Medics fear surge in winter viruses alongside Covid

A surge in flu and other respiratory viruses could put pressure on people’s health and the NHS this winter, warns a report by leading medics.

They say testing for flu, Covid and a respiratory virus common in children and the elderly – called RSV – may help doctors treat cases more quickly.

The Academy of Medical Sciences report calls for people with any symptoms to isolate and stay at home.

This will help protect against all respiratory viruses this winter.

The report, by 29 leading experts and requested by the government, says there is great uncertainty about what the next few months will hold across the UK, but it urges policymakers to prepare for a challenging winter.

Comeback of winter viruses

During lockdown last winter, the UK population was hardly exposed to the viruses which normally circulate. But they are now set to make a comeback as restrictions lift and society opens up.

Already this summer, there has been a rise in winter viruses in children coming to A&E.

Report author Prof Azra Ghani, from Imperial College London, says their modelling suggests a summer peak of Covid-19 infections “with subsequent local outbreaks over winter”.

But “we can’t completely rule out another winter wave”, she said.

“Whilst we expect the peak in deaths to be considerably lower than last winter, under some scenarios we could see hospital admissions rise to similar levels.”

In a worst-case scenario this could mean around twice the levels of flu and respiratory syncytial virus (RSV) as a normal autumn and winter, the report says.

There are between 10,000 and 30,000 deaths from flu in a normal winter, and about 20,000 children under five are admitted to hospital each year with RSV, which can cause a lung infection called bronchiolitis.

Triple tests

The authors say these viruses often produce similar symptoms, so testing for all three at once would help distinguish between them.

This could be done through Test and Trace or in GP practices, but the turnaround would need to be very fast so that anti-virals could be used to treat flu in the most vulnerable.

Dr Alexander Edwards, from the University of Reading, said the “triple tests” had “great appeal”, but the logistics could be a challenge.

“Whether there will be enough instruments and testing capacity available for this to be available widely in primary care remains to be seen,” he said.

The report also recommends booster Covid vaccines alongside flu vaccines this autumn to reduce the spread of the virus, which is already being planned by the NHS for the over-50s, and improving infection control in hospitals. BBC

What the new CDC guidance for schools means for children

(CNN)Five full days a week, every week: After more than a year of remote learning, hybrid schedules and missed experiences, getting back to school — “normal” school — is all many parents and students want. But with Covid-19 surging again in some US states and concerns over new virus variants growing, what classrooms will look like exactly in the fall is still evolving.The US Centers for Disease Control and Prevention issued new guidance last week on the importance of having all schools opened for in-person, full-time instruction in the fall. To safely keep schools open, the CDC recommended what it calls “a layered mitigation strategy.” This is a systematic strategy involving multiple interventions to reduce risk, such as including the use of indoor masks for unvaccinated students and teachers.

What happens if schools reopen but don’t enforce these procedures? For example, what should parents do if schools don’t require masks? Should vaccinated children over 12 feel comfortable removing their masks in schools? And when might vaccines be available for younger children?

What is Piles?

Piles refer to a physiological condition whereby there is an inflammation of the vascular structures guarding the anal canal. Owing to the inflammation of the hemorrhoids or blood vessels guarding the anal passage; the pathogenic condition of piles develops.

Causes of Piles

  • A number of factors are responsible for the development of piles.
  • Irregularity in bowel movement with susceptibility towards constipation and diarrhea is one of the causes.
  • Constipation aids the condition of piles by giving way to prolonged straining.
  • Absence of fiber, imbalanced diet with insistence on junk food contributes towards piles.
  • Hereditary factors may also be responsible for the pathogenic condition of piles.
  • Pregnancy may well give rise to the condition of piles with the developing fetus exerting pressure on the vascular structures.
  • Obese people and those prone to long hours of sitting are also more likely to develop piles.
  • An obstruction or abnormal growth on the way to the anal canal can also lead to piles.
  • Other factors contributing to the pathological condition of piles include age and vascular structure guarding the anal passage lacking in valves.

Types of Piles

  • Piles can be broadly classified into two broad kinds on the basis of their locations.
  • The ones located internally.
  • The ones located externally.

