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For Some Measles Patients, Vitamin A Remedy Supported by RFK Jr. Leaves Them More Ill

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For Some Measles Patients, Vitamin A Remedy Supported by RFK Jr. Leaves Them More Ill

Doctors in West Texas are seeing measles patients whose illnesses have been complicated by an alternative therapy endorsed by vaccine skeptics including Robert F. Kennedy Jr., the health secretary.

Parents in Gaines County, Texas, the center of a raging measles outbreak, have increasingly turned to supplements and unproven treatments to protect their children, many of whom are unvaccinated, against the virus.

One of those supplements is cod liver oil containing vitamin A, which Mr. Kennedy has promoted as a near miraculous cure for measles. Physicians at Covenant Children’s Hospital in Lubbock, Texas, say they’ve now treated a handful of unvaccinated children who were given so much vitamin A that they had signs of liver damage.

Some of them had received unsafe doses of cod liver oil and other vitamin A supplements for several weeks in an attempt to prevent a measles infection, said Dr. Summer Davies, who cares for acutely ill children at the hospital.

“I had a patient that was only sick a couple of days, four or five days, but had been taking it for like three weeks,” Dr. Davies said.

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While doctors sometimes administer high doses of vitamin A in a hospital to manage severe measles, experts do not recommend taking it without physician supervision. Vitamin A is not an effective way to prevent measles; however, two doses of the measles, mumps and rubella vaccine are about 97 percent effective.

At high doses, vitamin A can cause liver damage; dry, peeling skin; hair loss; and, in rare instances, seizures and coma. So far, doctors at West Texas hospitals have said they’ve seen patients with yellowed skin and high levels of liver enzymes in their bloodwork, both signs of a damaged liver.

Many of those patients had been in the hospital for a severe measles infection; doctors discovered the liver damage only after routine lab work.

As of Tuesday, the outbreak, which began in January, had spread to more than 320 people in Texas. Forty patients have been hospitalized, and one child has died.

In neighboring New Mexico counties, the virus has sickened 43 and hospitalized two. Seven confirmed cases in Oklahoma have also been linked to the outbreak.

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Local doctors and health officials have become increasingly concerned about the growing popularity of unproven remedies for preventing and treating measles, which they fear is causing people to delay critical medical treatment and to reject vaccination, the only proven way to prevent a measles infection.

In Gaines County, alternative medicine has always been popular. Many in the area’s large Mennonite community, where most cases have been clustered, avoid interacting with the medical system and adhere to a long tradition of natural remedies.

Health officials said the recent popularity of vitamin A use for measles could be traced back to a Fox News interview with Mr. Kennedy, in which he said he had heard of “almost miraculous and instantaneous recovery” with treatments like cod liver oil, which he said was “the safest application of vitamin A.”

In an opinion essay for The Washington Post on Tuesday afternoon, Kevin Griffis, who was until last week the communications director at the Centers for Disease Control and Prevention, wrote that he had resigned in part because of Mr. Kennedy’s handling of the outbreak.

“In my final weeks at the C.D.C., I watched as career infectious-disease experts were tasked with spending precious hours searching medical literature in vain for data to support Kennedy’s preferred treatments,” Mr. Griffis wrote.

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In the weeks after the Fox News interview, drugstores in West Texas struggled to keep vitamin A and cod liver oil supplements on their shelves. “I did not hear anything about vitamin A until he said it on television,” said Katherine Wells, the director of public health in Lubbock.

One local doctor — whom Mr. Kennedy named in the Fox News interview as one of the physicians who had told him “what is working on the ground”— opened a makeshift clinic in Gaines County and began doling out various treatments, including vitamin A supplements, to treat active measles cases and to prevent infection.

Dr. Davies said she suspected that a majority of the children she had treated had taken vitamin A supplements at home.

Experts say that vitamin A can play an important role in the “supportive care” that doctors provide to patients with severe measles infections.

It works by replenishing the bodily stores depleted by the virus, which bolsters the immune system, said Dr. William Schaffner, an infectious disease specialist at Vanderbilt University Medical Center.

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In the hospital, physicians give only two doses of the vitamin to children with measles, usually over the course of two days, and “very carefully calibrate” the amounts depending on age and weight, he said.

