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Tag: viruses

  • Chikungunya virus: New York confirms first locally acquired case in US since 2019

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    Health officials in New York confirmed a person tested positive for the mosquito-borne chikungunya virus in what is the first locally acquired case in the United States since 2019. 

    The transmission detected in a Nassau County resident comes after the Centers for Disease Control and Prevention (CDC) warned Americans to be on high alert for the virus following outbreaks in Cuba and China this year. 

    “A communicable disease investigation conducted by Nassau County Department of Health (NCDOH) found that the individual began experiencing symptoms in August. The investigation revealed that the individual had history of travel outside of Nassau County during the period of inoculation, but did not report traveling abroad,” the Nassau County Department of Health said Tuesday. 

    “No Chikungunya Virus has been detected in local mosquito pools to date, and the risk to the general public continues to remain low,” it added. 

    DEADLY MOSQUITO-BORNE VIRUS SPARKS CDC TRAVEL ALERT — COULD IT REACH THE US? 

    The chikungunya virus is “most often spread to people by infected Aedes aegypti and Aedes albopictus mosquitoes,” according to the Nassau County Department of Health. (iStock)

    The CDC said most people infected with the chikungunya virus develop some symptoms, which usually begin around three to seven days after a bite by an infected mosquito. 

    “The most common symptoms are fever and joint pain. Other symptoms may include headache, muscle pain, joint swelling, or rash. Most people get better within a week; however, some can have severe joint pain for months to years following acute illness,” according to the CDC. 

    “People at risk for more severe disease include newborns infected around the time of birth, older adults (65 years or older), and people with medical conditions such as diabetes or heart disease. Death from chikungunya is rare,” the CDC added. “There is no specific treatment for chikungunya.” 

    CDC WARNS OF ‘ENHANCED’ VIRUS RISK FOR TRAVELERS AMID OUTBREAK SPREAD BY MOSQUITOES 

    Chikungunya virus outbreak in China

    A sanitation worker sprays insecticide to prevent the spread of the chikungunya virus on Aug. 3, 2025, in Dongguan in the Guangdong Province of China. (VCG via Getty Images)

    The CDC said on its website that, “Locally acquired chikungunya cases have not been reported from U.S. states or territories since 2019.” 

    “An investigation suggests that the individual likely contracted the virus following a bite from an infected mosquito,” the New York State Department of Health said. “While the case is classified as locally acquired based on current information, the precise source of exposure is not known.” 

    “Mosquito bites are more than just a nuisance, they can sometimes spread illnesses that affect both people and animals,” said Nassau County Commissioner of Health Irina Gelman. “While the 2025 mosquito season is essentially over with cooler weather in Nassau County, this case serves as a reminder to take precautions against mosquito bites during the season and when traveling to areas where mosquito-borne illnesses are present.” 

    Worker fighting Chikungunya virus in Foshan

    A staff member carries out disinfection work at a hospital amid an outbreak of chikungunya on July 23, 2025, in Foshan, China.  (VCG via Getty Images)

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    “Our Wadsworth Center has confirmed this test result, which is the first known case of locally acquired Chikungunya in New York State. Given the much colder nighttime temperatures, the current risk in New York is very low,” added State Health Commissioner James McDonald.  

    Greg Norman is a reporter at Fox News Digital.

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    October 15, 2025
  • Feds Suspiciously Revive the Name ‘Monkeypox’ After Dropping It in 2022

    Under our current age of Trump, it’s frankly stranger when the federal government doesn’t do something completely unproductive. The latest bit of pointlessness? The U.S. Department of Health and Human Services has switched back to using the name “monkeypox”—an outdated label for the disease mpox.

    NPR was the first to report on the name switchback, which appears to have been implemented sometime in the last month. Nearly three years ago, virologists pushed for monkeypox to be retired, both for being potentially stigmatizing and factually inaccurate, since monkeys aren’t the primary hosts of the virus in the wild. HHS confirmed the switch to Gizmodo but offered no elaboration as to why it did so.

    Why the change?

    In November 2022, the World Health Organization officially adopted the label “mpox” to describe the viral disease, following a concerted effort by relevant experts and scientists to retire “monkeypox.” This name was quickly reaffirmed by many health organizations and countries, including the U.S.

    The reasoning was twofold. One, though humans first discovered monkeypox in a group of lab monkeys in the 1950s, we now know that rodents are its predominant animal hosts. Since 2022, the disease has also spread widely between people, causing outbreaks across the globe—another sign of monkeypox’s outdatedness. Though outbreaks have generally lessened in most parts of the world, the disease still causes large surges of illness to this day.

    Secondly, many scientists noted the harmful racial and ethnic connotations of the name. People have long used “monkey” as a racist shorthand for Black or African people, and some have cast monkeypox as strictly an “African” disease (mpox is still most prevalent in parts of Africa, but the global outbreak has clearly illustrated that it doesn’t respect borders).

    Boghuma Titanji, a virus researcher at Emory University originally from Cameroon, recounted to NPR how her attempts to share information about the mpox outbreaks in 2022 quickly led to a pile-on from racist trolls on social media. “Likening me to a monkey, asking me to go back to Africa, where people have sex with monkeys, and being someone who defends gay sex with monkeys. Those were some of the really, really dark messages that I got in my inbox,” she told NPR.

    What’s in a name?

    There is, admittedly, some room for confusion here.

    As it turns out, different organizations are responsible for naming a virus as opposed to the disease it causes. And while most experts and health agencies defer to the WHO’s guidance for a disease’s name, it’s the International Committee on Taxonomy of Viruses (ICTV) that decides the formal name of the virus.

    Right around the same time that WHO was considering a name change, the ICTV stated that it would not drastically change its labeling of the virus behind mpox. Though the group has been updating its classification of many virus groups lately, it ultimately only added a broader label in front to illustrate its closeness to other similar pox viruses. So its official species name is now Orthopoxvirus monkeypox (if it’s any consolation, many scientists have complained about the ICTV’s virus name updating for other reasons).

    It’s this distinction that HHS may be hanging its hat on in order to support the name switch. An HHS spokesperson told Gizmodo, “Monkeypox is the name of the viral disease caused by the monkeypox virus.”

    To be clear, though, that’s not accurate. Or at least, monkeypox isn’t the name that most every other health agency around the world now uses for the viral disease caused by the monkeypox virus; that’s mpox. That long list also currently includes the Centers for Disease Control and Prevention, since the agency (part of HHS) is still using mpox on its webpage about the disease. Since the last update of that page occurred in April 2025, though, it’s probably only a matter of time before that changes as well.

    As for why the federal government is doing this, who honestly knows? Trump and other members of his administration have made it clear that they despise the WHO, to the point of stripping away the funding the U.S. has historically provided to the agency. But that doesn’t really explain why the change is happening now. For all we know, someone got in Trump’s or Health Secretary RFK Jr.’s ear last month and scared them into thinking “mpox” is too woke a term for the U.S. to endorse.

    What we can say for sure is how utterly pointless any of this is.

    Ed Cara

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    September 22, 2025
  • Kansas tracks 5 serious West Nile virus cases as mosquito season peaks across the state

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    Kansas health officials say they are monitoring six West Nile virus cases this year and five of them have been considered serious.

    As of Aug. 15, the Kansas Department of Health and Environment (KDHE) shows three cases located in the north-central Kansas region and three more in the south-central part of the state.

    The KDHE says that five of the six cases are classified as neuroinvasive. Jill Bronaugh, a KDHE spokesperson, said non-neuroinvasive cases are less severe, according to a report by KSNT. 

    Bronaugh explained that infected subjects with non-neuroinvasive cases have flu-like symptoms and neuroinvasive cases are much more severe.

    MOSQUITO-BORN DENGUE FEVER CASES SURGE AT POPULAR US VACATION DESTINATION

    A West Nile virus 3D illustration. The West Nile virus is transmitted by mosquito and causes West Nile fever. (iStock)

    “Neuroinvasive cases are those in which there is clinical evidence of involvement of the central nervous system in the disease process,” Bronaugh said. “These cases are generally more severe and include symptoms such as high fever, inflammation of the brain and/or the tissue surrounding the brain, disorientation, paralysis or muscle weakness, numbness, and vision loss. These cases generally have a longer recovery time and require more extensive medical intervention.”

    According to a report by the Kansas Department of Health and Environment (KDHE), the numbers are still below last year’s totals, but some health officials are warning that the risk will rise as mosquito activity peaks in late summer.

    Last year, Kansas recorded 64 infections, including four deaths, according to KDHE data.

    MOSQUITO-BORNE VIRUS SPREADING THROUGH CHINA CAUSES HIGH FEVER, JOINT PAIN

    A mosquito on human skin

    A Culex quinquefasciatus mosquito is seen on the skin of a human host in the Centerd for Disease Control and Prevention (CDC). (REUTERS/CDC/James Gathany)

    KDHE currently has a West Nile virus dashboard, which is updated on Fridays during the surveillance season, July through September.

    According to the CDC, WNV is commonly spread through bites from infected mosquitoes during mosquito season starting in the summer.

    Peak numbers are from August to early September, the CDC website reports, and yearly about 2,000 people in the U.S. are diagnosed, although those numbers are low due to under-reporting caused by mild symptoms.

    The CDC says typical symptoms such as high fever, headache, neck stiffness, stupor, disorientation, coma, tremors, convulsions, muscle weakness, vision loss, numbness, or paralysis tend to show up 2–6 days after being bitten by an infected mosquito.

    PLEASANT HILL, CA - JUNE 29: Mosquitos are seen inside a trap on June 29, 2012 in Pleasant Hill, California. As reports of mosquitoes with West Nile virus are increasing across the country and several people have been confirmed to be infected by the potentially dangerous disease, the Contra Costa County Mosquito and Vector Control District is testing mosquito larvae found in standing water throughout the county and is using mosquito fish and BVA Larvacide oils to eradicate the pest. (Photo by Justin Sullivan/Getty Images)

    Mosquitos are seen inside a trap in Pleasant Hill, California.  (Getty Images)

    Unfortunately, there are no medicines available to treat West Nile, but the CDC notes that most who are infected recover.

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    The CDC says that most people infected with the West Nile virus “are believed to have lifelong immunity or protection from getting the disease again.”

    Health officials have urged residents to use precautions when going outdoors to protect themselves from mosquito bites. Officials suggest using insect repellent, wearing long sleeves and pants outdoors, and eliminating standing water around homes where mosquitoes can breed.

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    August 21, 2025
  • Crispr-Enhanced Viruses Are Being Deployed Against UTIs

    Crispr-Enhanced Viruses Are Being Deployed Against UTIs

    Locus’s therapy is actually a cocktail of six phages. The company used artificial intelligence to predict a combination that would be effective against E. coli. Three of the phages are “lytic,” meaning work by infecting E. coli cells and causing them to burst open. The other three are engineered to contain Crispr to enhance their effectiveness. Once inside their target cells, these phages use the Crispr system to home in on a crucial site in the E. coli genome and start degrading the bacteria’s DNA.

    Some phages are really good at getting into bacterial cells but not good at killing them. “That’s where gene editing comes in,” explains Paul Garofolo, CEO of Locus. He says the therapy is meant to “reach into the human body and remove a targeted bacterial species without touching anything else.”

    In a Phase 2 trial, 16 women received a three-day course of the phage cocktail, along with Bactrim, a commonly prescribed antibiotic for UTIs. Within four hours of the first treatment, levels of E. coli in the urine rapidly declined, and were maintained through the end of the 10-day study period. By that time, UTI symptoms in all of the participants had cleared up, and levels of E. coli were low enough in 14 out of 16 women that they were considered cured.

    The findings were reported August 9 in the journal The Lancet Infectious Diseases. The Biomedical Advanced Research and Development Authority, or BARDA, part of the US Department of Health and Human Services, is co-developing the therapy.

    UTIs are incredibly common, and roughly half of women will have a UTI in their lifetime. More than 80 percent of infections are caused by E. coli, and in a 2022 report, the World Health Organization found that one in five UTI infections caused by E. coli showed reduced susceptibility to standard antibiotics like ampicillin, co-trimoxazole, and fluoroquinolones.

    While phage therapy is common in the Republic of Georgia and Poland, it is not licensed in the US. However, it is used experimentally in certain cases with permission from the US Food and Drug Administration. A major challenge with commercializing phage therapy is that it’s often personalized to individual patients and thus difficult to scale. Finding the right phage for treatment can take time, and then batches of phages need to be grown and purified. But using a fixed cocktail like Locus’s would mean the therapy could be more easily scaled.

    And there’s another potential benefit. “The Crispr-enhanced phages allow for degradation of the bacterial genome and would bypass several mechanisms by which bacteria can become resistant to phage,” says Saima Aslam, a professor of medicine at the University of California, San Diego, who studies phages but is not involved in the development of the Locus therapy. “Theoretically, this may prevent regrowth of phage-resistant bacteria and thus lead to more effective treatment.”

    Photograph: Locus Biosciences

    Emily Mullin

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    September 9, 2024
  • West Nile virus detected in Haverhill

    West Nile virus detected in Haverhill

    HAVERHILL — The state Department of Public Health has confirmed that mosquitoes collected locally tested positive for West Nile virus.

    The mosquitoes were among those captured at a surveillance site in Haverhill, according to Deborah Ketchen, health agent for nearby Merrimac, and that town’s Board of Health.

    The board urged its residents to take proper precautions and offered tips in a news release issued Thursday night, noting that the town’s risk level for the West Nile virus remained the same.

    It was not noted whether these mosquitoes were among those that tested positive for West Nile virus and Eastern equine encephalitis in Haverhill on July 30.

