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Zika Virus: What Symptoms Should You Look Out For?

Photo: Getty Images

Photo: Getty Images

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Mosquito season is just around the corner, which means the U.S. and other countries are ramping up mosquito control in an attempt to contain the rapidly spreading Zika virus.

But as TIME recently reported in our cover story, authorities still expect the U.S. to see some locally transmitted cases of the virus this summer. One challenge is that it can be difficult to track the exact number of people infected with Zika, because the symptoms are similar to other diseases—and the vast majority of those who are infected don’t show any symptoms at all.

For those who do develop symptoms, the most common ones that characterize a Zika infection are red eyes, joint pain, rash and fever. If a person has a rash with or without a fever and another one of the four symptoms, that is considered a probable case of Zika. Still, there are other ailments that can cause similar symptoms, like the flu or other mosquito-borne illnesses like dengue.

Right now, the people at risk of getting infected are those who travel to one of the over 40 countries with ongoing Zika virus transmission. Should a person start having symptoms of the virus within two weeks of traveling to an affected region, it may be a good idea to see a doctor and determine whether to be tested. All pregnant women who travel to regions with Zika should be tested regardless of whether they have symptoms, health experts advise. Pregnant women are especially vulnerable since Zika is now proven to cause microcephaly, a birth defect, in infants. Partners of pregnant women should also be aware that the virus can be sexually transmitted, which is why health officials are advising men to abstain or use contraception for six months if they have been exposed and don’t want to pass it on. Women who may have been exposed should wait at least eight weeks before trying to get pregnant.

Currently, only state and federal laboratories can test for the virus and sometimes results can take weeks to get back. You can read more about whether you should be tested here.

RELATED: 10 Zika Facts You Need to Know Now

Travelers who return from a place where they may have been bitten by a mosquito carrying Zika, but do not have symptoms, can ask their doctor to be tested, but they will likely be low priority. Typically if a person does get sick, the symptoms will last for several days to a week.

This article originally appeared on TIME.com.




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Does Fat-Storing Hormone Cause Obesity?

By Dennis Thompson
HealthDay Reporter

WEDNESDAY, May 11, 2016 (HealthDay News) — A fat-storing hormone called neurotensin might influence your odds for obesity, according to new research with mice and humans.

Middle-aged folks with high levels of pro-neurotensin — a substance the body uses to make neurotensin — have twice the risk of developing obesity later in life, compared to people with low levels, said senior researcher Dr. Mark Evers.

“We looked at non-obese subjects and found that if their pro-neurotensin levels were already elevated, then their likelihood of becoming obese over time was significantly elevated,” said Evers. He is director of the University of Kentucky College of Medicine’s Markey Cancer Center.

Neurotensin — a hormone found in the small intestine and the central nervous system — appears to prompt the body to store excess fats, Evers said.

Mice with low levels of neurotensin that were put on a high-fat diet absorbed less fat than average mice. They also were protected from other conditions related to high fat intake such as increased insulin resistance, Evers and his colleagues found in laboratory studies.

“Neurotensin is a thrifty type of hormone,” Evers said. “If you think from an evolutionary standpoint, our early ancestors, their meals came sporadically when they could kill an animal every couple of days. You needed hormones that could facilitate the absorption of all of the fats so as to store those fats, because you never knew when the next meal would occur.”

Further lab research with mice and fruit flies found that neurotensin inhibits the activity of a key enzyme that regulates metabolism, known as AMPK, the study authors said.

To see whether these effects could directly affect humans, the researchers drew blood from more than 4,600 people participating in a Swedish diet and cancer study and tested it for pro-neurotensin.

People with high levels of pro-neurotensin were more likely to have a higher body mass index (BMI, a ratio of weight to height) and a larger waistline, the researchers found. They also had double the risk of becoming obese in the future, compared to people with the lowest levels of pro-neurotensin.

These findings indicate that neurotensin could be used in a test to predict who might become obese in the future, particularly if they are eating a high-fat diet, Evers said. Those folks could be encouraged to avoid obesity through diet and exercise.

