Undiagnosed disease in Congo may be linked to malaria: Africa CDC
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(NEW YORK) — A deadly, undiagnosed disease that has been spreading in one region of the Democratic Republic of Congo (DRC) may be linked to malaria, health officials said Thursday.
As of Dec. 14, the latest date for which data is available, 592 cases have been reported with 37 confirmed deaths and 44 deaths under investigation, according to the Africa Centres for Disease Control and Prevention (Africa CDC), the public health agency of the African Union.
Over the last week, 181 samples from 51 cases were tested in a laboratory, Dr. Ngashi Ngongo, Africa CDC chief of staff, said during a Thursday press briefing.
Laboratory testing showed 25 out of 29 tested were positive for malaria. Additionally, rapid testing showed 55 out of 88 patients were positive for malaria.
Ngashi said there are two hypotheses: The first is that the undiagnosed disease is severe malaria “on a background of malnutrition and viral infection” and the second is the disease is a viral infection “on a background of malaria and malnutrition.”
Malaria is a serious disease caused by a parasite that infects a certain type of mosquito, according to the U.S. Centers for Disease Control and Prevention (CDC). Most people contract malaria after being bitten by an infected mosquito.
Most cases of malaria occur in sub-Saharan Africa, but it also occurs in parts of Oceania and in parts of Central and South America and Southeast Asia.
Malaria can be deadly if is not diagnosed and treated quickly, the CDC said.
What we know about the disease
The disease first appeared in a remote area in the province of Kwango, in the southwestern part of the DRC on the border with Angola, according to Africa CDC.
The first case was documented on Oct. 24. Patients have been experiencing flu-like symptoms including fever, headache, coughing and difficulty breathing as well as anemia, Africa CDC said during a press briefing earlier this month.
A plurality of cases, or 42.7%, have occurred in children under 5 years old. This age group also has the largest number of deaths, with 21 so far, data from Africa CDC shows. Children between ages 5 and 9 make up the second highest number of cases
Africa CDC said in a post on X earlier this month that it took five to six weeks after the first case was reported for local authorities to alert the national government, highlighting “gaps in Africa’s disease detection systems: limited surveillance, testing delays & weak lab infrastructure.”
-ABC News’ Youri Benadjaoud contributed to this report.
The label for a ready-to-eat product by Yu Shang Food, Inc. that is part of a recall. Image via U.S. Department of Agriculture
(NEW YORK) — An infant has died in a listeria outbreak linked to a brand of ready-to-eat meat and poultry products, federal authorities said Friday.
As of Friday, 11 people have been infected in four states in the outbreak, according to the U.S. Centers for Disease Control and Prevention. Among them, nine people have been hospitalized and an infant from California has died, the CDC said.
The infections have been linked to recalled ready-to-eat meat and poultry products by Yu Shang Food, based in Spartanburg, South Carolina, according to the CDC. The recalled products include pork hock, chicken feet, pork feet, duck neck, beef shank and pork tongue.
Most of the cases — seven — were in California, while two were in Illinois and one each in New York and New Jersey, according to the CDC. Those infected ranged in age from under 1 to 86, with a median age of 64, according to the CDC.
The infant who died and his pregnant mother were both infected in the outbreak, according to the CDC. The infant had a twin who also died, though listeria was not found in the other twin’s sample and the case is not included in the outbreak, the CDC said.
One other listeria illness was reported in an infant who recovered, the CDC said.
“We did not receive any reported illness from the group of 11 illness,” Yu Shang Food told ABC News. “Those 11 cases are collected by CDC from 2021 to 2024. Among of these 11 illnesses, there are 9 people only mentioned they had visited Asian stores before they got sick, but not mention they purchased YUSHANG brand products or ate YUSHANG brand products. There was 1 infant dead, but no evidence showed the mother ate Yushang brand products to get sick, only mentioned she ate Yushang brand products before got sick.”
“The true number of sick people in this outbreak is likely higher than the number reported, and the outbreak may not be limited to the states with known illnesses,” the CDC said.
Yu Shang Food has recalled approximately 72,240 pounds of ready-to-eat meat and poultry products due to possible listeria contamination, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) said on Thursday.