Dr. Schaffner emphasized that it is not a miracle treatment for the virus, and that there is no antiviral medication for measles. And there is no credible evidence that vitamin A helps prevent infection in children in the United States, where vitamin A deficiencies are exceedingly rare.

In fact, giving children repeated, high doses of the vitamin is dangerous. Unlike other vitamins, which are flushed out of the body through urine, excess vitamin A accumulates in fat tissue, making it more likely to reach dangerous levels over time.

“That kind of preventative use I think is especially concerning,” said Dr. Lara Johnson, another doctor at the Lubbock hospital.

“When we have kids taking it for weeks and weeks, then you do potentially have a cumulative impact of the toxicity,” she added.

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Dr. Johnson added that local physicians were particularly concerned about parents’ relying on over-the-counter supplements — whose labels don’t always accurately reflect the amount of vitamin they contain — and accepting dosage recommendations from unverified sources.

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How Measles Attacks an Unvaccinated Child

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How Measles Attacks an Unvaccinated Child

For a child who is not vaccinated against measles — one of the world’s most infectious viruses — no classroom, school bus or grocery store is safe. Nine out of 10 unvaccinated people exposed to an infected person will catch it, and once measles takes root, the virus can damage the lungs, kidneys and the brain.

With falling U.S. vaccination rates and outbreaks that have caused more than 580 cases and at least one death, health experts expect measles to infect hundreds or even thousands more across the nation. Here is how measles takes over the body.

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Unlike viruses that require person-to-person contact, measles lingers in the air for up to two hours after the person carrying it has left the space.

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Droplets are enlarged for illustration purposes.

A child can inhale virus-containing droplets in a room where another child — unknowingly infected with measles — has been studying or playing an hour earlier. The virus can enter her body through the lining of her nose or mouth, or when she’s rubbing her eyes.

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During the subsequent 24 hours, the virus takes root by lodging in her nasopharynx cells in the upper part of the throat and starts spreading to her lungs.

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Then, the virus takes over, multiplying inside the cells and building up an army for an attack.

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Within a few days, the virus begins to spread to infect the nearby lymphoid tissues. About a week after the initial exposure, infected cells begin traveling to other organs throughout the body. (At this time, the immune system of a vaccinated child would recognize the virus and fight it off.)

Typically, during the replication and spread of the virus, the child does not feel sick. The average incubation period is about two weeks — though it can range from one to three. When the viral load has increased significantly, it moves to infect other cells of the lungs and eyes, making the child feel ill.

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A couple of weeks after the unvaccinated child inhales the droplets, she starts feeling sick.

Children often first show signs of malaise and a fever, followed later by reddish, irritated eyes, a cough and a stuffy nose as the mucus membranes and nasal passages become inflamed.

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Some children at this stage develop millimeter-wide, whitish-gray bumps on the inner lining of the cheeks, as far back as the molars. For some, the spots go undetected, or do not show up at all.

Then comes the characteristic feature: the breakout of a red rash, starting on the face and spreading down the neck, trunk, and extremities.

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Many of these symptoms should resolve themselves. The rash can last up to a week, often fading along the same route it appeared. The cough can last for up to two weeks after the illness has resolved. But a fever lasting beyond the third or fourth day of the rash suggests that a complication could be developing — and that is where cases can become dangerous.

Even as the rash fades, the infection can spread to the lungs and other organs.

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Children are typically brought to the hospital after having the body rash for several days. Most have low oxygen levels and are laboring to breathe and need support, said Dr. Summer Davies, who sees children at Covenant Children’s Hospital in Lubbock, Texas, and has been treating measles cases there since the outbreak started in late January.

“A lot of families have kind of been surprised, like, ‘Oh, my child was fine, and then all of a sudden, they’re not,’ ” she said.

That mild disease evolves into a fever as high as 104 or 105 degrees for two, three or four days. Poor fluid intake, a sore throat and diarrhea can lead to dehydration, which over time can begin to threaten kidney function.

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Young children are more at risk because of their smaller anatomy and their inability to articulate symptoms clearly, explained Dr. Lara Johnson, the chief medical officer of a group of Covenant hospitals in the area.

About one in 20 children with measles will develop pneumonia, an infection in the lungs; and severe cases can be fatal.