Researchers also might stave off obesity in some people by developing a drug that blocks the effect of neurotensin, he added.

The study results were published May 11 in the journal Nature.

Obesity and diseases related to it are among the most challenging conditions facing the medical profession, the researchers said in background notes.

Dr. Christoph Buettner, an associate professor of endocrinology and diabetes at Mount Sinai Hospital in New York City, said these findings “clearly put neurotensin on the map of hormones that need a very close look in obesity and diabetes.”

However, the results are very preliminary and need to be further explored, said Buettner, who was not involved in the study.

For example, there already are hundreds of other proteins and hormones in the body that have been identified as potential markers for obesity. “Whether this marker is better than many other markers associated with obesity and diabetes is totally unclear,” Buettner said.

In addition, attempts to promote weight loss by blocking neurotensin have not proven effective, he said.

“It’s fair enough to say pharmacological inhibition of this hormone has a very modest effect on obesity reduction,” Buettner said. “They also do not show that metabolism was improved in a meaningful way.”

Neurotensin might help explain why obese people are more susceptible to cancer, Evers said.

The hormone has been implicated in different cancers, including breast, colon and gastrointestinal, Evers said.

“Now, this relationship of neurotensin to obesity has us excited about the fact that neurotensin might be a potential link in the whole obesity and cancer story,” he said.

More information

For more on obesity, visit the U.S. Centers for Disease Control and Prevention.





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DNA May Affect What Bugs Reside in Your Gut

WEDNESDAY, May 11, 2016 (HealthDay News) — At least some of the microbes that live in your gut may be influenced by your genes, a new study finds.

“We set out to find out about human genes that are implicated in the regulation of the gut microbiome, and we found some that are,” said senior study author Ruth Ley, an associate professor in the department of microbiology at Cornell University, in Ithaca, N.Y.

For example, the researchers found a link between the LCT gene — involved in making the enzyme that helps the body digest dairy products — and a type of microorganism called Bifidobacterium, which is commonly used in probiotics.

“Based on our research, we identified more than a dozen microbes with known links to health that are heritable,” Ley said. “These microorganisms are environmentally acquired, but the genome also plays a part — by determining which microorganisms are more dominant than others.”

Some of the other genes involved were related to diet preference, metabolism and immune defense, the researchers said.

The findings were published May 11 in the journal Cell Host & Microbe.

“The overall numbers in this study were still small for genome-wide association analysis, but they help validate some of the findings we’ve seen in smaller studies,” Ley said in a journal news release.

“This type of study opens up many questions, but doesn’t give us a lot of answers yet. It gives us lots of ideas to study,” she added.

More information

The American Society for Microbiology has an overview of the human microbiome.





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Do Genes Help Determine Your Education Level?

By Amy Norton
HealthDay Reporter

WEDNESDAY, May 11, 2016 (HealthDay News) — Your genes may influence how far you go in school, a new study suggests.

Scientists have found over 70 genetic variations that may play a role in how much formal education people end up getting.

But the researchers were quick to stress that genes have a fairly minor influence. Social and environmental factors are much more important, the study authors said.

“We know that environment overall, not genetic factors, has the predominant impact on educational attainment,” said lead researcher Daniel Benjamin, an associate professor at the University of Southern California, in Los Angeles.

Plus, genetic variations wouldn’t directly affect education, he explained.

Instead, Benjamin said, “genes that are associated with educational attainment might influence many different biological factors that in turn affect psychological characteristics — such as cognitive performance and ‘grit’ — that finally influence educational attainment.”

In fact, the researchers found, the genetic variants tied to education often resided in regions of DNA thought to be important in early brain development.

There was also “suggestive evidence,” Benjamin said, that some variants mattered because they have effects on people’s thinking and learning skills, or a personality trait dubbed “openness to experience.”

But much more research is needed to understand what’s going on, Benjamin said.

Scientists had already known that genes play some role in educational attainment, based on studies of twins and other siblings.

