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Dr. Antony Arumairaj

Medicine as a Lifelong Journey of Learning and Care | Dr. Antony Arumairaj

For Dr. Antony Jackson Arumairaj, medicine has always been as much about asking questions as finding answers. Across decades of training, clinical practice, research, and teaching, that curiosity has remained central to how he approaches both patients and the profession itself.

hrt

Women Taking HRT For Menopause Have A Lower Risk Of Dementia, New Study Suggests 

According to a new study, women who use hormone replacement therapy (HRT) may have a reduced risk of dementia. 

The study itself took place in the United Kingdom and was the largest of its kind, tracking over 180,000 post menopausal women. The scientists found that the participants who used HRT were 10% less likely to develop any kind of dementia and 16% less likely to be diagnosed with Alzheimer’s, compared to those who never used it, according to reports

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The study and its findings were published in the journal Alzheimer’s & Dementia, and was led by Professor Anne-Marie Minihane, who is also the director of the Norwich Institute for Healthy Aging at the University of East Anglia. 

Minihane revealed that they saw the greatest risk reduction in women using HRT who also underwent surgical menopause, finding a 26% lower risk of developing any type of dementia compared to women who didn’t use the therapy. 

“While HRT has long been prescribed primarily to relieve menopausal symptoms such as hot flashes and night sweats, this work suggests it may also play a role in long-term cognitive health for some women.”

Women are more likely to develop dementia due to the fact that, statistically, they live longer than men. Scientists also think it could be related to the impact of menopause on their brain metabolism and the impact of the main risk gene for Alzheimer’s being greater on women. 

“We wanted to better understand how HRT could prevent dementia and to assess if particular groups of women may respond differently,” Minihane said

The study used data from the UK Biobank, allowing them to track 183,450 postmenopausal women over about 13 years. Throughout that timespan almost 4,000 cases of dementia were identified, and the scientists looked at whether or not using HRT of any kind for at least one year changed women’s risk of developing dementia. 

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The study also pointed out that women who naturally had lower oestrogen exposure throughout their life, either due to starting their periods late or going through early menopause, would benefit more from HRT, with a 16% lower risk of any kind of dementia. 

Of course, genetics also play a role. Women who carried the Apoe4 gene had a stronger association with HRT use and dementia. 

“This is really important because Apoe4 carriers are typically considered at higher risk and have fewer established prevention options,” said Minihane.

The results of this study are based on observational data rather than a randomized-controlled trial, so there’s no way to prove a causal link.

Dr Susan Kohlhaas, the executive director of research and partnerships at Alzheimer’s Research UK, said

“This study alone isn’t enough to tell us whether HRT should be used to reduce dementia risk, but it provides further evidence that the timing of HRT and a woman’s hormonal history may matter.

“We now need research that can establish whether HRT itself is responsible for these differences in dementia risk and understand which forms of HRT may have an effect.

“Anyone considering starting or stopping HRT should speak to their GP about the potential benefits and risks for them.”

covid

US Experiencing Covid-19 Surge In Every State 

Every state in the US is currently experiencing a rise in Covid-19 cases, with healthcare professionals and experts warning citizens to be on the lookout for symptoms, and stay diligent with healthy lifestyle practices. 

Dr. John Brooks, an infectious disease doctor at Emory University in Atlanta, Georgia who also used to work at the Centers for Disease Control and Prevention, told NPR about how as a country, “we’re now in the midst of a growing summer surge of Covid.” 

“I think most of us kind of feel like it’s fading away and are certainly very grateful for that. But nationally we’re seeing [Covid-19] ticking up pretty much everywhere.”

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According to the CDC, the disease is mainly spreading in the South and West, but is also rising in the Northeast and Midwest. As of right now, however, the virus is still at very low levels, and the current wave of infections is following along the trend of getting milder each year, with less people being hospitalized or dying. 

“What we’re seeing is very likely evidence of growing herd immunity if you will,” Dr. Brooks said. 

