Science
COVID and bird flu are rising. Here's how to keep yourself safe
With California’s COVID surge at very high levels, doctors are urging people who are experiencing respiratory symptoms to test themselves or see a medical professional who can check on their illness.
This is the worst COVID summer infection spike in California since 2022, according to wastewater data. There are a number of possible culprits for the surge. A series of punishing heat waves and smoke from devastating wildfires have kept many Californians indoors, where the disease can more easily spread. Most adults are also well removed from their last brush with the coronavirus, or their last vaccine dose — meaning they’re more vulnerable to infection.
But changes in the virus have also widened the scope of the surge.
Of particular concern is the rise of a hyperinfectious subvariant known as KP.3.1.1, which is so contagious that even people who have eluded infection throughout the pandemic are getting sick.
“This is a very large surge that we are seeing currently. This is starting to rival, really, what we saw this past winter,” said Dr. Elizabeth Hudson, regional chief of infectious diseases at Kaiser Permanente Southern California.
Coronavirus levels in Los Angeles County wastewater are continuing to rise, according to the most recently available data. And viral levels in California wastewater are at “very high” levels as defined by the U.S. Centers for Disease Control and Prevention.
Coronavirus levels in the state’s wastewater were down 3% when comparing the week that ended Aug. 10 with the prior week, a possible indication that levels are cresting — although it’s also possible that coronavirus levels will increase again. Seasonal viral levels in sewage are expected to peak at some point, but it won’t be clear until a few weeks of consistent declines are observed.
Here are some things that experts say you can do to keep yourself safe:
Get tested
Doctors are urging people dealing with respiratory illness symptoms — including healthcare providers — to seek testing.
Dr. Abraar Karan, an infectious diseases expert and epidemiologist at Stanford University, said confirmation of a COVID-19 diagnosis would help a patient get a Paxlovid prescription to help treat the illness, while confirmation of another illness, like the flu, could help a patient get a drug more targeted toward that ailment.
An initial negative test does not mean you don’t have COVID; doctors suggest testing for as long as five days after the onset of symptoms to determine whether a test turns positive.
More consistent testing at medical facilities also could help detection of unusual strains that epidemiologists want to track, such as bird flu.
Bird flu has attracted attention recently because of outbreaks in poultry and dairy cows, and there have been several recent human cases among dairy and poultry workers in the U.S., according to the CDC.
The rise of bird flu
Recent human cases of H5N1 bird flu have resulted in primarily mild symptoms, including conjunctivitis, also known as pink eye, Karan said.
But one reason doctors are closely monitoring the situation is that, in the decades in which we’ve been aware of bird flu infecting humans, some H5N1 strains have resulted in significant mortality rates.
According to the CDC, human infections with H5N1 virus, which have been reported in 23 countries since 1997, have resulted in severe pneumonia and death in about 50% of cases.
Now that we know bird flu has infected cows, and there’s cow-to-human transmission, that poses a potential problem.
“Cow udders have receptors in common with birds, and they also have receptors in common with humans, where these viruses bind,” Karan said.
“Now, with human flu season coming, you have the risk of what’s called viral reassortment, where a host can get infected with both bird flu and human flu at the same time, and those flus now start swapping genetic material,” Karan said. “This is kind of how swine flu happened [in 2009]. So this is where we’re really worried. It’s like a ticking time bomb of human flu season around the corner, and yet we still have this uncontrolled spread of bird flu in cows.”
Bird flu hasn’t resulted in sustained human-to-human transmission, nor caused a pandemic in humans, in recent times.
“But it’s one of those pathogens that’s high risk of mutating to a point of increasing transmissibility. And the pathogen has had high virulence based on historical cases. … It’s the risk of where it could go,” Karan said.
Tracking the spread
This illustrates why it can be important for patients to get tested. If a test shows that a person has the flu, subsequent screening — including genetic subtyping — could eventually determine whether it is bird flu. And that could help epidemiologists figure out how the bird flu may have spread and help doctors determine the best course of treatment.
Even if a case of bird flu results in mild symptoms, it’s important to diagnose it, Karan said, so the virus sample can be genetically analyzed and scientists can track where it jumped from animal to human, and potentially more aggressively treat the patient with antivirals.
