Quick hits: Tick app; Northeast rice crops; health benefits of dancing; moon farms; meteorologists get to Hollywood

As spring turns into summer, more ticks are hitching rides on socks, shoes, pant legs and hairdos. The tiny vectors bite thousands of people each year and spread diseases such as alpha-gal syndrome, Lyme disease, babesiosis and Rocky Mountain spotted fever. But there is hope. Researchers are asking people to share their tick bites and discoveries on The Tick App so that their habits can be better understood and more effective preventive practices can be developed. The Tick App also gives tips for identifying and removing ticks.

The Northeast isn't known as a rice-growing mecca, but as the region's climate changes, some farmers are giving the crop a try. "Around New York and beyond, weather has shifted to become more extreme, bringing intense rainfall and hailstorms that could damage crops," reports Alice Sun for Offrange. Rice paddies are flood-resistant, able to withstand extreme weather, and the crop fetches a good price. Researchers at Cornell University, along with some "pioneering farmers are working to make it a more common crop in the Northeast, as a buffer for farmers to adapt to increasingly unpredictable weather."

Maria isn't sure about Elmo's reasoning. (Sesame Street photo)

Fans of "Sesame Street," past or present, may want to watch the new documentary tracing the life and career of actress Sonia Manzan, better known as the character "Maria." As Maria, Manzan became the first Latina to appear on a regular TV series, reports Greg Toppo of The74. The film travels back to Manzan's difficult upbringing in the South Bronx during the 1950s, follows her big break with the musical Godspell, and includes her adventures with Oscar the Grouch and Elmo on Sesame Street. The film is currently touring at film festivals throughout the spring and summer.

Even dancing from a sitting position is considered
healthy movement. (Photo by E. Marritz,Dance for PD)

What activity can be done while sitting or standing, creates joy and is healthy? If you thought dancing, you're correct. "Modern research is now catching up to the fact that dance is medicine, a deeply effective intervention for physical, cognitive and emotional health," reports Michaela Haas for Reasons to be Cheerful. "In a longitudinal study, seniors who took part in regular dance training fell less often and were 'physically better off and mentally fitter' than those in the control group."

It's not going to be science fiction for much longer: NASA is learning how to farm on the moon. "As we get ready to feed astronauts on the Moon and Mars, NASA scientists are figuring out how to build soil from scratch," reports Lela Nargi for Offrange. "Ralph Fritsch, a NASA retiree and lead subject matter expert for the Mars to Table challenge, which seeks to identify plausible 'surface habitat food systems,' believes space ag will probably start with hydroponics. . . . Although Fritsch believes dirt-based space greenhouses are years from fruition, there’s still been heavy investment in research."

Everyone asks about, talks about and complains about the weather -- it's a shared human experience. With the exception of farmers, who are also weather obsessed, few people might glamorize meteorologists. Until now. "Meteorologists are rarely the heroes of major Hollywood movies. Never say never," writes Rebecca Hersher of NPR. "The new film 'Pressure' is a lightly fictionalized version of the actual lead-up to the D-Day invasion of France by Allied troops during World War II, and the crucial role of meteorologists in deciding when that battle would happen." 

Hantavirus is a less common, but often deadly illness. Awareness and prevention are the best defenses.

Deer mice are the most common carriers of hantavirus.
(Photo by Melvin Zettl, Unsplash)

Not every cautionary tale about diseases spread by critters is limited to vector-carriers like ticks and mosquitoes. Rodents also spread some less-discussed but equally deadly illnesses, like hantavirus, which is most often transmitted to humans by deer mice.

The recent illnesses and deaths aboard an Atlantic cruise ship serve as a sobering reminder that while deer mice are little and perceived as "cute," they can spread hantavirus. "Six people on board a cruise ship were affected by suspected cases of hantavirus, and three died," reports Evan Bush of NBC News. The disease is "relatively rare but devastating threat without a vaccine, treatment or cure. . . . More than 890 cases of hantavirus were reported nationwide from 1993 to 2023."

Hantavirus can be transmitted to humans through contact with saliva, droppings or urine of infected rodents. Bush explains, "People tend to get hantavirus when they disturb droppings or urine from mice in the dusty corners of barns, cabins or outbuildings near forested land, including during cleaning."

The disease is most common in the southwestern U.S., where deer mice are found. But that doesn't mean it can't be found elsewhere in the country, Bush reports. Human to human transmission is also possible.

Initially, hantavirus presents as a flu-like illness, which can be difficult to differentiate from Covid or other forms of influenza that cause coughing, fatigue and body aches. But it can develop into an aggressive respiratory disease. 

Dr. Jeff Duchin, an expert on hantavirus, told Bush, "The fatal, rapidly progressive pulmonary illness can come on very quickly, in hours. That, itself, can become fatal on a very short timeline." The disease weakens blood vessels, allowing fluid to fill the lungs, which eventually causes death.

Since there is no vaccine or medicine to treat hantavirus, prevention is the best protection. When disinfecting a rodent infestation, Erin Phipps, a public health veterinarian in New Mexico, recommended "wearing gloves, using N95 respirator, opening windows and relying on disinfectants," Bush reports. 

Phipps told Bush, "Never sweep up or vacuum mouse droppings, since this can spread particles up into the air."

An early spring means more ticks to avoid

As spring arrived across much of the U.S., more people ventured outside to enjoy nature, but unfortunately, the warmer temperatures also awakened ticks. "Tick season seems to be off to a fast start, with an unusually high number of bites already reported across the country," reports Mike Stobbe of The Associated Press.

