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What to know about Legionnaires’ disease, the lung infection reported in New Hampshire

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What to know about Legionnaires’ disease, the lung infection reported in New Hampshire

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Five people in downtown Lincoln, New Hampshire, have been diagnosed with Legionnaires’ disease.

The New Hampshire Department of Health & Human Services (DHHS) announced the news in an Aug. 12 press release.

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It is likely that the five affected individuals were exposed to contaminated water droplets from a cooling tower behind the RiverWalk Resort, the release stated, as tests confirmed the presence of Legionella bacteria in the water.

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“Anybody who has visited the area near the contaminated cooling tower should monitor themselves for symptoms,” said Dr. Benjamin Chan, New Hampshire state epidemiologist, in the release. 

“People who develop fever or other symptoms of pneumonia within 14 days after spending time in this area should talk to their health care provider about testing for Legionella infection.”

People who have certain symptoms — as noted in this article — should seek medical attention immediately, the CDC advises. (iStock)

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Those who are within a half-mile of the cooling tower could be at risk of exposure, the DHHS warned.

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Fox News Digital reached out to the DHHS for comment.

What is Legionnaires’ disease?

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

The bacteria is usually found in lakes, streams and other freshwater environments.

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However, it can grow and spread indoors via shower heads, sink faucets, hot tubs, water features/fountains, plumbing systems and other water systems, according to the Centers for Disease Control and Prevention (CDC).

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

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

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

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“Individuals at highest risk include smokers and those with coexisting pulmonary disease,” Dr. Nathan Goodyear, medical director of Brio-Medical in Arizona, told Fox News Digital. 

“Other risk factors,” he said, “include advancing age, cardiovascular disease, obesity and compromised immune systems.”

Symptoms of the infection

Symptoms of Legionnaires’ disease usually show up between two and 14 days after exposure. 

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The signs are similar to other types of pneumonia, and include the following:

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  • Cough
  • Fever
  • Shortness of breath
  • Muscle aches and headaches

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

Individuals at highest risk for Legionnaires’ disease include smokers and those with coexisting pulmonary disease, a doctor told Fox News Digital. (iStock)

“The nature of the symptoms is not necessarily what differentiate Legionella from other causes, but history of exposure from ‘human-made reservoirs,’ though this may be hard to discern early on in infection and/or in an outbreak,” said Goodyear.

“Cancer is also a comorbidity of Legionnaires’ disease,” the doctor added.

Those who have any of these symptoms should seek medical attention immediately, the CDC advises.

Diagnosis, treatment and prevention

Diagnosis of Legionnaires’ disease is made via chest X-ray, urine test and lab analysis of a phlegm sample.

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Most people with the disease will recover with a course of antibiotics.

In some patients, however, serious illness can lead to lung failure or death, per the CDC.

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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.

“Treatment needs to be early and aggressive,” Goodyear told Fox News Digital. “Legionella infection is an intracellular infection that requires antibiotic treatment.”

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A diagnosis of Legionnaires’ disease is made via chest X-ray, urine test and lab analysis of a phlegm sample. (iStock)

Antibiotics that are appropriate for Legionella infection include Levofloxacin and Azithromycin. 

“Therapy can be prescribed orally in healthy individuals … but intravenous antibiotics often prove to be the initial option for treatment secondary to the pathogenicity of the disease,” Goodyear said.

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Currently, there are no vaccines for the disease. 

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The best strategy to prevent infection is to reduce the growth and spread of the Legionella bacteria.

The CDC recommends that building owners and managers use a water management program to reduce the risk.

The bacteria that causes Legionnaires’ disease can grow and spread indoors via indoor water systems, the CDC says. (iStock)

To prevent serious illness from Legionnaires’, Goodyear recommends that all smokers kick the habit, and also emphasizes the need to “aggressively support” chronic pulmonary disease.

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“Advancing age is a given in life, and immune dysfunction correlates with advancing age,” added Good year. 

“Increasing immune support (vitamin D3, Vitamin C, Zinc) is required to counter the immune dysfunction associated with advancing age.”

Obesity is another foundational risk factor for all chronic inflammatory diseases, Goodyear noted.

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Doctor reveals what 30 days without alcohol does to the brain and body amid Dry January

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Doctor reveals what 30 days without alcohol does to the brain and body amid Dry January

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After a season of bingeing and drinking, your body may feel like it needs a break from the party.

Dry January — a modern trend that challenges people to abstain from drinking for the first month of the year — has become a popular way to “detox” from the holidays and start the new year on a healthy note.

Research has linked alcohol to a variety of health conditions, ranging from hangovers to higher cancer risk.

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In a recent podcast episode of “The Dr. Mark Hyman Show,” Dr. Mark Hyman, chief medical officer of Function Health, shared how 30 days of not drinking alcohol can transform health.