“More and more people have had one or more infections that give them some immunity against the virus and have had more than one vaccination, or maybe both, and all of that really has begun to offer us a lot of protection.”

The most important thing that doctors want US residents to remember is Covid-19 never disappeared, and is still greatly impacting communities around the nation. Many are still finding themselves feeling intensely sick for up to two weeks, and for some people, Covid can still cause serious disease, hospitalizations, and in the worst of cases, death. 

Caitlin Rivers, an epidemiologist at Johns Hopkins University in Baltimore, MD, emphasized this point to NPR, stating that “Covid-19 is still dangerous, particularly for older adults, infants, and people who are immunocompromised.” 

“In a typical office if you have 20 colleagues, it’s likely that one or two of them are some degree of immunocompromised. So it’s very common that people have risk factors that make Covid-19 dangerous.”

Rivers also pointed out that unlike flu season, which sees a major surge in the winter months, Covid-19 has seen spikes twice a year since the initial pandemic in 2020. That biannual surge remains a mystery to experts. 

“It’s a big mystery as far as I’m concerned. It is the only seasonal respiratory virus that has a summer season. To my knowledge, we don’t know what is causing this seasonality.”

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Rivers advises the general public to stay up to date on their vaccines, and pointed out how she still wears a mask when she’s in crowded places. Staying consistent with your vaccines also allows the body to stay strong against the new and dominant strains that emerge. 

The CDC has not issued any updated recommendations for Covid-19 vaccinations due to litigation over the Trump administration’s work to overhaul immunizations in the US, according to reports

The administration itself no longer recommends that everyone aged 6 months and older routinely get an annual shot. Major medical groups, however, still highly recommend it. 

Major insurance companies throughout the nation have also emphasized that they will continue to cover the costs of vaccinations, and the shots themselves will also still be free through other government programs. 

Public health experts are worried about the opposing messages regarding vaccines and how they might confuse more vulnerable populations as well. 

Claire Hannan, for example, is an executive director of the Association of Immunization Managers which works to advocate for immunization and the multiple free programs that offer them throughout the US. 

“The message is that the Covid-19 vaccine and the flu vaccine will be available, they’re covered by insurers, they’re recommended by medical societies. People should get them and get them for their kids.”

Dr. Brooks also pointed out that there’s also now a new drug called Xocova that individuals can take right after they’ve been exposed to the virus to decrease their chances of getting sick from Covid-19. This will especially be useful for individuals working in the healthcare industry who are exposed to a myriad of sick patients every day. 

“It is something for people to just have in the back of their mind.”

stairs

Taking the Stairs May Lower Your Risk of Heart Disease and Early Death

Choosing the stairs instead of the elevator may be one of the simplest ways to work more heart-healthy movement into your day, according to new research from the University of East Anglia and the Norfolk and Norwich University Hospital.

EPA

5 Dead in Louisiana After Contracting Flesh-Eating Vibrio Bacteria

Five people in Louisiana have died this year after contracting Vibrio vulnificus, a potentially deadly bacterium found naturally in warm coastal and brackish waters, state health officials said.

Louisiana has reported nine cases of Vibrio vulnificus so far this year, with another four people hospitalized. Every case involved a wound that had been exposed to seawater, according to health officials, and all nine patients had underlying health conditions that can raise the risk of serious illness and complications.

Health officials are urging people with open wounds to avoid saltwater and brackish water and to thoroughly wash any wound with soap after possible exposure. Brackish water is a mixture of fresh and salt water, often found where rivers meet the ocean.

Vibrio bacteria can infect people in multiple ways. In addition to entering the body through an open wound exposed to contaminated water, the bacteria can be contracted by eating raw or undercooked shellfish, particularly oysters. Officials are also advising people to fully cook seafood and keep cooked seafood away from raw seafood and its juices.

Signs of a Vibrio wound infection can include fever, pain, redness, swelling, discoloration or fluid discharge around the affected area, according to the CDC.