“But imagine — that only happens if I even test that patient for flu at all,” Karan said.
Where bird flu stands in the U.S.
Since 2022, according to the CDC, there have been 14 reported human cases of H5 bird flu in the U.S., 13 of which have been reported since March 24. Of the 14, nine have been confirmed as H5N1.
Of the 14 cases of bird flu in humans, 10 followed exposure to poultry, and the remainder followed exposure to cows. All of the reported human cases have occurred in three states: Colorado, Michigan and Texas.
Nationally, there are 48 states with bird flu outbreaks in poultry and 13 with outbreaks in dairy cows.
Since 2022, more than 100 million birds in the U.S. have been reported to have been infected with bird flu, including commercial poultry, backyard or hobbyist flocks and wild aquatic birds; it’s the first detection of this type of flu virus in the U.S. since 2016.
Bird flu has been detected in wild birds in most counties of California, including all of Southern California and the San Francisco Bay Area, and most of the Central Valley.
Bird flu outbreaks — those involving commercial poultry facilities or backyard poultry and hobbyist bird flocks — in California have been reported in just one county in Southern California: San Diego County. Bird flu outbreaks have occurred in a number of counties in Northern and Central California, including Sacramento, Contra Costa, Fresno, San Francisco, San Joaquin, Stanislaus, Sonoma, Monterey, Placer, Merced and Marin counties.
As for bird flu infecting dairy cows, 13 states have reported outbreaks — Idaho, Wyoming, Colorado, New Mexico, Texas, Oklahoma, Kansas, South Dakota, Minnesota, Iowa, Michigan, Ohio and North Carolina. In the last month, outbreaks infecting dairy cows have affected five states: Idaho, Colorado, Texas, South Dakota and Michigan.
In May, there was a detection of bird flu in a live bird market in San Francisco, according to the California Department of Food and Agriculture. State officials urged people to separate poultry from wild birds if possible.
“Because of the recent case in California poultry production and epidemiologic evidence that this strain was introduced by wild birds, we ask that California producers move their birds indoors through December 2024,” the California Department of Food and Agriculture said in June.
Protecting family and friends
The CDC earlier this year eased COVID isolation guidance, given that the health impacts of COVID-19 are lower than they once were, thanks to the availability of vaccines, anti-COVID medicines and increased population immunity.
There are fewer people being hospitalized and dying, and fewer reports of complications such as multi-inflammatory syndrome in children.
Still, doctors say it remains prudent to take common-sense steps to avoid illness and spreading the disease to others, given that COVID still causes significant health burdens that remain worse than the flu. Nationally, since the start of October, more than 49,000 people have been reported to have died of COVID; by contrast, flu has resulted in at least 25,000 fatalities over the same time period, according to federal estimates, which will be updated later this year.
While the prevalence of long COVID has been going down, long COVID can still be a risk any time someone gets COVID.
Doctors are urging everyone to get up to date on vaccinations — particularly if patients are at higher risk of severe complications from COVID-19. An updated COVID-19 vaccination formula is expected to become available in a matter of week, and the CDC is urging everyone 6 months and older to get one dose of the updated vaccine.
In California, just 37% of seniors 65 and older have received the last updated COVID-19 vaccine that first became available in September.
It’s especially important that older people get at least one updated dose. Of the patients he has seen recently who had serious COVID, UC San Francisco infectious diseases specialist Dr. Peter Chin-Hong said none of them had gotten an updated vaccine in the last year.
Avoid sick people. Some who are infected might pass off their symptoms simply as a cold or allergies when it could be the start of a COVID-19 illness.
Test if you’re sick, and test repeatedly if your first test shows up as negative.
An initial negative test doesn’t mean you don’t have COVID; doctors suggest testing for as long as five days after the onset of symptoms to check whether a test turns positive.
Consider taking a rapid COVID test once a day for three to five consecutive days after the onset of cough-and-cold symptoms, Hudson said.
Doing so can help a person take measures to later isolate themselves and limit spread of the illness to others.
Masks are much less common these days but can still be a handy tool to prevent infection. Wearing a mask on a crowded flight or in a crowded indoor venue where people nearby are coughing can help reduce the risk of infection.
