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Legionnaires’ disease outbreak linked to cruise ship hot tubs, CDC says

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Legionnaires’ disease outbreak linked to cruise ship hot tubs, CDC says

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Recent outbreaks of Legionnaires’ disease have been linked to U.S. cruise ship hot tubs, according to reports.

Private outdoor hot tubs on the balconies of two cruise ships were pinpointed as the source of multiple infections between November 2022 and June 2024, as stated in a report last month from the Centers for Disease Control and Prevention (CDC).

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“Epidemiologic, environmental and laboratory evidence suggests that private balcony hot tubs were the likely source of exposure in two outbreaks of Legionnaires’ disease among cruise ship passengers,” the CDC said in the report.  

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Hot tubs can foster Legionella bacteria due to their warm temperatures, which are ideal for bacterial growth, according to Waleed Javaid, MD, epidemiologist and director of infection prevention and control at Mount Sinai Downtown in New York. 

Recent outbreaks of Legionnaires’ disease have been linked to U.S. cruise ship hot tubs, according to reports. (iStock)

“The bubbling and aerosolization make it easy for bacteria to be inhaled, which is the primary way people get infected,” Javaid, who was not affiliated with the CDC report, told Fox News Digital.

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What to know about Legionnaires’ disease

Legionnaires’ disease is a type of pneumonia caused by Legionella bacteria. 

The bacteria can grow in any area where water sits for a long time, according to Dr. Andrew Handel, a pediatric infectious diseases expert at Stony Brook Children’s Hospital on Long Island, New York.

When people swallow or breathe in droplets of water that contain Legionella, they can potentially become ill.

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Although human transmission is possible in rare cases, the disease is not typically spread from person to person, per the CDC.

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Infections can lead to severe pneumonia in older people and those with compromised immune systems, Handel warned.

Private outdoor hot tubs on the balconies of two cruise ships were pinpointed as the source of multiple infections between November 2022 and June 2024. (iStock)

“Legionella infections cause symptoms that are similar to other forms of pneumonia — fever, coughing, difficulty breathing, shortness of breath and chest pain,” said Handel, who also was not involved in the CDC report.

Some patients may also experience nausea, diarrhea and confusion, the CDC noted. 

A medical professional can diagnose the infection with laboratory tests and chest X-rays.

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To reduce the risk of bacterial growth and transmission, the CDC recommends that cruise ship staff members apply the stricter public hot tub maintenance and operations protocols when using private outdoor hot tubs. (iStock)

The condition is typically treated with antibiotics. In cases of severe infection, hospitalization may be required for breathing support and IV hydration.

Around 10% of people who contract Legionnaires’ disease will die from those complications — and the mortality risk rises to 25% for those who get Legionnaires’ while staying in a health care facility, according to the CDC.

Around 10% of people who contract Legionnaires’ disease will die from complications, according to the CDC.

If someone suspects they were exposed to Legionella bacteria, it is important to see a health care professional right away, as early intervention may increase the chances of a full recovery, infectious disease experts told Fox News Digital.

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“If you’ve recently used a hot tub and are worried about Legionnaires’ disease, watch for symptoms like cough, shortness of breath, fever, muscle aches and headaches,” which can appear anywhere from two to 14 days after exposure, Javaid advised.

“Act quickly if you notice these signs, especially if you fall into a vulnerable category,” he added.

The CDC’s findings

Twelve cases of Legionnaires’ disease were reported among cruise ship passengers on two different vessels, according to the CDC report. 

Out of the dozen sickened individuals, 10 were hospitalized. No deaths were reported. 

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The cruise ship companies were not identified in the report, and were only named as cruise ships A and B.

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The CDC determined that the private hot tubs were operating in ways that fostered Legionella growth. 

These conditions included water running at temperature ranges of 77 to 113 degrees Fahrenheit for several days, “without draining and operating with no residual disinfectant,” according to the report.

The report also noted that individuals could have been exposed without using the hot tubs, which were located near outdoor areas where aerosols could be disseminated.

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Legionnaires’ disease is a type of pneumonia caused by Legionella bacteria, which can grow in any area where water sits for a long time. (iStock)

Private hot tubs on cruise ships are subject to “less stringent operating requirements than public hot tubs,” the agency noted.

Ships A and B did adhere to the current CDC requirements for operating and maintaining private hot tubs, but these steps were not sufficient to prevent Legionella growth.

The cruise ships cooperated with the investigation and made efforts to mitigate Legionella growth, per the CDC report.

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To reduce the risk of bacterial growth and transmission, the CDC recommends that owners and operators of hot tubs follow safe operation and maintenance procedures to prevent exposure to Legionella. 

