith Poulsen, the director of the Wisconsin Veterinary Diagnostic Laboratory.

“At this point, I think the higher risk is their exposure from raw dairy products,” he said. “There’s so much virus in the milk.”

Of 24 veterinary staff members who were potentially exposed to the infected cats, seven reported symptoms such as nasal congestion and headache. Only five agreed to testing; all were negative.

Dr. Coleman recommended that veterinarians remain alert to the possibility of bird flu infections when they see sick cats. “Pet owners should not have to rely on postmortem sampling to get a diagnosis,” she said.

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Guava for Weight Loss Is a Real Thing—Here’s the Juicy Truth

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Guava for Weight Loss Is a Real Thing—Here’s the Juicy Truth


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How Guava for Weight Loss Melts Belly Fat Faster




















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Single workout cuts cravings, offering new hope for smokers trying to quit

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Single workout cuts cravings, offering new hope for smokers trying to quit

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If you’re trying to quit smoking, try a brisk walk or bike ride to curb your craving for a cigarette.

Researchers found that just one workout can reduce the urge to light up. But the type of exercise you do and how you do it makes a big difference.

High-intensity, aerobic exercise is most effective at reducing people’s cigarette cravings, a review of 59 randomized controlled trials involving more than 9,000 adults found.

FITNESS EXPERT REVEALS SIMPLE RULE TO GET IN SHAPE WITHOUT DREADING THE GYM: ‘JUST MOVE’

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“Single-bout exercise reduced acute cravings immediately and up to 30 minutes post-exercise, but not longer-term cravings,” the authors of the study, published in the Journal of Sport and Health Science, reported.

Aerobic exercise is the most effective form of exercise for reducing cravings for cigarettes, researchers found. (iStock)

The research team highlighted other key findings from their study of “exercise-based interventions for smoking cessation.”

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Exercise training made people between 15% and 21% more likely to abstain from smoking than those who didn’t exercise, the authors found.

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Researchers found that exercise curbs people’s cigarette cravings for up to 30 minutes after they stop exercising. (iStock)

Regular exercise also caused smokers to cut back by an average of two cigarettes per day.

In addition to being a free and accessible method for reducing smoking, exercise is also effective at reducing anxiety and stress, which drive many people to smoke.  

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The authors suggest that because exercise boosts feel-good hormones, such as dopamine, and reduces the stress hormone cortisol, smokers who work out feel less inclined to use nicotine as a brain reward.

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Exercise should be integrated into other smoking cessation programs to enhance quit success, the authors concluded.

Exercise releases similar feel-good brain chemicals that people get from cigarettes, researchers suggested. (iStock)

They also noted that none of the trials addressed vaping and recommended that future research target the use of electronic cigarettes.

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Hantavirus Vaccines and Treatments Are in the Pipeline

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Hantavirus Vaccines and Treatments Are in the Pipeline

The deadly hantavirus outbreak aboard the cruise ship MV Hondius has put the spotlight on a rare pathogen that typically attracts relatively little attention, even from scientists.

There are no targeted treatments for hantaviruses, which are typically carried by rodents, and no widely available vaccines. So when passengers began falling ill in the middle of the Atlantic Ocean, doctors and public health experts were limited in what they could offer.

“It’s kind of a wake-up call,” said Dr. Vaithi Arumugaswami, an infectious disease researcher at the University of California, Los Angeles. “Our tool kit is almost empty.”

That’s not for lack of trying. A handful of scientific teams around the world have been working — for decades, in some cases — to develop hantavirus treatments and vaccines. But it has not been easy to find funding or nurture commercial interest in medical interventions for a type of pathogen that does not infect humans often and does not spread easily between people.

“It’s not an airborne, highly contagious viral threat, so it hasn’t been as high a priority for groups trying to prevent pandemics,” said Jay Hooper, a virologist at the United States Army Medical Research Institute of Infectious Diseases.

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But there are promising vaccines and treatments in development. And some of them, experts said, could be moved through the pipeline rapidly if hantavirus interventions became a priority.

“I do think there are things that are sitting there on the bench that could be quickly developed,” said Dr. Ronald Nahass, the president of the Infectious Diseases Society of America. “But nothing is ready.”

