Connect with us

News

Europe battles ‘tridemic’ of respiratory illnesses

Published

on

Europe battles ‘tridemic’ of respiratory illnesses

Stay informed with free updates

Europe is facing a “tridemic” that threatens to push health systems to the limit as a surge in flu cases is compounded by Covid-19 and other respiratory illnesses.

Spain and Italy are among the countries worst affected as hospitals struggle to cope with an influx of patients and coronavirus-era mask mandates are reintroduced in health facilities in some regions.

Upticks in cases have also been reported in Germany, where the public health authority said a flu wave officially began on December 11, and in France, where 10 out of 18 regions are officially in an epidemic phase. In the UK, there has been a slight rise in flu cases and hospitalisations, with officials warning that the peak was yet to come.

In Spain, Christmas superspreader events led to an increase in flu cases by 75 per cent in the final week of 2023, according to data from the state-backed Carlos III Health Institute. Reports of flu leading to severe pneumonia are proliferating.

Advertisement

Nearly half of all flu tests in Spain came back positive in the last week of December versus 27 per cent in the previous seven days. Covid-19 cases stabilised with only 10 per cent of tests positive at the end of 2023, but the virus was causing a rising number of hospital admissions, especially among people over 80, the Carlos III institute said.

You are seeing a snapshot of an interactive graphic. This is most likely due to being offline or JavaScript being disabled in your browser.

Children, meanwhile, were coming down with respiratory syncytial virus, which can cause bronchiolitis and has led to a sharp rise in hospitalisations of infants aged under one.

The mix of flu, Covid and RSV cast a shadow over a European festive season punctuated by coughs, colds and people bowing out of celebrations because they felt too unwell. Those who made it were met with conversations about who was vaccinated against flu and whether it was too late to get a jab.

By Saturday, three Spanish regions — Catalonia, Valencia and Murcia — had made mask-wearing mandatory at health facilities. Mónica García, Spain’s health minister, has convened a meeting of regional health chiefs on Monday to discuss extending the obligation across the country.

Advertisement

García said on Friday that the rise in illness would “intensify” in the coming days and called on people to exercise caution at large indoor gatherings and health facilities. “In short, we appeal to common sense and ask for the same resilient spirit that people demonstrated during the pandemic,” she said.

A flu and Covid vaccination
A flu and Covid vaccination campaign is under way in the Spanish region of Valencia © Rober Solsona/Europa Press via Getty Images

CSIF, a Spanish union whose members include health professionals, has warned that some hospitals are at saturation point. In addition to obligatory mask-wearing at health facilities, it has called for special ventilation measures and for people to exercise prudence in deciding whether they need to see a doctor.

A similar trend was registered in Italy, where an estimated 2mn people came down with flu, Covid and RSV in the last two weeks of 2023, according to the Italian National Institute of Health. The spike in cases added to pressure on hospitals and emergency rooms which are struggling with a chronic shortage of beds and staff. 

Non-urgent surgery has been delayed as a consequence, with over 1,000 patients in the Rome region waiting to be moved from emergency rooms to wards, according to the Italian Society of Emergency Medicine. 

Roberto Cosentini, head of the emergency room at Bergamo Hospital in northern Italy, told the Financial Times that the combination of respiratory viruses and Christmas holidays had produced a “perfect storm”, with many young people and children needing hospital treatment. 

“This year’s flu was quite virulent, especially on the respiratory system, even on young people. We had to hospitalise more people with complications due to flu than usual.” Cosentini said the first days of 2024 were the worst, when his hospital had to rush to add doctors and nurses and create new wards “because there were too many sick people”. 

Advertisement

You are seeing a snapshot of an interactive graphic. This is most likely due to being offline or JavaScript being disabled in your browser.

The European Centre for Disease Prevention and Control warned last month that respiratory infections would be higher than usual this winter because of lower immunity levels after the anti-Covid measures of recent years had led to an overall reduction in such cases. 

It told national governments to increase vaccination rates for Covid and influenza and boost emergency department capacity, as well as to encourage handwashing and mask-wearing for the most vulnerable.

José María Molero of the infectious diseases team at the Spanish Society of Family and Community Medicine said the term “tridemic” should not be taken to mean that individuals were catching multiple viruses but rather that they were suffering from one of the three diseases. “There are very few cases of co-infection,” Molero said.

The UK has yet to experience a major flu surge this winter.

Data for the last week of 2023 in Britain showed a slight uptick in the percentage of people who tested positive for flu, according to lab samples: it rose to 11.8 per cent from 11.2 per cent in the previous week. Influenza hospitalisations increased to 6.8 per 100,000 from 5.1 per 100,000 last week and admissions to intensive care and high dependency units increased week-on-week but remained low.

Advertisement

There was also a slight reduction in consultations with primary care staff for flu-like illness. Mary Ramsay, director of public health programmes at the UK Health Security Agency, warned: “The winter peak for flu is still to come and may coincide with high levels of Covid-19.”

