QUOTE FOR WEDNESDAY:

EEE virus is a rare cause of brain infections (encephalitis). Only a few cases are reported in the United States each year. Most occur in eastern or Gulf Coast states. Approximately 30% of people with EEE die and many survivors have ongoing neurologic problems.”

Centers for Disease and Control / CDC

Part I What is Eastern Equine Encephalitis?

What is eastern equine encephalitis (EEE)?

Eastern equine encephalitis (EEE) belongs to a category of viruses known as arboviruses, or arthropod-borne viruses. Arboviruses are spread by the bites of blood-sucking insects, such as mosquitos and ticks. EEE is spread by the bite of certain kinds of mosquitoes.

What are the risk factors of EEE?

The overall risk of becoming infected with EEE depends on:

  • Exposure to mosquitoes: People who spend a lot of time outdoors or live in wooded areas have a greater chance of being bitten by mosquito.
  • Time of year and day: In the United States, cases of EEE tend to occur from late spring to early fall.. Many kinds of mosquitoes are most active during dusk and dawn and during the early evening hours.
  • Geographic region: Most cases of EEE have been reported in Atlantic and Gulf coast states. Southeastern Massachusetts, particularly Plymouth and Bristol counties, have historically been “hot spots” for EEE. The Massachusetts Dept of Public Health monitors mosquito populations, tests mosquitoes for virus and calculates risks for each town.

Some people with EEE may develop a severe infection that causes brain tissue to become inflamed (encephalitis).The factors that increase one’s risk of getting a severe EEE infection include:

  • Age: Although people of any age can develop a serious infection, the risk is higher for adults older than 50 and children younger than 15.
  • Immune system: People who have a weakened immune system due to cancer treatments, or organ transplantation are more at risk of developing a severe infection.

What are the symptoms of EEE?

Symptoms of EEE generally occur four to 10 days after a person has been infected and include:

  • high fever
  • headache
  • tiredness
  • nausea/vomiting
  • neck stiffness

The symptoms of encephalitis depend on the part of the brain that is inflamed, the amount of inflammation and the person’s age and overall health.

Some of the most common symptoms of encephalitis include:

  • seizures
  • confusion (disorientation)
  • coma

In one-third of cases, encephalitis can be fatal or lead to permanent brain damage.

Because the initial symptoms of EEE resemble those caused by many illnesses, it may be difficult to determine if a child’s symptoms are related to encephalitis. In general, you should take your child to see a doctor if your child has a bad headache, nausea and vomiting, fever or any worrisome changes in behavior (confusion, extreme sleepiness, acting very different, listlessness, lethargy, seizures).

The worst outbreak of eastern equine encephalitis since U.S. health officials began monitoring the mosquito-borne disease 15 years ago is prompting aerial bug spraying and dire warnings to avoid the biting insects well into fall. As of October 1, 31 cases — including nine deaths — have been reported by the U.S. Centers for Disease Control and Prevention.

Known as EEE or Triple-E for short, the incurable brain infection is still relatively rare — there have been only 103 reported infections in the United States in the past decade. Only five percent of people bitten by an infected mosquito will develop the disease. But about a third of EEE patients die, and many who survive experience permanent neurological problems.

Science News spoke with several researchers about how the virus spreads, and possible factors that might be contributing to the recent surge in cases.

“We don’t know some of the basic details about these [mosquito-transmitted] diseases, unfortunately,” says pathobiologist Stephen Higgs, director of the Biosecurity Research Institute at Kansas State University in Manhattan. “The ideal is to anticipate outbreaks, which is very, very difficult. But we need to be prepared for an outbreak when it comes.”

