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Syphilis cases surge in the US, reaching levels unseen since 1950

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Syphilis cases surge in the US, reaching levels unseen since 1950
  • The U.S. syphilis epidemic persists, with a concerning 9% rise in infectious cases in 2022, marking the highest count since 1950.
  • Officials are alarmed by the expansion of syphilis increasingly in women and newborns.
  • Despite being less common, syphilis is considered more dangerous due to its potential to lead to severe health complications, including paralysis.

The U.S. syphilis epidemic isn’t abating, with the rate of infectious cases rising 9% in 2022, according to a new federal government report on sexually transmitted diseases in adults.

But there’s some unexpected good news: The rate of new gonorrhea cases fell for the first time in a decade.

It’s not clear why syphilis rose 9% while gonorrhea dropped 9%, officials at the U.S. Centers for Disease Control and Prevention said, adding that it’s too soon to know whether a new downward trend is emerging for the latter.

HEALTH OFFICIALS CLAIM STD CASES HAVE BEEN ACCELERATING, DOCTORS HOPE OLD DRUG CAN SLOW RISING RATES

They are most focused on syphilis, which is less common than gonorrhea or chlamydia but considered more dangerous. Total cases surpassed 207,000 in 2022, the highest count in the United States since 1950, according to data released Tuesday.

A tissue sample with the presence of numerous, corkscrew-shaped, darkly-stained, Treponema pallidum spirochetes, the bacterium responsible for causing syphilis, is seen. The U.S. syphilis epidemic continues to worsen, according to a new government report released on Jan. 30, 2024. (Skip Van Orden/CDC via AP, File)

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And while it continues to have a disproportionate impact on gay and bisexual men, it is expanding in heterosexual men and women, and increasingly affecting newborns, too, CDC officials said.

Syphilis is a bacterial disease that can surface as painless genital sores but can ultimately lead to paralysis, hearing loss, dementia and even death if left untreated.

New syphilis infections plummeted in the U.S. starting in the 1940s when antibiotics became widely available and fell to their lowest by 1998.

About 59,000 of the 2022 cases involved the most infectious forms of syphilis. Of those, about a quarter were women and nearly a quarter were heterosexual men.

“I think its unknowingly being spread in the cisgender heterosexual population because we really aren’t testing for it. We really aren’t looking for it” in that population, said Dr. Philip Chan, who teaches at Brown University and is chief medical officer of Open Door Health, a health center for gay, lesbian and transgender patients in Providence, Rhode Island.

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The report also shows rates of the most infectious types of syphilis rose not just across the country but also across different racial and ethnic groups, with American Indian and Alaska Native people having the highest rate. South Dakota outpaced any other state for the highest rate of infectious syphilis at 84 cases per 100,000 people — more than twice as high as the state with the second-highest rate, New Mexico.

South Dakota’s increase was driven by an outbreak in the Native American community, said Dr. Meghan O’Connell, chief public health officer at the Great Plains Tribal Leaders’ Health Board based in Rapid City, South Dakota. Nearly all of the cases were in heterosexual people, and O’Connell said that STD testing and treatment was already limited in isolated tribal communities and only got worse during the pandemic.

The U.S. Department of Health and Human Services last year convened a syphilis task force focused on stopping the spread of the STD, with an emphasis on places with the highest syphilis rates — South Dakota, 12 other states and the District of Columbia.

The report also looked at the more common STDs of chlamydia and gonorrhea.

‘OUT OF CONTROL’ STD SITUATION PROMPTS CALL FOR CHANGES

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Chlamydia cases were relatively flat from 2021 to 2022, staying at a rate of about 495 per 100,000, though there were declines noted in men and especially women in their early 20s. For gonorrhea, the most pronounced decline was seen in women in their early 20s as well.

Experts say they’re not sure why gonorrhea rates declined. It happened in about 40 states, so whatever explains the decrease appears to have occurred across most of the country. STD testing was disrupted during the COVID-19 pandemic, and officials believe that’s the reason the chlamydia rate fell in 2020.

It’s possible that testing and diagnoses were still shaking out in 2022, said Dr. Jonathan Mermin, director of the CDC’s National Center for HIV, Viral Hepatitis, STD and TB Prevention.

“We are encouraged by the magnitude of the decline,” Mermin said, though the gonorrhea rate is still higher now than it was pre-pandemic. “We need to examine what happened, and whether it’s going to continue to happen.”

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Major cannabis study finds little proof for popular medical claims, flags big dangers

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Major cannabis study finds little proof for popular medical claims, flags big dangers

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Cannabis has been linked to some significant medical benefits, but recent research calls those into question.

A major new analysis published in JAMA examined more than 2,500 scientific papers from the last 15 years, including other reviews, clinical trials and guidelines focused on medical marijuana.

“While many people turn to cannabis seeking relief, our review highlights significant gaps between public perception and scientific evidence regarding its effectiveness for most medical conditions,” Dr. Michael Hsu of University of California – Los Angeles (UCLA) Health Sciences, author of the study, said in a press release.

