
Health authorities fear mosquito-borne disease deaths could surge
The mosquito-borne disease has seen a rapid increase in fatalities, with 19 deaths in the first 10 days of August alone, following 41 in July, placing immense pressure on hospitals.
Experts attribute the escalating outbreak to a combination of warm, humid weather, intermittent rainfall, and climate change, creating ideal breeding conditions for Aedes mosquitoes.
Prof Kabirul Bashar warned that hospitals could be overwhelmed without aggressive intervention, predicting August cases might triple July's numbers and peak in September.
Recommendations for control include nationwide mosquito-control drives, community clean-ups, removal of stagnant water, and restructuring healthcare to strengthen district hospitals and expand testing.
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The Guardian
5 hours ago
- The Guardian
In Trump's America, vaccination rates are declining and measles is spreading
New data from the CDC suggests a grim back-to-school tradition emerging: in 2024, kindergarten vaccination rates declined for the fifth consecutive year. Meanwhile, vaccine exemptions reached a record high. These statistics became all the more disturbing last fall when, shortly after 286,000 children began their educations without proof of full immunity against measles, a man who has bragged about never getting a flu shot was re-elected to the presidency. Since then, the US has contended with its largest measles outbreak in three decades, while the leaders who should be stamping out this crisis are instead fanning the flames. In just eight months, Trump and Robert F Kennedy Jr, secretary of the Department of Health and Human Services, have made every effort to undermine one of the major civilizing advances of the 20th century – our public health infrastructure. In doing so, they risk endangering millions of people and kickstarting a doom loop of mistrust from which it could take decades to recover. As usual, the Trump administration's stance on vaccines is motivated less by sincere populism and more by personal profit. Before Kennedy launched his own presidential campaign on a platform of 'making America healthy again', he earned $20,000 every week helming a non-profit dedicated to fostering vaccine skepticism. Now in the cabinet, he has fired the entire CDC vaccine advisory panel and replaced them with a ragtag crew, half of whom have never published peer-reviewed research on vaccines. Just last week, Kennedy cancelled $500m of federal funding for mRNA vaccines, which prevented 14m deaths during the Covid-19 pandemic. And he has made these rollbacks while retaining a financial stake in ongoing litigation against a vaccine manufacturer. All the while, the US has seen more than 1,300 measles cases and three deaths this year. In response, Kennedy has alternately endorsed and undermined the most effective method of prevention – widespread immunization. The evisceration of funding has extended across the sciences, with Trump cutting support for research to a 35-year nadir. At the National Institutes of Health, 1,800 grants have been terminated, a move that the Government Accountability Office deemed illegal. The administration also continues to freeze grants to universities over culture war phantasms like DEI, including $339m at UCLA and $2.2bn at Harvard. So it's not surprising that 75% of US scientists polled by the journal Nature are considering leaving the country, which raises the prospect of a lost generation of American talent and lifesaving innovation. Internationally, Trump's heartless and thoughtless budget cuts are causing devastation. The administration has dismantled USAID, one of the most successful preventers of contagious disease in history. 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Budget cuts can be reversed, but trust may be more difficult to recover. Long before RFK Jr's ascendancy, disasters like the CDC's infamous Untreated Syphilis Study at Tuskegee and the Food and Drug Administration's glacial response to the Aids crisis cast long shadows over public health institutions. Today, a plurality of Americans are already predicting they will lose faith in medical guidance under the current administration. That would undermine the very basis of public health, which depends on people choosing to follow guidelines grounded in research they did not personally conduct and whose results they are ill-trained to parse. Repairing that breach will require years of effortful relationship-building, but it might also require rallying Americans with the classic tactic of patriotism. 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The Guardian
16 hours ago
- The Guardian
Rise in dengue fever outbreaks across the Pacific driven by the climate crisis, experts say
