Science
Contemplating a COVID party for your kids? It’s still a bad idea
Within the days earlier than a vaccine for rooster pox turned extensively out there, some mother and father would host “rooster pox events” amidst an outbreak to strive to make sure that their youngsters wouldn’t be disregarded of the wave of infections. The considering was that rooster pox was a gentle illness for teenagers however worse for adults, and catching it early would offer a lifetime of pure immunity.
Now the thought of “rooster pox events” is again — however this time, it’s for COVID-19. The Omicron variant appears much less harmful than earlier variations of the coronavirus and more durable for teenagers to keep away from now that they’re again in class, so why not get it out of the way in which?
The Occasions posed this query to 4 COVID-19 consultants, three of whom are additionally pediatricians who specialise in infectious ailments.
Whereas they expressed sympathy for folks frazzled by the seemingly countless pandemic, all of them stated there’s no actual upside to exposing your youngster to the Omicron variant — and loads of potential downsides.
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The notion of intentionally making an attempt to catch an infectious illness “just isn’t twenty first century considering, it’s not twentieth century considering, it’s nineteenth century considering,” stated Dr. James T. McDeavitt, dean of scientific affairs at Baylor Faculty of Medication in Houston.
There was some knowledge within the technique of yore, and that helps clarify why folks may need to go that route once more with the coronavirus (particularly mother and father who bear in mind attending rooster pox events as kids). However the parallels between then and now are weak, as are the potential rationales for in search of out the Omicron variant.
Is the Omicron variant gentle?
McDeavitt stated Omicron tends to be gentle in kids, “however typically it’s not.”
Dr. Dean A. Blumberg, chief of pediatric infectious ailments at UC Davis Kids’s Hospital, stated that of the greater than 7 million pediatric circumstances of COVID-19 in america because the begin of the pandemic, greater than 29,000 have resulted in hospitalizations and greater than 1,000 had been deadly. So whereas damaging problems aren’t frequent, he stated, “you’re principally rolling the cube and hoping your youngster doesn’t have one in all these extreme outcomes.”
Dr. Aaron M. Milstone, a pediatric infectious ailments specialist at Johns Hopkins Kids’s Middle, famous that infections are particularly dangerous for kids who haven’t gotten their COVID-19 pictures.
“We’re seeing youngsters who’re getting admitted to intensive care with acute COVID,” Milstone stated, “and it’s taking place extra often to unvaccinated youngsters than vaccinated youngsters.”
One factor we don’t but learn about Omicron, he added, is whether or not it is going to be related to multisystem inflammatory syndrome, a situation that confirmed up in some kids (and adults) 4 to 6 weeks after that they had COVID-19. MIS-C is a doubtlessly deadly illness that will trigger lingering coronary heart injury.
“We noticed our first circumstances of Omicron after Thanksgiving,” he stated. “We’re proper at that place the place we don’t know whether or not we’re going to have an enormous surge of MIS-C because of Omicron. We didn’t see that with Delta; we don’t know with Omicron.”
Virologist Paula Cannon, an affiliate professor of microbiology at USC’s Keck Faculty of Medication, stated Omicron could grow to be milder total, however we don’t know whether or not it is going to be milder for kids. It’s simple to think about a variant that has completely different results on sufferers in several age teams, she stated.
And even when an an infection doesn’t have a lot impact on a person youngster, Cannon stated, the kid could unfold the coronavirus to oldsters, grandparents, buddies and “the entire universe the kid will work together with.” And you may’t know if the consequence will likely be as benign for everybody “within the ripple of people that may very well be contaminated as a consequence of your youngster being contaminated,” she stated.
As McDeavitt put it, likelihood is that when you catch the Omicron variant, your signs received’t be extreme, however “when you don’t get it, you received’t get sick in any respect.”
Is an infection inevitable?
A part of the enchantment of a COVID-19 get together is the thought of getting some aid from the relentless nervousness about staying one step forward of the virus, Cannon stated. It’s a “let’s simply rip off the Band-Assist” method, fed by the idea that the coronavirus is in the end inescapable.
However McDeavitt argued that getting contaminated isn’t inevitable, particularly if folks put on masks, keep social distance and get vaccinated and boosted.
Though coronavirus vaccines aren’t as efficient in opposition to Omicron as they’re in opposition to earlier variants, they’re “low cost, efficient and extensively out there,” he stated. There’s no purpose to intentionally tackle the danger of an an infection “when there are higher alternate options.”
Granted, there’s no vaccine out there but for kids underneath age 5. However Cannon stated these youngsters will qualify quickly sufficient. “There’s positively a purpose to maintain your youngster not contaminated till they’re eligible for vaccination,” she stated.
