Disease

  • Posted: December 20th, 2011 - 10:26pm by Doug Powell

    Sandra Bullock wouldn’t stand a chance against the AQIS beagles.

    Australia has an impressive quarantine and inspection service for folks arriving to the island. So do lots of countries. The reason is that people want their nostaligic food, but have no concept of the consequences of disease introduction; think foot and mouth disease in the UK, which was ultimately linked to some overseas food eventually fed to pigs.

    People magazine, for those who can’t get enough of celebrities, artists and athletes who should focus on their craft instead of speaking, reports that Sandra Bullock's Christmas dinner involves illegally importing sausages from Germany to continue a meal tradition started by the actress's mother.

    "Since my mother passed, we break the law, because we have to manage to smuggle German sausages into the country, and apparently bringing meats across the waters is against the law," Bullock, 47, told Jay Leno during an appearance on The Tonight Show. "You fry 'em up with some sauerkraut and potato salad, but they have to be the right ones."

    Bullock said her family sends out an "SOS" to a handful of loved ones overseas to send the meats over to the U.S.

    "We just have to break the law a little bit, but eventually someone's package gets through," she told Leno.

    When pressed about the method, Bullock said with a smirk: "I'm not at liberty to divulge how we smuggle the sausage."

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  • Posted: October 31st, 2011 - 8:31pm by Doug Powell

    disgust.jpg

    Feelings of disgust help humans avoid, or at the very least recognize, the things that cause disgust like sick people, dirty water, vomit, body fluids and all the other stuff that makes us react "Yuck."

    BBC News reports that in a paper published in Philosophical Transactions for the Royal Society B, Dr Val Curtis, from the London School of Hygiene and Tropical Medicine, argues that avoidance behavior is essential to prevent the spread of all the major current and recent infectious diseases which present a threat to humans.

    Washing hands and food can prevent diseases like cholera and hepatitis A, avoiding sex with others who are infected helps prevent the spread of HIV, while keeping a distance from people with influenza or measles is a sensible move to reduce the risk of infection.

    "The idea of contacting or consuming infectious substances such as saliva, feces or vomit, or of intimate contact with those known to be carrying infection is deeply uncomfortable to even contemplate," writes Dr Curtis.

    "Self-limitation of such behaviour is so automatic and intuitive that it is often ignored as the front-line in our defense against disease.

    Something as simple as handwashing with soap could save over a million lives a year globally, the paper says, just by stopping the transmission of disease.

    Disgust is often used to get this message across in public health campaigns.

    Stephen Fry, who has declared himself celibate in the past, is quoted in Dr Curtis's paper describing how disgust played a part in his decision to abstain from sex.

    "I would be greatly in the debt of the man who could tell me what would ever be appealing about those damp, dark, foul-smelling and revoltingly tufted areas of the body that constitute the main dishes in the banquet of love.

    "Once under the influence of drugs supplied by one's own body, there is no limit to the indignities, indecencies and bestialities to which the most usually rational and graceful of us will sink."

    Why disgust matters
    12.dec.11
    Philosophical Transactions of the Royal Society B, vol. 366, no. 1583, 3478-3490
    Valerie Curtis
    http://rstb.royalsocietypublishing.org/content/366/1583/3478
    Abstract
    The new synthesis about disgust is that it is a system that evolved to motivate infectious disease avoidance. There are vital practical and intellectual reasons why we need to understand disgust better. Practically, disgust can be harnessed to combat the behavioural causes of infectious and chronic disease such as diarrhoeal disease, pandemic flu and smoking. Disgust is also a source of much human suffering; it plays an underappreciated role in anxieties and phobias such as obsessive compulsive disorder, social phobia and post-traumatic stress syndromes; it is a hidden cost of many occupations such as caring for the sick and dealing with wastes, and self-directed disgust afflicts the lives of many, such as the obese and fistula patients. Disgust is used and abused in society, being both a force for social cohesion and a cause of prejudice and stigmatization of out-groups. This paper argues that a better understanding of disgust, using the new synthesis, offers practical lessons that can enhance human flourishing. Disgust also provides a model system for the study of emotion, one of the most important issues facing the brain and behavioural sciences today.