The bacteria are most prevalent between May and October, when coastal waters are warmer. But scientists have increasingly detected Vibrio in areas where water temperatures were once considered too cold for the pathogen to thrive.

Researchers in New York, for example, said in April that they had detected Vibrio vulnificus in several bodies of water off the coast of Long Island. Previous cases have also been reported around Long Island Sound, a development scientists have linked, in part, to warming waters driven by climate change.

Farther south, Maryland health officials have also urged swimmers to use caution in the Chesapeake Bay after more than two dozen cases were confirmed in the state this year.

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Researchers with the U.S. Department of Agriculture and the Environmental Protection Agency have estimated that the number of Vibrio infections in the United States could increase by 50 percent by 2090 compared with 1995 levels as sea temperatures continue to rise.

Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine, told CBS News the bacteria are appearing progressively farther north as the climate warms.

“With every year now, because of climate change, we’re seeing it higher and higher in more northerly latitudes.”

Louisiana is not the only state reporting infections this year. Florida has recorded 14 Vibrio vulnificus cases, including two deaths, according to the Florida Department of Health. One person died in Marion County in Central Florida, while another death was reported in Palm Beach.

Florida officials have also warned that hurricanes and other major storms can increase the risk of exposure by pushing brackish coastal water farther inland.

The state experienced an especially deadly year for Vibrio vulnificus in 2024, when Hurricanes Helene and Milton struck the region. Florida reported 19 deaths from the bacterium that year.

The dangers of wound exposure were illustrated by the case of Summerlin Skipworth, who told CBS News she injured her foot on rocks while visiting Orange Beach, Alabama, over Labor Day weekend last year and contracted the infection. Within several days, the pain became severe enough that she went to an emergency room, where she tested positive for Vibrio vulnificus.

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“It felt like somebody poured gasoline on my foot and lit it on fire.”

Skipworth underwent emergency surgery and was released shortly afterward. Doctors credited early detection with helping her recover. “An infection never crossed my mind,” she said. “I just knew I had pain in my foot.”

Vibrio vulnificus is among roughly a dozen Vibrio species capable of causing an illness known as vibriosis, according to the Centers for Disease Control and Prevention. The CDC estimates that approximately 80,000 cases of vibriosis occur in the United States each year.

Vibrio vulnificus infections can be particularly dangerous. About one in five people infected with the bacterium die, according to the CDC, sometimes within just one or two days after becoming sick.

Symptoms can include diarrhea, stomach cramps, nausea, vomiting and fever. In more severe cases, the infection can spread into the bloodstream, potentially causing low blood pressure and blistering skin lesions.

Hotez said people with underlying risk factors should be particularly careful about entering coastal waters with cuts or abrasions.

“If you have those risk factors, and if you have an open wound or abrasion in your skin, you do not want to go swimming in brackish waters along the Gulf Coast and the Atlantic Seaboard,” he said.

The growing geographic range of Vibrio has become a concern as ocean temperatures rise. Although the bacteria have long been associated with warmer coastal areas, infections and detections in places such as the Northeast suggest that the conditions favorable to Vibrio are expanding beyond their traditional range.

ebola

Ebola Outbreak Outpacing Recovery Efforts As Aid Workers Go On Strike Over Pay 

The world is currently experiencing one of the fastest-growing Ebola outbreaks in history. The virus is currently spreading at a rate faster than the efforts to fight it, according to the head of the World Health Organization (WHO), Tedros Adhanom Ghebreyesus. 

Ghebreyesus spoke with officials during a visit to the Congo, where some health workers are also currently on strike over a lack of pay, which is also slowing recovery efforts. 

This outbreak has been occurring for about three months with new courses doubling in some of the hot spots, Ghebreyesus stated in a post to his social media after meeting with officials in the capital Kinshasa. This marks the second visit that the WHO director-general took to the country since the outbreak was officially declared in mid-May. 