There are two main types of hantaviruses: Old World viruses, which circulate primarily in Asia and Europe, and New World viruses, which are found in the Americas. The cruise ship outbreak has been linked to a New World virus known as the Andes virus, which is endemic to South America and is the only hantavirus known to spread between people.

There are vaccines that target some of the Old World viruses in Asia, but their efficacy is modest, experts said. And there are no licensed vaccines for the New World viruses, which include the Sin Nombre virus endemic to rodents in the western United States.

But there are some in development. Dr. Hooper and his colleagues have developed a DNA vaccine for the Andes virus, which proved promising in a small phase 1 trial. Under certain dosing regimens, the researchers found, more than 80 percent of participants produced neutralizing antibodies. “It’s pretty amazing,” said Dr. Hooper, who is an inventor on multiple hantavirus vaccine patents owned by the U.S. government. “Getting these kinds of neutralizing antibodies in humans is impressive.”

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There were drawbacks, including that the vaccine seemed to require at least three doses. But the vaccine is ready for further development “if there’s a need,” Dr. Hooper said. “We’ve done the science. It’s just other forces that are required to move vaccines forward — markets, government demand.”

Other teams have potential vaccines in earlier stages of development. For instance, Bryce Warner, a hantavirus researcher at the University of Saskatchewan, and his colleagues are exploring a variety of approaches, including a nasal vaccine that they hope might spark a more robust immune response in the airway.

But the research, which is being conducted in hamsters, is still in early stages, and hantavirus vaccine candidates can be challenging to move forward. Scientists lack good large-animal models for hantaviruses, Dr. Warner said, and human cases are rare enough to make trials tricky. “It’s very difficult to conduct a clinical trial when you only have a limited number of cases annually,” he said. “You don’t have the numbers of people to really show a robust effect.”

Currently, the primary treatment for hantavirus infection is supportive care, which may include supplemental oxygen or heart-lung bypass machines. Doctors also sometimes prescribe an existing antiviral drug, called ribavirin, but there is not strong evidence that it is effective for New World viruses, scientists said.

The hunt for new drugs is underway, though. At U.C.L.A., Dr. Arumugaswami and his colleagues found that favipiravir, an antiviral approved to treat influenza in Japan, inhibited the Andes virus in human cells. They also identified several compounds that had broad antiviral activity, blocking hantaviruses as well as other types of viruses, in human organoids, miniature clusters of tissue that mimic the function of organs.

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Other teams have been working to develop therapeutic antibody treatments, often working from blood samples collected from hantavirus survivors. “We were able to isolate the natural antibodies that people are making and basically winnow them down and find one that was really good,” said Kartik Chandran, a virologist at the Albert Einstein College of Medicine in New York. “We actually found several.”

When Dr. Chandran and his colleagues tested these antibodies in hamsters, one produced especially encouraging results: It seemed to work against both Old and New World hantaviruses and was effective even when given relatively late in the course of infection, Dr. Chandran said.

(Dr. Chandran is listed as an inventor on patents for hantavirus antibodies.)

Several other teams have also produced antibodies that were broadly effective in small animals, but that is where a number of potential products have stalled, experts said.

“We have a lead drug, and now what we need is someone to pay the money, which would be something like $40 million, to go the next step,” said Dr. James Crowe, director of the Vanderbilt Center for Antibody Therapeutics. “We have neither government nor foundation nor company support to do that. So we’re just waiting to find a partner.”

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(Vanderbilt University has applied for patents related to these antibodies; Dr. Crowe is listed as the inventor.)

Experts said that they hoped the current outbreak might help bring attention to a family of often-overlooked viruses.

“Certainly judging by just my inbox and text messages, there’s a renewed interest in these agents, and renewed interest in maybe at least revisiting where they are in the priority list,” Dr. Chandran said.

Whether that interest can be sustained after the virus fades from the headlines remains to be seen, experts acknowledged.

“Raising awareness never hurts,” Dr. Warner said. “We’ll see whether or not it leads to anything tangible, at least in terms of funding and resources for advancing some of these things that are lacking for hantavirus.”

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