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Tag: Disease outbreaks

  • Death toll from Legionnaires’ disease outbreak in New York City rises to 6 and infections hit 111

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    NEW YORK — New York City officials have discovered a sixth death linked to a Legionnaires’ disease outbreak in Central Harlem, where more than 100 people have been diagnosed with the ailment, health authorities said Thursday.

    The person died earlier this month outside of New York City. Their death was recently discovered during the city health department’s ongoing investigation of the outbreak that began in late July, the agency said. The department reported a fifth death on Monday.

    Officials said 111 people have been diagnosed with Legionnaires’ disease as of Thursday, two more than on Wednesday. Seven people are hospitalized, two fewer than the previous day, the department said. Fourteen people had been hospitalized on Monday.

    The bacteria that causes Legionnaires’ disease had been discovered in 12 cooling towers on 10 buildings, including a city-run hospital and sexual health clinic, health officials said. Remediation efforts have since been completed on all of the cooling towers.

    Legionnaires’ disease is a type of pneumonia that is caused by Legionella bacteria, which grow in warm water and spread through building water systems. The city’s outbreak has been linked to cooling towers, which use water and a fan to cool buildings.

    People usually develop symptoms — a cough, fever, headaches, muscle aches and shortness of breath — between two days to two weeks after exposure to the bacteria, according to the U.S. Centers for Disease Control and Prevention.

    City health officials say people who live or work in the area should contact a health care provider if they develop flu-like symptoms.

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  • Testing rules out beef patties as the source of E. coli outbreak, McDonald’s says

    Testing rules out beef patties as the source of E. coli outbreak, McDonald’s says

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    LOS ANGELES — McDonald’s announced Sunday that Quarter Pounders will again be on its menu at hundreds of its restaurants after testing ruled out beef patties as the source of the outbreak of E. coli poisoning tied to the popular burgers that killed one person and sickened at least 75 others across 13 states.

    The U.S. Food and Drug Administration continues to believe that slivered onions from a single supplier are the likely source of contamination, McDonald’s said in a statement. It said it will resume selling the Quarter Pounder at affected restaurants —- without slivered onions — in the coming week.

    As of Friday, the outbreak had expanded to at least 75 people sick in 13 states, federal health officials said. A total of 22 people had been hospitalized, and two developed a dangerous kidney disease complication, the Centers for Disease Control and Prevention said. One person has died in Colorado.

    Early information analyzed by the FDA showed that uncooked slivered onions used on the burgers “are a likely source of contamination,” the agency said. McDonald’s has confirmed that Taylor Farms, a California-based produce company, was the supplier of the fresh onions used in the restaurants involved in the outbreak, and that they had come from a facility in Colorado Springs, Colorado.

    McDonald’s pulled the Quarter Pounder burger from menus in several states — mostly in the Midwest and Mountain states — when the outbreak was announced Tuesday. McDonald’s said Friday that slivered onions from the Colorado Springs facility were distributed to approximately 900 of its restaurants, including some in transportation hubs like airports.

    The company said it removed slivered onions sourced from that facility from its supply chain on Tuesday. McDonald’s said it has decided to stop sourcing onions from Taylor Farms’ Colorado Springs facility “indefinitely.”

    The 900 McDonald’s restaurants that normally received slivered onions from Taylor Farms’ Colorado Springs facility will resume sales of Quarter Pounders without slivered onions, McDonald’s said.

    Testing by the Colorado Department of Agriculture ruled out beef patties as the source of the outbreak, McDonald’s said.

    The department of agriculture received multiple lots of fresh and frozen beef patties collected from various Colorado McDonald’s locations associated with the E. coli investigation. All samples were found to be negative for E. coli, the department said.

    Taylor Farms said Friday that it had preemptively recalled yellow onions sent to its customers from its Colorado facility and continues to work with the CDC and the FDA as they investigate.

    While it remains unclear if the recalled onions were the source of the outbreak, several other fast-food restaurants — including Taco Bell, Pizza Hut, KFC and Burger King — pulled onions from some menus in certain areas this week.

    Colorado had the most illnesses reported as of Friday, with 26 cases. At least 13 people were sickened in Montana, 11 in Nebraska, 5 each in New Mexico and Utah, 4 each in Missouri and Wyoming, two in Michigan and one each in Iowa, Kansas, Oregon, Wisconsin and Washington, the CDC reported.

    McDonald’s said Friday it didn’t pull the Quarter Pounder from any additional restaurants and noted that some cases in states outside the original region were tied to travel.

    The CDC said some people who got sick reported traveling to other states before their symptoms started. At least three people said they ate at McDonald’s during their travel. Illnesses were reported between Sept. 27 and Oct. 11.

    The outbreak involves infections with E. coli 0157:H7, a type of bacteria that produces a dangerous toxin. It causes about 74,000 infections in the U.S. annually, leading to more than 2,000 hospitalizations and 61 deaths each year, according to CDC.

    Symptoms of E. coli poisoning can occur quickly, within a day or two of eating contaminated food. They typically include fever, vomiting, diarrhea or bloody diarrhea and signs of dehydration — little or no peeing, increased thirst and dizziness. The infection is especially dangerous for children younger than 5, people who are elderly, pregnant or who have weakened immune systems.

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    Associated Press writer JoNel Aleccia contributed reporting from Temecula, Calif.

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  • Deadly E. coli outbreak linked to McDonald’s Quarter Pounders sickens 49 people in 10 states

    Deadly E. coli outbreak linked to McDonald’s Quarter Pounders sickens 49 people in 10 states

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    E. coli food poisoning linked to McDonald’s Quarter Pounder hamburgers has sickened at least 49 people in 10 states, including one person who died and 10 who were hospitalized, federal health officials said Tuesday.

    The death was reported in an older person in Colorado, and one child has been hospitalized with severe kidney complications, the U.S. Centers for Disease Control and Prevention reported.

    Infections were reported between Sept. 27 and Oct. 11, in Colorado, Iowa, Kansas, Missouri, Montana, Nebraska, Oregon, Utah, Wisconsin and Wyoming. Colorado has the most cases, 26, followed by Nebraska with nine.

    Everyone interviewed in connection with the outbreak had reported eating at McDonald’s before falling ill and most mentioned eating Quarter Pounder hamburgers, the CDC said. The U.S. Agriculture Department, the Food and Drug Administration and state health officials are also investigating.

    A specific ingredient has not been identified as the cause, but investigators are focused on onions and beef. A preliminary FDA investigation suggests that slivered onions served on the burgers are a likely source of contamination. The USDA is investigating the hamburger patties.

    In a statement, McDonald’s officials said that initial findings suggest that some illnesses are linked to onions sourced from a single supplier. The company has halted distribution of the slivered onions and temporarily removed the Quarter Pounder from menus in the affected states, and also in portions of Idaho, Nevada, New Mexico and Oklahoma.

    “We take food safety extremely seriously and it’s the right thing to do,” the statement said.

    E. coli bacteria are harbored in the guts of animals and found in the environment. Infections can cause severe illness, including fever, stomach cramps and bloody diarrhea. People who develop symptoms of E. coli poisoning should seek health care immediately and tell the provider what they ate.