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“We all agree that we must urgently and massively scale up all our efforts across all pillars of the response and by all partners.”

The outbreak itself has had over 3,800 confirmed cases and over 1,700 deaths as of the beginning of this week, according to the latest data from Congo’s Ministry of Health. 

In the epicenter of the outbreak, the Ituri province, it’s been reported that many of the front line workers have gone on strike. The healthcare workers have also been impacted by rebel conflict within one of Congo’s most remote and vulnerable areas. 

Some workers stated that they started receiving payment within the past week for the work they’ve been doing since the outbreak began, and are demanding improved wages, according to reports

A resident of Bunia, Anicet Baluku, told the Associated Press that he blamed the death of his two brothers from Ebola on the strike. “We urge the authorities to quickly find a solution to prevent other families from experiencing the same tragedy.”

The US Department of State said this week that it will be providing an additional $242 million in funding for immediate Ebola response and preparedness efforts in the region and for humanitarian assistance. 

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The outbreak itself has outpaced all previous Ebola outbreaks due to its speed of transmission and is currently the second-largest outbreak on record after the 2014-2016 West Africa outbreak that had over 28,000 cases and more than 11,000 deaths. 

The specific Bundibugyo virus that is causing this current outbreak has no approved treatment or vaccine. 

Doctors Without Borders stated this week that the outbreak is still “spreading at an alarming and unprecedented rate. The response is expanding but is still not reaching communities quickly enough to break transmission chains.”

Dr. Jean Kaseya, the head of Africa Centers for Disease and Control, stated that during a visit to Bunia that contact tracing isn’t working, while 60% to 70% of new cases coming outside of those being monitored after exposure to patients. 

The later detection of cases has been a main contributor to the 45% fatality rate, according to officials. The health ministry stated that of the 77 most-recent cases reported during a 24-hour period, 44 were fatal, and at least 717 patients are in isolation with 749 patients have recovered. 

Dr. Kaseya also met with Ghebreyesus this week, and stated that the Africa CDC is “aligning its efforts with responders around earlier detection, stronger contact tracing, rapid access to quality care, and deeper engagement with communities.”

“Above all, communities must be at the center of and have ownership of the response. We cannot stop Ebola without their trust, leadership, and partnership,” he said.  

protein

Eating Less Protein May Support Healthy Aging, Review Finds

Despite the popularity of high-protein diets and protein-fortified foods, many adults may not know how much of the nutrient they actually need.

A major scientific review suggests that healthy adults who already consume adequate protein may gain little from eating more. Some evidence suggests that moderately reducing protein intake, or limiting certain amino acids that make up protein, could support metabolic health and biological processes associated with aging. In some organisms, lower protein intake has also been associated with a longer lifespan, even when total calorie consumption remained unchanged.

The review was led by pathologist and biomedical researcher Dudley Lamming, who studies aging at the University of Wisconsin-Madison School of Medicine and Public Health. It analyzed more than 350 studies involving people, mice, insects, yeast and other organisms. It was published in the journal Cell Press Blue.

Scientists have long studied calorie restriction as a possible way to extend lifespan and lower the risk of age-related illnesses, including cancer. But maintaining a reduced-calorie diet over long periods can be difficult, leading researchers to investigate whether limiting protein could produce some similar effects without requiring people to eat substantially less food.

“It’s absolutely crystal clear that there are benefits of protein to muscle growth and exercise response of active individuals. But because most people are relatively sedentary, many people are likely consuming more protein than they actually need, which probably has negative health consequences.”

The amount a person needs varies according to age, body size, activity level, pregnancy status and overall health. For a generally healthy adult, the recommended daily amount is about 0.36 grams per pound. A person weighing 140 pounds would need approximately 50 grams a day under that guideline.

The review comes amid a broader debate over protein guidance in the United States. Updated recommendations cited by the researchers call for some adults to consume between 1.2 and 1.6 grams per kilogram of body weight, or roughly 0.5 to 0.7 grams per pound, nearly twice the longstanding minimum recommendation.