All tick bites warrant attention because they can spread "serious diseases, including Lyme disease, Rocky Mountain spotted fever and alpha-gal syndrome, a red meat allergy," Stobbe explains. "Lyme disease is the most common, with an estimated 476,000 people treated for it each year, according to the CDC."

A 'questing' tick perches itself on the edge of a branch and 
waits for a host to walk past. (Entomology Today photo) 

Although most people know that ticks are tremendously adept at attaching themselves to people and animals, many may not know why. Understanding how ticks "find" their victims can be a first line of defense, simply by knowing where to look.

Ticks seeking a host are most often found in ankle-high vegetation where they exhibit a behavior known as "questing." To quest, all ticks do is anchor themselves to the tips of grasses, leaves, or shrubs and extend their front legs and wait for an animal or human to walk by, according to Entomology Today. Ticks also like to "link" together, so they can fall on a host in a chain, bite and feed.

To prevent tick bites, experts suggest walking "in the middle of paths and wearing light-colored clothing treated with the insecticide permethrin," Stobbe adds. "And use Environmental Protection Agency (EPA)-registered insect repellents."

The risk of disease can be reduced if ticks are found early and removed immediately. "It’s not necessary to go to a doctor unless you think the tick has been on you for days or if you develop a rash or other symptoms," Stobbe reports. 

Measles is one of the most contagious diseases on the planet, and it's spreading in the U.S.

Measles is one of the most contagious diseases in the world. 
(koto_feja/iSotck via Getty Images Plus, CC)

With its spiking fevers, extreme fatigue, watery eyes, diarrhea, photo-sensitivity, and possible lifelong complications or death paired with its high contagion rate, measles has been likened to the "flu on steroids." Alla Katsnelson, the associate health editor for The Conversation, shares a brief on measles, reviews its renewed spread in the U.S. and discusses the measles vaccination.

As one of the world's most contagious diseases, measles is "far more contagious than more familiar infectious illnesses such as flu, Covid-19 and chickenpox," Katsnelson explains. Beyond its ability to spread, the disease can cause severe lung problems, pneumonia or brain swelling, which usually require a hospital inpatient stay. 

Since early last year, the U.S. has had an increasing number of measles cases. Katsnelson writes, "The measles outbreak in South Carolina reached 876 cases on Feb. 3. That number surpasses the 2025 outbreak in Texas and hits the unfortunate milestone of being the largest outbreak in the U.S. since 2000, when the disease was declared eliminated here."

Measles has spread more easily in communities with overall vaccination rates below 93 to 95%, which is considered the threshold for herd immunity. Katsnelson adds, "A striking – though unsurprising – feature of the South Carolina outbreak is that at least 800 of the reported cases occurred in people who weren’t vaccinated."

The vaccine mimics what catching measles does without the long-term risks. The vaccine, when given according to the recommended 2-dose regimen, is 97% effective in preventing measles infection. Daniel Pastula, an infectious disease specialist at the University of Colorado, told Katsnelson, "The immunity from a vaccine is effectively the same immunity you get from having measles itself – but vastly safer than encountering the wild virus unprotected."

Why have some parents refused to have their children vaccinated against measles? Few people, including medical providers, have ever known anyone with measles or treated someone with it. Many parents who have lived in the U.S., where there has been herd immunity for decades, "have decided that vaccinating their children, which does pose some amount of risk from rare complications, is the better choice," Katsnelson writes. However, when enough families decline vaccination, herd immunity no longer protects against the disease.

Dr. Mehmet Oz, the administrator of the Centers for Medicare & Medicaid Services, recommended that Americans get the measles vaccine. He told Dana Bash of CNN, "Take the vaccine, please. We have a solution for our problem."

Parents who skip or postpone vaccines for their kids are more concerned about vaccine safety, a new poll finds

 Photo by Mika Baumeister, Unsplash

Parents who skip, avoid or postpone standard vaccinations for their kids often share vaccine safety concerns and other attributes, a new poll from The Washington Post and KFF Health News shows.

The poll found that one in six parents have delayed or skipped some vaccines for their children, with most reporting "concerns about the vaccines themselves," report Lauren Weber, Scott Clement, Emily Guskin, and Lena H. Sun of The Washington Post. "About half of parents overall lack faith in federal health agencies to ensure vaccine safety, mirroring the findings of other surveys."

While the poll revealed that the majority of parents support child vaccinations, it also showed that "skipping or delaying vaccines is more common among parents who homeschool children, are Republicans, are young, or are White and religious," the Post reports.

Some polled parents believe in the effectiveness and necessity of childhood vaccinations -- just not on the schedule set by the federal government, which favors multiple shots in a single visit, rather than a more graduated immunization schedule.

Most interviewed parents did not support claims about vaccines causing autism or chronic disease. The Post reports, "But at least 4 in 10 parents say they don’t know enough to say whether those claims are true or false."

Poll results do seem to indicate some level of distrust in how the government manages vaccines. The Post explains, "Six in 10 Democrats are confident in federal health agencies overseeing vaccine safety, compared with 48% of independents and 41% of Republicans."

"Despite Republican parents being more likely to skip vaccines, 77% still follow vaccine recommendations," the Post reports. "Most of President Donald Trump’s voters believe vaccines save lives."

Measles made its way back into the U.S., but new ways to prevent the disease may be on the horizon.

