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First known case of rare mpox strain confirmed in United States

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First known case of rare mpox strain confirmed in United States

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The California Department of Public Health (CDPH) has reported the first known U.S. case of an emerging strain of the mpox virus, according to a CDPH release Saturday.

The case of “clade I mpox” was identified in a traveler recently returned from Africa, where this strain is actively circulating. Officials with the CDPH have emphasized that the risk to the public remains “very low.”

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The individual, who sought medical care in San Mateo County due to their travel history to East Africa and symptoms, is in isolation at home.

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The clade I mpox, historically associated with more severe illness than clade II — the strain responsible for outbreaks in California and the U.S. since 2022 — has shown milder clinical presentations in recent cases as long as patients receive medical care.

CDPH has informed the Centers for Disease Control and Prevention (CDC) of the case, and specimens from the patient are being sent for further laboratory analysis.

The new strain of mpox was recorded in a case discovered in California, the first in the United States. (iStock)

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Public health officials are contacting those who may have had close contact with the patient, though there is no evidence of community transmission of clade I mpox in California or the rest of the country.

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Both clade I and clade II mpox spread primarily through close, skin-to-skin, intimate, or sexual contact. In their release, the CDPH also reassured the public that casual contact, such as in offices, classrooms, or stores, poses minimal risk of mpox transmission.

According to the CDC, the latest strain primarily spreads through close skin-to-skin contact, including sexual contact, and has the potential to cause severe illness and even fatalities. It emerged first in the eastern Congo.

Arms of patient with monkeypox

A patient infected with mpox shows lesions on his body in Kamituga, South Kivu province in the east of the Democratic Republic of Congo, Sept. 20.  (Glody Murhabazi/AFP via Getty Images)

Since September, over 31,000 confirmed cases of this strain of mpox have been documented globally, with the majority concentrated in three African countries: Burundi, Uganda, and the Democratic Republic of the Congo, as reported by the World Health Organization.

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The CDC has also identified travel-related cases of this new mpox strain in countries including Germany, India, Kenya, Sweden, Thailand, Zimbabwe, and the United Kingdom.

The CDC has issued enhanced precautions for travelers to Central and Eastern Africa, where clade I mpox outbreaks are ongoing.

No deaths have been reported yet from this new strain, according to the CDC.

The CDPH did not immediately respond to Fox News Digital’s request for comment.

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Nursing students use virtual reality to enhance their skills: 'Brings fun to learning'

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Nursing students use virtual reality to enhance their skills: 'Brings fun to learning'

Virtual reality isn’t just for video games. 

Some nursing students in St. Louis are using it to practice high-tech training without the need for real patients.

Goldfarb School of Nursing has integrated VR into its curriculum to give students a chance to hone skills in a different way. 

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As the demand for nurses continues to rise — McKinsey & Company projects a shortage of 200,000 to 450,000 nurses next year — this technology is helping future health care workers prepare more effectively and efficiently.

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Katie Jett, program director at Goldfarb, said virtual reality not only helps students with clinical skills but also makes learning more engaging. 

VR is being used to train nursing students. “When you think about how people are connecting, how adolescents and young adults are connecting, a lot of it is through virtual experiences and gaming and technology.” (Olivianna Calmes/Fox News)

“It’s the new way that people connect and communicate, and that can be offputting to someone who is older, because that’s not the way that we connected,” Jett told Fox News.

“But when you think about how people are connecting, how adolescents and young adults are connecting, a lot of it is through virtual experiences and gaming and technology.”

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In addition to medical tasks, VR simulations help students practice their communication and bedside manner. 

Zykita Deal, a nursing student at Goldfarb, shared how she practiced delivering advice to a virtual patient. 

VR simulations help students practice their communication and bedside manner. 

“I was just talking to him about eating better, how to have a better routine with his medicines … and I was giving him a recommendation on how to not be [as] lonely, since he still has his son and they can still create meals that his wife used to make,” Deal said. 

