California child suspected of getting bird flu after drinking raw milk
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(MARIN COUNTY, Calif.) — Health officials in Marin County, California say a child with a suspected bird flu infection drank raw milk before getting sick.
“[Marin County Public Health] is reporting a suspected case of bird flu in a child who experienced fever and vomiting after drinking raw milk,” according to a statement. “The child has recovered, and no other family members became sick, indicating no person-to person transmission.”
“MCPH is actively investigating this possible case of bird flu linked to raw milk consumption with the California Department of Public Health (CDPH) and the federal Centers for Disease Control and Prevention (CDC),” the statement continued, further noting that “raw milk, which hasn’t been pasteurized, poses a risk of spreading diseases, including influenza.”
For now, the child is only suspected of having bird flu, pending tests to confirm the diagnosis. However, officials are concerned about the risks of drinking raw milk in an ongoing bird flu outbreak in the state, with 32 human cases confirmed in the state so far, all but one of which officials say originated from exposure to cattle.
California health officials last week announced that it had “secured a broad, voluntary recall” of raw milk and cream products from supplier Raw Farm, LLC after it tested positive for the virus “at both retail and dairy storage and bottling sites.”
It’s not yet clear whether people can become infected with bird flu from drinking raw milk, but studies in cats and mice suggest the animals can get sick from drinking contaminated raw milk.
The CDC continues to warn against drinking raw milk, which can contain bacteria and viruses that can lead to gastrointestinal distress. In rare cases, it can lead to more severe illness such as Guillain-Barre syndrome, which can cause paralysis.
There have been at least 58 human cases of bird flu so far this year in the U.S., according to the CDC, almost all of which have been farm workers exposed to infected livestock.
(NEW YORK) — Women are stocking up on birth control and asking for long-term contraception methods following President Donald Trump being elected to a second term last week, doctors say.
Searches for “birth control” and “Plan B” doubled between Nov. 2 and the two days after the election, with a notable spike the day after the election, Google Search data shows.
Doctors told ABC News that patients are worried that access to birth control and contraception might be limited after Trump takes office due to efforts made during his first term and comments made on the campaign trail.
Dr. Brittany Cline, an OB-GYN at Northwestern Medicine, in Chicago, said she has seen an increase in the number of appointments being made for contraceptive or birth control counseling as well as appointments for long-acting contraceptives being either inserted or replaced or exchanged.
“We have, in clinic, seen many patients coming in for their [intrauterine device] replacements, even this week,” she told ABC News. “On Monday, I used all of our intrauterine devices that the clinic had, and I think that this is going to continue over the next few months and even years down the line, as people try to take some control over their bodies.”
Cline said she also received a message from a patient this week requesting four years of her birth control prescription be sent to a pharmacy.
‘That’s something that I have not, you know, seen before. Usually, we supply, you know, 12 months, one year at a time,” she said. “We do know that as many medications, there is a shelf life, and so it would not be safe for me to prescribe four years’ worth of contraception to a patient because of the shelf life.”
Dr. Leslie Kantor, professor and chair of the Department of Urban Global Public Health at the Rutgers School of Public Health, in New Jersey, told ABC News that she has heard anecdotal reports of more traffic to websites that have information about birth control.
She said patients may be worried because of the federal contraceptive coverage guarantee. Under a provision of the Affordable Care Act, most private insurance plans must cover the full cost of most contraceptives, such as birth control, without making patients pay out-of-pocket costs.
If the incoming Trump administration allows employers and schools to use religious and moral exemptions to prevent coverage of contraceptives, as the White House did during Trump’s first term, this may lead to out-of-pocket costs that make contraceptives unaffordable to some, experts previously told ABC News.
The experts say patients may be concerned due to comments Trump made on the campaign trail suggesting he’s open to restricting contraceptives.
During an interview with Pittsburgh TV station KDKA-TV, Trump was asked if he supports any restrictions on a person’s right to contraceptives.
“Well, we’re looking at that and we’re going to have a policy on that very shortly,” Trump responded. “And I think it’s something you’ll find interesting and it’s another issue that’s very interesting.”
When asked to clarify if he was suggesting he was open to supporting some restrictions on contraceptives, “like the morning-after pill,” Trump dodged, saying. “Things really do have a lot to do with the states — and some states are going to have different policy than others.”
Some states have also taken it upon themselves to provide contraception access. In Michigan, Gov. Gretchen Whitmer launched Take Control of Your Birth Control, a program to provide Michigan families access to free contraception including over-the-counter oral birth control pills, emergency contraception, condoms and family planning.
Both Cline and Kantor recommended that patients speak to their health care providers about the best birth control method for them as well as what options are available for them down the road.
“The advice that I would give to people right now is this is a great time to figure out the best birth control method for you, and you can do that in a variety of ways,” Kantor said. “It’s a terrific time to find an ongoing method of birth control that will work. …There’s no reason, however, to panic. Access to birth control is not going away tomorrow, and in fact, it’s not going away on the day that Trump becomes president.”
