Measles cases reported in New Jersey, Kentucky amid ongoing outbreak in Texas
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(NEW YORK) — More measles cases are being confirmed across the United States as health officials work to treat patients in an ongoing outbreak in Texas.
The Kentucky Department for Public Health (KDPH) and the Franklin County Health Department announced on Wednesday a confirmed case of measles in an adult resident, the first in the state in two years.
The departments said the resident recently traveled internationally to an area where measles is spreading.
Meanwhile, in New Jersey, health officials confirmed two new measles cases in Bergen County linked to a patient whose case was confirmed earlier this month.
Officials haven’t found any links between the cases in Kentucky and New Jersey, and there’s no evidence the cases in Kentucky or New Jersey are connected to the outbreak in Texas, which has so far sickened 124 people and led to one death in an unvaccinated school-aged child.
Kentucky health officials are now attempting to contact anyone the infected resident may have come into contact with. The resident attended a Planet Fitness in Frankfort on Feb. 17 while contagious, officials said.
“Measles is one of the most contagious viruses in the world,” KDPH Commissioner Dr. Steven Stack said in a statement. “Fortunately, measles can be prevented with the measles, mumps and rubella (MMR) vaccine, which is safe and effective. Vaccines are an essential tool to keep children and adults safe and healthy.”
An official briefed on the situation told ABC News on Thursday that the new cases in New Jersey are members of the same family and were not vaccinated. Because they are in the same family, public health officials are hopeful public spread will have been limited.
The original case tested positive after traveling internationally. The New Jersey Department of Health said people may have been exposed to measles if they visited Englewood Hospital’s Emergency Department on Feb. 5.
Health officials said people who were exposed could develop symptoms until as late as March 6.
Measles is one of the most contagious diseases known to humans. Just one infected patient can spread measles to up to nine out of 10 susceptible close contacts, according to the Centers for Disease Control and Prevention.
Health officials have been urging anyone who isn’t vaccinated to receive the measles, mumps, rubella (MMR) vaccine.
The CDC currently recommends that people receive two vaccine doses, the first at ages 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective. Most vaccinated adults don’t need a booster.
Measles was declared eliminated from the U.S. in 2000 due to the highly effective vaccination program, according to the CDC. However, CDC data shows vaccination rates have been lagging in recent years.
Los Angeles County health officials reported the first human case of bird flu in the area less than a week after a statewide emergency declaration was announced.
In a statement released on Monday, the L.A. County Department of Public Health said the human case of H5 bird flu was detected in an adult who was exposed to livestock infected with the virus at a worksite.
The unnamed adult had mild symptoms, has been treated with antivirals and is recovering at home, according to the agency.
“The overall risk of H5 bird flu to the public remains low,” health officials said.
There are at least 65 confirmed human cases of bird flu nationally — with at least 36 in California, according to the CDC.
California Gov. Gavin Newsom declared a state of emergency on Dec. 18 as bird flu cases were detected in dairy cows on Southern California farms. The virus had also been previously detected in the state’s Central Valley.
“This proclamation is a targeted action to ensure government agencies have the resources and flexibility they need to respond quickly to this outbreak,” Newsom said in a statement last week.
Symptoms of bird flu in humans include eye redness or discharge, fever, cough or difficulty breathing, sore throat, muscle or body aches, diarrhea and vomiting, according to health officials.
Individuals working with infected animals, including cows, poultry or wildlife, continue to be at higher risk of exposure to the virus.
“People rarely get bird flu, but those who interact with infected livestock or wildlife have a greater risk of infection. This case reminds us to take basic precautions to prevent being exposed,” Los Angeles County health officer Muntu Davis, MD, MPH, said in the statement Monday.
“People should avoid unprotected contact with sick or dead animals including cows, poultry, and wild birds; avoid consuming raw or undercooked animal products, such as raw milk; and protect pets and backyard poultry from exposure to wild animals,” Davis added.
The health official also recommended getting the seasonal flu vaccine “which can help prevent severe seasonal flu illness and lower the risk of getting both seasonal and bird flu infections at the same time if exposed.”
(NEW YORK) — If you’re feeling hungover from New Year’s Eve champagne or had one too many boozy eggnogs over the holidays, let January be a fresh start.
Taking the challenge of going dry in January, or Dry January, i.e. having no alcohol for the entire month, is one resolution that might actually make you healthier.
The Dry January campaign was started in 2013 by Alcohol Change U.K., a charity focused on reducing alcohol harm. For the past several years, the initiative has proved popular in the United States and other countries too.
