New Hampshire resident dies after testing positive for EEEV in state’s first human case since 2014
(NEW YORK) — A New Hampshire resident died after being infected with a rare mosquito-borne disease, health officials said Tuesday.
The resident, an adult from Hempstead — near the southeastern border with Massachusetts — had tested positive for Eastern Equine Encephalitis virus (EEEV). The patient was hospitalized due to severe central nervous system disease and died of their illness, according to an update from the state’s Department of Health & Human Services (DHHS).
This is the first reported human case of EEEV in New Hampshire in a decade after three people contracted the disease in 2014, two of whom died, DHHS said.
It’s unclear when the resident, who recently passed away, first became infected with EEEV. No other details were available including name, age or sex.
In addition to the person infected with EEEV, the virus has also been found in one horse and seven mosquito batches in New Hampshire so far this summer, according to the health department.
Neighboring states have been experiencing similar threats. In Massachusetts, 10 communities were designated as being under high or critical risk of the virus, according to the state’s Department of Public Health. Many of the areas began implementing targeted mosquito spraying to protect residents.
“In New Hampshire, mosquitos transmit infections including Eastern Equine Encephalitis Virus, West Nile Virus, and Jamestown Canyon Virus,” Dr. Benjamin Chan, New Hampshire’s state epidemiologist, said in a statement.
“We believe there is an elevated risk for EEEV infections this year in New England given the positive mosquito samples identified. The risk will continue into the fall until there is a hard frost that kills the mosquitos. Everybody should take steps to prevent mosquito bites when they are outdoors,” the statement continued.
EEEV is a rare but serious disease that spreads by bites from infected mosquitoes. It does not spread via touching or droplets from coughing or sneezing, according to the Centers for Disease Control and Prevention (CDC).
Most people who are infected either show mild symptoms or no symptoms at all. However, severe cases usually begin with fever, headache, chills and vomiting before progressing to encephalitis, which is swelling of the brain, or meningitis, which is swelling of the membranes that surround the brain and spinal cord.
Many survivors have ongoing neurologic problems including convulsions, paralysis and intellectual disability, and about 30% of encephalitis cases from this virus result in death.
There are no human vaccines and no treatments specifically for EEEV. The CDC says rest, fluids and over-the-counter pain medications may help relieve some symptoms.
As of Tuesday, four cases have been reported aside from the New Hampshire case — with one case each in Massachusetts, New Jersey, Vermont and Wisconsin, according to the CDC.
The New Hampshire DHHS said residents can protect themselves by using effective mosquito repellents, wearing long-sleeve shirts and long pants when outside and avoiding outdoor activities when mosquitoes are the most active, including early in the morning and during evening hours.
Additionally, residents are advised to remove standing water from around their homes, which attracts mosquitoes, and to make sure doors and windows have tight-fitting screens.
(NEW YORK) — The percentage of teenagers who were up to date on their human papillomavirus (HPV) vaccines has fallen dramatically since 2020, according to new federal data released Thursday.
The Centers for Disease Control and Prevention (CDC) currently recommends children from ages 11 to 12 receive two doses of the HPV vaccine, given six to 12 months apart, although children can get the vaccine starting at age 9.
Anybody under age 26 can get the HPV vaccine if they have not been fully vaccinated, according to the CDC. People ages 15 to 26 years old who have not received the HPV vaccine typically need three doses to be fully vaccinated.
The CDC’s report looked at data from the 2023 National Immunization Survey -Teen, a group of phone surveys used to monitor vaccination coverage among teenagers. Similar ones are conducted for children and adults.
The survey looked at trends in coverage by birth year, and trends in coverage by eligibility for the Vaccines for Children (VFC) program, a federally funded program that provides vaccines to children whose parents or guardians may not be able to afford them.
The program found that vaccination coverage for vaccines including tetanus, diphtheria, and acellular pertussis vaccine (Tdap), as well as for the meningococcal ACWY vaccine, was generally stable during the COVID-19 pandemic.
However, there was a notable decrease in the percentage of adolescents who were up to date with HPV vaccination by age 13 among those born in 2010 — who would have turned 13 in 2023 — compared with those born in 2007, who would have turned 13 in 2020.
For teens who were born in 2007, 52.8% of those who were not eligible for VFC were up to date on their HPV vaccines by age 13. By comparison, only 48.7% of non-eligible teens born in 2010 were up to date by age 13.
Among teens born in 2007 who were VFC eligible, 53% were up to date by age 13. However, only 42.7% of eligible teens born in 2010 were up to date by age 13.
“The decline in the percentage of VFC- eligible adolescents who are HPV [up to date] could signal a change in accessibility to vaccination through the VFC program, a change that needs further exploration,” the report read. “This possibility under-scores the importance of ongoing efforts to ensure equitable access to vaccination services for all children and adolescents.”
Overall, 2023 coverage was similar to 2022, with 76.8% of all teens between ages 13 and 17 receiving at least one dose of the HPV vaccine compared to 76.0% in 2022, the report found.
However, only 61.4% of all teenagers in this age group were updated on their HPV vaccines, down from 64.6% in 2022.
