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Eastern equine encephalitis virus poses emergent threat

Although eastern equine encephalitis (EEE), a mosquito-borne illness, has existed for centuries, 2019 has been a particularly deadly year for the disease in the United States. As of November 12, 36 confirmed cases of EEE had been reported by eight states; 13 of these cases were fatal. In a new commentary in The New England Journal of Medicine, officials from the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, describe the eastern equine encephalitis virus (EEEV) that causes EEE, current research efforts to address EEE, and the need for a national strategy to address the growing threat of EEEV and other emerging and re-emerging viruses spread by mosquitoes and ticks (known as arboviruses).

There were 12 documented U.S.-based EEE epidemics between 1831 and 1959. The virus is spread between Culiseta melanura mosquitoes and various tree-perching birds found in forested wetlands. Occasionally, other mosquito species transmit the virus to people and other mammals. In people, EEEV takes roughly 3 to 10 days to cause symptoms. The virus initially causes fever, malaise, intense headache, muscle aches, nausea and vomiting; specific diagnostic testing may not reveal anything as EEEV is difficult to isolate from clinical samples, and testing for EEEV antibodies may be negative. Neurologic signs of EEE, which may appear within 5 days of infection, initially are nonspecific but rapidly progress. Most people (96%) infected with EEEV do not develop symptoms; however, of those who do, one-third or more die, and the others frequently suffer permanent and severe neurologic damage.

Although point-of-care diagnostics for EEE and many other mosquito-borne causes of encephalitis are not available, currently they would be of limited value in the absence of effective treatment, the authors write. So far, no antiviral drug has proven safe and effective against EEE, but many compounds are being assessed. Monoclonal antibodies have been found effective in an experimental animal model but only when given prior to infection. Patients with EEE are currently treated with supportive care, which often includes intensive care in a hospital and ventilator assistance. Patients with EEE are not infectious, and social support and counseling for both the patient and the family are vitally important given the seriousness of the disease, the authors write.

Several EEE vaccine candidates are in development but may have trouble reaching advanced development and licensure, according to the authors. EEE outbreaks are rare, brief and focal, and occur sporadically in unpredictable locations, making it difficult to identify an appropriate target population for vaccination. Efforts to develop mosquito-saliva vaccines that would be effective against multiple mosquito diseases, including EEE, are in early stages.

In the absence of effective EEE vaccines and treatments, state and local health departments can provide an early warning of imminent human infections by surveilling horses, birds and mosquitoes, but these efforts are threatened by insufficient funding, according to the authors. In recent years, the Americas have seen a growing number of emerging and re-emerging arboviruses, such as dengue, West Nile, chikungunya, Zika and Powassan. Although outbreaks of EEE disease thus far have been infrequent and focal, the spike in cases in 2019 and the looming presence of other, potentially deadly arboviruses in the United States and globally demand a national defense strategy for arboviruses and other vector-borne diseases, the authors write. Although the best way to address these viruses is not entirely clear, to “ignore them completely and do nothing would be irresponsible,” say the authors.

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First evidence of bio-essential sugars in meteorites

Researchers from Tohoku University, Hokkaido University, JAMSTEC, and NASA Goddard Space Flight Center investigated meteorites and found ribose and other sugars. These sugars possessed distinct carbon-isotope compositions, differing from terrestrial biological sugars, indicating their extraterrestrial origin. The results suggest that the sugars formed in the early solar system and made their way to earth via meteorites.

The team analyzed three meteorites with their original protocol and found sugars in two meteorites. “Analysis of sugars in meteorites is so difficult. Over the past several years, we have investigated the techniques of sugar analysis in such samples and constructed our original method” says lead author, Yoshihiro Furukawa of Tohoku University.

Amino acids and nucleobases, other vitally important compounds in the building block of life, have been found in meteorites previously. Scientists have known of the existence of sugars in meteorites. However, research to date has largely revealed sugar-related compounds (sugar acids and sugar alcohols) and the simplest sugar (dihydroxy acetone), compounds not considered essential for life.