The best mask is one that is well-fitted and that you find comfortable wearing. The most protective are N95 respirators, followed by KN95 respirators and KF94s. Surgical masks offer more protection than cloth masks.
Have a plan to ask for Paxlovid if you become ill. Paxlovid is an antiviral drug that, when taken by people at risk for severe COVID-19 who have mild-to-moderate illness, reduces the risk of hospitalization and death.
And if you get Paxlovid, make sure to take the full five-day course of treatment. Don’t stop taking the drug halfway through the dose.
There are also other anti-COVID medications that are available, such as remdesivir, which is given intravenously, and molnupiravir, which is given orally, like Paxlovid.
- Stay away from others while sick
The CDC recommends people stay home and away from others until at least 24 hours after their respiratory viral symptoms are getting better overall and they have not had a fever without using fever-reducing medicine such as Tylenol or Advil. Previously, the CDC suggested people with COVID isolate for at least five days and take additional precautions for a few more days.
In terms of deciding when symptoms are getting better, what’s most important is “the overall sense of feeling better and the ability to resume activities,” the CDC says. A lingering cough by itself can last beyond when someone is contagious, the CDC said.
But the CDC also advises added precautions for five additional days to avoid infecting others, such as wearing a mask, opening windows to improve air circulation, washing hands often, keeping one’s distance from others and continuing to test. It’s possible for infected people to be contagious even after they feel better.
The Los Angeles County Department of Public Health suggests infected people who have symptoms get a negative test result before leaving isolation. The agency also suggests those who are infected — regardless of whether they have symptoms — wear a mask around others for 10 days after they start feeling sick or, if asymptomatic, their first positive test result. However, they can remove their mask sooner if they have two sequential negative tests at least one day apart.
The agency suggests staying away from the elderly and immunocompromised people for 10 days after you start to feel sick, or, if asymptomatic, after their first positive test result.
If patients recover and then get sick again, they may have COVID rebound and need to stay home and isolate from non-infected people in their household.
Science
How to protect yourself from the smoke caused by L.A. wildfires
You don’t have to live close to a wildfire to be affected by its smoke. With severe winds fanning the fires in and around Pacific Palisades, the Pasadena foothills and Simi Valley, huge swaths of the Southland are contending with dangerous air quality.
Wildfire smoke can irritate your eyes, nose, throat and lungs. The soot may contain all kinds of dangerous pollutants, including some that may cause cancer. The tiniest particles in smoke can travel deep into your lungs or even enter your bloodstream.
Conditions like these aren’t good for anyone, but they’re particularly bad for people in vulnerable groups, including children, those with asthma or other respiratory conditions, people with heart disease and those who are pregnant.
Here’s what you should know to keep yourself safe.
Stay indoors
Minimize your exposure to unhealthy air by staying inside and keeping your doors and windows shut.
If you have a central heating and air conditioning system, you can keep your indoor air clean by turning it on and keeping it running. Make sure the fresh-air intake is closed so that you’re not drawing in outdoor air.
Keep your pets inside
They shouldn’t breathe the unhealthy air either.
Check your air filters
Clean filters work better than dirty ones, and high-efficiency filters work better than regular ones. The California Air Resources Board and the South Coast Air Quality Management District recommend filters with a MERV rating of 13 or higher.
You might consider using portable high-efficiency air cleaner in a room where you spend the most time. The U.S. Environmental Protection Agency has information about them here, and CARB has a list of certified cleaning devices here.
Don’t pollute your indoor air
That means no burning candles or incense. If your power is out and you need to see in the dark, you’re much better off with a flashlight or headlamp.
If you’re cold, bundle up. This is not the time to start a cozy fire in the fireplace. Don’t use a gas stove or wood-fired appliances, since these will make your indoor air quality worse, not better, the AQMD says.
The CDC also advises against vacuuming, since it can stir up dust and release fine particles into the air.
Take care when cleaning up
You don’t want your skin to come into contact with wildfire ash. That means you should wear long sleeves, pants, gloves, socks and shoes. The AQMD even wants you to wear goggles.
If you’re sweeping up ash outdoors, get a hose and mist it with water first. That will keep it from flying up in the air as you move it around. Once the ash is wet, sweep it up gently with a broom or mop. Bag it up in a plastic bag and throw it away.
