CNN
The US Centers for Disease Control and Prevention issued a new warning to health care providers Thursday about severe illnesses in people with monkeypox.
The alert comes as Ohio reported that an individual with monkeypox has died the third known death of a patient with monkeypox in the United States.
Ohio listed the death in an update to its online monkeypox outbreak dashboard Thursday. The Ohio Department of Health on Friday said an adult male with monkeypox had died, and the individual had other health conditions. The CDC told CNN it is aware of the death.
The first US death due to monkeypox was confirmed this month in Los Angeles County. The county public health department and the CDC said the person had a severely weakened immune system and had been hospitalized. No further information will be made public, the department said.
A person in Harris County, Texas, who had monkeypox died in August, but the virus role in that death has not been confirmed.
Deaths from monkeypox are extremely rare, and babies, pregnant women and people with weakened immune systems are at greater risk. Among more than 67,000 cases reported globally in the current outbreak, there have been 27 deaths, according to the World Health Organization.
More than 25,000 cases of monkeypox have been reported in the United States, but recent case trends suggest that the outbreak is slowing in the US.
Falling case numbers might be a reflection of rising numbers of people vaccinated against the virus. This week, the CDC announced that its expanding eligibility for the Jynneos monkeypox vaccine to higher-risk people who have not been exposed to the virus.
According to data posted by the CDC on Wednesday, men at high risk for monkeypox because they have sex with other men or because they live with HIV were 14 times more likely to be infected if they were unvaccinated compared with those who were at least two weeks past their first dose of the vaccine.
The CDC said Thursday that some people in the US who were infected with monkeypox during the ongoing outbreak have had severe manifestations of the illness, extended hospitalizations or substantial health problems.
The agencys health alert notes that severe monkeypox can happen in anyone, and most people diagnosed during this outbreak have had mild or moderate illness. Most people whose illness has been severe have had HIV with substantial immunosuppression, it says.
Some of the severe illnesses have included:
The advisory urges health-care providers to be aware of risk factors for severe monkeypox and says anyone with suspected or confirmed monkeypox should be tested for HIV. Providers should also check whether the persons immune system may be weakened by another condition or by a medication.
Monkeypox treatment in people who have weakened immune systems should involve stopping any medications that may be affecting the immune system, providing antiretroviral therapy for those with HIV, and possibly using medications such as tecovirimat, known as Tpoxx.
The CDC says people who were exposed to monkeypox through sexual contact should get tested for HIV and other sexually transmitted diseases.
The Erie County Department of Health (ECDOH) is offering a monkeypox vaccine clinic for eligible members of the UB community from 11 a.m. to 5 p.m. Oct. 7 at UBs new Student Health Services facility, 4350 Maple Road, Amherst. The clinic is open to UB students, faculty, staff, alumni and others at high risk of exposure to monkeypox.
Appointments are strongly recommended; walk-ins are welcome.
Current New York State monkeypox (Jynneos) vaccine eligibility includes the following New Yorkers:
In addition to UB-hosted clinics, ECDOH is also holding off-campus monkeypox clinics that may be conveniently located for some UB students, faculty and staff.
For a list of these clinics, their locations and schedules, visit ECDOHs website.
A Northwell Health staff member holds the monkeypox vaccine, at Cherry Grove on Fire Island, New York, where monkey pox vaccines were administered on July 14, 2022.
James Carbone | Newsday | Getty Images
Health authorities in Ohio reported the death of an adult male who had monkeypox, the third fatality in the United States of someone who tested positive for that virus since the outbreak began in May.
The unidentified man had other health conditions, according to the state's health department, which announced his death late Thursday.
The federal Centers for Disease Control and Prevention in a health alert to physicians Thursday warned that people who have compromised immune systems due to HIV and other conditions face a higher risk of developing severe symptoms from the virus.
The U.S. had the largest monkeypox outbreak in the world, with more than 25,000 cases reported across all 50 states, Washington D.C., and Puerto Rico, according to CDC data.
The outbreak has started to slow as the two-dose Jynneos vaccine has become more widely available, and people have become more aware of what precautions to take to avoid infection.
