New analysis predicts top U.S. counties at risk for measles outbreaks

A team of researchers has identified 25 U.S. counties that are most likely to experience measles outbreaks in 2019. Their analysis is based on international air travel volume, non-medical exemptions from childhood vaccinations, population data, and reported measles outbreak information.

The predictions were published today in The Lancet Infectious Diseases.

“There has been a resurgence of measles cases, among other vaccine preventable diseases, in the U.S. and other countries in recent years. Measles, in particular, poses a serious public health threat due to the highly contagious nature of the disease. It is therefore critical that we proactively identify areas most likely to experience outbreaks to strategically target for surveillance and control,” says Lauren Gardner, an associate professor in the Johns Hopkins Department of Civil Engineering and one of the study’s corresponding authors.

Cook County, Illinois, tops the list, followed by Los Angeles County, California, Miami-Dade County, Florida, Queens, New York, and King County, Washington. The researchers have made available an interactive web tool that maps counties and codes them by risk:

http://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/33c650a3740f478e99e308da9e5908ec

As of late April, the U.S. has seen more than 700 cases of measles this year, the highest number in decades. Although measles was officially eliminated from the U.S. in 2000, the ongoing outbreak shows that the nation remains at risk.

The recent spike in cases, the researchers say, is due to reintroduction by international travelers from countries experiencing measles outbreaks, compounded by low-vaccination rates in certain localities that are fueled in part by an increasingly visible anti-vaccination movement.

“Anti-vaxxers are denying the best and very successful medical science we have and choosing instead to rely on fraudulent claims, such as a purported link to autism, that have been uniformly debunked by evidence and analysis over the last two decades,” says Sahotra Sarkar, professor of philosophy and integrative biology at the University of Texas at Austin and the study’s other corresponding author.

To identify the top 25 U.S. counties most likely to experience outbreaks in 2019, the research team performed a risk analysis that took the following county data into account: non-medical exemption rates, anonymous full-route passenger travel data from all international airports, population and size, and location of measles outbreaks globally.

The analysis correctly identified regions in Washington, Oregon, and New York that have already seen major measles outbreaks this year. Furthermore, the vast majority of counties that have reported measles cases as of April 2019 are included in team’s top 25 at-risk counties or lie adjacent to one of the top 25 counties. Additionally, the analysis specified the following countries that contribute most to measles risk in the U.S.: India, China, Mexico, Japan, Ukraine, Philippines, and Thailand.

“Our prediction is aligned with multiple counties that have experienced measles outbreaks this year. Critically, we recommend that public health officials and policymakers prioritize monitoring the counties we identify to be at high risk that have not yet reported cases, especially those that lie adjacent to counties with ongoing outbreaks and those that house large international airports,” says Gardner.

Sarkar adds that policymakers must focus on centers of vaccination resistance, as well as regions with a lot of passenger inflow from affected countries worldwide if there are even small local pockets of unvaccinated people. “The New York borough of Brooklyn is a perfect example with a large number of unvaccinated members of an orthodox Jewish community even though the overall county vaccination rate is not low.”

Other authors on this study include Aleksa Zlojutro of the University of New South Wales Sydney and Kamran Khan of St. Michaels Hospital in Toronto.

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Gravitational waves leave a detectable mark, physicists say

Gravitational waves, first detected in 2016, offer a new window on the universe, with the potential to tell us about everything from the time following the Big Bang to more recent events in galaxy centers.

And while the billion-dollar Laser Interferometer Gravitational-Wave Observatory (LIGO) detector watches 24/7 for gravitational waves to pass through the Earth, new research shows those waves leave behind plenty of “memories” that could help detect them even after they’ve passed.

“That gravitational waves can leave permanent changes to a detector after the gravitational waves have passed is one of the rather unusual predictions of general relativity,” said doctoral candidate Alexander Grant, lead author of “Persistent Gravitational Wave Observables: General Framework,” published April 26 in Physical Review D.

Physicists have long known that gravitational waves leave a memory on the particles along their path, and have identified five such memories. Researchers have now found three more aftereffects of the passing of a gravitational wave, “persistent gravitational wave observables” that could someday help identify waves passing through the universe.

Each new observable, Grant said, provides different ways of confirming the theory of general relativity and offers insight into the intrinsic properties of gravitational waves.

Those properties, the researchers said, could help extract information from the Cosmic Microwave Background — the radiation left over from the Big Bang.