It’s a good idea to wash your vehicles and outdoor toys if they’re covered in ash. Try not to send ashy water into storm drains. Direct the dirty water into ground areas instead, the AQMD advises.
Those with lung or heart problems should avoid clean-up activities.
Discard spoiled food…
If you lost power for a significant length of time, the food in your refrigerator or freezer may be spoiled.
Food kept in a fridge should stay safe for up to four hours if you’ve kept the door closed. If you’ve been without power for longer than that, you’ll need to toss all perishable items, including meat, poultry, fish, eggs, milk and cut fruits and vegetables. Anything with “an unusual smell, color, or texture” should be thrown out as well, according to the U.S. Centers for Disease and Control Prevention.
Refrigerated medicines should be OK unless the power was out for more than a day. Check the label to make sure.
…even if it was in the freezer
Your freezer may be in better shape, especially if it’s well-stocked. Items in a full freezer may be safe for up to 48 hours if it’s been kept shut, and a half-full freezer may be OK for up to 24 hours. (The frozen items help keep each other cold, so the more the better.)
If items have remained below 40 degrees Fahrenheit (4 degrees Celsius) or you can still see ice crystals in them, they may be OK to use or refreeze, according to the federal government’s food safety website.
Ice cream and frozen yogurt should be thrown out if the power goes out for any amount of time. Meat, poultry, seafood, eggs, milk and most other dairy products need to go if they were exposed to temperatures above 40 degrees F for two hours or longer. The same goes for frozen meals, casseroles, soups, stews and cakes, pies and pastries with custard or cheese fillings.
Fruit and fruit juices that have started to thaw can be refrozen unless they’ve started to get moldy, slimy or smell like yeast. Vegetables and vegetable juices should be discarded if they’ve been above 40 degrees F for six hours or more, even if they look and smell fine.
Breakfast items like waffles and bagels can be refrozen, as can breads, rolls, muffins and other baked goods without custard fillings.
Consider alternative shelter
If you’ve done everything you can but your eyes are still watering, you can’t stop coughing, or you just don’t feel well, seek alternative shelter where the air quality is better.
Hold off on vigorous exercise
Doing anything that would cause you to breathe in more deeply is a bad idea right now.
Mask up outdoors
If you need to be outside for an extended time, be sure to wear a high-quality mask. A surgical mask or cloth mask won’t cut it — health authorities agree that you should reach for an N95 or P-100 respirator with a tight seal.
Are young children at greater risk of wildfire smoke?
Very young children are especially vulnerable to the effects of wildfire smoke because their lungs are still rapidly developing. And because they breathe much faster than adults, they are taking in more toxic particulate matter relative to their tiny bodies, which can trigger inflammation, coughing and wheezing.
Any kind of air pollution can be dangerous to young children, but wildfire smoke is about 10 times as toxic for children compared to air pollution from burning fossil fuels, said Dr. Lisa Patel, clinical associate professor of pediatrics at Stanford Children’s Health. Young children with preexisting respiratory problems like asthma are at even greater risk.
Patel advises parents to keep their young children indoors as much as possible, create a safe room in their home with an air purifier, and try to avoid using gas stoves to avoid polluting the indoor air.
Children over the age of 2 should also wear a well-fitting KN95 mask if they will be outdoors for a long period of time. Infants and toddlers younger than that don’t need to mask up because it can be a suffocation risk, Patel said.
What are the risks for pregnant people?
Pregnant people should also take extra precautions around wildfire smoke, which can cross the placenta and affect a developing fetus. Studies have found that exposure to wildfire smoke during pregnancy can increase the risk of premature birth and low birth weight. Researchers have also linked the toxic chemicals in smoke with maternal health complications including hypertension and preeclampsia.
What about other high-risk populations?
Certain chronic diseases including asthma, chronic obstructive pulmonary disease or other respiratory conditions can also make you particularly vulnerable to wildfire smoke. People with heart disease, diabetes and chronic kidney disease should take extra care to breathe clean air, the CDC says. The tiny particles in wildfire smoke can aggravate existing health problems, and may make heart attacks or strokes more likely, CARB warns.