Los Angeles health officials confirmed earlier this month that an individual with a severely compromised immune system died from monkeypox after being hospitalized.
Texas health officials reported in late August that an adult in the Houston area diagnosed with monkeypox had died. That person also had a severely compromised immune system. The cause of death in that case is still under investigation.
While monkeypox is rarely fatal it causes a rash resembling blisters that can be extremely painful.
The virus is primarily spreading among gay and bisexual men through close contact during sex. But anyone can catch the disease through close contact with someone who is infected or with contaminated materials.
Read CNBC's latest global health coverage:
In a study published earlier this month, the CDC found that 38% of 2,000 people diagnosed with monkeypox were living with HIV. And people with HIV were more likely to become hospitalized with monkeypox than other patients, according to the study.
The CDC, in its health alert this week, warned of severe monkeypox symptoms that include a persistent rash that turns into lesions resulting in the affected tissue dying. In some cases, treatment has required surgery and even amputation of the affected extremity, according to the agency.
Other severe symptoms include lesions that cover a significant portion of the body that are associated with secondary bacterial or fungal infections. Extremely painful lesions in sensitive areas such as the throat, urethra, rectum and vagina have also been reported.
Some lesions cause scarring that results in the narrowing of the urethra or anal canal, according to CDC. Facial scarring has also been reported.
In other instances, multiple organ systems have been affected resulting in neurological conditions such as encephalitis and cardiac conditions like myocarditis. Pink eye and ulcers on the cornea that threaten people's sight have also been reported.
ROCHESTER, N.Y. So you think youre getting kicked out of here because you tested positive for Monkey pox? I asked the woman.
Correct, thats what the note said, she answered.
Thursday morning a woman whose identity we are not revealing says she was kicked out of her temporary shelter for domestic violence because she tested positive for monkey pox. She said a Gates Police officer was at her door and she had 15 minutes to grab everything she and her two children owned and leave.
On her door was a notice from the hotel where the Monroe County Department of Human Services put her up. The notice gave the women until 11 a.m. Thursday to leave her shelter. The handwritten part of the notice said Due to your medical condition.
Hi yall. This is my room and my kids room, the woman said in a cell phone video she recorded Thursday morning.
She lived in a hotel room with her two children for about a week. She says the county department of human services put them here while she was on the Willow Domestic Violence Centers waiting list for a long term shelter.
How long do I have sir? she asked a hotel employee in the hallway.In the video, the hotel employee pushed her deadline to just after noon. When she got her car packed with everything she owned she met me at the property next door. She told me when she tested positive for monkey pox Thursday morning she alerted the county DHS staff at the hotel.
Brean: Sometime after that the notice was on your door.
Woman: As soon as I told the DHS workers downstairs they told me to go upstairs and go to your room and we will figure it out from there. Fifteen minutes after that there was a notice on my door to vacate immediately due to illness.I called the hotel and spoke to a manager. She told me the county removed the woman. The county closed her out the manager said on the phone.
County spokesman Gary Walker told me DHS would never end a placement for medical reasons. We dont do that, he said. Under no circumstances would we remove someone for medical reasons.
Im not revealing the hotel because its a temporary shelter for domestic violence victims, but I can tell you the notice on the door said the motel has ended your stay.
I called DHS and told them I was calling you, Channel 10 news because you cant put two kids out, you cant put us out like that. Its not right, she said. Once I mentioned channel 10 news they found me a new place.
When the woman was removed she was already under a 14 day quarantine order. The county says as soon as they were notified she was ordered to leave, they found her a new shelter. The woman told me she is in her new place and feels safe.
The county is still looking into why this woman was ordered to leave.
Data last updated by Worldometers.
This website was developed by Navid Mamoon (@navidmx) and Gabriel Rasskin, (@gabrielrasskin) two students at Carnegie Mellon University.
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Being vaccinated against the coronavirus can cut the risk of having long covid symptoms 12 weeks after the infection by 41 per cent
By Jason Arunn Murugesu
Being vaccinated against the coronavirus may reduce the risk of long covid among people who catch SARS-CoV-2
Dinendra Haria/SOPA Images/LightRocket via Getty Images
The risk of long covid may be considerably lower in people who catch the coronavirus after being vaccinated.