Hyman, who is based in Massachusetts, called Dry January a “powerful way to see in real time how alcohol affects nearly every system of your body and how quickly those systems can recover.”

Dry January has become a popular way to “detox” from the holidays and start the new year on a healthy note. (iStock)

Alcohol’s toll on the brain and body

Hyman acknowledged that most people drink to feel happier and more comfortable in social situations. This effect is caused by the main ingredient in alcohol, called ethanol, which can also have toxic effects.

Instead of stimulating the brain, alcohol slows it down and loosens inhibitions. “You feel more relaxed, more social, more confident, maybe you feel a little euphoric,” Hyman said.

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Alcohol’s effect on the brain can also lead to poorer decisions and slower reflexes, the doctor cautioned.

Drinking alcohol can cause cognitive decline and brain fog, experts warn. (iStock)

Drinking also impacts the prefrontal cortex of the brain, which Hyman described as “the adult in the room,” responsible for judgment, planning and restraint. “It goes offline early in drinking, which explains why people feel freer or act impulsively when they drink,” he said.

Even moderate drinking can cause metabolic stress, inflammation, impaired detoxification and hormonal shifts, Hyman said, which can impact nearly every organ system in the body.

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Alcohol consumption has also been linked to an increased risk of cancer, metabolic dysfunction, gut microbiome disturbances and mitochondrial toxins.

It can also prevent the body from falling into REM sleep, which is the deep rest recovery period when the immune system cleans out the day’s toxins, according to Hyman.

Alcohol can impact deep rest and mental health, according to experts. (iStock)

Memory loss, cognitive decline, anxiety, sleep disruption, dementia and cardiovascular disease are all known risks of long-term alcohol use, as well as liver complications like fatty liver disease.

“Bottom line, alcohol taxes every major system in your body, especially your liver, your brain, your gut, your hormones,” Hyman said.

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The effects of 30 days with no alcohol

The first week after your last drink, the body begins to detoxify and reset, according to Hyman. Blood sugar and cortisol stress hormones level out, and the liver begins to process a “backlog of toxins.” The body also re-hydrates and re-energizes.

The first 30 days with no alcohol allows the body to balance itself out. (iStock)

The second week, the gut and brain will begin to re-balance, as hormones like serotonin and dopamine stabilize, gut inflammation drops and the microbiome begins to heal. Cravings for sugar and alcohol will wane and mental clarity returns, the doctor said.

Week three is marked by further decreases in inflammation, fatty liver and blood pressure. This can be noticeable in the skin, as puffiness and redness are reduced. Mood also begins to stabilize, with lower anxiety levels.

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In week four, the body experiences additional metabolic and immune benefits, Hyman shared, including more insulin sensitivity, which makes it easier to lose weight.

“You have a stronger immune response. You’re not getting sick as much. You have better deep sleep, balanced hormones, especially cortisol and testosterone,” he said. “And you see a big change in energy, confidence and focus.”

Abstaining from alcohol can help restore energy, according to experts. (iStock)

Dr. Pinchieh Chiang, a clinician at Circle Medical in San Francisco, said that Dry January isn’t a “detox,” but rather provides “feedback” from the body.

“It gives the body time to show people how it feels without alcohol. For many, that insight alone changes their relationship with drinking,” she said. “The biggest surprise isn’t what people give up, it’s how much better they feel.”

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The doctor confirmed that the first few days of not drinking may feel harder than expected, sometimes causing restlessness, cravings or disrupted sleep, but Dry January can ultimately change drinking habits for the remainder of the year.

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After a full year without alcohol, Chiang noted that health improvements are more profound. “We see sustained improvements in blood pressure, liver function and inflammation,” she said. “Those changes directly affect long-term heart disease and stroke risk.”

The risks of ‘all or nothing’

Some experts warn that adopting the Dry January trend could strengthen the urge to drink more in the other months, noting that some drinkers may find more success by slowly consuming fewer drinks per week.

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Thomas Stopka, Ph.D., an epidemiologist and professor in the public health and community medicine department at Tufts University School of Medicine in Massachusetts, shared in a Futurity report that for some people, “damp January” may be more suitable.

One expert warned that not all drinkers should quit “cold turkey,” as it could lead to severe withdrawals. (iStock)

“Dry January is well-intentioned, and it may work really well for the people who can stick to it, maybe even beyond January,” he said. “Other people may be more inclined to cut down on alcohol consumption rather than quit drinking completely for the month.”

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Stopka noted that successful harm-reduction approaches “aim to be judgment free.”

“Substance use disorder is a disease,” he said. “It takes time to treat the disease and to stay connected to the continuum of care — from prevention to treatment initiation to sustained therapy, whether through medication, self-help, or individual therapy or group support.”

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Those struggling with signs of alcohol use disorder should consult a medical professional for personalized guidance.

Fox News Digital reached out to several alcohol industry associations requesting comment.

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