    The news comes in an already tough year for the Chicago-based McDonald’s chain. Its global same-store sales fell for the first time in nearly four years in the second quarter as inflation-weary customers skipped eating out or chose cheaper options. The company responded with a $5 meal deal, which was introduced at U.S. restaurants in late June and was recently extended through December. The deal doesn’t include the Quarter Pounder.

    McDonald’s shares dropped 9% in after-hours trading Tuesday after the CDC’s announcement.

    The type of bacteria implicated in this outbreak, E. coli O157:H7, causes about 74,000 infections in the U.S. each year, leading to more than 2,000 hospitalizations and 61 deaths. Infections are especially dangerous for children younger than 5 and can cause acute kidney failure.

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    Associated Press writer Dee-Ann Durbin in Detroit contributed to this story.

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    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • Boar’s Head faces legal scrutiny over deadly deli meat listeria outbreak, USDA says

    Boar’s Head faces legal scrutiny over deadly deli meat listeria outbreak, USDA says

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    Boar’s Head, the deli meat company at the center of a deadly listeria food poisoning outbreak, is being scrutinized by law enforcement officials, the U.S. Agriculture Department disclosed in response to government records requests.

    Officials with USDA’s Food Safety and Inspection Service refused to share documents regarding the agency’s inspections and enforcement at the Boar’s Head plant in Jarratt, Virginia, plus inspection reports from eight other company factories across the U.S.

    The records — which FSIS acknowledged include dozens of pages of documentation — were withheld because they were compiled “for a law enforcement purpose, which includes both civil and criminal statutes,” according to a letter sent Friday in response to Freedom of Information Act requests submitted by The Associated Press. Releasing the records could “interfere with” and “hinder” the government’s investigation, the letter said.

    The AP asked for records regarding the listeria outbreak that, according to the U.S. Centers for Disease Control and Prevention, has killed 10 people and sickened at least 50 in 19 states since May. Listeria bacteria were initially detected in samples of Boar’s Head liverwurst and later traced to illnesses in people.

    Previously released records revealed problems including mold, insects, dripping water and meat and fat residue on walls, floors and equipment dating back at least two years. Boar’s Head earlier recalled more than 7 million pounds of deli meat distributed to stores across the country. This month, the Sarasota, Florida-based company said it has closed the Virginia plant and permanently stopped making liverwurst.

    Boar’s Head is facing several lawsuits filed by victims and their families.

    FSIS officials did not respond to AP’s emails seeking additional comment about the records. Justice Department officials declined to comment on potential legal actions against Boar’s Head.

    This week, Sen. Richard Blumenthal and Rep. Rosa DeLauro called on the Agriculture and Justice departments to “work closely” to determine whether to bring criminal charges against Boar’s Head in connection with the crisis. In response, USDA’s own internal investigators are reviewing the agency’s work and will decide by the end of the year whether to open an inquiry, according to Blumenthal’s office.

    Past food poisoning outbreaks have resulted in criminal and civil penalties.

    In 2020, Chipotle agreed to pay a record $25 million to resolve criminal charges over tainted food that sickened more than 1,100 people in outbreaks between 2015 and 2018. In 2015, former Peanut Corporation of America executive Stewart Parnell was sentenced to 28 years in prison after an outbreak of salmonella in his company’s peanut butter killed nine people and sickened more than 700.

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    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • A rare condor hatched and raised by foster parents in captivity will soon get to live wild

    A rare condor hatched and raised by foster parents in captivity will soon get to live wild

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    By all accounts, Milagra the “miracle” California condor shouldn’t be alive today.

    But now at nearly 17 months old, she is one of four of the giant endangered birds who will get to stretch their wings in the wild as part of a release this weekend near the Grand Canyon.

    There is no more appropriate name for a young bird that has managed to survive against all odds. Her mother died from the worst outbreak of avian flu in U.S. history soon after she laid her egg and her father nearly succumbed to the same fate while struggling to incubate the egg alone.

    Milagra, which means miracle in Spanish, was rescued from her nest and hatched in captivity thanks to the care of her foster condor parents.

    The emergency operation was part of a program established some 40 years ago to help bring the birds back from the brink of extinction when their numbers had plummeted to fewer than two dozen.

    The Peregrine Fund and the Bureau of Land Management are streaming the release of Milagra and the others online Saturday from Vermillion Cliffs National Monument, about 50 miles (80 kilometers) from the Grand Canyon’s North Rim.

    Condors have been released there since 1996. But the annual practice was put on hold last year due to what is known as the “bird flu.” Highly Pathogenic Avian Influenza killed 21 condors in the Utah-Arizona flock.

    “This year’s condor release will be especially impactful given the losses we experienced in 2023 from HPAI and lead poisoning,” said Tim Hauck, The Peregrine Fund’s California Condor program director.

    Today, as many as 360 of the birds are estimated to be living in the wild, with some in the Baja of Mexico and most in California, where similar releases continue. More than 200 others live in captivity.

    The largest land bird in North America with a wing-span of 9.5 feet (2.9 meters), condors have been protected in the U.S. as an endangered species since 1967. Many conservationists consider it a miracle any still exist at all.

    Robert Bate, manager of the Vermillion Cliffs monument, said the release is being shared online in real time “so that the scope and reach of this incredible and successful collaborative recovery effort can continue to inspire people worldwide.”

    California condors mate for life with a lifespan up to 60 years and can travel up to 200 miles (322 kilometers) a day, which they have been known to do as they move back and forth between the Grand Canyon and Zion national parks.

    The Peregrine Fund started breeding condors in cooperation with federal wildlife managers in 1993. The first was released into the wild in 1995, and it would be another eight year before the first chick was hatched out of captivity.

    The fund’s biologists typically don’t name the birds they help raise in captivity, identifying them instead with numbers to avoid giving them human characteristics out of respect for the species.

    They made an exception in the case of #1221, aka Milagra. They saw her journey as emblematic of the captive breeding program coming full circle.

    Milagra’s foster father, #27, was hatched in the wild in California in 1983. He was one of the first brought into the program as a nestling when fewer than two dozen were known to still exist worldwide.

    Convinced it was the species’ only hope for survival, the U.S. Fish and Wildlife Service made an unprecedented, risky decision back then to capture the remaining 22 known to exist to launch the breeding program. Over time, it has grown with assistance from the Oregon Zoo, Los Angeles Zoo and San Diego Zoo Safari Park.

    “Once they realized California condors were great parents in captivity, they started allowing them to raise their own species,” said Leah Esquivel, propagation manager at the fund’s World Center for Birds of Prey in Boise, Idaho.

    Like all California condors in the wild today, Milagra’s biological parents were products of the program.

    Milagra’s mother, #316, laid her softball-sized egg in a cave on the edge of an Arizona cliff in April 2023 — one of her last acts before she succumbed to avian flu. Sick himself, her biological father, #680, did his best to tend to the egg, but prospects for survival dwindled. So, when he made a rare departure from the nest, biologists who had been monitoring sick condors swooped in and snatched the lone egg.

    “(He) was so focused on incubating the egg that he was not leaving to find food and water for himself, risking his own life,” Peregrine Fund spokesperson Jessica Schlarbaum said.