    Haverhill Mayor Melinda Barrett announced on the city’s website Aug. 2 that spraying for mosquitoes would begin three days later in a northeastern section of the community due to the positive findings.

    Trucks from the Northeast Massachusetts Mosquito Control District were to begin spraying the insecticide Zenivex E4 RTU in an area “bounded by Main Street to Kenzoa Avenue to Amesbury Road to Kenzoa Street to Center Street to Millvale Road to East Broadway to Old Ferry Road to Lincoln Avenue to Water Street then back to Main Street,” the city said.

    Public health surveillance is conduced in the state for both mosquito-borne illnesses. The highest risk for contracting WNV or EEE is from late July to the first fall frost, according to Merrimac health officials.

    Mosquitoes receive WNV and EEE by biting infected birds. People and animals contract these diseases by being bitten by an infected mosquito.

    Most people bitten by mosquitoes carrying WNV will either have no symptoms or very mild symptoms and recover on their own. People over age 50 have the highest risk of becoming seriously ill, the Merrimac officials said. Additional monitoring and testing of mosquitoes in Haverhill was expected.

    Merrimac health officials and Barrett encourage the public to take precautions, including using DEET mosquito repellant, wearing long sleeves and pants, and avoiding outdoor activities from dusk to dawn.

    Residents are also asked to check their property for containers of standing water that could attract mosquitoes. Tightly fitted screens are needed for windows and doors, the officials said.

    More information about WNV and EEE is available by calling the state Department of Public Health recorded information line at 1-866-MASS-WNV (1-866-627-7968), or the DPH Epidemiology Program at 617-983-6800.

    A fact sheet is available at mass.gov/doc/wnv-factsheet-english/download.

    Staff Reports

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    August 16, 2024
  • Merrimac health officials warn about West Nile virus

    Merrimac health officials warn about West Nile virus

    MERRIMAC — Town health officials ask residents to take precautions after the discovery of mosquitoes infected with West Nile virus in nearby Haverhill.  

    The insects were among those trapped at a specific mosquito surveillance site, Merrimac Health Agent Deborah Ketchen and the town’s Board of Health announced in a news release Thursday night.  

    The state Department of Public Health later confirmed that the mosquitoes tested positive for the potentially deadly virus, the health officials said.

    The Health Board urged local residents to take proper precautions and offered tips, noting that the town’s risk level for West Nile virus remained the same.

    It was not noted whether these mosquitoes were among those that tested positive for West Nile virus and Eastern equine encephalitis in Haverhill on July 30.

    Last week, Newburyport confirmed a case of West Nile virus in the city and urged its residents to take precautions. None of the cases in either community involve infected humans.

    Haverhill Mayor Melinda Barrett announced on the city’s website Aug. 2 that spraying for mosquitoes would begin three days later in a northeastern section of the community due to the positive findings.

    Trucks from the Northeast Massachusetts Mosquito Control District were to begin spraying the insecticide Zenivex E4 RTU in an area “bounded by Main Street to Kenzoa Avenue to Amesbury Road to Kenzoa Street to Center Street to Millvale Road to East Broadway to Old Ferry Road to Lincoln Avenue to Water Street then back to Main Street,” the city said. 

    Public health surveillance is conduced in the state for both mosquito-borne illnesses. The highest risk for contracting WNV or EEE is from late July to the first fall frost, according to Merrimac officials. 

    Mosquitoes receive WNV and EEE by biting infected birds. People and animals contract these diseases by being bitten by an infected mosquito.

    Most people bitten by mosquitoes carrying WNV will either have no symptoms or very mild symptoms and recover on their own. People over age 50 have the highest risk of becoming seriously ill, the Merrimac officials said. Additional monitoring and testing of mosquitoes in Haverhill was expected.

    Merrimac health officials and Barrett encourage the public to take precautions, including using DEET mosquito repellant, wearing long sleeves and pants, and avoiding outdoor activities from dusk to dawn.

    Residents are also asked to check their property for containers of standing water that could attract mosquitoes. Tightly fitted screens are needed for windows and doors, the officials said.   

    More information about WNV and EEE is available by calling the state Department of Public Health recorded information line at 1-866-MASS-WNV (1-866-627-7968), or the DPH Epidemiology Program at 617-983-6800.

    A fact sheet is available at mass.gov/doc/wnv-factsheet-english/download.

    Staff Reports

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    August 15, 2024
  • The Complex Social Lives of Viruses

    The Complex Social Lives of Viruses

    The original version of this story appeared in Quanta Magazine.

    Ever since viruses came to light in the late 1800s, scientists have set them apart from the rest of life. Viruses were far smaller than cells, and inside their protein shells they carried little more than genes. They could not grow, copy their own genes, or do much of anything. Researchers assumed that each virus was a solitary particle drifting alone through the world, able to replicate only if it happened to bump into the right cell that could take it in.

    This simplicity was what attracted many scientists to viruses in the first place, said Marco Vignuzzi, a virologist at the Singapore Agency for Science, Research and Technology Infectious Diseases Labs. “We were trying to be reductionist.”

    That reductionism paid off. Studies on viruses were crucial to the birth of modern biology. Lacking the complexity of cells, they revealed fundamental rules about how genes work. But viral reductionism came at a cost, Vignuzzi said: By assuming viruses are simple, you blind yourself to the possibility that they might be complicated in ways you don’t know about yet.

    For example, if you think of viruses as isolated packages of genes, it would be absurd to imagine them having a social life. But Vignuzzi and a new school of like-minded virologists don’t think it’s absurd at all. In recent decades, they have discovered some strange features of viruses that don’t make sense if viruses are lonely particles. They instead are uncovering a marvelously complex social world of viruses. These sociovirologists, as the researchers sometimes call themselves, believe that viruses make sense only as members of a community.

    Granted, the social lives of viruses aren’t quite like those of other species. Viruses don’t post selfies to social media, volunteer at food banks, or commit identity theft like humans do. They don’t fight with allies to dominate a troop like baboons; they don’t collect nectar to feed their queen like honeybees; they don’t even congeal into slimy mats for their common defense like some bacteria do. Nevertheless, sociovirologists believe that viruses do cheat, cooperate, and interact in other ways with their fellow viruses.

    The field of sociovirology is still young and small. The first conference dedicated to the social life of viruses took place in 2022, and the second will take place this June. A grand total of 50 people will be in attendance. Still, sociovirologists argue that the implications of their new field could be profound. Diseases like influenza don’t make sense if we think of viruses in isolation from one another. And if we can decipher the social life of viruses, we might be able to exploit it to fight back against the diseases some of them create.

    Under Our Noses

    Some of the most important evidence for the social life of viruses has been sitting in plain view for nearly a century. After the discovery of the influenza virus in the early 1930s, scientists figured out how to grow stocks of the virus by injecting it into a chicken egg and letting it multiply inside. The researchers could then use the new viruses to infect lab animals for research or inject them into new eggs to keep growing new viruses.

    In the late 1940s, the Danish virologist Preben von Magnus was growing viruses when he noticed something odd. Many of the viruses produced in one egg could not replicate when he injected them into another. By the third cycle of transmission, only one in 10,000 viruses could still replicate. But in the cycles that followed, the defective viruses became rarer and the replicating ones bounced back. Von Magnus suspected that the viruses that couldn’t replicate had not finished developing, and so he called them “incomplete.”

    Carl Zimmer

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    May 18, 2024
  • Mike Pence Fast Facts | CNN Politics

    Mike Pence Fast Facts | CNN Politics



    CNN
     — 

    Here’s a look at the life of Mike Pence, the 48th vice president of the United States.

    Birth date: June 7, 1959

    Birth place: Columbus, Indiana

    Birth name: Michael Richard Pence

    Father: Edward Pence, gas station owner

    Mother: Nancy Pence-Fritsch

    Marriage: Karen Pence (1985-present)

    Children: Michael, Charlotte and Audrey

    Education: Hanover College (Indiana), B.A., 1981; Indiana University School of Law, J.D., 1986

    Religion: Evangelical Christian

    After two early unsuccessful runs for Congress, Pence wrote an essay, “Confessions of a Negative Campaigner.” In the 1991 piece, he pledged not to use insulting language or air ads disparaging opponents.

    During the 2010 Value Voter Summit, Pence took the stage and said, “I’m a Christian, a conservative and a Republican, in that order.”

    Pence was a Democrat as a teen. He has said that he voted for Jimmy Carter, not Ronald Reagan, in the 1980 election.

    Pence’s Irish grandfather immigrated through Ellis Island in 1923.

    1991-1993 – President of the conservative think tank, Indiana Policy Review Foundation.

    1992-1999 – Hosts a talk radio show, “The Mike Pence Show.” The show is syndicated on 18 stations in Indiana.

    2000 – Is elected to the US House of Representatives for the 2nd District of Indiana.

    2002 – Is elected to the US House of Representatives for the 6th District of Indiana. The district was renumbered in 2002. He is reelected in 2004, 2006, 2008 and 2010.

    2009-2011 – Is the Republican Conference chair.

    2012 – Is elected governor of Indiana. His campaign includes a grassroots trek across the state called the “Big Red Truck Tour.”

    January 2015 – Announces, then scraps plans to launch a state-run news outlet called “Just IN.”

    January 27, 2015 – Gains federal approval for a state plan for Medicaid expansion, “Healthy Indiana Plan 2.0.”

    March 26, 2015 – Pence signs the Religious Freedom Restoration Act (RFRA), banning local governments from intervening when businesses turn away customers for religious reasons. The law sparks concern about discrimination, particularly within the LGBTQ community. After the law is passed, a wave of boycotts and petitions roil the state, with companies like Apple and organizations like the NCAA criticizing the bill and threatening to reconsider future business opportunities in Indiana.

    April 2, 2015 – Pence signs a new version of the RFRA that prohibits discrimination on the basis of sexual orientation.

    July 15, 2016 – GOP presidential candidate Donald Trump tweets that he has chosen Pence to be his running mate. The formal announcement takes place July 16.

    November 8, 2016 – Is elected vice president of the United States.

    January 20, 2017 – Sworn in as vice president of the United States.

    January 27, 2017 – Pence speaks at the March for Life, an anti-abortion rally in Washington. He is the first sitting vice president to make a speech at the annual event.

    February 7, 2017 – Casts a tie-breaking vote to confirm Betsy DeVos as the next education secretary. This is the first time a vice president has needed to cast the deciding vote on a cabinet nomination.

    February 18, 2017 – Pence delivers a speech at the Munich Security Conference, declaring that the United States will hold Russia accountable for acts of aggression even as the Trump administration makes an effort to cultivate stronger ties with Moscow. The vice president also says that the United States “strongly supports NATO and will be unwavering in our commitment to our transatlantic alliance.” Pence adds a caveat, saying that NATO member nations should boost their defense spending.

    March 2, 2017 – The Indianapolis Star reports that while governor of Indiana, Pence used a private email account to conduct some state business and that it was hacked. Indiana’s Code of Ethics does not address officials’ use of personal emails. Pence also had a state-provided email address. Pence says, “there’s no comparison” between his situation and that of Hillary Clinton’s use of a private email server.

    August 9, 2018 – In a speech to US military and civilian personnel, Pence calls for the establishment of a Space Force by 2020. Pence also announces immediate steps the Department of Defense would take to reform how the military approaches space.

    January 16, 2019 – At the Global Chiefs of Mission conference, Pence declares that “the caliphate has crumbled, and ISIS has been defeated.” Hours before, the US-led coalition confirmed that American troops had been killed in an explosion in Manbij, an attack that ISIS claimed responsibility for.

    May 30, 2019 – During talks with Canadian Prime Minister Justin Trudeau in Canada, Pence says he is “very proud to be part of a pro-life administration” and that he is troubled by what he calls “the Democratic party in our country, and leaders around the country, supporting late-term abortion, even infanticide.”

    February 26, 2020 – Trump places Pence in charge of the US government response to the novel coronavirus, amid growing criticism of the White House’s handling of the outbreak.

    April 28, 2020 – Pence visits the Mayo Clinic without a face mask, ignoring the facility’s current policy requiring protective masks be worn at all times. Later, Pence says he should have worn a mask during his visit.

    November 7, 2020 – Days after the presidential election on November 3, CNN projects Trump and Pence have lost to former Vice President Joe Biden and his running mate Sen. Kamala Harris.

    April 7, 2021 – Pence announces the launch of a new political advocacy group, “Advancing American Freedom.” The group’s stated goal is to “promote the pro-freedom policies of the last four years that created unprecedented prosperity at home and restored respect for America abroad, to defend those policies from liberal attacks and media distortions, and to prevent the radical Left from enacting its policy agenda that would threaten America’s freedoms,” according to a statement from the group. On the same day, publisher Simon & Schuster announces it will publish Pence’s autobiography.

    April 14, 2021 – Pence undergoes surgery to have a pacemaker implanted to help combat a slow heart rate.

    November 14, 2022 – During a interview with ABC’s David Muir, Pence says he thinks “America will have better choices in the future” than Trump as president in 2024, and admits he’s considering running himself.

    November 15, 2022 – Pence’s new memoir, “So Help Me God,” is published. The book includes Pence’s recollections of his experience during the January 6, 2021, attack on the US Capitol.

    April 27, 2023 – Pence testifies to a federal grand jury investigating the aftermath of the 2020 election and the actions of Trump and others, sources familiar with the matter told CNN. The testimony marks the first time in modern history a vice president has been compelled to testify about the president he served beside.

    June 6, 2023 – Pence announces that he’s running for the 2024 Republican presidential nomination in a launch video. On October 28, he suspends his campaign for president.

    March 15, 2024 – Says he “cannot in good conscience” endorse presumptive GOP nominee Trump, a stunning repudiation of his former running mate and the president he served with.