But the actual genes involved have remained elusive, said Jason Boardman. He’s a professor of sociology at the University of Colorado at Boulder who studies gene/environment interactions.

That’s “perfectly understandable,” Boardman said. There are probably thousands of genetic variations that each have small effects on something as complex as education, he said.

Benjamin agreed. He said his team identified 74 variations — but together they explained just 0.43 percent of the difference in education levels across the study group.

The findings are based on genetic samples from nearly 300,000 adults from 15 different countries, mostly white, who were taking part in several ongoing studies. The researchers compared their findings from this group to another group of 110,000 people from a U.K. database, and found similar results.

Based on past studies, researchers think that genes account for about 20 percent of the differences in education levels among individuals.

That means “there must be, at least, thousands of genetic variants that influence education that have not yet been detected,” Benjamin said.

So what’s the value in looking at the genetics behind education?

The findings could shed light on the biology underlying brain development, Benjamin said. The findings might also provide clues to certain neurological and psychiatric conditions, he noted.

For example, some of the same variants tied to higher education levels were also linked to a lower risk of Alzheimer’s disease and neurotic personality traits, the researchers found.

Others were linked to an increased risk of bipolar disorder. And some were tied to either a heightened or decreased risk of schizophrenia, Benjamin said.

That kind of genetic “overlap,” he explained, raises interesting questions for future research.

For one, it’s possible that some of the other genetic variants tied to education — whose functions are unknown — could also be linked to those neuropsychiatric conditions.

It’s also possible, Benjamin said, that many of the education-linked variations are “pleiotropic” — meaning they play a role in multiple human traits.

In the case of Alzheimer’s disease, for example, studies have found that people with more education tend to have a lower risk of the disease. According to Benjamin, the new findings suggest that genes — and not only environment and social factors — might help explain that connection.

The findings are not useful, however, for “predicting” whether your child is going to college, both Benjamin and Boardman said.

That’s partly because whatever your particular genetic “score” is, environment can modify the effects, Benjamin explained.

As part of the study, his team looked at a group of Swedish adults born between 1929 and 1958. They found that the connection between genetic scores and education level was weaker among people born in the 1950s, versus the 1930s.

That younger group, according to Benjamin, was in school at a time when Sweden made broad education reforms. That suggests the reforms “reduced the effects” of the genetic variants, he said.

Boardman made the same point.

“If anything, we’ve learned that genetic contributions to a trait like education change over historic time,” he said. “In addition, different genes may be linked to educational attainment for different groups at different historical time periods. There is nothing deterministic about [this] at all.”

The study was published May 11 online in the journal Nature.

More information

The U.S. National Institutes of Health has a primer on human genetics.





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Mouse Models Reveal How Zika Infects Fetuses

WEDNESDAY, May 11, 2016 (HealthDay News) — Scientists have created the first model of how the Zika virus spreads from a pregnant mouse to its fetus.

The mouse model showed that the virus first damages the placenta before infecting the fetus, causing many of the same complications seen in human babies.

“There have been questions regarding whether in utero transmission of Zika virus actually causes disease in the fetus. While the evidence has been mounting, our data confirms that Zika virus can cause congenital problems, including fetal death,” Michael Diamond, a viral immunologist at Washington University in St. Louis, said in a university news release.

Mice aren’t normally vulnerable to Zika virus. For the study, the researchers created two mouse models to show how Zika infects a fetus. The first involved genetically modifying the immune system of females. In the second model, genetically normal female mice received injections of an antibody that impaired their immune system.

Once the genetically modified pregnant mice were infected with Zika virus, the researchers were able to observe the transmission of the virus to the mouse fetus. The virus zeroed in on the placenta, creating viral levels 1,000 times higher in the placenta than in the mother’s blood, the researchers said.

Once in the placenta, the virus moved on and damaged the fetal blood capillaries. After the virus is in circulation, it is able to infect the fetal brain, the investigators found.

