1st bird flu death in the US reported in Louisiana
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(LOUISIANA) — The first person has died of bird flu in the United States, the Louisiana Department of Health confirmed on Monday.
The patient, who was exposed to non-commercial backyard flock and wild birds, was over age 65 and had underlying medical conditions, officials said.
Last month, the Centers for Disease Control and Prevention confirmed the patient was experiencing the first case of severe bird flu in the U.S.
At the time, a spokesperson from the Louisiana Department of Health told ABC News the patient was experiencing severe respiratory illness related to bird flu infection and was in critical condition. The patient remains the only human case of bird flu confirmed in Louisiana.
The U.S. has seen an increase in human cases of bird flu, or avian influenza, since April, when the first human case was reported.
As of Jan. 3, there have been 66 human cases of bird flu reported in the U.S., according to CDC data.
Signs and symptoms of infection in humans often include sore throat, cough, fever, runny or stuffy nose, headache, muscle or body aches, fatigue and shortness of breath, the CDC says. Less common symptoms include nausea, vomiting, diarrhea and seizures.
Infections can range from no symptoms or mild illness, such as flu-like symptoms, to more severe illness, such as pneumonia that could require hospitalizations, the CDC says.
Almost all confirmed cases have had direct contact with infected cattle or infected livestock. Aside from the case confirmed in the Louisiana patient, cases have been mild, and patients had all recovered after receiving antiviral medication, according to the CDC and state health officials.
One previous case in Missouri was hospitalized, but health officials pointed to other health conditions aside from bird flu infection involved in the patient’s admission to the hospital.
The Louisiana Department of Health and the CDC say there is no evidence of person-to-person transmission and the risk to the general public is low.
However, those who work with birds, poultry or cows — or have recreational exposure to them — are at higher risk.
The CDC recommends staying away from sick or dead wild birds, poultry and other animals and, if contact is unavoidable, using personal protective equipment.
The agency also suggests not touching surfaces or materials contaminated with saliva, mucous or animal feces from wild or domestic birds and animals confirmed or suspected to have bird flu as well as not consuming raw milk or raw milk products.
The U.S. Department of Agriculture issued a new federal order last month that raw milk samples nationwide will be collected and shared with the department in order to test for bird flu.
(NEW YORK) — Authorities are looking into online accounts believed to be those of Luigi Mangione, the 26-year-old Ivy League graduate charged with murder in the fatal shooting of UnitedHealthcare CEO Brian Thompson on a Manhattan street, that have posted about health struggles and possible medical successes.
Mangione appeared to operate a Reddit profile where he detailed health issues including back pain, brain fog and sciatica. The account made several posts on a subreddit dedicated to spondylolisthesis — a condition where a vertebra slips out of alignment. Mangione also might have planned to read or already read multiple books on back pain based on a Goodreads account associated with him.
Law enforcement sources have told ABC News that the Reddit profile — which has since been taken down — is being reviewed for additional details about the extent of the injuries mentioned. A Reddit spokesperson told ABC News regarding the page that their policy is to suspend accounts that may potentially be related to suspects in high-profile criminal investigations.
Mangione is accused of gunning down Thompson outside a Midtown Manhattan hotel on Dec. 4. Written on the shell casings were the words “deny,” “defend” and “depose,” according to police sources. Mangione was apprehended in Altoona, Pennsylvania, on Monday after nearly one week on the run. He allegedly had a spiral notebook detailing plans about how to eventually kill the CEO, according to law enforcement officials.
Mangione is being held without bail in Pennsylvania, where he faces charges including allegedly possessing an untraceable ghost gun. Defense attorney Thomas Dickey told reporters on Tuesday that Mangione will plead not guilty to the Pennsylvania charges. He said he anticipates that Mangione will also plead not guilty to the second-degree murder charge in New York.
The posts and reading lists paint a picture of someone seeking answers, sharing how spinal fusion surgery brought the author relief after years of discomfort.
“Chronic pain can be incredibly debilitating. It can affect every aspect of your life,” Dr. Joseph Shrand, chief medical officer of Riverside Community Care in Massachusetts and a Harvard Medical School faculty member, told ABC News.
While the Reddit posts suggest a spinal surgery was a significant moment in his life, the author of the posts said the procedure left him pain-free, and he frequently encouraged others to undertake similar procedures.
In an August 2023 post, the user remarked how his spinal injury was once “completely devastating” and worried he was “destined to chronic pain and a desk job for the rest of my life” before considering surgery.
Chronic pain, defined as pain lasting three months or more, affects about 50 million U.S. adults, according to the National Institutes of Health. Of these, 17 million Americans experience “high impact” chronic pain, which is so debilitating that it disrupts daily activities like work, self-care and relationships, the NIH says.
Women, older adults, and those living in poverty or rural areas tend to report the highest rates of persistent pain. So do people who are divorced or separated, identify as bisexual, or say they are generally in poor health, according to the NIH.