Formation of bio-essential sugars, including ribose, on the prebiotic Earth, is considered to have been possible. However, there is no geological evidence of their formation. Furthermore, it is not clear which and how much sugar(s) formed on the prebiotic Earth.

With the current research evidencing the delivery of bio-essential sugars, it is plausible that extraterrestrial sugar contributed to the formation of primordial RNA on the prebiotic Earth. This, in turn, has the possibility of being a factor in the origin of life.

“The next step is to investigate the chirality of the sugars in more meteorites and to investigate how much sugars were provided from space and how the extraterrestrial sugar influenced life’s homochirality” says the team. NASA Jonson Space Center has provided the team other meteorites and the team will analyze them to see which meteorites contain the sugars and how theses sugars formed.

Story Source:

Materials provided by Tohoku University. Note: Content may be edited for style and length.

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Health24.com | What’s the difference between low carb and Keto?

21 November 2019

What’s the difference between low carb and Keto?

Keto and low-carb diets are often confused as the same thing. However, while the differences aren’t many, they are significant.

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Keto and low-carb diets are often confused as the same thing – they both have you consuming little-to-no carbs. So, what are the defining differences between low carb and keto diets?

Image credit: iStock

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Shrewsbury and Telford NHS maternity death review families unaware

Shrewsbury and Telford Hospital Trust has been told by the NHS to contact affected families.

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How to fight illegal cocoa farms in Ivory Coast

The world’s love for chocolate has helped decimate protected forests in western Africa as some residents have turned protected areas into illegal cocoa farms and hunting grounds.

But an international group of researchers has found that simply patrolling the grounds of two forest reserves in Ivory Coast has helped reduce illegal activity by well more than half between 2012 and 2016.

The researchers themselves were among those who conducted the foot patrols, said W. Scott McGraw, professor of anthropology at The Ohio State University and co-author of a recent paper in Tropical Conservation Science documenting their success.

McGraw said that on patrols he participated in, farmers tending illegal cocoa crops were often surprised that anyone approached them and told them to stop their activities.

“They just weren’t used to encountering anyone who put up any kind of resistance. We told them they weren’t allowed to be growing cocoa there and they would respond that ‘no one has ever told us we couldn’t,'” he said.

“It was just so blatant.”

McGraw conducted the study with Sery Gonedelé Bi, Eloi Anderson Bitty and Alphonse Yao of the University Félix Houphouët Boigny in Ivory Coast.

Forest loss is a major problem in Ivory Coast. Between 2000 and 2015, the country lost about 17 percent of its forest cover, driven by an annual deforestation rate — 2.69 percent — that was among the highest in the world, according to Global Forest Watch.

Much of that forest was cleared for cocoa farms to meet the growing demand for chocolate worldwide. The destruction of the forests — as well as the illegal poaching found in this study — threaten several critically endangered primates that live in these reserves, McGraw said. A previous study by McGraw and his colleagues documented the threat to primates.

The researchers conducted this study in the Dassioko Sud and Port Gauthier forest reserves along the Atlantic coast.

Regular patrols were carried out three to four times a month in both reserves between July 2012 and June 2016. Each team usually consisted of six to eight people, including the researchers, law enforcement officials (occasionally) and community members recruited from neighboring towns and paid with funds from several conservation organizations.

The patrol teams would normally go out for seven hours at a time, taking random routes so as to not be predictable. They noted the time and direction of all gun shots, collected discarded gun cartridges, and counted and dismantled all snares used to capture monkeys and other game.

They recorded the size and location of all logging and farming operations and destroyed all plantation crops, most of which were new cocoa seedlings.

When the patrols included law enforcement personnel, they would arrest poachers, as well as loggers and illegal farmers.

McGraw said he was never on one of the rare patrols that encountered a poacher with a gun, although his co-authors were.

“I was told those were the most tense situations. That is not a standoff that I would want to be a part of,” he said.

