Health
Monkeypox in America: Who’s at risk and why?
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America declared monkeypox a public well being emergency final week, an effort to bolster the U.S. response to include the outbreak.
The virus continues to be largely transmitted amongst homosexual and bisexual males, however specialists say the illness may spill over into different populations, particularly as a result of vaccine shortages. Monkeypox is unfold by contact with puss-filled sores and isn’t deadly.
Right here is the state of monkeypox now and another the populations U.S. specialists consider could also be in danger:
MONKEYPOX: WHAT YOU MUST KNOW ABOUT THE VIRUS — AND HOW TO PROTECT YOURSELF
Who Is Getting Monkeypox Now?
Final month, the World Well being Group declared monkeypox a world public well being emergency. To this point, 80 international locations the place the virus shouldn’t be endemic have reported 26,500 circumstances of monkeypox, in line with a Reuters tally.
In america, 99.1% of U.S. monkeypox circumstances occurred amongst these assigned the male intercourse at beginning as of July 25, in line with a technical report by the U.S. Facilities for Illness Management and Prevention (CDC). Amongst male sufferers, 99% reported having sexual contact with different males.
About 38% of circumstances occurred in amongst white, non-Hispanic males. One other 26% had been in Black males and 32% in Hispanic males.
The sample of sexual transmission in males shouldn’t be typical. In Africa, the place monkeypox has been circulating for the reason that Seventies, 60% of circumstances are in males, and 40% happen in ladies.
One purpose could also be that the virus seems to be “very effectively transmitted via anal receptive intercourse and to a point oral intercourse,” mentioned Dr. Celine Gounder, an infectious illness epidemiologist and an editor-at-large at Kaiser Well being Information.
Who Else Is At Threat?
Though the present explosion of circumstances has occurred in males, specialists say there is no such thing as a organic purpose the virus will stay largely inside the neighborhood of males who’ve intercourse with males.
“We definitely know it will unfold to relations and to different non-male companions that individuals have,” mentioned Dr. Jay Varma, director of the Cornell Heart for Pandemic Prevention and Response. He mentioned the virus may additionally unfold via therapeutic massage parlors or spas.
The true query, he mentioned, is whether or not it spreads as effectively in these teams because it does amongst shut sexual networks of males who’ve intercourse with males.
WHO DECLARES MONKEYPOX A GLOBAL HEALTH EMERGENCY
Specialists level to the best way HIV unfold as a potential indicator for the place the virus will go subsequent.
“My best concern is that as we attempt to include this, it will seep alongside the fractures in our social geography and go the place HIV did, and that is going into communities of coloration within the rural South,” mentioned Dr. Gregg Gonsalves, an affiliate professor of epidemiology at Yale College and a number one HIV/AIDS activist.
These are locations with restricted infrastructure for testing, vaccines and coverings.
Gounder is very involved about infections amongst Black ladies, who account for the biggest share of recent HIV infections in america, and already undergo considerably larger charges of maternal issues and deaths.
Who Else Would possibly Be At Threat?
Different at-risk settings embrace faculty dormitories, well being golf equipment and sports activities groups.
Gounder is conscious of some sports activities leagues which can be making ready for potential infections, noting that sports activities comparable to wrestling contain shut skin-to-skin contact.
Wrestling, soccer, rugby and different sports activities groups have beforehand had outbreaks of the superbug MRSA, in line with the CDC.
“I believe it’s one thing we have to be interested by and ready for,” she mentioned.
Employers may additionally want to begin making ready. Gounder mentioned some theaters in New York, for instance, are contemplating how they may shield their employees from potential monkeypox infections via contact with shared costumes.
WHAT TO DO IF YOU GET MONKEYPOX: SYMPTOMS, VACCINATIONS, AND TREATMENTS
“We’re nonetheless within the beginnings of that, however I’m inspired to see that some are already interested by that.”
Health
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Health
One state leads country in human bird flu with nearly 40 confirmed cases
A child in California is presumed to have H5N1 bird flu, according to the San Francisco Department of Public Health (SFDPH).
As of Dec. 23, there had been 36 confirmed human cases of bird flu in the state, according to the California Department of Public Health (CDPH).
This represents more than half of the human cases in the country.
LOUISIANA REPORTS FIRST BIRD FLU-RELATED HUMAN DEATH IN US
The latest pediatric patient, who lives in San Francisco, experienced fever and conjunctivitis (pink eye) as a result of the infection.
