Over 50 deaths linked to ‘unknown disease’ in Congo
A general view of the World Health Organization (WHO) on April 28, 2009, in Geneva, Switzerland. (Harold Cunningham/Getty Images)
(DEMOCRATIC REPUBLIC OF CONGO) — The World Health Organization has reported that there is a deadly “unknown disease” spreading in one region within the Democratic Republic of Congo.
Local health officials in Congo are partnering with the World Health Organization to investigate.
The phrase “unknown disease” primarily means that the disease has not yet been identified.
In previous cases, the cases are linked to a known disease, but a lack of available testing leads to lack of certainty.
For example, there was a separate report of an “unknown disease” in December of last year in Congo that was later attributed to illnesses from malaria and respiratory illnesses.
The latest numbers from the WHO’s Africa Region show that there are 431 cases linked to the outbreak and 53 deaths since January.
Early investigations traced the outbreak’s origin to three kids, all under 5 years old, who developed symptoms after eating a bat carcass.
Symptoms included fever, headache, diarrhea and fatigue – which later progressed to signs associated with hemorrhagic fevers and death.
Ebola and Marburg have already been ruled out, officials say. Nearly half of deaths occurred within 48 hours after symptoms start.
“The remote location and weak healthcare infrastructure increase the risk of further spread,” the WHO notes in its report.
(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.”
Purdue Pharma headquarters; Victor J. Blue/Bloomberg via Getty Images
(NEW YORK) — The company and once-prominent family behind the drug OxyContin agreed Thursday to increase their financial contribution to resolve mass opioid litigation.
The Sacklers and Purdue Pharma boosted their settlement contribution to $7.4 billion after the U.S. Supreme Court overturned a prior settlement in June 2024. If approved, the new plan would end the costliest corporate bankruptcy resulting from the U.S. opioid crisis.
Purdue, under the leadership of the Sackler families, invented, manufactured and aggressively marketed opioid products for decades, according to the lawsuits. States and cities across the country said it fueled waves of addiction and overdose deaths.
The pharmaceutical company introduced OxyContin, a brand name of oxycodone, in the 1990s and filed for chapter 11 bankruptcy in 2019 after the company was sued thousands of times.
Under the settlement terms, the Sacklers’ control of Purdue Pharma ends. The $7.4 billion will go directly to communities across the U.S. — including states, counties, cities and territories — over the next 15 years to support opioid addiction treatment, prevention, and recovery programs.
“Families throughout New York and across the nation are suffering from the immense pain and loss wrought by the opioid crisis,” said New York Attorney General Letitia James, whose office helped negotiate the settlement agreement.
“The Sackler family relentlessly pursued profit at the expense of vulnerable patients, and played a critical role in starting and fueling in the opioid epidemic,” she continued. “While no amount of money will ever fully repair the damage they caused, this massive influx of funds will bring resources to communities in need so that we can heal.”
Purdue Pharma planned to exit bankruptcy last year under terms that gave the Sacklers a full release from all civil opioid claims even though they themselves were not declaring bankruptcy. In return, the Sacklers agreed to pay $6 billion.
The Supreme Court rejected the attempt by the Sacklers to use Purdue Pharma’s bankruptcy to shield themselves from liability.
Under the new terms, a significant amount of the settlement funds will be distributed in the first three years, with the Sacklers paying $1.5 billion and Purdue paying nearly $900 million in the first payment, followed by $500 million after one year, an additional $500 million after two years, and $400 million after three years.
A board of trustees selected by participating states in consultation with the other creditors will determine the future of the company. Purdue will continue to be overseen by a monitor and will be prevented from lobbying or marketing opioids.
“This story is about a family of cruel billionaires who believed they were above the law, pursued by states who never backed down,” Connecticut Attorney General William Tong said Thursday. “Today, we are forcing Purdue Pharma and the Sackler family to pay $7.4 billion for their role in igniting one of the most devastating public health crises in American history.”
Purdue Pharma said in a statement to ABC News, “We are extremely pleased that a new agreement has been reached that will deliver billions of dollars to compensate victims, abate the opioid crisis, and deliver treatment and overdose rescue medicines that will save lives. We have worked intensely with our creditors for months in mediation, and we are now focused on finalizing the details of a new Plan of Reorganization, which we look forward to presenting to the bankruptcy court.”
(NEW YORK) — Heart disease remains the leading cause of death in the United States, according to a new report.
The American Heart Association (AHA) report, published Monday in the journal Circulation, found that 941,652 Americans died from cardiovascular disease in 2022, the most recent year for which data is available. That’s an increase of more than 10,000 from the just over 931,500 reported to have died from cardiovascular disease in 2021.
It also means that a person in the U.S. dies of cardiovascular disease every 34 seconds, or nearly 2,500 people every day, according to the AHA report.
“The stats are pretty sobering from this report,” Dr. Tara Narula, ABC News chief medical correspondent and a board-certified cardiologist, said on ABC’s “Good Morning America” on Monday. “In fact, cardiovascular disease kills more Americans than all forms of cancer and accidents combined.”
Cancer and accidental deaths continue to remain the second and third leading causes of death, respectively, according to the latest data from the Centers for Disease Control and Prevention (CDC).
The AHA report also found racial and ethnicity disparities, with Black Americans having the highest prevalence of cardiovascular disease. Between 2017 and 2020, 59% of non-Hispanic Black females and 58.9% of non-Hispanic Black males had some form of the disease, according to the report.
In addition, the report showed several heart disease risk factors continue to rise, with nearly 47% of American adults having high blood pressure and more than half, 57%, diagnosed with type 2 diabetes or prediabetes.
Additionally, 72% of U.S. adults have an unhealthy weight, with nearly 42% of adults having obesity, which also is a risk factor for developing cardiovascular disease, according to the AHA report.
In an accompanying editorial, Dr. Dhruv Kazi, associate director of the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology at Beth Israel Deaconess Medical Center In Boston, said risk factors for cardiovascular disease are expected to rise over the next several years.
“Although we have made a lot of progress against cardiovascular disease in the past few decades, there is a lot more work that remains to be done,” Kazi wrote. “If recent trends continue, hypertension and obesity will each affect more than 180million U.S. adults by 2050, whereas the prevalence of diabetes will climb to more than 80 million.”
Overall, cardiovascular-related deaths have begun plateauing after ticking upward during the COVID-19 pandemic, according to the AHA. The report found death rates dropped during the survey period for all 10 leading causes of death except kidney disease, which increased by 1.5%.
The good news is that 80% of cardiovascular disease is preventable, according to Narula. Ways to lower the risk include eating a heart-healthy diet, getting regular exercise, quitting smoking, managing stress, and getting adequate sleep every night.