The recalled foods include products made before Oct. 28, the CDC said. The products subject to recall have the number “P-46684” or “EST. M46684” inside the USDA mark of inspection. They were shipped to retail locations nationwide and were sold online.
The full list of recalled items can be viewed here. Anyone with the products is advised to throw them away or return them to the place of purchase, and surfaces should be thoroughly cleaned. Listeria can survive in the refrigerator at cooler temperatures and easily contaminate other foods.
“FSIS is concerned that some product may be in consumers’ refrigerators/freezers,” the agency said.
The FSIS said the problem was discovered when a finished food product produced by Yu Shang Food tested positive for listeria on Oct. 21. Listeria was detected in additional testing of product and environmental samples collected by the FSIS, it said.
“Working in conjunction with public health partners, FSIS determined that there is a link between the [ready-to-eat] meat and poultry products from Yu Shang Food, Inc. and an illness cluster,” the FSIS said.
The company initially issued a recall on Nov. 9 that was expanded on Thursday.
People aged 65 and older, pregnant women and those with weakened immune systems are more at risk of serious illness due to listeria, according to the CDC.
Symptoms usually start within two weeks of eating food contaminated with listeria and can include fever, muscle aches, headache, tiredness, stiff neck, confusion, loss of balance and seizures, according to the CDC.
The CDC advises contacting a health care provider right away if symptoms develop.
(NEW YORK) — Some hospitals in the U.S. are seeing an increase in RSV and higher levels of “walking pneumonia” among young children despite overall respiratory illness activity remaining low nationally.
Cook Children’s Medical Centers in Texas reported a “steep increase” in children visiting the emergency room due to respiratory-related illnesses.
On Tuesday, at the health system’s Fort Worth location alone, there were 572 patients — a near-record-high number — in the emergency department. Officials said the increase in hospital visits is due to a spread of RSV and walking pneumonia in the Dallas-Fort Worth area.
Additionally, University of North Carolina hospitals reported 40 walking pneumonia cases in the last week of October compared to no cases the same time last year.
Infectious disease specialists say that although parents should stay alert when it comes to respiratory illnesses spreading, this season also may also be marking a return to typical seasons seen before the COVID-19 pandemic.
“It’s the calm before the storm,” Dr. Peter Chin-Hong, a professor of medicine and infectious disease specialist at the University of California, San Francisco, told ABC News. “It feels that there’s so much going on … that we almost forget about respiratory viruses, but they’re very regular. They’re kind of falling back into normal pre-pandemic cadence.”
Walking pneumonia seeing cyclical increase
So-called “walking pneumonia” is a respiratory tract bacterial infection caused by the bacteria Mycoplasma pneumoniae (M. pneumoniae), according to the Centers for Disease Control and Prevention.
Infections are generally mild, and people may seem better than expected for those with a lung infection, hence the term walking pneumonia, the CDC said. Sometimes serious complications, however, emerge requiring hospitalization.
For the week ending Nov. 2, the latest for which CDC data is available, 2.8% of all pneumonia-associated ED visits led to an M. pneumoniae diagnosis, up from just 2% at the end of September.
Rates were highest among those ages 1 and younger, making up 7.8% of all pneumonia-associated ED visits with an M. pneumoniae diagnosis for the week ending Nov. 2.
Experts say mycoplasma infections have a cyclical nature and tend to surge every three to seven years.
“Just like other respiratory viruses, there was not a lot of exposure during the pandemic years because of social distancing and people staying away from each other, and so we’re catching up to that,” Chin-Hong said. “Mycoplasma may also be one of these things where you’re kind of seeing the perfect storm. So, it comes back every four or five years and people are getting back to their normal lives.”
RSV activity returning to pre-pandemic levels
Respiratory syncytial virus, or RSV, is a common respiratory virus with most children affected by their second birthday, according to the CDC.
Although it typically causes mild, cold-like symptoms and most people recover in one to two weeks, it can be a serious infection for infants and older adults, resulting in hospitalization, the CDC said.
Current levels remain lower than those seen at the same time during the past few seasons.