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  • Posted: June 30th, 2011 - 5:41pm by Doug Powell

    As the temperature climbed to 105F today in Manhattan (Kansas) I was once again thankful for City Park, down the street, with it’s groovy new splash and water park.

    Two-and-a-half-year-old Sorenne hasn’t had an accident – yet – but who knows if she will.

    It’s a tough balancing act for city types – public health versus cool relief.

    WLWT repots that children who are not toilet trained can again swim in public pools in Northern Kentucky, under revised guidelines issued by the Northern Kentucky Health Department on Thursday.

    The restriction, in place since June 3, has been part of an effort to stop the spread of shigella. More than 100 cases of shigella have been reported in Boone, Campbell, Grant and Kenton Counties since April. Typically, about 25 cases are reported for the entire year.

    "When faced with a shigella outbreak, a big concern is that the bacteria, and other similar illnesses, could infect a larger population through local swimming pools," said Dr. Lynne M. Saddler, District Director of Health, in a news release.

    "The restriction on diapers in pools was an effective strategy. In past shigella outbreaks, when restrictions were not in place, we saw a significant increase of shigella cases and other recreational water illnesses in June. This June, with restrictions in place, we have not seen as many cases of shigella, or other illnesses, including cryptosporidium."

    Other efforts to contain the Shigella outbreak will continue, focusing on child care centers and swimming pool facilities, officials said.

    And keep those chlorine levels up.
     

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  • Posted: June 15th, 2011 - 11:52am by Doug Powell

    Who lets a chicken eat scones on a dining table?

    Zoonotic dumbass Tori Spelling.

    On the latest episode of Watch What Happens Live, a short clip from a new show that celebrity wannabe Tori Spelling is either part of, or makes an appearance has reinforced the fact that people in general have a poor understanding of the risks involved with animals in the transmission of zoonotic diseases.

    Baby chicks and chickens have been linked to many salmonellosis outbreaks throughout the world. The most recent outbreak in the U.S., still ongoing, has already sickened 39 people in 15 states. Tori, cook the chicken or get it off the table.
     

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  • Posted: May 6th, 2011 - 9:04am by Doug Powell

    Run a petting zoo? A state fair? Farm visits? Then this is the most comprehensive summary of everything to be done so people don’t barf.

    It’s a tad more than signs that say, “Wash your hands.”

    The National Association of State Public Health Veterinarians, Inc. (NASPHV) along with the U.S. Centers for Disease Control and a bunch of other public and animal health groups have updated guidelines for interacting with animals. The summary is below. The complete report is available at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6004a1.htm?s_cid=rr6004a1_e&source=govdelivery.

    Our table of petting zoo outbreaks is available at http://bites.ksu.edu/petting-zoos-outbreaks.

    Certain venues encourage or permit the public to be in contact with animals, resulting in millions of human-animal interactions each year. These settings include county or state fairs, petting zoos, animal swap meets, pet stores, feed stores, zoologic institutions, circuses, carnivals, educational farms, livestock-birthing exhibits, educational exhibits at schools and child-care facilities, and wildlife photo opportunities. Although human-animal contact has many benefits, human health problems are associated with these settings, including infectious diseases, exposure to rabies, and injuries. Infectious disease outbreaks have been caused by Escherichia coli O157:H7, Salmonella species, Cryptosporidium species, Coxiella burnetii, Mycobacterium tuberculosis, ringworm, and other pathogens. Such outbreaks have substantial medical, public health, legal, and economic effects.

    This report provides recommendations for public health officials, veterinarians, animal venue staff members, animal exhibitors, visitors to animal venues, physicians, and others concerned with minimizing risks associated with animals in public settings. The recommendation to wash hands is the most important for reducing the risk for disease transmission associated with animals in public settings. Other important recommendations are that venues prohibit food in animal areas and include transition areas between animal areas and nonanimal areas, visitors receive information about disease risk and prevention procedures, and animals be properly cared for and managed. These updated 2011 guidelines provide new information on the risks associated with amphibians and with animals in day camp settings, as well as the protective role of zoonotic disease education.
     

