Los Angeles County reports a rare handful of local dengue cases
(LOS ANGELES) — While Los Angeles County is reporting three locally acquired cases of dengue this year — which is rare for the region — there have been at least 3,085 cases nationally of locally acquired virus so far this year, according to data from the Centers for Disease Control and Prevention.
There has been about double the number of locally acquired dengue cases so far this year nationally compared to last year, according to the CDC. Puerto Rico currently makes up the bulk of those cases – with over 2,960 reported. The U.S. territory declared a public health emergency back in March.
“The City of Baldwin Park is aware of the recent cases of locally acquired dengue in our community. While the risk of transmission remains low, we must take this situation seriously and act proactively,” said Mayor Emmanuel J. Estrada.
Dengue viruses spread through mosquito bites. The most common symptom is a fever with aches and pains, nausea, vomiting and rash. Symptoms usually begin within two weeks after being bitten by an infected mosquito and last 2-7 days. Most people recover after about a week.
Locally acquired cases mean that the people infected have no history of traveling to an area where dengue normally spreads. Local dengue transmission is typically common in tropical and subtropical areas of the world – including Florida, and U.S. territories in the Caribbean.
Last year, there were only two locally acquired cases reported in the state of California, the first local cases in the state reported in over a decade, according to CDC data.
The CDC issued a health alert in June warning health care providers of an increased risk of dengue virus infection this year. Globally, new cases of dengue have been the highest on record, according to the CDC. The agency also noted that cases are likely to increase as global temperatures increase.
The best way to prevent dengue is to avoid mosquito bites, according to the CDC.
(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.”
(NEW YORK) — A new study is highlighting a dramatic rise in caffeine-related emergency room visits among kids.
The study, released Monday by Epic Research, found the number of caffeine-related ER visits for middle school-aged children nearly doubled from 2017 to 2023, rising from 3.1 per 100,000 visits in 2017 to 6.5 per 100,000 visits in 2023.
For high school-aged children, the rate nearly doubled, rising from 7.5 per 100,000 visits in 2017 to 13.7 per 100,000 visits in 2023, according to the study.
Notably, the study, which looked at more than 223 million ER visits, found that boys had triple the rate of caffeine-related ER visits as girls.
The new study comes less than two months after the release of a report showing a rise in calls to poison centers involving children who consumed energy drinks, which often have high levels of caffeine.
The number of calls to U.S. poison centers about children consuming energy drinks increased about 20% in 2023 after years of remaining relatively flat, according to data from America’s Poison Centers, which accredits and represents 55 poison centers across the country.
Amid the alarming data, here are three things for parents and guardians to know about caffeine and kids.
1. Milk and water are recommended for kids.
Both the U.S. Food and Drug Administration and the American Academy of Pediatrics say water and milk are the best drink options for kids.
The current U.S. dietary guidelines say children under the age of 2 should not have any caffeine. For kids under age 12, caffeine is also not recommended.
It is not known exactly how much caffeine is safe or unsafe for teens or young children, since studies of its effects are not permitted on children.
For adults, the FDA has cited around 400 milligrams of caffeine a day as a generally safe amount, though it notes there is “wide variation” in people’s sensitivity to caffeine.
For reference, a 12-ounce caffeinated soft drink contains anywhere from 23 to 84 milligrams of caffeine, according to the FDA, while a 12-ounce cup of coffee contains 113 to 247 milligrams of caffeine.
2. Caffeine is also in foods, not just drinks.
While caffeine is most often thought of as an ingredient in drinks like coffee, sodas and energy drinks, it is also found in different foods and products, according to the FDA.
Ice cream, chewing gum, protein bars, chocolate chips, energy bars and some over-the-counter medications may also contain caffeine, which has the same effects as when it occurs naturally in drinks like coffee or tea, according to the agency.
Decaffeinated teas and coffees also contain some caffeine.
The FDA recommends reading product ingredient labels carefully to check for caffeine. When it is added to a product, it must be listed on the label as “caffeine.”
When caffeine is naturally in a product, like chocolate, just the caffeine-containing ingredient is listed, according to the FDA.
Multiple signs may indicate a caffeine overdose or poisoning including but not limited to an increased heart rate, heart palpitations, increased blood pressure, nausea or anxiousness. Children with caffeine poisoning may also experience rapid breathing or tremors.
In severe cases, too much caffeine can lead to seizures or cardiac arrest.
In milder cases, too much caffeine can cause dehydration, upset stomach, sleep changes, headaches and jumpiness.
If a child or adult exhibits any such symptoms after consuming a caffeinated drink, they should seek medical attention immediately.