Additional reporting by Sarah White in Paris, Guy Chazan in Berlin and Sarah Neville in London

News

White House Correspondents’ Dinner shooting suspect pleads not guilty in federal court

Published

on

White House Correspondents’ Dinner shooting suspect pleads not guilty in federal court

The man charged with attempting to assassinate President Donald Trump at the White House Correspondents’ Association dinner last month pleaded not guilty at a Monday arraignment in federal court.

Cole Tomas Allen, 31, wearing an orange shirt and trousers, was handcuffed and shackled as he was brought into the courtroom in Washington, D.C., federal court. His handcuffs were attached to a chain around his waist, which clanked as he was led to the defense table.

Advertisement

Speaking on behalf of Allen, federal public defender Tezira Abe said her client “pleads not guilty to all four counts as charged,” including attempting to assassinate the president of the United States, in connection with the April 25 incident at the Washington Hilton hotel.

Assistant U.S. Attorney Charles Jones advised the court that they plan to start producing their first tranche of discovery to the defense by the end of the week.

Officials said Allen, a California teacher and engineer, was armed with multiple guns, as well as knives, when he sprinted through a security checkpoint near the event where Trump and other White House officials had gathered with journalists.

He was arrested after an exchange of gunfire with a U.S. Secret Service officer who fired at him multiple times, a criminal complaint said. Allen was not shot during the exchange. The officer, who was wearing a ballistic vest, was shot once in the chest, treated at a hospital and released.

Trump and top members of his Cabinet and Congress were quickly evacuated from the room as others ducked under tables.

Advertisement

Allen was initially charged with attempting to assassinate the president, transportation of a firearm and ammunition through interstate commerce with intent to commit a felony, and discharge of a firearm during a crime of violence. On Tuesday, a federal grand jury indicted him on a new charge in the shooting of a Secret Service agent.

Moments before the attack, Allen had sent his family members a note apologizing and criticizing Trump without mentioning the president by name, according to a transcript of some of his writings provided to NBC News by a senior administration official. Allen also wrote that “administration officials (not including Mr. Patel)” were “targets.”

He also appeared to have taken a selfie in his hotel room. Prosecutors said Allen, who was dressed in a black button-down shirt and black pants, was “wearing a small leather bag consistent in appearance with the ammunition-filled bag later recovered from his person,” as well as a shoulder holster, a sheathed knife, pliers and wire cutters.

Officials have said they believe Allen had traveled by train from California to Washington, D.C., before checking into the hotel.

Allen’s sister, Avriana Allen, told law enforcement that her brother would make radical comments and constantly referenced a plan to fix the world, but said their parents were unaware that he had firearms in the home and that he would regularly train at shooting ranges.

Advertisement

Records show that he had purchased a Maverick 12-gauge shotgun in August 2025 and an Armscor Precision .38 semiautomatic pistol in October 2023.

After his arrest, Allen told the FBI that he did not expect to survive the incident, according to Assistant U.S. Attorney Jocelyn Ballantine. He was briefly placed on suicide watch at the Washington, D.C., jail, where he’s being held.

Allen is expected to appear in court for a June 29 hearing.

At Monday’s arraignment, his legal team said they plan on asking for the “entire office” of the U.S. attorney for the District of Columbia to be recused because of U.S. Attorney Jeanine Pirro’s apparent involvement in the case in a “supervisory role.” Federal public defender Eugene Ohm said some of the evidence they receive from the government will further inform that decision.

Advertisement
Continue Reading

News

Maps: Earthquakes Shake Southern California

Published

on

Maps: Earthquakes Shake Southern California

Advertisement

Shake intensity

Advertisement

Pop. density

Note: Map shows the area with a shake intensity of 3 or greater, which U.S.G.S. defines as “weak,” though the earthquake may be felt outside the areas shown.  All times on the map are Pacific time. The New York Times

A cluster of earthquakes have struck near the U.S.-Mexico border, including ones with a 4.5 and 4.7 magnitude, according to the United States Geological Survey.

Advertisement

As seismologists review available data, they may revise the earthquake’s reported magnitude. Additional information collected about the earthquake may also prompt U.S.G.S. scientists to update the shake-severity map.

Advertisement
Advertisement

Aftershocks detected

Subsequent quakes have been reported in the same area. Such temblors are typically aftershocks caused by minor adjustments along the portion of a fault that slipped at the time of the initial earthquake.

Quakes and aftershocks within 100 miles

Advertisement

Aftershocks can occur days, weeks or even years after the first earthquake. These events can be of equal or larger magnitude to the initial earthquake, and they can continue to affect already damaged locations.