Daniel Ayoubkhani at the UKs Office for National Statistics (ONS) and his colleagues looked at a random sample of people, aged 19 to 69, who tested positive for the coronavirus between April 2020 and November 2021.
The sample included 3090 people who had received a second dose of either the Pfizer/BioNTech, Moderna or Oxford/AstraZeneca
New Infectious Threats Are Coming. The US Probably Wont Contain Them. The New York Times
The West Virginia Department of Health and Human Resources (DHHR) reports as of September 28, 2022, there are currently 1,125 active COVID-19 cases statewide. There have been four deaths reported since the last report, with a total of 7,406 deaths attributed to COVID-19.
DHHR has confirmed the deaths of a 56-year old female from Marion County, a 60-year old male from Kanawha County, a 94-year old female from Taylor County, and a 92-year old female from Putnam County.
We are deeply saddened by the passing of more West Virginians due to COVID-19, said Bill J. Crouch, DHHR Cabinet Secretary. Since this virus can adversely affect some individuals, especially those who are older and with vulnerable health, please ensure you are up to date with your vaccinations and boosters.
CURRENT ACTIVE CASES PER COUNTY: Barbour (6), Berkeley (72), Boone (23), Braxton (3), Brooke (11), Cabell (35), Calhoun (1), Clay (1), Doddridge (1), Fayette (25), Gilmer (2), Grant (9), Greenbrier (21), Hampshire (14), Hancock (21), Hardy (9), Harrison (50), Jackson (7), Jefferson (59), Kanawha (95), Lewis (9), Lincoln (9), Logan (25), Marion (34), Marshall (12), Mason (19), McDowell (18), Mercer (63), Mineral (15), Mingo (24), Monongalia (55), Monroe (10), Morgan (9), Nicholas (17), Ohio (33), Pendleton (2), Pleasants (7), Pocahontas (3), Preston (23), Putnam (20), Raleigh (58), Randolph (10), Ritchie (2), Roane (8), Summers (9), Taylor (27), Tucker (3), Tyler (5), Upshur (18), Wayne (18), Webster (6), Wetzel (12), Wirt (0), Wood (40), Wyoming (37). To find the cumulative cases per county, please visit coronavirus.wv.gov and look on the Cumulative Summary tab which is sortable by county.
West Virginians ages 6 months and older are eligible for COVID-19 vaccination. All individuals ages 6 months and older should receive a primary series of vaccination, the initial set of shots that teaches the body to recognize and fight the virus that causes COVID-19. Those ages 5-11 years are recommended to get an original (monovalent) booster shot when due, and those ages 12 years and older are recommended to get an Omicron booster shot (bivalent) at least two months after completing their primary series.
Visit the WV COVID-19 Vaccination Due Date Calculator, a free, online tool that helps individuals figure out when they may be due for a COVID-19 shot, making it easier to stay up-to-date on COVID-19 vaccination. To learn more about COVID-19 vaccines, or to find a vaccine, visit vaccines.gov, vaccinate.wv.gov, or call 1-833-734-0965. Please visit the COVID-19 testing locations page to locate COVID-19 testing near you.
CNN
There are signs that the United Kingdom could be heading into a fall Covid-19 wave, and experts say the United States may not be far behind.
A recent increase in Covid-19 cases in England doesnt seem to be driven by a new coronavirus variant, at least for now, although several are gaining strength in the US and across the pond.
Generally, what happens in the UK is reflected about a month later in the US. I think this is what Ive sort of been seeing, said Dr. Tim Spector, professor of genetic epidemiology at Kings College London.
Spector runs the Zoe Health Study, which uses an app to let people in the UK and US report their daily symptoms. If they start to feel bad, they take a home Covid-19 test and record those results. He says that about 500,000 people are currently logging their symptoms every day to help track trends in the pandemic.
Spector says the study, which has been running since the days of the first lockdown in England in 2020, has accurately captured the start of each wave, and its numbers run about one to two weeks ahead of official government statistics.