    They stashed the fragile egg in a field incubator and raced 300 miles (480 kilometers) back to Phoenix, not unlike a human transplant team carrying a heart in an ice chest.

    To the amazement of all, the egg hatched.

    Milagra tested negative for the avian flu and spent about a week at the Liberty Wildlife Rehabilitation Center in Mesa, Arizona, before she was taken to fund’s breeding facility in Idaho, where the foster parents took her under their wings.

    Esquivel, the propagation manager, said Milagra’s foster mother, #59, has raised eight nestlings in her lifetime.

    Esquivel described #59 as unique. While the bird never mates, she goes through all the other breeding motions each year and lays an egg.

    “Her eggs are obviously infertile, but since she is a great mother, we use her and her mate to raise young,” Esquivel said. “We just swap the infertile egg out with a dummy egg, then place a hatching egg in the nest when we have one available for her.”

    Milagra’s foster dad has sired about 30 young and helped raise nestlings in captivity for years.

    After spending about seven months with foster parents, the youngsters head off to “condor school” in California to learn the basics: eating communally, strengthening muscles for flight and learning to get along with fellow condors.

    For the biologists, recovery partners, volunteers and others who have persevered over the last year, Hauck summed up Saturday’s release of the birds from this year’s graduating class as “a moment of triumph.”

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  • Why is Congo struggling to contain mpox?

    Why is Congo struggling to contain mpox?

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    KAVUMU, Congo — Health authorities have struggled to contain outbreaks of mpox in Congo, a huge central African country where a myriad of existing problems makes stemming the spread particularly hard.

    Last month, the World Health Organization declared the outbreaks in Congo and about a dozen other African countries a global health emergency. And in Congo, scientists have identified a new strain of mpox that may spread more easily. It has reached areas where conflict and the displacement of a large number of people have already put health services under pressure.

    Overall, Congo has more than 21,000 of the 25,093 confirmed and suspected mpox cases in Africa this year, according to WHO’s most recent count.

    Yes, Congo is one of the African countries where mpox has been endemic for decades.

    Mpox, once known as monkeypox, comes from the same family of viruses as smallpox but causes milder symptoms such as fever. People with more serious cases can develop skin lesions. More than 720 people in Africa have died in the latest outbreaks, mostly in Congo.

    Mpox is a zoonotic disease, meaning it can spread to humans from infected animals. In the global mpox outbreak of 2022, the virus spread between people primarily through sex and close physical contact.

    In September 2023, mpox spread to Congo’s eastern province of South Kivu; it had previously been seen in the center and far west. Scientists then identified a new form of mpox in South Kivu that may be more infectious.

    The WHO said that from the outbreak in South Kivu, the virus spread among people elsewhere in the country, arriving in neighboring province North Kivu. Those two provinces — some 2,000 kilometers (1,240 miles) from the capital, Kinshasa — face escalating violence, a humanitarian crisis and other issues.

    More than 120 armed groups have been fighting each other and the Congolese army for years in the eastern part of the country over the control of minerals. That has forced millions of people fleeing violence into refugee camps or nearby towns.

    That means mpox is hitting already-stretched health facilities. Dr. Musole Mulambamunva Robert, medical director of the Kavumu hospital in eastern Congo, said it is “truly a challenge” — sometimes treating as many as four times the facility’s capacity for patients.

    With more than 6 million displaced people in the east, authorities and aid agencies were already struggling to provide food and healthcare, while fighting other diseases such as cholera. Many people have no access to soap, clean water or other basics.

    Some eastern Congo communities are out of reach of health clinics — roads are unreliable, and hourslong risky boat trips are sometimes the only means of transport, said Mercy Muthee Lake of the International Federation of Red Cross and Red Crescent.

    People can be more susceptible to severe mpox cases because of malnutrition and undiagnosed HIV, she said.

    She also said health workers in eastern Congo have requested more mpox training as medications to treat fever and ease pain run out.

    Health authorities “are up against it because it’s such a complex area,” said Chris Beyrer, of Duke University’s Global Health Institute.

    Africa has no capacity to produce mpox vaccines. Around 250,000 doses have arrived in Congo from the European Union and the United States, and more are expected. Congolese authorities say they need around 3 million vaccines. It will likely be weeks before any vaccines reach people in eastern Congo.

    For now, the vaccine is approved only for adults. There’s limited evidence of how it works in children.

    Vaccines are desperately needed, but they’re just “an additional tool,” said Emmanuel Lampaert, the Congo representative for Doctors Without Borders. The key, Lampaert said, is still identifying cases, isolating patients, and executing grassroots health and education campaigns.

    Local conditions make that trying — Lampaert noted it’s almost impossible to isolate cases among poor, displaced people.

    “Families with six to eight children are living in a hut, which is maybe the space of the bed we are sleeping in,” he said. “So, this is the reality.”

    Unlike the millions of dollars that poured into Congo for Ebola and COVID aid, the response to mpox has been sluggish, many critics say.

    Health experts say the sharp contrast is due to a lack of both funds and international interest.

    “Ebola is the most dangerous virus in the world, and COVID wiped out the world economy,” said professor Ali Bulabula, who works on infectious diseases in the medical department at Congo’s University of Kindu. “While mpox is a public health emergency of international concern, there is a lack of in-depth research and interest in the virus, as it’s still seen as a tropical disease, localized to Africa with no major impact on Western economies.”

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    Asadu reported from Abuja, Nigeria, and Imray reported from Cape Town, South Africa. AP reporter Sam Mednick contributed from Kamituga, Congo.

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    For more news on Africa and development: https://apnews.com/hub/africa-pulse

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    The Associated Press receives financial support for global health and development coverage in Africa from the Gates Foundation. The AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.

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  • Now that mpox is a global health emergency, will it trigger another pandemic?

    Now that mpox is a global health emergency, will it trigger another pandemic?

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    LONDON — The World Health Organization has declared the ongoing outbreaks of mpox in Congo and elsewhere in Africa to be a global emergency, requiring urgent action to curb the virus’ transmission.

    Sweden has since announced it had found the first case of a new form of mpox previously only seen in Africa in a traveler, while other European health authorities warned more imported cases were likely.

    Here’s a look at mpox and how likely it is to spread further:

    That seems highly unlikely. Pandemics, including the most recent ones of swine flu and COVID-19, are typically sparked by airborne viruses that spread quickly, including by people who may not be showing symptoms.

    Mpox, also known as monkeypox, is spread primarily through close skin-to-skin contact with infected people or their soiled clothes or bedsheets. It often causes visible skin lesions that could make people less likely to be in close contact with others.

    To stay safe, experts advise avoiding close physical contact with someone who has lesions resembling mpox, not sharing their utensils, clothing or bedsheets and maintaining good hygiene like regular hand-washing.

    On Friday, Europe’s Centre for Disease Prevention and Control said that more imported cases of mpox from Africa were “highly likely,” but the chances of local outbreaks in Europe were very low.

    Scientists say the risk to the general population in countries without ongoing mpox outbreaks is low.

    Mpox spreads very slowly unlike the coronavirus. Shortly after the coronavirus was identified in China, the number of cases jumped exponentially from several hundred to several thousand; in a single week in January, the case count increased more than tenfold.