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    March 20, 2024
  • Mpox in the United States Fast Facts | CNN

    Mpox in the United States Fast Facts | CNN



    CNN
     — 

    Here’s a look at mpox, formerly known as monkeypox, in the United States. In 2022, an outbreak was declared a public health emergency of international concern by the World Health Organization (WHO). The virus originated in Africa and is the cousin of the smallpox virus.

    In November 2022, WHO renames the monkeypox virus as mpox after working with International Committee on the Taxonomy of Viruses (ICTV) to rename the the virus using non-stigmatizing, non-offensive social and cultural nomenclature.

    (Source: Centers for Disease Control and Prevention)

    Mpox is a poxvirus. It generally causes pimple- or blister-like lesions and flu-like symptoms such as fever. The disease is rarely fatal.

    Mpox spreads through close contact. This includes direct physical contact with lesions as well as “respiratory secretions” shared through face-to-face interaction and touching objects that have been contaminated by mpox lesions or fluids. The virus may also pass to a fetus through the placenta.

    Anyone can become ill from mpox, but the US Centers for Disease Control and Prevention (CDC) says that more than 99% of mpox cases in the United States in the 2022 outbreak have been among men who have sex with men. However, mpox is not generally considered a sexually transmitted disease.

    Mpox is usually found in West and Central Africa, but additional cases have been seen in Europe, including the United Kingdom, and other parts of the world in recent years. Those cases are typically linked to international travel or imported animals infected with the poxvirus.

    CDC Mpox Map and Case Count

    WHO Situation Reports

    Timeline and 2022 Outbreak

    1958 – Mpox is discovered when monkeys kept for research cause two outbreaks in Copenhagen, Denmark.

    1970 – The first human case is recorded in Zaire (now the Democratic Republic of Congo).

    2003 – An outbreak in the United States is linked to infected pet prairie dogs imported from Ghana and results in more than 80 cases.

    July 16, 2021 – The CDC and local health officials in Dallas announce they are investigating a case of mpox in a traveler from Nigeria. “The individual is a City of Dallas resident who traveled from Nigeria to Dallas, arriving at Love Field airport on July 9, 2021. The person is hospitalized in Dallas and is in stable condition,” the Dallas County Department of Health and Human Services says in a statement.

    May 17, 2022 – The first confirmed US case of mpox in the 2022 outbreak is reported to the CDC in a traveler who returned to Massachusetts from Canada.

    May 19, 2022 – WHO reports that death rates of the outbreak have been between 3% and 6%.

    May 23, 2022 – The CDC announces the release of mpox vaccine doses from the nation’s Strategic National Stockpile for “high-risk people.” In the United States, the two-dose Jynneos vaccine is licensed to prevent smallpox and specifically to prevent mpox.

    May 26, 2022 – CDC Director Dr. Rochelle Walensky announces that the United States is distributing the vaccine to states with reported cases and recommends vaccination for people at highest risk of infection due to direct contact with someone who has mpox.

    June 22, 2022 – The CDC announces a partnership with five commercial laboratories to ramp up testing capacity in the United States.

    June 23, 2022 – New York City launches the first mpox vaccination clinic in the United States.

    June 28, 2022 – The US Department of Health and Human Services (HHS) and the Biden administration announce an enhanced vaccination strategy and report that more than 9,000 doses of vaccine have been distributed to date.

    July 22, 2022 – Two American children contract mpox – a first in the United States. According to the CDC, the two cases are unrelated.

    July 23, 2022 – WHO declares mpox a public health emergency of international concern, “an extraordinary event that may constitute a public health risk to other countries through international spread of disease and may require an international coordinated response.”

    July 27, 2022 – After weeks of mpox vaccines being in limited supply, more than 786,000 additional doses are made available in the United States, according to HHS.

    July 29, 2022 – New York declares a state disaster emergency in response to the mpox outbreak.

    August 1, 2022 – California and Illinois declare states of emergency. California has reported more than 800 cases, while Illinois has had more than 500, according to data from the CDC.

    August 2, 2022 – An mpox response team is created by the Biden administration. President Joe Biden names Robert Fenton from the Federal Emergency Management Agency (FEMA) as the White House national mpox response coordinator.

    August 2, 2022 – A report from Spain’s National Institute for Microbiology indicates two men, ages 31 and 44, who died from mpox in unrelated cases had both developed encephalitis, or swelling of the brain, which can be triggered by viral infections. Encephalitis is a very rare condition known to be associated with mpox. It has been reported in people with mpox in West Africa and in a patient in the United States in 2003 during the small outbreak linked to imported prairie dogs.

    August 4, 2022 – The Biden administration declares the mpox outbreak a national public health emergency.

    August 5, 2022 – A report published by the CDC finds that 94% of cases were among men who had recent sexual or close intimate contact with another man. Further, 54% of cases were among Black Americans and Latinos.

    August 9, 2022 – In an effort to stretch the limited supply of the Jynneos mpox vaccine, federal health officials authorize administering smaller doses using a different method of injection. The new injection strategy allows health-care providers to give shallow injections intradermally, in between layers of the skin, with one-fifth the standard dose size instead of subcutaneously, into the fatty layer below the skin, with the larger dose.

    August 18, 2022 – The White House announces the acceleration of the HHS vaccine distribution timeline, with an additional 1.8 million doses of the Jynneos vaccine being made available. Additional vaccines will be distributed to communities hosting large LGBTQI+ events.

    August 19, 2022 – Washington’s King County, which includes Seattle, declares mpox a public health emergency, with more than 270 recorded cases.

    September 12, 2022 – The first US death due to mpox is confirmed in Los Angeles County, California.

    May 11, 2023 – WHO declares the mpox outbreak is no longer a global health emergency.

    October 26, 2023 – CDC’s Advisory Committee on Immunization Practices, or ACIP, votes unanimously to recommend that certain individuals ages 18 and older who are at high risk for getting mpox continue to get the vaccine as a routine part of their sexual health care.

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    December 28, 2023
  • No antibiotics worked, so this woman turned to a natural enemy of bacteria to save her husband's life | CNN

    No antibiotics worked, so this woman turned to a natural enemy of bacteria to save her husband's life | CNN



    CNN
     — 

    In February 2016, infectious disease epidemiologist Steffanie Strathdee was holding her dying husband’s hand, watching him lose an exhausting fight against a deadly superbug infection.

    After months of ups and downs, doctors had just told her that her husband, Tom Patterson, was too racked with bacteria to live.

    “I told him, ‘Honey, we’re running out of time. I need to know if you want to live. I don’t even know if you can hear me, but if you can hear me and you want to live, please squeeze my hand.’

    “All of a sudden, he squeezed really hard. And I thought, ‘Oh, great!’ And then I’m thinking, ‘Oh, crap! What am I going to do?’”

    What she accomplished next could easily be called miraculous. First, Strathdee found an obscure treatment that offered a glimmer of hope — fighting superbugs with phages, viruses created by nature to eat bacteria.

    Then she convinced phage scientists around the country to hunt and peck through molecular haystacks of sewage, bogs, ponds, the bilge of boats and other prime breeding grounds for bacteria and their viral opponents. The impossible goal: quickly find the few, exquisitely unique phages capable of fighting a specific strain of antibiotic-resistant bacteria literally eating her husband alive.

    Next, the US Food and Drug Administration had to greenlight this unproven cocktail of hope, and scientists had to purify the mixture so that it wouldn’t be deadly.

    Yet just three weeks later, Strathdee watched doctors intravenously inject the mixture into her husband’s body — and save his life.

    Their story is one of unrelenting perseverance and unbelievable good fortune. It’s a glowing tribute to the immense kindness of strangers. And it’s a story that just might save countless lives from the growing threat of antibiotic-resistant superbugs — maybe even your own.

    “It’s estimated that by 2050, 10 million people per year — that’s one person every three seconds — is going to be dying from a superbug infection,” Strathdee told an audience at Life Itself, a 2022 health and wellness event presented in partnership with CNN.

    “I’m here to tell you that the enemy of my enemy can be my friend. Viruses can be medicine.”

    sanjay pkg vpx

    How this ‘perfect predator’ saved his life after nine months in the hospital

    During a Thanksgiving cruise on the Nile in 2015, Patterson was suddenly felled by severe stomach cramps. When a clinic in Egypt failed to help his worsening symptoms, Patterson was flown to Germany, where doctors discovered a grapefruit-size abdominal abscess filled with Acinetobacter baumannii, a virulent bacterium resistant to nearly all antibiotics.

    Found in the sands of the Middle East, the bacteria were blown into the wounds of American troops hit by roadside bombs during the Iraq War, earning the pathogen the nickname “Iraqibacter.”

    “Veterans would get shrapnel in their legs and bodies from IED explosions and were medevaced home to convalesce,” Strathdee told CNN, referring to improvised explosive devices. “Unfortunately, they brought their superbug with them. Sadly, many of them survived the bomb blasts but died from this deadly bacterium.”

    Today, Acinetobacter baumannii tops the World Health Organization’s list of dangerous pathogens for which new antibiotics are critically needed.

    “It’s something of a bacterial kleptomaniac. It’s really good at stealing antimicrobial resistance genes from other bacteria,” Strathdee said. “I started to realize that my husband was a lot sicker than I thought and that modern medicine had run out of antibiotics to treat him.”

    With the bacteria growing unchecked inside him, Patterson was soon medevaced to the couple’s hometown of San Diego, where he was a professor of psychiatry and Strathdee was the associate dean of global health sciences at the University of California, San Diego.

    “Tom was on a roller coaster — he’d get better for a few days, and then there would be a deterioration, and he would be very ill,” said Dr. Robert “Chip” Schooley, a leading infectious disease specialist at UC San Diego who was a longtime friend and colleague. As weeks turned into months, “Tom began developing multi-organ failure. He was sick enough that we could lose him any day.”

    Patterson's body was systemically infected with a virulent drug-resistant bacteria that also infected troops in the Iraq War, earning the pathogen the nickname

    After that reassuring hand squeeze from her husband, Strathdee sprang into action. Scouring the internet, she had already stumbled across a study by a Tbilisi, Georgia, researcher on the use of phages for treatment of drug-resistant bacteria.

    A phone call later, Strathdee discovered phage treatment was well established in former Soviet bloc countries but had been discounted long ago as “fringe science” in the West.

    “Phages are everywhere. There’s 10 million trillion trillion — that’s 10 to the power of 31 — phages that are thought to be on the planet,” Strathdee said. “They’re in soil, they’re in water, in our oceans and in our bodies, where they are the gatekeepers that keep our bacterial numbers in check. But you have to find the right phage to kill the bacterium that is causing the trouble.”

    Buoyed by her newfound knowledge, Strathdee began reaching out to scientists who worked with phages: “I wrote cold emails to total strangers, begging them for help,” she said at Life Itself.

    One stranger who quickly answered was Texas A&M University biochemist Ryland Young. He’d been working with phages for over 45 years.

    “You know the word persuasive? There’s nobody as persuasive as Steffanie,” said Young, a professor of biochemistry and biophysics who runs the lab at the university’s Center for Phage Technology. “We just dropped everything. No exaggeration, people were literally working 24/7, screening 100 different environmental samples to find just a couple of new phages.”

    While the Texas lab burned the midnight oil, Schooley tried to obtain FDA approval for the injection of the phage cocktail into Patterson. Because phage therapy has not undergone clinical trials in the United States, each case of “compassionate use” required a good deal of documentation. It’s a process that can consume precious time.

    But the woman who answered the phone at the FDA said, “‘No problem. This is what you need, and we can arrange that,’” Schooley recalled. “And then she tells me she has friends in the Navy that might be able to find some phages for us as well.”

    In fact, the US Naval Medical Research Center had banks of phages gathered from seaports around the world. Scientists there began to hunt for a match, “and it wasn’t long before they found a few phages that appeared to be active against the bacterium,” Strathdee said.

    Dr. Robert

    Back in Texas, Young and his team had also gotten lucky. They found four promising phages that ravaged Patterson’s antibiotic-resistant bacteria in a test tube. Now the hard part began — figuring out how to separate the victorious phages from the soup of bacterial toxins left behind.

    “You put one virus particle into a culture, you go home for lunch, and if you’re lucky, you come back to a big shaking, liquid mess of dead bacteria parts among billions and billions of the virus,” Young said. “You want to inject those virus particles into the human bloodstream, but you’re starting with bacterial goo that’s just horrible. You would not want that injected into your body.”

    Purifying phage to be given intravenously was a process that no one had yet perfected in the US, Schooley said, “but both the Navy and Texas A&M got busy, and using different approaches figured out how to clean the phages to the point they could be given safely.”

    More hurdles: Legal staff at Texas A&M expressed concern about future lawsuits. “I remember the lawyer saying to me, ‘Let me see if I get this straight. You want to send unapproved viruses from this lab to be injected into a person who will probably die.’ And I said, “Yeah, that’s about it,’” Young said.

    “But Stephanie literally had speed dial numbers for the chancellor and all the people involved in human experimentation at UC San Diego. After she calls them, they basically called their counterparts at A&M, and suddenly they all began to work together,” Young added.

    “It was like the parting of the Red Sea — all the paperwork and hesitation disappeared.”

    The purified cocktail from Young’s lab was the first to arrive in San Diego. Strathdee watched as doctors injected the Texas phages into the pus-filled abscesses in Patterson’s abdomen before settling down for the agonizing wait.

    “We started with the abscesses because we didn’t know what would happen, and we didn’t want to kill him,” Schooley said. “We didn’t see any negative side effects; in fact, Tom seemed to be stabilizing a bit, so we continued the therapy every two hours.”

    Two days later, the Navy cocktail arrived. Those phages were injected into Patterson’s bloodstream to tackle the bacteria that had spread to the rest of his body.