The climate crisis is driving a sharp rise in dengue fever cases across the Pacific islands, experts say, as infections hit their highest level in a decade and several countries declare emergencies. Pacific Island countries and territories have reported 16,502 confirmed cases and 17 deaths since the start of 2025, according to the Pacific Syndromic Surveillance System (PSSS), which collaborates with the World Health Organization (WHO) and other agencies. Infections across the region are at the highest level since 2016, the WHO said. Fiji, Samoa and Tonga are among the worst affected. Dr Paula Vivili, deputy director general of the Pacific Community (SPC) said historically dengue outbreaks were seasonal. 'However, due to climate change, transmission seasons are lengthening, and some areas are experiencing year-round dengue risk,' Vivili said. Dengue fever, a viral illness spread by Aedes mosquitoes, causes high fever, severe headache, joint and muscle pain, rash, and in severe cases, can be fatal. Rising temperatures, rainfall and increased humidity are creating ideal breeding conditions for Aedes mosquitoes, even in areas previously unsuitable for transmission. 'Dengue is one of the first real disease-related phenomena that we can lay at the foot of climate change,' said Dr Joel Kaufman, epidemiologist and director of the Center for Exposures, Diseases, Genomics and Environment at the University of Washington. 'Rainfall raises the waterline over mosquito eggs laid just above the surface, which then hatch – that's part of the natural breeding cycle. Heavy rains can also increase stagnant water sources, creating more opportunities for mosquitoes to breed,' said Kaufman. Kaufman warned these outbreaks point to a wider public health challenge. 'It is in the vanguard of what will certainly be many types of human disease that become more common and more serious as the planet warms.' Since declaring an outbreak in April, Samoa has confirmed six dengue-related deaths, including two siblings, and more than 5,600 cases. This year Fiji has recorded eight deaths and 10,969 cases. Tonga has reported over 800 cases and three deaths, since declaring an outbreak in February. These outbreaks underscore the region's vulnerability to climate-sensitive diseases, which are expected to intensify as global temperatures rise. Pacific Island countries produce just 0.03% of global greenhouse gas emissions, according to the Intergovernmental Panel on Climate Change (IPCC), but face some of the most severe climate-related health threats, including vector-borne diseases. Recent months have brought extreme rainfall to parts of the Pacific including Palau, Papua New Guinea and Solomon Islands, while severe drought has gripped parts of the Marshall Islands, Papua New Guinea, Nauru and Fiji, according to the New Zealand National Institute of Water and Atmospheric Research (NIWA). Forecasts show these contrasts will continue into October. Although higher rainfall has been attributed to ideal conditions for mosquito breeding, Kaufman said that extreme weather events can also increase transmission of mosquito-borne diseases. Seriously dry or very dry conditions were recorded across large parts of the Pacific in the first half of the year, according to NIWA. 'We might have thought the dryness would reduce mosquito-borne infections, but it seems that's not what happens. Instead, there's an acceleration of transmission.' Across the Pacific, national responses have varied. Samoa, Cook Islands and American Samoa have declared emergencies. The Cook Islands has conducted island-wide clean-ups, intensified surveillance and targeted spraying. Tonga has worked with the WHO to bolster its outbreak response in its worst-hit islands, while Tuvalu has turned to social media and health campaigns to promote preventive measures. Samoa has held school clean-ups and boosted public health messaging. New Zealand has sent a clinical team and NZ$300,000 ($178,000) worth of medical supplies to Samoa, alongside on-the-ground personnel and ongoing coordination with Samoan health officials. But experts say these measures are being undermined by inadequate surveillance. 'Current disease surveillance systems are rarely sufficient to manage dengue, as evidenced by the continual growth of dengue in the region, and more generally globally,' said Dr Bobby Reiner, disease ecologist at the Institute for Health Metrics and Evaluation at the University of Washington. Mosquito control tools are methods used to reduce the population of Aedes mosquitoes that spread dengue, such as removing breeding sites, applying larvicides, or spraying insecticides. They can also include biological controls, personal protection measures, and community clean-up campaigns to prevent mosquito bites and transmission. Still, Reiner said many mosquito control tools have never been proven to reduce transmission, with most responses reactive and often 'wastefully chasing the outbreak, applying effort too late'.


