Health
Meningitis cases rise in major Midwestern city, prompting public health alert
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Chicago health officials are warning residents to be alert for symptoms of meningococcal disease after several recent infections were reported in adults across the city.
Seven cases of Neisseria meningitidis infections have been identified since mid-January, according to the Chicago Department of Public Health.
Two people have died as a result of the infection, the department said.
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Health officials have traced close contacts for all confirmed cases and provided preventive antibiotics to those who may have been exposed.
Meningococcal disease is caused by Neisseria meningitidis, a type of bacteria that can infect the bloodstream or the lining of the brain and spinal cord, according to Cleveland Clinic.
Chicago health officials are warning residents to watch for symptoms of meningococcal disease after seven infections were reported in the state. (iStock)
Transmission occurs through saliva and mucus during close or prolonged contact, such as sharing drinks, kissing, or being exposed to coughs and sneezes.
While cases remain relatively rare, meningococcal disease continues to pose a serious public health risk nationwide.
The Centers for Disease Control and Prevention reported 503 confirmed and probable cases in the U.S. in 2024, based on preliminary data.
Infection is passed from person to person through saliva and mucus, usually during prolonged close contact. (iStock)
Symptoms of meningococcal disease can include fever, headache, nausea and vomiting, diarrhea, sensitivity to light, a stiff neck, and a skin rash that may appear as dark spots or bruising, per Cleveland Clinic.
Other signs may include confusion, irritability, difficulty walking, joint or muscle pain, and loss of appetite.
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“Chicago sees up to 10 to 15 meningococcal infections each year, typically concentrated around the winter months,” the department noted.
The disease most often affects seniors as well as adolescents and young adults, Chicago health officials said.
Symptoms can range from fever and headache to vomiting, diarrhea, and a rash that appears dark or bruised, Cleveland Clinic noted. (iStock)
To reduce risk, state guidelines recommend getting the meningococcal vaccine beginning at ages 11 or 12, with a booster dose at 16.
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Meningococcal disease is treated with antibiotics, and doctors often begin immediate treatment if the illness is suspected because it can progress rapidly, Cleveland Clinic stated.
Patients with severe cases may also need additional treatments such as IV fluids, oxygen, blood pressure medications, or surgery to treat damaged tissue.
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Anyone who develops symptoms or believes they may have been exposed is urged to seek medical care promptly. Health experts stress that early treatment is critical.
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Health
Single workout cuts cravings, offering new hope for smokers trying to quit
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If you’re trying to quit smoking, try a brisk walk or bike ride to curb your craving for a cigarette.
Researchers found that just one workout can reduce the urge to light up. But the type of exercise you do and how you do it makes a big difference.
High-intensity, aerobic exercise is most effective at reducing people’s cigarette cravings, a review of 59 randomized controlled trials involving more than 9,000 adults found.
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“Single-bout exercise reduced acute cravings immediately and up to 30 minutes post-exercise, but not longer-term cravings,” the authors of the study, published in the Journal of Sport and Health Science, reported.
Aerobic exercise is the most effective form of exercise for reducing cravings for cigarettes, researchers found. (iStock)
The research team highlighted other key findings from their study of “exercise-based interventions for smoking cessation.”
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Exercise training made people between 15% and 21% more likely to abstain from smoking than those who didn’t exercise, the authors found.
Researchers found that exercise curbs people’s cigarette cravings for up to 30 minutes after they stop exercising. (iStock)
Regular exercise also caused smokers to cut back by an average of two cigarettes per day.
In addition to being a free and accessible method for reducing smoking, exercise is also effective at reducing anxiety and stress, which drive many people to smoke.
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The authors suggest that because exercise boosts feel-good hormones, such as dopamine, and reduces the stress hormone cortisol, smokers who work out feel less inclined to use nicotine as a brain reward.
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Exercise should be integrated into other smoking cessation programs to enhance quit success, the authors concluded.
Exercise releases similar feel-good brain chemicals that people get from cigarettes, researchers suggested. (iStock)
They also noted that none of the trials addressed vaping and recommended that future research target the use of electronic cigarettes.
Health
Hantavirus Vaccines and Treatments Are in the Pipeline
The deadly hantavirus outbreak aboard the cruise ship MV Hondius has put the spotlight on a rare pathogen that typically attracts relatively little attention, even from scientists.
There are no targeted treatments for hantaviruses, which are typically carried by rodents, and no widely available vaccines. So when passengers began falling ill in the middle of the Atlantic Ocean, doctors and public health experts were limited in what they could offer.
“It’s kind of a wake-up call,” said Dr. Vaithi Arumugaswami, an infectious disease researcher at the University of California, Los Angeles. “Our tool kit is almost empty.”