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“He could keep his wife’s memory alive” this way, she added.

Students gear up with VR goggles and controllers to perform a variety of tasks, while instructors select responses for virtual patients, creating realistic scenarios that challenge students.

A nursing student wearing virtual reality goggles and holding controllers, engaging in a clinical training simulation.

A nursing student at Goldfarb School of Nursing interacts with a virtual reality simulation while wearing VR goggles, practicing clinical skills in a virtual environment. (Olivianna Calmes/Fox News)

Lesley Schwartz, another nursing student, said the technology helps her prepare for real-world situations. 

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“There’s going to be times when the vitals are going to be conveniently close to you,” she said. 

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“There’s going to be times when you’re going to have to go get a vital cart to come into the room with. And it just kind of helps with your preparedness. When you get thrown into the virtual reality, you don’t get a brief as to where everything is.”

Close-up of virtual reality controllers used by nursing students for clinical skills training at Goldfarb School of Nursing

Nursing students at Goldfarb School of Nursing use VR controllers to simulate clinical tasks as part of their hands-on training in a virtual environment.  (Olivianna Calmes/Fox News)

Research by Wolters Kluwer indicates that 65% of nursing education programs use VR in some capacity. 

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Goldfarb combines VR training with full-body patient simulators, providing an engaging learning experience.

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Inside view of a virtual reality nursing training simulation in a simulated hospital room, showing a nursing student interacting with a virtual patient.

A nursing student practices clinical skills in a simulated hospital room using virtual reality technology at Goldfarb School of Nursing. (Olivianna Calmes/Fox News)

“It brings fun to learning and that way you’re not just always sitting behind a desk and hearing someone talk,” Deal said.

Jett plans to expand the program, incorporating more advanced nursing scenarios to further enhance student training.

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Slim While You Sip: The Best Milk To Add to Your Coffee for Weight Loss

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5 of the top sources of foodborne illness and how to prevent it

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5 of the top sources of foodborne illness and how to prevent it

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The McDonald’s E. coli outbreak — which has now sickened more than 100 people, per reports — has spotlighted the risk of foodborne illnesses.

The E. coli infections were linked to contaminated onions served on McDonald’s Quarter Pounder hamburgers, according to the U.S. Centers for Disease and Prevention (CDC), which continues to investigate the outbreak.

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Many other foods could potentially transmit dangerous bacteria if stored or prepared in an unsafe manner, experts say, with an estimated 48 million people (one in six) affected each year, per the CDC.

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Fox News Digital spoke with food safety experts about some of the most prevalent foodborne illnesses and how to prevent them.

1. E. coli

E. coli — officially known as Escherichia coli — is a type of bacterium found in the environment, foods and intestines of people and animals, according to the CDC.

E. coli — officially known as Escherichia coli — is a type of bacterium found in the environment, foods and intestines of people and animals. (iStock)

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The bacterium can spread via contaminated food or water or contact with animals, environments or other people, the same source stated.

Eating meat that has not been cooked sufficiently to kill E. coli can cause infection, according to Mitzi D. Baum, CEO of Stop Foodborne Illness in Chicago. 

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“Among other known sources of infection is consumption of sprouts, lettuce, salami, unpasteurized milk (and milk products) and unpasteurized juice, and swimming in or drinking sewage-contaminated water,” she told Fox News Digital.

“Bacteria in the diarrheal stools of infected persons can be passed from one person to another if hygiene or handwashing habits are inadequate,” Baum added.

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Symptoms and treatment

Symptoms of E. coli illness include — but are not limited to — severe stomach cramps, diarrhea (often bloody), vomiting, respiratory illness, urinary tract infections, fever and pneumonia, according to the CDC.

E. coli can become “dangerous or deadly” in very young people, older adults and those with compromised immune systems, who may develop a condition called hemolytic uremic syndrome (HUS), according to Baum. 

