Five diagnosed with Legionnaires’ disease in New Hampshire, health officials say
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(NEW YORK) — Authorities warned residents of Lincoln, New Hampshire, to monitor themselves for symptoms of Legionnaires’ disease after five people fell ill in June and July.
The New Hampshire Department of Health and Human Services on Monday linked the outbreak of the bacterial pneumonia — which is caused by inhaling water droplets contaminated with Legionella bacteria — to a cooling tower behind the RiverWalk Resort in downtown Lincoln.
“Anybody who has visited the area near the contaminated cooling tower should monitor themselves for symptoms,” Dr. Benjamin Chan, New Hampshire state epidemiologist, said in a DHHS statement.
“People who develop fever or other symptoms of pneumonia within 14 days after spending time in this area should talk to their healthcare provider about testing for Legionella infection,” he added.
The cooling tower has been sanitized and put back into operation after discussion with state officials, RiverWalk Vice President Renee Blood told ABC News affiliate WMUR-TV.
“Out of an abundance of caution, additional testing will be performed later this week,” Blood told WMUR.
The test results are expected next week.
DHHS said the cooling tower’s continued operation could mean further exposure risks, particularly for people within a half-mile of the facility.
“Anyone who is visiting the specified area should assess their health risk,” DHHS said. “Those who are older, are current or former smokers, have weakened immune systems, or have certain medical conditions like chronic lung disease and diabetes are at higher risk for developing Legionnaire’s disease.”
Symptoms usually begin between two and 14 days following exposure and can include fever, cough and shortness of breath. The bacteria can also cause serious pneumonia, the stage known as Legionnaires’ disease. The condition can be fatal if left untreated.
DHHS noted, however, that most healthy people exposed to Legionella bacteria do not fall ill.
(NEW YORK) — Dr. Lisa Newman, the chief of the section of breast surgery at New York-Presbyterian/Weill Cornell Medical Center, sat down with ABC News to discuss breast cancer prevention, early screenings and diagnosis discrepancies.
A new American Cancer Society report, released in October, which is Breast Cancer Awareness Month, finds that breast cancer mortality rates overall have dropped by 44% since 1989, averting about 517,900 breast cancer deaths. However, not all women have benefited from this progress.
ABC News discussed the issue with Newman, who provided more context.
ABC NEWS: Dr. Lisa Newman, chief of the section of breast surgery at New York Presbyterian/Weill Cornell Medical Center. Dr. Newman, thank you so much for joining us. So overall, are you encouraged or concerned by this report?
DR. LISA NEWMAN: Well, thank you for this attention to such a major problem of breast cancer. As you mentioned, it is rising in incidence in American women. So we are very gratified to see these continued declines in breast cancer mortality rates. This is a testimony to our successes with breast health awareness, early detection through screening mammography programs and wonderful advances that we’ve made in treatment.
But as you also noted, we are still seeing some rather appalling and disturbing trends in the breast cancer statistics. It’s very concerning to us that the rates of breast cancer are rising for young women, women younger than the age of 50. And this is for a variety of reasons. We are also seeing very concerning disparities in the burden of breast cancer and, in particular, breast cancer death rates continue to be significantly higher for African-American women and for Black women younger than the age of 50.
ABC NEWS: As far as the disparities with regard to ethnic groups, which we also discussed, why the increase there as well?
NEWMAN: Yeah. The disparities in breast cancer burden are also secondary to some complex factors with the disproportionate mortality rates that we see in Black women. We know that this is going to be explained heavily by socioeconomic disadvantages that are more prevalent in the African-American community, and African-American women are more likely to be diagnosed with more advanced breast cancers because of delays in diagnosis.
Black women are more likely to have delays in initiation of treatment, and there are some tumor biology questions that we need to evaluate in research, as well. A lot of the research that I do actually looks at the breast cancer burden of women with African ancestry. And we do know that African ancestry in and of itself increases the likelihood of getting biologically aggressive forms of breast cancer and getting breast cancer at younger ages. So we need to address that, these socioeconomic disparities, but we also need more research to understand these biological differences.