Many American adults already exceed that amount.

An analysis of national health data found that adults who met exercise recommendations consumed about 82 grams of protein each day. Those who did not meet the exercise guidelines still averaged about 79 grams.

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A single meal can provide a substantial portion of the daily recommendation. A 3- to 6-ounce serving of meat, chicken or fish often contains 20 to 30 grams of protein.

“It’s probably safe to say that for sedentary individuals, maybe [follow] the original [recommended daily amount of] 0.8 grams per kilogram,” said Lamming.

Manufacturers now add protein to coffee drinks, breakfast cereals, chips, ramen and other products that were not traditionally promoted as major protein sources. Packaging and advertising often suggest that a higher protein content makes a product healthier.

Consumer interest has grown alongside that marketing. A 2025 survey from the International Food Information Council found that 70% of U.S. adults said they “try” to eat protein. High-protein diets were the most popular diet pattern for the third year in a row.

At the same time, many survey respondents said they were unsure how much protein they should consume.

Physically active people may need more protein to support muscle repair, growth and recovery. Pregnant people and those recovering from surgery, injury or illness may also have higher requirements.

Protein can also be important during weight loss. People who are reducing calories may need adequate protein to help preserve muscle while losing body fat. Older adults may have different needs as well.

That does not mean inactive adults should immediately cut back on protein intake. The findings instead suggest that people who already consume enough may not need to keep seeking additional sources. For sedentary adults, increasing physical activity could have a greater effect on health than adding more protein to meals and snacks.

“These studies show that the amount of protein sedentary people are eating today may have negative health consequences, at least at the population level.”

The review also examined what may happen inside the body when protein intake is reduced. One potential effect involves FGF21, a hormone that helps regulate energy use and metabolism.

“There’s an increase in a hormone called FGF21 that promotes energy expenditure [when protein intake is reduced]. It essentially increases thermogenesis in your adipose tissue, so you don’t just store fat, but actually burn it as fuel.”

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That mechanism may help explain why some studies have linked lower-protein diets to reduced body fat, improved blood sugar control and healthier metabolic function.

Recent human clinical trials reviewed by the researchers found that participants who reduced protein lost weight and body fat and improved their fasting blood sugar levels, even though some consumed more calories overall.

FGF21 has also been associated with lower inflammation. In mouse studies, animals with elevated levels of the hormone lived longer than typical mice, although the effect was greater in males than in females. Researchers have also observed that reducing protein raises FGF21 levels in people.

Lower protein intake may also alter signals that tell cells when to grow, repair damage or break down and reuse old cellular components. Those maintenance processes are believed to play a role in the aging process.

Some studies reviewed by Lamming also found potential benefits from reducing individual amino acids rather than lowering all dietary protein.

The evidence does not support protein deficiency, researchers said. Protein restriction in scientific studies is not the same as depriving the body of a nutrient it needs.

Aging is associated with sarcopenia, a gradual loss of muscle mass, strength and physical function. Eating enough protein and participating in strength or resistance exercise may help slow that decline.

The evidence on weight management and aging is not entirely one-sided. Other studies have found that higher-protein diets can support weight loss and help older adults maintain muscle, particularly when protein intake is paired with regular exercise.

People with kidney disease, liver disease and other medical conditions may also require individualized guidance. In some cases, they may be advised to limit their protein intake. In others, maintaining sufficient intake may be especially important.

Anyone considering a substantial change in protein consumption should consult a doctor or registered dietitian.

The review leaves several questions unresolved. The studies included in the analysis differed in their protein levels, dietary patterns, duration and design. Those differences make it difficult to determine exactly how much protein should be reduced or for how long a lower-protein diet should be followed.

Many of the studies were also conducted in animals, insects, yeast or other organisms. Findings from those experiments can help scientists identify biological mechanisms, but they do not always translate directly to people.