Many medical claims about cannabis are not supported by strong scientific evidence, according to a comprehensive review published in JAMA. (iStock)

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The researchers led by UCLA with contributions from Harvard, UC San Francisco, Washington University School of Medicine and New York University set out to determine how strong the research is on the effectiveness of medical cannabis and to offer evidence-based clinical guidance.

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The review found that evidence supporting most medical uses of cannabis or cannabinoids is limited or insufficient, the release stated.

“Whenever a substance is widely used, there is likely to be a very wide set of outcomes,” Alex Dimitriu, MD, double board-certified in Psychiatry and Sleep Medicine and founder of Menlo Park Psychiatry & Sleep Medicine, told Fox News Digital. 

“Cannabis is now used by about 15 to 25% of U.S. adults in the past year, for various reasons ranging from recreational to medicinal. This study points to the reality that this widely used substance is not a panacea,” said Dimitriu, who was not involved in the study.

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There are very few conditions for which cannabinoid therapies have clear, well-established benefits backed by high-quality clinical data, according to the researchers.

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The strongest evidence supports FDA-approved cannabinoid medications for treating specific conditions, including HIV/AIDS-related appetite loss, chemotherapy-induced nausea and vomiting, and certain severe pediatric seizure disorders.

The review identified significant safety concerns, with high-potency cannabis use among young people linked to higher rates of mental health issues. (iStock)

For many other conditions that are commonly treated with cannabis — such as chronic pain, insomnia, anxiety or post-traumatic stress disorder — evidence from randomized trials did not support meaningful benefit.

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The analysis also examined safety concerns — in particular, how young people using high-potency cannabis may be more likely to suffer higher rates of psychotic symptoms and anxiety disorder.

Daily inhaled cannabis use was also linked to increased risks of coronary heart disease, myocardial infarction (heart attack) and stroke when compared with non-daily use.

Daily inhaled cannabis use is associated with increased cardiovascular risks, including coronary heart disease, heart attack and stroke. (iStock)

Based on these findings, the review emphasizes that clinicians should weigh potential benefits against known risks when discussing cannabis with patients.

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The authors suggest that clinicians screen patients for cardiovascular risk, evaluate mental health history, check for possible drug interactions and consider conditions where risks may outweigh benefits.

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They recommend open, realistic conversations and caution against assuming that cannabis is broadly effective for medical conditions.

The review highlights the need for caution, urging clinicians to weigh risks, screen patients appropriately and avoid assuming cannabis is broadly effective. (iStock)

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“Patients deserve honest conversations about what the science does and doesn’t tell us about medical cannabis,” Hsu said.

This article is a narrative review rather than a systematic review, so it did not use the strict, standardized methods that help reduce bias in how studies are selected and evaluated, the researchers noted.

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The review notes further limitations, including that some evidence comes from observational research rather than randomized trials, which means it cannot establish cause and effect.

The trial results also may not apply to all populations, products or doses.

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Always running late? The real cost to your relationships may surprise you

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Always running late? The real cost to your relationships may surprise you

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Chronic lateness is known to be a common annoyance, often leading to strain within relationships, experts have confirmed.

And for some people who struggle to be on time, the reasons may go far beyond poor planning.

Psychotherapist and author Jonathan Alpert told Fox News Digital that chronic lateness often stems from a combination of psychological patterns and neurobiological factors that people may not realize are influencing them.

ALWAYS RUNNING LATE? A MENTAL HEALTH CONDITION COULD BE TO BLAME, EXPERTS SAY

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“For some people, it’s personality-driven. They’re distractible, optimistic about how long things take, or simply not tuned into the impact on others,” the New York-based expert said.

For others, the issue stems from neurobiological differences that affect how the brain manages time.

Chronic lateness may not stem from poor planning, but from psychological and neurobiological factors. (iStock)

That can make it harder to estimate how long tasks take or to transition from one activity to the next, leading to chronic lateness, according to Alpert.

Impact on relationships

In addition to disrupting schedules, chronic lateness may also strain relationships and create tension.

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“Lateness erodes trust. Over time, it sends the message that someone else’s time is less important, even if that’s not the intent,” Alpert noted.

7 SIGNS YOU MIGHT HAVE ADHD AND WHAT STEPS TO TAKE

Lateness can also become an issue in the workplace, where repeated delays can undermine teamwork and harm a person’s reputation.

These patterns are common among people with ADHD, who often experience what is known as “time blindness,” making it difficult to recognize how quickly minutes pass or how long tasks truly take.

“Adding 10 to 15 minutes of buffer between activities reduces the frantic rushing that leads to chronic lateness.”

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ADHD is strongly associated with executive-function difficulties, which are the skills needed to stay organized, plan ahead and focus on essential details, according to the Attention Deficit Disorder Association. 

When these abilities are weaker, it becomes more challenging to gauge time, follow a schedule and meet deadlines, which can impact personal and professional relationships, experts agree.

Frequent tardiness in a work setting can throw off group efforts and leave others with a negative impression of the employee. (iStock)

Underlying patterns

Anxiety, avoidance and perfectionism are patterns that Alpert most often sees in people who tend to run late, he noted.