    “We believe Tom was the first person to receive intravenous phage therapy to treat a systemic superbug infection in the US,” Strathdee told CNN.

    “And three days later, Tom lifted his head off the pillow out of a deep coma and kissed his daughter’s hand. It was just miraculous.”

    Patterson awoke from a coma after receiving an intravenous dose of phages tailored to his bacteria.

    Today, nearly eight years later, Patterson is happily retired, walking 3 miles a day and gardening. But the long illness took its toll: He was diagnosed with diabetes and is now insulin dependent, with mild heart damage and gastrointestinal issues that affect his diet.

    “He isn’t back surfing again, because he can’t feel the bottoms of his feet, and he did get Covid-19 in April that landed him in the hospital because the bottoms of his lungs are essentially dead,” Strathdee said.

    “As soon as the infection hit his lungs he couldn’t breathe and I had to rush him to the hospital, so that was scary,” she said. “He remains high risk for Covid but we’re not letting that hold us hostage at home. He says, ‘I want to go back to having as normal life as fast as possible.’”

    To prove it, the couple are again traveling the world — they recently returned from a 12-day trip to Argentina.

    “We traveled with a friend who is an infectious disease doctor, which gave me peace of mind to know that if anything went sideways, we’d have an expert at hand,” Strathdee said.

    “I guess I’m a bit of a helicopter wife in that sense. Still, we’ve traveled to Costa Rica a couple of times, we’ve been to Africa, and we’re planning to go to Chile in January.”

    Patterson’s case was published in the journal Antimicrobial Agents and Chemotherapy in 2017, jump-starting new scientific interest in phage therapy.

    “There’s been an explosion of clinical trials that are going on now in phage (science) around the world and there’s phage programs in Canada, the UK, Australia, Belgium, Sweden, Switzerland, India and China has a new one, so it’s really catching on,” Strathdee told CNN.

    Some of the work is focused on the interplay between phages and antibiotics — as bacteria battle phages they often shed their outer shell to keep the enemy from docking and gaining access for the kill. When that happens, the bacteria may be suddenly vulnerable to antibiotics again.

    “We don’t think phages are ever going to entirely replace antibiotics, but they will be a good adjunct to antibiotics. And in fact, they can even make antibiotics work better,” Strathdee said.

    In San Diego, Strathdee and Schooley opened the Center for Innovative Phage Applications and Therapeutics, or IPATH, in 2018, where they treat or counsel patients suffering from multidrug-resistant infections. The center’s success rate is high, with 82% of patients undergoing phage therapy experiencing a clinically successful outcome, according to its website.

    Schooley is running a clinical trial using phages to treat patients with cystic fibrosis who constantly battle Pseudomonas aeruginosa, a drug-resistant bacteria that was also responsible for the recent illness and deaths connected to contaminated eye drops manufactured in India.

    And a memoir the couple published in 2019 — “The Perfect Predator: A Scientist’s Race to Save Her Husband From a Deadly Superbug” — is also spreading the word about these “perfect predators” to what may soon be the next generation of phage hunters.

    VS Phages Sanjay Steffanie

    How naturally occurring viruses could help treat superbug infections

    “I am getting increasingly contacted by students, some as young as 12,” Strathdee said. “There’s a girl in San Francisco who begged her mother to read this book and now she’s doing a science project on phage-antibiotic synergy, and she’s in eighth grade. That thrills me.”

    Strathdee is quick to acknowledge the many people who helped save her husband’s life. But those who were along for the ride told CNN that she and Patterson made the difference.

    “I think it was a historical accident that could have only happened to Steffanie and Tom,” Young said. “They were at UC San Diego, which is one of the premier universities in the country. They worked with a brilliant infectious disease doctor who said, ‘Yes,’ to phage therapy when most physicians would’ve said, ‘Hell, no, I won’t do that.’

    “And then there is Steffanie’s passion and energy — it’s hard to explain until she’s focused it on you. It was like a spiderweb; she was in the middle and pulled on strings,” Young added. “It was just meant to be because of her, I think.”

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    December 6, 2023
  • Sick Season Will Be Worse From Now On

    Sick Season Will Be Worse From Now On

    Last fall, when RSV and flu came roaring back from a prolonged and erratic hiatus, and COVID was still killing thousands of Americans each week, many of the United States’ leading infectious-disease experts offered the nation a glimmer of hope. The overwhelm, they predicted, was probably temporary—viruses making up ground they’d lost during the worst of the pandemic. Next year would be better.

    And so far, this year has been better. Some of the most prominent and best-tracked viruses, at least, are behaving less aberrantly than they did the previous autumn. Although neither RSV nor flu is shaping up to be particularly mild this year, says Caitlin Rivers, an epidemiologist at the Johns Hopkins Center for Health Security, both appear to be behaving more within their normal bounds.

    But infections are still nowhere near back to their pre-pandemic norm. They never will be again. Adding another disease—COVID—to winter’s repertoire has meant exactly that: adding another disease, and a pretty horrific one at that, to winter’s repertoire. “The probability that someone gets sick over the course of the winter is now increased,” Rivers told me, “because there is yet another germ to encounter.” The math is simple, even mind-numbingly obvious—a pathogenic n+1 that epidemiologists have seen coming since the pandemic’s earliest days. Now we’re living that reality, and its consequences. “What I’ve told family or friends is, ‘Odds are, people are going to get sick this year,’” Saskia Popescu, an epidemiologist at the University of Maryland School of Medicine, told me.

    Even before the pandemic, winter was a dreaded slog—“the most challenging time for a hospital” in any given year, Popescu said. In typical years, flu hospitalizes an estimated 140,000 to 710,000 people in the United States alone; some years, RSV can add on some 200,000 more. “Our baseline has never been great,” Yvonne Maldonado, a pediatrician at Stanford, told me. “Tens of thousands of people die every year.” In “light” seasons, too, the pileup exacts a tax: In addition to weathering the influx of patients, health-care workers themselves fall sick, straining capacity as demand for care rises. And this time of year, on top of RSV, flu, and COVID, we also have to contend with a maelstrom of other airway viruses—among them, rhinoviruses, parainfluenza viruses, human metapneumovirus, and common-cold coronaviruses. (A small handful of bacteria can cause nasty respiratory illnesses too.) Illnesses not severe enough to land someone in the hospital could still leave them stuck at home for days or weeks on end, recovering or caring for sick kids—or shuffling back to work, still sick and probably contagious, because they can’t afford to take time off.

    To toss any additional respiratory virus into that mess is burdensome; for that virus to be SARS-CoV-2 ups the ante all the more. “This is a more serious pathogen that is also more infectious,” Ajay Sethi, an epidemiologist at the University of Wisconsin at Madison, told me. This year, COVID-19 has so far killed some 80,000 Americans—a lighter toll than in the three years prior, but one that still dwarfs that of the worst flu seasons in the past decade. Globally, the only infectious killer that rivals it in annual-death count is tuberculosis. And last year, a CDC survey found that more than 3 percent of American adults were suffering from long COVID—millions of people in the United States alone.

    Read: Is COVID a common cold yet?

    With only a few years of data to go on, and COVID-data tracking now spotty at best, it’s hard to quantify just how much worse winters might be from now on. But experts told me they’re keeping an eye on some potentially concerning trends. We’re still rather early in the typical sickness season, but influenza-like illnesses, a catchall tracked by the CDC, have already been on an upward push for weeks. Rivers also pointed to CDC data that track trends in deaths caused by pneumonia, flu, and COVID-19. Even when SARS-CoV-2 has been at its most muted, Rivers said, more people have been dying—especially during the cooler months—than they were at the pre-pandemic baseline. The math of exposure is, again, simple: The more pathogens you encounter, the more likely you are to get sick.

    A larger roster of microbes might also extend the portion of the year when people can expect to fall ill, Rivers told me. Before the pandemic, RSV and flu would usually start to bump up sometime in the fall, before peaking in the winter; if the past few years are any indication, COVID could now surge in the summer, shading into RSV’s autumn rise, before adding to flu’s winter burden, potentially dragging the misery out into spring. “Based on what I know right now, I am considering the season to be longer,” Rivers said.

    With COVID still quite new, the exact specifics of respiratory-virus season will probably continue to change for a good while yet. The population, after all, is still racking up initial encounters with this new coronavirus, and with regularly administered vaccines. Bill Hanage, an epidemiologist at Harvard’s T. H. Chan School of Public Health, told me he suspects that, barring further gargantuan leaps in viral evolution, the disease will continue to slowly mellow out in severity as our collective defenses build; the virus may also pose less of a transmission risk as the period during which people are infectious contracts. But even if the dangers of COVID-19 are lilting toward an asymptote, experts still can’t say for sure where that asymptote might be relative to other diseases such as the flu—or how long it might take for the population to get there. And no matter how much this disease softens, it seems extraordinarily unlikely to ever disappear. For the foreseeable future, “pretty much all years going forward are going to be worse than what we’ve been used to before,” Hanage told me.

    Read: The next stage of COVID is starting now

    In one sense, this was always where we were going to end up. SARS-CoV-2 spread too quickly and too far to be quashed; it’s now here to stay. If the arithmetic of more pathogens is straightforward, our reaction to that addition could have been too: More disease risk means ratcheting up concern and response. But although a core contingent of Americans might still be more cautious than they were before the pandemic’s start—masking in public, testing before gathering, minding indoor air quality, avoiding others whenever they’re feeling sick—much of the country has readily returned to the pre-COVID mindset.

    When I asked Hanage what precautions worthy of a respiratory disease with a death count roughly twice that of flu’s would look like, he rattled off a familiar list: better access to and uptake of vaccines and antivirals, with the vulnerable prioritized; improved surveillance systems to offer  people at high risk a better sense of local-transmission trends; improved access to tests and paid sick leave. Without those changes, excess disease and death will continue, and “we’re saying we’re going to absorb that into our daily lives,” he said.

    And that is what is happening. This year, for the first time, millions of Americans have access to three lifesaving respiratory-virus vaccines, against flu, COVID, and RSV. Uptake for all three remains sleepy and halting; even the flu shot, the most established, is not performing above its pre-pandemic baseline. “We get used to people getting sick every year,” Maldonado told me. “We get used to things we could probably fix.” The years since COVID arrived set a horrific precedent of death and disease; after that, this season of n+1 sickness might feel like a reprieve. But compare it with a pre-COVID world, and it looks objectively worse. We’re heading toward a new baseline, but it will still have quite a bit in common with the old one: We’re likely to accept it, and all of its horrors, as a matter of course.

    Katherine J. Wu

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    November 30, 2023
  • This city never slept. But with China tightening its grip, is the party over? | CNN Business

    This city never slept. But with China tightening its grip, is the party over? | CNN Business

    Editor’s Note: Sign up for CNN’s Meanwhile in China newsletter which explores what you need to know about the country’s rise and how it impacts the world.


    Hong Kong
    CNN
     — 

    As the scattered patrons hop from one deserted bar to the next, it’s hard to believe the near-empty streets they are zigzagging down were once among the most vibrant in Asia.

    It is Thursday evening, a normally busy night, but there are no crowds for them to weave through, no revelers spilling onto the pavements and no need for them to wait to be seated. At some of the stops on this muted bar crawl, they are the only ones in the room.

    It wasn’t always this way. It might seem unlikely from this recent snapshot, but Hong Kong was once a leading light in Asia’s nightlife scene, a famously freewheeling neon-lit city that never slept, where East met West and crowds would spill from the bars throughout the night and long into the morning – even on a weekday.

    Such images were beamed around the world in 1997, when Britain handed over sovereignty of its prized former colony to China, and locals and visitors alike welcomed in the new era with a 12-hour rave featuring Boy George, Grace Jones, Pete Tong and Paul Oakenfold.

    China’s message at the time was that even if change was coming to Hong Kong, its spirit of “anything goes” would be staying put. The city was promised a high degree of autonomy for the next 50 years and assured that its Western ways could continue. Or, as China’s then leader Deng Xiaoping put it: “Horses will still run, stocks will still sizzle and dancers will still dance.”

    And for long after the British departed, the dancing did indeed continue. Hong Kong retained not only the spirit of capitalism, but many other freedoms unknown in the rest of China – not just the gambling on horse races that Deng alluded to, but political freedoms of the press, speech and the right to protest. Even calls for greater democracy were tolerated – at least, for a time.

    But little more than halfway into those 50 years, Deng’s promise now rings hollow to many. Spasms of mass protests – against “patriotic education” legislation in 2012, the Occupy Central movement in 2014 and pro-democracy demonstrations in 2019 – led China to restrict civil liberties with a sweeping National Security Law. Hundreds of pro-democracy figures have since been jailed and tens of thousands of residents have headed for the exits.

    That crackdown and Hong Kong’s fading freedoms have been well-documented, but it is only more recently that a less-reported knock-on effect of China’s crackdown has started to emerge: In the streets and the bars, the trendy clubs and Michelin-starred restaurants, the city that never slept has begun to doze.

    Nightlife in the city has become a pale shadow of its heyday as a regional rest and relaxation magnet, when its reputation rested on it being easier to navigate than Japan, less boring than Singapore and freer than mainland China.

    Now, apparently in tandem with the diminishing political freedoms, business in the city’s once-thriving bars is drying up. And while some argue over whether politics or Covid is at fault, few dispute that something needs to be done.

    Bars earned about $88.9 million in the first half of 2023, 18% less than the $108.5 million brought in during the same period in 2019, according to official data.

    In an effort to arrest the decline, the Hong Kong government has launched a “Night Vibes” campaign featuring bazaars at three waterfront areas, splurged millions on a recent fireworks show to celebrate China’s National Day and reintroduced a dragon dance, lit by incense sticks, in its neighborhood of Tai Hang.