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Dr. Davies said many children admitted to her hospital recently had cases of pneumonia caused by either the measles virus or by a second pathogen that attacked while their immune systems were weakened.

The 6-year-old girl who recently died of measles in Texas had a case of pneumonia that caused fluid to build up in her left lung, making it difficult for her to breathe, according to a video interview with her parents that was posted online. She was eventually sedated and intubated, but she became too sick to survive.

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One of the hallmarks of measles is what researchers call “immune amnesia,” the temporary weakening of the immune system. Measles wipes the protection children have acquired from other infections, which leaves them susceptible to other infections for several months or even years.

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Inflammation in the brain

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About one in 1,000 children who contract measles will also develop encephalitis, or inflammation of the brain tissue, which can result in permanent damage.

For infants or children who are already immunocompromised, a condition called measles inclusion body encephalitis (or MIBE) occurs when the child cannot clear the infection. It can trigger mental changes and seizures, leading to a coma and death in most patients.

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Another type, called subacute sclerosing panencephalitis (SSPE), is a degenerative condition that can occur up to a decade after a measles infection. Children often first show signs of behavior change and academic decline, followed by seizures, motor issues like poor coordination and balance, and eventually death. The mortality rate approaches 95 percent.

Erica Finkelstein-Parker, a mother in Pennsylvania who lost her 8-year-old child Emmalee to the condition, had not known that the girl had had measles before she had been adopted from India as a toddler. But she noticed one day that Emmalee was tripping and falling, slumping over to one side of her chair and struggling to lift her chin off her chest during dinner.

Doctors explained that there was no cure. Emmalee passed away about five months later.

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Ivanka Trump's jiu-jitsu practice benefits whole family, celebrity trainers reveal

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Ivanka Trump's jiu-jitsu practice benefits whole family, celebrity trainers reveal

First daughter Ivanka Trump has gone public with her practice of jiu-jitsu.

In a recent Instagram post by martial artists The Valente Brothers, Trump showed off her mastered maneuvers with trainer Gui Valente.

Trump recently shared that her daughter, Arabella, first started taking classes before the entire family joined.

IVANKA TRUMP STAYS FIT WITH THIS SELF-DEFENSE PRACTICE: ‘MOVING MEDITATION’

Supermodel Gisele Bündchen, who has also trained with the Valente brothers and is the mother of Joaquim Valente’s child, has publicly called out the benefits of her own jiu-jitsu practice.

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“I feel stronger, more confident and empowered since I started practicing self-defense,” she said in a previous Instagram post. “I feel it’s an important skill for all, but especially for us women.”

In an on-camera interview with Fox News Digital, the three Valente brothers — Pedro, Gui and Joaquim, who are based in Miami, Florida — shared why a self-defense practice like jiu-jitsu is a great physical and mental workout for the whole family.

“We have students starting as young as 3 years old and as old as 87 continuing their training,” Joaquim Valente said. “It creates an opportunity for everyone to engage.”

For kids facing bullying, the practice helps them develop the physical confidence to protect themselves and parents wind up tagging along, according to Joaquim.

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“Saturday, we call it family day here at Valente Brothers,” he said. “We have so many families that come together, and they train with their kids.”

The art of jiu-jitsu

The martial art, which originated from samurai warriors in medieval Japan, started to become popular in the U.S. during the 20th century, when then-President Teddy Roosevelt practiced it in the White House.

For the last 30 years, the Valente brothers, whose family is originally from Brazil and trained with world-renowned Brazilian martial artist Helio Gracie, have specialized in teaching jiu-jitsu as both a self-defense tool and a path to wellness.

The Valente brothers, (left to right) Gui, Pedro and Joaquim, operate several jiu-jitsu facilities in the U.S. At right, Ivanka Trump is shown training in jiu-jitsu with the Valente brothers.  (Valente Brothers; Instagram/@valentebrothers)

The brothers focus on a “7-5-3 code” philosophy, which is intended to create “spiritual, mental and physical wellness.”

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Joaquim Valente shared that their instruction focuses on empowering people for various situations, like being put in a headlock or preparing for a punch.