Illustration of infectious diseases under a microscope
(Adobe Stock)

Once thought to be eliminated in the U.S., measles has returned, leaving its unpleasant symptoms and tell-tale itchy rash in its wake. With more people contracting and spreading the disease, ways to avoid or treat it have revived. "As vaccination rates fall and infections rise, scientists are racing to develop drugs they say could prevent or treat the disease in vulnerable and unvaccinated people," reports Dominique Mosbergen of The Wall Street Journal.

A little over 20 years ago, looking for ways to treat measles wasn't a consideration, but now some biotech companies and universities are working on measles prevention without the typical MMR vaccination. Mosbergen writes, "The drugs are still a ways from becoming available to patients but could offer alternatives to people who are immunocompromised, don’t respond to the measles vaccine or are vaccine skeptics."

Not all medical professionals see new measles treatments as a positive development because they could "further drive the drop in vaccination. Nationally, 92.5% of kindergartners received the measles, mumps and rubella . . . shot in the 2024-25 school year," the Journal reports. "In 2019-20, the vaccination rate was over 95%, which is the rate encouraged by health authorities to prevent community transmission of measles."

Invivyd, one of the companies working on a new measles treatment, uses measles "antibodies that are lab-made versions that can be delivered intravenously or as an injection and boost immunity immediately," Mosbergen explains. "They could benefit newborns and immunocompromised people who can’t be vaccinated, as well as the minority of people who don’t respond to the vaccine or whose immunity has waned."

Scientists haven't studied the measles virus as much as other communicable diseases because the vaccine was so effective, but to develop new treatments, researchers have "been forced to better understand measles," Mosbergen reports. "The body’s immune response to measles, for instance, hadn’t been well understood."

Quick hits: 'New' Superman is super-rural; VA restructuring; chocolate bar price bump; public pool safety; how much land does each state farm?

Superman (David Corenswet) and his dog Krypto in ‘Superman’ (Warner Bros, IMDb image via the Yonder).

Before Superman was super-anything, he was an orphan raised by farmers in Smallville, Kansas. The newest Superman is an old-fashioned, sincere and sometimes corny-sounding hero-in-the-making, who struggles to stay true to his ideals "in a world beset by 24/7 media noise, rationalized indifference, and organized meanness," writes Adam B. Giorgi for The Daily Yonder. "The boon of super strength and super speed doesn’t necessarily make it any easier to keep being good in the face of hardship, to do the right thing when the chips are down, or to be kind even when it’s not expected or rewarded."

After shedding roughly 30,000 jobs earlier this year and announcing it plans to curtail further layoffs, the Department of Veterans Affairs is still restructuring. "Senior leaders are telling employees that major changes are still coming," reports Eric Katz of Government Executive. "The VA is looking to empower medical center directors. Several employees, based on meetings and internal conversations, speculated that headquarters and possibly regional staff could be a casualty of that change."

'Inflation isn't finished with your chocolate bar.'

Chocolate maker Hershey may sell delightful sweets, but its latest announcement is a summer bummer. "Hershey is raising prices on its candy in response to continued high cocoa costs," reports Owen Tucker-Smith and Jesse Newman of The Wall Street Journal. While exact price hikes will vary, U.S. consumers can expect a roughly 20% increase on Hershey treats. "Three-quarters of Hershey’s confection portfolio should continue to cost $4 or less. . . .Demand for Hershey’s products has stayed strong. Shares of Hershey are up more than 7% this year."

With its varied seasons and climates, U.S. farmers and gardeners grow thousands of different crops each year. The amount of land dedicated to principal crops depends on the state. Discovering which states and regions farm the most land is best described in the map shared below.

Over half of Iowa is dedicated to farming. Click on map to enlarge.

The future of farming may involve less physical labor and more technology. "Imagine a farm where fleets of autonomous tractors, drones and harvesters are guided by AI that tweaks operations minute by minute based on soil and weather data," reports William Boston of The Wall Street Journal. "Farmers could swap long hours in the cab for monitoring dashboards and making high-level decisions. . . . Despite the promise of digital tools and autonomous machines, cost is a big barrier." 

Taking care while enjoying public pools can help reduce the chance of illness or skin rashes.
(Photo by Maria Korneeva, Moment, Getty Images via The Conversation CC)

Does chlorine kill all infectious "things" that end up swimming in the public pool? No. "Summer news headlines and social media posts often spotlight the 'ick-factor' of communal swimming spaces. These concerns do have some merit," writes Lisa Cuchara for The Conversation. "The good news is that chlorine, which is widely used in pools, is effective at killing many pathogens. The not-so-good news is that chlorine does not work instantly, and it doesn’t kill everything. . . .Read Cuchara's 10 tips for healthier public pool swimming here.

As the U.S. measles outbreak continues, experts see its spread as a harbinger for the return of other diseases

The spherical measles virus is one of the most infectious 
diseases on the planet. (CDC photo via Unsplash)

Brought on by decreasing vaccination rates in communities, measles is making an unwelcome comeback in the United States. The disease was considered "eliminated" in 2000, but following an outbreak in Texas earlier this year, the highly contagious disease has cropped up in 38 states.

"Researchers often think of measles as the proverbial canary in a coal mine," report Teddy Rosenbluth and Jonathan Corum of The New York Times. "It is often the first sign that other vaccine-preventable diseases, like pertussis [whooping cough] and Hib meningitis, might soon become more common."

For many adults and children, catching measles can be likened to having a cold accompanied by a very itchy rash. But for others, the disease can cause severe medical conditions, including "pneumonia, making it difficult for patients, especially children, to get oxygen into their lungs," the Times reports. "It may also lead to brain swelling, which can cause lasting damage, including blindness, deafness and intellectual disabilities."