“Additionally, an automatic disinfectant dosing system, rather than handfeeding disinfectant, is an important design feature to help prevent growth,” the CDC said in a statement sent to Fox News Digital.

Enjoying hot tubs safely

The experts shared steps people can take to minimize exposure to bacteria when using hot tubs.

“I advise people who are worried to stay informed, but not alarmed,” Javaid said. 

      

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“I also advise keeping an eye on the hygiene standards of hot tubs in public spaces, especially if you are someone at higher risk.”

It’s reasonable for cruise-goers to ask questions about how hot tubs are maintained and disinfected, Javaid said, and it’s best to avoid hot tubs that “smell strange or seem poorly kept.”

“The hot, stagnant water has the potential to transmit a number of harmful bacteria and viruses that can cause severe illness in high-risk individuals.” 

“Certain populations should exercise extra caution, including individuals of advanced age, smokers, people with chronic lung conditions and immunocompromised people,” the expert added, noting that these groups are particularly vulnerable to Legionnaires’ disease.

Handel echoed that hot tub owners should follow health guidance on maintaining sterile water and machinery.

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“While properly maintained hot tubs can be safe, people who are older or are immunocompromised may want to speak with their medical providers before using one,” Handel cautioned. 

“The hot, stagnant water has the potential to transmit a number of harmful bacteria and viruses that can cause severe illness in high-risk individuals.” 

Legionella infections can lead to severe pneumonia in older people and those with compromised immune systems. (iStock)

The CDC provided the following general recommendations to Fox News Digital.

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“Some general practices to prevent Legionella as well as other waterborne germs at home include flushing faucets and showerheads after not using them or water pressure drops, cleaning and maintaining devices that use water (e.g. humidifiers, nasal rinses, showerhead and faucet aerators, water filters), and checking and flushing water heaters.”

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On a brighter note, Handel noted that there have been some improvements in water treatment and monitoring, which has resulted in Legionella infections becoming less common.

Currently, there are no vaccines for Legionnaires’ disease. 

“Legionella infections cause symptoms that are similar to other forms of pneumonia — fever, coughing, difficulty breathing, shortness of breath and chest pain,” an expert said. (iStock)

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Fox News Digital reached out to four popular cruise lines to discuss their hot tub maintenance protocol, but had not heard back as of publication.

Fox News’ Melissa Rudy contributed reporting.

Health

Brain Health Challenge: Doctor Appointments for Your Mind and Body

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Brain Health Challenge: Doctor Appointments for Your Mind and Body

Congratulations, you’ve reached the final day of the Brain Health Challenge! Today, we’re asking you to do a few things that might feel a bit out of left field — like getting your blood pressure checked.

No, it isn’t as fun as playing Pips, but experts say it’s one of the most important things you can do for your brain. That’s because heart health and brain health are intrinsically linked.

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High blood pressure, in particular, can damage brain cells, and it’s a significant risk factor for stroke and dementia. When blood pressure is too high, it places stress on the walls of arteries in the brain. Over time, that added stress can cause the blood vessel walls to thicken, obstructing blood flow. In other cases, the increased pressure causes the artery walls to thin and leak blood into the brain.

These changes to the blood vessels can sometimes cause a large stroke to occur. More commonly, the damage leads to micro-strokes and micro-hemorrhages, which cause fewer immediate problems and often go unnoticed. But if someone has hypertension for years or decades, these injuries can build up, and the person may start to experience cognitive impairment.

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High blood pressure “is known as a silent killer for lots of reasons,” said Dr. Shyam Prabhakaran, the chair of neurology at the University of Chicago. “It doesn’t cause you any symptoms until it does.”

Because the damage accumulates over many years, experts say that managing blood pressure in midlife matters most for brain health. Hypertension can be addressed with medication or lifestyle changes, as directed by your doctor. But the first thing you need to do is know your numbers. If your blood pressure comes back higher than 120/80, it’s important to take it seriously, Dr. Prabhakaran said.

While you’re at it, there are a few other aspects of your physical health that you should check on.

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Your eyes and ears are two of them. Hearing and vision loss have both been shown to increase the risk of dementia. Experts think that with less sensory information coming in to stimulate the brain, the regions that process hearing and vision can start to atrophy. What’s more, people with sensory loss often withdraw or are left out of social interactions, further depriving them of cognitive stimulation.

Oral health can also affect your brain health. Research has found a connection between regular flossing and reduced odds of having a stroke. That may be because good oral health can help to reduce inflammation in the body. The bacteria that cause gum disease have also been tied to an increased risk of Alzheimer’s.