    By March 2020, when WHO described COVID-19 as a pandemic, there were more than 126,000 infections and 4,600 deaths — about three months after the coronavirus was first identified.

    In contrast, it’s taken since 2022 for mpox cases to hit nearly 100,000 infections globally, with about 200 deaths, according to WHO.

    There are vaccines and treatments available for mpox unlike in the early days of the COVID-19 pandemic.

    “We have what we need to stop mpox,” said Dr. Chris Beyrer, director of Duke University’s Global Health Institute. “This is not the same situation we faced during COVID when there was no vaccine and no antivirals.”

    It’s unclear. The 2022 mpox outbreak in more than 70 countries was slowed within months, thanks largely to vaccination programs and drugs being made available to at-risk populations in rich countries.

    At the moment, the majority of mpox cases are in Africa — and 96% of those cases and deaths are in Congo, one of the world’s poorest countries whose health system has mostly collapsed from the strain of malnutrition, cholera and measles. Although Congolese officials requested 4 million vaccines from donors, it has yet to receive any.

    Despite WHO declaring mpox a global emergency in 2022, Africa got barely any vaccines or treatments.

    Beyrer of Duke University said it was in the world’s interest to invest now in squashing the outbreaks in Africa.

    “We are actually in a good place to get control of this pandemic, but we have to make the decision to prioritize Africa,” he said.

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    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • Sweden reports 1st case of more infectious form of mpox first identified in Congo

    Sweden reports 1st case of more infectious form of mpox first identified in Congo

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    LONDON — Swedish health officials said Thursday they have identified the first case of a person with the more infectious form of mpox first seen in eastern Congo, a day after the World Health Organization declared the outbreaks there and elsewhere in Africa to be a global emergency.

    The Swedish public health agency said in a statement the patient recently sought health care in Stockholm.

    “In this case a person has been infected during a stay in the part of Africa where there is a major outbreak of (the more infectious mpox),” the agency said.

    Magnus Gisslen, a state epidemiologist with the Swedish health agency, said the person had been treated and given “rules of conduct.”

    “The fact that a patient with mpox is treated in the country does not affect the risk to the general population,” Swedish officials said, adding that experts estimate that risk to be “very low.” They said, however, that occasional imported cases may continue to occur.

    Earlier this year, scientists reported the emergence of a new form of the deadlier form of mpox, which can kill up to 10% of people, in a Congolese mining town that they feared might spread more easily. Mpox mostly spreads via close contact with infected people, including through sex.

    WHO said there have been more than 14,000 cases and 524 deaths in more than a dozen countries across Africa this year, which already exceed last year’s figures.

    So far, more than 96% of all cases and deaths are in a single country — Congo.

    Given the resources in Sweden and other rich countries to stop mpox, scientists suspect that if new outbreaks linked to Congo are to be identified, transmission could be stopped relatively quickly.

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    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • France’s Macron, African leaders push for vaccines for Africa after COVID-19 exposed inequalities

    France’s Macron, African leaders push for vaccines for Africa after COVID-19 exposed inequalities

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    PARIS — French President Emmanuel Macron is joining several African leaders on Thursday to kick off a planned $1 billion project to accelerate the rollout of vaccines in Africa, after the coronavirus pandemic exposed gaping inequalities in access to them.

    The launch of the African Vaccine Manufacturing Accelerator, which will provide financial incentives to vaccine manufacturers, offered a momentary break for Macron from domestic political concerns as legislative elections loom on June 30 and July 7.

    Many African leaders and advocacy groups say Africa was unfairly locked out of access to COVID-19 treatment tools, vaccines and testing equipment — that many richer countries bought up in huge quantities — after the pandemic swept the world starting in 2020.

    WHO, advocacy groups and others want to help Africa get better prepared for the next pandemic, which many health experts say is inevitable. When the coronavirus pandemic began, South Africa was the only country in Africa with any ability to produce vaccines, officials say, and the continent produced a tiny fraction of all vaccines worldwide.

    WHO failed in its efforts to help countries agree to a “pandemic treaty” — to improve preparedness and response to pandemics — before its annual meeting last month. The project was shelved largely over disagreements about sharing of information about pathogens that cause epidemics and the high-tech tools used to fight them.

    Negotiators will resume work on the treaty in hopes of clinching a deal by the next WHO annual meeting in 2025.

    Thursday’s event in Paris also aims to give a funding shot-in-the-arm to Gavi, the Vaccine Alliance, a public-private partnership that helps get needed vaccines to developing countries around the world.

    Gavi says the project aims to make up to US$ 1 billion available over the next ten years help boost Africa’s manufacturing base, to improve global vaccines markets and improve preparedness and response to pandemics and outbreaks like HIV, malaria, TB and COVID-19.

    The Geneva-based alliance says the accelerator will inject funds into manufacturers in Africa once they hit supply and regulatory milestones, with an aim to use market forces to drive down prices and encourage investment upstream.

    Officials say the project will explore issues like technology transfer — which has been resisted by some Western countries with powerful pharmaceutical companies — as well as the possible creation of a African medicines agency and tackling regulatory hurdles faced in Africa’s patchwork of legal systems.

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    AP journalist Jamey Keaten in Geneva contributed to this report.

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  • Vigil held for 5-year-old migrant boy who died at Chicago shelter

    Vigil held for 5-year-old migrant boy who died at Chicago shelter

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    CHICAGO — Hundreds of migrants and other people turned out Wednesday night for a vigil held for a 5-year-old migrant boy who died after becoming ill in a Chicago shelter.

    Jean Carlos Martinez was a resident at a warehouse retrofitted as a shelter in Chicago’s Pilsen neighborhood when he suffered a medical emergency, the city said. He was pronounced dead shortly after arriving at a hospital Sunday afternoon.

    Six more people living in the shelter — four children and two adults — were hospitalized this week, Chicago Fire Department spokesperson Larry Langford said.

    All had been living in the same shelter as Martinez, whose family arrived in Chicago on Nov. 30. The cause of death was still pending Wednesday, according to Cook County medical examiner records.

    “This was a preventable death. This was also a predictable death,” said social worker Britt Hodgdon, who spoke at the vigil. “People are here. They are our brothers and sisters. They deserve to be safe and cared for and living in humane conditions.”

    Migrant mothers were crying at the vigil. One young migrant child came to put a candle at the site and wouldn’t stop crying, saying she missed her friend.

    While city officials dismissed on Tuesday the notion of an outbreak at the shelter, there have been clusters of illness at other shelters where people sleep on cots close to each other, including chicken pox and hand, foot and mouth disease. Area doctors are growing increasingly worried about RSV and COVID-19 this winter.

    “These are hard environments for people to rest and feel good and be able to take care of themselves,” said Dr. Evelyn Figueroa, who recently toured the shelter where the boy was living. She runs a nearby food pantry and has spent most of her medical career working with homeless, immigrant and low-income populations.

    About 2,300 people are staying at the shelter. The space has about 10 isolation rooms for when people get sick, Figueroa said.