After seeing a downward trend for the past few weeks, the Zoe study saw a 30% increase in reported Covid-19 cases within the past week.
Our current data is definitely showing this is the beginning of the next wave, Spector said.
On Friday, that increase was reflected in official UK government data too, although it was not as large as the increases reported by Zoe loggers.
Data from the National Health Service showed that after falling for nearly two months, the seven-day average of new cases in England and Wales rose 13% for the week ending September 17 over the week before. The seven-day average of hospitalizations was up 17% in the week ending September 19 compared with the week prior.
The data aligns with what models have predicted would happen in both the UK and the US.
They predicted that wed get a June to July peak and then thered be a month where nothing happened in August and then it would flatten in in August and September and then start again in October. So its exactly matching what the modelers have have been predicting, Spector said.
In the US, some models have predicted that Covid-19 cases will begin to rise again in October and continue to increase into the winter. Experts are hopeful that because most of the population now has some underlying immunity to the coronavirus, this wave would be less deadly than weve seen in previous winters.
Its not clear whats driving the increase in the UK or whether it will be sustained.
These trends may continue for more than a week or two, or they may not, said Kevin McConway, emeritus professor of applied statistics at the Open University in Milton Keynes, England.
Broken down by age, he says, there are clear increases among adolescents who are around middle school age and younger adults, those 25 through 34.
It wouldnt be surprising if there were some increase in infection as people come back from summer holidays and as the schools reopen, McConway said in a statement to the nonprofit Science Media Centre. Even if it is, theres certainly no clear indication yet that it will continue.
Hes not the only one who needs to see more data before calling this the start of a new wave.
Question one is, how significant is that rise? Is it, for instance, the beginning of something, a new wave, or is this a temporary blip because of all of the getting together around the Queens funeral and other events that have been going on? said Dr. Peter Hotez, who co-directs the Center for Vaccine Development at Texas Childrens Hospital in Houston.
A second important question will be whether the increase is being driven by a new variant.
Thats the worst possible situation. Because historically, when that situation occurs in the UK, its reflected within a matter of weeks in the United States, Hotez said. That was true of the Alpha wave; that was true of the Delta wave; that was true of Omicron and its subvariants.
Thats where the US may catch a break this time around.
Instead of new variants, Christina Pagel, a professor of operational research at University College London, thinks cases are going up in the UK because of a combination of waning immunity and behavioral changes.
Many people in the UK are several months past their last Covid-19 booster or infection, and government statistics show that just 8% of adults 50 and older have gotten an Omicron-specific vaccine since the government started its fall vaccination campaign in September. School and work have fully resumed after the summer holidays, and people are spending more time indoors as the temperature drops.
Immunity is also waning in the United States, and Americans have also been slow to get boosted. Just 35% of those for whom a booster is recommended have had one, according to CDC data.
The updated boosters in the US are slightly different from the ones in the UK. The UK is using vaccines that have been updated to fight the original version of Omicron, which is not circulating anymore. US boosters have been updated to fight the BA.4 and BA.5 subvariants, which are currently causing infections both here and abroad. Its not clear whether the strain differences will have an effect on cases or disease severity.
There are a mix of new variants offshoots of BA.4 and BA.5 that are waiting in the wings. They represent just a small proportion of total cases, but several are growing against BA.5, which is still dominating transmission.
It is very likely that these will accelerate current increases and cause a substantial wave in October in the UK, Pagel said in an email to CNN.
Other experts agree with that assessment.
There is talk about a bunch of lineages with concerning mutations, including BA.2.75, BQ.1.1, etc, but none of these are of high enough frequency in the UK right now to be driving the change in cases, Nathan Grubaugh, who studies the epidemiology of microbial diseases at the Yale School of Public Health, said in an email to CNN.
He says the mix of variants in the UK seems to be much the same as it is in the US, at least for now.
We are seeing the increase in many respiratory viruses right now in the US, so its not a stretch to think that a new COVID wave (or ripple) will be coming soon, he wrote.
For the past few years, COVID-19 has dominated public discourse. At first, countless conflicting reports led to confusion that it was just like the flu, and that it didnt have the same impact on children as it did on adolescents and adults.
