Health
Sepsis a top killer in US behind heart disease, cancer: What to know, how to avoid the condition
“Real Housewives of Orange County” star Vicki Gunvalson, 62, is sharing her recent health scare after she was hospitalized with sepsis, a potentially deadly disease that results from the body’s response to an infection.
“This entire health scare came unannounced — with no warning,” Gunvalson told Fox News Digital.
As Sepsis Awareness Month kicks off this September, Gunvalson’s timely story is helping to raise awareness of the illness.
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“Sepsis awareness can and does save lives, yet only 65% of American adults have ever heard of it,” Selena A. Gilles, clinical professor and associate dean at New York University Rory Meyers College of Nursing, told Fox News Digital. Â
Gilles is on the advisory board of the Sepsis Alliance, a California-based organization that works across the country to decrease suffering from sepsis.Â
“Prompt recognition and treatment can be of great importance in preventing significant illness and even mortality,” Dr. Aaron Glatt, chief of infectious diseases at Mount Sinai South Nassau Hospital on Long Island, New York, told Fox News Digital.Â
Gunvalson’s diagnosis
Gunvalson shared the details of her sepsis diagnosis with Fox News Digital.
“Two weeks ago, when I was heading to my office, I was very delirious and unclear on where I was going,” Gunvalson said via email.
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“Once I got into the office, my staff realized I was not acting normal,” she went on. “My assistant thought that I was possibly having a stroke.”
The emergency room diagnosed Gunvalson with a “sinus disease” and sent her home, but by the next morning, she was “extremely incoherent” — so her boyfriend took her back to the hospital.
“I was admitted for six days with sepsis and pneumonia,” she said.Â
Gunvalson was treated with a course of antibiotics and is now recovering at home, while staying in regular contact with the sepsis team at the hospital.Â
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The reality TV star has experienced some memory loss and difficulty concentrating, but said she hopes the “brain fog” will improve over time.
In retrospect, the sepsis may have stemmed from a sinus infection two months ago that was treated by multiple rounds of antibiotics, Gunvalson said.
Symptoms and dangers
Common symptoms of sepsis include fever, chills, rapid heart rate, confusion, shortness of breath, extreme pain, and clammy or sweaty skin, according to Gilles.
A high fever – especially in those who are at increased risk of infection and are feeling extremely unwell – should warrant seeking medical attention as soon as possible, Glatt added.
“Sepsis awareness can and does save lives, yet only 65% of American adults have ever heard of it.”Â
“Fatigue and lethargy in the setting of infection can be a sign of pneumonia and potential sepsis, even without overt pulmonary symptoms,” Dr. Marc Siegel, Fox News’ senior medical analyst and clinical professor of medicine at NYU Langone Medical Center, told Fox News Digital.Â
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As sepsis can start within hours, Gilles suggested following the acronym “TIME” to remember that time is of the essence when it comes to seeking treatment.
T – Temperature (higher or lower than normal)
I – Infection (know the signs and symptoms)
M – Mental decline (confusion, sleepiness and difficulty awakening)
E – Extremely ill (severe pain, discomfort and shortness of breath)
Approximately 1.7 million adults are diagnosed with sepsis every year in the U.S., according to the Centers for Disease Control and Prevention (CDC).
The illness kills 350,000 American adults each year and is a leading cause of death in U.S. hospitals, Gilles noted.Â
It is the third-leading killer behind heart disease, which takes just over 700,000 lives each year, and cancer, which causes more than 600,000 annual deaths, per CDC data.
“Sepsis takes a life every 90 seconds — that’s more lives than opioids, breast cancer, prostate cancer and stroke combined,” she said.
Common myths about sepsis
Many people mistakenly assume that sepsis is an infection.
“Sepsis is the body’s overwhelming and life-threatening response to infection, which can lead to tissue damage, organ failure and death,” Gilles said.Â
The condition can come after any infection — whether just a scrape or cut, a dental procedure or surgery, or even a [bacteria], fungus or parasite — triggers a “chain reaction” in the body, the doctor added.
Another common myth is that sepsis only occurs in those who are (or were recently) hospitalized.
Most cases of sepsis, around 87%, start before a patient enters the hospital, Gilles said.
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“Community-acquired infections, such as urinary tract infections, pneumonia and even simple cuts or scrapes can lead to sepsis if not treated properly,” Gilles noted.
Many people also think sepsis only affects immunocompromised people.
“Sepsis can strike almost anyone at almost any time,” Glatt said.
“While certain individuals are at higher risk of getting a severe infection that can even be deadly, serious infections can strike even a perfectly healthy young person with rare but potentially fatal consequences,” he went on.
     Â
Older adults, infants and those with chronic illnesses or weakened immune systems are at a higher risk, however.
Treatment and prevention
The first step is discovering the underlying cause of the infection, according to the CDC.
Sepsis often starts in the gastrointestinal tract, lungs, skin or urinary tract.