The study authors reported that many of the genetically modified mice miscarried. The fetuses that made it to term were much smaller and had Zika virus in their brains and central nervous system.

“Most of the time, the placenta is an effective barrier between the mother and her fetus,” said the study’s co-senior author, Indira Mysorekar, a reproductive biologist. “But Zika is able to overcome it.”

It’s important to note, however, that research done in animals doesn’t always replicate what happens in humans.

The researchers are continuing their investigation to learn exactly how Zika crosses the placenta and identify other complications among infected mouse fetuses.

“The two models provide different aspects of the biology,” said Diamond. “In the knockout model, we see the growth retardation, fetal demise and injury to the brain. In the blocking-antibody model, which is less severe, we can follow the development of the mice after birth. We plan to test them for any developmental changes that a milder Zika virus infection could have caused.”

The study was published May 11 in the journal Cell.

More information

The U.S. Centers for Disease Control and Prevention has more about Zika and pregnancy.





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Watch Walking to Gauge Health After Heart Surgery

WEDNESDAY, May 11, 2016 (HealthDay News) — Assessing the prognosis of a loved one who’s scheduled for heart surgery may be as easy as watching them walk, a new study suggests.

Patients who aren’t able to walk a short distance at a comfortable pace before heart surgery are at greater risk for death following heart procedures, says a team of Canadian researchers.

One U.S. doctor wasn’t surprised by the finding.

“We knew people with a slower gait speed would have a harder time recovering, and it’s helpful that these initial impressions are now supported with data,” said Dr. Scott Schubach, chair of cardiovascular surgery at Winthrop-University Hospital, in Mineola, N.Y.

For the study, researchers led by Dr. Jonathan Afilalo of McGill University in Montreal assessed heart patients’ gait speed — the ability to walk about 16 feet in a reasonable amount of time.

Gait speed, the researchers explained, reveals problems in the muscles of the lower limbs. It can also help doctors evaluate patients’ brain, heart and lung function, they said.

More than 15,000 people who underwent heart surgery at 109 different medical centers participated in the study. The patients averaged 71 years of age and underwent procedures such as bypass, valve surgery or a combination of each.

Before their surgery, all of the patients underwent a gait speed test. Those who had a slow gait speed were at increased risk of death after surgery, according to the study.

Overall, every second longer it took patients to walk the course resulted in an 11 percent relative increase in death after surgery, Afilalo’s team reported.

Schubach said, “This increased risk is something that we cardiac surgeons have realized for quite some time, and is a part of our risk assessment during the preoperative evaluation of a patient.”

Another expert noted that you can’t always assess the risk just by looking at a person.

“Contrary to popular perception of what a frail person looks like, the medical definition as reported in this study paints a far different picture,” said Dr. Howard Levite, who directs cardiology at Staten Island University Hospital, in Staten Island, N.Y.

“Surprisingly, it is the obese, diabetic female that fulfills the definition of frailty more often than the skinny or malnourished-appearing, hunched-over person,” he said.

He believes the Canadian study confirms what many cardiologists have long known.

“The ability to walk quickly before a heart operation separates those individuals who have the lowest surgical complication rates from those more likely to develop kidney problems, infections or to die,” Levite said.

The findings were published online on May 11 in JAMA Cardiology.

More information

The American Heart Association provides more information on heart surgery.





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Baby’s Immune System Might Hint at Autism Risk

WEDNESDAY, May 11, 2016 (HealthDay News) — While the origins of autism remain mysterious, new research points to the infant immune system as a potential contributing factor.

A team of Swedish and American researchers said levels of certain protein “markers” in newborns’ blood seemed to predict which children would go on to develop an autism spectrum disorder.

This is “important evidence that the immune system in early life may be a key determinant of later risk of autism spectrum disorders,” wrote the team led by Dr. R. M. Gardner of the Karolinska Institute in Stockholm.

The researchers examined blood from nearly 900 children who developed some form of autism. The children were born in Sweden between 1998 and 2000. The researchers compared those blood samples to blood from more than 1,100 kids who didn’t develop the disorder.