“While RSV activity is increasing in certain regions, particularly among young children, it’s important to remember that we’re seeing a return to more typical pre-pandemic patterns,” said Dr. John Brownstein, an epidemiologist and chief innovation officer at Boston Children’s Hospital and an ABC News contributor.
“This year’s season is starting later and progressing more slowly compared to the past few years, which were marked by earlier and more severe outbreaks,” he added.
Brownstein pointed out that while national levels remain low, certain regions in the southern U.S. and eastern U.S. are seeing localized surges, especially among young children.
When to go to the emergency room
Chin-Hong said if symptoms are mild, including low-grade fever, dry cough, sore throat, headaches and mild aches and pains, parents can keep their children home and contact their primary care provider with any questions.
However, when symptoms become more severe including difficulty breathing, a long-lasting fever or lethargy, then it might be time to visit the emergency room.
If you have “a child who’s having a cough for more than seven days and maybe they’re not shaking that off, then you worry about something like walking pneumonia,” Chin-Hong said.
How to prevent RSV and walking pneumonia
To prevent RSV, there are three vaccines approved for adults ages 60 and older as well as some adults between the ages 50 and 59 who are at higher risk. There is also a vaccine available for pregnant women between 32 weeks and 36 weeks of pregnancy.
For babies under eight months, there are two monoclonal antibody products available. Monoclonal antibodies are proteins manufactured in a lab that mimic the antibodies the body naturally creates when fighting an infection.
“For walking pneumonia. or mycoplasma, there’s no vaccine for that, but by getting vaccines for RSV, COVID [and] influenza, you reduce the probability of co-infections that can make things worse,” Chin-Hong said.
Experts also recommended applying lessons learned during the COVID-19 pandemic, such as wearing a mask in spaces with poor ventilation.
“Practicing good hygiene, like frequent hand-washing and covering coughs and sneezes, remains essential in preventing the spread of respiratory infections,” Brownstein said.
(NEW YORK) — A growing number of people under 50 are being diagnosed with more advanced stages of colon cancer, according to the American Cancer Society.
The 2020 death of 43-year-old actor Chadwick Boseman due to colon cancer drew attention to the shift, and “Dawson’s Creek” star James Van Der Beek, 47, announced his Stage 3 colorectal cancer diagnosis in November.
A diagnosis at a younger age was also the case for Brooks Bell, a Raleigh, North Carolina, entrepreneur who ran a data analytics company. At 38, she was alarmed to discover blood after using the rest room.
She said she called a telehealth doctor, who told her it may be hemorrhoids. She decided to get second and third opinions, which led to a colonoscopy referral and diagnosis.
“I found out that it was Stage 3 colon cancer,” Bell told “GMA3.”
In a different case, Los Angeles stylist Sarah Beran’s doctors suspected a parasite could be causing her symptoms. Ultimately, she said a colonoscopy revealed the truth.
“They found over 100 polyps on my colon, a mass on my rectum,” the 34-year-old said. “And that’s when my world changed.”
She had to undergo a colon transplant and 12 rounds of chemotherapy.
Even though the pair lived on opposite sides of the U.S., their experiences brought them together after Bell shared her story online.
“I reached out and asked her how I could get involved and help, so that more people don’t have to go through what we went through,” Beran said. “And we teamed up.”
The duo dreamed up a fashion brand with a cause, Worldclass. The streetwear and athleisure line includes hoodies, crewneck sweatshirts, tees, hats and totes — all designed to break the stigma about colon cancer.
“All proceeds go towards a colonoscopy fund that helps underinsured communities get screened,” Beran said. “So literally saving lives through fashion.”
Convincing people to get screenings has a specific goal, Bell noted.
“With colon cancer, we should be talking about prevention, being able to avoid the entire cancer experience, period, rather than just talking about early detection,” she said.
A proactive approach to health can make a huge difference, according to Beran.
“A colonoscopy is way easier than going through chemo and the surgeries and all the icky stuff that we went through,” she said. “So we’re lucky that we did catch ours in time and that we did advocate for ourselves. And we got in there and got our colonoscopies. And now we’re here now telling our story.”