Symptoms of Piles

  • Piles which tend to affect elderly people, often turns out to be a major source of irritation.
  • The one located externally are more painful than the internal ones.
  • The external ones exist as painful inflammation or swelling.
  • Internally located piles can be a source of extreme irritation when they tend to hang out through the anal passage.
  • The ones located internally are susceptible to take on a necrotic form, whereby they develop into clots of blood. Necrotic ones are however quite painful.
  • One of the most common clinical features of piles includes passage of blood along with stool.
  • Along with bleeding itching and irritation may also persist.

Diagnoses of Piles

  • The piles which exist in prolapsed form can be usually diagnosed by means of an external examination of areas surrounding the anal cavity.
  • Proctoscpy usually serves to highlight the presence of internal piles.
  • By means of proctoscopy the presence of tumors or polyps and that of an inflamed prostate are also detected as the detection is valuable in determining the line of treatment.
  • Proctoscopy or anoscopy is usually performed with patients being subject to sedation.

Treatment for Piles

  • The course of treatment which follows the findings of rectal examination includes the administration of anti inflammatory drugs of non steroidal nature.
  • Traditional line of treatment is geared to the increased consumption of dietary fibers.
  • If constipation happens to be the underlying cause, insistence is given on the inclusion of green and yellow vegetables apart from being well hydrated by increasing the fluid intake.
  • Certain topical formula and suppositories are also available as treatment options; but long drawn usage of the same should be discouraged on account of their tendency to cause localized irritations.
  • Generally surgical removal of the inflamed vessels is resorted to as the last possible alternative.
  • Means based on cauterization and cryosurgery has also been found to be quite effective.
  • Ligation with the help of rubber band is also resorted to so that the blood supply to the inflamed tissues can be cut off.
  • Decartelization using an ultra sound Doppler has also been used so as to rectify the prolapsed structure of piles.
  • Resectioning of the inflamed tissue which involves partial surgical interference is also made use of so that one can avoid the intensely painstaking procedure of total removal.

Self care and Natural Remedies for Piles

  • Person suffering from piles should take all necessary steps so as to have his system well toned up.
  • Apart from overcoming the draw backs of a sedentary life style by means of exercising and resorting to a few yogic postures, he should ensure for himself a regulated life style consisting of balanced diet, normal sleep and regularized bowel habits.
  • Sufficient helpings of fruits, yellow and green vegetables will help to overcome the conditions of constipation- a condition which aids the existence of piles.
  • Besides these a number of natural options, which particularly serve to overcome the painful conditions of piles are also available.
  • One such herbal option includes the use of dry figs and that of chebulic myroblan. There are others making use of a wide variety of natural stuffs including mango seeds, grated radish and turnip.
  • As part of the naturopathic option, diet centering merely on fruits is also recommendable. The fruit centric diet serves significantly in overcoming the malady of constipation besides giving rest to the digestive system.
  • Regular consumption of unsweetened curd , avoiding spicy food items and those of synthetically flavored drinks also rank amongst some of the healthy options so that the menace of piles can be avoided.

‘Miraculous’ mosquito hack cuts dengue by 77%

They used mosquitoes infected with “miraculous” bacteria that reduce the insect’s ability to spread dengue.

The trial took place in Yogyakarta city, Indonesia, and is being expanded in the hope of eradicating the virus.

The World Mosquito Programme team says it could be a solution to a virus that has gone around the world.

Few people had heard of dengue 50 years ago, but it has been a relentless slow-burning pandemic and cases have increased dramatically.

In 1970, only nine countries had faced severe dengue outbreaks, now there are up to 400 million infections a year.

Dengue is commonly known as “break-bone fever” because it causes severe pain in muscles and bones and explosive outbreaks can overwhelm hospitals.

The enemy of my enemy

The trial used mosquitoes infected with Wolbachia bacteria. One of the researchers, Dr Katie Anders, describes them as “naturally miraculous”.

Wolbachia doesn’t harm the mosquito, but it camps out in the same parts of its body that the dengue virus needs to get into.

The bacteria compete for resources and make it much harder for dengue virus to replicate, so the mosquito is less likely to cause an infection when it bites again.

The trial used five million mosquito eggs infected with Wolbachia. Eggs were placed in buckets of water in the city every two weeks and the process of building up an infected population of mosquitoes took nine months.