Get ready for the next emergency
Living in Southern California means another wildfire is coming sooner or later. To prepare for the bad air, you can:
- Stock up on disposable respirators, like N95 or P-100s.
- Have clean filters ready for your A/C system and change them out when things get smoky.
- Know how to check the air quality where you live and work. The AQMD has an interactive map that’s updated hourly. Just type in an address and it will zoom in on the location. You can also sign up to get air quality alerts by email or on your smartphone.
- Know where your fire extinguisher is and keep it handy.
- If you have a heart or lung condition, keep at least five days’ worth of medication on hand.
Times staff writer Karen Garcia contributed to this report.
Science
Punk and Emo Fossils Are a Hot Topic in Paleontology
Mark Sutton, an Imperial College London paleontologist, is not a punk.
“I’m more of a folk and country person,” he said.
But when Dr. Sutton pieced together 3-D renderings of a tiny fossil mollusk, he was struck by the spikes that covered its wormlike body. “This is like a classic punk hairstyle, the way it’s sticking up,” he thought. He called the fossil “Punk.” Then he found a similar fossil with downward-tipped spines reminiscent of long, side-swept “emo” bangs. He nicknamed that specimen after the emotional alt-rock genre.
On Wednesday, Dr. Sutton and his colleagues published a paper in the journal Nature formally naming the creatures as the species Punk ferox and Emo vorticaudum. True to their names, these worm-mollusks are behind something of an upset (if not quite “anarchy in the U.K.”) over scientists’ understanding of the origins of one of the biggest groups of animals on Earth.
In terms of sheer number of species, mollusks are second only to arthropods (the group that contains insects, spiders and crustaceans). The better-known half of the mollusk family tree, conchiferans, contains animals like snails, clams and octopuses. “The other half is this weird and wacky group of spiny things,” Dr. Sutton said. Some animals in this branch, the aculiferans, resemble armored marine slugs, while others are “obscure, weird molluscan worms,” he said.
Punk and Emo, the forerunners of today’s worm-mollusks, lived on the dark seafloor amid gardens of sponges, nearly 200 million years before the first dinosaurs emerged on land. Today, their ancient seafloor is a fossil site at the border between England and Wales.
The site is littered with rounded rocky nodules that “look a bit like potatoes,” Dr. Sutton said. “And then you crack them open, and some of them have got these fossils inside. But the thing is, they don’t really look like much at first.”
While the nodules can preserve an entire animal’s body in 3-D, the cross-section that becomes visible when a nodule is cracked open can be difficult to interpret “because you’re not seeing the full anatomy,” Dr. Sutton said.
Paleontologists can use CT scans to see parts of fossils still hidden in rock, essentially taking thousands of X-rays of the fossil and then stitching those X-ray slices together into one digital 3-D image. But in these nodules, the fossilized creatures and the rock surrounding them are too similar in density to be easily differentiated by X-rays. Instead, Dr. Sutton essentially recreated this process of slicing and imaging by hand.
“We grind away a slice at a time, take a photo, repeat at 20-micron intervals or so, and basically destroy but digitize the fossil as we go,” Dr. Sutton said. At the end of the process, the original fossil nodule is “a sad-looking pile of dust,” but the thousands of images, when painstakingly digitally combined, provide a remarkable picture of the fossil animal.
Punk and Emo’s Hot Topic-worthy spikes set them apart from other fossils from the aculiferan branch of the mollusk family. “We don’t know much about aculiferans, and it’s unusual to find out we’ve suddenly got two,” Dr. Sutton said.
Stewart Edie, the curator of fossil bivalves at the Smithsonian National Museum of Natural History, said that Punk and Emo’s bizarre appearances shook up a long-held understanding of how mollusks evolved. Traditionally, scientists thought that the group of mollusks containing snails, clams and cephalopods “saw all of the evolutionary action,” said Dr. Edie, who was not involved with the new discovery. “And the other major group, the aculiferans, were considerably less adventurous.” But Punk and Emo “buck that trend,” he said.
The new alt-rock aculiferans reveal the hidden diversity of their group in the distant past and raise questions about why their descendants make up such a small part of the mollusk class today. “This is really giving us an almost unprecedented window into the sorts of things that were actually around when mollusks were getting going,” Dr. Sutton said. “It’s just this little weird, unexpected, really clear view of what was going on in the early history of one of the most important groups of animals.”