The disease also decreases an individual's ability to fight off germs they had previously been immunized against. "Scientists call the effect 'immune amnesia.' During childhood, as colds, flu, stomach bugs and other illnesses come and go, the immune system forms something akin to a memory that it uses to attack those germs if they try to invade again," reports Denise Grady of The New York Times. "The measles virus erases that memory, leaving the patient prone to catching the diseases all over again."

Although the U.S. has dealt with "large measles outbreaks in the past, a confluence of factors has made it particularly difficult to rein in the virus this year," Rosenbluth and Corum report. "Nationally, the measles vaccination rate fell during the Covid-19 pandemic and has not rebounded to the 95% mark required to stem the spread of the virus in a community. . . . In Gaines County, the center of the Texas outbreak, just 82% of the population received the MMR [measles, mumps and rubella] vaccine that year."

Other countries are struggling with measles outbreaks as well. Rosenbluth and Corum explain, "Large outbreaks have spread through Mexico and parts of Canada, which has had a record number of cases this year. This spring, the World Health Organization announced that Europe had reported the highest number of measles cases in more than 25 years."

Find the Times' measles tracking tool for the U.S. here.

Quick hits: Racing cars with a 'twist;' egg prices slide; lower tariff for 'happy nut;' bird flu cases slow; PFAS trial

The Gary Wilson Jr. 2009 Toyota Yaris heads down the track. (Photo by Sam Wolfe, NPR)

Camden, S.C., may only have 7,800 people, but it hosts a raucous event where residents and visitors are treated to cars with bad rap sheets and crazy detailing. "The race cars roll into downtown like an old-fashioned circus . . . . A Honda Civic has a lawnmower, squirrels and flamingoes on its roof," reports Bill Chappell of NPR. "They're all here for the local installment of 24 Hours of Lemons, an endurance car race with a major twist: The cars can't cost more than $500. The series bills itself as 'racing for real people.' The 24 Hours of Lemons races started more than 15 years ago in California. There are now 23 races each year, from coast to coast."

Good news! Sort of. "The average price for a dozen Grade A eggs declined to $5.12 last month after reaching a record $6.23 in March," reports Dee-Ann Durbin of The Associated Press. "It was the first month-to-month drop in egg prices since October 2024. Overall, the average price of eggs of all sizes fell 12.7%, the steepest monthly decline since March 1984. . . . Still, retail egg prices remain near historic highs."

California farmers grow millions of pounds of
pistachios a year. (Adobe Stock photo)

U.S. farmers aren't the only ones grateful for a break from extreme U.S.-China tariffs -- Chinese pistachio lovers are also rejoicing. "Chinese consumers crave pistachios for their taste and health benefits, referring to them in a way that translates to 'happy nuts,'" reports Jim Carlton of The Wall Street Journal. "Since 2017, the value of U.S. pistachios shipped into China has shot up 20-fold from $42 million to $842 million last year, accounting for almost a third of the $3 billion crop."

Dairy trade between the United States and the United Kingdom has historically been skewed in the UK's favor; however, the new negotiation framework announced by the Trump administration "marks a crucial turning point as the U.S. seeks a level playing field with global dairy exporters," reports Karen Bohnert of Dairy Herd Management. "According to Gregg Doud, president of the National Milk Producers Federation, achieving a robust trade agreement with the UK is a vital step in correcting the current imbalances in the dairy trade."

Chickens, farmers and farm workers enjoy a reprieve from bird flu infections. (MedPage Today photo)

While not entirely explainable, "detections of H5N1 avian influenza have slowed in both animals and humans, but continued surveillance is warranted, Centers for Disease Control and Prevention researchers said," reports Kristina Fiore of MedPage Today. "Someone questioned whether there was seasonality to H5N1. . . .Todd Davis, PhD, chief of the virology at the National Center for Immunization and Respiratory Diseases, said any seasonality noted in other countries 'primarily corresponds to migratory bird patterns.'"

The first PFAS, or "forever chemicals," personal injury trial will focus on plaintiffs who allege they developed kidney cancer from firefighting foam. "The trial, set for Oct. 20, could include up to three individuals who claim their exposure to per- and polyfluoroalkyl substances (PFAS) in aqueous film-forming foams (AFFF) caused their cancer," reports Pat Rizzuto of Bloomberg Law. "In [an] effort to manage the nearly 10,000 personal injury cases that are part of the Aqueous Film-Forming Foams Products Liability Litigation MDL 2873, Judge Richard M. Gergel, with the U.S. District Court for the District of S.C., established three batches of cases involving different illnesses."

Opinion: The ongoing measles outbreak was 'avoidable.' Now what?

Map by Sarah Milotte, The Rural Index via The Daily Yonder

As measles cases in the U.S. top more than 1,000 diagnosed infections, medical experts Richard Hughes and Anna Larson call the ongoing outbreak "an avoidable public health failure," in their opinion for MedPage Today.

Measles was declared "eliminated" in the United States in 2000, but its status is evolving. The most recent eruption of the highly contagious disease began in rural Texas and "continues to unfold with additional deaths in Texas and New Mexico, an exposure at a major U.S. airport following an identified case in Maryland, and expanding to over half of U.S. states," Hughes and Larson write.

The newly appointed Secretary of Health and Human Services, Robert F. Kennedy Jr., has added to the confusion about the measles, mumps and rubella (MMR) vaccine by endorsing "unproven treatments for measles and emphasizing vaccination as a personal choice rather than a public good," they write. When "he finally recommended measles vaccination to address the snowballing case count, he then ordered the search for new measles treatments instead of promoting vaccination."