Studies suggest that chronic pain can put people at a higher risk of mental health struggles, as well as create a financial burden.
Research shows that between 35% to 45% of those with chronic pain experience depression, while anxiety disorders are similarly common. Pain may interfere with sleep, increase stress, and create cycles of declining mental and physical health.
“Chronic pain puts you at a disadvantage mentally because you may think other people see you as broken,” Shrand said. “There will be times where you may feel in such physical pain that it becomes emotional pain, too.”
Some studies suggest a biological link between chronic pain and mental health disorders. For example, depression can heighten pain sensitivity, reinforcing the connection between the two, according to a study in the journal Neural Plasticity.
Chronic pain affects every facet of life. It can limit employment opportunities, disrupt social connections and lead to cognitive challenges, including “brain fog.”
“People have difficulty getting out of bed in the morning because their backs hurt, which means that they’re potentially at risk of coming into work late, which then puts them at risk for the cascade effects of all those things that can happen because they are now perceived as a person who isn’t doing their job right,” Shrand said.
Chronic pain can lead to a substantial financial burden, as well. According to one Journal of Pain study, individuals with severe pain spend more than $4,000 more annually on health care versus those without pain.
Managing chronic pain requires a combination of medical, psychological and lifestyle interventions, but insurance often prioritizes medications and procedures with inconsistent results.
For instance, lumbar fusion surgeries — such as the one purportedly described by Mangione — are commonly performed but often fail to provide lasting relief, according to various studies.
When Mangione was arrested on Monday, he had “written admissions about the crime” with him, according to the New York arrest warrant.
Mangione had several handwritten pages on him that expressed a “disdain for corporate America” and indicated “he’s frustrated with the health care system in the United States,” NYPD Chief of Detectives Joe Kenny told ABC News’ “Good Morning America” on Tuesday.
The words on the bullets echo the title of the 2010 book “Delay, Deny, Defend: Why Insurance Companies Don’t Pay Claims and What You Can Do About It.” Police are aware of the similarity, and are investigating whether one possible motive is anger at the insurance industry, sources said.
While the Reddit posts suggest a spinal surgery was a significant moment in his life, the author of the posts said the procedure left him pain-free, and he frequently encouraged others to undertake similar procedures.
One of Mangione’s apparent posts on the r/Spondylolisthesis subreddit in February 2024 referred to having had a surgery for the condition six months prior. The author said that “[w]within 7 days of the fusion I was on zero pain meds.”
Many widely used approaches, such as opioids or steroid injections, provide only temporary solutions to chronic pain. Meanwhile, treatments like cognitive behavioral therapy, yoga and acceptance therapy show promise but remain difficult to access due to cost and insurance coverage gaps.
However, many chronic pain patients face a maze of treatments that don’t fully address their needs or the root causes of their pain.
Shrand said the best approach often requires a combination of solutions.
“You can’t just attack the physical. You’ve got to address the biological, mental and social aspects of life,” he said. “You can manage this pain — it’s part of your body, and we can find a way to take care of you.”
ABC News’ Peter Charalambous, Aaron Katersky, Kerem Inal, Chris Looft and Sasha Pezenik contributed to this report.
(WASHINGTON) — Named to lead the nation’s sprawling Department of Health and Human Services, Robert F. Kennedy Jr. has big ideas for busting public health policy norms.
His Senate confirmation hearings — should they happen — will come with lots of questions about what Kennedy’s ideas would look like in practice.
His new role would mean relinquishing his outsider critic status and working from within a massive government system, leading an agency of 80,000 employees and dealing with everything from drug approvals to food recalls to the pandemic response.
So, what happens when his motto “Make America Healthy Again” collides with one of Washington’s largest government bureaucracies?
“He seems very clear on what it is he wants to get done. I’m just not sure he has an understanding of what it will take to get that done,” said one former senior HHS official who worked in the Biden administration.
Vaccines
On vaccines, President-elect Donald Trump’s picks of Johns Hopkins University professor Marty Makary to lead the Food and Drug Administration, former GOP Rep. Dave Weldon to head the Centers for Disease Control and Prevention and Dr. Janette Nesheiwat as surgeon general certainly add to Kennedy’s ability to make changes — if they’re confirmed by the Senate.
Both Makary and Weldon have raised questions about vaccine side effects, although they’ve also at times been supportive overall of the role vaccines play in public health. Kennedy himself has falsely claimed that vaccines cause autism, which has been debunked by numerous studies.
In their new positions, Makary, Weldon and Kennedy would have the power to select the experts who sit on important FDA and CDC advisory panels. Those panels play a key role in vaccine recommendations and authorizations for the general public, ultimately creating public health guidance for years to come.
“I think massively, in large part, the health care community would continue to move forward on vaccines as they do now, as they are considered to be one of the massive successes of public health in the last 100 years. And I don’t think that would change,” said Tom Inglesby, a former senior adviser to HHS and the White House during COVID-19 during the Biden administration.