What are the health benefits of Dry January?
While research on how quitting alcohol for a month affects your body is still limited, several studies have shown psychological and health benefits.
Over one dozen staff members at the magazine New Scientist teamed up with researchers at the Institute for Liver and Digestive Health at the University College London Medical School in 2013 to investigate the benefits of Dry January.
The staff members, who all considered themselves “normal” drinkers, underwent baseline testing with blood samples, liver ultrasound scans and questionnaires. For the next five weeks, 10 of them stopped drinking and four drank their normal amounts.
The people who stopped drinking had lower levels of liver fat (which can be a precursor to liver damage), improved blood sugars and lower cholesterol than they did at the beginning of the month. They also reported improved sleep and concentration. In contrast, the four people who kept drinking saw no benefit.
Another study out of the U.K. had nearly 100 participants abstain from drinking alcohol for a month and another nearly 50 participants continue drinking alcohol as normal.
They found that moderate-heavy drinkers who took a break from alcohol had improved insulin resistance, weight, blood pressure, and cancer-related growth factors.
The researchers do warn, however, that the study does not show that a short-term ‘detox’ period is all that is required to ‘refresh’ the liver or achieve other health gains. Abstaining from alcohol for a month is only one part of addressing negative effects from longer-term alcohol consumption.
People who drink excessive amounts of alcohol are at higher risk of death and many medical conditions.
People who drink unhealthy amounts of alcohol are more likely to have high blood pressure, heart disease, liver disease, nerve damage, infections including pneumonia and even certain cancers like breast cancer.
Dr. Fulton Crews, director of the Center for Alcohol Studies at the University of North Carolina at Chapel Hill, said attempting to stop drinking for Dry January is a good opportunity for people to see if they have an actual addiction to alcohol.
“Many people are in denial about their drinking and hazardous drinking, and if they try to stop and are not able to, it really points out to them their weakness,” Crews told ABC News. “If they can’t stop for a month, they would realize that they have a problem.
“Either that or they do it, and they realize it’s not that hard for them,” said Crews, who described Dry January as a “good idea.”
Experts say Dry January may be especially helpful to those who consistently drink over the recommended amount of two drinks per day for men and one drink per day for women.
Excessive drinking includes binge drinking, defined as consuming five or more drinks for men in a single occasion and four or more drinks for women, and heavy drinking, defined as consuming 15 or more drinks per week for men or eight drinks or more for women). A standard drink is 12 ounces of a regular beer, 8 ounces of a malt liquor, 5 ounces of a glass of wine, and 1.5 ounces of a spirit, according to the Centers for Disease Control and Prevention.
For those individuals who drink alcohol within the recommended limits, Crews said he is “not sure there would be any observable benefits.”
“I don’t see any clear potential for a moderate drinking person to stop drinking,” he said.
If you do choose to participate in Dry January, Crews shared his advice for sticking to the program.
“Try to avoid temptation by maybe putting all the alcohol out of the house,” he said.
Does Dry January prompt bigger change for some?
Staying dry for January may also help jump-start people to give up alcohol for longer.
Although most people who participate in Dry January return to drinking, up to 8% stay dry six months later, according to Public Health England and the British Medical Journal.
And those who go back to drinking drink less. A 2015 study conducted in the U.K. and published in the journal Health Psychology found that people who participated in Dry January drank less often, had fewer drinks when they did drink and were drunk less often six months after Dry January was completed.
Dry January participants were also better able to refuse alcoholic drinks. These benefits were even seen in people who did not complete the whole month of Dry January.
It might seem daunting to stop drinking alcohol for a whole month. But a 2020 Alcohol and Alcoholism study found that nearly 70% of people completed the Dry January Challenge in 2019.
If you are concerned about yourself or a loved one, call the Substance Abuse and Mental Health Services Administration’s (SAMSA) confidential, free, 24-hour-a-day, 365-day-a-year helpline at 1-800-662-HELP (4357). For information and resources about alcohol-related problems and health, visit the website of the National Institute of Alcohol Abuse and Alcoholism (NIAAA) HERE.
Editor’s note: This piece was originally published on Jan. 3, 2018.
(LOS ANGELES) — As devastating wildfires continue to spread across southern California, thousands of structures have been destroyed or damaged and at least five people have been killed.
Residents and firefighters have suffered physical injuries, but doctors say the wildfires can also take a heavy mental health toll on civilians and first responders.
“I think when disaster like this is unfolding, it makes sense to prioritize people’s lives and mortality but, over time, we have to think about mental health consequences too,” Dr. Sarah Lowe, associate professor of social and behavioral sciences at Yale School of Public Health, told ABC News.