Searching for a new measles "cure" won't stop the continuing spread of the disease, but beefing up MMR vaccine rates could. Instead, the administration "has canceled research related to vaccine hesitancy and misinformation," Hughes and Larson add, "and announced a requirement that all new vaccine products undergo placebo-controlled clinical trials prior to licensure."

What is likely to happen? "We can expect vaccination challenges to compound, immunization rates to decline, and vaccine-preventable diseases to rise," Hughes and Larson write. "A comprehensive U.S. approach to shore up our measles defenses and preserve elimination status is imperative, but unlikely."

What can be done to slow the current measles outbreak down? "Consistent application of proven public health measures -- expanded vaccine access, particularly in underserved populations, and improved disease and vaccine surveillance systems," according to Hughes and Larson. "The need to combat misinformation and instill public trust in vaccines is obvious, but bears repeating. . . . Now is not the time for complacency; it's time for action."

Quick hits: Medical flights increase; inflation navigation; rethinking grass-fed meat; NASA astronauts splash home

When every minute matters, a medical helicopter
can be a rural patient's best option. (WSAZ photo)

As more rural hospitals close, medical helicopter services are more likely to be called for emergency medical treatment. "Over the past decade, demand for air ambulance services has grown more than 50%. One factor experts say is a rising number of rural hospitals shutting their doors," reports Blair Miller of WSAZ in West Virginia. "As rural hospitals close and demand for medical flights grows, the healthcare industry faces another hurdle, a shortage of medical pilots."

Since late January, measles infections have spread from Texas to New Mexico to Oklahoma. As of late March, 321 people have contracted the disease, including a child who died from the infection. Even though most infections occur in unvaccinated people, it's still prudent to understand how the disease spreads and who may need a measles, MMR, vaccination, or vaccination booster, reports The Conversation. "In a Q&A, Daniel Pastula, a neurologist and medical epidemiologist, explained how and when you should take action." MedPage Today also offers measles vaccination guidance.

Some Americans skip the expensive
snacks. (Adobe Stock photo)

Amid increasing food costs and health care worries, many U.S. consumers are dropping some of their expensive habits, leaving convenience store sales feeling the pinch. "Convenience-store sales fell 4.3% by volume in the year ended Feb. 23, as consumers cut back on snacks and cigarettes due to rising prices and health concerns," report Jesse Newman and Laura Cooper of The Wall Street Journal. "The change in behavior is hurting U.S. sales of Doritos, Twinkies, Heath bars and Newports. . . . Lottery ticket sales remain strong."

At the time Isaac Newton pondered the idea that "what is up, must come down," he was observing an apple fall from a tree branch. Had he been watching U.S. food costs, he might have come to a completely different conclusion. "The USDA states that food costs have climbed over the past few years and will continue to do so in 2025," reports CaLea Johnson of Mental Floss. "More specifically, food-at-home prices (grocery store or supermarket food purchases) are expected to increase by 1.3%." To see which states people spend the most on groceries, click here.

After years of touting grass-fed burgers as healthier for the planet, some ranchers and conservationists may want to rethink their sales pitch. "A study published in the Proceedings of the National Academy of Sciences challenges found that cattle raised only on pastures do not have a smaller carbon footprint than feedlot cattle, which are quickly fattened on corn and other grains," reports Anna Phillips of The Washington Post. "This held even when the researchers took into account that healthy pastureland can help capture more carbon by pulling it out of the air and storing it in roots and other plant tissues."

NASA astronauts return home to Earth after an extended stay in outer space. (NASA photo)

Steven Speilberg's alien darling, E.T., was famously stranded on Earth and couldn't stop begging to phone home. NASA astronauts had a similar, but opposite problem. They were stuck in space wanting to get back home to Earth. "Suni Williams and Butch Wilmore set off to spend eight days at the space station. The trip lasted nine months," report Kenneth Chang and Thomas Fuller of The New York Times. SpaceX and the Coast Guard members met the astronauts as they "splashed down in calm, azure waters off the coast of the Florida Panhandle. . . . A pod of curious dolphins also greeted the astronauts."

As measles spread in west Texas, the state's 'lackluster investment' in rural health care systems is exposed

Measles is a highly contagious disease
caused by a virus. (Adobe Stock photo)

As the number of diagnosed cases of measles continues to climb, the outbreak in rural west Texas has exposed a health care system that is unprepared to handle even a smaller-scale contagion, reports Pooja Salhotra of The Texas Tribune. "Aging infrastructure, a dearth of primary care providers and long distances between testing sites and laboratories plague much of rural Texas, where the measles outbreak has concentrated."

A few years back, rural Texas was ravaged by Covid infections. Like Covid, the recent measles outbreak is "revealing how a lack of public health resources leaves rural communities vulnerable," Salhotra explains. "What’s left are local leaders forced to scrape together the few tools they have to respond to an emergency, contending with years of lackluster investment from the state and federal level to proactively prevent emerging public health threats."

A lack of hospitals, physicians and dilapidated facilities are just some of rural Texas' health care woes. "Some 64 Texas counties don’t have a hospital, and 25 lack primary care physicians," Salhotra reports. "Swaths of Texas have scant resources for public awareness campaigns. And they lack sufficient medical staff with expertise to provide the one-on-one education needed to encourage vaccination and regular visits to the doctor."