As we head into our third year of research on COVID-19, more is known about how the novel coronavirus and COVID-19 affect various people in our communities. We now know that pediatric infection rates are similar to that of adults, though many children may not have any symptoms.
In fact, researchers in one 2022 pediatric study examined antibody tests. They found evidence that up to 77% of children have already had COVID-19. We now know that children can, in fact, contract the coronavirus that causes COVID-19.
For parents and caregivers, this can cause anxiety is that cough and runny nose just a cold thats circulating through day care, or something more serious?
This article sheds light on the most common symptoms of COVID-19 in children, and what to do if you suspect your child has it.
Experts note that COVID-19 symptoms in children are similar to those documented in adults. However, the symptoms in children are usually not as severe.
In many cases, children may be asymptomatic. This means that no symptoms may be present even though they test positive.
Common symptoms of COVID-19 include:
Its important to keep in mind that as new coronavirus variants emerge, new symptoms may arise. Others can shift in severity.
For example, when COVID-19 first appeared globally in 2019, a loss of smell and taste was one of the hallmark signs that a person might have contracted the virus.
But with later variants, such as many of the Omicron variants, a loss of taste and smell is less frequently reported as a primary symptom, whereas a sore throat is often more common.
When in doubt, its always best to reference the latest information shared by reliable health organizations, such as the Centers for Disease Control and Prevention (CDC) or the National Institutes of Health (NIH).
Also note that many common COVID-19 symptoms are similar to those of the common cold, flu, stomach flu, and other upper respiratory infections.
Before jumping to conclusions, get your child tested to confirm they have COVID-19.
Even though children tend to have a less severe reaction to COVID-19 than older populations, one serious risk COVID-19 poses to children is the potential to develop multisystem inflammatory syndrome in children (MIS-C).
Researchers still dont fully understand the link between MIS-C and COVID-19. But they do know that since the appearance of the novel coronavirus, many children with MIS-C had either an earlier coronavirus infection or were exposed to someone who had COVID-19.
MIS-C can affect multiple organ systems across the body, including the heart, lungs, kidneys, gastrointestinal system, and brain. If left untreated, MIS-C can be deadly. In most cases, its easily treated.
If your child has symptoms of MIS-C, get them evaluated by a doctor immediately. Symptoms associated with MIS-C include:
Another potential symptom of COVID-19 in young children is croup. Croup is the inflammation of the airways that causes:
If your child has symptoms of croup, its worth getting evaluated and tested for COVID-19 or other possible causes.
Studies are still being conducted to determine how COVID-19 specifically affects babies.
One 2022 study from Poland looked at infections in infant populations (newborns up to 12 months old) during the first year of the COVID-19 pandemic (March through December 2020). Researchers noted the majority of cases in this group were mild.
Of the infant cases reviewed even though 94% were hospitalized 276 cases were mild, six were moderate, 32 were asymptomatic, and none were reported as severe cases.
Similar to adults, the most common symptoms were low and high grade fevers. However, other reported symptoms included:
Researchers noted that one of the most common secondary diagnoses that followed COVID-19 in infants was pneumonia. It was found in 70 of the 300 cases reviewed.
On the whole, the Polish study noted that infant cases of COVID-19 tend to represent only 1% to 2% of all cases, even when looking at general case counts in other countries. But, in countries with more prevalent testing, this percentage could increase to a range of 5% to 13%.
Still, infant cases were generally mild compared with adult cases, which were often more severe.
A 2022 study from Germany suggests that at-home rapid antigen tests tend to be less precise or accurate than the RT-PCR test, which healthcare professionals perform.
Experts have consistently questioned the effectiveness of at-home tests because of known issues regarding low sensitivity to detect the coronavirus across all age groups.
This means theres a higher possibility of false negatives for at-home rapid tests. Coupled with a heightened chance of improper nasal swabbing in younger populations, theres an increased risk of getting incorrect results from an at-home rapid antigen test performed on children.
Parents and caregivers should keep in mind that a rapid test only offers results for a snapshot in time. It can only provide sufficient results if theres enough viral load for the test to pick up.