A woman with stomach pain

Symptoms of E. coli illness may include severe stomach cramps, diarrhea (often bloody), vomiting, respiratory illness, urinary tract infections, fever and pneumonia. (iStock)

Symptoms of HUS may include fever, abdominal pain, pale skin tone, fatigue, irritability, decreased urination, swelling, and small, unexplained bruises or bleeding from the nose and mouth, the expert added.

“Non-specific supportive therapy, including hydration, is important,” Baum said. 

E. coli can become “dangerous or deadly” in very young people, older adults and those with compromised immune systems.

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“There is no evidence that treatment with antibiotics is helpful, and taking antibiotics may increase the risk of HUS.”

Treatment often consists of supportive care, Baum said, with close monitoring of kidney (renal) functioning, hemoglobin and platelet counts.

2. Listeria

Listeria is the third-leading cause of death from foodborne illness in the country, according to the CDC.

The bacterium is known to spread easily in delis and in environments where food is prepared.

Deli meat - listeria

The Listeria bacterium is known to spread easily in delis and in environments where food is prepared. (iStock)

“The bacterium has been found in a variety of raw foods, such as uncooked meats and vegetables, as well as in foods that become contaminated after cooking or processing, such as soft cheeses, smoked seafood, and processed meats such as hot dogs and deli meat,” Baum said.

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“Unpasteurized (raw) milk and cheeses and other foods made from unpasteurized milk are particularly likely to contain the bacterium.”

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Listeria is killed by pasteurization and cooking, Baum noted, but some ready-to-eat foods may become contaminated before packaging. 

“Unlike most bacteria, Listeria can grow and multiply in some foods in the refrigerator,” she warned.

Symptoms and treatment

The most common symptoms of listeria infection include fever, fatigue and muscle aches, per the CDC.

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“Someone with listeriosis usually has fever and muscle aches, which are sometimes preceded by diarrhea or other gastrointestinal symptoms,” Baum said. 

“Almost everyone diagnosed with listeriosis has an ‘invasive’ infection where the bacterium spreads beyond the GI tract.”

listeria food recall

Listeria is the third-leading cause of death from foodborne illness in the country, according to the CDC. (BSIP/UIG Via Getty Images)

Some people also experience stiff neck, headaches, balance problems, seizures or disorientation.

Listeriosis is treated with antibiotics. 

“A person in a high-risk category who experiences fever and other non-specific symptoms, such as fatigue and aches, within two months of eating contaminated food should seek medical care,” Baum advised.

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3. Norovirus

Norovirus is a highly contagious virus that causes inflammation of the stomach or intestines, per the CDC.

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“Norovirus, also known as Norwalk-like virus, is a leading cause of gastroenteritis in the U.S.,” Dr. Amber Charoen, a board-certified gastroenterologist with Gastro Health in Kennewick, Washington, told Fox News Digital.

“It can spread with as few as 10 particles through contaminated food, vomit, stool and even person-to-person contact.”

Symptoms and treatment

While it is often referred to as a “stomach flu” or “stomach bug,” norovirus is not related to influenza.

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“Symptoms of norovirus vary, but those infected tend to have a mix of low-grade fever, chills, vomiting, headache, muscle aches and fatigue,” Baum said. 

Norovirus

Norovirus is a highly contagious virus that causes inflammation of the stomach or intestines, per the CDC. (iStock)

“In addition, norovirus outbreaks typically produce nausea (more often in children), watery diarrhea (more often in adults) and stomach cramps.”

There is no specific medicine to treat norovirus, according to Baum. 

“If you have norovirus illness, drink plenty of liquids to replace fluids lost from throwing up and diarrhea,” she advised.

4. Salmonella

Salmonella is a bacterium that is often linked to poultry, eggs, dairy and other foods like fresh produce, meats and nuts, according to Charoen.