Altogether, during the four years of the study, the patrol teams apprehended six poachers, heard 302 gunshots, deactivated 1,048 snares and destroyed 515 hectares of cocoa farms.

But the good news is that the number of these illegal activities dropped dramatically over the years they patrolled. For example, the researchers documented about 140 signs of illegal activity (such as shotgun shells, snares or cocoa plantings) at Port Gauthier Forest Reserve in August 2012. In June 2016, there were fewer than 20. Similar reductions in illegal activities were recorded in Dassioko Sud Forest Reserve.

The patrol activities weren’t responsible for all the decline, McGraw said. For example, a portion of the poaching decline could have been related to the 2014 Ebola outbreak, which reduced demand for bushmeat.

But much of the decline in illegal activities in the reserves occurred before 2014, he noted.

Regular patrols in the two reserves have not continued since 2016, McGraw said. Surveys since then suggest that the gains made by the patrols are holding and illegal activities have not returned to their previous highs.

“That said, I think it is important that there is a renewed effort to patrol these reserves. We need something sustained,” he said.

“We need Ivorian officials to take a stronger stand against illegal activities in the country’s protected areas.”

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Health24.com | Can cinnamon help you lose weight?

21 November 2019

Can cinnamon help you lose weight?

Can this aromatic spice help you lose weight?

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A new study, published in the journal Metabolism: Clinical and Experimental, revealed that the aromatic spice, cinnamon, can aid weight loss.

Image credit: Luísa Schetinger, Unsplash

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A&E units continue to struggle on waiting times

In October, Welsh A&Es met the “four-hour wait” target for 75.3% of patients – the target is 95%.

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Health24.com | Can more exercise improve thinking skills in cancer survivors?

Boosting exercise capacity may protect the mental functioning of childhood leukaemia survivors, according to a new study.

Acute lymphoblastic leukaemia (ALL) is the most common childhood cancer. Due to their disease and treatment, childhood ALL survivors are at increased risk for problems with thinking and memory, as well as reduced exercise capacity, researchers said.

A significant impact

“Our research suggests that a minor improvement in exercise tolerance, such as going from sitting on the couch and watching TV to walking around the block for 30 minutes a day, can have a significant impact on survivors’ intellectual health,” said study co-leader Dr Nicholas Phillips, from St. Jude Children’s Research Hospital in Memphis, Tennessee.

The study included 341 adults who survived childhood ALL and a control group of 288 healthy adults.

The researchers assessed how much physical activity participants could tolerate and how it related to their ability to think, learn, memorise, read and do maths.

Compared to the control group, the cancer survivors had poorer heart fitness and worse performance on tests of attention, memory and academic skills, the study found.

Clinical trial needed

But after accounting for age, sex, radiation and chemotherapy treatments, smoking and physical activity levels, researchers found that a boost in exercise capacity was associated with better performance on the mental skills tests among the cancer survivors.

The findings were published in the journal Cancer.

Study co-leader Kirsten Ness, also from St. Jude, made a similar point.

“We know that memory and thinking skills decline as we age,” she said in a journal news release. “Any improvement in exercise tolerance, even in adulthood, may have an impact on a survivor’s ability to think, learn, and memorise.”

The researchers said a clinical trial is needed to determine whether programmes to improve ALL survivors’ exercise capacity might benefit their cognitive function.

Image credit: iStock

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‘Flu nearly killed me last winter’

Adam Blackman says he “learned the hard way” why it is so important to be vaccinated against flu.

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Avoid swimmers’ itch: Watch where you swim

Swimmer’s itch is an itchy rash caused by certain parasites that normally live on waterfowl and freshwater snails. To reduce your risk of swimmer’s itch, avoid swimming in shallow areas of freshwater lakes or in areas where swimmer’s itch is a known problem. Although uncomfortable, swimmer’s itch typically clears up on its own within a few days.

Nov. 21, 2019 See more In-depth

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