Colorado public health officials investigating hantavirus death not linked to cruise ship cluster
In this photo illustration, a laboratory test tubes containing blood to be analyzed for the Hantavirus “Orthohantavirus” outbreak, held by a nurse. (Vincenzo Izzo/LightRocket via Getty Images)
(DOUGLAS COUNTY, Colo.) — Colorado public health officials are investigating the death of an adult resident as a result of hantavirus.
The Colorado Department of Public Health and Environment and the Douglas County Health Department said the death is not linked to the outbreak on the MV Hondius cruise ship, which led to 11 confirmed and probable cases, including two confirmed deaths and one suspected death.
The individual lived in Douglas County — located just south of Denver — but information about the patient’s name, age and sex were not immediately available.
Health officials said the individual was infected by the Sin Nombre hantavirus, which is the most common cause of hantavirus pulmonary syndrome (HPS) in North America.
HPS symptoms typically appear from one to eight weeks after contact with the virus, with early signs including fever, fatigue and muscle aches, according to the Centers for Disease Control and Prevention. Half of HPS patients will experience headaches, chills, dizziness, nausea, vomiting, diarrhea and abdominal pain.’
Between four and 10 days after the initial phase of illness, symptoms including coughing, shortness of breath and tightness in the chest can emerge, the CDC said, adding that a patient’s lungs can fill with fluid.
“Hantavirus infections caused by the Sin Nombre hantavirus occur regularly in Colorado, usually in the spring and summer, and can cause a severe and sometimes deadly respiratory disease,” according to public health officials. “In Colorado, the deer mouse is the rodent species that most commonly exposes people to the virus. Avoiding exposure to rodents and their urine, feces, saliva, and nesting materials is the best way to prevent infection.”
According to the CDC, there were six cases of Hantavirus in Colorado from 2020 to 2023.
Airport health authorities wearing protective masks monitor passengers from international flights arriving at Suvarnabhumi International Airport in Bangkok, Thailand, January 25, 2026. Suvarnabhumi Airport Office/Handout/Anadolu via Getty Images
(NEW YORK) — Several countries, including Thailand and Nepal, have increased their surveillance after cases of the deadly Nipah virus were detected in India.
So far, just two cases have been confirmed among 25-year-old nurses, a woman and a man, in West Bengal, according to the World Health Organization.
A spokesperson for the Department of Health and Human Services told ABC News earlier this week that Indian health authorities have deployed an outbreak response team and the Centers for Disease Control and Prevention is in contact with local officials. The CDC said it is “monitoring” the situation.
Despite the virus’s high fatality rate, experts have said it’s very unlikely it will lead to a global emergency.
Here’s what you need to know about the virus, including signs and symptoms, how the virus is transmitted and what treatments are available.
What is Nipah virus?
Nipah virus is a type of zoonotic disease, meaning it’s primarily found in animals and can spread between animals and people.
It was first discovered in 1999 after a disease affected both pigs and people in Malaysia and Singapore, according to the CDC.
The virus is most often spread by fruit bats, and can spread through direct or indirect contact.
The virus can also spread from person to person by being in close contact or coming into contact with the bodily fluids of an infected person.
What are the symptoms?
Symptoms typically occur between four and 14 days after exposure. The most common symptom is fever followed by headache, cough, sore throat, difficulty breathing and vomiting.
Diagnosing the virus in the early stages is often difficult because the symptoms resemble many other illnesses, the CDC has said.
The virus can lead to severe symptoms, including disorientation, drowsiness, seizures or encephalitis, which is inflammation of the brain. These can progress to a coma within 24 to 48 hours, according to the CDC.
Deaths range anywhere between 40% and 75% among all cases, the federal health agency said. Some permanent changes among survivors have been noted, including persistent convulsions.
What are the treatments available?
Currently there are no specific treatments available for Nipah virus other than managing symptoms with supportive care, including rest and fluids.
Experts said there are treatments currently under development. One is a monoclonal antibody, a treatment that uses immune system proteins manufactured in a lab. They mimic the antibodies the body naturally creates when fighting the virus.
Dr. Diana Finkel, an associate professor of medicine in the division of infectious disease at Rutgers New Jersey Medical School, previously told ABC News that the drug has already completed phase I clinical trials and is currently being used on a compassionate basis.
Researchers are also studying the potential benefit of remdesivir — the intravenous medication used to treat COVID-19 — which has been shown to work well in nonhuman primates with Nipah virus.
What is the likelihood of Nipah virus spreading?
Experts said that while anything is possible, it’s very unlikely that cases in India will lead to global spread.
