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New Multi-Drug Resistant Gonorrhea Detected In U.S., 2 Cases In Massachusetts

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New Multi-Drug Resistant Gonorrhea Detected In U.S., 2 Cases In Massachusetts


What’s worse than being advised that you’ve gonorrhea? How about being advised that you’re the primary case within the U.S. of gonorrhea that has both no response or diminished response to 5 completely different courses of antibiotics? Yep, that’s what lately occurred to not one however two folks in Massachusetts, in accordance with a January 19 announcement from the Massachusetts Division of Public Well being (DPH). They had been contaminated with a pressure of Neisseria gonorrhoeae micro organism that’s even tougher to deal with, which is sort of like getting kicked within the groin after which falling forwards groin-first on to a bowling ball. Take into consideration the burning sensation that drug-resistant gonorrhea could provide the subsequent time you might be on a Tinder date and forego utilizing condoms as a result of “it feels higher with out a condom.”

An alert letter from the Facilities for Illness Management and Prevention (CDC) to well being professionals described how these instances had been discovered. The primary case went to a major care clinic after experiencing urethritis signs. Urethritis, which is pronounced “your a thritis” versus “all of us are thritis,” is irritation of your urethra. Your urethra is that tube that runs out of your bladder to the place pee comes out of your physique. When you have got such irritation, chances are you’ll really feel the urge to urinate even whenever you don’t must urinate. That’s known as urinary urgency, which is a bit of completely different from the urgency you get when you’re making an attempt to promote your bitcoin earlier than its worth drops any additional. Different doable indicators of urethritis embrace problem beginning urination, feeling itching, ache, or discomfort down there, or a discharge or blood popping out of your urethral opening.

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The well being professionals on the clinic took specimens from the affected person’s urethra after which discovered N. gonorrhoeae in these specimens. The Massachusetts State Laboratory carried out additional testing, which revealed that this micro organism was unusually proof against completely different antibiotics, after which subsequently despatched the samples to the CDC for much more testing. It turned that this N. gonorrhoeae had diminished susceptibility to ceftriaxone, cefixime and azithromycin and full resistance to ciprofloxacin, tetracycline, and penicillin. It was the primary documented case within the U.S. of N. gonorrhoeae being at the very least partially resistant to 6 of the seven antibiotics sometimes examined as a part of the usual GISP (Gonococcal Isolate Surveillance Challenge) panel. The diminished susceptibility to ceftriaxone gave the impression to be the results of a penA60 allele mutation.

Looking out accessible samples from different sufferers in Massachusetts discovered this mutation to be current in N. gonorrhoeae from one other affected person, thus figuring out the second case within the state. Thankfully, each instances of gonorrhea had been solely partially proof against ceftriaxone, an antibiotic advisable by the CDC to deal with gonorrhea. Subsequently, docs might efficiently use ceftriaxone, particularly a single injection of ceftriaxone 500 mg intramuscularly, to eliminate the infections in each instances. However, discovering this new drug-resistant model of N. gonorrhoeae ain’t excellent news. The priority is that finally this model of the micro organism could some day mutate to the purpose that not one of the accessible antibiotics work.

Of word, these two instances didn’t appear to be associated in any approach, except the 2 had been taking part in the “By no means noticed that individual in my life” recreation. Subsequently, there could possibly be different folks quietly carrying this new a number of drug-resistant model of N. gonorrhoeae. Let’s hope that not too many individuals who point out that they’ve a “progress mindset” on their courting profiles aren’t referring to the expansion of N. gonorrhoeae.

The 2 instances in Massachusetts had been truly the second and third instances the penA60 allele has been discovered within the U.S. The primary time was in Las Vegas, Nevada again in December 2019. Apparently, what occurred in Las Vegas could not have stayed in Las Vegas. Though these have been the one three such instances detected within the U.S. up to now, it’s not clear how far the micro organism has already unfold as not everybody could have gotten examined. This model of N. gonorrhoeae with the penA60 allele has already appeared in the UK and elements of Asia so it might be solely a matter of time earlier than extra instances seem elsewhere.

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In case you haven’t figured it out but, gonorrhea is just not an incredible sexually transmitted an infection (STI) to have (versus the entire different wonderful-to-have STIs, proper?) You could not have any signs in any respect, which suggests that you may silently, unknowingly unfold the an infection to different. Whenever you do have signs, they sometimes stomach or pelvic ache and signs of urethritis.

Now, earlier than you say, “Who couldn’t use a bit of extra urgency in life,” the even greater with gonorrhea is the assorted problems that may happen. The micro organism can unfold to different elements of your pelvis, resulting in pelvic inflammatory illness, infertility, and being pregnant problems in ladies and irritation of the epididymis, which is positioned in your testicles, and infertility in males. The micro organism may unfold to your joints, your bloodstream, and different elements of your physique, leading to all types of issues reminiscent of fever, rashes, sores, joint ache, swelling and stiffness. The underside line (which by the best way could be affected too) is that gonorrhea is a major problem. So get examined for gonorrhea in case you have had unprotected intercourse with anybody who hasn’t been a long run unique associate, even whenever you don’t have any signs.