ABC News’ Lalee Ibssa, Soo Rin Kim and Kelsey Walsh contributed to this report.
(SAN MATEO COUNTY, Calif.) — Health officials in California have confirmed the first domestic case of a more severe strain of mpox in a traveler from Eastern Africa, according to the U.S. Centers for Disease Control and Prevention.
The risk to the public remains low, according to the agency. Health officials are working to identify any people who may have been exposed to the person who recently traveled from Eastern Africa and was treated shortly after returning to the U.S. at a local medical facility, the CDC said.
Casual contact — including during travel — is unlikely to pose significant risks for transmission, the agency noted.
This is the first confirmed case in the U.S. of a strain, or clade, of the virus called clade 1b.
Another strain, clade 2b, was primarily responsible for the global outbreak in 2022. During the outbreak, mpox primarily spread through close sexual contact — and a strong vaccination effort was credited with helping slow the surge of cases. This less severe version continues to circulate in the U.S at low levels. The CDC does not currently recommend booster shots for those who are considered high-risk and already fully vaccinated.
Clade 1b was recently found in September in the Congo, likely responsible for a growing outbreak in Africa that led the World Health Organization to declare a global health emergency. Early data shows that this clade is more severe and may be spreading through other contact routes in households and often to children.
People with mpox, which was formerly known as monkeypox, often get a rash that can be located on hands, feet, chest, face, mouth or near the genitals, the CDC said.
(WASHINGTON) — The Centers for Disease Control and Prevention (CDC) is updating its recommendations for testing, treatment and protection for workers who may be exposed to animals infected with bird flu.
The update comes after the agency found evidence of dairy workers with positive antibodies, suggesting more bird flu infections that previously reported, according to a new report released Thursday afternoon.
Serologic testing, which looks at antibodies in the blood, found that eight out of 115 workers, or 7%, who were exposed to bird flu during outbreaks among cows at dairy farms in Michigan and Colorado had evidence of recent infection.
All eight workers said their jobs included either milking cows or cleaning a milking parlor. Four workers recalled experiencing symptoms, mainly conjunctivitis, also known as pink eye. The remaining four patients said they did not experience symptoms when the cows were ill.
As a result, the CDC said it is updating its guidance addressing who should be tested for bird flu to include workers who were exposed to bird flu and do not have symptoms.
“There may be individuals infected but who do not recall having symptoms,” Dr. Nirav Shah, the CDC’s principal deputy director, told reporters during a media call Thursday morning. “That means we need to cast a wider net in terms of who is offered a test.”
Secondly, the CDC is now recommending offering oseltamivir – a prescription medication to treat influenza that’s often marketed under the name Tamiflu – to asymptomatic workers who have experienced high-risk exposure to animals infected with bird flu and who did not wear adequate personal protective equipment (PPE).
Shah said a high-risk exposure event could include a splash in the face with raw cow milk, or a culling event without PPE being worn.
He added that the Tamiflu treatment recommendation both reduces asymptomatic cases from becoming symptomatic because they are being treated, and reduces the risk of infected individuals spreading the virus to close contacts.
Lastly, the Shah said the CDC was changing its PPE guidance for workers.
Although the risk of bird flu transmission from dairy cows to humans Is low, the CDC said there have been few reports addressing how PPE is used during work activities on dairy farms.
The new CDC report said the Colorado Department of Public Health and Environment (CDPHE) and the Colorado Department of Agriculture (CDA) offered PPE to all Colorado farms before or during the bird flu outbreak in cows in 2024.
When asked if they had access to PPE before a bird flu outbreak, 88% of workers reported access to gloves, 76% reported access to eye protection such as safety glasses or goggles, 71% reported access to rubber boots or boot covers, and 69% reported access to head covers, according to the report.
“Reported use of many individual PPE items was higher among dairy workers who reported exposure to ill cows in the week before or week after the detection of [bird flu] on the farm compared with those who did not report exposure to ill cows,” according to the CDC report.
Shah said that CDC recommendations will now prioritize what PPE a farm worker should wear based on which farm tasks present the highest risk for bird flu.
“Simply put, the higher-risk activities will call for more PPE use,” Shah said. “The purpose of these actions is to keep workers safe, to limit the transmission of H5 [bird flu] to humans and reduce the possibility of the virus changing,” Shah said.
As of Thursday, there have been 46 human cases of bird flu reported in the U.S. this year, Dr. Demetre Daskalakis, the CDC’s director of the National Center for Immunization and Respiratory Diseases, said during the media call.
Of those cases, 26 were due to the outbreak in dairy cows and 20 were due to people coming into contact with infected poultry. There is one case in Missouri that had no known animal exposure.
All of the patients experienced mild conjunctivitis or mild respiratory symptoms and all have recovered, according to the CDC.