The unnamed patient was not hospitalized and has fully recovered, according to the SFDPH.
The child tested positive for bird flu at the SFDPH Public Health Laboratory. The U.S. Centers for Disease Control and Prevention (CDC) will perform additional tests to confirm the result.
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It is not yet known how the child was exposed to the virus and an investigation is ongoing.
“I want to assure everyone in our city that the risk to the general public is low, and there is no current evidence that the virus can be transmitted between people,” said Dr. Grant Colfax, director of health, in the press release.
BIRD FLU PATIENT HAD VIRUS MUTATIONS, SPARKING CONCERN ABOUT HUMAN SPREAD
“We will continue to investigate this presumptive case, and I am urging all San Franciscans to avoid direct contact with sick or dead birds, especially wild birds and poultry. Also, please avoid unpasteurized dairy products.”
Samuel Scarpino, director of AI and life sciences and professor of health sciences at Northeastern University in Boston, is calling for “decisive action” to protect individuals who may be in contact with infected livestock and also to alert the public about the risks associated with wild birds and infected backyard flocks.
“While I agree that the risk to the broader public remains low, we continue to see signs of escalating risk associated with this outbreak,” he told Fox News Digital.
Experts have warned that the possibility of mutations in the virus could enable person-to-person transmission.
“While the H5N1 virus is currently thought to only transmit from animals to humans, multiple mutations that can enhance human-to-human transmission have been observed in the severely sick American,” Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, told Fox News Digital.
“This highlights the requirement for vigilance and preparation in the event that additional mutations create a human-transmissible pandemic strain.”
As of Jan. 10, there have been a total of 707 infected cattle in California, per reports from the California Department of Food and Agriculture (CDFA).
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In the last 30 days alone, the virus has been confirmed in 84 dairy farms in the state.
Health
Chronic Pain Afflicts Billions of People. It’s Time for a Revolution.
“In the beginning, everyone thought they were going to find this one breakthrough pain drug that would replace opioids,” Gereau said. Increasingly, though, it’s looking like chronic pain, like cancer, could end up having a range of genetic and cellular drivers that vary both by condition and by the particular makeup of the person experiencing it. “What we’re learning is that pain is not just one thing,” Gereau added. “It’s a thousand different things, all called ‘pain.’”
For patients, too, the landscape of chronic pain is wildly varied. Some people endure a miserable year of low-back pain, only to have it vanish for no clear reason. Others aren’t so lucky. A friend of a friend spent five years with extreme pain in his arm and face after roughhousing with his son. He had to stop working, couldn’t drive, couldn’t even ride in a car without a neck brace. His doctors prescribed endless medications: the maximum dose of gabapentin, plus duloxetine and others. At one point, he admitted himself to a psychiatric ward, because his pain was so bad that he’d become suicidal. There, he met other people who also became suicidal after years of living with terrible pain day in and day out.
The thing that makes chronic pain so awful is that it’s chronic: a grinding distress that never ends. For those with extreme pain, that’s easy to understand. But even less severe cases can be miserable. A pain rating of 3 or 4 out of 10 sounds mild, but having it almost all the time is grueling — and limiting. Unlike a broken arm, which gets better, or tendinitis, which hurts mostly in response to overuse, chronic pain makes your whole world shrink. It’s harder to work, and to exercise, and even to do the many smaller things that make life rewarding and rich.
It’s also lonely. When my arms first went crazy, I could barely function. But even after the worst had passed, I saw friends rarely; I still couldn’t drive more than a few minutes, or sit comfortably in a chair, and I felt guilty inviting people over when there wasn’t anything to do. As Christin Veasley, director and co-founder of the Chronic Pain Research Alliance, puts it: “With acute pain, medications, if you take them, they get you over a hump, and you go on your way. What people don’t realize is that when you have chronic pain, even if you’re also taking meds, you rarely feel like you were before. At best, they can reduce your pain, but usually don’t eliminate it.”
A cruel Catch-22 around chronic pain is that it often leads to anxiety and depression, both of which can make pain worse. That’s partly because focusing on a thing can reinforce it, but also because emotional states have physical effects. Both anxiety and depression are known to increase inflammation, which can also worsen pain. As a result, pain management often includes cognitive behavioral therapy, meditation practice or other coping skills. But while those tools are vital, it’s notoriously hard to reprogram our reactions. Our minds and bodies have evolved both to anticipate pain and to remember it, making it hard not to worry. And because chronic pain is so uncomfortable and isolating, it’s also depressing.
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