That’s not for lack of trying. A handful of scientific teams around the world have been working — for decades, in some cases — to develop hantavirus treatments and vaccines. But it has not been easy to find funding or nurture commercial interest in medical interventions for a type of pathogen that does not infect humans often and does not spread easily between people.
“It’s not an airborne, highly contagious viral threat, so it hasn’t been as high a priority for groups trying to prevent pandemics,” said Jay Hooper, a virologist at the United States Army Medical Research Institute of Infectious Diseases.
But there are promising vaccines and treatments in development. And some of them, experts said, could be moved through the pipeline rapidly if hantavirus interventions became a priority.
“I do think there are things that are sitting there on the bench that could be quickly developed,” said Dr. Ronald Nahass, the president of the Infectious Diseases Society of America. “But nothing is ready.”
Vaccine development
There are two main types of hantaviruses: Old World viruses, which circulate primarily in Asia and Europe, and New World viruses, which are found in the Americas. The cruise ship outbreak has been linked to a New World virus known as the Andes virus, which is endemic to South America and is the only hantavirus known to spread between people.
There are vaccines that target some of the Old World viruses in Asia, but their efficacy is modest, experts said. And there are no licensed vaccines for the New World viruses, which include the Sin Nombre virus endemic to rodents in the western United States.
But there are some in development. Dr. Hooper and his colleagues have developed a DNA vaccine for the Andes virus, which proved promising in a small phase 1 trial. Under certain dosing regimens, the researchers found, more than 80 percent of participants produced neutralizing antibodies. “It’s pretty amazing,” said Dr. Hooper, who is an inventor on multiple hantavirus vaccine patents owned by the U.S. government. “Getting these kinds of neutralizing antibodies in humans is impressive.”
There were drawbacks, including that the vaccine seemed to require at least three doses. But the vaccine is ready for further development “if there’s a need,” Dr. Hooper said. “We’ve done the science. It’s just other forces that are required to move vaccines forward — markets, government demand.”
Other teams have potential vaccines in earlier stages of development. For instance, Bryce Warner, a hantavirus researcher at the University of Saskatchewan, and his colleagues are exploring a variety of approaches, including a nasal vaccine that they hope might spark a more robust immune response in the airway.
But the research, which is being conducted in hamsters, is still in early stages, and hantavirus vaccine candidates can be challenging to move forward. Scientists lack good large-animal models for hantaviruses, Dr. Warner said, and human cases are rare enough to make trials tricky. “It’s very difficult to conduct a clinical trial when you only have a limited number of cases annually,” he said. “You don’t have the numbers of people to really show a robust effect.”
Drug hunting
Currently, the primary treatment for hantavirus infection is supportive care, which may include supplemental oxygen or heart-lung bypass machines. Doctors also sometimes prescribe an existing antiviral drug, called ribavirin, but there is not strong evidence that it is effective for New World viruses, scientists said.
The hunt for new drugs is underway, though. At U.C.L.A., Dr. Arumugaswami and his colleagues found that favipiravir, an antiviral approved to treat influenza in Japan, inhibited the Andes virus in human cells. They also identified several compounds that had broad antiviral activity, blocking hantaviruses as well as other types of viruses, in human organoids, miniature clusters of tissue that mimic the function of organs.
Other teams have been working to develop therapeutic antibody treatments, often working from blood samples collected from hantavirus survivors. “We were able to isolate the natural antibodies that people are making and basically winnow them down and find one that was really good,” said Kartik Chandran, a virologist at the Albert Einstein College of Medicine in New York. “We actually found several.”
When Dr. Chandran and his colleagues tested these antibodies in hamsters, one produced especially encouraging results: It seemed to work against both Old and New World hantaviruses and was effective even when given relatively late in the course of infection, Dr. Chandran said.
(Dr. Chandran is listed as an inventor on patents for hantavirus antibodies.)
Several other teams have also produced antibodies that were broadly effective in small animals, but that is where a number of potential products have stalled, experts said.
“We have a lead drug, and now what we need is someone to pay the money, which would be something like $40 million, to go the next step,” said Dr. James Crowe, director of the Vanderbilt Center for Antibody Therapeutics. “We have neither government nor foundation nor company support to do that. So we’re just waiting to find a partner.”
(Vanderbilt University has applied for patents related to these antibodies; Dr. Crowe is listed as the inventor.)
Experts said that they hoped the current outbreak might help bring attention to a family of often-overlooked viruses.
“Certainly judging by just my inbox and text messages, there’s a renewed interest in these agents, and renewed interest in maybe at least revisiting where they are in the priority list,” Dr. Chandran said.
Whether that interest can be sustained after the virus fades from the headlines remains to be seen, experts acknowledged.
“Raising awareness never hurts,” Dr. Warner said. “We’ll see whether or not it leads to anything tangible, at least in terms of funding and resources for advancing some of these things that are lacking for hantavirus.”
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