To slow the spread of measles, "rural health care teams have cordoned off spaces to conduct measles testing," Salhotra writes. They've "used social media to blast residents with information about vaccination efficacy and schlepped throat swabs across counties to ship them to a state lab in Austin — the only public state facility that was conducting measles testing until the Texas Tech University Bioterrorism Response Laboratory, part of a national network of CDC-funded labs, began measles testing" recently.

The primary goal of public health is prevention; however, "it’s emergencies that spur the most action, particularly in rural communities," Salhotra explains. "It was only after a school-aged child died from measles that state and federal support intensified."

Currently, Texas "spends less on public health per person than the vast majority of other states, according to the State Health Access Data Assistance Center, whose analysis shows Texas spent $17 per person on public health in 2023. A decade earlier, the spend was $19," Salhotra reports. "The low levels of state funding particularly hurt rural communities that have higher rates of uninsured Texans and more senior citizens with greater health needs."

National vaccination rates may continue to slump as states relax vaccination mandates

Child vaccination rates continue to decline.
(CDC photo, Unsplash)

Sliding vaccine rates could become a national trend as several states relax vaccine requirements and reduce promotion efforts, reports Shalina Chatlani of States Newsroom. "Vaccination rates are lower than they were before the pandemic."

Even with a growing measles outbreak in Texas, many Americans continue to reject or remain uncertain about vaccination requirements. "Public health experts worry that the confirmation of vaccine skeptic Robert F. Kennedy Jr. as secretary of the U.S. Department of Health and Human Services could add fuel to such efforts, leading to the resurgence of long-tamed infectious diseases," Chatlani explains. "Kennedy has made numerous baseless or false claims about vaccines."

Before the pandemic, most Americans accepted vaccination mandates as a medical directive based on scientific expertise, but that has changed. Al Cross, director emeritus of the Institute for Rural Journalism at the University of Kentucky, explained the shift, "Public health was once about doctors and nurses, and when it became defined in the public mind as coming from politicians, trust in it eroded quickly."

Without that trust, more parents have sought vaccination exemptions for their children. Chatlani reports, "Changing attitudes have had an impact: Vaccination rates among children born in 2020 and 2021 declined by between 1.3 and 7.8 percentage points for recommended shots, compared with children born in 2018 and 2019, according to a September report by the federal Centers for Disease Control and Prevention."

The accepted reasons parents can use to avoid state vaccination requirements are also likely to increase. "Republican officials in more than a dozen states have introduced legislation to loosen vaccine rules or otherwise reduce their use," Chatlani adds. An Idaho Senate panel recently considered a bill "that would ban mRNA vaccines, including Covid-19 vaccines, for a decade. Montana and Mississippi lawmakers considered but defeated similar proposals."

Despite the death of an unvaccinated child from measles, many community members continue to resist vaccinations

Measles can spread with 'extraordinary efficiency, hanging in the air for hours even after a carrier leaves a room.' (NPR graphic from The Lancet created by Alice Design from The Noun Project)

Despite a measles outbreak, including the death of an unvaccinated child in Gaines County, Texas, anti-vaccination proponents in Seminole, Texas, a small town just 80 miles from Lubbock, resist the measles vaccine for adults or children.

"The life-threatening measles outbreak in West Texas starkly illustrates the stakes of slipping immunization rates and the ascension of vaccine skeptics," report Fenit Nirappil and Elana Gordon of The Washington Post. "And it has revealed how fear and the scientifically false claims of the anti-vaccine movement have seeped into communities. . .hardening attitudes about vaccines. . . in the face of a dangerous, preventable disease."

The measles outbreak in Texas is the state's "worst measles eruption in three decades, which has surged to 146 known cases, with the true toll likely much higher, exposing how under-vaccinated communities are unnecessarily vulnerable to one of the world’s most contagious diseases," the Post reports. The child that died was "6 years old and otherwise healthy."

The initial outbreak began in West Texas and rapidly spread from there. Nirappil and Gordon explain, "It spread across nine West Texas counties and crossed the border into New Mexico. . . . The outbreak spurred hundreds in the region to vaccinate themselves and their children as the threat of the virus became immediate. But it has made others dig in their heels, arguing that measles is no worse than chicken pox or the flu."

Even though science does not support the belief, anti-vaccination advocates believe immunization reactions are more dangerous than the diseases the shots prevent. The Post reports, "Medical experts and the Centers for Disease Control and Prevention say harm from vaccines is rare and is vastly outweighed by the risk of preventable disease. Two doses of the measles vaccine are 97% effective against the virus."

And while many children readily recover from a case of measles, it can have dire outcomes. "As many as 1 in 20 develop pneumonia, according to the CDC. One in 1,000 experience swelling of the brain, which can leave a child deaf or with an intellectual disability," Nirappil and Gordon add. "For every 1,000 children with measles, one or two die."

Measles can spread with "extraordinary efficiency, hanging in the air for hours even after a carrier leaves a room," the Post reports. "If it infiltrates a community with pockets of unvaccinated people, it’s like throwing a torch into a parched forest and igniting a wildfire."  

The battle over a chicken vaccination puts egg and poultry industries at odds

Chicken vaxing could help egg producers but harm
poultry industries. (Adobe Stock photo)

American poultry and egg businesses can't agree on a strategy to contain bird flu while protecting incomes. "The chicken and egg industries are at odds. The argument isn’t over which came first but about bird flu vaccinations," reports Patrick Thomas of The Wall Street Journal. "Egg companies are calling for a stronger government response to the bird flu outbreak. . . . They are also petitioning regulators to greenlight a vaccine that could be administered on farms, a sharp reversal from their position a few years ago."

