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Cystic Echinococcosis in Northern New Hampshire, USA

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Cystic Echinococcosis in Northern New Hampshire, USA


Disclaimer: Early launch articles are usually not thought-about as remaining variations. Any adjustments might be mirrored within the on-line model within the month the article is formally launched.

Creator affiliations: Dartmouth Well being, Lebanon, New Hampshire, USA (A. AlSalman, I.W. Martin, R. Mahatanan, E.A. Talbot); Dartmouth Faculty, Hanover, New Hampshire, USA (A. AlSalman, I.W. Martin, R. Mahatanan, E.A. Talbot); New Hampshire Division of Well being and Human Companies, Harmony, New Hampshire, USA (A. Mathewson, E.A. Talbot)

Echinococcus granulosus is a zoonotic cestode that lives within the gut of its definitive host, canids (e.g., canine, coyotes, foxes, wolves). Embryonated eggs launched in canid feces are instantly infectious when consumed by an intermediate host, normally an ungulate (e.g., moose, deer, sheep) or generally a human (aberrant intermediate host). An ingested egg hatches within the small gut, changing into an oncosphere that travels to organs such because the lung, liver, spleen, bone, or mind the place it kinds a thick-walled cyst. Canids turn out to be contaminated once they ingest flesh and viscera of an contaminated intermediate host (1). We report 2 human circumstances of E. granulosus tapeworm an infection in northern New Hampshire, USA, throughout 2022.

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Determine. Lung biopsy specimen from a affected person with Echinococcus granulosustapeworm an infection reveals a daughter cyst containing a number of protoscolices with inner hooklets and calcareous corpuscles. Hematoxylin and eosin stain; unique…

In April 2022, an in any other case wholesome middle-aged man (affected person 1) from rural northern New Hampshire sought care from his primary-care doctor for a routine bodily examination. On chest auscultation, the doctor heard localized wheezes, prompting chest radiograph and subsequent computed tomography scan; the pictures confirmed a noncalcified 4-cm mass within the decrease lobe of the appropriate lung. After preliminary endobronchial biopsy of the mass was nondiagnostic, the affected person underwent thoracoscopic lung wedge resection. A grey cystic lesion ruptured through the process, releasing clear fluid. The ruptured cyst was excised, and histologic examination confirmed the presence of a laminated outer cyst wall and quite a few daughter cysts, every containing a number of protoscolices with inner hooklets and calcareous corpuscles (Determine), options diagnostic of E. granulosus tapeworm an infection. The affected person was prescribed a therapy course of albendazole and deliberate shut follow-up, given the excessive threat for recurrence.

In December 2022, affected person 2, an in any other case wholesome middle-aged lady, sought medical consideration for anaphylaxis that was decided to be brought on by a ruptured cyst. Radiography confirmed 2 lung lesions and 1 small (<5 cm) liver lesion. Outcomes of serum Echinococcus antibody testing was optimistic. A course of albendazole was prescribed (400 mg 2×/d) and, 4 weeks into remedy, the affected person had the primary bigger pulmonary lesion efficiently excised with plans for resection of the second excision.

Each sufferers reported comparable epidemiologic threat components of dressing regionally hunted moose and publicity to canine in northern New Hampshire. Neither affected person reported related journey historical past outdoors of New Hampshire. Affected person 1 reported observing that the proportion of moose carcasses with intensive cystic lung lesions has elevated lately. The stool of his 4-year-old home canine examined damaging for E. granulosus by way of a industrial veterinary laboratory. We postulate that each sufferers acquired E. granulosus an infection both by consuming produce contaminated with contaminated canid feces or by way of consumption of eggs shed of their canine’ stool. The sufferers gave verbal permission to publish this report.