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  • Here's what you need to know about the deadly salmonella outbreak tied to cantaloupes

    Here's what you need to know about the deadly salmonella outbreak tied to cantaloupes

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    Hundreds of people in the U.S. and Canada have been sickened and at least 10 people have died in a growing outbreak of salmonella poisoning linked to contaminated whole and pre-cut cantaloupe.

    Health officials are warning consumers, retailers and restaurants not to buy, eat or serve cantaloupe if they don’t know the source.

    That’s especially important for individuals who are vulnerable to serious illness from salmonella infection and those who care for them. High-risk groups include young children, people older than 65 and those with weakened immune systems.

    The U.S. Centers for Disease Control and Prevention is especially concerned because many of the illnesses have been severe and because victims include people who ate cantaloupe served in childcare centers and long-term care facilities.

    Here’s what we know about this outbreak:

    Overall, at least 302 people in the U.S. and 153 in Canada have been sickened in this outbreak. That includes four killed and 129 hospitalized in the U.S. and six killed and 53 hospitalized in Canada.

    The first U.S. case was a person who fell ill on Oct. 16, according to the CDC. The latest illness detected occurred on Nov. 28. Canadian health officials said people fell ill between mid-October and mid-November.

    The first recalls were issued Nov. 6 in the U.S., according to the Food and Drug Administration. Multiple recalls of whole and cut fruit have followed.

    The cantaloupes implicated in this outbreak include two brands, Malichita and Rudy, that are grown in the Sonora area of Mexico. The fruit was imported by Sofia Produce LLC, of Nogales, Arizona, which does business as TruFresh, and Pacific Trellis Fruit LLC, of Los Angeles. So far, more than 36,000 boxes or cases of cantaloupe have been recalled.

    On Dec. 15, Mexican health officials temporarily closed a melon-packing plant implicated in the outbreak.

    Roughly one-third of FDA-regulated human food imported into the U.S. comes from Mexico, including about 60% of fresh produce imports. The average American eats about 6 pounds of cantaloupe a year, according to the U.S. Department of Agriculture.

    Health officials in the U.S. and Canada are still investigating, but cantaloupes generally are prone to contamination because they are “netted” melons with rough, bumpy rinds that make bacteria difficult to remove.

    Salmonella bacteria are found in animals’ intestines and can spread if their waste comes in contact with fruit in the field. Contamination can come from tainted water used in irrigation, or in cleaning and cooling the melons.

    Poor hygienic practices of workers, pests in packing facilities and equipment that’s not cleaned and sanitized properly can also lead to contamination, the FDA says.

    The Mexico growing area saw powerful storms and hurricanes in late summer and early fall that resulted in flooding that could be a factor, said Trevor Suslow, a produce safety consultant and retired professor at the University of California, Davis.

    Once the melons are contaminated, the nubby rinds harbor nutrients that can help the salmonella bacteria grow, Suslow said.

    If the cantaloupe become moldy or damaged, the bacteria can move from the outside of the rind to the inner layer or into the flesh. Also, when the fruit is sliced — in a home kitchen, grocery store or processing plant — the bacteria can spread to the flesh.

    Cut fruit in a tray or clamshell package can harbor the bacteria. If the fruit isn’t kept very cool, the germs can grow.

    It is difficult to remove disease-causing bacteria from cantaloupe at home. Food safety experts recommend rinsing whole melons in cool water and scrubbing them with a clean produce brush and then drying completely.

    Blanching the cantaloupes briefly in very hot water is another method, Suslow said. And Purdue University researchers found that household items such as vinegar and iodine diluted in water could reduce exterior contamination with salmonella by 99%.

    For high-risk people, it might be best to avoid cantaloupe, especially pre-cut cantaloupe and especially during an outbreak, said Amanda Deering, a Purdue University food scientist.

    Understanding that certain foods can pose a serious health risk is key, she added.

    “As consumers, we just assume that our food is safe,” she said. “You don’t want to think that a cantaloupe is what’s going to take you out.”

    ___

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • Bird flu still taking toll on industry as 1.35 million chickens are being killed on an Ohio egg farm

    Bird flu still taking toll on industry as 1.35 million chickens are being killed on an Ohio egg farm

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    The U.S. Department of Agriculture says 1.35 million chickens are being slaughtered on an Ohio egg farm as the bird flu continues to take a toll on the industry

    ByJOSH FUNK Associated Press

    November 24, 2023, 12:54 PM

    FILE – A hen stands next to an egg, Jan. 10, 2023, at a farm in Glenview, Ill. More than 1.3 million chickens are being slaughtered on an Ohio egg farm as the bird flu continues to take a toll on the industry. The outbreak that began in early 2022 has been much less severe this year as fewer cases of the virus are being found among the wild birds that spread it. (AP Photo/Erin Hooley, File)

    The Associated Press

    More than 1.3 million chickens are being slaughtered on an Ohio egg farm as the bird flu continues to take a toll on the industry.

    The U.S. Department of Agriculture said all 1.35 million chickens on the farm in Ohio’s Union County will be slaughtered to help limit the spread of the highly contagious virus after a case was confirmed in the flock this week.

    The outbreak that began in early 2022 has been much less severe this year as fewer cases of the virus are being found among the wild birds that spread it. But there have still been 8.1 million birds killed this year to help control the spread of the disease and 5.8 million of those have come just this month as several large egg farms have been struck. That includes 1.2 million birds at one Iowa egg farm and another 940,000 chickens at one Minnesota egg farm that had to be killed.

    Egg farms tend to be much larger than turkey or chicken farms, sometimes with millions of birds. That’s a big part of why Iowa — the nation’s largest egg producing state — has been hit the hardest in this outbreak with nearly 17.3 million birds killed. Ohio is also one of the top egg producing states but it has seen only 5.1 million birds killed because of bird flu.

    This week, there have also been sizeable bird flu cases confirmed on farms in Minnesota, Maryland, South Dakota, Wisconsin, Georgia and California. But the biggest one of those cases was the Maryland chicken farm where 198,200 birds were killed.

    In 2022, nearly 58 million birds were slaughtered as part of the outbreak. The highly contagious virus is spread easily by wild birds through droppings and nasal discharges.

    Farmers are working hard to keep the virus from infecting their flocks by taking steps like requiring workers to shower and change clothes before entering barns, sanitizing trucks that enter a farm and investing in separate sets of tools for every barn. But the virus is difficult to keep out particularly along the main pathways for migrating birds who are headed south for the winter.

    Officials say bird flu doesn’t represent a significant health threat. Human cases are extremely rare and none of the infected birds are allowed into the nation’s food supply. Properly cooking poultry and eggs to 165 degrees Fahrenheit (73.89 degrees Celsius) will also kill any viruses.

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  • Bird flu still taking toll on industry as 1.35 million chickens are being killed on an Ohio egg farm

    Bird flu still taking toll on industry as 1.35 million chickens are being killed on an Ohio egg farm

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    The U.S. Department of Agriculture says 1.35 million chickens are being slaughtered on an Ohio egg farm as the bird flu continues to take a toll on the industry

    ByJOSH FUNK Associated Press

    November 24, 2023, 12:54 PM

    FILE – A hen stands next to an egg, Jan. 10, 2023, at a farm in Glenview, Ill. More than 1.3 million chickens are being slaughtered on an Ohio egg farm as the bird flu continues to take a toll on the industry. The outbreak that began in early 2022 has been much less severe this year as fewer cases of the virus are being found among the wild birds that spread it. (AP Photo/Erin Hooley, File)

    The Associated Press

    More than 1.3 million chickens are being slaughtered on an Ohio egg farm as the bird flu continues to take a toll on the industry.