IVANKA TRUMP GETS JIU-JITSU TRAINING IN STUDIO OWNED BY TOM BRADY’S EX’S NEW BOYFRIEND

Gui Valente added that jiu-jitsu can also provide health benefits, noting that their predecessors were doctors — including their father, Grand Master Pedro Valente Sr., who was a plastic surgeon.

“He often talked about how what he learned on the mat helped tremendously with his career,” Gui said. “All the fundamentals of jiu-jitsu, the philosophical aspect of jiu-jitsu, can be beneficial on and off the mat.”

Pedro Valente trains members of the U.S. military.

Pedro Valente, pictured, also trains members of the U.S. military.  (Valente Brothers)

“Self-defense is a human necessity,” Pedro Valente added. “Our style of jiu-jitsu gives students this opportunity even if they’re very busy with their lives – with business and work and family – they still can come in and learn a very powerful system of self-defense but in a very safe way.”

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Jiu-jitsu is an “exercise of the mind,” the brothers described, which makes it a great mindfulness practice amid the stresses of daily life.

Maneuvers to master

The brothers repeated that their 7-5-3 philosophy – which represents the seven virtues of a warrior, five keys to health and three states of mind – is lesson No. 1 in learning self-defense.

Simple techniques — like learning how to release control if someone grabs you by the wrist and pulls, or if someone places two hands around your neck with the intention to choke — are a basic necessity, Joaquim Valente noted.

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Another essential technique of jiu-jitsu is learning how to fall without being injured.

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But the best self-defense technique, according to the trainers, is avoiding confrontation altogether.

“We want to think about self-defense even before the fight happens,” Gui Valente said. “When we talk about situational awareness, we also talk about teaching students risk management.”

STAY FIT IN YOUR 40S AND BEYOND WITH THESE SMART WORKOUT TIPS

Pedro Valente also discussed the importance of emotional balance and developing a “sense of poise” when approached with danger.

“When you are in a state of panic, the frontal lobe of your brain is not functioning well, you’re not going to be able to rationally decide what’s the best escape route,” he told Fox News Digital.

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“The best self-defense is always avoidance. If you get into a physical fight, you’re already a step behind.”

Pedro added that having emotional balance also helps to avoid “petty arguments, bickering, that many times will lead to a fight.”

For more Health articles, visit www.foxnews.com/health

“Anticipation is key — and the only way to anticipate is to be present,” he said, emphasizing the importance of being connected to one’s surroundings.

“Presence is something that can really enhance our mental state and, at the same time, allow us to anticipate a problem that might be happening around us.”

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Self-defense in schools

The three brothers, who are all fathers to young children who train, shared their goal for jiu-jitsu to be taught more widely in schools as physical education.

The brothers have been leading this movement in the Miami area, where a few instructors have been teaching in some schools.

“We consider it to be the best form of PE,” Gui Valente said. “It really complements the academics … and what develops into physical confidence, improves children’s self-esteem.”

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Pedro Valente echoed that this education is a “powerful combination of intellectual and physical confidence.”

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“Jiu-jitsu — and this is something that we work on with psychologists and therapists — is one of the key ways to address these common problems that every kid faces,” Gui Valente added.

three valente brothers and baby arthur

Gui Valente holds baby Arthur, the son of Joaquim Valente and model Gisele Bundchen, in his first kimono. (Valente Brothers)

The brothers also emphasized that jiu-jitsu has helped students of all ages with weight loss due to the physical elements of the sport, as well as nutritional awareness.

“Self-defense is a human necessity.”

“You work every single muscle in your body and in different ways,” Gui Valente said. “You have to be able to develop great stamina, because when you spar, you have to last for sometimes 20 to 30 minutes, or even longer than that.”

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“You have to learn how to use strength efficiently, which is truly important in pretty much any exercise you choose to practice, as well as flexibility and mobility.”

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A Federal Lab That Tracked Rising S.T.I.s Has Been Shuttered

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A Federal Lab That Tracked Rising S.T.I.s Has Been Shuttered

Drug-resistant gonorrhea, a form of the widespread sexually transmitted infection, is considered an urgent health threat worldwide. The United States has just lost its ability to detect it.

Among the Centers for Disease Control and Prevention employees fired on Tuesday were 77 scientists who, among other work, gathered samples of gonorrhea and other S.T.I.s from labs nationwide, analyzed the genetic information for signs of drug resistance, and readied the samples for storage at a secure facility.