For poisoning-related questions, or if you need emergency assistance, you can contact Poison Help at 1-800-222-1222, or visit PoisonHelp.org.
ABC News’ Youri Benadjaoud contributed to this report.
(NEW YORK) — The journey to get pregnant can be a long road for many women, some of whom are sharing that they found unlikely help from an over-the-counter cough and cold medicine.
The hashtag #mucinexdpregnancy has over 1,500 posts on TikTok from women claiming the medication Mucinex helped them get pregnant.
“I tried the Mucinex hack [and] it worked!,” one TikTok user captioned a post with more than one million views. “After 5 months of trying gave it a shot [and] got pregnant first try.”
“Trying to conceive for years just to take Mucinex and get pregnant,” another TikTok user captioned a viral video with two million views.
According to people sharing their stories on social media, taking a Mucinex pill every day during their high-fertile window helped them get pregnant.
ABC News’ Good Morning America spoke with board-certified OB-GYN Dr. Jessica Shepherd to break down the trend and whether it’s research-proven to work.
Why would Mucinex help with pregnancy?
Mucinex contains an active ingredient, guaifenesin, that helps with congestion by thinning phlegm, a type of mucus produced by the respiratory system.
The theory in using Mucinex to help with fertility is that guaifenesin could also help thin cervical mucus, making it easier for sperm to reach an egg during fertilization, according to Shepherd.
In addition to Mucinex, guaifenesin is also an active ingredient in other over-the-counter cough and cold medications.
“The reason why people think that this is going to be a way that’s going to help increase chances of fertility is that the actual medication is going to thin secretions,” Shepherd said. “Now, when we think of thinning secretions, we are usually looking at it from a perspective of cervical secretions.”
Is there any research proving Mucinex can help with fertility?
Not really, according to Shepherd.
“When we actually look at the data and the studies that have been done on Mucinex and fertility, we know that it hasn’t significantly improved the quality of cervical mucus, which could, again, help with some of the motility of the sperm getting to the egg,” she said. “However, it is, again, something that women can try on their own, but there is no strong data that’s going to say that it’s significantly going to increase their chances of fertility.”
The most frequently-cited study is one published over 40 years ago in 1982, in a journal entitled Fertility and Sterility. In the study, which included 40 couples over a span of 10 months, the female was given 200 mg guaifenesin three times daily from day five of her menstrual cycle through when she was ovulating. Scientists studied how well the sperm moved through her cervical mucus after using the guaifenesin.
Of the 40 patients, two-thirds showed some improvement in sperm motility. Fifteen of the 40 couples became pregnant during the study, though their pregnancies cannot attribute that solely to guaifenesin.
More recently, in 2010, a case study showed anecdotal evidence of improvement in one patient’s sperm count and motility after taking guaifenesin 600 mg extended release tablets twice a day for two months.
However, the study’s researchers said it was “not clear” why the patient had improvement and that more research on guaifenesin and male fertility was needed.
What does the maker of Mucinex say about taking it for infertility?
Reckitt, the maker of Mucinex, told GMA in a statement that taking the medication for infertility is considered “off-label use.”
“Reckitt is aware of recent social media activity surrounding Mucinex and fertility, and we understand why there is heightened interest in this topic. As a global leader in health and hygiene, it is important that we clarify that Mucinex should only be used as intended in line with label directions. Taking Mucinex for infertility constitutes off-label use,” the company said in a statement.
“Taking any medications outside their approved indications or without acknowledging all active ingredients may be harmful. In case of doubt, we recommend women have a discussion with their healthcare professional. Please always read the label and safety information before taking any self-care medication,” the company said.
Is guaifenesin safe to take during pregnancy?
Guaifenesin is considered pregnancy category C by the U.S. Food and Drug Administration.
That classification means means there’s no data on human fetuses and studies on animal fetuses showed adverse effects.
Women who are pregnant or are trying to become pregnant should always check with their medical provider before taking any medication.
What causes infertility?
Female infertility is known to decline with age as well as smoking, excessive alcohol use, obesity, low body weight and excessive physical or emotional stress.
Medical conditions that impact the ovulation cycle, uterus, fallopian tubes and ovaries can also contribute to infertility, according to the Centers for Disease Control and Prevention.
Shepherd said it is important that women talk with their doctor if they have concerns about infertility, which is defined by the CDC as being unable to get pregnant after one year of trying or after 6 months if 35 years or older.
“When we look at the different trends that we may see on social media … I think that is so important for every woman to take into account that they need to discuss this specifically with their doctor to ensure that it doesn’t cause any harm, but also that they are following recommended ways for them to improve their chances [for pregnancy] in health and wellness,” she said.