While the study can’t prove cause-and-effect, babies who went on to develop autism had higher blood levels of certain proteins that signaled inflammation, the researchers said.

However, there’s not yet enough evidence “to use such a profile to precisely predict which children would go on to develop [autism],” Gardner’s team stressed.

Still, the researchers said the new finding supports previous observations that infection during pregnancy and other conditions that can lead to increased inflammation have been linked to a higher risk of autism spectrum disorders.

Two experts said the findings were intriguing. But they added that much more research is needed.

“This study probably presents more questions than it answers,” said Dr. Victoria Chen of Cohen Children’s Medical Center, in New Hyde Park, N.Y.

“There is not much known about what causes neonatal inflammation to increase or decrease in general,” explained Chen, an attending physician in the hospital’s division of developmental behavioral pediatrics.

“Overall, this is an exciting finding,” she said, “but there needs to be more work done to understand whether these proteins have a causal role — and what role it plays in the development of autism spectrum disorder.”

Alycia Halladay is chief science officer with the Autism Science Foundation. She agreed that while the findings are interesting, only more research will show if spotting and lowering inflammation in pregnancy might “mitigate the risk of autism spectrum disorders.”

The study was slated for presentation Wednesday in Baltimore at the International Meeting for Autism Research. Findings presented at medical meetings are typically considered preliminary until published in a peer-reviewed journal.

More information

There’s more on research into the causes of autism at the U.S. National Institute of Neurological Disorders.





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Too Much Folic Acid in Pregnancy Tied to Raised Autism Risk in Study

By Dennis Thompson
HealthDay Reporter

WEDNESDAY, May 11, 2016 (HealthDay News) — Pregnant women are encouraged to get plenty of folic acid in their diet or through vitamin supplements, to protect their babies against birth defects of the brain and spinal cord.

But a new study suggests that excessive amounts of folate (vitamin B9) and vitamin B12 in a mother’s body might increase a baby’s risk of developing an autism spectrum disorder.

“The new research question before us is to understand the optimal dose,” said co-researcher Daniele Fallin. She is a professor at the Johns Hopkins Bloomberg School of Public Health in Baltimore.

“Some [folate] is a good thing. It does appear the levels in the body could get too high, and that would be a bad thing,” she said.

“Supplementation is indeed an important thing,” Fallin added. “We would not want anyone to interpret from this that they should stop taking vitamin supplements if they are intending to get pregnant or if they are pregnant.”

In the study, mothers who had very high blood levels of folate at delivery were twice as likely to have a child with autism compared to mothers with normal folate levels.

Researchers also found that mothers with excessive B12 levels were three times as likely to have a child with autism.

The risk was greatest among mothers who had excess levels of both folate and B12 — their risk was over 17 times that of a mother with normal levels of both nutrients, the investigators reported. However, the study only found an association and could not prove that high levels caused an increased risk of autism.

The study findings are scheduled for presentation Friday at the International Meeting for Autism Research in Baltimore.

Folate is found naturally in fruits and vegetables, while the synthetic version, folic acid, is used to fortify cereals and breads in the United States, and in vitamin supplements.

However, expecting mothers shouldn’t toss away their supplements, the researchers stressed.

The study also found that women who took folate and B12 supplements three to five times a week were less likely overall to have a child with autism, particularly when they’re taken during the first and second trimesters, Fallin said.

The March of Dimes, the American College of Obstetricians and Gynecologists and other medical associations recommend that pregnant women consume folic acid to prevent neural tube defects, which happen in about 3,000 pregnancies each year in the United States. Spina bifida is the most common of this type of birth defect.

And recent studies have also indicated that folate and vitamin B12 might protect a developing fetus against future autism, Fallin said.

To investigate this effect, Fallin and her colleagues analyzed data from almost 1,400 mother-child pairs in the Boston Birth Cohort, a predominantly low-income minority population.

The mothers were recruited at the time of their children’s birth between 1998 and 2013, and followed for several years. The study included a check of the mothers’ blood folate levels within three days of delivery.