“Many chronically late individuals don’t intend to be disrespectful. They’re overwhelmed, anxious or trying to squeeze too much into too little time,” he said.

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These emotional patterns often show up in different ways. For some, anxiety can make it difficult to begin even simple tasks, pushing everything behind schedule before the day has even started, according to Alpert.

For others, the struggle happens in the in-between moments. Shifting from one activity to another can feel surprisingly uncomfortable, so they linger longer than intended and lose time without noticing.

Anxiety is a major factor behind why some people have trouble being on time, according to experts. (iStock)

Others may get caught up in the details, as perfectionism keeps them adjusting or “fixing one more thing” as the minutes slip away, Alpert said.

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Another major factor, the expert shared, is that many people simply misjudge how long tasks take. Their internal sense of time is often inaccurate, which leads them to assume they can fit far more into a day than is realistically possible.

‘Time audit’

Alpert often recommends that his clients perform a simple “time audit,” where they track how long they think a routine task will take and then time it in real life. This can help them rebuild a more accurate internal clock, he said.

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“Adding 10 to 15 minutes of buffer between activities reduces the frantic rushing that leads to chronic lateness,” he said.

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Many people with ADHD have a difficult time recognizing how quickly minutes pass or how long tasks truly take. (iStock)

Despite the challenges lateness can create, Alpert said people don’t have to be stuck with these habits forever. With the right support and consistent strategies, meaningful change is possible.

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“Strong routines, alarms, checklists and accurate time estimates compensate for traits that don’t naturally disappear,” he added.

People who find that lateness is affecting their everyday life and relationships may benefit from discussing their concerns with a healthcare provider or mental health professional.

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Holiday heart attacks rise as doctors share hidden triggers, prevention tips

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Holiday heart attacks rise as doctors share hidden triggers, prevention tips

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The holidays are known to be a source of stress, between traveling, preparing for family gatherings and indulging in lots of food and drinks.

The uptick of activity can actually put a strain on the heart, a phenomenon known as “holiday heart syndrome.”

Cardiothoracic surgeon Dr. Jeremy London addressed this elevated risk in a recent Instagram post, sharing how heart attacks consistently rise around the holidays.

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“Every year, like clockwork, we see a spike in heart attacks around Christmas and New Year’s,” the South Carolina-based surgeon said. “In fact, Christmas Eve is the highest-risk day of the year.”

This is due to a shift in behavior, specifically drinking and eating too much, moving less and being stressed out, according to London. “Emotional stress, financial stress, the increased pace of the holidays, increased obligations,” he listed.

Cold weather also causes vasoconstriction (narrowing of blood vessels), according to London, which increases the risk of plaque rupture and the potential for heart attack.

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Dr. Glenn Hirsch, chief of the division of cardiology at National Jewish Health in New York, noted in an interview with Fox News Digital that holiday heart syndrome typically refers to the onset of an abnormal heart rhythm, or atrial fibrillation.

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This can happen after an episode of binge-drinking alcohol, Hirsch said, which can be exacerbated by holiday celebrations.

Binge-drinking at any time can drive atrial fibrillation, a cardiologist cautioned. (iStock)

“It’s often a combination of overdoing the alcohol intake along with high salt intake and large meals that can trigger it,” he said. “Adding travel, stress and less sleep, and it lowers the threshold to go into that rhythm.”

The biggest risk related to atrial fibrillation, according to Hirsch, is stroke and other complications from blood clots. Untreated atrial fibrillation can lead to heart failure after a long period of time.

WANT BETTER HEART HEALTH? START BY TACKLING YOUR WEAKEST LINK, CARDIAC SURGEON SAYS

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“The risk of atrial fibrillation increases with age, but also underlying cardiovascular disease risk factors increase the risk, such as high blood pressure, obesity, diabetes, sleep apnea and chronic kidney disease,” he added.

Christmas Eve is the “highest risk day of the year” for heart attacks, according to one cardiologist. (iStock)

Preventing a holiday heart event

Holiday heart syndrome is preventable, as Hirsch reminds people that “moderation is key” when celebrating.

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The expert recommends avoiding binge-drinking, overeating (especially salty foods) and dehydration, while managing stress levels and prioritizing adequate sleep.

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“Don’t forget to exercise,” he added. “Even getting in at least 5,000 to 10,000 steps during the holiday can help lower risk, [while] also burning some of the additional calories we are often consuming around the holidays.”

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London agreed, stating in his video that “movement is medicine” and encouraging people to get out and move every day.

The various stresses of the holidays can have physical consequences on the body, doctors warn. (iStock)

It’s also important to stay on schedule with any prescribed medications, London emphasized. He encourages setting reminder alerts, even during the holiday break.

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“Prioritize sleep and mindfulness,” he added. “Take care of yourself during this stressful time.”

London also warned that many people delay having certain health concerns checked out until after the holidays, further worsening these conditions.

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“Don’t ignore your symptoms,” he advised. “If you don’t feel right, respond.”

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