Science
FDA sets limits for lead in many baby foods as California disclosure law takes effect
The U.S. Food and Drug Administration this week set maximum levels for lead in baby foods such as jarred fruits and vegetables, yogurts and dry cereal, part of an effort to cut young kids’ exposure to the toxic metal that causes developmental and neurological problems.
The agency issued final guidance that it estimated could reduce lead exposure from processed baby foods by about 20% to 30%. The limits are voluntary, not mandatory, for food manufacturers, but they allow the FDA to take enforcement action if foods exceed the levels.
It’s part of the FDA’s ongoing effort to “reduce dietary exposure to contaminants, including lead, in foods to as low as possible over time, while maintaining access to nutritious foods,” the agency said in a statement.
Consumer advocates, who have long sought limits on lead in children’s foods, welcomed the guidance first proposed two years ago, but said it didn’t go far enough.
“FDA’s actions today are a step forward and will help protect children,” said Thomas Galligan, a scientist with the Center for Science in the Public Interest. “However, the agency took too long to act and ignored important public input that could have strengthened these standards.”
The new limits on lead for children younger than 2 don’t cover grain-based snacks such as puffs and teething biscuits, which some research has shown contain higher levels of lead. And they don’t limit other metals such as cadmium that have been detected in baby foods.
The FDA’s announcement comes just one week after a new California law took effect that requires baby food makers selling products in California to provide a QR code on their packaging to take consumers to monthly test results for the presence in their product of four heavy metals: lead, mercury, arsenic and cadmium.
The change, required under a law passed by the California Legislature in 2023, will affect consumers nationwide. Because companies are unlikely to create separate packaging for the California market, QR codes are likely to appear on products sold across the country, and consumers everywhere will be able to view the heavy metal concentrations.
Although companies are required to start printing new packaging and publishing test results of products manufactured beginning in January, it may take time for the products to hit grocery shelves.
The law was inspired by a 2021 congressional investigation that found dangerously high levels of heavy metals in packaged foods marketed for babies and toddlers. Baby foods and their ingredients had up to 91 times the arsenic level, up to 177 times the lead level, up to 69 times the cadmium level, and up to five times the mercury level that the U.S. allows to be present in bottled or drinking water, the investigation found.
There’s no safe level of lead exposure for children, according to the U.S. Centers for Disease Control and Prevention. The metal causes “well-documented health effects,” including brain and nervous system damage and slowed growth and development. However, lead occurs naturally in some foods and comes from pollutants in air, water and soil, which can make it impossible to eliminate entirely.
The FDA guidance sets a lead limit of 10 parts per billion for fruits, most vegetables, grain and meat mixtures, yogurts, custards and puddings and single-ingredient meats. It sets a limit of 20 parts per billion for single-ingredient root vegetables and for dry infant cereals. The guidance covers packaged processed foods sold in jars, pouches, tubs or boxes.
Jaclyn Bowen, executive director of the Clean Label Project, an organization that certifies baby foods as having low levels of toxic substances, said consumers can use the new FDA guidance in tandem with the new California law: The FDA, she said, has provided parents a “hard and fast number” to consider a benchmark when looking at the new monthly test results.
But Brian Ronholm, director of food policy for Consumer Reports, called the FDA limits “virtually meaningless because they’re based more on industry feasibility and not on what would best protect public health.” A product with a lead level of 10 parts per billion is “still too high for baby food. What we’ve heard from a lot of these manufacturers is they are testing well below that number.”
The new FDA guidance comes more than a year after lead-tainted pouches of apple cinnamon puree sickened more than 560 children in the U.S. between October 2023 and April 2024, according to the CDC.
The levels of lead detected in those products were more than 2,000 times higher than the FDA’s maximum. Officials stressed that the agency doesn’t need guidance to take action on foods that violate the law.
Aleccia writes for the Associated Press. Gold reports for The Times’ early childhood education initiative, focusing on the learning and development of California children from birth to age 5. For more information about the initiative and its philanthropic funders, go to latimes.com/earlyed.
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