“We didn’t anticipate the richness and diversity of what could be observed,” said Éanna Flanagan, the Edward L. Nichols Professor and chair of physics and professor of astronomy.

“What was surprising for me about this research is how different ideas were sometimes unexpectedly related,” said Grant. “We considered a large variety of different observables, and found that often to know about one, you needed to have an understanding of the other.”

The researchers identified three observables that show the effects of gravitational waves in a flat region in spacetime that experiences a burst of gravitational waves, after which it returns again to being a flat region. The first observable, “curve deviation,” is how much two accelerating observers separate from one another, compared to how observers with the same accelerations would separate from one another in a flat space undisturbed by a gravitational wave.

The second observable, “holonomy,” is obtained by transporting information about the linear and angular momentum of a particle along two different curves through the gravitational waves, and comparing the two different results.

The third looks at how gravitational waves affect the relative displacement of two particles when one of the particles has an intrinsic spin.

Each of these observables is defined by the researchers in a way that could be measured by a detector. The detection procedures for curve deviation and the spinning particles are “relatively straightforward to perform,” wrote the researchers, requiring only “a means of measuring separation and for the observers to keep track of their respective accelerations.”

Detecting the holonomy observable would be more difficult, they wrote, “requiring two observers to measure the local curvature of spacetime (potentially by carrying around small gravitational wave detectors themselves).” Given the size needed for LIGO to detect even one gravitational wave, the ability to detect holonomy observables is beyond the reach of current science, researchers say.

“But we’ve seen a lot of exciting things already with gravitational waves, and we will see a lot more. There are even plans to put a gravitational wave detector in space that would be sensitive to different sources than LIGO,” Flanagan said.

Also contributing were Abraham Harte, Dublin City University, Ireland; and David Nichols, University of Amsterdam, The Netherlands.

This work was supported by the National Science Foundation and the Netherlands Organization for Scientific Research.

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Precise temperature measurements with invisible light

Ordinarily, you won’t encounter a radiation thermometer until somebody puts one in your ear at the doctor’s office or you point one at your forehead when you’re feeling feverish. But more sophisticated and highly calibrated research-grade “non-contact” thermometers — which measure the infrared (heat) radiation given off by objects without touching them — are critically important to many endeavors besides health care.

However, even high-end conventional radiation thermometers have produced readings with worryingly large uncertainties. But now researchers at the National Institute of Standards and Technology (NIST) have invented a portable, remarkably stable standards-quality radiation thermometer about 60 centimeters (24 inches) long that is capable of measuring temperatures to a precision of within a few thousandths of a degree Celsius.

NIST has a long history of studying radiation thermometers. The new prototype instrument, which builds on that work, can measure temperatures between -50 C (-58 F) to 150 C (302 F). The corresponding infrared wavelengths are from 8 to 14 micrometers (millionths of a meter), which is a sort of thermodynamic sweet spot.

“All temperatures are equal, but some are more equal than others,” said NIST physicist Howard Yoon, who created the thermometer design and directed the project, described in the journal Optics Express. “That 200-degree span covers nearly all naturally occurring temperatures on Earth. If you make a big impact in measuring objects in that range, it really matters.”

In addition to clinical medicine, temperatures in that region are of urgent importance in applications where contact is not appropriate or feasible. For example, surgeons need to measure the temperature of organs prior to transplant. Modern farmers need accurate temperatures when handling, storing and processing food. Satellites require non-contact thermometers for measuring temperatures on land and the surface of the sea.

Conventional radiation thermometers often contain little more than a lens for focusing the infrared radiation and a pyroelectric sensor, a device that converts heat energy into an electrical signal. Their measurements can be affected by temperature differences along the thermometer and by temperature outside the instrument.

The NIST design, called the Ambient-Radiation Thermometer (ART), is fitted with a suite of interior thermometers that constantly gauge temperatures at different points in the instrument. Those readings are sent to a feedback loop system which keeps the 30-cm (12-inch) cylinder containing the detector assembly at a constant temperature of 23 C (72 F).

It also features other design improvements, including a method for reducing errors from what is called the size-of-source effect, which results when radiation enters the instrument from areas outside its specified field of view.

The ART’s major advantage is its unprecedented stability. After it has been calibrated against standards-grade contact thermometers, the instrument can remain stable to within a few thousandths of a degree for months under continuous operation. That makes the system very promising for applications that involve remote sensing over long periods.

