Health
Dangerous fungus could spread to parts of US, researchers claim
Some researchers are sounding the alarm about a potentially deadly fungus that could spread throughout parts of the U.S., Europe and Asia.
The study article, which was published in pre-print (not yet peer-reviewed) in Research Square, claims that “rising global temperatures” could lead to severe infections of Aspergillus, a fungal mold that thrives in warm, damp climates.
The resulting infection — called Aspergillosis — can impact humans, livestock and plants, the researchers wrote.
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In the study, scientific models were used to predict where Aspergillus is expected to increase based on different climate scenarios.
Some researchers are sounding the alarm about a potentially deadly fungus that could spread throughout parts of the U.S., Europe and Asia. (iStock)
The researchers predict that the fungus’ prevalence could increase by 77% by the year 2100, potentially exposing millions of people in Europe to the infection.
Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, was not involved in the research but reviewed the findings.
“The study indicates that some global climate change scenarios will result in changes of habitat ranges for certain lung and systemic fungal infections,” he told Fox News Digital.
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Jatin M. Vyas, MD, PhD, a professor of medicine and infectious disease at Columbia University in New York, agreed that the study highlights concerns if Aspergillus becomes more prevalent in warmer climates.
“We do know that there are increased cases in regions of the world that are more temperate,” Vyas, who was not part of the study, told Fox News Digital.
“It is likely that levels of human exposure will continue to increase, as will diseases of plants, crops and animals.”
Cornelius Clancy, MD, associate chief of the VA Pittsburgh Health System and opportunistic pathogens at the University of Pittsburgh, said he has seen an increase in fungal infections in humans, as well as fungal diseases in agriculture, horticulture and veterinary medicine.
“Given that Aspergillus is prevalent in the environment and ongoing changes in climate favor growth of Aspergillus in the environment, it is likely that levels of human exposure will continue to increase, as will diseases of plants, crops and animals,” he predicted to Fox News Digital.
Potential risks of infection
For most healthy people, Aspergillus spores won’t cause any adverse effects, the experts noted.
“Most people will typically inhale some spores every day,” Clancy said. “If your immune system is intact, then these spores are usually removed by immune system cells in the airways and lungs and disease does not occur.”
“Rising global temperatures” could lead to severe infections of Aspergillus, a fungal mold that thrives in warm, damp climates, researchers said. (iStock)
But for people whose immune systems respond excessively to proteins in the spores, infection can cause reactions ranging from allergy-like symptoms to invasive disease.
“In persons who are immunosuppressed, such as those receiving cancer chemotherapy, there is a risk of spores invading the lungs and causing Aspergillus pneumonia or other lung infections, which can then spread in the blood to other organs,” Clancy cautioned.
“These are potentially very serious infections in immunosuppressed hosts.”
Allergic reactions and asthma exacerbations can also occur in people who are not known to be immunosuppressed, but who are predisposed to allergies and asthma, he added.
People who are elderly or have asthma are also at a higher risk of severe infection. (iStock)
“In patients whose immune system may be compromised — most commonly as a result of medications for cancer or other conditions — these organisms can invade the lung to cause significant pneumonia, and may even travel throughout the body to cause systemic disease,” Vyas cautioned.
“These patients are typically quite sick and require hospitalization.”
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People who are elderly or have asthma are also at a higher risk, noted Glanville.
“Unfortunately, there is also a global trend toward increases in rates of asthma and general demographic shifts toward a more elderly population in many areas,” he added.
As Aspergillus is an environmental organism associated with soil, it is difficult to fully avoid, experts say. (iStock)
“As clinicians, we worry about this infection because it is both hard to diagnose and even harder to treat,” Vyas told Fox News Digital. “We don’t have great drugs to effect cures for invasive fungal infections, including Aspergillus infections.”
Another obstacle is that some fungi become resistant to drugs over time, the experts agreed.
Prevention and protection
As Aspergillus is an environmental organism associated with soil, it is difficult to fully avoid, according to Vyas.
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Those who are immunocompromised should avoid working with soil unless they have had a discussion with a doctor, he recommends.
“Research into how Aspergillus causes diseases, better ways to diagnose this disease and the development of better treatments is sorely needed,” Vyas added.
“These are potentially very serious infections in immunosuppressed hosts.”
Glanville reiterated that there are anti-fungal treatment options for Aspergillosis, although the infections are often missed during initial diagnosis.
“It would be a good idea to increase medical training to recognize these infections and to subsidize the development of new antifungals,” Glanville recommended.
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People who are known to be immunosuppressed or who are taking drugs that can cause immunosuppression should talk to their health providers about protective measures, Clancy advised.
Health
Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people
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Health
Aging-related joint disorder increasingly affects people under 40, study finds
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Cases of gout are rising in younger individuals, according to a global study.
The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.
Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.
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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.
The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.
Gout is expected to continue rising in young people through 2035. (iStock)
Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.
Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.
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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.
The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.
The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.
What is gout?
Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.
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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.
A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.
Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)
Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.
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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.
Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.
Experts urge patients to seek medical attention for gout flare-ups. (iStock)
Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.
A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.
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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.
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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.
Fox News Digital reached out to the researchers for comment.
Health
New study questions whether annual mammograms are necessary for most women
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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.
The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.
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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors.
A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.
Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.
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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.
Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)
“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”
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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.
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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)
More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.
The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.
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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”
The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.
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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”
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