Chicken companies, such as Purdue and Tyson, are not on board with a large-scale flock vaccination because it would put their $5 billion chicken export revenue at risk. Thomas explains, "Countries that import chicken products would cut off purchases of American poultry. Each country would need to sign off on the U.S.’s vaccination strategy before accepting imports again."

Despite the debate, the Department of Agriculture issued a "conditional approval to animal-health company Zoetis for its bird flu vaccine for poultry," Thomas reports. "The next step in the process would be getting commercial approval. Even if that happens, it will still take time to sort out trade ramifications, ramp up production and develop a distribution. For now, the vaccine "is not authorized for use on farms, and poultry producers can’t buy it."

In the coming week, the USDA is expected to "roll out a comprehensive strategy to combat bird flu, the agency representative said, adding that the administration is committed to safeguarding poultry farms and keeping egg prices affordable for families," Thomas adds. Agriculture Secretary Brooke Rollins told Fox News, "This is going to take a little while to bring these prices back down."

Although a chicken vaccine would help the egg industry, delayed chicken exports would produce a chain of costly international and domestic trade problems. Thomas explains, "A backup in exports could lead to production cuts from major chicken companies, resulting in fewer grain and soybean purchases for livestock feed from farmers."

The battle for egg farmers is stressful and riddled with uncertainty. They are 'begging for a new approach.'

Egg farmers and their employees suffer when flocks
of their hens have to be culled. (Adobe Stock photo)

When bird flu sweeps through a chicken farm, its aftermath is sadness, stress and death. The extreme losses have some U.S. egg farmers wondering if they will ever recover.

"Greg Herbruck knew 6.5 million of his birds needed to die, and fast," reports Kate Wells of NPR. "The CEO of Herbruck's Poultry Ranch wasn't sure how the third-generation family egg producer (one of the largest in the U.S.) was going to get through this round of avian flu, financially or emotionally."

As a preventative measure to protect their flocks from avian flu infections, U.S. egg farms have invested "millions of dollars into biosecurity. Employees shower in and shower out, before they start working and after their shifts ends," Wells explains. "But none of that has been enough to contain the outbreak that started three years ago."

Unlike the U.S. bird flu outbreak in 2014-2015, this version of bird flu has proven impossible to contain. "It's so entrenched in the global environment, spilling into mammals such as dairy cows, and affecting 147 million birds in commercial and backyard flocks in the U.S.," Wells reports. "Egg producers and the American Egg Board are begging for a new approach."

Herbruck described the "virus as a terrorist," Wells adds. "Ten months after Herbruck's Poultry Ranch was hit, the company is still rebuilding its flocks. . . . Still, he and his counterparts in the industry live in fear, watching other farms get hit two, even three times in the last few years." Herbruck told Wells, "We are in a battle and losing, at the moment."

Vaccinating birds is a solution being used in China, Egypt and France. Emily Metz, president and CEO of the American Egg Board, told Wells, "All the measures we're doing are still getting beat by this virus." Wells reports, "At this point, Metz argued, the industry can't afford not to try vaccination, which has helped eradicate diseases in poultry before."

Syringe exchange programs meant to slow HIV's alarming spread in West Virginia limited by political resistance

Photo by R. Konkathi, Unsplash

Despite federal recommendations and community efforts to stem HIV infections among opioid or methamphetamine users in central Appalachia, the disease continues to spread. Harm-reduction advocates and medical providers cite resistance to syringe exchange programs as the primary obstacle, reports Taylor Sisk of KFF Health News. "The situation likely hasn’t improved, in part because of politicians who contend that such programs encourage illegal drug use."

In 2021, West Virginia's HIV outbreak was particularly concerning to officials from the Centers for Disease Control and Prevention. Sisk writes, "The CDC’s HIV intervention chief called it 'the most concerning HIV outbreak in the United States and warned that the number of reported diagnoses could be just 'the tip of the iceberg.'" 

Rural areas without substance disorder treatment or disease education present a ripe breeding ground where HIV can spread undetected. Ryan White HIV/AIDS Program Director Christine Teague "is concerned for West Virginia’s rural counties, most of which don’t have a syringe service program," Sisk adds. "Tasha Withrow, a harm reduction advocate in rural Putnam County, said her sense is that HIV numbers aren’t alarmingly high there but said that with little testing and heightened stigma in a rural community, it’s difficult to know."

Robin Pollini, a West Virginia University epidemiologist who conducts community-based research on injection drug use, told Sisk, “You would think that in a state that had the worst HIV outbreak in the country, we would have a statewide testing strategy." Sisk reports, "Teague would like every rural county to have a mobile unit. . . offering harm reduction supplies, medication, behavioral health care, counseling, referrals, and more."

While disease prevention through syringe exchange programs is well documented, the CDC's health warnings and recommendations for improved access to syringe exchanges have been largely ignored. Sisk reports, "In April 2021, the state legislature passed a bill limiting the number of syringes people could exchange and made it mandatory to present a West Virginia ID."

USDA orders testing of raw milk for bird flu to begin on Dec. 16. Testing is 'precautionary' and will aid virus containment

Mandatory milk testing will begin in six states
on Dec. 16. (Adobe Stock photo)

The Department of Agriculture has expanded its response to bird flu infections in U.S. dairy herds by ordering milk testing to begin on Dec. 16 -- "a step public health experts have clamored for following the detection of the H5N1 virus in U.S. dairy herds for the first time this spring," report Mark Johnson and Sabrina Malhiof The Washington Post. "The mandatory testing system is designed to identify which states and specific herds have been affected by the H5N1 virus." 

