
Possible Local Malaria Case Found in New Jersey. Here's What to Know
The New Jersey Departments of Health (NJDOH) and Environmental Protection reported on the case Monday. The resident hadn't recently traveled, suggesting they likely caught it from homegrown mosquitoes. If so, this would be the first locally acquired malaria case seen in the state in over three decades, though not the first such case reported in the country this year.
Malaria is caused by several species of the single-celled parasite Plasmodium. When an infected mosquito transmits the disease to a person, the parasites will first invade certain tissues (usually the liver), reproduce, and then infect red blood cells. A small percentage of the parasites in the bloodstream will develop into a stage of life that can newly infect and grow inside mosquitoes that bite the person, starting the cycle all over again.
The symptoms of malaria, which include fatigue, chills, and other flu-like illnesses, are caused by the damage the infection causes to our blood cells. Though most people survive their bout of malaria, it can also cause life-threatening complications like seizures, kidney failure, and sepsis. Even with available treatments today, malaria still kills roughly 600,000 people worldwide every year—making it one of the deadliest diseases around.
A Rare, Deadly Mosquito Virus Has Emerged in New York
Malaria was once a common threat in the U.S., particularly in warmer areas during the summer. But a dedicated public health campaign, which included mosquito spraying programs and the removal of breeding sites, eradicated the disease by the 1950s. Since then, just about all malaria cases reported in the U.S. are travel-related, originating from places where the disease is endemic. But the potential for malaria to make a comeback remains.
Malaria is spread by the bite of a female Anopheles mosquito, and there are native species in the U.S. that can transmit the disease to humans, including in New Jersey.
Though officials are unsure about the origin of this latest case, it's possible that a person with travel-related measles arrived in the area and was bitten by a mosquito that may have then bitten someone else. According to health officials, roughly 100 travel-related cases are reported annually in the state. If this new case is confirmed as local, this would be the first homegrown case documented in New Jersey since 1991.
Officials say that malaria's threat to the greater public is minimal, but other recent cases have been locally acquired. In 2023, for instance, there were three separate clusters in Florida, Texas, and Maryland (at the time, they were the first local U.S. cases documented in two decades). And earlier this month, Washington officials reported their own possible homegrown case of malaria, quite possibly the first ever found in the state.
Low as people's risk of malaria may be, we should still do our best to prevent mosquito bites. There are other diseases that mosquitoes in the U.S. can spread outside of malaria, including West Nile virus, Eastern Equine Encephalitis (EEE), and even dengue fever. We can personally reduce bites by using insect repellent and wearing long-sleeved clothing. And people should also do their part to clean up areas around their homes that could turn into literal breeding grounds for mosquitoes.
Here's What You Look Like to a Mosquito
'I urge the public to continue taking steps to eliminate standing water around their properties, which will go a long way to reducing the risk of mosquito breeding,' said Shawn M. LaTourette, NJ Environmental Protection Commissioner, in a statement. 'As the summer winds down, taking this simple but necessary step will help ensure quality of life and protect public health.'
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In his response, Kevin McConway, PhD, emeritus professor of applied statistics, The Open University, Milton Keynes, England, took issue with the researchers' methodology for extrapolating the diets' effect over the course of a year and questioned whether the MPF diet would lead to greater weight loss over time. Are All UPFs Unhealthy? If UPFs' effects on weight loss may depend on the foods' quality, could the same be true about the health impacts? Researchers often rely on definitions in the NOVA classification system, which groups foods into four categories ranging from unprocessed/minimally processed to ultraprocessed, in studies evaluating the health effects of UPFs. NOVA warns that the processes and ingredients used to manufacture UPFs typically make them nutritionally unbalanced and liable to be over-consumed and to replace foods that involve less processing. 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'Of note, divergent associations were observed for specific UPF groups in our cohorts,' the authors wrote. 'Sugar-sweetened beverages, processed meats, and artificially sweetened beverages were associated with higher [cardiovascular disease] and [coronary heart disease] risk. Conversely, ultraprocessed savory snacks, cold cereals, and yogurt/dairy-based desserts were inversely associated with CVD and CHD risk. Ultra-processed bread and cold cereals were associated with lower stroke risk, and hard liquors with lower CHD risk.' Similarly, a large study of data from the Nurses' Health Study found that 'high-quality meta-evidence shows that total UPF consumption is associated with higher T2D [type 2 diabetes] risk.' However, the authors wrote, among subgroups of UPFs, 'cereals; dark and whole-grain breads; packaged sweet and savory snacks; fruit-based products; and yogurt and dairy-based desserts were associated with lower T2D risk.' Moreover, in a proof-of-concept study, researchers developed a sample menu that included ≥80% calories from UPFs, as defined by NOVA, yet followed the recommendations for a healthy dietary pattern outlined in the 2020 Dietary Guidelines for Americans. A total of 91% of the calories ended up coming from UPFs, but the menu still scored 86 out of a possible 100 points on the 2015 Healthy Eating Index. 'This sample menu did not achieve a perfect score due primarily to excess sodium and an insufficient amount of whole grains,' the authors wrote. 'This menu provided adequate amounts of all macro- and micro-nutrients, except vitamin D, vitamin E, and choline.' A narrative review poses a key question: Just what might make UPFs bad? Is it the nutrient content or the processing that the food undergoes? The authors concluded that we don't know — which is pretty much the case today. The AHA's scientific advisory and many recent studies call for more research on the health impacts of food additives and processing techniques, as well as research to clarify the impact of UPFs that have better nutrition profiles. In her recent essay, Guess called the focus on UPFs 'a distraction from what we already know about nutrition.…We consume too much fast food, too many sugary beverages, too many cakes, doughnuts and chips. And we consume too few legumes, fruits and vegetables. We need better food and nutrition policies that make it easier for people to purchase and consume a healthier diet.' Dicken reported being funded by the National Institute for Health and Care Research (NIHR) University College London Hospitals (UCLH) Biomedical Research Center, a partnership between the UK NIHR and the UCLH National Health Service Foundation Trust; the Rosetrees Trust; and a UK Medical Research Council grant. Dicken reported receiving royalties from Amazon for a self-published book that mentions UPF, payments from Red Pen Reviews as a contributor, consultancy work for Consensus and Androlabs, and travel fees from a USDA National Institute of Food and Agriculture grant to present a workshop on food processing classifications.