Health
Has a ‘quademic’ hit the US? 4 viral infections and what to know about them
Four viruses are circulating in the U.S., sparking concerns of a possible “quademic.”
Influenza, COVID-19, RSV and norovirus are all at “very high levels” around the country, according to Samuel Scarpino, director of AI and life sciences and professor of health sciences at Northeastern University in Boston.
“We are in the middle of a very serious situation with respect to circulating pathogens,” he told Fox News Digital.
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“Based on data from our national wastewater surveillance system, some parts of the country, such as Boston, seem to be entering the peak for all four diseases, but in other areas, cases are still rising,” Scarpino added.
There are vaccines currently available for COVID, flu and RSV, but not for norovirus — although there is an mRNA vaccine in development, one expert pointed out. (iStock)
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Health and Fox News senior medical analyst, noted that it is currently peak respiratory virus season.
“It is not a ‘quad-demic,’ per se, just a lot of respiratory viruses and bacteria at once,” he said to Fox News Digital.
On top of the four viruses, Siegel warned of some bacterial outbreaks that can cause respiratory illness, such as mycoplasma, pertussis and strep.
Viruses by the numbers
The Centers for Disease Control and Prevention (CDC) reported an 18.8% positivity rate for flu tests for the week ending Jan. 11, stating that “seasonal influenza activity remains elevated across most of the country.”
There were also 11 pediatric deaths related to influenza, bringing the total to 27 deaths this season, the agency stated.
“We are in the middle of a very serious situation with respect to circulating pathogens.”
COVID-19 was at a 6.6% test positivity as of Jan. 11, with 1.3% of emergency room visits resulting in a diagnosis and 1.8% of all deaths linked to the virus, per CDC data.
RSV (respiratory syncytial virus, which is a highly contagious virus that infects the lungs, nose and throat) has a test positivity of 8.9%.
With the onset of these common seasonal viruses, one doctor said it’s important for patients to have a “great relationship” with a primary care physician. (iStock)
Cases of norovirus, more commonly known as the stomach bug, are also surging.
Between August 1 and Dec. 11, 2024, there were 495 norovirus outbreaks reported in the U.S., compared to 363 in the same time period last year, according to the CDC.
Differentiating between viruses
Kenneth Perry, MD, an emergency physician in South Carolina, said his hospital has recently seen an uptick in emergency department visits tied to these infections.
“From cough to nasal congestion and even fever, it is difficult to differentiate between the discrete viruses,” he told Fox News Digital. “For most people, knowing which virus they have is purely an academic discussion. For some patients, however, the specific virus is very important.”
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The possibility of someone having all four viruses at once is very low, Perry said — “but it’s not completely out of the realm of possibility for people to have two or even three at the same time.”
Siegel agreed that with multiple viruses circulating, it can be a challenge for practicing internists and infectious disease specialists to tell the difference.
“It is not a ‘quad-demic,’ per se, just a lot of respiratory viruses and bacteria at once,” Dr. Marc Siegel said to Fox News Digital. (iStock)
“Respiratory panels at hospitals, urgent care centers and labs can be helpful to distinguish between them,” he said.
There are combined rapid tests available that simultaneously screen for two types of influenza and COVID, Scarpino pointed out.
Potential risk factors
“Of the four viruses in widespread circulation, all post a unique risk of severe illness in the elderly,” Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, told Fox News Digital.
RSV poses unique risks for infants, experts agree.
“Of the four viruses in widespread circulation, all post a unique risk of severe illness in the elderly.”
“For young infants, breathing through their nose is imperative in order to eat, and RSV can cause severe amounts of nasal congestion,” Perry warned. This congestion can disrupt babies’ ability to consume enough calories, he added.
For norovirus, dehydration can become a “major problem,” according to Perry.
“Again, young infants who cannot have water or sports drinks to help maintain hydration can be most susceptible.”
There are combined rapid tests available that simultaneously screen for two types of influenza and COVID. (iStock)
Long COVID is a “significant concern” for most adults, according to Glanville, “as the chronic disorder is yet to be fully understood and effective treatments have yet to be developed.”
Scarpino noted that influenza has historically been a leading cause of death in the U.S.
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“Despite us being more used to worrying about COVID these days, it’s important to take the flu very seriously,” he added.
People with underlying risk factors are at a higher risk of severe illness for all four viruses, Scarpino added.
Prevention and treatment
To prevent these four circulating viruses, Glanville recommends getting vaccinated when available, avoiding contact with those who are infected, and following proper sanitation practices.
“The best thing you can do to keep from getting any of these viruses is to keep your hands clean,” Perry advised. “Washing hands especially after touching public surfaces is going to be the best way to keep from getting any of these viruses.”