California, Colorado, Michigan, Mississippi, Oregon and Pennsylvania will be the first states to roll out mandated testing. The Post reports, "An industry representative in Pennsylvania, which ranks second in the nation for the number of dairy farms, said monitoring efforts are precautionary. No cases of H5N1 have been detected in the state’s dairy herds to date." So far, H5N1 infections have been reported in 720 herds in 15 states.

The mandate includes raw milk testing by "dairy farms, bulk milk transporters, milk transfer stations and dairy processing facilities," Johnson and Malhiof explain. "Herd owners whose cattle test positive for the virus must provide information for contact tracing and disease surveillance. Private laboratories and state veterinarians must report all milk that tests positive to the USDA."

Overall, dairy farmers and processors "have been reluctant to test animals or milk for the virus as they fear economic or other repercussions," reports Rachel Dobkin of Newsweek. However, as the virus spread, some farmer sentiments have changed. Keith Poulsen, director of the Wisconsin Veterinary Diagnostic Laboratory, told Dobkin,"It's another step in the right direction. They're coming around that we need a better handle on it."

Health officials maintain that "the risk to people from bird flu remains low, and pasteurization kills the virus in milk, making it safe to drink," Dobkin adds. "Federal officials continue to warn against drinking raw milk."

Making sense of bird flu virus H5N1, from its risks to why there's reason to be hopeful

Bird flu H5N1 can kill chickens in 48 hours, but the
infection is less severe in humans. (J. Whitt photo, Unsplash)

As avian flu spreads among birds, cows, and people, understanding the virus can help lessen unnecessary worry and build support for virus containment, testing and possible vaccination efforts.

David Leonhardt of The New York Times demystifies the bird flu virus through questions and answers. The answers have been lightly edited.

1. What is bird flu?
It’s an influenza virus officially known as H5N1 (and sometimes called avian flu). It attracted global attention in the late 1990s after an outbreak among chickens in southern China. . . . That outbreak was especially worrisome because it included the first documented human cases of the virus. At least 18 people were infected, six of whom died.

2. Why the recent concerns?
The virus has recently expanded in two ways: across regions and across species. Rather than being concentrated in Asia, bird flu has moved across much of the planet. And it has infected a wider variety of animals, including mammals. Dairy cows in many parts of the United States have tested positive.

Most concerning, at least four people have tested positive without evidently having had contact with a sick animal. . . . These infections raise the possibility that the virus can move from one human being to another, rather than only from an animal to a person. Human-to-human transmission can lead to a much more rapid spread of a disease.

3. What are the reasons to be hopeful?
First, it’s not yet clear whether those four recent cases stemmed from human-to-human transmission.

Second, H5N1 seems to have become less severe in human beings recently. The reasons aren’t clear. . . . As my colleague Apoorva Mandavilli says, 'Very few people known to be infected with bird flu in the United States have become seriously ill, and none have died.'

4. How can the U.S. reduce the risks?
More testing — of birds, cows and farmworkers — would help. “We know very, very little about how far this virus has spread and how many people and animals have been infected,” Mandavilli said. Testing could allow farms to isolate infected animals and people.

What about a vaccine?
A vaccine for bird flu exists, but the supply is modest. Jennifer Nuzzo, director of the Pandemic Center at Brown University, believes the government should help expand production and make the vaccine available to farmworkers who want to receive it.

The bottom line:
Caitlin Rivers, an epidemiologist at Johns Hopkins, recently published a book on preventing outbreaks called "Crisis Averted." In it, she argues that one of the most effective public health strategies is honesty: Experts should level with people, rather than telling selective truths intended to shape behavior in paternalistic ways (as happened during Covid).

Piles of dead dairy cows in California show an industry that wasn't prepared for H5N1 bird flu's aggressive spread

H5N1 can be more deadly for younger cows.
(Adobe Stock photo)

After the H5N1 bird flu virus was detected in California in August, the virus spread aggressively and has infected at least 124 dairy herds and 13 dairy workers, reports Susanne Rust of the Los Angeles Times. "And according to dairy experts, the spread of the virus has yet to abate." The virus has killed dairy cattle at an "unexpected rate," which has left some dairies with roadside piles of dead cows awaiting rendering service pickup.

While roadside patches of dead cows are grisly, John Korslund, a retired Department of Agriculture veterinarian epidemiologist, said "there was probably very little risk to public health in having the animals piled up," because the virus doesn't last long in a carcass. 

Anja Raudabaugh, chief executive of Western United Dairies, "said although the dairy farmers she represents had been reading about the virus for months before it hit, no one was prepared for the devastation and unevenness with which the virus has struck California’s dairy herds," Rust reports. "She said on some farms, the cows seem virtually unaffected, despite being infected. While on others, the animals are dying in droves."

The virus' biggest toll has been on younger dairy cows, but farmers are doing what they can to keep them alive. Raudabaugh told Rust, “given the extreme rearing and raising and just expenses that go into raising these animals, there’s hope that on the other side of the virus, they will come back into production that’s sustainable for the farmer. So it’s definitely a last resort if they are culling them.”

Dairy farmers are concerned that even if a cows survive the virus, their milk production could indefinitely decrease. Rust reports, "The Department of Agriculture has a program to pay back farmers for production loss due to the virus. The program covers the three weeks of production lost by a cow when it is removed from the milking herd to recover, as well as the seven days afterward when production is still low." There is no protection for permanent production loss.