“But what could change is potentially the cost of vaccines, the access to vaccines, guidance around new vaccines that might come online, and also confusion around public messaging from the federal government about safety and effectiveness of vaccines,” Inglesby said.
Food and nutrition
When it comes to chemicals and the food Americans consume, it’s less clear how Kennedy could make changes at HHS, as opposed to the Environmental Protection Agency or the Department of Agriculture, which have more oversight of areas such as water fluoridation, which Kennedy opposes, or school lunches, which he says he wants to make healthier. He has said, however, that he would gut the entire nutrition department at the FDA.
Kennedy could also move around funding — he’s said he’d deprioritize infectious disease research in favor of chronic illness research, for example. As avian flu cases continue to rise — raising concerns about a new pandemic — public health experts and former government officials have pushed back strongly on that idea.
But he has also called for restrictions on food additives, dyes and ultra-processed foods, something he could have direct influence over through the FDA, which determines safe thresholds for the “Acceptable Daily Intake” on substances.
Kennedy has generally received a more cautious welcome from the public health community regarding his focus on healthy food.
“There are some things here that are worth working on. You know, if we’re looking at the school lunch program in America, 30 million children get more than half of their calories from that program. It would be a wonderful thing to make that the best school lunch program possible,” said Dr. Richard Besser, former CDC acting director.
But many public health experts are also wary of giving Kennedy credit, for fear it could lend credibility to other false information he promotes. He advocates drinking raw milk, for example, even though the pasteurization process kills off bacteria that can cause serious illness, including the fast-spreading avian flu.
“One of the dangerous things about RFK Jr. is that there are bits of things he says that are true, and they’re mixed in. And it makes it really hard to sort out what things you should follow because they’re based on fact, and which things are not,” Besser told ABC News, where he was former chief health and medical editor.
Experts also question Kennedy’s ability to counter powerful Washington lobbies — one of his stated main goals — in a Trump administration focused on working with big business on deregulating industries.
Abortion access
Another area where Kennedy could be out of line with the Trump administration is abortion access. Kennedy has said he supports legal abortion access until fetal viability (despite an earlier comment on the campaign trail that he later walked back about supporting a 15-week ban) and that such decisions should be up to women.
Many abortion rights advocates still expect the Trump administration to quickly move to rescind protections and halt legal fights the Biden administration initiated after the fall of Roe v. Wade — but are hopeful that Kennedy and the broader administration would not attempt sweeping bans.
“[Trump’s] obviously waffled on this and other issues a thousand times so I’m not going to trust every word he says, but I do think there’s the possibility that he and his administration has seen that actually, abortion access is very popular,” said Katie O’Connor, senior director of abortion policy at the National Women’s Law Center.
“We have seen that over the past three elections, and there could be pushback if this administration does something to further restrict abortion access.”
There are certainly members of Trump’s orbit who would support broader restrictions on abortion, but Trump himself has said he would not sign a federal ban if Congress passed one.
Some of the policies O’Connor expects to see rolled back would include the Pentagon paying for service members who need to cross state lines to get an abortion because of where they were stationed, as well as expanded access to abortion pills through telemedicine.
As HHS secretary, Kennedy could undo these rules and also build on the first Trump administration’s efforts. He could expand protections for health care providers who don’t want to perform abortion procedures, allowing more providers to deny care, and make it more difficult for private insurers to cover abortion, leaving it more expensive for patients, O’Connor said.
Large-scale bans, were they executed, would focus on removing access to the medication abortion pill called mifepristone, either by attempting to take medication abortion off the market by way of the FDA approval process, or employing a very old law called the Comstock Act to prohibit the pills from being mailed.
“I do hold out hope that this administration doesn’t want to expand political capital on abortion,” O’Connor said.
(NEW YORK) — The U.S. Surgeon General issued an advisory on Friday warning of a link between alcohol consumption and cancer risk.
Alcohol consumption is the third leading preventable cause of cancer in the United States, after tobacco and obesity, according to the Surgeon General’s advisory.
For some cancers, including breast, mouth, and throat cancers, the risk of developing cancer may increase with one or fewer drinks per day, the advisory states.
Despite a growing body of evidence, fewer than half of Americans recognize alcohol consumption as a risk factor for cancer, according to the advisory.
A person’s risk of developing cancer due to alcohol consumption is also determined by other factors, including biological, economic, environmental and social, the advisory says.
“Alcohol is a well-established, preventable cause of cancer responsible for about 100,000 cases of cancer and 20,000 cancer deaths annually in the United States – greater than the 13,500 alcohol-associated traffic crash fatalities per year in the U.S. – yet the majority of Americans are unaware of this risk,” U.S. Surgeon General Dr. Vivek Murthy said in a statement. “This Advisory lays out steps we can all take to increase awareness of alcohol’s cancer risk and minimize harm.”
This is a developing story. Please check back for updates.