What makes this an much more major problem is the emergence of this new multi-drug-resistant model of gonorrhea within the U.S. The DPH announcement quoted Massachusetts Public Well being Commissioner Margret Cooke, JD, as saying, “The invention of this pressure of gonorrhea is a severe public well being concern which DPH, the CDC, and different well being departments have been vigilant about detecting within the US.” She added, “We urge all sexually energetic folks to be often examined for sexually transmitted infections and to contemplate lowering the variety of their sexual companions and rising their use of condoms when having intercourse.”

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Sure, it might be a very good thought to scale back the variety of sexual companions, particularly when you want an app to maintain observe of all of them. Gonorrhea has been on the rise all through the U.S., with reported instances rising by 131% from 2009 to 696,764 in 2021 in accordance with information from the CDC. You positively shouldn’t be proof against the thought of utilizing condoms throughout intercourse, lest you get one thing that’s proof against a complete lot of antibiotics.



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Massachusetts

Scouting Massachusetts for great lobster rolls

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Scouting Massachusetts for great lobster rolls


Look up “quintessential New England summer food” in the dictionary and there should be a picture of an ice-cold fresh-shucked New England lobster roll.

You know the top spots: The long-time local-owned clam shack on your local waterfront. The upscale city spot that charges a bit extra but delivers. The seafood restaurants with world name recognition. You can count on them to deliver.

But there are some other special locales to scarf down a fantastic lobster roll. Here are some perhaps surprising spots to savor that New England classic.

At a landmark: We’re talking beloved Fenway Park. For the most part, I’m anti “other types of food” at the ballpark. Chowder at a Sox game? Nah. I’m all about the classics: Kettle corn, peanuts, Hoodsies and of course, Fenway Franks.

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So it was a delicious surprise when, while at a recent game, I opted to tuck into a Luke’s Lobster lobster roll.

Perfection. It’s a buttery roll stuffed full with sweet, fresh and meaty lobster seasoned with a tiny bit of mayo and a few secret spices Luke won’t divulge. They’re sublime.

And lobster rolls pair perfectly with a Red Sox game. Sure, a roll (with a bag of chips) will cost you $38 at the game. But hey: with a fountain lemonade ringing in at $10.50 at Fenway, that feels like a value.

Behind the barn: The big red barn at the fork of Sandwich and River Streets in the Chiltonville section of Plymouth has been many things over the years. Carpentry center, penny candy stop, farm stand,  and ice cream spot are just a few of its iterations, and always under the same family, the Bramhalls.

This generation of Bramhalls have taken that classic red barn and ramped it up to a must visit for their out-of-this-world lobster rolls.

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Bramhall’s butters and toasts a fresh roll and then fills it with super fresh shucked meat (so fresh, they can name the lobsterman/woman who dropped them off that very morning). They leave the seasonings to you, giving you a little mayo, salt and pepper to make your own choice. It works. The fresh sweet lobster meat is – as it should be – the star.

You’ll dine at simple picnic tables under shade trees  (or down the street looking out over the beach and ocean). Pro tip: follow it with one of Sally’s fresh and made on site ice cream sandwiches. www.bramhallscountrystore.com

Off a truck: When it come to serving fresh, local and perfect lobster rolls, the Lobsta Love Truck, created and operated by award-winning chef Stephen Coe (chefstephencoe.com) – who “Beat Bobby Flay” and is in development for his own food series – is a sure thing.

Lobsta Love pops up all over – city streets, small town beer gardens, fundraisers and more. You might spot it pulled into a firehouse: Coe and Lobsta Love believe in serving those who serve us.

Coe, who calls the South Shore home and is a believer in shopping local, fresh and sustainable, has direct links to lobster boats right on the docks of the South Shore.

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When the boats pull in, Coe and his team pick up their lobsters, cook them and let them sit and chill for a day before mixing in his own secret dashes of this and that – enough to amp up flavor but let the fresh, cold lobster meat shine through.

Find them and dig in.

 

Stephen Coe is the culinary whiz behind Lobsta Love. ( Moira McCarthy)

 

Bramhall's in Plymouth offers mouthwatering lobster rolls, and house-made ice cream sandwiches to boot. ( Moira McCarthy)
Bramhall’s in Plymouth offers mouthwatering lobster rolls, and house-made ice cream sandwiches to boot. ( Moira McCarthy)

 



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Massachusetts

Mass. House approves updates to insurers insolvency fund

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Mass. House approves updates to insurers insolvency fund


BOSTON, Mass. (SHNS)–Massachusetts residents and businesses would secure stronger protections if their property and casualty insurance carriers end up going bankrupt, under a bill gaining late-session momentum on Beacon Hill.