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  • Posted: March 15th, 2011 - 7:09am by Doug Powell

    It was a scene straight out of Amy’s favorite movie, Napolean Dynamite, times 30.

    The Daily Mirror reports a herd of runaway were massacred in a field after being put down by vets – in front of horrified children.

    The 30 cattle were rounded up by police and residents after being spotted wandering in local gardens in the early hours.

    After public health and animal welfare experts inspected them, council officials ordered them to be shot dead.

    Police say they were killed on “welfare grounds” – but the exact reasons remained unknown last night. However, some villagers were furious they were slaughtered in broad daylight – in full view of playing kids, who fled in tears.

    And staff at a hospital overlooking the field shut curtains to stop patients seeing the cull in Chirk, near Wrexham, North Wales. One resident said: “Some of my friends who live on the estate near the field where the cows were shot were quite upset afterwards. Some have young child­ren who were out playing at the time and they found it very distressing.”

    A police spokesman said: “All the animals had to be humanely slaughtered that evening. There were discussions between the council, Welsh Assembly and the animal welfare agency and it was decided the animals would have to be put down on welfare grounds. .”

    The animals’ carcasses were taken away in two lorries the next morning to be incinerated.
     

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  • Posted: March 14th, 2011 - 12:19pm by Doug Powell

    Researchers have shown how the O157:H7 strain of Escherichia coli causes infection and thrives by manipulating the host immune response. The bacterium secretes a protein called NleH1 that directs the host immune enzyme IKK-beta to alter specific immune responses. This process not only helps the bacterium evade elimination by the immune system, it also works to prolong the survival of the infected host, enabling the bacterium to persist and ultimately spread to unaffected individuals. This finely balanced mechanism, observed in both laboratory and animal models, could be relevant to other pathogens involved in foodborne diseases.

    While most E. coli strains help check the growth of harmful bacteria in the guts of animals and humans, a few E. coli strains, such as O157:H7, can cause severe diarrhea, abdominal cramps and, in rare cases, death. Human cases of E. coli O157:H7 have been linked to consumption of raw, undercooked, or spoiled meat.

    Scientists at the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, plan to use the new information to further study how the host immune system mounts a response to E. coli O157:H7 when infection begins and how the bacterium selectively blocks these defenses. Several foodborne pathogens, including Shigella and Salmonella, use a similar secretion system to disrupt host immune responses and infect gut cells.

    F Wan, et al. IKK-beta phosphorylation regulates RPS3 nuclear translocation and NF-kappa B function during infection with Escherichia coli strain O157:H7. Nature Immunology. DOI 10.1038/ni.2007
     

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  • Posted: December 5th, 2010 - 2:13pm by Doug Powell

    British celebrities Katie Price, Victoria and David Beckham, and Rupert Grint (the Ginge in those terrible Harry Potter movies) have fallen for the charms of the micro-pig, which can sell for thousands of dollars.

    But the New Zealand Herald reports parents in Britain have been urged not to buy the miniature porcine pets for Christmas, with the Government set to warn this week that they risk spreading dangerous diseases.

    Ministers are so nervous about the craze, which has led to several owners being mis-sold regular piglets which grow into full-size sows, that guidance is to be rushed out next week specifically targeting prospective keepers of the pocket-sized creatures.

    The agency responsible for ensuring farm animals are healthy, disease-free and well looked after, will raise serious concerns about the hygiene threat posed by the animals.

    It will warn: "Before buying a pig, hobby keepers and owners of pet pigs or 'micro' pigs must make sure they are aware of, and understand their obligations, so they can keep their animals fit, healthy and legally compliant and help them to avoid unwittingly spreading disease."

    Sick pigs can pass on zoonotic diseases to humans, which can include the skin condition erysipeloid and the bacterium Streptococcus suis, which can lead to illness including meningitis and deafness in humans.

    Jim Paice, the British farming minister, said: "A pig is a farm animal, not a pet for Christmas. A micro-pig may sound like a popular gift idea - but beware the pig that grows too big. This year already I've heard some interesting stories about micro-pigs becoming bigger and outgrowing their homes. So if you'd like to see pigs this festive season, pop along to your local petting farm."

    Just not one of those E. coli petting farms.