Milstone stated Omicron could seem omnipresent in locations the place 30% to 40% of the COVID-19 assessments are coming again constructive. However that doesn’t imply 30% to 40% of the final inhabitants is contaminated. And apart from, this wave will fade, simply because the earlier ones have, and the danger of publicity will shrink.
“Not everybody will get flu yearly,” Milstone stated. “Not everybody will get a chilly yearly.”
Will pure immunity defend me longer than a vaccination?
Cannon stated it’s exhausting to tease out the immunity variations between individuals who’ve been contaminated however not vaccinated, individuals who’ve been vaccinated however not contaminated, and individuals who’ve been each contaminated and vaccinated.
However, Blumberg stated, when you have a look at all of the analysis, the overwhelming majority of research present that individuals have increased, extra constant and longer-lasting immunity because of vaccination than from an an infection. And even when your youngster catches COVID-19, he stated, you’d nonetheless need them to be vaccinated to cut back the danger of reinfection.
“We all know that individuals can get reinfected with COVID,” Blumberg stated.
As a result of Omicron is so infectious, Cannon stated, the hope is that we’ll find yourself with a inhabitants that’s largely resistant to the variant. However we don’t know whether or not that immunity could be sufficient to cease one other wave, or whether or not a brand new variant will come alongside that may get previous the defenses constructed up in response to Omicron, she stated.
One purpose some mother and father don’t need to vaccinate their kids, Blumberg stated, is their concern about uncommon but doubtlessly severe uncomfortable side effects equivalent to myocarditis, an irritation of the guts. However federal well being officers discovered that the speed of myocarditis was 100 occasions increased for kids who had COVID-19 than for kids who had been vaccinated, he stated. And the danger of myocarditis mixed with MIS-C was 1,000 occasions increased.
Can I isolate Omicron as soon as my youngster has it?
That is maybe the most important downside with a COVID-19 get together, consultants stated.
“Clearly, if youngsters get sick, they’re going to unfold it to folks round them,” Milstone stated. Even when the mother and father are vaccinated, if their youngsters carry the Omicron variant house, “it simply flies by the home.”
Added McDeavitt: “It’s a nasty concept within the absence of vaccines. I believe it’s a silly concept within the presence of vaccines. … It is going to trigger folks to get sick unnecessarily, and a few folks will get very sick unnecessarily.”
Dad and mom have to consider the disruption and danger this may pose not solely to their lives, however to the lives of everybody else their youngsters could are available contact with, Milstone stated. “Individuals must determine whether or not they’re going to only take into consideration their very own well-being or take into consideration their neighborhood well-being,” he stated.
That features the impact all these additional circumstances can have on the native healthcare system. If hospitals grow to be overwhelmed with COVID sufferers, Milstone stated, they received’t be capable of look after different significantly ailing and dying folks.
“Quite a lot of us in medication and public well being are form of pleading with folks to consider the neighborhood perspective,” he stated.
Science
Video: Two Americans Are Awarded the Nobel Prize for Medicine
new video loaded: Two Americans Are Awarded the Nobel Prize for Medicine
transcript
transcript
Two Americans Are Awarded the Nobel Prize for Medicine
Victor Ambros and Gary Ruvkun were awarded the Nobel Prize in Physiology or Medicine for their discovery of microRNA, which plays a role in organism development and gene regulation.
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The Nobel Assembly at Karolinska Institutet has today decided to award the 2024 Nobel Prize in Physiology or Medicine jointly to Victor Ambros and Gary Ruvkun for the discovery of microRNA and its role in post-transcriptional gene regulation. Here are the two laureates.
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Sex, radiation and mummies: How farms are fighting a pesky almond moth without pesticides
In a windowless shack on the far outskirts of Fresno, an ominious red glow illuminates a lab filled with X-ray machines, shelves of glowing boxes, a quietly humming incubator and a miniature wind tunnel.
While the scene looks like something straight out of a sci-fi movie, its actually part of an experimental program to prevent a damaging almond pest from successfully mating.
With California almond growers reeling from dropping nut prices and rising costs, the pests have only added to their woes.
Every year, the navel orangeworm eats through roughly 2% of California’s almonds before they can make it to grocery store shelves. Last year, it was almost double that.
While that might seem small, if you do the math “it’s going to be a lot of millions of dollars lost to this pest,” said David Haviland, a Kern County farm advisor with University of California Agriculture and Natural Resources. “And that’s despite the control methods that people use,” he said.
California produces 80% of the world’s almonds, yet in 2022 the production value of the nut fell 34% compared with the previous year.
Scientists say climate change could make the navel orangeworm problem even worse, with hotter temperatures allowing the moths to reproduce even faster. (Despite its name, the insect has largely left citrus farms unbothered and is in fact a moth.)
