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First US malaria cases diagnosed in decades: What to know about the disease

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First US malaria cases diagnosed in decades: What to know about the disease

The first malaria cases in decades were recently confirmed in two southern states. 

Four cases were confirmed in Florida, and one was reported in Texas. All patients have received treatment and are improving.

There is no evidence to suggest the cases in the two states, confirmed within the past two months, are related. 

The Florida Department of Health has issued a statewide mosquito-borne illness advisory following the cases along the Gulf Coast of south Tampa. 

LOCALLY ACQUIRED MALARIA CASES CONFIRMED IN TEXAS AND FLORIDA AS CDC CALLS FOR ACTION PLAN

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This 2014 photo made available by the U.S. Centers for Disease Control and Prevention shows a feeding female Anopheles gambiae mosquito. The species is a known vector for the parasitic disease malaria. The United States has seen five cases of malaria spread by mosquitos in the last two months; the first time there has been local spread in 20 years. There were four cases detected in Florida and one in Texas, according to a health alert issued Monday, June 26, 2023, by the CDC. (James Gathany/CDC via AP)

Surveillance for additional cases is ongoing, according to the Centers for Disease Control and Prevention.

The agency said locally acquired mosquito-borne malaria has not occurred in the U.S. since 2003, when eight cases of locally acquired Plasmodium vivax malaria were identified in Palm Beach County, Florida.

It noted that, despite recently-confirmed cases, the risk of locally acquired malaria remains extremely low.

Here is what to know to stay healthy. 

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What is malaria? 

Malaria is a potentially fatal disease that is transmitted through the bite of an infective female Anopheles mosquito and caused by a parasite. Most of the continental U.S. has Anopheles mosquitoes. 

However, in rare cases, it can also be transmitted congenitally from mother to fetus at birth, as well as through blood transfusion, organ transplantation or unsafe needle-sharing practices. 

How do mosquitoes transmit malaria?

Malaria is caused by any of these five species: Plasmodium: P. falciparum, P. vivax, P. malariae, P. ovale and P. knowlesi. 

Approximately 2,000 cases of malaria are diagnosed in the country each year, and the majority of U.S. cases are in travelers and immigrants returning from countries where malaria transmission occurs – many from sub-Saharan Africa and South Asia.

Around 300 people experienced severe disease, and 5 to 10 people with malaria died yearly before the COVID-19 pandemic.

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Local U.S. mosquito-borne spread has resulted in more than 150 locally acquired cases and more than 60 limited outbreaks over the past 50 years.

WEST NILE VIRUS CASES, POSITIVE SAMPLES DETECTED ACROSS THE COUNTRY

Mosquito handbook

A handbook is seen at Florida Keys Mosquito Control District headquarters, in Marathon, Florida, U.S. May 4, 2021. (REUTERS/Marco Bello/File Photo)

How many cases occur annually around the world?

Globally, more than 240 million cases of malaria occur each year, with 95% in Africa. 

Most imported cases of malaria in the U.S. are diagnosed during summer and early fall. 

Where is the risk higher?

The risk for malaria is higher in areas where local climatic conditions allow the Anopheles mosquito to survive during most of or the entire year, as well as where travelers from malaria-endemic areas are found. 

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What are the symptoms?

Clinical manifestations of malaria include fever, chills, headache, myalgias and fatigue. 

Nausea, vomiting and diarrhea may also occur. 

For most people, symptoms star 10 days to four weeks after infection, although a person may feel ill as early as a week after infection or as late as a full year after infection. 

A mosquito is caught in a plastic box

A mosquito, or Culicidae, is caught in a plastic box in the eastern German town of Leipzig July 10, 2013. (REUTERS/Tobias Schwarz//File Photo)

What is the treatment?

Malaria may progress to severe disease if not treated properly, during which seizures, renal failure, a change of mental status, acute respiratory distress syndrome and coma may occur. 

Malaria in pregnant people is associated with high risks of both maternal and perinatal morbidity and mortality.

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Patients suspected of having malaria should be urgently evaluated in a facility that is able to provide rapid diagnosis and treatment within 24 hours of presentation. 

There are drugs to treat non-severe malaria and intravenous artesunate is the only medication available in the U.S. for severe cases.

The Associated Press contributed to this report. 

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Life after death: Take a glimpse into the world of cryonics

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Life after death: Take a glimpse into the world of cryonics

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Since the age of 13, Joseph Kowalsky has harbored a fascination with life after death, pondering ways to extend his existence indefinitely. 