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  • Posted: November 9th, 2010 - 5:13pm by Doug Powell

    The United States legally imported more than 1 billion live animals from 2005 through 2008. With increased trade and travel, zoonotic diseases (transmitted between animals and humans) and animal diseases can emerge anywhere and spread rapidly.

    That’s a lot of animals.

    The U.S. Government Accountability Office (GAO) concluded the statutory and regulatory framework for live animal imports has gaps that could allow the introduction of diseases into the United States. Specifically:

    (1) The Department of Health and Human Services' Centers for Disease Control and Prevention (CDC) has regulations to prevent the importation of live animals that may pose a previously identified disease risk to humans for some diseases, but gaps in its regulations may allow animals presenting other zoonotic disease risks to enter the United States. CDC has solicited comments in advance of a rulemaking to better prevent the importation of animals that pose zoonotic disease risks.

    (2) The Department of the Interior's Fish and Wildlife Service (FWS) has regulations to prevent imports of nonnative live animals that could become invasive.

    GAO recommends that the Secretaries of Agriculture, Health and Human Services, Homeland Security, and the Interior develop a strategy to address barriers to agency collaboration that may allow potentially risky imported animals into the United States and jointly determine data needs to effectively oversee imported animals.

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  • Posted: September 16th, 2010 - 11:09pm by Doug Powell

    When to go public about health warnings – like potential outbreaks of foodborne disease – remains contentious. And no one is willing to come clean about it and say – this is when we go public and why. Or at least write it down. Bureaucrat 101 – write it down, have to do it; so don’t write it down.

    I understand the flexibility public health types require to do their jobs effectively, but much of the public outrage surrounding various outbreaks – salmonella in tomatoes/jalapenos, 2008, listeria in Maple Leaf deli meats, 2008, the various leafy green recalls and outbreaks of 2010, and the delay in clamping down on Iowa eggs – can be traced to screw ups in going public.

    It’s long been a tenet of risk communication that it is better to default to early public information rather than later. People can handle all kinds of information, especially when they are informed in an honest and forthright manner. In new research that seems directly applicable to going public about foodborne illness outbreaks, two mathematical biologists at the Georgia Institute of Technology and Marshall University in Huntington, West Virginia reported today that at the first sign of a disease pandemic, public health officials should begin strongly communicating about the extent of the outbreak and the steps that can be taken by the public to avoid infection

    During outbreaks of serious infectious diseases, many individuals closely follow media reports and as a result, take precautions to protect themselves against the disease. These precautions may include staying home, getting vaccinated, avoiding crowds, using disinfectants, canceling travel plans and wearing face masks.

    Known as "self-isolation," these precautions can significantly reduce the severity of an outbreak, according to mathematical modeling done by "The more forcefully the media provides information about pandemic infections and deaths, the more the total number of infections is reduced," said Howard Weiss, a professor in the Georgia Tech School of Mathematics. "Media coverage also reduces the maximum number of infections at any particular time, which is important for allocating the resources needed for treating infectious diseases."

    The benefit of publicly reporting disease outbreaks seems obvious, and public health officials in the United States have a policy of regularly communicating with the news media about such incidents. But according to Weiss, not all world governments choose to communicate so well – and nobody had used rigorous mathematical techniques to study the impact of that communication before.

    In a paper about the model submitted to a biostatistics journal and posted on the Physics arXiv blog, Mummert and Weiss describe testing their model with a hypothetical outbreak of Ebola Hemorrhagic Fever in Huntington – a college community of about 50,000 residents.

    In their model, Mummert and Weiss did not look at such issues as the quality of news coverage, or what may happen if news reports turn out to be false or overstated. They also didn't study the effect of individuals occasionally leaving their isolation to purchase food or medicine, for instance.

    The paper cites the case of a false rumor spread across the Internet in 2003 about a restaurant worker in New York's Chinatown who had supposedly died of the SARS infection. That rumor led to a decrease in travel to that area.

    "In general, our advice to public health officials anywhere in the world is not to hold back," he added. "They should get out the news about infectious disease outbreaks loudly and quickly. It's clear that vigorous media reporting can have a substantial effect on reducing the impact of an outbreak."

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