The researchers found that one in 10 of the women had what is considered an excess amount of folate, while 6 percent had an excess amount of vitamin B12.

“We saw those women who had extremely high, much higher than the recommended amount, of folate or vitamin B12 were more likely to have children who later had a diagnosis of autism,” Fallin said.

Fallin and her colleagues could not say from their data why certain women had excessive levels of folate or B12 in their systems around the time of delivery, although many said they took vitamin supplements during their pregnancy.

It could be that some women are genetically predisposed to high levels of folate and B12 in their bodies, or they might be getting too much of the nutrient through diet or supplements, she said.

Women should talk with their obstetrician about their diet and supplements, and how those might be affecting their blood levels of folate and B12, Fallin said.

Dr. Paul Wang, senior vice president of medical research for Autism Speaks, agreed that “it’s just too early to say” what this study means, particularly because it hasn’t yet appeared in a peer-reviewed medical journal.

“We need to see the full study,” Wang said. “We need to look at all of the data they have.”

Wang noted that the study does show a protective benefit against autism for folic acid and vitamin B12 in women taking supplements three to five times a week.

“What we’ve always believed to be true remains true, that supplements decrease the risk of autism,” Wang said. “The bottom line still is that taking the recommended vitamins is overall decreasing your child’s risk.”

More information

For more on folic acid, visit the March of Dimes.





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Zika Symptoms May Vary, So Testing Is Crucial

By Alan Mozes
HealthDay Reporter

WEDNESDAY, May 11, 2016 (HealthDay News) — Zika infection isn’t always obvious. In one recent case, a rash, bloodshot eyes and spots in the mouth were key symptoms of infection with the mosquito-borne virus, researchers report.

The 44-year-old patient had no fever, a common sign of Zika infection. But he complained of headache, fatigue and redness on his arms and hands just days after returning to the United States from Puerto Rico, where the mosquito-borne virus is circulating.

Zika infection was only confirmed by blood and urine tests administered after the man recovered.

Researchers are publicizing the case to highlight lesser known characteristics of the illness, which is usually mild but can cause serious birth defects and neurological problems.

“Our aim [is] to provide a more detailed description of skin, mucosal and tissue findings than exists in the literature, with the goal of improving awareness and recognition of suspected cases by the health care community,” said report co-author Dr. Amit Garg.

The problem with diagnosing Zika is the virus shares many characteristics with other illnesses, explained Garg, an associate professor of dermatology at Hofstra Northwell School of Medicine, in New Hyde Park, N.Y.

The disease has captured global attention in the last year because of widespread infections in Central and South America.

According to the World Health Organization, 64 countries and territories have reported Zika transmission, largely spread by the Aedes aegypti mosquito, the same mosquito that transmits dengue and yellow fever. Sexual intercourse and probably blood transfusions are also thought to spread infection, experts say.

Symptoms are usually mild and short-lived, lasting two to seven days. But Zika exposure in pregnancy raises the risk for microcephaly, a serious birth defect affecting a baby’s head and brain size. Zika is also associated with Guillain-Barre syndrome, a rare nervous system illness.

According to the U.S. Centers for Disease Control and Prevention, the U.S. mainland has seen just 472 cases, all contracted outside the country. But health officials predict Zika-carrying mosquitoes will threaten the Gulf States, including Florida, Louisiana and Texas, by summer.

Garg and his colleagues present their findings in online May 11 in the journal JAMA Dermatology. They said the patient became fatigued and developed a headache within three days of his return to the United States.

One day later, he experienced itch-free redness and inflammation on his arms, hands and palms. The inflammation spread to his torso within 24 hours, before fading and moving to the lower extremities, notably the knees and feet.

He later developed a burning sensation and joint pain in his wrists, knees and ankles.

Within eight days, many of his initial symptoms cleared up.

Only later, after a full medical screening, did researchers catalogue clear signs of infection and render a Zika diagnosis.