Treatment will vary based on the underlying infection, but often involves administering antibiotics as soon as possible.
“While antibiotics are crucial for treating an underlying bacterial infection, managing sepsis often requires a comprehensive approach — including fluids, medications to support blood pressure, and sometimes surgery or [a ventilator], depending on the severity,” said Gilles.
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Surgery is sometimes necessary to remove tissue damaged by the infection, the CDC states.
It’s also important to maintain blood flow to the organs, often with fluids.
“Sepsis can strike almost anyone at almost any time.”Â
“If you suspect sepsis, seek medical attention right away,” Gilles advised.
The risk can be reduced by quickly identifying and managing infections, according to the doctor.
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Added Gilles, “It can also be prevented by practicing good hygiene, staying current with vaccinations, staying in good health, keeping cuts clean and dry, and promptly seeking treatment when infections are suspected.”
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Health
'Vaccine fatigue' blamed as roughly half of people in US will skip COVID and flu shots this year
A growing number of U.S. adults are hesitant to get recommended vaccines this fall, a new survey found.
The poll, which included 1,006 people, found that only 43% of respondents have gotten or plan to get the COVID vaccine.
Only a slight majority (56%) of adults said they have gotten or plan to get the flu shot this fall.
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The poll also found that 37% of those who have gotten vaccines in past years plan to skip the shots this season.Â
Around one-third of respondents also said they don’t believe they need the vaccines mentioned in the survey — flu, COVID, RSV or pneumococcal pneumonia.
Vaccine hesitancy tends to skew younger, as adults aged 65 and older are the most likely to get the recommended immunizations.
The nationwide survey was conducted by The Ohio State University Wexner Medical Center in mid-August 2024.
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These findings come just weeks after the U.S. Food and Drug Administration (FDA) approved updated COVID-19 vaccines from Moderna and Pfizer for the 2024-2025 season.
“We’re at the start of respiratory virus season, when you have the triple threat of flu, COVID-19 and RSV,” said Nora Colburn, MD, medical director of clinical epidemiology at Ohio State’s Richard M. Ross Heart Hospital, in a press release.
“Unfortunately, there is a lot of misinformation about vaccinations, but the reality is that they are safe and highly effective in preventing serious illness and death,” she went on.
“Older adults, people with certain chronic medical conditions, and those who are pregnant are especially at risk during respiratory virus season.”
‘Vaccine fatigue’
Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, reacted to the poll’s findings.
“It’s obviously not surprising that 37% of people said they had been vaccinated in the past but weren’t planning to this year,” he told Fox News Digital.Â
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“We just had a vaccine mandate a couple of years ago, and furthermore, childhood vaccines are very broadly administered, so those 37% are people who wouldn’t be getting a vaccine normally anyway.”
The reported rate of 56% for the flu shot is a little above average, Glanville said, as it tends to hover at around 50%.
“Coronavirus vaccination rates are a little lower than for the flu,” he noted.Â
This could be due to lack of clarity with the public over how COVID should be treated post-pandemic, according to Glanville.
“It’s also fatigue due to the COVID vaccines not being particularly effective at preventing symptoms, which causes people to believe that they are not effective (although they do protect against severe illness),” he added.
‘Concerning’ trend
Dr. Marc Siegel, senior medical analyst for Fox News and clinical professor of medicine at NYU Langone Medical Center, said he finds the poll’s findings concerning.
“Both vaccines wane over six months, so a yearly booster makes sense for high-risk groups,” he told Fox News Digital.
“I recommend a yearly booster for the elderly, immunocompromised and those with chronic illness.”
Siegel estimates that this year’s flu season will be similar to last year’s, which was “moderate,” with 25,000 deaths and 400,000 hospitalizations.Â
“The flu shot decreases severity and number of hospitalizations by about a quarter, and helps to provide community immunity,” he added.
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For COVID, Siegel warned that the virus’ activity is still fairly high — “especially in the western U.S.”
The doctor also warned of a new variant circulating in Europe, which he expects will soon be in the U.S., known as the XEC subvariant.
“It seems to be more contagious — it causes congestion, cough, loss of smell and appetite, sore throat and body aches,” he told Fox News Digital.
“The new vaccine should provide at least some coverage.”
     Â
Dr. Paul Offit, director of the Vaccine Education Center and an attending physician in the Division of Infectious Diseases at Children’s Hospital of Philadelphia, told Siegel that very young children are being hospitalized at a greater rate — “likely because they haven’t been vaccinated with the primary series.”
“I recommend a yearly booster for the elderly, immunocompromised and those with chronic illness, along with anyone who is at risk for long COVID or has had it previously,” Siegel said.
The CDC’s vaccine recommendations
The U.S. Centers for Disease Control and Prevention (CDC) has issued the following vaccine recommendations.
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Flu: Everyone 6 months and older is advised to get vaccinated against influenza.