More long-term human research is needed to determine which adults could benefit from lower protein intake and whether reducing specific amino acids has the same effects as reducing total protein intake.

Researchers also continue to study whether the source of protein changes its health effects. Protein from beans, lentils, nuts and other plant foods may affect the body differently than protein from processed meats or fortified snack foods.

For now, the findings do not dispute that protein is necessary. They question whether healthy adults who already get enough need to add it to every meal, snack and beverage.

Legionnaires Disease

Fourth Person Dies in New York City Legionnaires’ Disease Outbreak

New York City officials say they believe the source of a Legionnaires’ disease cluster on the Upper East Side has been eliminated, even as the death toll connected to the outbreak has risen to four.

The city has identified 76 cases as of Monday, according to the Health Department. Seven patients remain hospitalized, while 53 people who had been admitted for treatment have since been discharged.

Officials have linked the illnesses to Legionella bacteria detected in cooling towers at buildings in the area. Cooling towers at 76 properties tested positive for the bacteria, prompting the city to order building owners to drain, clean and disinfect the equipment.

All 76 buildings later confirmed that they had completed the required remediation, city officials said. The Health Department also reported a steep decline in the onset of new illnesses after July 8.

Mayor Zohran Mamdani attributed the apparent containment of the cluster to what he described as “the aggressive strategy of early testing, enforcement, and remediation.”

“We have not seen anyone with new symptoms in over a week. We are focused on inspecting every cooling tower that tested positive and enforcing our laws to their fullest extent,” Health Commissioner Dr. Alister Martin said in a post on X Monday.

The outbreak has been concentrated in three Upper East Side ZIP codes: 10128, 10028 and 10075. The affected area includes the Carnegie Hill and Yorkville neighborhoods. Although New York typically records hundreds of Legionnaires’ disease cases each year, health officials said the clustering of cases in those neighborhoods represented a notable increase.

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People who have spent time in the affected area over the past several weeks are being urged to monitor themselves for symptoms, including fever, chills, fatigue, headaches, loss of appetite, confusion and diarrhea. Symptoms may not appear immediately and can develop up to 14 days after exposure, according to the Health Department.

Legionnaires’ disease is a form of pneumonia caused by inhaling water droplets or vapor contaminated with Legionella bacteria. Infections can also occur when contaminated water accidentally enters the lungs. The illness is not contagious and does not spread directly from one person to another.

Officials stressed that the current cluster is not associated with drinking water, showers or air-conditioning units. The Health Department said there is no problem with the plumbing systems in buildings within the affected ZIP codes. Residents can continue drinking tap water, bathing, showering, cooking and using their home air-conditioning systems as usual.

Cooling towers are used in refrigeration and building-cooling systems. They remove heat from buildings by drawing outside air across warm water supplied by a central chiller. The water is sprayed onto the fill material as fans pull air through the system, causing a small portion to evaporate and lowering the temperature of the remaining water.

That cooled water then circulates through the system again to absorb additional heat. When Legionella bacteria are present, however, contaminated mist or vapor released by the tower can potentially be inhaled by people nearby.

Research has found that Legionella bacteria can thrive in warm, wet environments. Cooling towers are particularly susceptible, along with hot tubs, spas, decorative fountains and certain plumbing systems. The bacteria occur naturally in freshwater, though they are generally present at levels too low to cause illness. They multiply most readily in warm water and environments with warm-to-hot temperatures, according to the Centers for Disease Control and Prevention.

When Legionella enters a building’s water system, it can potentially spread through equipment such as showerheads, faucets, hot-water tanks, heaters and cooling towers.

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Most people who encounter the bacteria do not become ill. The risk is higher, however, following substantial or repeated exposure, particularly among people who are more vulnerable to infection.