    The U.S. Department of Agriculture said all 1.35 million chickens on the farm in Ohio’s Union County will be slaughtered to help limit the spread of the highly contagious virus after a case was confirmed in the flock this week.

    The outbreak that began in early 2022 has been much less severe this year as fewer cases of the virus are being found among the wild birds that spread it. But there have still been 8.1 million birds killed this year to help control the spread of the disease and 5.8 million of those have come just this month as several large egg farms have been struck. That includes 1.2 million birds at one Iowa egg farm and another 940,000 chickens at one Minnesota egg farm that had to be killed.

    Egg farms tend to be much larger than turkey or chicken farms, sometimes with millions of birds. That’s a big part of why Iowa — the nation’s largest egg producing state — has been hit the hardest in this outbreak with nearly 17.3 million birds killed. Ohio is also one of the top egg producing states but it has seen only 5.1 million birds killed because of bird flu.

    This week, there have also been sizeable bird flu cases confirmed on farms in Minnesota, Maryland, South Dakota, Wisconsin, Georgia and California. But the biggest one of those cases was the Maryland chicken farm where 198,200 birds were killed.

    In 2022, nearly 58 million birds were slaughtered as part of the outbreak. The highly contagious virus is spread easily by wild birds through droppings and nasal discharges.

    Farmers are working hard to keep the virus from infecting their flocks by taking steps like requiring workers to shower and change clothes before entering barns, sanitizing trucks that enter a farm and investing in separate sets of tools for every barn. But the virus is difficult to keep out particularly along the main pathways for migrating birds who are headed south for the winter.

    Officials say bird flu doesn’t represent a significant health threat. Human cases are extremely rare and none of the infected birds are allowed into the nation’s food supply. Properly cooking poultry and eggs to 165 degrees Fahrenheit (73.89 degrees Celsius) will also kill any viruses.

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  • Zimbabwe cholera outbreak suspected of killing more than 150, leaving many terrified

    Zimbabwe cholera outbreak suspected of killing more than 150, leaving many terrified

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    HARARE, Zimbabwe — These days, Catherine Mangosho locks her 3-year-old grandson in the house for hours on end in an attempt to shield him from a deadly cholera outbreak in Zimbabwe.

    The virulent bacterial disease is killing the young and the old in the southern African country, with health authorities reporting more than 150 suspected deaths and over 8,000 suspected cases since February.

    Cholera has often broken out across Zimbabwe in recent years with deadly consequences and has surged and spread again over the last month, driven by the sometimes terrible sanitation conditions in poor, neglected townships and neighborhoods in the capital, Harare, and elsewhere.

    Many like Mangosho, 50, fear their family might be next.

    She points to a group of barefoot children playing street soccer near her house. The ball made from plastic bread wrappers frequently plunges into ponds of sewage. The children pick it out and continue their game.

    “Those boys are playing with fire,” she said. “We buried a boy from this area last week. He was playing soccer in the street just like these boys one day. He fell sick overnight and died at the hospital. They said it was cholera.”

    Since the start of the latest outbreak, Zimbabwe’s Health Ministry has recorded 8,087 suspected cholera cases and 1,241 laboratory confirmed cases. It said there have been 152 suspected cholera deaths and 51 laboratory confirmed deaths.

    The country of 15 million people has been recording more than 500 cases a week since late October, the highest rate since February, said the International Federation of Red Cross and Red Crescent Societies. The group made an emergency appeal this month.

    Cholera is a water-borne disease caused by ingesting contaminated food or water and can kill within hours if left untreated, yet it is usually easily treated by rehydrating patients if cases are caught in time.

    The World Health Organization has said that cholera cases in Africa are rising exponentially amid a global surge. The African continent accounted for 21% of cases and 80% of deaths across the globe from 2014 to 2021, according to the WHO.

    The outbreak in Zimbabwe is spreading from urban to rural areas and putting at risk over 10 million people, including more than 5 million children, said the Red Cross Federation. It said major causes were poor hygiene, but also a lack of awareness and religious practices that include self-proclaimed prophets ordering sect members to rely on prayer and items such as holy water rather than seek medical treatment.

    Cholera is now in all of the country’s 10 provinces, Health Minister Douglas Mombeshora said at a clinic in the hotspot township of Kuwadzana in Harare this weekend. At Kuwadzana Polyclinic, cholera patients lined up in a special tent set up for them and were given a cup of rehydrating sugar and salt solution on arrival.

    “We have had a flare-up in urban areas,” said Mombeshora, adding that seven of the 13 people who have died in Harare are from Kuwadzana. “We are approaching the rainy season and the conditions cause a scare for us. We have to take it as an emergency.”

    The conditions in areas like Kuwadzana and neighboring Glen View make them fertile ground for infections.

    At shopping centers bustling with activity, flies crawl over heaps of uncollected trash. Raw sewage from burst pipes flows in streets and sometimes in the yards of homes. Many people have dug trenches to direct the flow away from their houses.

    Long-running local government failures see many residents go for months without tap water, forcing them to dig shallow wells and boreholes that have also been contaminated by sewage.

    Joyleen Nyachuru, a water, sanitation and hygiene officer with the Community Water Alliance non-governmental organization, and also a resident of the Glen View township, said she fears a repeat of 2008, when more than 4,000 people died in Zimbabwe’s worst outbreak.

    “Some don’t even know the signs and symptoms of cholera, so people are just falling sick in their houses without knowing what exactly is happening to them. It’s terrifying,” said Nyachuru, who recently delivered a petition to council offices signed by dozens of residents demanding safe drinking water and an end to the dire, unhygienic conditions.

    In Glen View, Mangosho is living in daily fear. She lets her grandson out for only a short while to play while watching him closely.

    “The whole neighborhood has children who are sick. Some, including adults, are dying,” she said. “We are afraid.”

    ___

    AP Africa news: https://apnews.com/hub/africa

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  • Over half of Sudan’s population needs humanitarian aid after nearly 7 months of war, UN says

    Over half of Sudan’s population needs humanitarian aid after nearly 7 months of war, UN says

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    UNITED NATIONS — Almost seven months of war between Sudan’s military and a powerful paramilitary group have left a wave of destruction with over half the population in need of humanitarian aid and raised fears of a repeat of the deadly ethnic conflict in Darfur 20 years ago.

    “What is happening is verging on pure evil,” the United Nations humanitarian coordinator in the African nation said Friday.

    Sudan has fallen out of the spotlight since it was engulfed in chaos starting in mid-April, when simmering tensions between military chief Gen. Abdel-Fattah Burhan and the commander of the paramilitary Rapid Support Forces, Gen. Mohamed Hamdan Dagalo, exploded into open warfare.