“The best thing you can do to keep from getting any of these viruses is to keep your hands clean,” an emergency room physician advised. (iStock)
There are vaccines currently available for COVID, flu and RSV, but not for norovirus — although there is an mRNA vaccine in development, Scarpino pointed out.
“Even in places where cases have started falling, we’re far from being out of the woods, so there’s still time to get vaccinated,” he said.
For those who contract any of the viruses, Siegel recommends focusing on hydration, getting plenty of rest and carefully monitoring symptoms.
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People who are sick should stay home, avoid interacting directly with others and wear masks in close quarters, the doctor advised.
Perry pointed out that flu and COVID are “cyclical” in their level of severity.
“The best thing you can do to keep from getting any of these viruses is to keep your hands clean.”
“There are years when the flu virus is very mild, and others when it is more virulent,” he told Fox News Digital. “The same goes for COVID, as we saw with the different variants that were present throughout the pandemic.”
With the onset of these common seasonal viruses, Perry said it’s important for patients to have a “great relationship” with a primary care physician.
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“This way, their risk category is well-known to their doctor and they can easily get the correct care for their health, even if they get one of these viruses.”
Health
Aging process could accelerate due to ‘forever chemicals’ exposure, study finds
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A new study suggests that middle-aged men may be more vulnerable to faster biological aging, potentially linked to exposure to “forever chemicals.”
The research, published in the journal Frontiers in Aging, examined how perfluoroalkyl and polyfluoroalkyl substances, more commonly known as PFAS, could impact aging at the cellular level.
PFAS are synthetic chemicals commonly used in nonstick cookware, food packaging, water-resistant fabrics and other consumer products, the study noted.
Their chemical structure makes them highly resistant to breaking down, allowing them to accumulate in water, soil and the human body.
Chinese researchers analyzed blood samples from 326 adults enrolled in the U.S. National Health and Nutrition Examination Survey between 1999 and 2000.
A new study suggests that middle-aged men could face accelerated biological aging at the cellular level due to exposure to PFAS. (iStock)
The researchers measured levels of 11 PFAS compounds in participants’ blood and used DNA-based “epigenetic clocks” — tools that analyze chemical changes to DNA to estimate biological age — to determine how quickly their bodies were aging at the cellular level, the study stated.
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Two compounds, perfluorononanoic acid (PFNA) and perfluorooctanesulfonamide (PFOSA), were detected in 95% of participants.
Higher concentrations of those chemicals were associated with faster biological aging in men of certain age groups, but not in women.
“People should not panic.”
The compounds most strongly linked to accelerated aging were not the PFAS chemicals that typically receive the most public attention, the researchers noted.
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“The associations were strongest in adults aged 50 to 64, particularly in men,” Dr. Xiangwei Li, professor at Shanghai Jiao Tong University School of Medicine and the study’s corresponding author, told Fox News Digital.
“While this does not establish that PFAS cause aging, it suggests that these widely present ‘forever chemicals’ may be linked to molecular changes related to long-term health and aging.”
The study found that two of the compounds were detected in 95% of participants, and higher levels were linked to faster biological aging in men ages 50–64. (iStock)
Midlife may represent a more sensitive biological period, when the body becomes more vulnerable to age-related stressors, according to the researchers.
Lifestyle factors, such as smoking, may influence biological aging markers, potentially increasing vulnerability to environmental pollutants.
While Li said “people should not panic,” she does recommend looking for reasonable ways to reduce exposure.
That might mean checking local drinking water reports, using certified water filters designed to reduce PFAS, and limiting the use of stain- or grease-resistant products when alternatives are available.
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Meaningful reductions in PFAS exposure will likely depend on broader regulatory action and environmental cleanup efforts, Li added.
The researchers noted that midlife could be a particularly sensitive stage, when the body is more susceptible to stressors associated with aging. (iStock)
Study limitations
The researchers outlined several important limitations of the research, including that the findings show an association, but do not prove that PFAS directly causes accelerated aging.
“The study is cross-sectional, meaning exposure and aging markers were measured at the same time, so we cannot determine causality,” Li told Fox News Digital.
The study was also relatively small, limited to 326 adults age 50 or older, which means the findings may not apply to younger people or broader populations.
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Researchers measured PFAS levels using data collected between 1999 and 2000, and today’s exposure patterns may differ.
Li added that while PFAS is known to persist in the environment and the body, these results should be validated through larger, more recent studies that follow participants over time.
Health
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Health
Alzheimer’s prevention breakthrough found in decades-old seizure drug
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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.
The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.
Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)
“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release.
“Our new results uncovered new biology while also opening doors for new drug targets.”
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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted.
“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)
That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.
In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.
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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.
The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.
“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)
“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.
Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.
Limitations and caveats
The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.
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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.
Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.
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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”
“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”
The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.
It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.
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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.
Fox News Digital reached out to the drug manufacturer and the researchers for comment.
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