QUOTE FOR TUESDAY:

“Animals provide many benefits to people. Many people interact with animals in their daily lives, both at home and away from home.  However, animals can sometimes carry harmful germs that can spread to people and cause illness – these are known as zoonotic diseases or zoonoses. Zoonotic diseases are caused by harmful germs like viruses, bacterial, parasites, and fungi. These germs can cause many different types of illnesses in people and animals, ranging from mild to serious illness and even death.  Animals can sometimes appear healthy even when they are carrying germs that can make people sick, depending on the zoonotic disease. ”

Centers for Disease Control and Prevention

 

QUOTE FOR MONDAY:

Williams syndrome is a genetic condition that affects many parts of the body. Signs and symptoms include mild to moderate intellectual disability; unique personality traits; distinctive facial features; and heart and blood vessel problems.[1] Williams syndrome is caused by a person missing more than 25 genes from a specific area of chromosome 7 (a “deletion”).[1][2] The loss of these genes contributes to the characteristic features.[1] Although Williams syndrome is an autosomal dominant condition, most cases are not inherited and occur sporadically in people with no family history of Williams syndrome. Treatments are based on each person’s signs and symptoms, as there is no cure at this time”

NIH / GARD

QUOTE FOR THE WEEKEND:

“Gastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.”

MAYO CLINIC

Part I To all animal lovers we do have to be concern with zoonotic diseases!

A further 33 diseases have featured in the World Health Organization’s Disease Outbreak News since its inception in 1996. Of the “big eight”now, six are known zoonotic diseases (diseases from animals) – and the remaining two hepatitis C and Chikungunya are assumed to be so, although the animal reservoir remains undiscovered. Whatever the explanation, hepatitis C (1989), West Nile virus (1999), SARS (2003), Chikungunya (2005), swine flu (2009), MERS (2012), Ebola (2014) and Zika (2015) have all since had their time in the media spotlight.

Since then, emerging diseases have been appearing at an accelerating rate. Part of the explanation for this may simply be that we are much better at detecting them now. On the other hand, population pressure, climate change and ecological degradation may be contributing to a situation where zoonosis – the movement of a disease from a vertebrate animal to a human host – is more common.

A zoonosis (zoonotic disease or zoonoses -plural) is an infectious disease that is transmitted between species from animals to humans (or from humans to animals).

Illnesses Associated with Animal Contact:

1-Rabies Rabies is a disease that affects the nervous system of mammals. It is caused by a virus and is typically spread by an infected animal biting another animal or person. Rabies is a fatal disease; it cannot be treated once symptoms appear. Luckily, rabies can be effectively prevented by vaccination.

2-Blastomycosis (Blastomyces dermatitidisBlastomycosis is a rare fungal infection usually acquired by inhaling the spores of a fungus (Blastomyces dermatitidis) that can be found in wood and soil.  Blastomycosis occurs most often in people living in Ontario, Manitoba, and the south-central, south-eastern, and mid-western United States. In Minnesota, blastomycosis is most common in St. Louis, Itasca, Cass, Beltrami, Washington, and Chisago counties.   The time between exposure to the spores and when symptoms develop varies widely, ranging from 21 to 100 days. The signs and symptoms of blastomycosis vary among individuals. About 50% of infections are asymptomatic (person does not develop any symptoms or disease) or are mild and resolve without treatment.  Some patients develop a chronic lung infection or the disease can spread to other areas of the body (skin, bones, genitourinary system, or central nervous system).

3-Psittacosis (Chlamydophila psittaci, Chlamydia psittaci)
Infection with Chlamydophila psittaci (formerly known as Chlamydia psittaci) is cause of systemic illness in companion birds (birds kept by humans as pets) and poultry. This illness is often referred to as avian chlamydiosis (also known as psittacosis, ornithosis, and parrot fever) in birds.

C. psittaci infection can be transmitted from infected birds to humans. The disease resulting from C. psittaci infection in humans is called psittacosis (also known as parrot disease, parrot fever, and chlamydiosis). Most infections are typically acquired from exposure to pet psittacine (parrots, macaws, parakeets) birds.

Infection with C. psittaci usually occurs when a person inhales organisms that have been aerosolized from dried feces or respiratory tract secretions of infected birds. Other means of exposure include mouth-to-beak contact and handling infected birds’ plumage and tissues.

Psittacosis can result in serious health problems including fatal pneumonia. Diagnosis of psittacosis can be difficult. Antibiotic treatment is recommended.