In the USA, regionally acquired human E. granulosus infections stay uncommon. Nevertheless, circumstances in Arctic and sub-Arctic areas of Canada and Alaska are properly described, primarily amongst Native American populations (24). Within the contiguous United States, a number of human circumstances are reported yearly in Arizona, New Mexico, California, and Utah (4). E. granulosus infections have been described in wildlife of northern New England (5,6); in 2012, surveillance of the hunter-harvested moose inhabitants (Alces alces) in Maine documented the presence of the G8 genotype E. granulosus (Canadensis) in 21/54 (39%) of lung units examined. Home canine and japanese coyotes (Canis latrans) have been recommended as definitive hosts, given the absence of wolves within the space. Different areas within the contiguous United States the place sylvatic cycles of transmission have been confirmed embody Idaho, Minnesota, California, and Montana; secure cycles have been described primarily within the Arctic and sub-Arctic areas of Canada and Alaska (2). Details about E. granulosus infections in native wild canids in northern New England is missing.

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New Hampshire Division of Well being and Human Companies has notified healthcare suppliers caring for sufferers concerned in moose searching about preventive measures. Such measures embody sporting waterproof gloves when dressing moose carcasses, stopping home canine and wild canids from consuming uncooked viscera, disposing of all viscera in accordance with suggestions from New Hampshire Fish and Sport Division, totally cooking all recreation meat that’s fed to canine, and administering to canine a deworming agent efficient in opposition to tapeworms a minimum of twice per 12 months.

Dr. AlSalman accomplished a fellowship in infectious illnesses in addition to residency generally preventive medication and public well being at Dartmouth Well being in Lebanon, New Hampshire. He’s now an infectious illnesses guide at UnityPoint Well being in Des Moines, Iowa.

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New Hampshire

Papaspyropoulos’ two goals net New Jersey Titans victory over New Hampshire Mountain Kings – The Rink Live

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Papaspyropoulos’ two goals net New Jersey Titans victory over New Hampshire Mountain Kings – The Rink Live


The New Jersey Titans beat the visiting New Hampshire Mountain Kings at Middletown Ice World Arena on Friday, Dec. 19, 2024, ending 4-3.

New Jersey’s Logan Renkowski scored the game-winning goal.

The visiting Mountain Kings opened strong, early in the game with Kim Hilmersson scoring 50 seconds, goal assisted by

Damon Bossie

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and

Oli Genest

.

The Titans tied the game 1-1 in the first period when

James Schneid

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scored, assisted by

Jack Hillier

and Lucas Marshall.

The Mountain Kings’

Cole Roenick

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took the lead late in the first period, assisted by Tanner Anctil and Charlie Vincent.

The Titans tied it up 2-2 with a goal from

Alex Papaspyropoulos

late in the first, assisted by

Kyle Kim

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and Jack Hillier.

The Titans scored two goals in second period an held the lead 4-3 going in to the second break.

Next games:

The teams play again on Saturday, Dec. 21, 2024 at 6 p.m. CST at Middletown Ice World Arena.

Read more NAHL coverage

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Automated articles produced by United Robots on behalf of The Rink Live.





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New Hampshire

In Bethlehem, NH, a hybrid Christmas tree stands up to the trials of climate change

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In Bethlehem, NH, a hybrid Christmas tree stands up to the trials of climate change


Eleven days before Christmas, an outdoor firepit crackles next to the gift shop at South Farm in Bethlehem. A speaker plays carols as cars roll into the small parking lot.

Nigel Manley, bundled up in wool pants and a red and green hat with a festive pom pom, runs the show. He’s a big deal in the Christmas tree world: he’s on the board of the national Christmas tree association, and a leader in several industry groups in New England.

He fell into the job while working at The Rocks. He was working for a cattle farmer, helping with a variety of jobs. But then, the farm started growing Christmas trees.

“Basically I could either do a Christmas tree farm or not have a job. So Christmas tree farming seemed to be like a good idea.”

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He loved it enough to start his own farm in 2014. Nowadays, he says he sings “Jingle Bells” all year round.

Manley plants about 900 trees a year. And he likes to experiment with new species, branching out from the Frasers and Balsams that have dominated the Christmas market for years.

