
'Flu-like' symptoms could be infection that affects all ages
A doctor shared the early symptoms of shingles to be aware of, before the tell-tale rash appears.
A doctor has shared the 'flu-like' symptoms that could actually be a sign of something more serious. Dr John Burke, Chief Medical Officer at AXA Health insurance, has revealed the early symptoms of shingles to be aware of, before the tell-tale rash appears.
Characterised by a red skin rash that causes pain and burning, shingles is a viral infection caused by the Varicella Zoster Virus. The virus, which also causes chickenpox, can lie dormant in the body after you recover from chickenpox. In some cases, the virus can reactivate, causing shingles to develop.
Dr Burke revealed the main symptoms of shingles to be aware of, other than the red rash that forms on the skin, after a few days of being unwell. The doctor said: 'Often presenting flu-like symptoms in its early stages, shingles can often be mistaken for other viral infections, such as the common cold, before the skin rash forms.
" Being able to identify symptoms other than the red skin rash, that usually forms after a few days of being unwell, can help reduce the severity and duration of the illness, as you can seek antiviral medications and pain management sooner. The red skin rash often develops on one side of the body and advances into fluid-filled blisters, which can be itchy and burst.
"It's important to stay at home to avoid spreading the virus during this stage, in addition to avoiding scratching and using topical creams to ease the pain. You are no longer contagious once the blisters dry out and scab over.'
Seven early symptoms of shingles
Headache
Fever
Nerve pain
Muscle aches
Stomach pain
Vomiting
Burning, tingling, or throbbing sensations on the skin
Dr Burke also shared a list of factors that could 'trigger' the virus. He said: 'While the reactivation of the Varicella Zoster Virus can occur unpredictably, there are certain factors that can trigger the virus reactivating, such as a weakened immune system, increased stress levels and age.'
These factors include a weakened immune system, increased stress levels and age. The doctor added that anyone with an autoimmune disease or going through chemotherapy could be "more susceptible" to reactivating the virus.
He said: "Chronic stress is known to impact overall immune health. High cortisol levels, associated with prolonged stress, can impair the immune system's ability to suppress dormant infections, which can increase the chances of the virus reactivating.
'Shingles can affect anybody who has previously had chickenpox, but as we age our immune response naturally weakens, increasing the risk of the virus reactivating.'
The doctor added that there are a number of myths or misconceptions around shingles that are incorrect. Specifically, he discussed whether shingles is contagious and if it affects people of all ages.
He said: "The misconception that shingles affects only the older generations is incorrect. Shingles can affect anybody, at any age, who has previously had chickenpox (Varicella Zoster Virus). This virus lies dormant in the body and can activate, causing shingles to develop. Whilst children can get shingles, it's more common in people 50 years and above.'
He added: "If you have shingles, it's best to stay home until your rash has scabbed over, especially around people with weakened immune systems, or those who haven't had chickenpox."

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Daily Mirror
3 days ago
- Daily Mirror
'Flu-like' symptoms could be infection that affects all ages
A doctor shared the early symptoms of shingles to be aware of, before the tell-tale rash appears. A doctor has shared the 'flu-like' symptoms that could actually be a sign of something more serious. Dr John Burke, Chief Medical Officer at AXA Health insurance, has revealed the early symptoms of shingles to be aware of, before the tell-tale rash appears. Characterised by a red skin rash that causes pain and burning, shingles is a viral infection caused by the Varicella Zoster Virus. The virus, which also causes chickenpox, can lie dormant in the body after you recover from chickenpox. In some cases, the virus can reactivate, causing shingles to develop. Dr Burke revealed the main symptoms of shingles to be aware of, other than the red rash that forms on the skin, after a few days of being unwell. The doctor said: 'Often presenting flu-like symptoms in its early stages, shingles can often be mistaken for other viral infections, such as the common cold, before the skin rash forms. " Being able to identify symptoms other than the red skin rash, that usually forms after a few days of being unwell, can help reduce the severity and duration of the illness, as you can seek antiviral medications and pain management sooner. The red skin rash often develops on one side of the body and advances into fluid-filled blisters, which can be itchy and burst. "It's important to stay at home to avoid spreading the virus during this stage, in addition to avoiding scratching and using topical creams to ease the pain. You are no longer contagious once the blisters dry out and scab over.' Seven early symptoms of shingles Headache Fever Nerve pain Muscle aches Stomach pain Vomiting Burning, tingling, or throbbing sensations on the skin Dr Burke also shared a list of factors that could 'trigger' the virus. He said: 'While the reactivation of the Varicella Zoster Virus can occur unpredictably, there are certain factors that can trigger the virus reactivating, such as a weakened immune system, increased stress levels and age.' These factors include a weakened immune system, increased stress levels and age. The doctor added that anyone with an autoimmune disease or going through chemotherapy could be "more susceptible" to reactivating the virus. He said: "Chronic stress is known to impact overall immune health. High cortisol levels, associated with prolonged stress, can impair the immune system's ability to suppress dormant infections, which can increase the chances of the virus reactivating. 'Shingles can affect anybody who has previously had chickenpox, but as we age our immune response naturally weakens, increasing the risk of the virus reactivating.' The doctor added that there are a number of myths or misconceptions around shingles that are incorrect. Specifically, he discussed whether shingles is contagious and if it affects people of all ages. He said: "The misconception that shingles affects only the older generations is incorrect. Shingles can affect anybody, at any age, who has previously had chickenpox (Varicella Zoster Virus). This virus lies dormant in the body and can activate, causing shingles to develop. Whilst children can get shingles, it's more common in people 50 years and above.' He added: "If you have shingles, it's best to stay home until your rash has scabbed over, especially around people with weakened immune systems, or those who haven't had chickenpox."


