Health
What to know about Legionnaires’ disease, the lung infection reported in New Hampshire
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.
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.”
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.
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.
“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:
- Cough
- Fever
- Shortness of breath
- Muscle aches and headaches
Some patients may also experience nausea, diarrhea and confusion, the CDC noted.
“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.
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.”
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.
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.
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.
Health
First case of human bird flu diagnosed without exposure to infected animals, CDC says
A patient in Missouri was hospitalized with bird flu despite having no known contact with animals.
The Centers for Disease Control and Prevention (CDC) confirmed the positive case of avian influenza A (H5) on Friday.
The patient, who had underlying medical conditions, was successfully treated with antiviral medications at the hospital and has since been discharged, according to the Missouri Department of Health and Senior Services (DHSS).
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This marks the 14th person (in three states) to contract bird flu in the U.S. this year — and the first infection to occur without any reported exposure to sick or infected animals, the CDC alert stated.
The prior 13 cases came after exposure to dairy cows or poultry.
Dr. Benjamin Anderson, assistant professor in the Department of Environmental and Global Health at the University of Florida, said the fact that an individual has tested positive for H5 without any reported animal exposure is “very concerning,” but noted that very little is known about the case.
“We don’t know if the individual had indirect exposure to people or products from agricultural settings,” he told Fox News Digital.
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“We also do not yet know the sequence of the virus to determine if it is related to the strains circulating in dairy cattle or not.”
A full epidemiological investigation is necessary to determine all potential paths of exposure, Anderson said.
“If our cases of influenza A spike, we need to test more samples to see if some are avian influenza.”
“This is definitely something we need to pay very close attention to.”
Dr. Edward Liu, chief of infectious diseases at Hackensack Meridian Jersey Shore University Medical Center in New Jersey, echoed the concern about human-to-human spread.
“When that happens, you won’t see an animal vector or source,” he told Fox News Digital.
“One of the underlying concerns is that the avian influenza will adapt itself to be more efficient at replicating in humans and better at spreading in respiratory droplets and secretions.”
Liu also emphasized that current testing for avian influenza is limited.
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“Knowing it is influenza A doesn’t mean it is avian influenza,” he said.
“The confirmation of avian influenza requires another step to send it to the state health department or CDC — so we may be measuring the tip of an iceberg. If our cases of influenza A spike, we need to test more samples to see if some are avian influenza.”
Dr. Marc Siegel, senior medical analyst for Fox News and clinical professor of medicine at NYU Langone Medical Center, noted that while there hasn’t been evidence of animal exposure, “most likely there was.”
“There has been no evidence of any human-to-human spread at this point,” he told Fox News Digital.
“Surveillance, wastewater analysis and control in animals are key.”
Risk factors
The biggest concern for bird flu right now, according to Anderson, is the potential for it to evolve and gain human-to-human transmission ability.
“Influenza viruses can evolve over time through the accumulation of small point mutations in their genetic sequence,” he said. “However, they can also evolve very rapidly through what is called recombination — when two or more influenza viruses infecting the same host exchange their genetic material and make a new strain of virus.”
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The more this strain of influenza virus circulates, the greater the potential for recombination to occur, the doctor said.
“Right now, the highest-risk human groups are individuals with dairy cow and poultry exposure in areas where spillovers of bird flu have been documented,” Anderson said.
So far, those who have contracted the dairy cow strain of influenza virus have mostly had mild infections, the doctor noted.
“However, we know these viruses change quickly, so we need to continue to be vigilant in monitoring their circulation.”
Another risk is that avian influenza may cause more severe disease than regular influenza, Liu cautioned.
“It is not currently in our seasonal influenza vaccine, although the vaccine may still provide some protection,” he said.
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“Luckily, current prescription antivirals, like Tamiflu, still can treat avian influenza.”
As with other flu strains, avian influenza will likely pose a greater risk to older patients, young children, immunocompromised patients, and those with chronic lung, cardiac or kidney disease, the doctor added.
“If it starts to pass from human to human, it could be a huge problem, but we aren’t there.”
Overall, Siegel said, bird flu poses “no current concern unless it mutates further.”
“It needs to be monitored closely,” he added. “If it starts to pass from human to human, it could be a huge problem, but we aren’t there.”
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The CDC stated on Friday that the public risk for bird flu infection remains low.
The agency will continue to investigate the specimen from the human patient, and the Missouri DHSS is looking into potential means of exposure.
Fox News Digital reached out to the Missouri DHSS for comment.
Health
'Six-pack surgery' gaining popularity among men, say plastic surgeons
Move over, “Dad bod” — more men are seeking “six-pack abs” with the help of a surgical procedure called high-definition liposuction, according to plastic surgeons.