The coronaviruss incubation period ranges from 2 to 14 days, with the average being 3 to 6 days, depending on the coronavirus variant.
So, a negative rapid test result doesnt necessarily mean youre in the clear if the test is taken fewer than 14 days after a known exposure. It could mean the virus is not yet detectable.
If you suspect that your child may have been exposed to COVID-19, your first step should be to get them tested.
While at-home tests might provide an initial answer, its always best to take your child to a physician or clinic for an RT-PCR test. This test type offers higher accuracy and has a lower false-positive rate.
Plan to keep your child at home from day care or school if COVID-19 is suspected to reduce the risk of transmitting the virus to others.
Currently, theres only one antiviral medication for COVID-19 thats approved by the Food and Drug Administration (FDA) for use in babies and children under the age of 12: remdesivir (Veklury).
Its only administered intravenously at healthcare facilities and used for children with an increased risk of developing severe symptoms.
The CDC currently recommends that if your child tests positive for COVID-19, treat the day you first noticed symptoms as day 0 and the following day as day 1. The organization recommends that children be kept at home for at least 5 days. Ideally, try to isolate them from other members of the household.
Depending on the severity of the disease, isolation may end on different dates. Children with mild symptoms who show improvement with no symptoms on day 5 of isolation can end isolation.
If symptoms persist or worsen, continue isolation until your child is fever-free for 24 hours without the need for fever-reducing medication and until symptoms begin to improve.
If youre not sure when to end isolation, talk with a healthcare professional.
When youre caring for small children, isolating them from yourself or other family members can be a tall order especially if theyre babies and not self-sufficient enough to manage basic tasks without adult supervision.
In this case, youll want to wear a mask when interacting with your child. Wash your hands frequently to avoid transmitting the coronavirus to other surfaces or family members.
Additionally, avoid sharing personal items, like cups, utensils, towels, and bedding. Likewise, be sure to regularly clean and disinfect surfaces throughout shared areas of the home, like the kitchen, living room, and bathrooms.
Anyone can contract the coronavirus and develop COVID-19. But according to health organizations around the world, babies and children consistently tend to contract the virus less frequently and in a milder form than in older populations.
According to the American Academy of Pediatrics, as of early September 2022, there have been a total of 14.7 million cases of COVID-19 reported in children in the United States since the start of the pandemic in March 2020.
Thats out of a total of 79.4 million cases across all age demographics in the country. The child case count represents 18.4% of the total U.S. case count.
With an active case of COVID-19, its important to talk with a doctor to determine what type of treatment is needed.
Depending on your childs age and the severity of their illness, a doctor may recommend different treatments. A very mild case may just need home remedies and rest. Others might be better served by introducing a therapeutic or antiviral medication.
Regardless of which option a doctor recommends, keeping your little one hydrated and trying as best as possible to isolate them from other members of the household is important.
Preventive solutions are often best at minimizing your childs risk of severe COVID-19. This means that if your child is of an approved age to get any of the COVID-19 vaccines, its recommended that they get vaccinated according to the recommended schedule and receive boosters as needed.
Its important to note that COVID-19 vaccines prevent severe infections that could lead to serious illness, hospitalization, or death. However, they do not necessarily prevent contracting the virus itself.
To date, COVID-19 vaccines have been proven safe and effective for babies, children, and adults. Getting vaccinated is one of the best measures to prevent severe COVID-19.
The CDC offers comprehensive information regarding which vaccines are approved in which age groups, and the recommended schedules for receiving them.
COVID-19 continues to be an issue of concern. While babies and children tend to contract the coronavirus less frequently and usually develop a milder case of COVID-19, they are not immune to it.
To date, vaccination is the best preventive method to reduce the chances of hospitalization, getting very sick, or dying from COVID-19. If your baby or child contracts the coronavirus, seeking immediate medical attention can ensure that they receive treatment that can help recovery and reduce symptoms.
When in doubt, follow the guidelines as outlined by authoritative health organizations such as the CDC and NIH. If your child has any COVID-19 symptoms, get them tested.