4-Trichinosis (Trichinella spiralisPeople can become infected with Trichinosis from eating raw or undercooked meat that contains the roundworm larvae. It is most commonly found in wild game meat (such as bear, wild feline, fox, dog, wolf, horse, seal, and walrus) and less commonly, pork. After the meat with the parasite larvae is eaten, the larvae grow into worms in the intestines, which reproduce and make larvae that go into the bloodstream and travel to the skeletal muscle and embed.A few days after eating the roundworm larvae they mature and begin reproducing; during this time symptoms can include nausea, vomiting, diarrhea, fever, fatigue, and abdominal pain. As the larvae go into the bloodstream and embed in the muscle; symptoms can include headaches, fevers, chills, weakness, cough, muscle pain, achy joints, pain/swelling around the face and eyes, light sensitivity, pink eye, itchy skin, extreme thirst, and sometimes incoordination and heart/lung problems. Symptoms can last a few months, to many months in severe cases. The severity depends on how many larvae were ingested.

What is the treatment for Trichinosis?

A mild case may not be noticed. Trichinosis is treated with anti-parasitic drugs, and can be fatal if severe cases are not treated. There is no treatment once the larvae embed in the muscles, pain relievers can help.

5-Cat Scratch Disease-CSD (Bartonella henselae)

Generally people who get CSD are bitten, scratched, or licked by a cat before they get sick.  Fleas are responsible for transmitting B. henselae between cats.  Because kittens are more likely to be infected than adult cats, they are more likely to transmit cat scratch disease to humans.  Cats are the natural reservoir for the bacteria that causes CSD, and generally do not show any signs of illness. Therefore it is impossible to know which cats can spread CSD to you.  It is believed that transmission to humans occurs through contamination of bites or scratches with flea excrement.             There is no human-to-human transmission of CSD.

The duration of illness caused by B. henselae is usually 2 to 4 months with spontaneous recovery. TREATMENT-Supportive treatment & Antibiotics may be used for severely ill patients to speed recovery

6-Histoplasmosis (Histoplasma capsulatum)-it is an infection caused by a fungus called Histoplasma. The fungus lives in the environment, particularly in soil that contains large amounts of bird or bat droppings. In the United States, Histoplasma mainly lives in the central and eastern states, especially areas around the Ohio and Mississippi River valleys. The fungus also lives in parts of Central and South America, Africa, Asia, and Australia.

People can get histoplasmosis after breathing in the microscopic fungal spores from the air. Although most people who breathe in the spores don’t get sick, those who do may have a fever, cough, and fatigue. Many people who get histoplasmosis will get better on their own without medication, but in some people, such as those who have weakened immune systems, the infection can become severe.

6-Coccidiomycosis (Valley Fever)-Valley fever, also called coccidioidomycosis, is an infection caused by the fungus Coccidioides. The fungus is known to live in the soil in the southwestern United States and parts of Mexico and Central and South America. The fungus was also recently found in south-central Washington. People can get Valley fever by breathing in the microscopic fungal spores from the air, although most people who breathe in the spores don’t get sick. Usually, people who get sick with Valley fever will get better on their own within weeks to months, but some people will need antifungal medication.

7-Intestinal Illness Acquired From Animals
Including E. coli , Cryptosporidium parvum, Campylobacter, and Salmonella.

People usually get intestinal illnesses (foodborne illnesses like E. coli O157:H7, Campylobacter, Salmonella, Cryptosporidium) from food and water. But, you can also get any of these from contact with animals or their environments.

In recent years, intestinal diseases associated with places where the public has contact with farm animals (e.g., petting zoos, state or county fairs, educational farms) have been identified with increasing frequency. Minnesota is no exception to this trend.

Keeping Backyard Poultry-An increasing number of people around the country are choosing to keep poultry, such as chickens or ducks, as part of a greener, healthier lifestyle. While you enjoy the benefits of backyard chickens and other poultry, it is important to consider the risk of illnesses, especially in children, that can result from handling live poultry or anything in the area where they are kept.

Staying safe at pet zoos or animal fairs-From mid-June to Labor Day is fair season in Minnesota. Each year, fairs across the state provide opportunities to eat deep fried delicacies and interact with livestock and poultry. But these interactions aren’t without risk — animals can carry germs that can make people sick. The risk can be minimized with careful handwashing and taking a few simple precautions.

Spotlight on particular home animal pets:

8-Salmonella- Some Reptiles and Amphibians-They can make cool pets, but they can also be a source of illness. Reptiles (e.g., Iguanas, turtles, snakes) and amphibians (e.g., frogs and toads) carry Salmonella.

