Day: January 3, 2025

The holidays came with a side of flu for many Americans, with 40 states reporting high or very high levels of illness last week, according to the latest government health data. 

“A lot of flu out there,” said Carrie Reed of the Centers for Disease Control and Prevention. 

Of course, there are a number of bugs that cause fever, cough, sore throat and other flulike symptoms. One is COVID-19. Another is RSV, or respiratory syncytial virus, which is a common cause of coldlike symptoms but can be dangerous for infants and the elderly. 

Reed said that the most recent CDC hospitalization data and other indicators show that the flu virus is trending higher than the other germs. Several seasonal flu strains are driving cases, with no dominant one, she added. 

Pediatric hospitals have been busy since November with RSV, but “influenza has now joined the party,” said Dr. Jason Newland, an infectious-diseases specialist at Nationwide Children’s Hospital in Columbus, Ohio. 

“Now we’re really starting to roll,” he added. “Our hospitals are busy.” 

Where flu illnesses are the highest 

One indicator of flu activity is the percentage of doctor’s office visits driven by flulike symptoms. That level last week was about equal to the peak of last winter’s respiratory virus season — which occurred at the same time of year. Reed noted that most people avoid medical appointments over the holidays if they can help it, so the data in late December might be skewed by people who came down with sudden illnesses. 

Last week’s flu activity was particularly intense in the South, Southwest and West. The states reporting lesser amounts of suffering were mostly in the northern Great Plains and in New England. 

So far this season, the CDC estimates, there have been at least 5.3 million flu illnesses, 63,000 hospitalizations and 2,700 deaths, including at least 11 children. 

It’s not clear if this winter respiratory virus season will be any worse than others. So far it seems relatively typical, at least for kids, Newland said. 

How to protect yourself 

U.S. health officials recommend that everyone 6 months and older get an annual flu vaccination, and they say it’s not too late to get a shot. 

You should also avoid touching your eyes, nose and mouth because germs can spread that way, health officials say. You should also wash your hands with soap and water, clean frequently touched surfaces and avoid close contact with people who are sick.

The CDC also has been keeping its eye on a rise of illnesses from norovirus, a nasty stomach bug, with 91 outbreaks reported early in December. 

Investigators also have been closely watching another kind of influenza virus, the Type A H5N1 version of bird flu. The CDC says 66 human U.S. cases of that were reported last year, but none of them in the last week. 

The cases are “fairly sporadic,” and the overall risk to the public remains low, Reed said. Almost all have been traced to direct contact with infected animals, with no proof of spread between people. 
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WASHINGTON/LONDON — Alcoholic drinks should carry a warning about cancer risks on their label, the U.S. surgeon general said Friday in a move that could signal a shift toward more aggressive tobacco-style regulation for the sector. 

U.S. Surgeon General Vivek Murthy said alcohol consumption increases the risk of at least seven types of cancer, including breast, colon and liver cancer, but most U.S. consumers remain unaware of this. 

Murthy also called for the guidelines on alcohol consumption limits to be reassessed so that people can weigh the cancer risk when deciding whether or how much to drink. U.S. dietary guidelines currently recommend two or fewer drinks per day for men and one drink or less per day for women. 

“Alcohol consumption is the third leading preventable cause of cancer in the United States, after tobacco and obesity,” Murthy’s office said in a statement accompanying the new report, adding the type of alcohol consumed does not matter. 

His advisory sent shares in alcohol companies including Diageo, Pernod Ricard, Anheuser-Busch and Heineken down, in some cases over 3%. 

Alcohol producers and industry associations did not immediately share comments. 

It is unclear when or if the surgeon general’s suggestions will be adopted. U.S. President Joe Biden’s administration is entering its final two weeks. Murthy could be succeeded by Janette Nesheiwat, a director of a New York chain of urgent care clinics and President-elect Donald Trump’s pick for the role. 

Trump, whose brother died from alcoholism and who does not drink himself, has long warned about the risks of drinking. Robert F. Kennedy Jr., Trump’s nominee for Secretary of Health and Human Services, has been open about his past struggles with heroin and alcohol, and says that he attends Alcoholics Anonymous meetings. 

The decision to update the label will ultimately be made by Congress. 

Small print 

Murthy’s advisory harks back to early U.S. surgeon general action on tobacco, starting with a 1964 report that concluded smoking could cause cancer. The report kicked off decades of increasingly strict regulations, starting with U.S. laws on warning labels one year later and still ongoing today. 