    But Clementine Nkweta-Salami, the resident U.N. humanitarian coordinator for Sudan, told a United Nations news conference that “the situation is horrific and grim” and “frankly, we are running out of words to describe the horror of what is happening.” She stressed that “the Sudan crisis has few equals.”

    Fighting is continuing to rage despite the warring parties signing a statement after peace talks in Jeddah, Saudi Arabia, pledging to protect civilians and provide unimpeded humanitarian access to the 25 million people who require assistance, she said. The warring generals made a commitment to establish a Humanitarian Forum, with U.N. participation, Nkweta-Salami said. And after its launch on Monday, the U.N. hopes that their commitments in Jeddah will be implemented.

    She said the decimated health sector — with more than 70% of health facilities in conflict areas out of service — was extremely worrying giving outbreaks of cholera, dengue, malaria and measles; reports of escalating violence against civilians; and fighting spreading to Sudan’s breadbasket.

    “What we see is rising hunger,” the humanitarian coordinator said, and high levels of malnutrition among children.

    The U.N. is targeting about 12 million people for aid — about half those in need. But its appeal for $2.6 billion for the 2023 humanitarian response in Sudan is just over a third funded, and Nkweta-Salami urged donors to provide additional money.

    She stressed that access to things like hotspots along with protection of civilians are key challenges.

    Nkweta-Salami was asked about her comment that “what is happening is verging on pure evil,” and whether she was worried that ethnic-based violence in Sudan’s vast western Darfur region would lead to a repetition of the conflict there in 2003.

    It began when rebels from Darfur’s ethnic central and sub-Saharan African community launched an insurgency, complaining of oppression by the Arab-dominated government in the capital, Khartoum. The government responded with a scorched-earth campaign of aerial bombings and unleashed militias known as the Janjaweed, who are accused of mass killings and rapes. Some 300,000 people died in the Darfur conflict, 2.7 million were driven from their homes, and Darfur became synonymous with genocide and war crimes, particularly by the Janjaweed.

    Nkweta-Salami said the U.N. is very worried about fighting in Darfur today and continues to raise the alarm and engage the warring parties to uphold their obligations under international humanitarian law to protect civilians.

    “We will continue to hope that we don’t find ourselves treading down the same path,” she said.

    But fears are mounting that the horrors of Darfur 20 years ago are returning, with reports of widespread killings, rapes and destruction of villages in the region.

    Nkweta-Salami said she was particularly alramed by violence against women, “and in some cases young girls being raped in front of their mothers,” as well as the harrowing stories about attacks and human rights abuses from refugees who fled Darfur to neighboring Chad.

    The U.N. has heard of crimes against Darfur’s Masalit ethnic community, which “are really egregious violations of human rights,” she said, “and it must stop.”

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  • Eyedrops from CVS, Rite Aid and others carry possible infection risk, FDA says

    Eyedrops from CVS, Rite Aid and others carry possible infection risk, FDA says

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    U.S. health regulators are warning consumers not to use more than two dozen varieties of over-the-counter eyedrops due to the risk of infections that could lead to blindness

    ByThe Associated Press

    October 30, 2023, 11:23 AM

    FILE – A sign for the U.S. Food and Drug Administration is displayed outside their offices in Silver Spring, Md., Dec. 10, 2020. U.S. health regulators are warning consumers not to use more than two dozen varieties of over-the-counter eyedrops because of the risk of infections that could lead to blindness. (AP Photo/Manuel Balce Ceneta, File)

    The Associated Press

    WASHINGTON — U.S. health regulators are warning consumers not to use more than two dozen varieties of over-the-counter eyedrops because of the risk of infections that could lead to blindness.

    The Food and Drug Administration advisory applies to lubricating drops sold by six companies, including CVS Health, Target, Rite Aid and Cardinal Health. Consumers should stop using the products immediately and avoid purchasing any that remain on pharmacy and store shelves, the FDA said in a statement Friday.

    The agency asked the companies to recall their products last week, because FDA inspectors found unsanitary conditions and bacteria at the facility producing the drops. The FDA did not disclose the location of the factory or when it was inspected.

    No injuries related to the products had been reported at the time of the announcement, but the FDA encouraged doctors and patients to submit cases through the agency’s online reporting system.

    Earlier this year, federal officials linked an outbreak of drug-resistant bacteria to eyedrops from two companies, EzriCare and Delsam Pharma. More than 80 people in the U.S. tested positive for eye infections from the rare bacterial strain, according to the most recent update from the Centers for Disease Control and Prevention.

    After the products were recalled in February, health inspectors visited the manufacturing plant in India that made the eyedrops and uncovered problems with how they were made and tested, including inadequate sterility measures.

    ___

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • Bagged, precut onions linked to salmonella outbreak that has sickened 73 people in 22 states

    Bagged, precut onions linked to salmonella outbreak that has sickened 73 people in 22 states

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    An outbreak of salmonella poisoning linked to bagged, precut onions recalled by a California firm has sickened at least 73 people in 22 states, including 15 who were hospitalized

    ByJONEL ALECCIA AP health writer

    October 24, 2023, 6:36 PM

    An outbreak of salmonella poisoning linked to bagged, precut onions has sickened at least 73 people in 22 states, including 15 who were hospitalized, U.S. health officials said Tuesday.

    Gills Onions of Oxnard, California, has recalled packages of diced yellow onions, red onions, onions and celery and a mix of onions, celery and carrots, known as mirepoix. The products recalled had use-by dates in August 2023. They are no longer for sale in stores, but consumers may have them — or foods made with them — in freezers. Consumers should not eat, sell or serve the onions for foods made with them, health officials said.

    The diced onion products were sold at food service and other institutions in the U.S. and Canada and at retailers in Arizona, California, Idaho, Montana, Oregon and Washington. Retail sites included Stater Bros., Bashas’ markets and Smart & Final stores in Arizona and California and Smart & Final and Chef’s Store in California, Oregon, Washington, Idaho and Montana.

    Salmonella poisoning can cause serious illness, especially in children younger than 5, elderly people and those with weakened immune systems. Symptoms of infection usually occur within 12 hours to three days after eating contaminated food and include diarrhea, fever and abdominal cramps.

    Officials with the U.S. Food and Drug Administration and the Centers for Disease Control and Prevention are investigating the outbreak to determine the source and whether additional products are tied to illnesses.

    __

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • Bagged, precut onions linked to salmonella outbreak that has sickened 73 people in 22 states

    Bagged, precut onions linked to salmonella outbreak that has sickened 73 people in 22 states

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    An outbreak of salmonella poisoning linked to bagged, precut onions recalled by a California firm has sickened at least 73 people in 22 states, including 15 who were hospitalized

    ByJONEL ALECCIA AP health writer

    October 24, 2023, 6:36 PM

    An outbreak of salmonella poisoning linked to bagged, precut onions has sickened at least 73 people in 22 states, including 15 who were hospitalized, U.S. health officials said Tuesday.

    Gills Onions of Oxnard, California, has recalled packages of diced yellow onions, red onions, onions and celery and a mix of onions, celery and carrots, known as mirepoix. The products recalled had use-by dates in August 2023. They are no longer for sale in stores, but consumers may have them — or foods made with them — in freezers. Consumers should not eat, sell or serve the onions for foods made with them, health officials said.