Traditionally, nut farmers have tackled the insect with chemical pesticides, or by destroying “mummies” — almonds left over after harvest. Mummies are a favorite winter shelter for the bugs.
However, research is increasingly showing that chemical pesticides are not only harmful to the environment but to people as well. One new study found that the impact of nearby pesticide use on cancer incidence “may rival that of smoking.”
“When you have to don a spacesuit, basically, to apply something, you’re definitely thinking, ‘This is not good,’” said Houston Wilson, an entomologist with UC ANR’s Kearney Agricultural Research and Extension Center and the mastermind behind the sci-fi shack.
“Across the board, folks want to get away from chemical controls,” he said.
So farmers and researchers have been searching for other non-pesticide alternatives.
Removing almost every last mummy from every tree in an orchard can be effective, but since it must be done manually, it can become too expensive and complex for some growers.
Another tactic that’s been used since around 2010 is to cover orchards with disorienting levels of sex pheromones to confuse horny moths — a technique known as “mating disruption.”
But with limited budgets and climate change threatening to make the pest situation worse, researchers are studying another yet-to-be-proven approach: sterilizing almost a million moths a day with radiation and dropping them out of planes.
The idea behind the technique is that by flooding orchards with sterilized insects, they will mate with fertile insects and produce no offspring, reducing the overall population.
The simplest way to sterilize the bugs is to use radiation. Since their reproductive genes tend to mutate faster, the right dose can leave them relatively unfazed but unable to reproduce.
At the request of almond and pistachio farmers, the California Department of Food and Agriculture has been working with the Animal and Plant Health Inspection Service of the U.S. Department of Agriculture since 2018 to source sterilized moths from a Phoenix lab.
The lab sterilizes about 750,000 bugs per day, then chills the moths to put them to sleep and ships them off to California. The bugs are dropped from an airplane hundreds of feet in the air. Often too sleepy to fly, the insects crash into the hard ground or almond trees.
From there, the survivors have only one job: have sex.
Through this test program, the USDA hopes to perfect the best ways to get moths to reproduce in the lab and give them the right dose of radiation that will sterilize them but not severely injure or disorient them.
The program has yet to put a significant dent in the moth population, though, because they can’t produce enough sterile bugs.
Right now, researchers are only finding a couple of sterile insects in traps for every hundred wild fertile moths. For the technique to be effective, they’ll need to deploy dozens of sterile bugs for every wild one.
Matthew Aubuchon, national policy manager at the USDA’s Animal and Plant Health Inspection Service, estimated that the Phoenix facility could produce up to 8 million moths per day with enough staff working around the clock.
While opening more facilities in California would help, the program uses cobalt to produce high-energy radiation to sterilize the bugs — which is expensive and requires the lab to take extensive safety and security measures.
Wilson’s sci-fi shack at Kearney might hold a solution that is cheaper and easier to scale.
Instead of using cobalt or other radioactive materials, Wilson’s team uses an X-ray machine to irradiate the pests. (Unlike a radioactive substance, an X-ray machine will not emit radiation when it is turned off.)
Then, the team puts their X-rayed bugs and the sterilized insects from Phoenix through a series of tests to determine which methods produce the healthiest, sterile moths.
The tests include gluing moths to the end of a stick suspended in the air. The stick rotates like a carousel as the moths flutter around and researchers record how well they can fly.
The researchers also place moths in a wind tunnel and release sex pheromones to see if the excited bugs are able to locate the smell. (Unfortunately for the insects, there are no potential mates at the end of the tunnel.)
While the team doesn’t yet produce enough X-rayed moths to test them in a full-blown almond orchard, they do send the Phoenix moths into their final test: releasing them into their seven-acre almond farm on the Kearney campus to see how good they are at actually finding fertile moths to mate with.
The researchers at Kearney may be in a race against time, however.
Scientists say it’s possible that climate change will continue to tip the weather in the moths’ favor. The metabolism of navel orangeworms — like many agricultural pests — is tied to temperature. The hotter it is, the faster they grow and reproduce.
A 2021 study found that the moths, which can have life cycles as short as just one month, may be able to squeeze in another generation each summer before holing up in nuts for the winter.
“For each additional generation, their population is increasing at an exponential rate,” said Tapan Pathak, an author on the study and a professor at UC Merced.
“If this additional generation is coinciding with … harvest,” Pathak said, “then they become unmarketable. That’s a huge economic loss.”
However, the food web is complicated, and just because the warmer weather benefits the moths on paper doesn’t mean the moths will end up on top.
“Navel orangeworm could be a nightmare … but it could also become less of a problem because all the things that eat it benefit more from the heat than the navel orangeworm,” said Haviland. “The crystal ball is certainly not clear enough to know what will happen.”