“The world is small, but the likelihood that somebody’s infected, or an infected fruit bat with Nipah virus would be here, right now, is very unlikely,” Finkel previously told ABC News.
She said when people are exposed in health care settings, it’s often because proper standard precautions were not followed, such as not wearing gloves or masks.
Experts have said Nipah virus cases are also a reminder of the potentially devastating effects of habitat destruction and climate change, possibly leading to more interaction between infected animals and humans.
“You have to think about why are fruit bats that harbor this Nipah virus, why are they coming into contact with people?” Dr. Peter Rabinowitz, director of the University of Washington Center for One Health Research, previously told ABC News. “What is changing in terms of the movement of the bat populations? Are they leaving [a] habitat where there were not very many people? Are they now spending more time close to people?”
ABC News’ Youri Benadjaoud contributed to this report.
Dr. Casey Means, nominee for the medical director in the Regular Corps of the Public Health Service and U.S. surgeon general, testifies at a Senate Health, Education, Labor and Pensions Committee hearing on Capitol Hill on February 25, 2026 in Washington, DC. Andrew Harnik/Getty Images
(WASHINGTON) — President Donald Trump’s surgeon general nominee is appearing before the Senate on Wednesday for her confirmation hearing.
Dr. Casey Means was originally scheduled to testify before the Senate Health, Education, Labor and Pensions (HELP) committee in October, but it was postponed for four months after she went into labor.
If confirmed, Means would become the nation’s top doctor, leading more than 6,000 members of the U.S. Public Health Service, including physicians, nurses, scientists and engineers working at various federal health agencies.
Means’ views largely mirror those of Health and Human Services Secretary Robert F. Kennedy Jr., with a focus on tackling the chronic disease epidemic, creating a healthier food supply and expressing vaccine skepticism.
Senators are expected to grill Means on her qualifications as well as her business endeavors. In prior filings, Means pledged that, if confirmed, she would resign from her position as an adviser for a wellness company and promised to stop working as an influencer promoting supplements and other wellness products.
“Dr. Means would clearly be an atypical or unusual person to serve in the role of surgeon general,” Dr. Richard Besser, former acting director of the Centers for Disease Control and Prevention, told ABC News. “Typically, the surgeon general has been viewed as the nation’s top doctor or America’s doctor, but Dr. Means has never practiced medicine, and so that is unusual. The part that’s not unusual is that the surgeon general’s impact is largely through influence. Dr. Means is skilled in this regard, when it comes to influence.”
Means graduated from Stanford School of Medicine in 2014 with plans to become an otolaryngology surgeon, also known as a head and neck surgeon, but she dropped out in her fifth year, according to her website.
Means went on to study functional medicine, which uses a holistic approach to prevent disease and illness by studying the root causes of health issues. The field has been criticized for promoting some interventions that are not evidence-based and for an overreliance on expensive supplements. Having never completed residency, Means is not board-certified in a medical specialty, and she does not hold an active medical license.
Over the course of her career, she co-founded Levels, an app that allows people to track their food, along with biometric data like sleep and glucose monitoring, to see how their diet is impacting their health.
Means wrote a book with her brother, Calley Means, titled “Good Energy,” which was published in May 2024 and claims to take a look at why Americans are sick and how to fix it.
The siblings rose to prominence within the Trump campaign in 2024 and among Trump allies, including Kennedy. They appeared at a September 2024 roundtable discussion on health with Kennedy hosted by Sen. Ron Johnson, R-Wisc.
“The message I’m here to share and reiterate is that American health is getting destroyed,” Casey Means said during her opening remarks at the 2024 event. “It’s being destroyed because of chronic illness.”
Meanwhile, Calley Means currently serves as senior adviser for HHS. He has worked closely with Kennedy and has touted many of his health proposals. Calley Means has a Master of Business Administration degree from Harvard University and does not have medical training.
According to a copy of her prepared testimony for her original confirmation hearing in October, obtained by ABC News, Casey Means wrote that she would work to put “Americans back on the road toward wholeness and health.”
Like Kennedy, Casey Means has called for the removal of ultra-processed foods in school lunches and has advocated for organic foods and ingredients sourced from so-called regenerative farming practices in school meals.
In her “Good Energy” newsletter, she wrote that the U.S. needed to move away “from industrial agriculture that uses synthetic pesticides” in order to create “nutrient-rich food.”