NBC News
01-05-2025
- NBC News
Trump shuts down program to end human waste backing into Alabama homes, calling it ‘illegal DEI'
For the last 14 years, when it rains in Lowndes County, Alabama, contaminated standing water builds up around Annye Burke's home. When the septic tank breaks down, raw sewage backs up into her toilet, she said. Although 'frustrated' by the unhealthy and inconvenient conditions, Burke said she doesn't let it get her down. Human wastewater contaminating homes and yards in these rural parts of central Alabama 'has become a way of life,' she said. The problem has existed so long and was so pervasive that a 2017 study determined 1 in every 3 adults in the county had the intestinal parasite hookworm. The Biden administration investigated and allocated nearly $26 million to rebuild Lowndes County's water infrastructure, with the Department of Justice declaring the majority-Black area was suffering from 'environmental racism.' But earlier this month, President Donald Trump issued an executive order to kill the deal, calling it 'illegal DEI.' The DOJ's Harmeet K. Dhillon, the assistant attorney general for civil rights under Trump, said the agency 'will no longer push 'environmental justice' as viewed through a distorting, DEI lens,' referring to diversity, equity and inclusion programs. A 2023 investigation sparked by environmental activist Catherine Coleman Flowers and conducted by the DOJ found that low-income residents of the county, most of whom are Black, have lacked basic sanitation services for generations. Given the area's especially hard, impermeable soil and the high cost of installing private wastewater systems, many residents have resorted to straight piping to deal with human wastewater. This method involves guiding human wastewater away from the home into a series of ditches and crude piping systems, according to the DOJ report. That water collects in nearby yards, open areas and woods. In more recent years, heavier rainfall related to climate change has meant that contaminated water floods into the home, spills across open areas, and contaminates local vegetation and water, exposing residents to illness. And so, Burke and more than 300 other families in Lowndes County — located about 40 miles southwest of Montgomery — are forced to live with a failing water infrastructure that has led to serious health concerns, including hookworm, which at one point had been thought to be eradicated from the United States, according to a 2021 study by the Baylor College of Medicine and the Alabama Center for Rural Enterprise. Hookworms are mainly contracted by walking barefoot on soil contaminated with infected feces. It can cause abdominal pain, skin rashes, diarrhea, fever and other ailments. 'We have to be extra sanitary because people getting sick can be a problem,' Burke, 58, said. 'The health concerns are real. In 2025 we shouldn't have to deal with this, but it is what it is.' She said she uses various disinfectants multiple times a day to clean her home and protect her family, which includes her children and grandchildren who come to visit. This environmental quagmire has persisted for more than 20 years in this rural part of the state, where 72.4% of the population is Black and the median household income is $35,160, according to the latest census; one-third of residents live below the poverty line. Flowers said that much of the problem started back in 1866 with the passage of the Southern Homestead Act, when Black people were first allowed to purchase land there and were offered mostly places that were environmentally unsafe. In recent decades, it's not uncommon for untreated sewage to flow from some residents' toilets into their yards or back up into their homes through sinks or bathtubs. Drinking water from the tap is out of the question. Some residents have dug ditches in an attempt to drain rainwater away from their homes. Flowers, who grew up in Lowndes, has been fighting for 23 years to fix the water infrastructure in the county. Her efforts led to the Biden administration's $26 million commitment. She said Trump's cancelation of the agreement did not surprise her. 'There are some people who are not going to make it a priority to get this work done,' Flowers said. 'That's the way it's always been.' Alabama Rep. Terri Sewell, a Democrat who represents the area, said in a statement that the DOJ's reason for abandoning the deal was weak. 'This agreement had nothing to do with DEI,' Sewell said. 'It was about addressing a public health crisis that has forced generations of children and families to endure the health hazards of living in proximity to raw sewage, as the DOJ itself documented. By terminating it, the Trump Administration has put its blatant disregard for the health of my constituents on full display.' When announcing the results of the 2023 investigation, former Assistant Attorney General Kristen Clarke said the Justice Department found evidence that suggested Alabama's Department of Public Health showed 'a consistent pattern of inaction and/or neglect concerning the health risks associated with exposure to raw sewage.' Sewell added that the burden to 'remedy this injustice' fell to the Alabama Department of Public Health. But the ADH said in a statement to NBC News that 'the installation of sanitation systems and related infrastructure is outside the authority or responsibilities.' A second statement from ADH said the department had received $1.5 million of the funds from the Biden agreement and used it in part to pay for three septic tank installations. With the remainder of that money, ADH will pay a contractor to complete more work by May 2026, according to the statement. Trump killed the agreement before any additional funds could be distributed toward fixing the water infrastructure. Annye Burke said her daughter, who lives next door, is in a dilemma because she was hoping to receive a new septic tank when hers recently collapsed. She's lived the last four years with her water issues. 'Being raised in the country and at one point of having to use outside facilities, I know how to make do,' Burke said. 'I just take one day at a time and pray about it and keep moving on. I don't let it get me down. But my daughter grew up differently, so I worry about how she deals with this stuff.' Flowers, the activist, said that while she hopes the agreement will be reinstituted, she has seen communities come together to make change. Last week, she pointed out, she was in Mount Vernon, New York, where sewage issues were resolved with the combined work of the city, county and state government. 'They fixed it because they should have,' Flowers said. The problem was discovered in 2021 'and it's fixed five years later. I've been working on this in Lowndes County since 2002.' Some families have been able to afford to move away, but many cannot. Then the connection to the land is also a factor, said Flowers, who spent her childhood there and whose father was raised in Lowndes County. 'My family has been in Lowndes County since slavery,' Flowers said. 'It's home for people. Why would we want to move? That's where our people are buried.' Changing homes is not just about occupying another house. 'We're talking about giving up a culture,' she said. 'So, we will continue this fight.'