Advertisement

When quakes and aftershocks occurred

 All times are Pacific time. The New York Times

Advertisement
Advertisement

Sources: United States Geological Survey (epicenter, aftershocks, shake intensity); LandScan via Oak Ridge National Laboratory (population density) | Notes: Shaking categories are based on the Modified Mercalli Intensity scale. When aftershock data is available, the corresponding maps and charts include earthquakes within 100 miles and seven days of the initial quake. All times above are Pacific time. Shake data is as of Saturday, May 9 at 11:55 p.m. Eastern. Aftershocks data is as of Sunday, May 10 at 11:54 p.m. Eastern.

Continue Reading

News

U.S. cruise passengers head to Nebraska for hantavirus monitoring

Published

on

U.S. cruise passengers head to Nebraska for hantavirus monitoring

American citizens arrive onshore after being evacuated from the M/V Hondius in the Granadilla Port on Sunday in Tenerife, part of the Canary Islands, Spain.

Chris McGrath/Getty Images


hide caption

toggle caption

Advertisement

Chris McGrath/Getty Images

Seventeen U.S. cruise passengers are expected to return stateside early Monday, after weeks aboard the M/V Hondius, the cruise ship at the center of a deadly hantavirus outbreak.

The Americans are disembarking the cruise in the Canary Islands and boarding a medical repatriation flight, arranged by the U.S. government, bound for Nebraska. After landing at the Offutt Air Force Base near Omaha, they’ll head to the National Quarantine Unit at the University of Nebraska Medical Center (UNMC) for an initial evaluation, according to the Centers for Disease Control and Prevention.

“For the passengers getting off the ship, I’d say, ‘Welcome to Nebraska.’ You are coming to the premier facility in the United States, if not the world, to take care of you,” says Dr. Ali Khan, dean of the College of Public Health at UNMC.

Advertisement

The 17 U.S. passengers are among the total of nearly 150 people who were on the ship from 23 different countries. They’ve endured in the midst of a hantavirus outbreak which has caused at least eight cases, including three deaths, according to the World Health Organization.

The returning Americans had been isolating in their cruise cabins. They will now be monitored for several more weeks, U.S. health officials said in a media call on Saturday.

The passengers are arriving at America’s only federally funded quarantine unit, which also received cruise passengers from a different outbreak — the Diamond Princess Cruise, in early 2020 — which was one of the first known superspreading events of the COVID-19 pandemic.

Unlike COVID, which was a novel pathogenic strain when it emerged, scientists have been studying hantaviruses — and specifically the Andes variant which caused this outbreak — for decades. “We do know that you can get small clusters of disease, but in 30 years we’ve never seen any large outbreaks,” says Khan, “so this is unlikely to become a pandemic.”

This strain of hantavirus can be deadly, but it isn’t very contagious between people. It tends to take prolonged, close contact with someone who’s showing symptoms.

Advertisement

So far, all of the U.S. passengers are well. But symptoms can take up to 42 days after exposure to show up, according to the CDC.

“It’s appropriate to be cautious,” Khan says, “To monitor these people for 42 days [to make sure] they don’t get sick. And if they do get sick during those 42 days, to make sure to put them into isolation.”

Health officials said the U.S. passengers would not be officially quarantined. Instead, they suggested that after an initial assessment in Nebraska, some could continue monitoring at home, with daily check-ins from their health departments.

Seven U.S. passengers who had left the cruise ship earlier are being monitored in several states, including Texas, California, Georgia and Virginia.

Public health experts have been raising alarms over what they consider to be a muted public response by the U.S. government to this outbreak.

Advertisement

Lawrence Gostin, professor of global health law at Georgetown University, says the U.S. response has been fragmented, disjointed, and delayed for weeks, but it’s finally coming together. “The CDC was missing in action for quite a long time,” he says. “Better late than never — but it is very late.”

In response to a request for comment from NPR, Emily Hilliard, a spokesperson for the Department of Health and Human Services: “These claims are completely inaccurate. The U.S. government is conducting a coordinated, interagency response led by the Department of State. HHS, through ASPR [Administration for Strategic Preparedness and Response] and CDC, is supporting efforts to protect the health and safety of U.S. citizens, including repatriation, medical evaluation, and public health guidance.”

She further described CDC’s response activities, including setting up its Emergency Operations Center, deploying teams to the Canary Islands and Nebraska, and notifying state health departments of returning U.S. travelers.

Many of these activities have come recently, and Gostin agrees that the U.S. government is now taking active measures to ensure that the passengers, their families, and the communities they’re returning to are safe.

But health officials got lucky this time: the Andes virus is not very contagious, and health officials say this outbreak will likely be contained. The way the U.S. has handled this episode shows glaring gaps in its pandemic preparedness, Gostin says: “If this was a highly transmissible virus, you could imagine what chaos we would be facing now.”

Advertisement

Gostin says more investment is needed in infectious disease prevention, containment and control.

Continue Reading
Advertisement

Trending