Always wash hands after handling reptiles and/or amphibians.   Reptiles and amphibians should not be kept as pets in households with young children (i.e. less than 5 years old) or other high risk individuals, including pregnant women, older persons and the immune-compromised.  Reptiles and amphibians should not be kept in child care centers, schools, or other facilities with children younger than 5 years old.

Salmonella-Chicks and Ducklings:
Those cute little chicks and ducklings can be a great attraction for children this time of year, but they can also be a source of illness, so it’s important for those who handle them to take steps to prevent infection.

stayed tune for part II on Bioterrism Disease

 

QUOTE FOR FRIDAY:

“Almost 1 out of 3 people in the United States will develop shingles in their lifetime. Most people who get shingles will have it only once. However, you can get the disease more than once.

Your risk of getting shingles increases as you get older. The most common complication of shingles is postherpetic neuralgia (PHN), which is severe pain in the areas where the shingles rash occurred. About 10 to 18% of people who get shingles will experience PHN. The risk of PHN also increases with age.

Children can get shingles, but it is not common.”

Center for Disease Prevention and Control (CDC)

Shingles

Shingles is a disease that affects your nerves. It can cause burning, shooting pain, tingling, and/or itching, as well as a rash and blisters.

You may recall having chickenpox as a child. Shingles is caused by the same virus, the varicella-zoster virus (VZV). After you recover from chickenpox, the virus continues to live in some of your nerve cells. It is usually inactive, so you don’t even know it’s there.

In fact, most adults live with VZV in their bodies and never get shingles. But, for about one in three adults, the virus will become active again. Instead of causing another case of chickenpox, it produces shingles. We do not totally understand what makes the virus go from inactive to active.

Having shingles doesn’t mean you have any other underlying disease.

Everyone who has had chickenpox has VZV in their body and is at risk for getting shingles. Right now, there is no way of knowing who will get the disease. But, some things make it more likely:

  • Advanced age. The risk of getting shingles increases as you age. People may have a harder time fighting off infections as they get older. About half of all shingles cases are in adults age 60 or older. The chance of getting shingles becomes much greater by age 70.
  • Trouble fighting infections. Your immune system is the part of your body that responds to infections. Age can affect your immune system. So can an HIV infectioncancer, cancer treatments, too much sun, or organ transplant drugs. Even stress or a cold can weaken your immune system for a short time. These all can put you at risk for shingles.

Can You Catch Shingles?

Shingles is not contagious. You can’t catch it from someone. But, you can catch chickenpox from someone with shingles. So, if you’ve never had chickenpox, try to stay away from anyone who has shingles.

If you have shingles, try to stay away from anyone who has not had chickenpox or who might have a weak immune system.

What Are the Symptoms of Shingles?

Usually, shingles develops only on one side of the body or face and in a small area rather than all over. The most common place for shingles is a band that goes around one side of your waistline.

Week 1 to than days later

Shingles on one side of the face 

How Long Does Shingles Last?

Most cases of shingles last three to five weeks. Shingles follows a pattern:

  • The first sign is often burning or tingling pain; sometimes, it includes numbness or itching on one side of the body.
  • Somewhere between one and five days after the tingling or burning feeling on the skin, a red rash will appear.
  • A few days later, the rash will turn into fluid-filled blisters.
  • About a week to 10 days after that, the blisters dry up and crust over.
  • A couple of weeks later, the scabs clear up.

Most people get shingles only one time. But, it is possible to have it more than once.

Long-Term Pain and Other Lasting Problems

After the shingles rash goes away, some people may be left with ongoing pain called post-herpetic neuralgia or PHN. The pain is felt in the area where the rash had been. For some people, PHN is the longest lasting and worst part of shingles. The older you are when you get shingles, the greater your chance of developing PHN.

The PHN pain can cause depression, anxiety, sleeplessness, and weight loss. Some people with PHN find it hard to go about their daily activities, like dressing, cooking, and eating. Talk with your doctor if you have any of these problems.

There are medicines that may help with PHN. Steroids may lessen the pain and shorten the time you’re sick. Analgesics, antidepressants, and anticonvulsants may also reduce the pain. Usually, PHN will get better over time.