Today, Kowalsky, now 59, is among some 2,000 individuals who have signed up with the Cryonics Institute in Clinton Township, Michigan, betting on a future where death is not the end.

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Chilling prospect of immortality

Cryonics, the process at the heart of Kowalsky’s hopes, involves preserving human bodies at ultra-low temperatures in the anticipation that future science will one day revive them. 

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Shortly after a person dies, organizations like the Cryonics Institute use a heart-lung resuscitator, circulate a medical-grade antifreeze in the blood and suspend the body in aluminum pods filled with liquid nitrogen. 

Dennis Kowalski, current president of the Cryonics Institute (and no relation to Joseph Kowalsky), told Fox News that over 250 individuals are currently in “suspension” at the Michigan facility.

Cryonics involves preserving human bodies at ultra-low temperatures in the anticipation that future science will one day revive them.  (Cryonics Institute)

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Could defying death be affordable?

The Cryonics Institute is just one player in a burgeoning industry. 

Alcor, the world’s oldest cryonics company, which is based in Scottsdale, Arizona, boasts a state-of-the-art facility where more than 200 individuals are preserved. 

MEDITERRANEAN DIET COULD HELP WOMEN LIVE LONGER, HARVARD STUDY FINDS

For those opting for whole-body preservation, the price tag is $200,000, while brain-only preservation costs $80,000. 

Alcor CEO James Arrowood dispels the notion that cryonics is solely for the wealthy, highlighting that many clients use life insurance policies to cover costs. 

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Cryonics Institute

Over 250 individuals are currently in “suspension” at the Michigan facility, the president of the Cryonics Institute told Fox News. (Cryonics Institute)

“About 80% of people who sign up are middle-class,” Arrowood told Fox News.

He pointed out that the clientele includes notable figures such as baseball legend Ted Williams, whose head and body were cryopreserved separately.

Skeptics cast doubt

Critics dismiss cryonics as speculative and unproven, labeling it an “iceberg scheme” lacking scientific backing. 

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“It’s a sad case of people being beguiled by a very understandable dream of resurrection,” Clive Coen of King’s College London told Fox News.

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The neuroscience professor raised concerns over the damage inflicted during the preservation and revival process, warning that “there will be billions of mini-strokes in every millimeter of brain tissue” due to the inability of antifreeze to traverse the brain’s complex landscape.

Hope springs eternal for death defiers

There is currently no scientific evidence or successful case of a human being revived from a cryonically preserved state. 

Cryonics Institute

For those opting for whole-body preservation, the price tag is $200,000, while brain-only preservation costs $80,000.  (Cryonics Institute)

Despite the skepticism, Joseph Kowalsky, who formerly worked with the Cryonics Institute, remains undeterred. 

“Worst-case scenario, I’m still dead … And the upside? It could be a potentially life-saving medical technique,” he said.

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As science and ethics continue to grapple with the implications of cryonics, individuals like Kowalsky illustrate a deep-seated hope for defying mortality, one frozen body at a time.

Andres del Aguila and Griff Jenkins contributed to this report.

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The Carnivore Diet: Is There Science Behind the Fad? | Woman's World

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For diabetes patients, inhaled insulin is shown just as effective as injections and pumps

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For diabetes patients, inhaled insulin is shown just as effective as injections and pumps

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Most of the 38 million people living with diabetes in the U.S. use daily injections or insulin pumps to keep glucose at safe levels — but new research suggests that a third option could be just as effective.

In a study led by Dr. Irl B. Hirsch, M.D., medical director of the Diabetes Care Center of the University of Washington Medical Center, an inhaled form of insulin — similar to an asthma inhaler — worked just as well as injections or pumps to control type 1 diabetes.

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The research was presented last week at the American Diabetes Association (ADA)’s 84th Scientific Sessions in Orlando, Florida.

EATING YOGURT COULD HELP PREVENT ONE COMMON DISEASE, ACCORDING TO THE FDA

The clinical trial tested a product called Afrezza, an inhaled insulin made by MannKind Corporation in California. 

Afrezza, the only inhaled insulin on the market, has been available since getting FDA approval in June 2014.

An inhaled form of insulin worked just as well as injections or pumps to control type 1 diabetes in a recent study. (iStock/MannKind)

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Benefits of a third option

“In those with type 1 diabetes, insulin is required for survival,” Hirsch told Fox News Digital in an interview. 

“With continuous glucose sensing, glucose control has been dramatically improved — but not everyone reaches the target with multiple injections or pumps, and there are many pros and cons with each therapy,” he said.