    Those efforts have attracted a mixture of criticism and mockery – with many pointing out the irony of the campaign’s opening ceremony featuring two white lions, a color associated in Chinese culture with funerals. Meanwhile, the bazaars have been interrupted by a mix of typhoons and security concerns over the use of fireworks.

    Still, Hong Kong’s Chief Executive John Lee insists the events are a success, saying at least 100,000 people have checked out the bazaars and that 460,000 tourists from mainland China visited for National Day. And the white lions? Officials say they were “fluorescent.”

    A Hong Kong government spokesman told CNN this week that the activities were “well-received by local residents and tourists”. A recent Hong Kong Wine & Dine Festival brought in 140,000 patrons and shopping malls supporting the Night Vibes campaign said they had seen “growth in visitor flow and turnover,” he added.

    A man walks past a closed bar along a near-empty street in the Soho area of Hong Kong.

    There are some who point the finger solely at Covid.

    “It’s obvious that it’s worse than before. This is the side effect of Covid, which has changed the way of life,” said Gary Ng, an economist with French investment bank Natixis.

    And few would dispute that Covid took its toll. During the pandemic, Hong Kong made a virtue of cleaving closely to a mainland Chinese-style zero-tolerance approach that, though not quite as draconian, was still extreme enough to send large numbers of expatriates heading for the exit, with many of them decamping to rival Asian cities like Singapore, Thailand and Japan.

    Hong Kong, where incoming travelers faced weeks in quarantine and restaurant tables were limited to two customers, was suddenly the boring one and Singapore – in a telling comparison – the more lively.

    Under Hong Kong’s pandemic restrictions, live music was all but banned in small venues for more than 650 days.

    But others say Hong Kong is in denial and that its nightlife problems go much deeper than the pandemic. Other places have recovered, they say, why not Hong Kong?

    These observers note the city’s response to Covid should itself be seen through the lens of the city’s ever disappearing freedoms.

    Months before the virus emerged, China had been tightening its grip on Hong Kong in response to pro-democracy protests that had spread throughout the city.

    It introduced restrictions on freedoms – such as of expression and of the press – which were supposedly guaranteed at the time of the handover.

    Songs and slogans perceived as linked to the protests were outlawed, memories of past protests scrubbed from the internet, sensitive films censored and newspaper editors charged with sedition and colluding with foreign forces.

    The government has maintained that legal enforcement is necessary for Hong Kong to restore stability and prosperity and stop what China says is “foreign forces” from meddling in the city.

    “We strongly disapproved of and firmly rejected those groundless attacks, slanders and smears against the HKSAR on the protection of such fundamental rights and freedoms in Hong Kong,” a spokesman said, referring to Hong Kong’s official name, in a reply to CNN.

    But, the critics hit back, none of that lends itself to an atmosphere where people will want to sit back, relax and shoot the breeze.

    “People may feel like they have to self-censor when having a chat at restaurants or bars because, who knows who may be listening. They may as well stay home for the same chat where they feel safe,” said Benson Wong, one of the hundreds of thousands who have left Hong Kong.

    Wong, a former associate professor who specialized in local politics, said he used to enjoy eating out at dai pai dongs – open-air stalls selling Cantonese classics and (usually) plenty of beer – where patrons once talked freely about everything from celebrity gossip to politics.

    Now though, he said, “one won’t feel happy if they have to watch everything they say.”

    A man sits inside a bar in Lan Kwai Fong, Hong Kong's renowned nightlife hub.

    Whether it was Covid or the crackdown, or some combination of the two, an exodus of middle-class Hong Kongers and affluent expats has taken place in recent years.

    Last year, the city saw a net outflow of 60,000 residents, its third drop in as many years, taking the number of usual residents down to 7.19 million as of the end of 2022 — a drop of almost 144,000 from the end of 2020.

    Tens of thousands of them are Hong Kongers who have taken up special visas and pathways to citizenship offered by Western countries such as Britain, Canada and Australia in the wake of China’s crackdown.

    But there has also been a steady drip of departures from the expat population that, like a post-colonial hangover, had remained in the city long after Britain’s departure. They were largely professionals in finance and law with a reputation for working hard and partying even harder, regardless of the politics.

    Local media is now awash with reports of banking and law firms relocating their offices, in part or full, to rival financial hubs such as the no-longer-boring Singapore.

    Unfortunately for bar and restaurant owners, the two demographics leaving are among their biggest customers.

    “The expats have relocated, as well as [Hong Kongers] with a higher income. Their departure of course will have an impact,” said Ng, from Natixis.

    Increasingly, these two groups are being replaced by people from mainland China, who now account for more than 70% of the 103,000 work or graduate visas granted since 2022, according to the Immigration Department. The newly dominant migrants, economists point out, tend to have very different spending habits.

    Yan Wai-hin, an economics lecturer at the Chinese University of Hong Kong, said the city’s previously robust nightlife was propped up largely by a base of expats and middle-class locals steeped in the time-honored drinking culture of enjoying a nice cold one after a long day.

    “The makeup of the population is different now,” Yan said. “Now we have more immigrants from the mainland, and they tend to love to go back to mainland China to spend instead.”

    At Hong Kong’s most famous nightlife district, Lan Kwai Fong, the music may be fading, but it hasn’t stopped completely.

    The area was long synonymous with jam-packed streets of revelers who would spill out from the bars as the air filled with the sounds of boisterous chatter, clinking glasses and dance music blasting away late into the night.

    But during a recent visit by CNN, there was little to distinguish the area from any other street.

    People stand and drink in Lan Kwai Fong in 2017, back when the place was still pumping.

    “It has been very challenging so far and it has not got back to normal by a long shot,” said Richard Feldman, who runs the gay bar Petticoat Lane at the California Tower in Lan Kwai Fong.

    The chairman of the Soho Association, who has been running businesses in the city for more than three decades, Feldman said business was slightly better between Friday and Saturday than weekdays and shops with a good reputation have been less affected.

    But across the board, he too said the number of Western faces were dwindling in what was once a favored expat haunt.

    “It was a mix of expats and local professionals who would go out for drinks and a late night dance. But that demographic has eased quite a bit in the past year,” said another bar owner Becky Lam. “We are getting more mainland customers.”

    Lam, joint founder of a number of Hong Kong bars and restaurants, including wine bar Shady Acres in Central, said while mainland Chinese were willing to spend, they tended to gravitate towards restaurants rather than bars and were less likely to stay out late.

    On a weekday, she said, the bars she runs have been getting only half of the customers compared to pre-pandemic days.

    “They’ll settle for the Happy Hours and that’s it. We are not talking about 2 a.m. to 3 a.m.,” she said.

    There are other problems gnawing away at the nightlife sector.

    “People’s habits have changed since Covid, as many are so used to staying at home watching TV and Netflix,” Feldman said.

    During the pandemic, Hong Kong imposed a lengthy ban on bars and dine-in services to stem social gatherings, in what many saw as a nod to mainland China’s “zero-Covid” strategy.

    This affected shops and malls, which shortened their business hours due to the lack of customers. In many cases, those shortened hours have now become the new normal, with some shops now closing as early as 9 p.m. as opposed to the pre-Covid standard of 10:30 p.m.

    Lan Kwai Fong during its heyday in 2017

    Also conspiring against the city’s nightlife is a strong Hong Kong dollar compared to the Chinese yuan, which affects how both Hong Kongers and potential tourists spend their money.

    “People from the mainland are less likely to come here to shop, while people in Hong Kong are going to Shenzhen to spend their money,” said Marco Chan, head of research at real estate and investment firm CBRE.

    While mainland tourists now think twice about coming to Hong Kong, many Hongkongers have been spending their weekends in mainland China, where many services come at a fraction of the price, Chan said.

    Known as the “Godfather of Lan Kwai Fong,” Allan Zeman – the entrepreneur who turned the small square in Hong Kong’s Central district into a renowned nightlife hub – cuts a more optimistic figure than most and insists business is not as bad as it appears.

    He estimates mainland Chinese customers now account for 35% of the patrons in Lan Kwai Fong and says they are big spenders.

    Allan Zeman, chairman of Lan Kwai Fong Group, says mainland Chinese tourists are still spending generously.

    “They’ll go up to a club, like the California Tower on the roof, and they’ll spend like 400,000 to 550,000 Hong Kong dollars ($51,000 to $70,000) just for drinks,” he said.

    His take is that it is Hong Kong’s strong currency and a relative lack of incoming flights compared to the pre-Covid era that are stalling the city’s comeback. “I think it’s temporary,” he said.

    But bar owner Lam said Hong Kong needs to reexamine its regulatory approach, if it is to thrive at night once more.

    Lam pointed to a drive in recent years by the authorities to remove the city’s famous neon lights in the name of safety as an example of the current misguided approach, saying Hong Kong’s most defining nighttime icons were being dismantled one sign at a time.

    She also said her bar, Shady Acres, had been told to serve customers only indoors and shut all doors and windows after 9 p.m. as part of its licensing requirement.

    “These kinds of hurdles are really big in Hong Kong,” Lam said. “But I look at our neighboring cities like Bangkok, Shanghai and Taipei. These cities have an exciting nightlife as they really make it late night fun with music, street art and late night dining.”

    Feldman, of Petticoat Lane, had another suggestion. “Hong Kong used to be a far more international destination. Now it is a domestic destination,” he said.

    The city, said Feldman, should “do everything it can to attract people not only from China but from all over the world.”

    Source link

    November 3, 2023
  • The Other Group of Viruses That Could Cause the Next Pandemic

    The Other Group of Viruses That Could Cause the Next Pandemic

    Whether it begins next week, next year, or next decade, another pandemic is on its way. Researchers can’t predict precisely when or how the outbreak might begin. Some 1.6 million viruses are estimated to lurk in the world’s mammalian and avian wildlife, up to half of which could spill into humans; an untold number are attempting exactly that, at this very moment, bumping up against the people hunting, eating, and encroaching on those creatures. (And that’s just viruses: Parasites, fungi, and bacteria represent major infectious dangers too.) The only true certainty in the pandemic forecast is that the next threat will be here sooner than anyone would like.

    But scientists can at least make an educated guess about what might catalyze the next Big One. Three main families of viruses, more than most others, keep scientists up at night: flu viruses, coronaviruses, and paramyxoviruses, in descending order of threat. Together, those groups make up “the trifecta of respiratory death,” Sara Cherry, a virologist at the University of Pennsylvania, told me.

    Flu and coronavirus have a recent track record of trouble: Since 1918, flu viruses have sparked four pandemics, all the while continuing to pester us on a seasonal basis; some scientists worry that another major human outbreak may be brewing now, as multiple H5 flu viruses continue to spread from birds to mammals. The past two decades have also featured three major and deadly coronavirus outbreaks: the original SARS epidemic that began in late 2002; MERS, which spilled into humans—likely from camels—in 2012; and SARS-CoV-2, the pandemic pathogen that’s been plaguing us since the end of 2019. Common-cold-causing coronaviruses, too, remain a fixture of daily living—likely relics of ancient animal-to-human spillovers that we kept transmitting amongst ourselves.

    Read: Bird flu has never done this before

    Paramyxoviruses, meanwhile, have mostly been “simmering in the background,” says Raina Plowright, a disease ecologist at Cornell. Unlike flu viruses and coronaviruses, which have already clearly “proven themselves” as tier-one outbreak risks, paramyxoviruses haven’t yet been caught causing a bona fide pandemic. But they seem poised to do so, and they likely have managed the feat in the past. Like flu viruses and coronaviruses, paramyxoviruses can spread through the air, sometimes very rapidly. That’s certainly been the case with measles, a paramyxovirus that is “literally the most transmissible human virus on the planet,” says Paul Duprex, a virologist at the University of Pittsburgh. And, like flu viruses and coronaviruses, paramyxoviruses are found in a wide range of animals; more are being discovered wherever researchers look. Consider canine distemper virus, which has been found in, yes, canines, but also in raccoons, skunks, ferrets, otters, badgers, tigers, and seals. Paramyxoviruses, like flu viruses and coronaviruses, have also repeatedly shown their potential to hopscotch from those wild creatures into us. Since 1994, Hendra virus has caused multiple highly lethal outbreaks in horses, killing four humans along the way; the closely related Nipah virus has, since 1998, spread repeatedly among both pigs and people, carrying fatality rates that can soar upwards of 50 percent.

    The human versions of those past few outbreaks have petered out. But that may not always be the case—for Nipah, or for another paramyxovirus that’s yet to emerge. It’s entirely possible, Plowright told me, that the world may soon encounter a new paramyxovirus that’s both highly transmissible and ultra deadly—an “absolutely catastrophic” scenario, she said, that could dwarf the death toll of any epidemic in recent memory. (In the past four years, COVID-19, a disease with a fatality rate well below Nipah’s, has killed an estimated 7 million people.)

    All that said, though, paramyxoviruses are a third-place contender for several good reasons. Whereas flu viruses and coronaviruses are speedy shape-shifters—they frequently tweak their own genomes and exchange genetic material with others of their own kind—paramyxoviruses have historically been a bit more reluctant to change. “That takes them down a level,” says Danielle Anderson, a virologist at the Doherty Institute, in Melbourne. For one, these viruses’ sluggishness could make it much tougher for them to acquire transmission-boosting traits or adapt rapidly to spread among new hosts. Nipah virus, for instance, can spread among people via respiratory droplets at close contact. But even though it’s had many chances to do so, “it still hasn’t gotten very good at transmitting among humans,” Patricia Thibault, a biologist at the University of Saskatchewan who studied paramyxoviruses for years, told me.