Some people have other problems that last after shingles has cleared up. For example, the blisters caused by shingles can become infected. They may also leave a scar. It is important to keep the area clean and try not to scratch the blisters. Your doctor can prescribe an antibiotic treatment if needed.

See your doctor right away if you notice blisters on your face—this is an urgent problem. Blisters near or in the eye can cause lasting eye damage or blindness. Hearing loss, a brief paralysis of the face, or, very rarely, swelling of the brain (encephalitis) can also occur.

Have a Rash? Go to the Doctor

If you think you might have shingles, talk to your doctor as soon as possible. It’s important to see your doctor no later than three days after the rash starts. The doctor will confirm whether or not you have shingles and can make a treatment plan. If you have a condition that weakens the immune system, the doctor may give you a shingles test. The shingles test can also help doctors diagnose shingles in people who don’t have a rash. Although there is no cure for shingles, early treatment with drugs that fight the virus can help the blisters dry up faster and limit severe pain. Shingles can often be treated at home. People with shingles rarely need to stay in a hospital.

Should You Get the Shingles Vaccine?

The shingles vaccine is safe and easy, and it may keep you from getting shingles and PHN. Healthy adults age 50 and older should get vaccinated with a shingles vaccine called Shingrix, which is given in two doses. Zostavax, a previous shingles vaccine, is no longer available in the United States.

You should try to get the second dose of Shingrix between two and six months after you get the first dose. If your doctor or pharmacist is out of Shingrix, you can use the Vaccine Finder to help find other providers who have Shingrix. You can also contact pharmacies in your area and ask to be put on a waiting list for Shingrix. If it’s been more than six months since you got the first dose, you should get the second dose as soon as possible. You don’t need to get a first dose again.

You should get Shingrix even if you have already had shingles, received Zostavax, or don’t remember having had chickenpox. However, you should not get a vaccine if you have a fever or illness, have a weakened immune system, or have had an allergic reaction to Shingrix. Check with your doctor if you are not sure what to do.

You can get the shingles vaccine at your doctor’s office and at some pharmacies. All Medicare Part D plans and most private health insurance plans will cover the cost.

What Can You Do About Shingles?

If you have shingles, here are some tips that might help you feel better:

  • Get plenty of rest and eat well-balanced meals.
  • Try simple exercises like stretching or walking. Check with your doctor before starting a new exercise routine.
  • Apply a cool washcloth to your blisters to ease the pain and help dry the blisters.
  • Do things that take your mind off your pain. For example, watch TV, read, talk with friends, listen to relaxing music, or work on a hobby you like.
  • Avoid stress. It can make the pain worse.
  • Wear loose-fitting, natural-fiber clothing.
  • Take an oatmeal bath or use calamine lotion to see if it soothes your skin.
  • Share your feelings about your pain with family and friends. Ask for their understanding.

Also, you can limit spreading the virus by:

  • Keeping the rash covered
  • Not touching or scratching the rash
  • Washing your hands often

Most people have some of the following shingles symptoms:

  • Burning, tingling, or numbness of the skin
  • Feeling sick—chills, fever, upset stomach, or headache
  • Fluid-filled blisters
  • Skin that is sensitive to touch
  • Mild itching to strong pain

Depending on where shingles develops, it could also cause symptoms like hiccups or even loss of vision.

For some people, the symptoms of shingles are mild. They might just have some itching. For others, shingles can cause intense pain that can be felt from the gentlest touch or breeze.

How Long Does Shingles Last?

Most cases of shingles last three to five weeks. Shingles follows a pattern:

  • The first sign is often burning or tingling pain; sometimes, it includes numbness or itching on one side of the body.
  • Somewhere between one and five days after the tingling or burning feeling on the skin, a red rash will appear.
  • A few days later, the rash will turn into fluid-filled blisters.
  • About a week to 10 days after that, the blisters dry up and crust over.
  • A couple of weeks later, the scabs clear up.

Most people get shingles only one time. But, it is possible to have it more than once.

QUOTE FOR THURSDAY:

“We’re talking sexually transmitted diseases, which are at an all-time high for the sixth consecutive year, the U.S. Centers for Disease Control said in a new report released Tuesday, day three of National STD Awareness Week.