This type of “ab-etching” technique is gaining popularity among men who can’t get rid of stubborn belly fat with exercise alone, according to members of the American Society of Plastic Surgeons (ASPS).
The method targets removal of stubborn fat much like traditional liposuction, but it also creates defined lines across the stomach muscles to create the illusion of “chiseled” abdominals.
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What is high-definition liposuction?
Dr. Josef Hadeed, MD, a board-certified plastic surgeon at the Hadeed Plastic Surgery practice in Beverly Hills, California, and Miami, Florida, described the procedure during an interview with Fox News Digital.
“It is more like creating that six-pack and creating the ‘V lines,’ and giving somebody that more athletic, toned physique that traditional liposuction can’t really achieve,” he said.
Traditional liposuction focuses on removing fat, volume and bulk, but doesn’t address the specifics of the “underlying anatomy,” according to the surgeon.
High-definition liposuction is more detailed, Hadeed said.
“We remove a little more fat from that vertical line above the belly button, and also those horizontal lines above the belly button,” he said.
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“We also remove a little more fat in those areas to create the illusion or appearance of somebody having a six-pack.”
In some cases, fat is redistributed to other areas to help create a bulkier, more muscular abdominal appearance, the surgeon added.
A growing trend
There has been an uptick in men undergoing this liposuction procedure, according to members of the ASPS.
“I’m definitely seeing an increase in high-definition liposuction requests for men,” ASPS member Dr. Joubin Gabbay, MD, the medical director at Gabbay Plastic Surgery in Beverly Hills, California, told Fox News Digital.
“They are coming in with specific requests for a defined, chiseled contour.”
Dr. Finny George, MD, a board-certified plastic surgeon and partner at New York Plastic Surgical Group, a division of Long Island Plastic Surgical Group, has also seen more male patients looking to improve their muscle definition.
“It is becoming more socially acceptable for men to have plastic surgery.”
“There is definitely a growing desire among men [for] alternate means of achieving an athletic physique for two main reasons,” George told Fox News Digital.
“First, it is becoming more socially acceptable for men to have plastic surgery — and second, many have already tried and failed with conventional diet and exercise,” she added.
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High-definition liposuction isn’t the only procedure growing in popularity among men.
There has been a 207% rise in total cosmetic procedures among males since 2019, according to the 2022 ASPS report.
One reason may be that men are looking for a more youthful appearance to “maintain career vitality,” the report said.
Social media influencers and male celebrities have also created an open dialogue about male cosmetic surgery, making it more acceptable for men to seek such enhancement treatments, the ASPS also noted.
“It actually has been very common in Brazil and South America for quite some time now, and it’s slowly been migrating to the United States,” Hadeed told Fox News Digital.
What to know before seeking surgery
If an individual is considering undergoing high-definition liposuction, they should examine their reasons for doing so, said Hadeed.
“They should do it for themselves, not because their spouse or partner is pressuring them to do it,” he advised.
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When a person is seeking those “perfect six-pack abs,” Hadeed said, the surgeon will typically look at the individual’s lifestyle behaviors, such as diet and exercise.
For example, if someone is sedentary and eats fast food every day, “maybe this isn’t for you,” according to the doctor.
Patients should have realistic expectations of what can be achieved rather than trying to look like a certain fitness model or social media influencer, Hadeed cautioned.
In some situations, he said, “we have to lower the expectations a little bit and say, ‘I can’t make you look like this other person who’s completely ripped and shredded, but I can help you look like a more refined version of yourself.’”
“Having elective surgery is a very major decision, and not something that people should take lightly.”
If the individual were to gain or lose a significant amount of weight after the surgery, that could affect the results, leading to the need for a revision or touch-up, Hadeed said — which is why he screens his patients to identify their lifestyle habits and make sure they can maintain the results.
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Gabbay also emphasized the importance of following a good regimen to maintain the benefits of the surgery.
“I think the treatment is certainly effective at helping many achieve the six-pack look, but it requires work and maintenance to maintain,” he told Fox News Digital.
“It is important to maintain a healthy, active lifestyle and avoid major weight fluctuations after the procedure,” he went on.
“Unintended weight gain after a high-definition procedure can exaggerate the look of the six-pack, making it look a little less natural.”
Potential risks
Hadeed, who also serves as chair of the Patient Safety Committee for the ASPS, said it is important for patients to understand the risks involved with the procedure.
“Having elective surgery is a very major decision, and not something that people should take lightly,” he said.
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Hadeed agreed that while the surgery is typically safe, there are risks involved.
“In particular, there could be skin necrosis, where some of the skin dies,” he warned. “There could also be fat necrosis, where some of the fatty tissue that’s left behind dies.”