Daily Mail
a day ago
- Daily Mail
Toxic vapor prompts radical change in New York City as city battles outbreak of deadly lung disease
New York City is set to enforce stricter rules for cooling towers as Legionnaires' disease continues to spread through parts of the city. As of August 8, 83 people living in upper Manhattan have been infected with Legionnaires' disease, a type of pneumonia that spreads through bacteria lurking in warm later. Of these, there have been three deaths and 21 patients are currently hospitalized. All cases have been detected in five ZIP codes covering the Harlem, East Harlem and Morningside Heights neighborhoods. Legionnaires' disease is caused by Legionella bacteria, which thrive in warm water and can become airborne when water turns to steam. It has not been determined yet how patients were infected, but a release from the New York City Department of Health said the 'likely source' is a cooling tower in the area. While building owners are required to register cooling towers' and 'routinely test the water for bacteria, inspections dwindled after the pandemic and sunk to a near-record low in the months leading up to the outbreak. This was put down to a shortage of inspectors. Off the back of the outbreak, the city's Health Department plans on enforcing heftier penalties and ramping up reporting requirements for building water systems. The finer details are still being ironed out, but a spokesperson told 'These proposed rules are designed to enhance existing testing and reporting requirements and were in development well before the Legionnaires cluster in Central Harlem. Cooling towers and air conditioning units are seen in the Harlem neighborhood amid a Legionnaires' disease outbreak in New York City Your browser does not support iframes. 'All operable cooling towers in the area have been sampled, and the Health Department has directed building owners with initial positive screening results to initiate remediation, including increased cleaning of the cooling towers. 'We've confirmed compliance at all buildings with initial positive results.' The new regulations will come into force next spring. In New York, owners of cooling towers are required to register their towers and they must comply with regulations designed to prevent Legionella bacteria growth, including regular maintenance and testing. The department of health states that water in a cooling tower system must be treated at least once per day while the system is in operation. Water treatments must include approved oxidizing chemicals and biocides in quantities sufficient to control the presence of Legionella, minimize biofilms, and prevent scaling and corrosion. Owners of buildings with cooling towers can face penalties for violations related to Legionella prevention and maintenance. Penalties can include fines ranging from $500 to $10,000, with higher penalties for violations resulting in death or serious injury. It is currently unclear what the revamped regulations regarding cooling towers will involve. In Harlem, where the New York outbreak originated, 11 cooling towers tested positive for Legionella bacteria. Officials wrote in a news release: 'This is not an issue with any building's plumbing system. Residents in these ZIP codes can continue to drink water, bathe, shower, cook, and use your air conditioner.' While building owners 'are required to register cooling towers' and 'routinely test the water' for bacteria, inspections reportedly sunk to a near-record low in the months leading up to the outbreak. Officials told Gothamist, which discovered the decline, that staffing issues were to blame. NYC Department of Health officials said in their most recent update: 'People who inhale mist that contains Legionella bacteria can get sick. 'Sources of water with Legionella contamination may include cooling towers, showers and hot tubs. 'Window air conditioners do not spread the bacteria that causes Legionnaires' disease.' No information has been released about those who have died or been hospitalized. Infected patients initially suffer from a headache, muscle aches, and fever that may be 104 Fahrenheit (40 Celsius) or higher. But within three days, they may experience a cough, shortness of breath, chest pain, nausea, vomiting and diarrhea, and confusion or other mental changes. In serious cases, patients can develop severe pneumonia, and the bacteria can spread to the heart and blood, causing the potentially fatal complication sepsis. Patients die from the disease due to lung failure, septic shock, a sudden severe drop in blood flow to vital organs, or acute kidney failure. Legionnaires' affects 8,000 to 10,000 Americans every year and kills about 1,000. The five ZIP codes affected in the outbreak are: 10027, 10030, 10035, 10037 and 10039. City health officials said while 'most people who are exposed to the bacteria do not develop Legionnaires' disease,' those who are 50 or older, smoke, have a chronic lung disease or a weakened immune system may be at a higher risk. The news release cautioned people who experience symptoms to 'seek medical attention right away.' Doctors treat the disease using antibiotics, but say these are most effective in the early stages before the disease has spread in the body. Patients are often hospitalized. Dr Asim Cheema, internal medicine and cardiology specialist at Your Doctors Online, told the Daily Mail: 'August is peak season for Legionnaires' disease. Hot weather creates perfect breeding conditions, air conditioning systems work overtime, and people spend more time around water features. 'This isn't a condition to take lightly; it can be fatal if not treated promptly, but it's also completely treatable when caught early.' In milder cases, patients may also suffer from Pontiac fever, a condition causing fever, chills, headache and muscle aches that occurs when the bacteria do not infect the lungs. This condition goes away on its own without treatment and causes no further problems, doctors say. Air conditioning units are seen in the Harlem neighborhood amid a Legionnaires' disease outbreak in New York City The New York City outbreak was first revealed on July 22, when the health department reported eight cases. All buildings that had units that tested positive for the Legionella bacteria were told to clean their systems within 24 hours. It follows a previous outbreak in July 2015 in the Bronx, which became the second-largest Legionnaires' disease outbreak in the US. Overall, a total of 155 patients were infected and 17 people died due to the disease from July to September that year. The outbreak was eventually linked back to a cooling tower at the Opera House Hotel in the South Bronx, which had been contaminated with the bacteria and was releasing it in water vapor. Dr Cheema recommends flushing home water systems after being away for extended periods of time to get rid of lingering bacteria, using distilled water in home humidifiers and medical devices and avoiding breathing mist from public areas.