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Infections can be caused by consuming contaminated chicken, pork, fruits, seeded vegetables, other produce, beef and turkey, the CDC states on its website. Germs can spread to other foods through cross-contamination.

Salmonella

Salmonella is a bacterium that is often linked to poultry, eggs, dairy and other foods like fresh produce, meats and nuts. (iStock)

Symptoms and treatment

Most people who are infected experience diarrhea, stomach cramps and fever, according to the CDC. Headaches, vomiting and nausea can also occur.

Most patients notice symptoms within six hours to six days after getting infected, and they usually last for four to seven days.

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“Most people recover without specific treatment,” Baum said. “Antibiotics are typically used only to treat people with severe illness.”

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Patients should drink extra fluids as long as diarrhea is occurring, she advised.

5. Campylobacter

Campylobacteriosis is a bacterium most often associated with eating raw or undercooked poultry or from cross-contamination of other foods by these items, according to Baum. 

Campylobacter

Campylobacteriosis is a bacterium most often associated with eating raw or undercooked poultry or from cross-contamination of other foods. (iStock)

“Many chicken flocks are infected with Campylobacter but show no signs of illness,” she noted.

“Campylobacter can easily spread from bird to bird through a common water source or through contact with infected feces.”

Symptoms and treatment

Typical symptoms of Campylobacteriosis illness include diarrhea, cramping, abdominal pain and fever. 

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“Diarrhea caused by this infection can be either watery or bloody, depending on the area of the intestines affected, and typically begins two to five days after exposure,” said Charoen.

In addition to gastrointestinal symptoms, Campylobacter infection has also been linked to long-term issues like reactive arthritis and Guillain-Barré syndrome, which can affect the joints and nervous system, Charoen added.

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Almost all people infected with Campylobacter recover without any specific treatment, according to Baum.

“Patients should drink extra fluids as long as the diarrhea lasts,” she advised.

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“In more severe cases, antibiotics such as azithromycin or erythromycin can shorten the duration of symptoms if given early in the illness.”

Man with stomach pain

Typical symptoms of Campylobacteriosis illness include diarrhea, cramping, abdominal pain and fever.  (iStock)

Beyond the five listed above, there are other bacteria that can cause foodborne illness.

These include Staphylococcus aureus (Staph), Clostridium perfringens, toxoplasma and others.

Preventing foodborne illness

Dr. Benjamin Barlow, an emergency physician and chief medical officer of American Family Care — a provider of urgent care, accessible primary care and occupational medicine in Alabama — provided the following guidance for preventing contamination of foods.

      

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“You can prevent foodborne illnesses by washing your hands after touching any animals or their food, or being in their environment,” Barlow, the former senior White House physician for Presidents Obama and Trump, told Fox News Digital. 

“Avoid eating any undercooked food such as ground beef, poultry or eggs and raw/unpasteurized milk, including cheeses made with it,” he added.

Food prep

Experts say to wash any fruits and vegetables before cooking and to keep raw meat separate from other foods. (iStock)

Before beginning food prep, wash your hands for 20 seconds with soap and water, Barlow advises. 

“Also, wash your hands between touching raw meats and other food before eating,” he said. “If you can, wear gloves while preparing food.”

It’s also best practice to wash any fruits and vegetables before cooking and to keep raw meat separate from other foods.

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When cooking food, use a thermometer to make sure it reaches the safe minimum internal temperature, Barlow emphasized. 

Safe temperatures are 165°F for chicken and 145°F for beef, pork and shellfish.

Safe temperatures are 165°F for chicken and 145°F for beef, pork and shellfish.

It’s also important to check expiration dates and discard expired items, experts agree.

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“Make sure food is refrigerated within two hours of being cooked – this is especially important as we enter the season of holiday parties,” Barlow said.

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“In the summer heat, food should be refrigerated after one hour.”

Anyone experiencing any gastrointestinal symptoms, such as diarrhea or vomiting, should not prepare any food to avoid passing on the bacterium or virus, the doctor added.

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