Without debate, the House last week quietly passed a bill (H 4772) that aims to update parameters for an insurance social safety net fund, created by the Legislature in 1970, and raise the caps on property and casualty claims that have not been revised in decades. The Senate sent the redrafted bill, originally sponsored by Rep. Daniel Cahill, to the Senate Ways and Means Committee on Monday.

The bill would ensure that the Massachusetts Insurers Insolvency Fund aligns with a framework promoted by the National Association of Insurance Commissioners in 2009, said Barbara Law, who administers MIIF and is the CEO of Guaranty Fund Management Services. The bill also clarifies that MIIF covers cybersecurity insurance claims.

“The Massachusetts version of the statute was one of the oldest in the country — it has not been updated from time to time over the years,” Law told the News Service. “So there are a lot of opportunities to bring current best practices from other states to Massachusetts, plus an opportunity to increase the cap for coverages. So individuals, particularly on the property side, we would be able to ensure that there was enough coverage allowed by the law so they would have a greater likelihood of having the entirety of their claims covered.”

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Weather-related events in recent years have caused property insurance insolvencies in Louisiana, Florida and South Carolina, she said.

“We wanted to be prepared if those insolvencies started to have a greater effect on Massachusetts, and we also wanted to make sure that if we start to experience that type of weather up here, that we were prepared,” Law said. “So it really is about preparedness. We wanted to make sure that our law was in shape to make sure that it afforded enough coverage for the residents in Massachusetts.”

The bill would boost the existing claims cap, such as for car accidents and environmental cases, from $300,000 to $500,000, a level already enacted in Connecticut and Rhode Island, according to testimony Law sent to the Financial Services Committee co-chairs last fall. The new limit would not apply to workers’ compensation claims, which do not have a cap and are paid by the fund for life, Law said.

Aiming to provide a safety net for Massachusetts home and property owners, the bill also proposes a $1 million cap for residential or commercial property, a policy that Law said was implemented in California after a wildfire caused an insurer to go bankrupt.

“We do recognize that Massachusetts has high reconstruction values for property, so we recommend a $1 million limit for property claims just to ensure that we keep pace with the time,” she said.

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All insurance companies that are licensed to provide property and casualty coverage in the commonwealth are members of MIIF, and they contribute to the fund to help pay out claims, according to GFMS.

The Massachusetts Association of Insurance Agents supports the bill, particularly the special real property cap provision due to the “increased severity and frequency of these claims,” said CEO Nick Fyntrilakis. In written testimony, Fyntrilakis warned Massachusetts is “currently disadvantaged compared to other states” that have embraced updated insurance policies.

“This bill would enhance benefits to Massachusetts residents affected by insurer insolvencies and reduce costs to the property and casualty insurance guaranty fund framework in the Commonwealth with no tax increases or increased appropriations if enacted,” Fyntrilakis said. He added, “These updates are much-needed and, in some instances, long-overdue.”

Law said MIIF, which is regulated by the Division of Insurance, has paid roughly half a billion dollars in claims to policyholders throughout its history when small and large insurance companies were insolvent. Workers’ compensation claims have largely driven activity in the fund, though Law said MIIF has also seen bursts of activity tied to insolvencies from asbestos-related claims in the late ’80s and early ’90s and the aftermath of the 9/11 terrorist attacks.

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The Biggest Fish Ever Caught In Massachusetts

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The Biggest Fish Ever Caught In Massachusetts


I went deep sea fishing for the first time last week while on vacation. I have a little more respect for people who love to fish now. I didn’t understand the love of it, but now I appreciate the sport. There is a lot more finesse to fishing than I thought.

Where and what was Massachusetts biggest fish ever caught? For the purpose of this post, we are talking about freshwater fish.

There are two main lakes in the Berkshire County’s biggest city. Lake Onota and Pontoosuc Lake in Pittsfield are two busy spots when it comes to fishing whether it be summer or winter.

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The photo above is courtesy of Joshua Christman on Facebook from Pittsfield’s CARP Palooza on June 15, 2024 on Pontoosuc Lake in Pittsfield and Lanesborough.

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A man shows a northern pike caught in Lake Onota earlier this year. Note: this is not the actual biggest fish caught.

Two 45-inch northern pikes both caught in Lake Onota, according to mass.gov

Ashley DePaoli in 2017 (45.5 inches Lake Onota)

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Craig Strong in 2021 (45.5 inches Lake Onota)

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A 46 pound carp measuring 42 inches was caught in 2012 in Quinsigamond Lake in Shrewsbury MA.

A 35 pound Northern Pike measuring 47 inches was caught on Quacumquasit Pond in Brookfield, MA back in 1988.

A 27 pound Tiger Muskellunge measuring 46 inches was caught in Pontoosuc Lake in Pittsfield, MA in 2001.

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LOOKS: Things you’d likely see in an awesomely ’80s garage

From scandalous bikini calendars to your dad’s AMC Gremlin, ’80s garages were a treasure trove of adventure, good fun, and sometimes downright danger.

Gallery Credit: Stephen Lenz





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