Yogyakarta was split into 24 zones and the mosquitoes were released only in half of them.

The results, published in the New England Journal of Medicine, showed a 77% reduction in cases and an 86% reduction in people needing hospital care when the insects were released.

“It’s very exciting, it’s better than we could have hoped for to be honest,” Dr Anders told the BBC.

The technique has been so successful the mosquitoes have been released across the whole city and the project is moving to surrounding areas with the aim of eradicating dengue in the region.

Dr Anders, who is also the director of impact assessment at the World Mosquito Programme, said: “This result is groundbreaking.

“We think it can have an even greater impact when it is deployed at scale in large cities around the world, where dengue is a huge public health problem.”

Wolbachia are also spectacularly manipulative and can alter the fertility of their hosts to ensure they are passed on to the next generation of mosquitoes.

It means once Wolbachia has been established, it should stick around for a long time and continue to protect against dengue infection.

This is in sharp contrast to other control methods – such as insecticides or releasing large numbers of sterile male mosquitoes – that need to be kept up in order to suppress the blood-suckers. BBC News.

Three Colorado police officers ‘no longer employed’ after arrest of 73-year-old woman with dementia


U.S. NEWS

Three Colorado police officers ‘no longer employed’ after arrest of 73-year-old woman with dementia

A fourth officer, Sgt. Philip Metzler, was also placed on administrative leave but was not among those who lost their jobs.00:06 /02:37TAP TO UNMUTE

Body camera video shows police force 78-year-old woman with dementia to ground

April 30, 2021, 6:52 PM GMT / Updated April 30, 2021, 11:28 PM GMTBy Minyvonne Burke

Three Loveland, Colorado, police officers are no longer employed with the department after their involvement in the arrest and booking of a 73-year-old woman with dementia.

Karen Garner suffered a dislocated shoulder, fractured arm and sprained wrist after she was slammed to the ground and hogtied during a June 26 arrest, according to a federal lawsuit.

The altercation was captured on police body camera video and shared by Garner’s attorney, Sarah Schielke.

Officers Austin Hopp, Tyler Blackett and Daria Jalali were placed on administrative leave over the incident, along with Sgt. Phillip Metzler. Another sergeant, Antolina Hill, was reassigned.

Loveland Police Chief Robert Ticer said at a news conference Friday that Hopp, Blackett and Jalali “are no longer employed” with the department but declined to specify whether they resigned or were terminated.

It’s unclear why Metzler and Hill were not among those no longer with the department.

Pollution taking a toll on penis size, scientist claims

A class of chemicals called phthalates that are often used to make plastics more flexible is exacting a toll on fertility rates and leading to genital malformation, an environmental scientist claims. 

Shanna Swan, Ph.D., professor of environmental medicine and public health at the Icahn School of Medicine at Mount Sinai, details the health consequences of pollution in her new book “Count Down,” which argues more babies are being born with smaller penises, Sky News reported. 

Swan’s research began with rats, findings that rat fetuses exposed to the chemical were more likely to be born with shrunken genitals. Later, Swan found that male human fetuses exposed to phthalates resulted in a decreased anogenital distance, a measure associated with penile length, per Sky News. Other findings cited in Swan’s book include a claim that “sperm levels among men in Western countries” declined by over 50%, drawing on hundreds of studies involving nearly 45,000 healthy men.

The claim isn’t all too surprising; scientists have previously suggested exposure to the chemical can harm fertility, babies’ health, disrupt hormones key for development, and damage the genetic material in sperm. Phthalates have already been banned in many kids’ toys over health concerns. 

These chemicals can be found in manufacturing equipment and have a firm foothold in supply chains beyond just the food industry. The Centers for Disease Control and Prevention (CDC) says phthalates can be found in personal hygiene products, makeup, plastic packaging and more

Oxford studying nasal spray coronavirus vaccine

The University of Oxford is studying a nasal spray version of the Oxford-AstraZeneca COVID-19 vaccine among 30 young, healthy volunteers, and will assess the induced immune response, safety and any side effects.

The early-stage trial will enroll adults aged 18 to 40 from the Oxford area, and researchers will conduct four months of follow-up, according to a release posted Thursday. 