“Imagine being able to take the NIST design out in the field as traveling radiation thermometers for accurately measuring variables such as land- and sea-surface temperatures,” Yoon said. “It could serve as a trustworthy method of calibrating satellite IR sensors and validating the huge weather science programs that are used to predict, for example, the paths and strengths of hurricanes.” Its lower range of -50 C (-58 F) makes it suitable for monitoring the temperature of ice over polar regions, typically in the range of -40 C (-40 F) to -10 C (14 F).

There are several methods of making very high-accuracy temperature measurements, but few are well-suited to field work. Platinum resistance thermometers are fragile and need frequent recalibration. The standard temperature source for transferring that calibration to the ART involves a heat-source cavity inside about 42 liters (11 gallons) of liquid.

“Those are the best sources we have,” Yoon said. “But it is impractical to measure water temperature by putting a thermometer in the ocean at intervals, and you don’t want to constantly calibrate your radiation thermometer using a calibration source like that on board a ship.”

Gerald Fraser, chief of NIST’s Sensor Science Division, said that “Yoon’s innovation makes non-contact thermometry competitive with the best commercial contact thermometers in accuracy and stability in a temperature range that humans experience daily. This enables many new opportunities in product inspection and quality control and in defense and security where conventional contact methods are impractical or too expensive.”

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Health24.com | “I went from underweight and malnourished to healthy and strong”

Two years ago internal auditor, Adelaide Nyoni was underweight, malnourished and self-conscious. Tired of the way her body was making her feel, Adelaide, embarked on a weight gaining journey to help her find her body confidence and health. Here’s how she did it.

Adelaide Nyoni

City: Pretoria

Age: 25

Occupation: Internal Auditor

Weight before: 49kg

Weight after: 58kg goal

Time required to reach current weight: 2 years

Secret weapon to your fitness journey: Consistency

READ MORE: Lesley-Ann Brandt Looks Amazing Naked! We Got Her Hot-Body Tips

The Beginning

“I was very depressed and underweight during my Honours year in 2016. Not only were the books weighing me down, but I also had low self-esteem,” says Adelaide. She goes on to say that although she was thin, she was eating whatever she wanted but she wasn’t gaining weight. And while her unhealthy eating habits weren’t helping her gain weight, they were having an effect on her health. Her change came when she started going to the gym and sought the advice of a biokineticist to help her along. “After this, I started my healthy weight-gain journey which demanded a lot of commitment and consistency, ” she says.

Good Nutrition Is Key

Good nutrition is vital to any weight transformation, so Adelaide started meal prepping and counting calories to help her achieve her goals. “Eating healthy does not have to be boring, so following a meal plan helps me keep track of my calories and see where I need to add variety,” she says. She goes on to say that this has been the key to fueling her muscle gains.

Adelaide adds that timing is also important when building muscle, so, she drinks a protein shake after her gym sessions to help her muscles recover. And while exercising can help you build abs, Adelaide says they are made in the kitchen too, “I maintain my abs by not drinking sodas, alcohol and replacing unhealthy snacks with protein bars, fruits and water,” she explains.

READ MORE: “I Started Weight Training And It Totally Changed My Body”

Exercising For The Body You Want

Adelaide says that she used to focus on cardio but has since switched her focus to strength training and body conditioning. “To build muscle, I follow the progressive overload approach which entails increasing the weight I lift and squat weekly”. She trains five days a week with each day focusing on different muscle groups. “On Sundays, I do legs for 2 hours when the gym is empty and I have all the space I need. Mondays I rest. Tuesdays are for abs and a few sprints on the treadmill. Wednesdays, I focus on glute related exercises. On Thursdays, I train my back and arms. On Fridays, I do a full body workout which targets all muscle groups. Saturday is usually my rest and cheat day,” she explains.

Adelaide says that she stays motivated by surrounding herself with fitness and wellness enthusiasts, “seeing results was also a great motivator for me to keep pushing”. And while she finds motivation in others, she maintains that your journey is about you. “I’ve learnt the importance of not comparing myself with others as we all have different body types that require different exercise regimens”.

Adelaide’s Top 5 Tips

  • Define your goal and write it down.
  • Do thorough research and formulate strategies to help you reach your goal.
  • Follow an exercise and nutrition plan that works. If it does not work, seek advice from professionals and amend it accordingly.
  • Be patient. Growing those glutes or revealing abs covered in fat is not going to happen overnight, so don’t be too hard on yourself.
  • Always follow the correct form when doing any exercise. Not only will this prevent injuries, but it will also get you results faster.

