As of Friday, April 25, the US has confirmed over 900 measles cases since the start of the year. The cases are across 29 states, but most are in or near Texas, where a massive outbreak continues to mushroom in close-knit, undervaccinated communities.

On April 24, the Centers for Disease Control and Prevention had tallied 884 cases across the country. Today, the Texas health department updated its outbreak total, adding 22 cases to its last count from Tuesday. That brings the national total to at least 906 confirmed cases. Most of the cases are in unvaccinated children and teens.

Overall, Texas has identified 664 cases since late January. Of those, 64 patients have been hospitalized, and two unvaccinated school-aged children with no underlying medical conditions have died of the disease. An unvaccinated adult in New Mexico also died from the infection, bringing this year's measles death toll to three.

Read full article

Comments

Climate tipping points pose grave risks to human health—and, unsurprisingly, approaching them while tipsy only makes the fallout more blistering, according to a case study in the New England Journal of Medicine.

In this week's issue, NEJM spotlights the effects of the climate crisis on clinical health with a series of case studies. One is the searing story of an inebriated gentleman who regrettably took a one-minute walk while barefoot during the unprecedented 2021 Northwest heat dome. The man walked across asphalt during the extreme weather, in which air temperatures reached as high as 42° C (108° F). That's about 21° C (38° F) above historical averages for the area.

Asphalt can absorb 95 percent of solar radiation and easily reach 40° F to 60° F above air temperatures on hot days. It's unclear how hot the asphalt was when the man walked across it, but it was clearly hot enough to melt some flesh.

Read full article

Comments

In now-rarified comments from experts at the Centers for Disease Control and Prevention, an agency official on Tuesday evening said the explosive measles outbreak mushrooming out of West Texas will require "significant financial resources" to control and that the agency is already struggling to keep up.

"We are scrapping to find the resources and personnel needed to provide support to Texas and other jurisdictions," said David Sugerman, the CDC's lead on its measles team. The agency has been devastated by brutal cuts to CDC staff and funding, including a clawback of more than $11 billion in public health funds that largely went to state health departments.

Sugerman noted that the response to measles outbreaks is generally expensive. "The estimates are that each measles case can be $30,000 to $50,000 for public health response work—and that adds up quite quickly." The costs go to various responses, including on-the-ground response teams, vaccine doses and vaccination clinics, case reporting, contact tracing, mitigation plans, infection prevention, data systems, and other technical assistance to state health departments.

Read full article

Comments

The rate of autism in a group of 8-year-olds in the US rose from 2.76 percent (1 in 36) in 2020 to 3.22 percent (1 in 31) in 2022, according to a study out Tuesday in the Morbidity and Mortality Weekly Report, a journal published by the Centers for Disease Control and Prevention.

The report's authors—researchers at the CDC and academic institutions across the country—suggest that the slight uptick is likely due to improved access to evaluations in underserved groups, including Black, Hispanic, and low-income communities.

The data comes from the CDC-funded Autism and Developmental Disabilities Monitoring (ADDM) Network. The national network has been tracking the prevalence of autism spectrum disorder (ASD) in 8-year-olds at a handful of sites since 2000, publishing estimates every two years. In 2000, ASD prevalence was 1 in 150, with white children from high-income communities having the highest rates of the developmental disability. In 2020, when the rate hit 1 in 36, it was the first year in which higher ASD rates were seen in underserved communities. That year, researchers also noted that the link between ASD and socioeconomic status evaporated in most of the network.

Read full article

Comments

European tourists who toted home bottles of water from a holy well in Ethiopia were likely hoping for blessings and spiritual cleansing—but instead carried an infectious curse and got an intestinal power cleanse.

Three people in Germany and four in the UK fell ill with cholera after directly drinking or splashing their faces with the holy water. Two required intensive care. Luckily, they all eventually recovered, according to a report in the journal Eurosurveillance.

The infections occurred in February after some of the patients reported taking independent trips to Ethiopia in January. Two of the German patients and three of the UK patients reported travel to the country, and several reported visiting a holy well called Bermel Giorgis (also spelled ‘Georgis’) in the Quara district. The German travelers and at least one of the UK travelers brought water home with them and shared it.

Read full article

Comments

Health experts took to one of the country's leading medical journals to pen searing rebukes of Robert F. Kennedy Jr.'s first weeks as the country's top health official—and they called upon their colleagues to rise up to fight the misinformation and distrust they allege Kennedy, a long-time anti-vaccine advocate, is fomenting.

From gutting federal health agencies and knee-capping critical local public health programs, to delaying a significant vaccine advisory meeting, hiring a discredited anti-vaccine advocate to conduct a vaccine study, ousting the country's top vaccine regulator, and undermining the response to the mushrooming measles outbreak in Texas that stands to threaten the country's measles elimination status—the researchers had no shortage of complaints.

In one article, pediatric infectious disease expert Kathryn Edwards of Vanderbilt University recounted the timeline of the measles outbreak, noting the missteps, missed opportunities, and controversial comments Kennedy made along the way. The rundown included his trivialization of the outbreak, failure to strongly advocate for vaccination, promotion of unproven treatments, like cod liver oil, and delayed responses from the Centers for Disease Control and Prevention, which Kennedy controls.

Read full article

Comments

It's well-established that, on the whole, Americans die younger than people in most other high-income countries. For instance, an analysis from 2022 found that the average life expectancy of someone born in Switzerland or Spain in 2019 was 84 years. Meanwhile, the average US life expectancy was 78.8, lower than nearly all other high-income countries, including Canada's, which was 82.3 years. And this was before the pandemic, which only made things worse for the US.

Perhaps some Americans may think that this lower overall life-expectancy doesn't really apply to them if they're middle- or upper-class. After all, wealth inequality and health disparities are huge problems in the US. Those with more money simply have better access to health care and better health outcomes. Well-off Americans live longer, with lifespans on par with their peers in high-income countries, some may think.

It is true that money buys you a longer life in the US. In fact, the link between wealth and mortality may be stronger in the US than in any other high-income country. But, if you think American wealth will put life expectancy in league with Switzerland, you're dead wrong, according to a study in the latest issue of the New England Journal of Medicine.

Read full article

Comments

Last week, Health Secretary and anti-vaccine advocate Robert F. Kennedy Jr. announced the Trump administration would hack off nearly a quarter of employees at the Department of Health and Human Services, which oversees critical agencies including the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), and the Centers for Medicare and Medicaid Services (CMS).

The downsizing includes pushing out about 10,000 full-time employees through early retirements, deferred resignations, and other efforts. Another 10,000 will be laid off in a brutal restructuring, bringing the total HHS workforce from 82,000 to 62,000.

"This will be a painful period," Kennedy said in a video announcement last week. Early yesterday morning, the pain began.

Read full article

Comments