“Some immunologists believe that delivering the vaccine to the site of infection may achieve enhanced protection, especially against transmission, and mild disease,” Dr. Sandy Douglas, clinician-scientist and chief investigator of the study, said in the release. “We hope this small safety-focused study will lay the foundation for future larger studies that are needed to test whether giving the vaccine this way does protect against coronavirus infection.”

Douglas suggested the nasal spray could boost vaccine uptake because some may prefer the method over an injection. She also hinted at “practical advantages” afforded by the spray, which could help along with vaccination efforts in schools.

“[The nasal spray] is an important first step towards increasing our range of options for curtailing the spread and impact of COVID-19 globally,” Dr. Meera Madhavan, lead clinical research fellow, Jenner Institute, added in part.

AstraZeneca plans to file for U.S. FDA emergency authorization for its vaccine in the coming weeks, though the company has faced significant issues overseas after over a dozen mostly European countries temporarily halted shots over reports of blood clots in some vaccinated individuals.

U.K. and EU regulators have both since confirmed the vaccine does not heighten the overall risk for blood clotting, and actually likely reduces the risk because COVID-19 disease itself is a precursor for coagulation. However, the suspended campaigns dented vaccine trust, experts say. This week, the company faced scrutiny after the National Institute of Allergy and Infectious Diseases (NIAID) said it may have provided an incomplete view of efficacy data. Since-released data demonstrated a 76% efficacy against symptomatic COVID-19.

The earlier data reflected 79% efficacy in preventing symptomatic infections and 100% efficacy at preventing severe disease and hospitalization. The new analysis also reported 100% efficacy “against severe or critical disease and hospitalization.”

Home remedies for bad breath

Good dental hygiene

According to research studiesTrusted Source, poor dental hygiene is the most common cause of bad breath. Preventing plaque buildup is the key to maintaining a healthy mouth. You should brush your teeth using a fluoride toothpaste for two minutes at least twice per day (morning and night).

Some people find that brushing after every meal is necessary to prevent decay and bad breath. To prevent bacteria from growing on bits of food stuck in your teeth, floss at least once per day.

Bacteria can also accumulate on the tongue, causing a foul smell. A practice known as tongue scraping can help you remove this thin layer of film. Using your toothbrush or a specialized tongue scraper, brush or scrape your tongue at least once per day. Learn more about why you should be brushing your tongue.

Parsley

Parsley is a popular folk remedy for bad breath. Its fresh scent and high chlorophyll content suggest that it can have a deodorizing effect. StudiesTrusted Source (not done on human breath, however) have shown that parsley can effectively combat foul sulfur compounds.

To use parsley for bad breath, chew on fresh leaves after each meal or buy a parsley dietary supplement here.

Pineapple juice

Many people believe that pineapple juice is the quickest and most effective treatment for bad breath. While there is no scientific evidence to back up this theory, anecdotal reports suggest that it works.

Drink a glass of organic pineapple juice after every meal, or chew on a pineapple slice for one to two minutes. It’s also important to remember to rinse your mouth of the sugars in fruit and fruit juice afterward.

Water

ResearchTrusted Source shows that mouth dryness often causes bad breath. Saliva plays a very important role in keeping your mouth clean. Without it, bacteria thrive.

Your mouth naturally dries out while you sleep, which is why breath is typically worse in the morning.

Prevent dry mouth by keeping your body hydrated. Drinking water (not caffeinated or sugary drinks) throughout the day will help encourage saliva production. Aim for at least eight glasses of water per day.

Yogurt

Yogurt contains healthy bacteria called lactobacillus. These healthy bacteria can help combat bad bacteria in various parts of your body, like your gut.

Research shows that yogurt may also help reduce bad breath. A study found after six weeks of eating yogurt, 80 percent of participants had a reduction in bad breath. Probiotics in yogurt are effective in reducing the severity of bad breath.

To use yogurt to fight bad breath, eat at least one serving per day of plain, nonfat yogurt.

Milk

Milk is a well-known cure for bad breath. Research shows that drinking milk after eating garlic can significantly improve “garlicky” breath.

To use this method, drink a glass of low- or full-fat milk during or after a meal containing strong-smelling foods like garlic and onions.