For 2019, health departments across the U.S. reported 1.8 million cases of chlamydia, an almost 20% increase since 2015; 616,392 cases of gonorrhea, more than 50% higher than 2015, and 129,813 cases of all stages of syphilis, a whopping 70% increase, the CDC said. In total there were more than 2.5 million reported cases of those three, most commonly reported STDs for that year.”

MSN News

Part II Untreated STDs and tips on Prevention of STDs!

Untreated STDs

While most STDs and STIs are curable, cases that are left untreated can pose a host of complications. In recent years, chlamydia, gonorrhea, and syphilis have been making a comeback, leading to:

  • An increase of babies born with syphilis
  • A higher risk of infertility
  • A greater risk of getting or giving HIV
  • The possible development of untreatable gonorrhea
  • Unknowingly spreading the disease or infection to others

Some people with STDs and STIs will exhibit symptoms that signal there’s a problem. However, there are many cases that won’t present symptoms but are still contagious, making it very easy to infect others.

Take Control of Your Health

Because STD testing is not standard in general wellness checks, it’s important to be direct with your healthcare provider in requesting tests. The Centers for Disease Control and Prevention (CDC) is encouraging people to take action this month with the following:

  • Get Yourself Tested: Because these diseases can have a big impact on the lives of younger people, it’s important to get tested and encourage friends and partners to do the same. It’s also important to be educated so you can separate the facts from the rumors about STDs.
  • Test. Treat.: Talking about sex isn’t always easy for some. This specific campaign from the CDC encourages being open and honest about sexual health with both your sexual partner and physician. By speaking openly, your doctor can recommend certain tests and provide necessary treatment, and your partner can do the same.
  • Syphilis Strikes Back: Although syphilis is a risk for anyone, prevention, diagnosis, and treatment is particularly vital for pregnant women, newborn babies, and gay and bisexual men. These groups have seen the biggest increase in syphilis infections, so it’s important to do your part to reduce the numbers.
  • Treat Me Right: It’s important to have trust in your healthcare provider while also understanding how to be in control of your own personal health. Sexual health can be difficult to talk about, but if you have a physician you trust, these conversations can be much simpler.

TIps in preventing STD’s:

1-Do not have sex but not realistic for many!

2-Prevention! This is the most obvious and effective way to avoid the transmission of STDs. As we just mentioned, many STDs are spread via the exchange of bodily fluids. You actually need to swap a lot of bodily fluids, however, meaning that a kiss isn’t likely to spread anything more serious than herpes. And even if you were to swallow a little blood after biting a lip too hard, it’s highly unlikely that would be enough to transmit HIV (though we don’t recommend testing the theory!).

3.Sometimes, something as simple as taking a shower after sex can be an effective way to reduce your likelihood of catching an STD. This can help to remove bacteria and other causes of illness off of your body, as well as removing fluids that might still be lingering.

Just make sure to bring your own towel!  Be discrete in how you approach this to avoid offending your partner.

And the same goes for some other strategies. It’s up to you then to decide how you want to proceed. But if nothing else, make sure to use a condom. Even if it is an awkward thing to bring up at the moment.

4-Maintain good health and if not feeling well when this time is approached (sex engagement) hold off for both sides.

5-If you have any reason to worry after having sex, then you should always get yourself checked with a doctor.

6-Ask about your partner’s history when first having sex.

7-Think it’s awkward asking your potential partner if they brought protection? Well then try stopping them before sex to ask how many previous partners they’ve had, if they knew all of them first, and whether they’ve been checked for STDs previously.

So, no, this isn’t always going to be a viable strategy. But in cases where you feel comfortable with the other party, or if you’re keen to be as careful as you possibly can be: this can be a good option.

8-Be wise in choosing who you have sex with.

This goes without saying, but choosing your partners carefully is always wise. While you should never judge a book by its cover, and while anyone could be carrying an STD, there are certainly some warning signs that you can look out for.

If someone has had a lot of sexual partners for instance, then they are more likely to have an STD. If they don’t suggest protection prior to sex, then it suggests that they probably would have had sex with other people unprotected.