Researchers stress that successful pest control will require multiple measures.
“What we’ve learned through integrated pest management is that the timing of one or staggering of different approaches together yields results for the growers,” said Aubuchon.
The tried-and-true non-pesticide method growers have been using since the moths’ unannounced arrival in the 1940s is to simply ensure all the almonds are either harvested or destroyed by the time winter arrives.
But for this method to be effective, there must be no more than two almonds left on every tree in an orchard. This can be hard to achieve in wet weather.
Rain makes almond branches soggy and flexible, which makes it hard to snap nuts off using an industrial shaker. Damp earth can also make it difficult for machines to get close to the trees.
Instead, workers must use poles to knock almonds off manually. As effective as this is, increasing labor costs mean some farms just can’t afford it.
While researchers say the sterile insect technique still has a lot of hurdles to clear before it will be widely effective, they say it holds great promise.
“You’re literally managing a pest by preventing it from being born in the first place,” said Haviland of both sterile insect technique and pheromone mating disruption. “To think that something like that was possible 10 or 15 years ago — nobody could imagine that growers would be using such innovative techniques as those.”
Science
The Tijuana River smells so bad, the CDC is coming to investigate
San Diego County residents will have an opportunity to share their pollution concerns about the Tijuana River when officials from the Centers for Disease Control and Prevention arrive later this month to conduct a health survey.
This is the first time that a federal agency is investigating the potential harm caused by millions of gallons of raw sewage pouring through the Tijuana River that have caused beach closures of more than 1,000 days. Residents living near the river say they have been suffering unexplained illnesses, including gastrointestinal issues and chronic breathing problems, because of the stench of hydrogen sulfide.
“We’re continuing to lean in and listen in on what our community residents are feeling,” said Dr. Seema Shah, the interim deputy public health officer with San Diego County. Supervisor Nora Vargas first wrote to the CDC back in May, formally asking the U.S. Department of Health and Human Services to look into the health complaints.
This week, the county began reaching out to thousands of residents to inform them that the CDC is coming in the hope that they will be more receptive to answering questions. “This is our chance to be able to communicate [pollution concerns] on a national level,” Shah added.
As part of what the CDC calls a Community Assessment for Public Health Emergency Response, 210 households will be surveyed about their mental and physical health, as well as the pollution’s effects on property values. The families will be randomly selected from 30 clusters of neighborhoods where San Diego County has identified air pollution complaints in the Tijuana River Valley.
Around 30 officials from the CDC and 50 graduate student volunteers from San Diego State University’s School of Public Health will be going door to door to conduct interviews with local residents over a three-day period. Here are the times when the survey will be conducted:
- Thursday, Oct. 17, 2024, from 2 p.m. to 7 p.m.
- Friday, Oct. 18, 2024, from 2 p.m. to 7 p.m.
- Saturday, Oct. 19, 2024, from 10 a.m. to 7 p.m.
The goal is to accommodate people’s schedules and, officials hope, catch them after work, Shah said. The volunteers are helping to bridge the language barriers with Spanish-speaking families.
“A lot of students, many of whom are bilingual, are from the community themselves,” said Paula Granados, an associate professor at San Diego State University’s School of Public Health, who’s been testing the Tijuana River for contaminants over the past month. “Our students are super excited. They want to help.”
The CDC could take weeks to months to release even the preliminary results from the survey, but for longtime residents like Bethany Case, this renewed attention already feels like a breath of hope.
“I just really want [this survey] to inform policy so that we don’t have to worry about our kids being sick,” said Case, the mother of two who’s lived in Imperial Beach for 16 years. For seven years she’s been an activist fighting to clean up the river as a volunteer with Surfrider, a nonprofit that works to preserve ocean access and cleanliness.
“I’m hoping that their survey shows that oftentimes it doesn’t just smell like sewage,” Case added. She doesn’t want the focus on the sewage to distract from the industrial waste that is dumped into the river that could be making people ill. “Oftentimes it smells like a chemical, it smells like a bite in the air, it burns your sinuses.”
Granados said the CDC’s survey is only a snapshot of what was going on when the data were collected, and conditions could worsen for residents when rainy seasons flood the river once more. Granados wants residents to know that even if they aren’t picked to respond to this survey, SDSU will be conducting its own yearlong survey that they can answer multiple times at tjriver.sdsu.edu.
“There’s research that’s still ongoing,” Granados said, and all that data will help policy decisions in the future. “We’re just committed to the long haul, whatever it takes to support the community.”
The county and other federal and state representatives have been working to raise awareness around the pollution to a national level.
Next week, the San Diego County Board of Supervisors will consider a proposal by Supervisor Terra Lawson-Remer to petition the Environmental Protection Agency to label the Tijuana River a Superfund site in need of remediation.
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