No other researchers at the agency have the expertise, or the software, to continue this work. The abrupt halt has stranded about 1,000 samples of gonorrhea and other sexually transmitted pathogens that had not yet been processed, and perhaps dozens more headed to the agency.

There are as many as 30 freezers full of samples that now have no custodians, said one senior C.D.C. official who spoke on condition of anonymity for fear of retaliation.

“We were just really shut down midair, like there was no warning,” the official said. “It was just completely unplanned and chaotic.”

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The C.D.C.’s work on S.T.I.s had taken on greater urgency in the past few years as rates of new infections soared. More than 2.4 million new S.T.I.s were diagnosed in 2023, about one million more than 20 years ago.

Nearly 4,000 babies were born with congenital syphilis in 2023. About 280 were stillborn or died soon after.

“Whoever got rid of the lab just doesn’t understand how important the lab is,” said another senior C.D.C. official who spoke on condition of anonymity.

About 600,000 new gonorrhea cases were diagnosed in the United States in 2023. The bacteria that cause gonorrhea, called Neisseria gonorrhoeae, spread through sexual contact to the genitals, rectum and throat. Left untreated, it can cause infertility and sterility, blindness in infants or even death.

Gonorrhea has become resistant to nearly every available antibiotic, leaving a single class that still snuffs it out. The most powerful defense combines a shot of ceftriaxone with azithromycin, but some evidence hints that gonorrhea is evolving to sidestep even that treatment.

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Over more than 25 years, the C.D.C. lab archived about 50,000 gonorrhea samples — the largest collection in the world — which allow scientists to track how the pathogen has changed over time. It’s not clear what will happen to the samples.

One new public health strategy makes it even more important for the nation to track gonorrhea, said Dr. Jenell Stewart, an infectious diseases physician at Hennepin Healthcare in Minneapolis.

In a bid to combat resurgent syphilis and chlamydia, the C.D.C. recommended last year that gay and bisexual men and transgender women take doxycycline, a widely used antibiotic, within 72 hours of unprotected sex.

Cities like San Francisco and Seattle that had earlier endorsed the practice, called doxy-PEP, have already seen drastic drops in the rates of those infections.

But researchers are worried that widespread use of doxycycline might increase resistance to the entire class of antibiotics, called tetracyclines. A few studies suggest there may be reason to worry.

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Harvard University researchers last month analyzed more than 14,000 genetic sequences generated by C.D.C. researchers and found that the proportion of gonorrhea bacteria with antibiotic resistance increased to more than 35 percent last year, from less than 10 percent in 2020.

The federal scientists who produced that data and made it publicly available have all been fired. “Without public health money and infrastructure, I’m not sure who if anyone will take up the torch to monitor gonorrhea resistance,” Dr. Stewart said.

“This is a huge loss,” she added.

Dr. Stewart and a colleague spent two years preparing the protocol and an app to study doxy-PEP in cisgender women and monitor gonorrhea resistance.

The study was supported by the Adolescent Medicine Trials Network, whose funding was slashed last month.

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At least five other grants to study doxy-PEP have been terminated, along with a variety of grants at the National Institutes of Health aimed at preventing S.T.I.s, including H.I.V.

Any lab can test for S.T.I.s, but commercial tests cannot determine whether gonorrhea will respond to available treatments. C.D.C. scientists developed the only such test, and provided funding and training to a few dozen labs on the sophisticated testing.

Samples were sent to the agency for confirmation. Without the agency scientists, testing for drug sensitivity will most likely cease, several experts said.

“We cannot have a national surveillance system without a national lab,” said one scientist who leads a C.D.C.-funded lab but did not wish to be identified without authorization to speak to the media.

C.D.C. scientists were also helping to develop alternatives to the nation’s outdated syphilis test. It cannot identify an active infection, only whether someone was ever infected. The agency has three large contracts to develop new rapid syphilis tests.

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But without expertise and the samples from C.D.C. scientists, it’s unclear whether that work can continue, said a senior official with knowledge of the situation.

The fired scientists had about 1,400 years of field experience between them. The official said, “These were highly trained people that are not replaceable easily.”

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