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Several years ago, he happened upon the Korean fir. They have a silvery-blue sheen, because their needles twist as they grow, showing their undersides. And they smell citrusy, like oranges.

Manley says they’re also tough to prune; they don’t always grow straight up. So in 2021, he started planting a hybrid version pollinated with Balsam pollen.

“They’ve got the beautiful color. They’re growing well,” he said. “They’re easier to prune by far.”

Now, those hybrids are a third of the trees he’s planting each season. They grow fast. People like how they look and smell. And they’ve also had an unexpected benefit. They’re more resilient to the kinds of changes he’s seeing on his land, as warmer temperatures and wet summers cause trouble.

“We’re losing more Fraser firs because of the wetness, phytophthora root rot in particular,” he said.

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While Manley didn’t set out to find a Christmas tree that could thrive better in changing conditions, the hybrid firs just might fit the bill.

“It seems like in wetter conditions they’ll put up with more water. And just based on how they’re growing and knowing it has got warmer, I say they do really well in it,” he said.

Korean fir trees have had a difficult time in South Korea recently, where they make up a forest on Hallasan Mountain on Jeju Island. There, National Geographic reports they’re threatened by heat, erosion and increasing extreme storms.

Manley’s own Christmas tree, a Korean fir, is decorated with ornaments collected over the years.

In New Hampshire, though, the business for hybrid Korean/Balsam fir trees is thriving.

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Jay Weir, who owns Weir Tree Farms in Colebrook, says he’s ramped up production of seedlings, which he sells to growers across the country, including Manley.

“A lot of people really like the way these trees are performing,” he said. “They’ll grow in just about any type of soil, very resistant to root rots and pests.”

They don’t seem to be as affected by drought or wet weather as other firs, he said. And though there are a limited number of people selling seeds, he thinks they’ll become a bigger part of the industry moving forward.

Most of Manley’s trees are sold wholesale, and this year that included the hybrids. The rest stay at the farm for people to cut down themselves.

Gene and Liliana Farr picked out one of the first Korean fir trees Manley planted. They liked the citrus smell and the silvery color. It was their first time cutting their own tree, and they said they were excited to decorate it with birds and other animal ornaments.

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The tree is beautiful. So beautiful, Manley actually chose the same one to put it in his own house. But he didn’t cut it down fast enough; the Farrs beat him to it.

“It was just the way that it was formed, I liked it. Because of the challenge with trying to prune these, to me it’s like it takes something into the house that’s taken a lot of effort,” he said.

An effort now for his customers to appreciate as they unwrap presents, under brightly shining Christmas lights and lovely branches.





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NH weather: Seacoast is expected to get some snow today. Here’s how much

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NH weather: Seacoast is expected to get some snow today. Here’s how much


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After a week of warmer than average temperatures, New England is heading into the weekend before Christmas with snow showers.

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The snow will return the biting wind chills and freezing temperatures typical of a New England December back to the region, including New Hampshire and Maine.

In New Hampshire, today’s snow will mostly impact the Seacoast, with a light coating expected across the state. Here’s what to know about the timing, location and effects of today’s snowfall in New Hampshire.

Where in NH will it snow today?

According to the National Weather Service (NWS) of Gray, Maine, light snow showers will fall this evening into tonight across Maine and New Hampshire. The weather system is classified as a weak clipper, meaning it will bring strong winds and cold temperatures, but little precipitation.

Most areas of New Hampshire and Maine will see a light coating, with up to an inch of snow possible along the Seacoast of southeastern New Hampshire and mid-coast Maine. As of right now, the NWS has issued a hazardous weather outlook for south central Maine, southwest Maine and southern New Hampshire.

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Driving conditions in NH today

Today’s snowfall will not cause significant accumulation, but the NWS warns that the timing of the storm will affect the evening commute.

NH weather this weekend

While the past week has seen above average temperatures, this weekend will turn much colder. On Saturday and Sunday, the coast will see sub-zero wind chills with temperatures in the low 20s or early 30s during the day and the single digits at night.



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