This article was first published on womenshealthsa.co.za

Image credit: iStock

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Health24.com | Tiny self-guided robot navigates through the heart

Many older Americans may remember “Fantastic Voyage” – the 1966 film where scientists and the vessel they were in shrank to microscopic size and travelled through the human body.

Now, science fiction may be getting closer to reality. Researchers say they’ve created a tiny medical robot that’s able to navigate on its own in and around a beating heart.

Remote control

The programmed robotic catheter was able to independently find its way to leaky heart valves in live pigs, according to bioengineers at Boston Children’s Hospital. Once it was in place, a surgeon took over and used remote control to guide the device to insert a plug that sealed the defective valve.

Surgeons have used joystick-guided robots for years, and researchers have shown that tiny robots can be guided by doctors through the body by external forces such as magnetism, the study authors noted in a hospital news release.

But using a robot that could make its own way through the anatomy could reduce surgeons’ fatigue and let them focus on more difficult tasks, explained study senior investigator Pierre Dupont. He’s chief of paediatric cardiac bioengineering at Boston Children’s.

“The right way to think about this is through the analogy of a fighter pilot and a fighter plane,” he said in the news release. “The fighter plane takes on the routine tasks like flying the plane, so the pilot can focus on the higher-level tasks of the mission.”

Heart surgeon Dr Syed Hussain called the technology the “next generation of minimally invasive and robotic interventions”. He practices thoracic surgery at Northwell Health’s Southside Hospital in Bay Shore, New York.

Catheter with artificial intelligence

“Although these capabilities are in their infancy at this moment, they clearly demonstrate the exciting capability of autonomous robotic technology to perform critical procedural components and more in the near future,” said Hussain, who wasn’t involved in the new research.

As Dupont’s group explained, the new robotic catheter has a touch sensor equipped with artificial intelligence and image processing algorithms. This allows it to quickly determine where it is in the heart and where it needs to go.

The catheter navigates its way to leaky heart valves using a technique called “wall following”, in which the optical touch sensor regularly checks its surroundings, much like how insects use their antennae or rodents use their whiskers to find their way in dark, unfamiliar environments.

“The algorithms help the catheter figure out what type of tissue it’s touching, where it is in the heart, and how it should choose its next motion to get where we want it to go,” Dupont said.

The catheter reached the heart valve leaks in nearly the same time it would take a surgeon using either a hand tool or a joystick-controlled robot, Dupont’s group said.

The report was published in the journal Science Robotics.

Minimally invasive surgery

Dr Chad Kliger directs the structural heart disease program at Lenox Hill Hospital in New York City. He wasn’t involved in the new research, but said its ultimate aim is to make heart surgery as minimally invasive as possible.

“Minimally invasive heart surgery now affords us the opportunity to fix the heart, all while reducing trauma to the patient, and improving pain and recovery time,” he explained. But procedures such as heart valve repair are hugely complex, so anything that helps ease the surgeon’s burden is welcome.

Technologies such as the tiny autonomous robot should someday “allow the most experienced physicians to operate at the highest level at all times,” Kliger said.

“It would provide surgeons total relief from performing challenging, but routine tasks,” he said, “and allow them to focus on critical components of planning and implanting cardiac devices.”

The research was funded by the US National Institutes of Health.

Image credit: iStock

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Eurovision 2019: Kate Miller-Heidke sings on depression ‘breakthrough’

Kate Miller-Heidke, Australia’s fifth Eurovision competitor, will be singing about an unlikely subject.

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Health24.com | WATCH: You may have tonsil stones and not even know it

Tonsil stones (Tonsilloliths) are most common in people who have chronic tonsil infections, is a hardened buildup of debris in the pockets of the tonsils. Tonsil stones are not usually harmful. People who have them are often not aware of them.

Image credit: iStock

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Hormone ‘can reduce chances of miscarriage’

Giving progesterone could to some women with early bleeding could save babies’ lives, research suggests.

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We both now have hope – MS sisters

NHS backing of a new treatment for the disease means Zoe Bowman may get help just as her sister has.

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Frozen eggs ‘are fastest fertility trend’

The procedure is becoming more successful, the UK’s fertility regulator says.

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