HPV is a very common STI that infects about 13 million Americans each year, according to the CDC. Nearly everyone will contract HPV at some point in their lives, the CDC says.
There are more than 100 types of HPV, and most HPV infections clear up on their own within two years.
About 10% of infections last longer and can put individuals at risk for some cancers including cervix, vaginal and vulvar cancer; penile cancer; anal cancer; and oropharyngeal cancer, which is a cancer of the back of the throat, according to the CDC.
Every year, HPV causes about 37,000 cases of cancer in both men and women in the U.S., according to the federal health agency. However, HPV vaccination can prevent more than 90% of HPV cancers when given at the recommended ages, according to the American Cancer Society.
“Health care providers should make strong recommendations for all routine vaccines and verify if adolescents, particularly those eligible for the VFC program, are up to date with all recommended vaccines,” the report stated.
(NEW YORK) — A third death has been reported in connection to a multi-state outbreak of Listeria monocytogenes infections that has been linked to a Boar’s Head deli meat recall.
The Centers for Disease Control and Prevention announced Thursday that since a previous update on July 31, nine more cases of listeria had been reported, including one new death in Virginia.
In total, there have been 43 illnesses leading to hospitalization.
The announcement also stated that the New York State Department of Agriculture and Markets’ Division of Food Safety and Inspection “collected unopened Boar’s Head liverwurst products from retail stores and the New York State Food Laboratory identified Listeria monocytogenes” and that “[whole-genome sequencing] determined it to be the same strain as the strain making people sick in this outbreak.”
Boar’s Head previously expanded its original July 26 recall on several types of deli meats to include an additional 7 million pounds of ready-to-eat meat and poultry products that may be contaminated with listeria.
The U.S. Department of Agriculture’s Food Safety and Inspection Service initially announced that Boar’s Head Provisions Co. had recalled 71 products produced between May 10, 2024, and July 29, 2024, under the Boar’s Head and Old Country brand names.
The announcement was an expansion on a previous recall announcement amid an ongoing investigation by the CDC into an outbreak of listeria infections linked to meats sliced at delis that had sickened 34 people across 13 states.
ABC News’ Good Morning America has reached out to Boar’s Head for comment on the recall.
Details of Boar’s Head deli meat recall
The Virginia-based meat producer initially recalled approximately 207,528 pounds of products that were distributed to retail deli locations nationwide, including all liverwurst products and “additional deli meat products that were produced on the same line and on the same day as the liverwurst” that could be “adulterated with L. monocytogenes.”
Boar’s Head deli meat recalled product information
“On July 30, Boar’s Head expanded their July 26 recall to include all deli products, including prepackaged deli products, in shelf life from this establishment,” the CDC stated previously. “Look for “EST. 12612” or “P-12612″ inside the USDA mark of inspection on the product labels.”
The items “include meat intended for slicing at retail delis as well as some packaged meat and poultry products sold at retail locations,” FSIS stated Wednesday. “These products have ‘sell by’ dates ranging from 29-JUL-2024 through 17-OCT-24.”
Click here for the full list of product details with item numbers, brand names and sell by dates.
The ready-to-eat liverwurst products were produced between June 11, 2024, and July 17, 2024, and have a 44-day shelf life.
Recalled liverwurst products include 3.5-pound loaves in plastic casing, or “various weight packages sliced in retail delis,” according to the FSIS, and are labeled “Boar’s Head Strassburger Brand Liverwurst MADE IN VIRGINIA.”
The products, which the FSIS said were shipped to retailers, bear sell by dates ranging from July 25 to Aug. 30, 2024. Sell by dates are printed on the side of the packaging.
Additional ready-to-eat deli meats subject to recall
9.5-pound and 4.5-pound full product, or various weight packages sliced in retail delis, containing “Boar’s Head VIRGINIA HAM OLD FASHIONED HAM” with sell by date “AUG 10” on the product packaging.
4-pound, or various weight packages sliced in retail delis, containing “Boar’s Head ITALIAN CAPPY STYLE HAM” with sell by date “AUG 10” on the product packaging.
6-pound, or various weight packages sliced in retail delis, containing “Boar’s Head EXTRA HOT ITALIAN CAPPY STYLE HAM” with sell by date “AUG 10” on the product packaging.
4-pound, or various weight packages sliced in retail delis, containing “Boar’s Head BOLOGNA” with sell by date “AUG 10” on the product packaging.
2.5-pound, or various weight packages sliced in retail delis, containing “Boar’s Head BEEF SALAMI” with sell by date “AUG 10” on the product packaging.
5.5-pound, or various weight packages sliced in retail delis, containing “Boar’s Head STEAKHOUSE ROASTED BACON HEAT & EAT” with sell by date “AUG 15” on the product packaging.
3-pound, or various weight packages sliced in retail delis, containing “Boar’s Head GARLIC BOLOGNA” with sell by date “AUG 10” on the product packaging.
3-pound, or various weight packages sliced in retail delis, containing “Boar’s Head BEEF BOLOGNA” with sell by date “AUG 10” on the product packaging.