    The diced onion products were sold at food service and other institutions in the U.S. and Canada and at retailers in Arizona, California, Idaho, Montana, Oregon and Washington. Retail sites included Stater Bros., Bashas’ markets and Smart & Final stores in Arizona and California and Smart & Final and Chef’s Store in California, Oregon, Washington, Idaho and Montana.

    Salmonella poisoning can cause serious illness, especially in children younger than 5, elderly people and those with weakened immune systems. Symptoms of infection usually occur within 12 hours to three days after eating contaminated food and include diarrhea, fever and abdominal cramps.

    Officials with the U.S. Food and Drug Administration and the Centers for Disease Control and Prevention are investigating the outbreak to determine the source and whether additional products are tied to illnesses.

    __

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • A Tonga surgeon to lead WHO’s Western Pacific after previous director fired for racism, misconduct

    A Tonga surgeon to lead WHO’s Western Pacific after previous director fired for racism, misconduct

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    LONDON — Health ministers in the Western Pacific nominated a surgeon from Tonga, Dr. Saia Ma’u Piukala, to lead the World Health Organization’s regional office at a meeting in Manila on Tuesday.

    Piukala’s nomination for WHO’s top job in the Western Pacific comes months after the U.N. health agency fired its previous director, Dr. Takeshi Kasai, following allegations of racism and misconduct first reported by The Associated Press last year.

    WHO said in a statement that Piukala has nearly three decades of experience working in public health in Tonga and across the region in areas including chronic diseases, climate change and disaster response. Piukala was most recently Tonga’s minister of health and defeated rival candidates from China, the Philippines, the Solomon Islands and Vietnam.

    Last January, the AP reported that dozens of WHO staffers in the Western Pacific region alleged that Kasai, the previous regional director, made racist remarks to his staff and blamed the rise of COVID-19 in some Pacific countries on their “lack of capacity due to their inferior culture, race and socioeconomic level.” Kasai rejected allegations that he ever used racist language.

    Days after the AP report, WHO Director-General Tedros Adhanom Ghebreyesus announced that an internal investigation into Kasai had begun. In March, WHO announced it had terminated Kasai’s appointment after the inquiry resulted in “findings of misconduct.” It was the first time in WHO’s history that a reginal director was dismissed.

    Piukala said he was grateful for the nomination and credited his experience in Pacific Island countries and his “fellow villagers” for his success.

    “I thank you sincerely for the trust you have placed in me today,” Piukala said. Piukala will be formally appointed for a five-year term at WHO’s Executive Board meeting in January.

    WHO regional directors wield significant influence in public health and their decisions may help contain emerging outbreaks of potentially dangerous new outbreaks like the coronavirus and bird flu.

    In January, the AP reported that a senior WHO Fijian doctor with a history of sexual assault allegations had also been planning to stand for election as the Western Pacific’s director, with support from his home government and some WHO staffers. Months after that report, WHO announced the physician, Temo Waqanivalu, had also been fired.

    In recent years, WHO has been plagued by accusations of misconduct across multiple offices, including its director in Syria and senior managers who were informed of sexual exploitation in Congo during an Ebola outbreak but did little to stop it.

    ___

    The Associated Press health and science department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • UN warns disease outbreak in Libya’s flooded east could spark ‘second crisis’

    UN warns disease outbreak in Libya’s flooded east could spark ‘second crisis’

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    DERNA, Libya — Officials warned Monday that a disease outbreak in Libya’s northeast, where floods have killed thousands, could create “a second devastating crisis” as diarrhea spread among those who drank contaminated water.

    In a statement, the United Nations Support Mission in Libya said it was particularly concerned about water contamination and the lack of sanitation after two dams collapsed during Mediterranean storm Daniel, sending a wall of water gushing through the eastern city of Derna on Sept. 11. The death toll has varied, with government officials and aid agencies giving tallies ranging from about 4,000 to 11,000 dead.

    Nine U.N. agencies responding to the disaster are working to prevent diseases from taking hold and creating another crisis in the devasted country, which is receiving 28 tons (25 metric tonnes) of medical supplies from the World Health Organization, the mission said.

    Haider al-Saeih, head of Libya’s Center for Combating Diseases, said in televised comments Saturday that at least 150 people suffered diarrhea after drinking contaminated water in Derna. No further updates have been given.

    Residents from the nearby cities of Benghazi and Tobruk have offered to put up the displaced, while volunteers search for survivors buried beneath the rubble.

    The disaster has brought some rare unity to oil-rich Libya, which has been divided between rival administrations since 2014. Both are backed by international patrons and armed militias whose influence in the country has ballooned since a NATO-backed Arab Spring uprising toppled autocratic ruler Moammar Gadhafi in 2011.

    The opposing governments have both deployed humanitarian teams to the port city and other affected areas, but poor coordination, difficulty getting aid to the hardest-hit areas and the destruction of Derna’s infrastructure, including several bridges, have hampered their efforts.

    Footage shot by an Associated Press journalist Monday showed hundreds of Libyan men gathered outside, and atop, a mosque in Derna before a man read a list of demands at the building’s entrance. The man called on Libyan authorities to expedite their investigation into the disaster, for the U.N to set up an office in Derna, for urgent reconstruction of the city and compensation for those affected by the flood. After he finished, the hundreds gathered began chanting: “Libya, Libya, Libya.”

    When the flood struck, Mraje Kdour and his three brothers managed to escape the second flood but his sister didn’t make it.

    “We got so close to the ceiling. We were barely able to breathe,” Kdour toll the Associated Press

    On Saturday, Libya’s general prosecutor, al-Sediq al-Sour, opened an investigation into the collapse of the two dams, built in the 1970s, as well as the allocation of maintenance funds. Derna’s mayor, Abdel-Moneim al-Gaithi, was suspended pending an investigation into the disaster.

    The Health Minister from Libya’s eastern government, Othman Abduljaleel, said Sunday that his ministry had begun a vaccination program “against diseases that usually occur after disasters such as this one” but didn’t elaborate.

    Libya’s Red Crescent has said at least 11,300 people have been killed and an additional 10,000 are missing. After earlier reporting that same death toll, the U.N. Office for the Coordination of Humanitarian Affairs is now citing far lower numbers, with about 4,000 people killed and 9,000 missing.

    East Libya’s health minister, Othman Abduljaleel, said at least 3,283 bodies had been buried as of Sunday night. He didn’t give an exact figure for the bodies retrieved so far. However, previously, on Thursday, he said more than 3,000 bodies were buried “while another 2,000 were still being processed.”

    Last week, Derna’s mayor said the toll could reach 20,000 dead.

    Meanwhile, the floods have raised concerns about the ruins of Ceyrene, an ancient Greco-Roman city roughly 37 miles (60 kilometers) east of Derna that is one of five Libyan UNESCO World Heritage sites.

    “UNESCO is in contact with archaeologists on the ground and its satellite imaging team is also trying to establish what the damage might be,” the agency said Monday in a statement sent to The AP.

    ___

    Jeffery reported from London. Associated Press journalists Patricia Simona and Samy Magdy contributed to this report from Derna and Cairo retrospectively.

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