Other potential complications may include blood clots and intestinal perforation.
It is also important to research the credentials of the plastic surgeon who will perform the procedure and make sure they are certified by the American Board of Plastic Surgery, Hadeed said.
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The doctor warned, “There are a lot of physicians out there who are not plastic surgeons who are doing these procedures.”
Health
Alzheimer’s risk may increase with light pollution, new study finds
Exposure to outdoor light at night could put people at a higher risk of developing Alzheimer’s disease (AD), according to a new study published in Frontiers in Neuroscience.
“We show that, in the U.S., there is a positive association between AD prevalence and exposure to light at night, particularly in those under the age of 65,” first author Dr. Robin Voigt-Zuwala, an associate professor at Rush University Medical Center in Chicago, said in a press release.
“Nightly light pollution, a modifiable environmental factor, may be an important risk factor for AD.”
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Some common sources of artificial light include streetlamps, vehicles, illuminated signs, office buildings and other lighted structures.
In the study, researchers analyzed light pollution maps across the country, ranking each state’s “nighttime intensity data.” They then looked at the corresponding levels of Alzheimer’s disease.
For people 65 and older, light pollution was a greater risk factor than obesity, depression, alcohol abuse and chronic kidney disease, the researchers found.
Other risk factors, however — such as high blood pressure, diabetes and stroke — outweighed the risk of light pollution for that age group.
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Those under 65 years old, however, appeared to be more sensitive to nighttime lighting exposure, which increased their Alzheimer’s risk more than any other risk factor.
“Certain genotypes, which influence early-onset AD, impact the response to biological stressors, which could account for increased vulnerability to the effects of nighttime light exposure,” Voigt-Zuwala said in the release.
“Additionally, younger people are more likely to live in urban areas and have lifestyles that may increase exposure to light at night.”
Risks of light pollution
Previous studies have shown that light pollution is increasing by around 10% each year, causing the night sky to become brighter and reaching approximately 80% of the global population.
Light pollution has been shown to disrupt the circadian rhythm and reduce production of the hormone melatonin, which can lead to sleep problems.
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Insufficient sleep, in turn, is a proven risk factor for neurodegenerative diseases like Alzheimer’s.
One recent study published in the American Journal of Preventive Medicine found that getting only five hours of sleep per night can raise the risk of dementia by 30% for people 50 and older.
Among adults who have sleep-related movement disorders, the likelihood of dementia is nearly four times higher, the same study found.
“Constant light exposure disrupts the circadian rhythm and limits the amount of time the brain is in the deeper, restorative stages of sleep.”
Dr. Earnest Lee Murray, a board-certified neurologist at Jackson-Madison County General Hospital in Jackson, Tennessee, was not involved in the study, but spoke with Fox News Digital about the environmental factors that can affect the prevalence of dementia like Alzheimer’s.
“We have known for some time that the lack of quality sleep has detrimental health effects, and this includes an increased risk of developing cognitive difficulties later in life,” he said.
The brain relies on a circadian rhythm to restore itself during sleep, the doctor added.
“Constant light exposure disrupts this circadian rhythm and limits the amount of time the brain is in the deeper, restorative stages of sleep,” Murray said.
Ways to reduce light exposure
Based on the findings, the researchers recommend people take steps to reduce their exposure to light pollution.
“Awareness of the association should empower people — particularly those with risk factors for AD — to make easy lifestyle changes,” said Voigt-Zuwala.
“Easy-to-implement changes include using blackout curtains or sleeping with eye masks. This is useful especially for those living in areas with high light pollution.”
Although the study only examined outdoor light exposure, the researchers also suggested making changes indoors, such as installing dimmers, using blue light filters and swapping to warm lightbulbs instead of cool.
Some have pushed for regulations to control outdoor lighting exposure.
“The legislation against light pollution is usually very weak and/or not well implemented,” Fabio Falchi, Ph.D., a researcher at the Light Pollution Science and Technology Institute in Italy, told Fox News Digital.
“It is time to start putting limits on this pollutant, too, as with the rest of the other common pollutants.”
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The study did have some limitations, the researchers acknowledged.
The data was gathered from a subset of the U.S. population, they stated, and individual outcomes may vary based on how long someone lived in an area with high light exposure.
“The study only looked at outdoor light pollution and did not include any type of data from indoor light pollution, such as from cellphones or televisions,” Murray noted.
“However, it can clearly be implied that exposure to constant light from devices can lead to cognitive issues later in life, reinforcing the importance of limiting nocturnal light exposure from cell phones and other devices.”
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The researchers called for more studies into the association between light pollution and Alzheimer’s.
Fox News Digital reached out to the study authors requesting comment.
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