    The genetic stability of paramyxoviruses can also make them straightforward to vaccinate against. Our flu and coronavirus shots need regular updates—as often as annually—to keep our immune system apace with viral evolution. But we’ve been using essentially the same measles vaccine for more than half a century, Duprex told me, and immunity to the virus seems to last for decades. Strong, durable vaccines are one of the main reasons that several countries have managed to eliminate measles—and why a paramyxovirus called rinderpest, once a major scourge of cattle, is one of the only infectious diseases we’ve ever managed to eradicate. In both cases, it helped that the paramyxovirus at play wasn’t great at infecting a ton of different animals: Measles is almost exclusive to us; rinderpest primarily troubled cows and their close kin. Most flu viruses and SARS-CoV-2, meanwhile, can spread widely across the tree of animal life; “I don’t know how you can eradicate that,” Anderson told me.

    The problem with all of these trends, though, is that they represent only what researchers know of the paramyxoviruses they’ve studied—which is, inevitably, a paltry subset of what exists, says Benhur Lee, a virologist at Mount Sinai’s Icahn School of Medicine. “The devil we don’t know can be just as frightening,” if not more, Lee told me. A pattern-defying paramyxovirus may already be readying itself to jump.

    Researchers are keyed into these looming threats. The World Health Organization highlights Nipah virus and its close cousins as some of its top-priority pathogens; in the U.S., paramyxoviruses recently made a National Institute of Allergy and Infectious Diseases list of pathogens essential to study for pandemic preparedness. Last year, the Bill & Melinda Gates Foundation announced a hefty initiative to fund paramyxovirus antiviral drugs. Several new paramyxovirus vaccines—many of them targeting Nipah viruses and their close relatives—may soon be ready to debut.

    Read: We have a mink problem

    At the same time, though, paramyxoviruses remain neglected—at least relative to the sheer perils they pose, experts told me. “Influenza has been sequenced to death,” Lee said. (That’s now pretty true for SARS-CoV-2 as well.) Paramyxoviruses, meanwhile, aren’t regularly surveilled for; development of their treatments and vaccines also commands less attention, especially outside of Nipah and its kin. And although the family has been plaguing us for countless generations, researchers still don’t know exactly how paramyxoviruses move into new species, or what mutations they would need to become more transmissible among us; they don’t know why some paramyxoviruses spark only minor respiratory infections, whereas others run amok through the body until the host is dead.

    Even the paramyxoviruses that feel somewhat familiar are still surprising us. In recent years, scientists have begun to realize that immunity to the paramyxovirus mumps, once thought to be pretty long-lasting and robust, wanes in the first few decades after vaccination; a version of the virus, once thought to be a problem only for humans and a few other primates, has also been detected in bats. For these and other reasons, rubulaviruses—the paramyxovirus subfamily that includes mumps—are among the potential pandemic agents that most concern Duprex. Emmie de Wit, the chief of the molecular-pathogenesis unit at Rocky Mountain Laboratories, told me that the world could also become more vulnerable to morbilliviruses, the subfamily that includes measles. If measles is ever eradicated, some regulators may push for an end to measles shots. But in the same way that the end of smallpox vaccination left the world vulnerable to mpox, the fall of measles immunity could leave an opening for a close cousin to rise.

    The next pandemic won’t necessarily be a paramyxovirus, or even a flu virus or a coronavirus. But it has an excellent chance of starting as so many other known pandemics have—with a spillover from animals, in parts of the world where we’ve invaded wild habitats. We may not be able to predict which pathogen or creature might be involved in our next big outbreak, but the common denominator will always be us.

    Katherine J. Wu

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    October 29, 2023
  • Fact check: The first Republican presidential debate of the 2024 election | CNN Politics

    Fact check: The first Republican presidential debate of the 2024 election | CNN Politics



    CNN
     — 

    Republican presidential candidates delivered a smattering of false and misleading claims at the first debate of the 2024 election – though none of the eight candidates on stage in Milwaukee delivered anything close to the bombardment of false statements that typically characterized the debate performances of former President Donald Trump, the Republican front-runner who skipped the Wednesday event.

    Sen. Tim Scott of South Carolina inaccurately described the state of the economy in early 2021 and repeated a long-ago-debunked false claim about the Biden-era Justice Department. Former New Jersey Gov. Chris Christie misstated the sentence attached to a gun law relevant to the investigation into the president’s son Hunter Biden. Florida Gov. Ron DeSantis misled about his handling of the Covid-19 pandemic, omitting mention of his early pandemic restrictions.

    Below is a fact check of those claims and various others from the debate, some of which left out key context. In addition, below is a brief fact check of some of Trump’s claims from a pre-taped interview he did with Tucker Carlson, which was posted online shortly before the debate aired. Trump made a variety of statements that were not true.

    DeSantis and the pandemic

    DeSantis criticized the federal government for its handling of the Covid-19 pandemic, claiming it had locked down the economy, and then said: “In Florida, we led the country out of lockdown, and we kept our state free and open.”

    Facts First: DeSantis’s claim is misleading at best. Before he became a vocal opponent of pandemic restrictions, DeSantis imposed significant restrictions on individuals, businesses and other entities in Florida in March 2020 and April 2020; some of them extended months later into 2020. He did then open up the state, with a gradual phased approach, but he did not keep it open from the start.

    DeSantis received criticism in March 2020 for what some critics perceived as a lax approach to the pandemic, which intensified as Florida beaches were packed during Spring Break. But that month and the month following, DeSantis issued a series of major restrictions. For example, DeSantis:

    • Closed Florida’s schools, first with a short-term closure in March 2020 and then, in April 2020, with a shutdown through the end of the school year. (In June 2020, he announced a plan for schools to reopen for the next school year that began in August. By October 2020, he was publicly denouncing school closures, calling them a major mistake and saying all the information hadn’t been available that March.)
    • On March 14, 2020, announced a ban on most visits to nursing homes. (He lifted the ban in September 2020.)
    • On March 17, 2020, ordered bars and nightclubs to close for 30 days and restaurants to operate at half-capacity. (He later approved a phased reopening plan that took effect in May 2020, then issued an order in September 2020 allowing these establishments to operate at full capacity.)
    • On March 17, 2020, ordered gatherings on public beaches to be limited to a maximum of 10 people staying at least six feet apart, then, three days later, ordered a shutdown of public beaches in two populous counties, Broward and Palm Beach. (He permitted those counties’ beaches to reopen by the last half of May.)
    • On March 20, 2020, prohibited “any medically unnecessary, non-urgent or non-emergency” medical procedures. (The prohibition was lifted in early May 2020.)
    • On March 23, 2020, ordered that anyone flying to Florida from an area with “substantial community spread” of the virus, “to include the New York Tri-State Area (Connecticut, New Jersey and New York),” isolate or quarantine for 14 days or the duration of their stay in Florida, whichever was shorter, or face possible jail time or a fine. Later that week, he added Louisiana to the list. (He lifted the Louisiana restriction in June 2020 and the rest in August 2020.)
    • On April 3, 2020, imposed a statewide stay-home order that temporarily required people in Florida to “limit their movements and personal interactions outside of their home to only those necessary to obtain or provide essential services or conduct essential activities.” (Beginning in May 2020, the state switched to a phased reopening plan that, for months, included major restrictions on the operations of businesses and other entities; DeSantis described it at the time as a “very slow and methodical approach” to reopening.)

    -From CNN’s Daniel Dale

    Nikki Haley, the former South Carolina governor and US ambassador to the United Nations, said: “Donald Trump added $8 trillion to our debt, and our kids are never going to forgive us for this.”

    Facts First: Haley’s figure is accurate. The total public debt stood at about $19.9 trillion on the day Trump took office in 2017 and then increased by about $7.8 trillion over Trump’s four years, to about $27.8 trillion on the day he left office in 2021.

    It’s worth noting, however, that the increase in the debt during any president’s tenure is not the fault of that president alone. A significant amount of spending under any president is the result of decisions made by their predecessors – such as the creation of Social Security, Medicare and Medicaid decades ago – and by circumstances out of a president’s control, notably including the global Covid-19 pandemic under Trump; the debt spiked in 2020 after Trump approved trillions in emergency pandemic relief spending that Congress had passed with overwhelming bipartisan support.

    Still, Trump did choose to approve that spending. And his 2017 tax cuts, unanimously opposed by congressional Democrats, were another major contributor to the debt spike.

    -From CNN’s Daniel Dale and Katie Lobosco

    North Dakota Gov. Doug Burgum claimed that Biden’s signature climate bill costs $1.2 trillion dollars and is “just subsidizing China.”

    Facts First: This claim needs context. The clean energy pieces of the Inflation Reduction Act – Democrats’ climate bill – passed with an initial price tag of nearly $370 billion. However, since that bill is made up of tax incentives, that price tag could go up depending on how many consumers take advantage of tax credits to buy electric vehicles and put solar panels on their homes, and how many businesses use the subsidies to install new utility scale wind and solar in the United States.

    Burgum’s figure comes from a Goldman Sachs report, which estimated the IRA could provide $1.2 trillion in clean energy tax incentives by 2032 – about a decade from now.

    On Burgum’s claim that Biden’s clean energy agenda will be a boon to China, the IRA was specifically written to move the manufacturing supply chain for clean energy technology like solar panels and EV batteries away from China and to the United States.

    In the year since it was passed, the IRA has spurred 83 new or expanded manufacturing facilities in the US, and close to 30,000 new clean energy manufacturing jobs, according to a tally from trade group American Clean Power.

    -From CNN’s Ella Nilsen

    With the economy as one of the main topics on the forefront of voters’ minds, Scott aimed to make a case for Republican policies, misleadingly suggesting they left the US economy in record shape before Biden took office.

    “There is no doubt that during the Trump administration, when we were dealing with the COVID virus, we spent more money,” Scott said. “But here’s what happened at the end of our time in the majority: we had low unemployment, record low unemployment, 3.5% for the majority of the population, and a 70-year low for women. African Americans, Hispanics, and Asians had an all-time low.”

    Facts First: This is false. Scott’s claims don’t accurately reflect the state of the US economy at the end of the Republican majority in the Senate. And in some cases, his exaggerations echo what Trump himself frequently touted about the economy under his leadership.

    By the time Trump left office and the Republicans lost the Senate majority in January 2021, US unemployment was not at a record low. The US unemployment rate dropped to a seasonally adjusted rate of 3.5% in September 2019, the country’s lowest in 50 years. While it hovered around that level for five months, Scott’s assertion ignores the coronavirus pandemic-induced economic destruction that followed. In April 2020, the unemployment rate spiked to 14.7% — the highest level since monthly records began in 1948. As of December 2020, the unemployment rate was at 6.7%.

    Nor was the unemployment rate for women at a 70-year low by the end of Trump’s time in office. It reached a 66-year low during certain months of 2019, at 3.4% in April and 3.6% in August, but by December 2020, unemployment for women was at 6.7%.

    The unemployment rates for African Americans, Hispanics, and Asians were also not at all-time lows at the end of 2020, but they did reach record lows during Trump’s tenure as president.

    -From CNN’s Tara Subramaniam

    Scott said that the Justice Department under President Joe Biden is targeting “parents that show up at school board meetings. They are called, under this DOJ, they’re called domestic terrorists.”

    Facts First: It is false that the Justice Department referred to parents as domestic terrorists. The claim has been debunked several times – during the uproar at school boards over Covid-19 restrictions and anti-racism curriculums; after Kevin McCarthy claimed Republicans would investigate Merrick Garland with a majority in the House; and even by a federal judge. The Justice Department never called parents terrorists for attending or wanting to attend school board meetings.

    The claim stems from a 2021 letter from The National School Boards Associations asking the Justice Department to “deal with” the uptick in threats against education officials and saying that “acts of malice, violence, and threats against public school officials” could be classified as “the equivalent to a form of domestic terrorism and hate crimes.” In response, Garland released a memo encouraging federal and local authorities to work together against the harassment campaigns levied at schools, but never endorsed the “domestic terrorism” notion.

    A federal judge even threw out a lawsuit over the accusation, ruling that Garland’s memo did little more than announce a “series of measures” that directed federal authorities to address increasing threats targeting school board members, teachers and other school employees.

    -From CNN’s Hannah Rabinowitz

    Haley, the former ambassador to the United Nations and governor of South Carolina, said the US is spending “less than three and a half percent of our defense budget” on Ukraine aid, and that in terms of financial aid relative to GDP, “11 of the European countries have given more than the US.”

    Facts First: This is partly true. Haley’s claim regarding the US aid to Ukraine compared to the total defense budget is slightly under the actual percentage, but it is accurate that 11 European countries have given more aid to Ukraine as a percentage of their total GDP than the US.

    As of August 14, the US has committed more than $43 billion in military aid to Ukraine since the beginning of the war in Ukraine, according to the Defense Department. In comparison, the Fiscal Year 2023 defense budget was $858 billion – making aid to Ukraine just over 5% of the total US defense budget.

    As of May 2023, according to a Council of Foreign Relations tracker, 11 countries were providing a higher share in aid to Ukraine relative to their GDP than the US – led by Estonia, Latvia, Lithuania, and Poland.

    -From CNN’s Haley Britzky

    Former Vice President Mike Pence said Wednesday that the Trump administration “spent funding to backfill on the military cuts of the Obama administration.”

    Facts First: This is misleading. While military spending decreased under the Obama administration, it was largely due to the 2011 Budget Control Act, which received Republican support and resulted in automatic spending cuts to the defense budget.

    Mike Pence, a senator at the time, voted in favor of the Budget Control Act.

    -From CNN’s Haley Britzky

    Christie said President Biden’s son Hunter Biden was “facing a 10-year mandatory minimum” for lying on a federal form when he purchased a gun in 2018.