Fennel or anise seeds

Since ancient times, fennel and anise seeds have been used to freshen breath. In parts of India, roasted fennel seeds are still used as “mukhwas,” or mouth fresheners, to cleanse after-dinner breath. They taste sweet and contain aromatic essential oils that give the breath a fresh scent.

Fennel and anise seeds can be eaten plain, roasted, or coated with sugar.

Orange

Oranges not only make for a healthy dessert, but they also promote dental hygiene.

Many people have bad breath because they don’t produce enough saliva to wash away foul-smelling bacteria. Research shows that vitamin C helps increase saliva production, which can help eliminate bad breath. Oranges are rich in this vitamin.

Zinc

Zinc salts, an ingredient in certain mouthwashesTrusted Source and chewing gumTrusted Source, can counteract bad breath. Zinc works to decrease the number of sulfurous compounds in your breath. Research has shown that regular rinsing with a solution containing zinc can be effective in reducing bad breath for at least 6 months.

Try a zinc chewing gum designed for people with dry mouth. You can also find zinc dietary supplements at your local drug store or purchase them online here.

Green tea

Green tea is an effective home remedy for bad breath. ResearchTrusted Source shows that green tea has disinfectant and deodorizing properties that can temporarily freshen the breath. Mint has similar effects, so a cup of green mint tea may be an ideal breath freshener.

Brew two cups of tea before going to bed and refrigerate it overnight. Pour your cool tea into a water bottle and bring it to work. Slowly sip on it throughout the day. Purchase green mint tea here.

Apples

One studyTrusted Source found that raw apples have a powerful effect against garlic breath. Certain natural compounds in apples neutralize the foul-smelling compounds in garlic. This is particularly useful for people whose garlic breath lingers, because it neutralizes the compounds in the bloodstream, rather than just deodorizing the mouth.

Homemade mouthwash with baking soda

StudiesTrusted Source have shown that baking soda, also known as sodium bicarbonate, can effectively kill bacteria in the mouth. ResearchTrusted Source indicates that toothpastes containing high concentrations of baking soda effectively reduce bad breath.

To make a baking soda mouthwash, add 2 teaspoons of baking soda to 1 cup of warm water. Swish the mouthwash around in your mouth for at least 30 seconds before spitting it out.

Homemade mouthwash with vinegar

Vinegar contains a natural acid called acetic acid. Bacteria don’t like to grow in acidic environments, so a vinegar mouthwash may reduce bacteria growth.

Add 2 tablespoons of white or apple cider vinegar to 1 cup of water. Gargle for at least 30 seconds before spitting it out.null

When to see a doctor

Most bad breath originates in the mouth and can be treated with improved dental hygiene.

In some cases, however, bad breath is a sign of a more serious condition such as diabetic ketoacidosis, kidney failure, or an infection.

If your bad breath isn’t improving with home treatment, consult your doctor or dentist.

Corns and calluses

What are corns?

Corns are hard, thickened areas of skin that typically occur on the feet. They’re similar to a callus, but are usually harder, smaller, and more painful.

Corns aren’t dangerous, but they can cause irritation. They’re also more likely to affect women than men.

There are three main types of corns:

  • hard
  • soft
  • seed

Hard corns are the most common type of corn. They’re small, concentrated areas of hard skin, usually found within a wider area of thickened skin. Soft corns, on the other hand, are whitish or gray, and are rubbery in texture. They often appear between the toes. Seed corns are small and usually found on the bottom of the foot.

As they thicken, corns can become quite painful.

Corns aren’t a skin disease. They’re your body’s response to pressure or friction on the skin. Here’s how to prevent and treat them at home:

Diagnosing corns

Specialized tests aren’t necessary to diagnose corns. Direct observation of the corn and the surrounding skin is all that’s necessary.

Corns are typically round and occur on the sides and tops of the feet. The main difference between corns and calluses is that a callus isn’t painful to touch. A corn may be painful to touch because the skin is inflamed, and it may have a hard or soft center.