Based on this case, Garg’s team concluded that Zika rashes manifest as “tiny closely-set red bumps” that spread from the upper to lower half of the body over several days.

“Tiny red patches” also tend to appear on the roof of the mouth, and eyes may appear bloodshot, though not all patients will have all of those symptoms, Garg said.

Ultimately, “your doctor will need blood and/or urine samples to confirm the presence of the Zika virus,” said Garg. However, a dermatologist may be able to eliminate Zika as a possibility, he added.

Earlier this week, U.S. health officials reported that urine tests seem far better than a traditional blood test at detecting the infection. If those findings bear out in further research, it could become easier to screen for the Zika virus.

Most experts say Americans shouldn’t panic, but they should be aware of the Zika threat.

“We live in a globally interconnected world, where the rapidity of modern travel allows us, and the microbes that infect us, to be virtually anywhere within only hours,” said Lola Stamm. She is an associate professor of epidemiology at the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill.

The bottom line, warned Stamm: “Travel and trade can bring ‘new’ pathogens and their vectors to our doorstep in only hours.”

With no known treatment or vaccine for Zika, experts can only recommend long-sleeved clothing and DEET-laced repellent to limit risk, or avoiding regions where the virus is circulating.

More information

There’s more on Zika virus at the U.S. Centers for Disease Control and Prevention.





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Study: Ex-NFL Players Aren’t at Greater Risk for Suicide

WEDNESDAY, May 11, 2016 (HealthDay News) — Professional football players aren’t at greater risk of suicide than the general U.S. population, federal health officials report, although players are far likelier to suffer concussions.

For the study, the researchers calculated the suicide death rate for 3,439 retired National Football League players who played for at least five seasons between 1959 and 1988.

Previous studies have suggested that different football positions carry different risks. To account for this possibility, the researchers divided the players into two groups. The first group included athletes who played positions involving speed, such as running back, wide receiver and quarterback. The other group included those who played positions that didn’t rely on speed, such as offensive and defensive linemen.

Punters and kickers were excluded from the study because these positions rarely involve contact that results in head injury.

The suicide rate of the football players was then compared to that of the general U.S. population.

The study found that from 1979 to 2013, the suicide rate among the former players was less than half of what would be expected among the general population. There were 12 suicides in the NFL group, but 25 suicides would be expected in a comparable group in the general population, the researchers reported.

Suicides were much less common among those who played speed positions, compared to the general population. The suicide rate among linemen was lower than the general population, but the difference wasn’t statistically significant, the study authors said.

The researchers also noted that far fewer NFL players died from cancer, heart disease, and assaults or homicide than the general population.

The study was done by researchers at the U.S. National Institute for Occupational Safety and Health (NIOSH) and the findings appear in the May issue of the American Journal of Sports Medicine.

“The issue of football players being at higher risk of suicide than the general population has been raised in the popular and scientific literature,” Dr. Douglas Trout said in a NIOSH news release issued Tuesday. Trout is deputy director of the agency’s Division of Surveillance, Hazard Evaluations and Field Studies.

“In studying this particular cohort of professional football players, our researchers did not find this to be the case; more studies are needed before further conclusions can be reached,” he said.

However, the authors noted that their study has limitations. First, it didn’t include environmental or genetic factors that can influence suicide risk. Also, the researchers didn’t include information about concussions in the athletes involved in the study.

The controversy over concussions and head injuries suffered by NFL players and a possible link to suicides has been a significant issue for years. Last month, a federal judge signed off on the NFL’s $1 billion concussion settlement with thousands of retired players.

A small study presented last month at the American Academy of Neurology’s annual meeting, in Vancouver, suggested that two out of five retired NFL players may suffer from traumatic brain injuries.

Brain scans of 40 former NFL players, age 36 on average, found that nearly 43 percent had significantly more damage to the brain’s white matter than a group of healthy adults the same age, the researchers said.

More information

The U.S. National Institute of Neurological Disorders and Stroke has more about traumatic brain injury.





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