    Facts First: Christie, a former federal prosecutor, clearly misstated the law. This crime can lead to a maximum prison sentence of 10 years, but it doesn’t have a 10-year mandatory minimum.

    These comments are related to the highly scrutinized Justice Department investigation into Hunter Biden, which is currently ongoing after a plea deal fell apart earlier this summer.

    As part of the now-defunct deal, Hunter Biden agreed to plead guilty to two tax misdemeanors and enter into a “diversion agreement” with prosecutors, who would drop the gun possession charge in two years if he consistently stayed out of legal trouble and passed drug tests.

    The law in question makes it a crime to purchase a firearm while using or addicted to illegal drugs. Hunter Biden has acknowledged struggling with crack cocaine addiction at the time, and admitted at a court hearing and in court papers that he violated this law by signing the form.

    The US Sentencing Commission says, “The statutory maximum penalty for the offense is ten years of imprisonment.” There isn’t a mandatory 10-year punishment, as Christie claimed.

    During his answer, Christie also criticized the Justice Department for agreeing to a deal in June where Hunter Biden could avoid prosecution on the felony gun offense. That deal was negotiated by special counsel David Weiss, who was first appointed to the Justice Department by former President Donald Trump.

    -From CNN’s Marshall Cohen

    Burgum and Scott got into a back and forth over IRS staffing with Burgum saying that the “Biden administration wanted to put 87,000 people in the IRS,” and Scott suggesting they “fire the 87,000 IRS agents.”

    Facts First: This figure needs context.

    The Inflation Reduction Act, which passed last year without any Republican votes, authorized $80 billion in new funding for the IRS to be delivered over the course of a decade.

    The 87,000 figure comes from a 2021 Treasury report that estimated the IRS could hire 86,852 full-time employees with a nearly $80 billion investment over 10 years.

    While the funding may well allow for the hiring of tens of thousands of IRS employees over time, far from all of these employees will be IRS agents conducting audits and investigations.

    Many other employees will be hired for the non-agent roles, from customer service to information technology, that make up most of the IRS workforce. And a significant number of the hires are expected to fill the vacant posts left by retirements and other attrition, not take newly created positions.

    The IRS has not said precisely how many new “agents” will be hired with the funding. But it is already clear that the total won’t approach 87,000. And it’s worth noting that the IRS may not receive all of the $80 billion after Republicans were able to claw back $20 billion of the new funding as part of a deal to address the debt ceiling made earlier this year.

    -From CNN’s Katie Lobosco

    Trump repeated a frequent claim during his interview with Carlson that streamed during the GOP debate that his retention of classified documents at Mar-a-Lago after leaving the White House was “covered” under the Presidential Records Act and that he is “allowed to do exactly that.”

    Facts First: This is false. The Presidential Records Act says the exact opposite – that the moment presidents leave office, all presidential records are to be turned over to the federal government. Keeping documents at Mar-a-Lago after his presidency concluded was in clear contravention of that law.

    According to the Presidential Records Act, “upon the conclusion of a President’s term of office, or if a President serves consecutive terms upon the conclusion of the last term, the Archivist of the United States shall assume responsibility for the custody, control, and preservation of, and access to, the Presidential records of that President.”

    The sentence makes clear that a president has no authority to keep documents after leaving the White House.

    The National Archives even released a statement refuting the notion that Trump’s retention of documents was covered by the Presidential Records Act, writing in a June news release that “the PRA requires that all records created by Presidents (and Vice-Presidents) be turned over to the National Archives and Records Administration (NARA) at the end of their administrations.”

    -From CNN’s Hannah Rabinowitz

    While discussing electric vehicles, Trump claimed that California “is in a big brownout because their grid is a disaster,” adding that the state’s ambitious electric vehicle goals won’t work with the grid in such shape.

    Facts First: Trump’s claim that California’s grid is currently in a “big brownout” and is a “disaster” isn’t true. California’s grid suffered rolling blackouts in 2020, but it has performed quite well in the face of extreme heat this summer, owing in large part to a massive influx of renewable energy including battery storage. These big batteries keep energy from wind and solar running when the wind isn’t blowing and sun isn’t shining. (Batteries are also being deployed at a rapid rate in Texas, a red state.)

    Another reason California’s grid has stayed stable this year even during extreme temperature spikes is the fact that a deluge of snow and rain this winter and spring has refilled reservoirs that generate electricity using hydropower.

    As Trump insinuated, there are real questions about how well the state’s grid will hold up as California’s drivers shift to electric vehicles by the millions by 2035 – the same year it will phase out selling new gas-powered cars. California state officials say they are preparing by adding new capacity to the grid and urging more people to charge their vehicles overnight and during times of the day when fewer people are using energy. But independent experts say the state needs to exponentially increase its clean energy while also building out huge amounts of new EV chargers to achieve its goals.

    -From CNN’s Ella Nilsen

    Trump and the border wall

    Trump claimed to Carlson, “I had the strongest border in the history of our country, and I built almost 500 miles of wall. You know, they’d like to say, ‘Oh, was it less?’ No, I built 500 miles. In fact, if you check with the authorities on the border, we built almost 500 miles of wall.”

    Facts First: This needs context. Trump and his critics are talking about different things when they use different figures for how much border wall was built during his presidency. Trump is referring to all of the wall built on the southern border during his administration, even in areas that already had some sort of barrier before. His critics are only counting the Trump-era wall that was built in parts of the border that did not have any previous barrier.

    A total of 458 miles of southern border wall was built under Trump, according to a federal report written two days after Trump left office and obtained by CNN’s Priscilla Alvarez. That is 52 miles of “primary” wall built where no barriers previously existed, plus 33 miles of “secondary” wall that was built in spots where no barriers previously existed, plus another 373 miles of primary and secondary wall that was built to replace previous barriers the federal government says had become “dilapidated and/or outdated.”

    Some of Trump’s rival candidates, such DeSantis and Christie, have used figures around 50 miles while criticizing Trump for failing to finish the wall – counting only the primary wall built where no barriers previously existed.

    While some Trump critics have scoffed at the replacement wall, the Trump-era construction was generally much more formidable than the older barriers it replaced, which were often designed to deter vehicles rather than people on foot. Washington Post reporter Nick Miroff tweeted in 2020: “As someone who has spent a lot of time lately in the shadow of the border wall, I need to puncture this notion that ‘replacement’ sections are ‘not new.’ There is really no comparison between vehicle barriers made from old rail ties and 30-foot bollards.”

    Ideally, both Trump and his opponents would be clearer about what they are talking about: Trump that he is including replacement barriers, his opponents that they are excluding those barriers.

    -From CNN’s Daniel Dale

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    August 23, 2023
  • DeSantis on Trump’s 2020 claims: ‘Of course he lost’ | CNN Politics

    DeSantis on Trump’s 2020 claims: ‘Of course he lost’ | CNN Politics



    CNN
     — 

    Florida Gov. Ron DeSantis said “of course” Donald Trump lost the 2020 election, his the most direct comments on the matter in the nearly three years since the former president’s defeat.

    “Of course he lost,” DeSantis told NBC News in an interview that aired Sunday. “Joe Biden’s the president.”

    The remarks follow DeSantis’ comments on Friday in which he told reporters in Decorah, Iowa, that “theories” put out by the former president and his associates following the 2020 election were “unsubstantiated” and “did not prove to be true.”

    DeSantis had previously avoided such forceful pronouncements about Trump’s defeat. He was among the first to suggest that state legislatures could change election results in certain states, earning public praise from Trump’s inner circle at the time. In the years after, though, DeSantis has largely ducked questions about the veracity of the election results.

    Yet DeSantis continues to argue it was not a “perfect election” – citing actions taken by states to ease voting access during the pandemic – and went on to criticize Trump for funding mail-in ballots through the CARES Act, the $2.2 trillion economic stimulus bill passed in 2020 in response to the coronavirus crisis.

    “But here’s the issue that I think is important for Republican voters to think about: Why did we have all those mail votes? Because of Trump turned the government over to (Anthony Fauci, former director of the National Institute of Allergy and Infectious Diseases). They embraced lockdowns. They did the CARES Act, which funded mail-in ballots across the country,” DeSantis told NBC.

    Unmentioned by DeSantis is that he once praised the CARES Act when it was signed, saying it provided “critical resources” in the fight against Covid-19.

    “We thank President Trump for this much-needed support and look forward to our continued work to defeat Covid-19 and emerge stronger than before,” DeSantis said at the time.

    Nor did DeSantis note that he, too, took unilateral action as governor to let local election offices process mail-in ballots earlier than state law allows to address concerns about adequate staffing and a surge in voting remotely due to the coronavirus. Elsewhere, Republican state legislatures blocked Democratic requests to take similar measures in states like Pennsylvania, where the prolonged counting of ballots became fodder for election conspiracies.

    Voting by mail is incredibly popular in Florida, including by voters from his party. Nearly 2.8 million Floridians voted by mail in 2022 – when DeSantis was reelected by a historically wide margin – including more than 1 million registered Republicans.

    As he often does when faced with questions about the 2020 election, DeSantis in his interview with NBC motioned toward the future and how the 2024 election must be a “referendum on Joe Biden’s policies” and “failures” rather than relitigating the past.

    He argued Republicans will lose if they focus on “January 6, 2021, or what document was left by the toilet at Mar-a-Lago.” However, as Trump stares down three criminal indictments related to the alleged mishandling of classified documents, hush money payments to adult film star Stormy Daniels and efforts to overturn the 2020 election, these issues have taken center stage, all while Trump maintains an overwhelming lead.

    On Friday in Waverly, Iowa, DeSantis made the case for “healing divisions” and moving beyond Trump’s legal woes.

    “We got to look forward. We got to start healing divisions in this country,” DeSantis told reporters. “All of this stuff that’s going on, I think it’s just exacerbating the divisions. And so sometimes there’s a larger picture that you have to look at, and I will be looking at that larger picture wanting to move forward for the sake of the country.”

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    August 7, 2023
  • Rand Paul Fast Facts | CNN Politics

    Rand Paul Fast Facts | CNN Politics



    CNN
     — 

    Here’s a look at the life of Rand Paul, US senator from Kentucky.

    Birth date: January 7, 1963

    Birth place: Pittsburgh, Pennsylvania

    Birth name: Randal Howard Paul

    Father: Ron Paul, former presidential candidate and retired US representative from Texas

    Mother: Carol (Wells) Paul

    Marriage: Kelley (Ashby) Paul

    Children: Robert, Duncan and William

    Education: Attended Baylor University, 1981-1984; Duke University School of Medicine, M.D., 1988

    Religion: Christian

    Practiced as an ophthalmologist for 18 years.

    Former president and longtime member of the Lions Club International.

    Was active in the congressional and presidential campaigns of his father, Ron Paul.

    1993 – Completes his ophthalmology residency at Duke University Medical Center.

    1994 – Founds grassroots organization Kentucky Taxpayers United, which monitors state taxation and spending. It is legally dissolved in 2000.

    1995 – Founds the Southern Kentucky Lions Eye Clinic, a non-profit providing eye exams and surgeries to those in need.

    August 5, 2009 – Announces on Fox News that he is running as a Republican for the US Senate to represent Kentucky.

    May 18, 2010 – Defeats Secretary of State Trey Grayson in the Kentucky GOP Senate primary.

    May 19, 2010 – In interviews with NPR and MSNBC, while answering questions about the Civil Rights Act of 1964, Paul expresses strong abhorrence for racism, but says that it is the job of communities, not the government, to address discrimination. Paul later releases a statement saying that he supports the Civil Rights Act and would not support its repeal.

    November 2, 2010 – Paul is elected to the Senate, defeating Jack Conway.

    January 5, 2011 – Sworn in for the 112th Congress. It is the first time a son joins the Senate while his father concurrently serves in the House. Ron Paul retires from the House in 2013.

    January 27, 2011 – Participates in the inaugural meeting of the Senate Tea Party Caucus with Senators Mike Lee and Jim DeMint.

    February 22, 2011 – Paul’s book “The Tea Party Goes to Washington” is published.

    September 11, 2012 – Paul’s book “Government Bullies: How Everyday Americans Are Being Harassed, Abused, and Imprisoned by the Feds” is published. He is later accused of plagiarism in some of his speeches and writings, including in “Government Bullies.” Paul ultimately takes responsibility, saying his office had been “sloppy” and pledging to add footnotes to all of his future material.

    February 12, 2013 – Delivers the Tea Party response to President Barack Obama’s State of the Union address.

    March 6-7, 2013 – Paul speaks for almost 13 hours, filibustering to stall a confirmation vote on CIA Director nominee John Brennan.

    February 12, 2014 – Paul and the conservative group FreedomWorks file a class-action lawsuit against Obama and top national security officials over the government’s electronic surveillance program made public by intelligence leaker Edward Snowden. The lawsuit is later dismissed.

    December 2, 2014 – Paul announces his bid for a second term in the Senate.

    April 7, 2015 – Paul announces his candidacy for the Republican presidential nomination during an event in Louisville, Kentucky.

    May 20, 2015 – After 10 hours and 30 minutes, Paul ends his “filibuster” over National Security Agency surveillance programs authorized under the Patriot Act. Paul’s speech wasn’t technically a filibuster because of intricate Senate rules, but his office insists it was a filibuster.

    August 5, 2015 – The Justice Department indicts two officials from a Rand Paul Super PAC for conspiracy and falsifying campaign records. During the 2012 presidential primary season, Jesse Benton and John Tate allegedly bribed an Iowa state senator to get him to endorse Ron Paul. Benton and Tate go on to help run one of the Super PACs supporting Rand Paul, America’s Liberty PAC. Both men are later convicted.

    February 3, 2016 – Announces that he is suspending his campaign for the presidency.

    November 8, 2016 – Wins a second term in the Senate, defeating Democrat Jim Gray.