ABC NEWS: And we saw that we’re just seeing that trend of an increase year after year. What can we do to, to try and bring these numbers down?
NEWMAN: Being aware of breast health is very important and making sure that you get screened regularly. For average risk women, The American Society of Breast Surgeons advocates in favor of getting yearly mammograms starting at age 40. If you have a strong family history, you should consider getting genetic testing, because if you do have inherited predisposition for breast cancer, you may need to start getting your mammograms at even younger ages.
ABC NEWS: The good news that we see here in this report: The mortality rate has dropped in the last year compared to 35 years ago. What do you attribute that to?
NEWMAN: Yeah. Very exciting to see that the mortality rates are declining. This is secondary to women advocating more forcefully for themselves and getting screened regularly. Women also, we want to remind women that mammograms aren’t perfect. And so women do indeed need to be aware of the potential danger signs of breast cancer, such as a new lump in the breast, lump in the underarm, bloody nipple discharge, changes in the skin appearance of the breast like swelling, a rash.
ABC NEWS: And what are some basic things that all women can do to protect themselves? You mentioned diet, for example. What kinds of food or diet would be helpful with this?
NEWMAN: Well, a good way to look at it is in terms of the holistic picture and in general, the dietary patterns that are good for cardiovascular health are good for breast health. So a diet that has lots of fresh fruits and vegetables in it, minimizing fat intake, minimizing alcohol intake, alcohol has also been associated with breast cancer risk.
ABC NEWS: Such important and lifesaving information. Dr. Newman, thank you very much for coming on the show.
(NEW YORK) — The prevalence of obesity among adults has slightly decreased in the United States but remains higher than 10 years ago, new federal data shows.
Among adults aged 20 and older, about 40.3% were estimated to be obese between August 2021 and August 2023, according to a report released early Tuesday from the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics.
This is lower than the 41.9% estimated to be obese between 2017 and 2020 but higher than the 37.7% figure recorded from 2013 to 2014.
Meanwhile, rates of severe obesity increased from 9.2% between 2017 and 2020 to 9.7% between August 2021 and August 2023. Between 2013 and 2014, an estimated 7.7% of adults were severely obese.
This means more than 100 million American adults have obesity, and more than 20 million adults have severe obesity, according to figures from the U.S. Census Bureau.
Dr. John Brownstein, an epidemiologist and chief innovation officer at Boston Children’s Hospital, and an ABC News contributor, said that although the data show a short-term slowdown of obesity rates, the prevalence is still quite high and higher than seen 10 years ago.
“The latest data reveals a persistent challenge with obesity rates holding steady at 40.3% among adults,” he said. “While this does not represent an increase, it is important to recognize that these rates are still alarmingly high — higher than they were a decade ago — underscoring the urgent need for targeted public health strategies.”
The prevalence of severe obesity was higher among women at 12.7% compared to 6.7% for men.
Among age groups, the prevalence of obesity was highest among adults between ages 40 and 59 at 46.4%. By comparison, the prevalence in adults between ages 20 and 39 was 35.5% and among those aged 60 and older was 38.9%. This pattern was seen in both men and women, according to the report.
Severe obesity prevalence was also highest among those aged 40 to 59 at 12% compared to 9.5% for those aged 20 to 29 and 6.6% for those aged 60 and older.
When it came to prevalence by education level, those with a bachelor’s degree or more had the lowest prevalence of obesity at 31.6% between August 2021 and August 2023.
There were no significant differences between men and women in obesity prevalence by education level, the report found.
Adults with obesity are at high risk of other chronic diseases. About 58% of obese adults in the U.S. have high blood pressure and about 23% have diabetes, according to the CDC.
Additionally, obesity can put a strain on the health care system. In 2019, the annual medical costs for adults with obesity were $1,861 higher per person than for adults with healthy weight. For those with severe obesity, excess costs were $3,097 per person, the CDC said.
“While there are some differences across demographics, this work really highlights that obesity is a broad health issue in the U.S. and that men, women, young and old are all affected,” Brownstein said. “Comprehensive approaches are essential to support individuals and communities in achieving healthier lifestyles.”
