{"id":9524,"date":"2026-05-11T10:47:25","date_gmt":"2026-05-11T15:47:25","guid":{"rendered":"https:\/\/llcspace.site\/?p=9524"},"modified":"2026-05-11T10:54:53","modified_gmt":"2026-05-11T15:54:53","slug":"this-week-in-public-health-59","status":"publish","type":"post","link":"https:\/\/llcspace.site\/?p=9524","title":{"rendered":"This Week in Public Health"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Here is <a href=\"https:\/\/youtu.be\/LaV6jwNJyio?si=9Fs7HJ95unx4xA9o\">Dr. Klotman&#8217;s Week 320 video address<\/a>. My summary notes follow.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hantavirus Outbreak<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">This event occurred on a Netherlands cruise ship<\/li>\n\n\n\n<li class=\"\">Three people, a 70yo couple from the Netherlands and a person from the UK, died of the shipboard infection <\/li>\n\n\n\n<li class=\"\">The virus is carried by rodents (typically deer mice) and excreted in their feces, urine, and saliva<\/li>\n\n\n\n<li class=\"\">The specific strain of hantavirus is the Andean strain endemic to Argentina (and Brazil, if memory serves)<\/li>\n\n\n\n<li class=\"\">Hantavirus can produce two illness syndromes\n<ul class=\"wp-block-list\">\n<li class=\"\">The first is a respiratory illness that can cause fatal pulmonary and heart problems<\/li>\n\n\n\n<li class=\"\">The other is a hemorrhagic illness that can cause kidney failure<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li class=\"\">Hantavirus is typically spread by inhalation of infectious material from dried rodent droppings, but this particular strain can also be acquired through human-to-human transmission<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>H5N1 Influenza<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">700 California dairies have been affected<\/li>\n\n\n\n<li class=\"\">The virus can be transmitted in unpasteurized milk (raw milk)<\/li>\n\n\n\n<li class=\"\">A recent study of affected California herds revealed that\n<ul class=\"wp-block-list\">\n<li class=\"\">The virus can be found in cow&#8217;s breath (exhalation)<\/li>\n\n\n\n<li class=\"\">The virus is also found in farm wastewater<\/li>\n\n\n\n<li class=\"\">Many cows test positive for virus antibodies even when they have had no symptoms of infection<\/li>\n\n\n\n<li class=\"\">Outbreaks of H5N1 among poultry flocks have begun to decrease; the worst month tends to be February<\/li>\n\n\n\n<li class=\"\">H5N1 among wild birds is decreasing too<\/li>\n\n\n\n<li class=\"\">In California, H5N1 is still sporadically detected among gulls and marine mammals<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Measles<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">The South Carolina outbreak appears to be over<\/li>\n\n\n\n<li class=\"\">The current hot spot is Utah<\/li>\n\n\n\n<li class=\"\">Nationally, we&#8217;ve already seen 1,800+ cases and will exceed last year&#8217;s total<\/li>\n\n\n\n<li class=\"\">Internationally, Guatemala has seen 5300+ cases, and Bangladesh has recorded 35,000+ cases. Both countries have recorded pediatric deaths. There are also outbreaks in Europe. Travelers beware.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Influenza<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">Flu cases are rapidly waning<\/li>\n\n\n\n<li class=\"\">This flu season has caused 155 US pediatric deaths<\/li>\n\n\n\n<li class=\"\">If we achieved a 70% level of Flu vaccination among children, it is estimated that we could prevent 30K pediatric hospitalizations and almost all of the pediatric deaths<\/li>\n\n\n\n<li class=\"\"><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Environmental PFAS<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">A recent study to evaluate environmental contamination with PFAS (aka &#8220;forever chemicals&#8221;) using leg bands on Patagonian penguins found evidence of contamination in 90% of the bands even in this remote part of the world<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bats and Viruses<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">Bats harbor many viruses but often those viruses cause no illness in their hosts<\/li>\n\n\n\n<li class=\"\">Studies are being done to identify the factors that protect bats from the viruses they carry<\/li>\n\n\n\n<li class=\"\">Up-regulation of defensive factors such as Interferon and down-regulation of the inflammatory response among other factors are being studied<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disease spread among Mammals<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">A study of the animal trade over the past 40 years suggests that the more that wild mammals are traded, the more pathogens that they can share with people they acquire<\/li>\n\n\n\n<li class=\"\">The number of shared pathogens between humans and other mammals increases the longer that the mammal is traded<\/li>\n\n\n\n<li class=\"\">Trading live animals carries a greater risk than trading animal carcasses or products<\/li>\n\n\n\n<li class=\"\">To control emerging human pathogens carried by animals, it is necessary to control the live animal trade, wet markets, and the like<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nurses&#8217; Week<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">Nurses&#8217; Week ends May 12 &#8211; Florence Nightingale&#8217;s birthday<\/li>\n\n\n\n<li class=\"\">Nurses continue to be the #1 most trusted profession<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>My Personal Notes:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">Nurses rock!<\/li>\n\n\n\n<li class=\"\">Drinking raw milk is a really bad idea, but that&#8217;s probably why RFK, Jr endorses the practice<\/li>\n\n\n\n<li class=\"\">There is no vaccine or specific treatment for hantavirus infection<\/li>\n\n\n\n<li class=\"\">There are 17 Americans who were on the hantavirus-affected cruise ship\n<ul class=\"wp-block-list\">\n<li class=\"\">They are all going to the U NE medical center where there is a high-level bio-containment facility <\/li>\n\n\n\n<li class=\"\">They will be there for evaluation and possible quarantine<\/li>\n\n\n\n<li class=\"\">Quarantine for hantavirus is 6-8 weeks in duration<\/li>\n\n\n\n<li class=\"\">Our son is an Infectious Disease faculty member there, but is not directly involved in the hantavirus response tasks<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Here is Dr. Klotman&#8217;s Week 320 video address. My summary notes follow. Hantavirus Outbreak H5N1 Influenza Measles Influenza Environmental PFAS Bats and Viruses Disease spread [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"WB4WB4WP_MODE":"","WB4WP_PAGE_SCRIPTS":"","WB4WP_PAGE_STYLES":"","WB4WP_PAGE_FONTS":"","WB4WP_PAGE_HEADER":"","WB4WP_PAGE_FOOTER":"","_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9524","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>This Week in Public Health - Musings<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"This Week in Public Health - Musings\" \/>\n<meta property=\"og:description\" content=\"Here is Dr. Klotman&#8217;s Week 320 video address. My summary notes follow. 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