“We also know that mental and physical health are connected,” she continued. “While mental health symptoms might not necessarily be linked to the exposure itself, they could be linked to or exacerbated by physical health ailments.”
Mental health experts say that most people are resilient and do not develop a mental health condition as a result of trauma from a natural disaster.
However, those with more exposure to the event — such as losing a home, losing a loved one or experiencing injury — are at higher risk, the experts said.
“It is common to experience emotional distress during these traumatic events, where people often lose a sense of control,” Dr. Jace Reed, director of emergency psychiatry for the department of psychiatry & behavioral neurosciences at Cedars-Sinai in Los Angeles, told ABC News. “The current wildfires have led to evacuations, the destruction of homes and property, the loss of beloved pets, physical injuries and even death, all of which can be profoundly distressing.
“Individuals may feel a range of emotions, including denial, anger, sadness, shock and hopelessness,” he added. “This emotional response can evolve into later stages, such as acceptance, further sadness, depression and bitterness.”
Research has shown wildfires can lead to increased rates of anxiety and depression and symptoms may become worse among people who already have these conditions.
Additionally, people can develop post-traumatic stress disorder (PTSD), which can include intrusive thoughts and nightmares.
Leaving PTSD untreated can result in the use of or dependence on drugs and alcohol, increased risk of chronic health conditions and increased risk of self-harm.
Dr. Ian Stanley, an assistant professor in the Department of Emergency Medicine at the University of Colorado School of Medicine, told ABC News that untreated PTSD can put a strain on relationships including familial relationships, romantic relationships and friendships.
“It can really begin to eat away at, not just the person’s well-being, but also the social environment in which they live,” he said.
Wildfire smoke can also put you at risk
The experts said it’s not just people directly affected by the fire who are at risk of mental health impacts. People exposed to wildfire smoke are at risk as well.
Wildfire smoke can travel long distances, meaning cities hundreds of miles away may be experiencing unhealthy air quality.
A 2024 study from Emory University found that wildfire smoke was linked with emergency department visits for anxiety disorders with higher risks among girls, women and older adults.
“Even people who aren’t directly affected by fires, the smoke from them, coming into their neighborhoods and communities, even if it’s imperceptible, can have impacts on mental health,” Lowe said. “We’re seeing more and more, and that’s with a range of mental health conditions, including depression, anxiety.”
Firefighters, first responders also at risk
Firefighters battling the flames and first responders helping treat those who are injured or are in need are also at risk of experiencing mental health impacts.
Firefighters and other rescue personnel are at greater risk of developing PTSD compared to the general population. An August 2016 study found approximately 20% of firefighters and paramedics meet the criteria for PTSD at some point in their career compared to a 6.8% lifetime risk for the general population, according to the U.S. Fire Administration.
“They’re on the front lines, and first responders, firefighters, police, EMS have potentially pre-existing vulnerabilities to developing mental health problems at a higher rate than the civilian population,” Stanley said.
The duties of first responders — facing challenging situations, reaching out to survivors, providing support — can be strenuous and put them at an increased risk of trauma, according to a 2018 report from the Substance Abuse and Mental Health Services Administration.
“They’re trained to do this; this is their job, and yet it can still take a toll on them, especially the crews that are away from home, spending weeks away from home and maybe lacking the traditional support system that are used to,” Stanley said.
How to help those with mental health impacts
Lowe said it will be important for California to make sure it is providing enough licensed professionals to the areas where people may be in need.
This can be challenging in the face of a large-scale mental health crisis in the U.S. in which there is a shortage of mental health professionals.
“Having good coverage for mental health services, increasing access to services” is important, she said. “A lot of times, we can’t practice outside of our jurisdiction, but there’s declarations during disasters, folks can practice outside … so just ways to increase access.”
The experts also recommend limiting time reading news coverage and social media posts of the wildfires, much of which can be distressing.
“This can lead to increased anxiety, sleep difficulties and stress, causing many people to feel the urge to consume more information,” Reed said. This increased consumption is likely more anxiety-provoking than comforting. … I recommend that people consume this content in moderation and focus on activities that help reduce their stress levels.”
Family members and friends can help by providing a sense of support for their loved one and confidently checking in, the experts said.
“You can think of kind of the 3 Hs here: Do you want to be helped? Do you want to be hugged? Or do you want to be heard?” Stanley said. “Some people just want a shoulder to cry on. Some people want you to go into problem-solving mode and some people just want a listening ear.”