Alcoholic drinks in the U.S. already carry warnings on their packaging, including that drinking alcohol while pregnant can cause birth defects and that it can impair judgment when operating machinery. These appear in small print on the back of the packaging. This label has not changed since its inception in 1988. 

Murthy’s recommendations call for an update to these existing labels, rather than new cigarette-style warnings that are today displayed prominently on the front of every packet. 

Analysts, however, pointed out that cigarette warning labels did little to curb smoking and ingrained habits are hard to change. 

“Warning labels won’t be an immediate deathblow to alcohol makers, but it will compound the long-term threats to the industry,” said Blake Droesch, analyst with eMarketer. 

In the U.S., among the largest markets for many western producers, companies face growing competition from alternatives like cannabis and the threat of lower volumes as some consumers, especially younger ones, drink less than previous generations. 

Beer makers especially have, however, enjoyed benefits from a shift toward healthier lifestyles, with low- or no-alcohol products enjoying rapid growth. Heineken’s 0.0 version, for example, grew double digits in 16 markets last year. 

The advisory said alcohol is responsible for 100,000 U.S. cancer cases and 20,000 cancer deaths each year, more than the 13,500 alcohol-associated traffic crash deaths. 

The new report recommends health care providers should encourage alcohol screening and treatment referrals as needed, and efforts to increase general awareness should be expanded.
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Juba, South Sudan   — More than 1.1 million doses of an oral cholera vaccine have arrived in South Sudan, as the government launched a program to inoculate more than 80 percent of the population. But the mass vaccination exercise faces numerous challenges, including a lack of access to the areas dealing with the worst cholera outbreaks.

Medics in South Sudan will attempt to vaccinate at least 9 million people against cholera, an exercise that targets mostly children and mothers.

More than 1.1 million doses of oral cholera vaccine arrived in the capital, Juba, and will be dispatched next week to hot spots areas like the town of Bentiu.

The country’s Ministry of Health reported last week that 199 people have died of cholera, with 13,000 more diagnosed so far with the bacteria.

Dr. Gabriel Boum Tap is an immunization officer at UNICEF in South Sudan.

“Of course, we had also received some vaccines before; only that they were not enough, because, you know, it’s not like the cholera vaccine is manufactured and is put in one place already,” he said.

At least one cholera case has been recorded in 29 of the 79 counties in South Sudan, with Bentiu, Renk and Juba most affected.

The first case was reported on September 23 in Renk, northeast of the capital.

But as the country prepares to roll out a mass vaccination exercise, the process faces some serious headwinds.

Thinjin Khoat is one of the victims of the cholera outbreak. He says he has seen people die of the disease, with many more trooping to local health centers seeking urgent medical attention.

“I was at one of the health facilities, and there was a suspected case of cholera. The patient was a 5-year-old. The patient was vomiting, and in the process, the health workers couldn’t get the vein. The patient is not able to get the oral fluid. … In that process, the patient died of dehydration,” he said.

Cholera is an acute diarrhea infection caused by consuming contaminated food or water. If not treated, it can be fatal within hours.

Khoat says accessibility to health care remains a major hindrance to the fight against the disease.

“Some of the community members, they don’t have access, because, you know, in Bentiu here, there is flooding. There are some areas that health workers cannot access because of the flood and also security issues,” he said.

According to Doctors Without Borders, or MSF, poor living conditions in South Sudan have created the perfect breeding ground for cholera.

Stephanie Ngai is MSF’s project coordinator for cholera response in Bentiu, located in Rubkona County, an area with a large refugee population.

“Here in Rubkona, the explosion on the outbreak very quickly overwhelmed the local systems that are responsible for coordinating the response and scaling up the interventions,” she said. ‘Other partners don’t have adequate funding to properly scale up the level needed, which is massive. And the overall response coordination has not been strong enough to manage the response and ensure that the needs are adequately met.”

The government says the vaccination exercise is expected to roll out next Monday with support from international partners such as MSF and the World Health Organization.

Buok Danhier, the immunization program manager for the Unity State Ministry of Health, says the various entities will split up duties in Rubkona.

“Rubkona has many payams [local districts]. Most of the payams are affected by flooding, and these are the ones that will be taken by WHO — the hard-to-reach areas. WHO and other partners are pledging to cover all those areas that are hard to reach and also very far from town. Bentiu IDP, Rukona and Bentiu town — these areas will be covered by MSF, and the recruitment process is ongoing,” said Danhier.

The vaccination exercise will target children 1 year and above.

WHO says up to 143,000 people worldwide die from cholera each year out of an estimated 4 million annual cases.
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