The recalled products bear establishment number “EST. 12612” inside the USDA mark of inspection on the product labels.
The above products were produced on June 27, 2024, according to Boar’s Head.
What prompted the Boar’s Head recall
According to the USDA, the problem was discovered when the FSIS “was notified that a sample collected by the Maryland Department of Health tested positive for L. monocytogenes.”
“The Maryland Department of Health, in collaboration with the Baltimore City Health Department, collected an unopened liverwurst product from a retail store for testing as part of an outbreak investigation of L. monocytogenes infections,” the agency stated previously. “Further testing is ongoing to determine if the product sample is related to the outbreak. Anyone concerned about illness should contact a healthcare provider.”
Details of listeria outbreak linked to deli meats
The FSIS is currently working with the CDC as well as state public health partners to investigate a multi-state outbreak of listeria infections linked to meats sliced at delis, USDA officials said.
According to the CDC, “All 43 people have been hospitalized and three deaths have now been reported, one from Illinois, one from New Jersey, and, as of this update, one from Virginia.”
As of Aug. 8, states involved in the outbreak included Minnesota, Wisconsin, Illinois, Indiana, Missouri, Georgia, North Carolina, Virginia, Maryland, Pennsylvania, New Jersey, New York and Massachusetts.
“Samples were collected from sick people from May 29, 2024, to July 12, 2024,” the USDA stated, adding that “the investigation is ongoing.”
In a notice published July 19, the CDC stated that many of those sickened in the outbreak had reported eating meat that they had sliced at deli counters.
“Investigators are collecting information to determine the specific products that may be contaminated,” the CDC stated.
“Listeria spreads easily among deli equipment, surfaces, hands and food,” the agency added. “Refrigeration does not kill Listeria, but reheating to a high enough temperature before eating will kill any germs that may be on these meats.”
Symptoms, side effects of listeria
According to the CDC, listeria can cause severe illness “when the bacteria spread beyond the gut to other parts of the body” after a person consumes contaminated food. Those at higher risk include pregnant people, those aged 65 or older, or anyone who has a weakened immune system, the CDC says.
“If you are pregnant, it can cause pregnancy loss, premature birth, or a life-threatening infection in your newborn,” the CDC states on its website. “Other people can be infected with Listeria, but they rarely become seriously ill.”
According to the CDC, anyone infected with listeria may experience “mild food poisoning symptoms” such as diarrhea or fever, and many recover without antibiotic treatment.
An estimated 1,600 people get listeria food poisoning each year and about 260 die, according to the CDC.
An earlier version of this story was originally published July 26, 2024.
(NEW YORK) — Millions of American seniors are having a hard time affording their prescription medications, a new National Health Statistics report suggests.
The study, published by the Centers for Disease Control and Prevention, found that approximately 4% of those aged 65 and older can’t afford their prescription at all, and more than 3% of them skipped doses, delayed filling a prescription or took less medication than prescribed to cut back on costs.
“Older adults that were food insecure were six times more likely to not get their prescription medication,” Robin A. Cohen, study co-author and statistician with the CDC’s National Center for Health Statistics, said.
Dr. Lalita Abhyankar, a family medicine physician based in San Francisco, told ABC News she often sees patients struggling to pay for their medications.
One of Abhyankar’s patients with diabetes couldn’t afford his monthly dose of insulin, so “he would ration out his insulin,” she said. Despite being on both Medicaid and Medicare, “the copay was challenging for him to do on a month-to-month basis,” she noted.
Abhyankar has also seen this problem when patients needed an expensive medication because cheaper alternatives haven’t worked.
“I’ve seen them do half a dose or take it once a day instead of the recommended twice or three times a day and then continue to walk around with uncontrolled high blood pressure,” Abhyankar said. “That increases their risk of stroke, heart attack, damage to the eyes and kidneys.”
She went on, “The downstream effects are going to be that we’re going to see more patients in hospitals, and emergency rooms. That puts a huge burden on the healthcare system.”
Generally, adults aged 65 and older qualify for universal health care under Medicare. That covers medical needs such as doctors’ visits and hospital stays.
Medications aren’t automatically included. Older adults must enroll in Medicare Part D, a separate prescription drug coverage plan, or a private insurance plan that helps pay for medications.
Even when they are covered, most Americans will still owe some amount for copays and premiums. When the expenses pile up, some choose to forego any coverage at all.
Abhyankar said there are ways to reduce the cost of prescriptions including websites such as GoodRx that can offer coupons for customers sometimes at lower prices. Another option is the online discount pharmacy Cost Plus Drugs, which has hundreds of medications available for purchase at lower prices.
Abhyankar also suggested that patients try insurance preferred pharmacy programs, which are pharmacies that have an agreement with an insurance plan to charge less to fill prescriptions.
Last month, the Biden administration announced an agreement with drug companies to lower the price of 10 prescription medications for people with Medicare Part D. The negotiated prices will go into effect on Jan. 1, 2026.
Roshan Nebhrajani Bransden, MD, is a family medicine resident physician and a member of the ABC News Medical Unit.