“If she were to use the platform to truly work towards improving the school lunch program in America, that would be that would be terrific, because the Secretary talks a lot about nutrition, the importance of eating healthy food,” Besser said. “But if people can’t afford it, telling people to eat healthy food doesn’t lead to a healthier nation. and one of the ways that we could see big impact in that regard would be if the school lunch program were funded to the extent that every school could have a kitchen, and the people working in that kitchen could actually prepare real food, rather than handing out packaged food.”
While Casey Means’ nomination has received support from members of the administration, including Dr. Jay Bhattacharya, acting CDC acting director and head of the National Institutes of Health, others have expressed concern over some of her more controversial views.
On Tucker Carlson’s show in August 2024, Casey Means said birth control is being “prescribed like candy” and that Ozempic has a “stranglehold on the U.S. population.”
Means has expressed skepticism about the safety of childhood vaccines and has called for more research on the “safety of the cumulative effects” of vaccines when following the CDC vaccine schedule, she wrote in her newsletter.
“There is growing evidence that the total burden of the current extreme and growing vaccine schedule is causing health declines in vulnerable children. This needs to be investigated,” she continued.
Doctors and major medical organizations, such as the American Academy of Pediatrics, have said the previous childhood immunization schedule recommended by the CDC was safe and effective. The CDC recently changed the childhood immunization schedule, cutting the number of vaccines recommended for kids.
“I will be very eager to see whether the members of the health committee use this time to lift up concerns and to get Dr. Means’ perspective on the changes the Secretary has made to the vaccine system in America,” Besser said. “I’ll be interested to see if they ask Dr Means about her perspective on the changes that have taken place at CDC and the impact that these could have on health so that it’s clear coming in where she stands on the draconian cuts that the Secretary has made to our federal public health health system.”
Kennedy said on Monday he is “excited” for Casey Means’ confirmation hearing and that the health department has been waiting “a long time” for her to join the team.
“We’ve been waiting for a long time for Dr. Means to come on board,” Kennedy told ABC News on Monday at the department’s rare disease therapies event. “We are very, very excited about her coming on board. She has an extraordinary capacity to communicate to the American public — that is the function of the surgeon general.”
ABC News’ Youri Benadjaoud and Arthur Jones II contributed to this report.
Marty Makary attends an executive order signing in the Oval Office on April 18, 2026.(Allison Robbert/For The Washington Post via Getty Images)
(WASHINGTON) — Food and Drug Administration Commissioner Marty Makary intends to resign on Tuesday, two sources familiar with the matter told ABC News.
His departure was in the works after he clashed publicly with lawmakers, major pharmaceutical companies and President Donald Trump himself. He was scheduled to testify on Capitol Hill on Wednesday.
Makary, who is a surgeon by training, gained notoriety during the COVID-19 pandemic, arguing against masks for children and vaccine mandates, and criticizing the Centers for Disease Control and Prevention (CDC) for citing Israeli data in recommending boosters rather than conducting its own research.
Since taking office in March 2025, the commissioner has focused his efforts on reshaping vaccine policy in the U.S. and transforming American diets.
Makary appeared in a video on X alongside Kennedy when the secretary announced in May 2025 the removal of the COVID-19 vaccine from the CDC’s immunization schedule for “healthy children and pregnant women.”
“There’s no evidence healthy kids need it today and most countries have stopped recommending it for children,” Makary said at the time.
Last year, Makary appeared at a news conference announcing the HHS and FDA would be implementing a series of measures to phase out eight artificial food dyes and colorings from America’s food supply by the end of 2026.
Makary said at the time that the agencies are looking to revoke authorization for two synthetic food colorings and to work with the food industry to eliminate six remaining synthetic dyes used in cereal, ice cream, snacks, yogurts and more — claiming American children “have been living in a toxic soup of synthetic chemicals.”
Makary also supported Kennedy’s updated federal dietary guidelines earlier this year. The guidelines recommended that Americans limit highly processed foods and refined carbohydrates but also advocated for consuming red meat and full-fat dairy, a reversal of past nutrition guidance.
“For decades, we’ve been fed a corrupt food pyramid that has had a myopic focus on demonizing natural healthy saturated fats, telling you not to eat eggs and steak and ignoring a giant blind spot: refined carbohydrates, refined sugars, ultra-processed foods,” Makary said. “In this new guidance, we are telling young people, kids, schools, you don’t need to tiptoe around fat and dairy. … You don’t need to push low-fat milk to kids.”
In early May, Trump criticized Makary for not moving quickly enough to approve flavored vape and nicotine products, according to a report from The Wall Street Journal.
Trump’s advisers informed him that Makary was delaying the president’s effort to “save” vaping,” a pledge Trump made on social media during his presidential campaign, according to the Journal.