BBC News
27-04-2025
- BBC News
Addingham woman with incurable cancer to run Everest marathon
A woman with incurable breast cancer is preparing to travel to the Himalayas to take part in the world's highest marathon. Shaunna Burke, 49, from Addingham, West Yorkshire, had booked her place on the Everest Marathon in 2024, but was forced to delay her plans for a year after she was diagnosed with stage four breast cancer. The cancer had spread to her liver and in the past 12 months she underwent four months of chemotherapy, a double mastectomy, liver surgery and Burke, a keen mountaineer and associate professor in exercise and health psychology, said: "I approached my treatment like I was training for the hardest climb of my life." This will be her first marathon but not her first major has previously climbed four out of the seven highest peaks in the world - Mount Aconcagua in Argentina, Elbrus in Russia, Kilimanjaro in Africa and Everest in Burke has been to the Everest region three times before, first visiting back in 2003."Before my diagnosis, I was training for the Everest Marathon and to do this climb," she said."Then when the diagnosis struck my life, I took a sharp turn and I had to put a lot of short term plans on hold. "Long term plans became very uncertain and at the time of my diagnosis, I thought there might not be a chance that I could get back to Nepal."There were some some very dark moments when I didn't know what I'd be facing," she Burke became the second Canadian woman to summit Everest in 2005 and since then she has also researched the psychology of mountaineering, and the preparation needed for a huge climb like Everest. Dr Burke, whose work involves studying exercise and its effects on cancer, said throughout her cancer treatment she managed to stay fit, running to and from her hospital appointments as a way of coping. "Each time I had treatment, I ran from my house to the chemotherapy bus and parked my car further away from St James's Hospital so I could run three miles to radiotherapy," she said. "Staying active helped me to tolerate my treatment – I experienced few side effects, and it also helped me psychologically."As a researcher into the links between exercise and cancer, Dr Burke said in a surreal way she "applied her own research to her own life".She said: "I approached it with the mentality of a researcher in exercise and cancer. "I'm very familiar with how you get patients ready for treatment, whether that be surgery, chemotherapy or radiotherapy."I developed my own 'prehabilitation' plan that was tailored to me, which not only involved exercise, but it also involved looking at a spectrum of elements that I could adapt that would help make my treatment as effective as possible. "That included reducing stress as much as much as I possibly could, ensuring that I had a healthy diet, and then exercise being paramount to to my training plan."As well as running outdoors, Dr Burke has been training at the OTE Performance Centre and Altitude Chamber in Leeds. Her work at the University of Leeds, which has been supported by funders including Macmillan, Yorkshire Cancer Research and Cancer Research UK, have shown that people should keep as active as possible before and during treatment to aid recovery. The Tenzing Hillary Everest Marathon is an annual race which starts at Everest Base Camp and finishes in the town of Namche Bazaar. It is held on 29 May to celebrate the Everest ascent by Tenzing Norgay Sherpa and Sir Edmund Hillary on the same date in Burke is due to travel to Nepal on 15 May, as before the marathon she is to complete a 6,119 metre (20,075ft) climb of Lobuche Peak. The peak is a separate challenge within the Everest region, which requires technical climbing skills and high-altitude acclimatisation - something she hopes will help prepare her for the marathon. Dr Burke has so far raised more than £7,000 for cancer charity Macmillan, which helped her during her treatment at Airedale Hospital and St James' Hospital in Leeds. Lisa Martin, relationship fundraising lead for Macmillan, said: "This is a monumental challenge and we are behind Shaunna all the way."We are so grateful that she has decided to donate the money raised to Macmillan, as whatever she raises will go a long way in providing vital support for people living with cancer."Shaunna is so dedicated to this challenge and wish her all the very best of luck. Shaunna – thank you so much for supporting Macmillan." Listen to highlights from West Yorkshire on BBC Sounds, catch up with the latest episode of Look North.