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And have you gotten your shingles vaccine? There is mounting evidence that it’s a powerful weapon for protecting against dementia. One study found that it lowered people’s odds of developing the condition by as much as 20 percent.

To wrap up this challenge, we want you to schedule a few medical appointments that benefit your brain, as well as your body.

After five days of feeding, exercising and challenging your brain, you are well on your way to better cognitive health. Thanks for joining me this week, and keep up the good habits!

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Health experts react as Andrew Huberman backs Trump admin’s new food pyramid

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Health experts react as Andrew Huberman backs Trump admin’s new food pyramid

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The Trump administration has taken a new approach to the food pyramid.

The Department of Health and Human Services (HHS) announced new guidelines on Wednesday with an updated, inverted pyramid. The top of the pyramid, which is now the wider part of the structure, is built on meat, fats, fruits and vegetables, while whole grains are at the narrow bottom.

This follows HHS Secretary Robert F. Kennedy Jr.’s mission to “Make America Healthy Again” (MAHA), aimed at addressing chronic disease, childhood illnesses and ultraprocessed foods.

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“The new guidelines recognize that whole, nutrient-dense food is the most effective path to better health and lower health care costs,” Kennedy said during a press briefing in Washington, D.C. 

“Protein and healthy fats are essential, and were wrongly discouraged in prior dietary guidelines. We are ending the war on saturated fats.”

The Trump administration announces the 2025-2030 Dietary Guidelines for Americans, putting “real food” back at the center of health. (realfood.gov)

The HHS secretary rallied against refined carbohydrates, food additives and added sugar, highlighting the health risks associated with sugar-sweetened beverages. 

Kennedy’s main message to Americans was to “eat real food.”

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TRUMP ADMIN’S NEW NUTRITION GUIDELINES TARGET ULTRA-PROCESSED FOODS, EASE UP ON RED MEAT AND SATURATED FATS

The announcement triggered reactions from top health and wellness voices, including Stanford neuroscientist Dr. Andrew Huberman, host of the “Huberman Lab” podcast.

In a post on X, Huberman shared the White House’s graphic of the new pyramid, praising the decisions that were made.

“Oatmeal (and I think that’s rice and sourdough) made the cut!” he commented. “In all seriousness, assuming overall calories are kept in check and people exercise & get sun(day)light, this looks spot on.”

He added, “Maybe up the veggies a bit, add low-sugar fermented foods like sauerkraut & this is great.”

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Huberman said in a thread on the same post that Americans “don’t have to eat all the foods” shown in the diagram.

“You won’t see me drinking milk or eating shrimp,” he said. “Nothing against shrimp, I just don’t like the taste. Aversion to crustaceans.”

“Maybe up the veggies a bit, add low-sugar fermented foods like sauerkraut & this is great,” Huberman commented on X. (Chance Yeh/Getty Images for HubSpot; iStock)

The new guidelines received praise from other major health figures, including former FDA commissioner Dr. David Kessler.

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“There should be broad agreement that eating more whole foods and reducing highly processed carbohydrates is a major advance in how we approach diet and health,” Kessler told The Associated Press.

“Protein and healthy fats are essential, and were wrongly discouraged in prior dietary guidelines.”

Dr. Bobby Mukkamala, president of the American Medical Association, shared in a statement that these guidelines “affirm that food is medicine and offer clear direction patients and physicians can use to improve health.”

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“The American Medical Association applauds the Administration’s new Dietary Guidelines for spotlighting the highly processed foods, sugar-sweetened beverages and excess sodium that fuel heart disease, diabetes, obesity and other chronic illnesses,” Mukkamala wrote.

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The American Medical Association applauded the HHS for its updated nutrition guidelines. (iStock)

But not all feedback was positive.

Some people expressed concern about prioritizing red meat and dairy, while calling for the limitation of saturated fat.

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Neal Barnard, president of the Physicians Committee for Responsible Medicine, shared in a reaction to STAT that while the guidelines “do have one or two good points, emphasizing fruits and vegetables and limiting alcohol,” the guidelines are “for the most part a strong reflection of industry influence.”

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Christopher Gardner, a nutrition expert at Stanford University, also spoke out against the new guidelines, as reported by NPR.

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“I’m very disappointed in the new pyramid that features red meat and saturated fat sources at the very top, as if that’s something to prioritize. It does go against decades and decades of evidence and research,” said Gardner, who was a member of the Dietary Guidelines Advisory Committee.

Fox News Digital’s Rachel Wolf, as well as Alexandria Hoff of Fox News, contributed reporting.

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Matt Damon’s Gluten-Free Diet Helped Him Lose 18 Pounds

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Matt Damon’s Gluten-Free Diet Helped Him Lose 18 Pounds


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