COVID-19: The latest version of the COVID vaccine is recommended for everyone 6 months and older.
RSV: The respiratory syncytial virus (RSV) vaccine is recommended for everyone aged 75 and older, as well as those aged 60 to 74 who have certain chronic medical conditions, such as lung or heart disease, or who live in nursing homes, as they are at a higher risk of severe disease. Pregnant women are also advised to get the vaccine during weeks 32 through 36 of pregnancy.
Pneumococcal: Everyone younger than 5 years and age 65 and older is advised to get the pneumococcal vaccine, along with those who are at increased risk of severe disease.
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Fox News Digital reached out to the OSU research team for comment.
Health
Alzheimer’s disease could be slowed by boosting a certain protein in the brain, researchers say
Boosting a specific protein in the brain could help slow the progression of Alzheimer’s disease, a new study has found.
The longstanding theory is that Alzheimer’s occurs when a protein called amyloid-beta 42 (Aβ42) transforms into plaques that build up in the brain, causing damage to neural cells and leading to cognitive decline.
Researchers from the University of Cincinnati have challenged that assumption, instead suggesting that the disease is caused by low levels of healthy, functioning Aβ42, according to a UC press release.
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They based this hypothesis on the fact that newly approved monoclonal antibody medications — including lecanemab (Leqembi) and donanemab (Kisunla) — have had the unintended outcome of raising levels of the protein in the brain.
“The new Alzheimer’s treatments, which were designed to remove amyloid plaques, unintentionally raised Aβ42 levels, and this may explain their positive effects on cognition as much as — or better than — amyloid reduction,” lead study author Alberto J. Espay, MD, professor of neurology at the Gardner Family Center for Parkinson’s disease and Movement Disorders at UC, told Fox News Digital via email.
“Higher Aβ42 levels after treatment were associated with slower cognitive decline, suggesting that restoring this protein to normal levels might be more beneficial for Alzheimer’s patients than removing amyloid.”
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In the study, the researchers reviewed data from nearly 26,000 Alzheimer’s patients who participated in 24 randomized clinical trials for the newly approved antibody treatments.
They compared the cognitive abilities of patients before and after taking the new medications, and found that the increased amounts of Aβ42 were linked to “slower cognitive impairment and clinical decline.”
The findings were published in the medical journal Brain on Sept. 11.
Understanding amyloid
Amyloid plaques aren’t necessarily a bad thing, according to the researchers.
“Along with other studies, the collective evidence suggests that amyloid plaques are a response of a normally reactive brain to many stressors, some infectious, some toxic, some biological,” Espay told Fox News Digital.
“They are a sign the brain is dealing with a stressor appropriately.”
The researcher referred to amyloid plaques as “the tombstones of Aβ42,” noting that they can’t do anything harmful to the brain.
“Most researchers do not believe Alzheimer’s is driven by only one biological mechanism.”
“Amyloid plaques don’t cause Alzheimer’s, but if the brain makes too much of them while defending against infections, toxins or biological changes, it can’t produce enough Aβ42, causing its levels to drop below a critical threshold,” he said.
“That’s when dementia symptoms emerge.”Â
The study questions the long-entrenched idea that amyloid plaques directly cause Alzheimer’s and that removing them is part of the solution.
“Building the levels of Aβ42 without removing amyloid — which is quite futile, and can be harmful — is worth testing as a future therapy,” Espay added. Â
Looking ahead, the UC research team plans to investigate therapies that directly increase Aβ42 levels without targeting amyloid.
‘A very complex disease’
Ozama Ismail, PhD, director of scientific programs at the Alzheimer’s Association in Washington, D.C., was not involved in UC’s study, but commented on the findings.
     Â
“While this Aβ42-related hypothesis may turn out to be a part of what causes and encourages progression of Alzheimer’s, it is a very complex disease, and most researchers do not believe Alzheimer’s is driven by only one biological mechanism,” he told Fox News Digital.Â
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“Beta amyloid is certainly an important and key player, but we also know that tau protein, the immune system, vascular system, metabolic health, environment and more all play a role in the disease process.”
While FDA-approved drugs targeting amyloid are now available and in use, Ismail calls for a comprehensive approach to Alzheimer’s treatment that involves multiple approaches.
He recommends “a combination of therapies targeting multiple mechanisms, as well as lifestyle interventions, much like how other major diseases like diabetes, HIV/AIDS and heart disease are treated.”
Added Ismail, “Understanding the entire underlying biology and related mechanisms is important to expand our pipeline of treatments and prevention strategies.”
Potential limitations
Espay also acknowledged the limitation that none of the published studies have allowed access to the individual-level data.Â
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“We can only work with the group-level data published,” he told Fox News Digital. “Despite this limitation, the results were robustly supported.”
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Fox News Digital reached out to Biogen and Eisai (makers of Leqembi) and Eli Lilly (maker of Kisunla) requesting comment.
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