    November 3, 2017 – A neighbor assaults Paul at his home in Bowling Green, Kentucky, which results in six broken ribs and a pleural effusion – a build-up of fluid around the lungs. The attorney representing Paul’s neighbor, Rene Boucher, later says that the occurrence had “absolutely nothing” to do with politics and was “a very regrettable dispute between two neighbors over a matter that most people would regard as trivial.” Boucher, who pleaded guilty to the assault, is sentenced in June 2018 to 30 days in prison with a year of supervised release.

    August 2018 – Goes to Moscow and meets with Russian lawmakers, extending an invitation to visit the United States. While abroad, Paul tweets that he delivered a letter to Russian leader Vladimir Putin from US President Donald Trump. A White House spokesman later says that Paul asked Trump to provide a letter of introduction. After he returns, Paul says that he plans to ask Trump to lift sanctions on members of the Russian legislature so they can come to Washington for meetings with their American counterparts.

    January 29, 2019 – A jury awards him more than $580,000 in his lawsuit against the neighbor who attacked him in 2017. The amount includes punitive damages and payment for pain and suffering as well as medical damages.

    August 5, 2019 – Paul says part of his lung had to be removed by surgery following the 2017 attack by Boucher.

    March 22, 2020 – Paul announces that he has tested positive for the novel coronavirus, becoming the first US senator to test positive for coronavirus.

    August 10, 2021 – Paul is suspended from YouTube for seven days over a video claiming that masks are ineffective in fighting Covid-19, according to a YouTube spokesperson.

    November 8, 2022 – Wins reelection to the Senate for a third term.

    October 10, 2023 – Paul’s book “Deception: The Great Covid Cover-Up” is published.

    Rand Paul’s political life

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    August 2, 2023
  • Meta’s Threads is temporarily blocking searches about Covid-19 | CNN Business

    Meta’s Threads is temporarily blocking searches about Covid-19 | CNN Business



    CNN
     — 

    Threads, the much-hyped social media app from Facebook-parent Meta, is taking heat for blocking searches for “coronavirus,” “Covid,” and other pandemic-related queries.

    The tech giant’s decision to block coronavirus-related searches on its service comes as the United States deals with a recent uptick in Covid-19 hospitalizations, per CDC data, and more than three years into the global pandemic.

    News of Threads blocking searches related to the coronavirus was first reported by The Washington Post.

    A Meta spokesperson told CNN that the company just began rolling out keyword search for Threads to additional countries last week.

    “The search functionality temporarily doesn’t provide results for keywords that may show potentially sensitive content,” the statement added. “People will be able to search for keywords such as ‘COVID’ in future updates once we are confident in the quality of the results.” 

    As of Monday, searches on the Threads app conducted by CNN for “coronavirus,” “Covid” and “Covid-19” yielded a blank page with the text: “No results.” Searches for “vaccine” also prompted no results. Typing any of these queries into the Threads app does, however, offer a link directing users to the CDC’s website on Covid-19 or vaccinations, depending on the search.

    Meta did not disclose what other keyword searches currently yield no results.

    Meta’s Facebook and other social media platforms faced controversy in the early part of the pandemic for the apparent spread of Covid-19-related misinformation online.

    Meta officially launched Threads in early July, and the app quickly garnered more than 100 million sign-ups in its first week on the heels of months of chaos at Twitter, which is now known as X. But much of the buzz faded somewhat in the weeks that followed as users realized the bare-bones platform still lacked many of the features that made X popular with users.

    Threads released its much-requested web version late last month, and its keyword search about a week ago. But the current limitations around its search function highlights how the platform still has some kinks to work through before it can fully replace the real-time search and engagement experience that social media users have historically relied on with X.

    –CNN’s Clare Duffy contributed to this report.

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    August 2, 2023
  • A doctor known for assessing Covid risk fell ill with the virus. Here’s what he wants you to know | CNN

    A doctor known for assessing Covid risk fell ill with the virus. Here’s what he wants you to know | CNN



    CNN
     — 

    A doctor known for advising people on the risks of Covid-19 got a double surprise: He got Covid, and he wound up needing stitches because of it.

    Dr. Robert Wachter, who chairs the Department of Medicine at the University of California at San Francisco, said he had not tested positive for Covid until last week, according to posts from his Twitter account. He said he was fully vaccinated and had received his second bivalent booster in April.

    He said his symptoms started with a dry cough on July 9, and by that night, he had a fever, chills and a sore throat. Wachter said he made a mistake the following day when he took a shower while feeling these flu-like symptoms.

    “I work (sic) up in a bloody pool on my bathroom floor,” he wrote on Twitter. “There was a dent in the lid of a trashcan, likely where my head had hit. I remembered nothing. As I managed to get up, it was clear that my face was going to need stitches, and more than a couple.”

    Wachter said he required stitches on the back of his head and on his forehead, which he shared in a photo of himself with a black eye. He declined an interview to go into more detail about his illness and recovery.

    Wachter became a highly followed doctor on Twitter for sharing his own risk gauging and Covid advice during the pandemic, and he has urged people to get vaccinated. He said his Covid “case is a cautionary tale” and warned people to avoid the shower mistake he made.

    “While the instinct to take a shower when you’re sweaty and gross is understandable, stepping into hot water when you’re dehydrated and flu-ish can cause your blood vessels to dilate, leading to a dangerous drop in blood pressure,” Wachter wrote, adding that was exactly what happened to him earlier this week.

    He said he was lucky to have his future son-in-law available to drive him to the UCSF emergency room. He was admitted to the hospital.

    Doctors sent him for two CT scans and later an MRI, due to the extent of his injuries on the front and back of his head, he said.

    He said a head CT scan showed a subdural hematoma, which happens when blood collects between the brain and the skull. A neck fracture appeared in one of his vertebrae in another CT scan.

    Wachter’s MRI didn’t show any additional damage, he said. He added a message of thanks for his colleagues who stitched him back together.

    This is Dr. Robert Wachter that the world is used to seeing in an appearance on CNN in April 2022.

    “Luckily, at my age a few scars don’t bother me much, and I believe my wife likes me for reasons other than my previously seamless brow,” he said.

    After 24 hours in the emergency department, Wachter tweeted that he is home and isolating. He said he’s taking the anti-viral medication Paxlovid to help lessen the severity and duration of the illness, as well as the chance of long Covid.

    As far as future brushes with Covid, Wachter said he doesn’t think he will change his behavior, as long as cases remain low. “I’ll continue being relatively careful, but no more than I’ve been,” he said.

    While he has not treated any Covid patients, Wachter said he wears a KN95 mask in clinical settings. Sometimes he’s removed his mask in non-crowded meetings, he added.

    “I will, however, be more careful about showering or taking a hot bath or hot tub when dehydrated. That’s one important takeaway from this mess,” he said.

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    July 16, 2023
  • Mario Vargas Llosa, Nobel-winning novelist, hospitalized with Covid-19 | CNN

    Mario Vargas Llosa, Nobel-winning novelist, hospitalized with Covid-19 | CNN



    CNN
     — 

    Peruvian novelist and Nobel laureate Mario Vargas Llosa has been hospitalized in Madrid with Covid-19, his son said Monday.

    “In light of the interest by the news media in our father’s health, we make public that he has been hospitalized since Saturday after being diagnosed with Covid-19,” Alvaro Vargas Llosa tweeted on behalf of himself and his siblings, Gonzalo and Morgana Vargas Llosa.

    The 87-year-old has been in hospital since July 1, surrounded by family, and is being treated by “excellent” professionals, the tweet added.

    Vargas Llosa lives in Madrid and holds Spanish as well as Peruvian citizenship.

    Born in Arequipa, Peru in 1936, Vargas Llosa was brought up by his mother until his father reappeared and brought an authoritarian change to his life.

    As well as the hostile environment at home, Vargas Llosa lived through Peru’s political turmoil, which saw the rise of dictator Manuel Odría in 1948.

    In 1963, he published his first novel, “The Time of the Hero,” a tale based on his own experience, about adolescents struggling to survive in a brutal military academy.

    Social change has been a key theme in his literary works, and in 1990 he ran unsuccessfully for President of Peru. Three years after this defeat, he became a Spanish citizen.

    In 2010, the Nobel Prize committee awarded him the Literature Prize, writing in its citation that he was receiving the prize “for his cartography of structures of power and his trenchant images of the individual’s resistance, revolt and defeat.”

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    July 3, 2023
  • Trump and DeSantis trade shots in New Hampshire showdown | CNN Politics

    Trump and DeSantis trade shots in New Hampshire showdown | CNN Politics



    CNN
     — 

    Florida Gov. Ron DeSantis described former President Donald Trump as having over-promised and under-delivered on Tuesday, vowing in New Hampshire to “break the swamp” in Washington while faulting Trump for failing to deliver on his 2016 campaign promises to “drain” it.

    “If I tell you I’m going to do something, I’m not just saying that for an election,” DeSantis said in one of his sharpest attacks on the former president yet.

    Trump, meanwhile, mocked the size of DeSantis’ town hall crowds, telling attendees at a luncheon in Concord that “nobody showed up” to the Florida governor’s event a 40-minute drive south in Hollis.

    The two top-polling contenders for the GOP’s 2024 nomination circled each other Tuesday in New Hampshire, trading shots as they crisscrossed the state that hosts the first primary – after Iowa’s caucuses – and is a crucial momentum-builder.

    Their exchanges offered a preview of the months to come, with the Republican field having taken shape in recent weeks and the party’s first presidential debate less than two months away.

    Trump was blunt about why he was targeting DeSantis, rather than other GOP 2024 rivals, such as his former vice president, Mike Pence, or his former United Nations ambassador, Nikki Haley.

    “Somebody said, ‘How come you only attack him?’” Trump told the crowd in Concord. “I said, ‘Cause he’s in second place.’”

    “‘Well, why don’t you attack others?’” Trump said, repeating the question he said he was asked. “Because they’re not in second place. But soon, I don’t think he’ll be in second place, so I’ll be attacking somebody else.”

    The former president even praised two other GOP contenders, entrepreneur Vivek Ramaswamy, who he said is “actually a pretty good guy” after Ramaswamy said he would pardon Trump, and South Carolina Sen. Tim Scott, who he said “happens to be a very nice guy, actually.”

    Harping on early-state polls that show Trump with a lead in the GOP’s 2024 primary, Trump focused his attacks on DeSantis over his response to the Covid-19 pandemic in Florida and his past support for privatizing Social Security and Medicare.

    Trump argued that during the height of the coronavirus pandemic, DeSantis wanted “everything closed” in Florida and gave “very threatening speeches – you know, thinks he’s a tough guy.”

    He said DeSantis “loved Fauci,” referring to the government’s former top infectious disease expert, who was a central figure in the Trump administration’s response to the pandemic and recently retired during President Joe Biden’s administration.

    Trump’s remarks came shortly after DeSantis had fielded a voter’s question about Trump at a town hall in Hollis.

    A voter told DeSantis “most of us in this room voted to drain the swamp twice” and asked why he’s the one to “get it done this time as opposed to the other choice.”

    “I remember these rallies in 2016. It was exciting. ‘Drain the swamp.’ I also remember ‘Lock her up, lock her up,’ right? And then two weeks after the election, ‘Ah no, forget about it. Forget I ever said that.’ No, no, no. One thing you’ll get from me, if I tell you I’m going to do something, I’m not just saying that for an election,” DeSantis said.

    He said he doesn’t make promises he can’t follow through on, even if they might help him “marginally politically.” DeSantis also said just draining the swamp is not effective enough. Instead, he said he wants to “break” it.

    It was a riff on one of Trump’s signature 2016 campaign lines, and a suggestion that the former president had not delivered on his lofty promises to remake Washington.

    “The idea of draining the swamp, in some respects, I think it misses it a little bit,” DeSantis said. “We didn’t drain it. It’s worse today than it’s ever been by far. And that’s a sad testament to the state of affairs of our country. But even if you’re successful at draining it, the next guy can just refill it. So, I want to break the swamp. That’s really what we need to do.”

    The Florida governor said he would “drop the hammer” on some federal agencies, including the Justice Department, the Federal Bureau of Investigation and the Internal Revenue Service, and “end the weaponization of government.”

    “All of these agencies are going to be turned inside and out,” DeSantis said.

    His promise of a more aggressive approach than Trump’s ignores the potential legal hurdles he could encounter if elected next November. In Florida, more than a dozen legal battles testing the constitutionality of many of the victories DeSantis has touted on the campaign trail are ongoing. Critics say DeSantis has built his governorship around enacting laws that appeal to his conservative base but that, as a Harvard-trained lawyer, he knows are unconstitutional and not likely to take effect.

    The Florida governor’s remarks in New Hampshire came the day after he had taken aim at another signature Trump 2016 campaign pledge: DeSantis said that “not nearly enough” of the wall Trump had promised on the United States-Mexico border had been built.

    “For us, it’s going to be a national emergency on day one. This is going to be mobilizing all available assets on day one. We have a plan for all the different levers of authority that we have to be able to bring this to bear,” DeSantis said at the Rio Grande River on the U.S. Mexico Border in Maverick County, Texas, on Monday.

    In an effort to position himself to Trump’s political right on immigration enforcement, DeSantis also said he would be “more aggressive in terms of our plan than anything he did in empowering local officials to enforce immigration law.”

    Trump fired back on the issue later Tuesday in his second New Hampshire stop as he mingled with voters in Manchester at the opening of his campaign headquarters there, saying that DeSantis was promising to carry out policies that Trump had already enacted as president.

    “I saw DeSantis yesterday, he got up and said exactly what I was doing,” with his border and immigration policies, Trump said.

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    June 27, 2023
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