How to prevent corns

To make sure your corns don’t develop or come back after treatment, you have to eliminate the conditions that caused them. Here are some tips to help eliminate friction and prevent corns from forming:

  • Get shoes and socks that fit properly. To get the right fit, ask a clerk to measure your foot, and then choose shoes that aren’t too loose or too tight. A tip for getting the correct size shoe is to shop for shoes at the end of the day, when your feet may be slightly swollen.
  • Trim your toenails. If your toenails are too long, they can force your toes to push up against your shoe. This can create pressure that causes a corn to form over time.
  • Use corn pads. Corn pads help protect against excess pressure or friction around your corn. They come in a variety of materials including foam, felt, and moleskin. Typically, these pads are donut-shaped — to redistribute the pressure around the corn — with an adhesive backing. They should be positioned so the corn is in the center hole.
  • Keep your feet clean. Wash your feet daily with soap, water, and an appropriate scrub brush.
  • Keep your feet moisturized. Use foot cream on a regular basis to prevent dryness and friction.

How to get rid of corns

Before treating corns, you must first evaluate the cause of your friction. In many cases, they’ll go away on their own when the pressure or friction causing them stops.

If protecting the corn from further irritation doesn’t solve your problem, dermatologists recommend the following steps to get rid of corns:

1. Soak your foot in warm water

Make sure the corn is fully submerged for about 10 minutes or until the skin softens.

2. File the corn with a pumice stone

A pumice stone is a porous and abrasive volcanic rock that’s used for sloughing away dry skin. Dip the pumice stone in warm water and then use it to carefully file the corn. Gentle circular or sideways motions help remove the dead skin.

Tip: Don’t take off too much skin. Too much filing could cause bleeding and lead to infection.

3. Apply lotion to the corn

Use a moisturizing lotion or cream with salicylic acid. Salicylic acid dissolves the keratin protein that makes up the corn and the surrounding dead skin. However, salicylic acid is generally not recommended for people with diabetes, poor circulation, or frail skin.

4. Use corn pads

Protect corns from making contact with your shoe, with these donut-shaped adhesive pads.

Don’t attempt to cut or shave away your corns as this can lead to a potentially dangerous infection of the surrounding tissues. Cutting or shaving corns should only be done by a doctor.

When to see a doctor

If you have a very painful corn or if you have diabetes, fragile skin, or peripheral arterial disease, you should consult a doctor before pursuing home treatment. You can connect to a dermatologist in your area using the Healthline FindCare tool. Seek medical attention if your corn shows signs of infection with symptoms including:

  • worsening pain
  • pus or drainage
  • swelling
  • rednes

Outlook

Corns are a noncancerous condition that can be managed with home remedies or medical treatment — surgery is rarely necessary. Following successful treatment, corns may return if the affected area continues to be irritated by friction or pressure.

You should wear properly fitting shoes to prevent corns from developing and remember to treat your feet right at all times.

High Staff Turnover at U.S. Nursing Homes Poses Risks for Residents’ Care

A new study highlights the persistent problems caused by an unstable work force, an underlying threat that may have led to staggering death tolls in the pandemic.

Extraordinarily high turnover among staffs at nursing homes likely contributed to the shocking number of deaths at the facilities during the pandemic, the authors of a new study suggested.

The study, which was published Monday in Health Affairs, a health policy journal, represents a comprehensive look at the turnover rates in 15,645 nursing homes across the country, accounting for nearly all of the facilities certified by the federal government. The researchers found the average annual rate was 128 percent, with some facilities experiencing turnover that exceeded 300 percent.

“It was really staggering,” said David Grabowski, a professor of health care policy at Harvard Medical School and one of the study’s authors. Researchers pointed to the findings to urge Medicare to publish the turnover rates at individual nursing home sites, as a way of putting a spotlight on substandard conditions and pressuring owners to make improvements.

Inadequate staffing — and low pay — has long plagued nursing homes and quality-of-care for the more than one million residents who live in these facilities. But the pandemic has exposed these issues even more sharply, with investigations underway into some states’ oversight of the facilities as Covid cases spiraled unchecked and deaths skyrocketed.

The high turnover rate likely made it harder for nursing homes to put in place strong infection controls during the pandemic, and led to rampant spread of the coronavirus, said Ashvin Gandhi, the lead author and a health economist and assistant professor at the University of California Los Angeles Anderson School of Management.