(WASHINGTON) — Health care was one of the topics at the forefront of Tuesday night’s debate between former President Donald Trump and Vice President Kamala Harris.
Trump said he was interested in replacing the Affordable Care Act — also known as “Obamacare” — but implied that he didn’t have any specific plans in place.
“Obamacare was lousy health care. Always was,” Trump said. “It’s not very good today and, what I said, that if we come up with something, we are working on things, we’re going to do it and we’re going to replace it.”
When asked by ABC News moderator Linsey Davis to clarify if he had a health care plan, the former president said he had “concepts of a plan” to replace the ACA but provided no details.
“If we can come up with a plan that’s going to cost our people, our population, less money and be better health care than Obamacare, then I would absolutely do it,” Trump said.
“But if we come up with something, I would only change it if we come up with something better and less expensive,” he said later in the debate. “And there are concepts and options we have to do that. And you’ll be hearing about it in the not-too-distant future.”
Last year, Trump posted on Truth Social that the ACA “sucks” and that he didn’t want to “terminate” the law but “replace it with much better health care.”
Dr. Dennis Scanlon, a distinguished professor of health policy and administration at Penn State, told ABC News there’s been much less of a focus on repealing and replacing ACA from Trump than seen in 2016 and 2020.
“I think what’s been noticeable in this election cycle [is] less discussion about the Affordable Care Act in terms of let’s repeal it or get rid of it,” he said. “I think last night in the debate, [Trump] basically straddled and said, ‘You know, if I can figure out a way to make it better, and we’re working on some concepts, we’ll do it, but not, that we will get rid of it.’ So I think that’s just different from what it’s been in the last two cycles.”
Scanlon mentioned that repealing the ACA is not even mentioned in the official 2024 Republican Party platform.
In 2010, then-President Barack Obama signed the ACA into law, requiring most Americans to have insurance and directing states to create health insurance exchanges to allow residents to sign up for insurance if they don’t receive coverage via an employer.
During his administration, Trump attempted to partially repeal the ACA by passing the American Health Care Act (ACHA). The plan would have repealed the individual mandate and the employer mandate, amended Medicaid eligibility and weakened protections for patients with pre-existing conditions.
The ACHA passed the House in May 2017 but failed to pass in the Senate. Perhaps mostly infamously, the Senate attempted to pass a so-called “skinny repeal” in late July 2017 but it was rejected, with Republican Sens. John McCain, Susan Collins and Lisa Murkowski siding with Senate Democrats to kill the bill.
In December 2017, a Republican tax reform law was passed that eliminated individual mandates, which Gallup said may have reduced participation in the insurance marketplace.
At the end of 2019, 13.7% of adults were without health insurance at the end of 2018, the highest level seen since early 2014, according to Gallup data.
In December 2019, Trump issued an executive order requiring all hospitals to make public standard charges, payer-specific negotiated charges, the amount the hospital is willing to accept in cash and the minimum and maximum negotiated charges.
“This an area where an attempt has been made … but the way it has played out has been challenging and not very effective,” Scanlon said, referring to a KFF analysis which found that transparency data was often inconsistent and confusing. “Such transparency is fundamental to reform and improvement in health care markets.”
In a statement to ABC News, Karoline Leavitt, national press secretary for the Trump campaign, restated the former president’s commitment to release details soon.
“As President Trump said, he will release more details but his overall position on health care remains the same: bring down costs and increase the quality of care by improving competition in the market place,” she said. “This is a stark contrast to Kamala Harris’ support for a socialist government takeover of our healthcare system which would force people off their private plans and result in lower quality care.”
During the debate, Harris criticized Trump’s previous attempts to repeal the ACA, saying she wants to grow and expand the legislation. Her campaign platform mentions expanding the $35 cap on insulin and $2,000 cap on out-of-pocket prescription medication costs for seniors to all Americans.
“There’s been a little bit of detail from the Harris campaign, but I would say also not much,” Scanlon said. “There’s some discussion about negotiating drugs, insulin prices, there has been some work done in that … but there’s a lot more to be done.”