EATING ONE TYPE OF FRUIT REGULARLY COULD REDUCE DIABETES RISK IN WOMEN, STUDY SUGGESTS: ‘INCREDIBLY HEALTHY’

With pumps, people must wear the device, which can lead to skin problems

They also have to purchase extra accessories.

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Blood glucose levels can also drop with exercise, Hirsch warned, which can be problematic. 

Afrezza inhaler

Afrezza, an inhaled insulin pictured here, is made by MannKind Corporation in California.  (MannKind)

“Injections overall can be more convenient for some, but they don’t do as well as pump patients,” he said.

With Afrezza, the product is inhaled into the lungs before meals, and the fast-acting insulin minimizes the glucose spike often seen after eating, Hirsch noted.

“Patients with type 1 diabetes should consider this as another option for their mealtime insulin, and talk to their doctor about this choice.”

During the 17-week study, researchers evaluated the results of 141 adults who were assigned to either use the Afrezza inhaler or continue with traditional methods of injection or pump delivery.

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At the 17-week mark, all participants switched to the inhaler for another 13 weeks.

Dr. Irl B. Hirsch

Dr. Irl B. Hirsch, M.D., medical director of the Diabetes Care Center of the University of Washington Medical Center, led the new study. (MannKind)

All groups were assessed with continuous glucose monitoring at the start of the study, at 17 weeks and again at 30 weeks.

Among the inhaled insulin group, 30% of participants reached their target glucose levels (less than 7% blood sugar) compared to 17% of the people using injections and pumps.

There was no difference in hypoglycemia (low blood sugar) between the groups.

UTAH MOM FIGHTS FOR HER DAUGHTER’S ACCESS TO DISCONTINUED DIABETES MEDICATION: ‘LIFE-SAVING’

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“In general, there was no difference in our primary endpoint, HbA1c, a reflection of average blood sugar,” Hirsch said. 

“But that alone is misleading — many patients did better with their glucose control, while others did worse.”

Afrezza inhaler

With Afrezza, the product is inhaled into the lungs before meals, and the fast-acting insulin minimizes the glucose spike often seen after eating, a doctor said. (MannKind)

“The point is, inhaling insulin isn’t for everyone, but some did better than they did on their pumps.”

The people who saw the best results inhaled insulin between meals and at bedtime, Hirsch added.

                             

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At the end of the study, more than half of the participants said they would opt to stay on the inhaled insulin therapy.

“The biggest takeaway is that patients with type 1 diabetes should consider this as another option for their mealtime insulin, and talk to their doctor about this choice,” he recommended.

‘Adds value’

The American Diabetes Association acknowledged the promise of the study findings in an email to Fox News Digital.

“We look forward to our Scientific Sessions every year to see data like the INHALE-3 study’s findings, which have the potential to expand diabetes care,” Raveendhara Bannuru, M.D., PhD, the ADA’s vice president of medical affairs and quality improvement outcomes in Boston, Massachusetts, told Fox News Digital via email.

diabetes CGM

“With continuous glucose sensing, glucose control has been dramatically improved,” a doctor told Fox News Digital. (iStock)

“We are hopeful for the continuous development of alternative insulin delivery methods that could offer options for people living with diabetes,” the group also said in the statement.

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“The INHALE-3 trial demonstrated that inhaled insulin, combined with insulin degludec, effectively reduces A1c levels without increasing hypoglycemia or weight gain in people with type 1 diabetes. This adds value to the options in insulin therapy.”

Potential risks and limitations

While more people met their glycemic targets with Afrezza, some subjects saw worse readings when switching from usual methods to inhaled insulin — “potentially due to missing doses of inhaled insulin during the day and/or underdosing going into bedtime,” the researchers wrote.

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“We didn’t see any concerns,” Hirsch said when asked about side effects. 

“As expected, a few people coughed immediately when dosing their insulin, but no major concerns were seen and everyone continued on their inhaled insulin.”

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Insulin injection

“Not everyone reaches the target with multiple injections or pumps, and there are many pros and cons with each therapy,” a doctor said. (iStock)

The most common side effects noted in the study were hypoglycemia, cough and throat pain or irritation. 

Afrezza has been linked to a risk of acute bronchospasm in patients with chronic lung disease, such as asthma or COPD, according to the manufacturer.

“Inhaling insulin isn’t for everyone, but some did better than they did on their pumps.”

Before starting Afrezza, patients should see a doctor for a physical examination and testing to measure lung function.

Patients who smoke or who recently quit smoking should not take the inhaled medication.

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Fox News Digital reached out to MannKind requesting additional comment.

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