Those at greater risk include adults over 50, people who smoke or vape, people with weakened immune systems and those with underlying medical conditions. Diabetes and diseases affecting the heart, kidneys, liver or lungs can also increase the likelihood of severe illness. While most patients recover after receiving antibiotics, people who are immunocompromised or have chronic lung disease can develop potentially fatal complications.

Legionnaires’ disease can generally be treated with antibiotics, especially when it is identified early. There is no vaccine or preventive medication, and masks do not appear to protect against exposure, according to the New York City Health Department.

The national rate of Legionnaires’ disease has risen over the past decade, reaching 2.71 cases per 100,000 people in 2018, according to the CDC. Reported infections declined during the first year of the COVID-19 pandemic, only to increase again in 2021.

The latest cluster follows a deadly outbreak in Harlem last year that hospitalized 92 people and killed seven. Investigators also traced those cases to cooling towers.

That outbreak helped lead the city to adopt a new law in May requiring cooling towers to undergo more frequent inspections. The measure also increased fines for property owners who fail to comply with maintenance and safety requirements.

City Council Speaker Julie Menin, whose district includes the affected area, criticized failures to follow the city’s cooling-tower regulations.

“We know for a fact that many buildings did not comply with that City Council law, which is inexcusable. One of the many questions we have about the Health Department is, how many buildings did not comply? Let’s start with looking at those buildings.”

Officials are continuing to inspect every cooling tower that tested positive during the current outbreak and said enforcement efforts remain underway, despite indications that new infections have slowed significantly.

pentagon

Pentagon Brings Back Mandatory Flu Shots For All Boot Camp Recruits

This week, the Pentagon announced that they are reinstating a requirement that all boot camps for US military services are to enforce new recruits getting a flu vaccination after Defense Secretary Pete Hegseth previously made the shot optional for new military members at the end of April. 

The Associated Press received this confirmation from a Pentagon official after a recent growing, weekslong, flu outbreak at the US Air Force’s boot camp at Lackland Air Force Base caused around 300 people to get sick. The official who spoke with the publication mentioned, however, that the recent mandate of the vaccination was not related to that specific outbreak. 

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Back in April, when Hegseth initially announced that the flu vaccine mandate was being repealed, he cited “medical autonomy and religious freedom.” He also allowed the services to ask for specific exceptions/permission to keep the vaccine mandatory within 15 days of the policy rollout. 

The official from the Pentagon explained that the decision to reinstate was being finalized earlier in June with the timing of the outbreak at Lackland being purely coincidental. In Lackland, only 40% of the new trainees in the bootcamp were vaccinated once it became optional, according to AP

According to Air Force figures, this particular base handles around 700 new recruits every week, and the close quarters environment has always been relevant when it comes to the spread of sickness. 

Outbreaks in boot camp settings are unfortunately common due to the fact that recruits are exposed to high stress, low sleep environments where they’re in very close contact with each other for weeks. They typically sleep together in large, open rooms and shower communally, so it’s easy for sicknesses to spread. 

The outbreak at Lackland has now been ongoing for about three weeks with 275 confirmed cases of the flu, according to Democratic Representative Joaquin Castro, who confirmed the stats in a social media post. Castro’s district also includes part of the base where the boot camp resides. 

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Dr. Arnold Monto, a flu expert and professor, stated that this new outbreak is “not unusually concerning,” because although the flu is mainly an issue in the late fall and winter, flu viruses routinely circulate during warmer months too. 

In fact, flu outbreaks that occur during the spring and summer months are often in settings where a lot of people are in close contact with one another, like military bases or cruise ships. 

“If you want to prevent flu outbreaks, it is especially necessary to vaccinate when there are group settings,” Dr. Monto said. 

The Pentagon’s top spokesman, Sean Parnell, said in a statement to the media that exceptions were granted to the Army, Navy, Air Force, the National Security Agency, and the Defense Health Agency. 

Both Army and Navy officials, however, said that they have also asked for permission to make the vaccine mandatory for certain broad groups including troops that are being deployed overseas, healthcare workers, and child care workers. 

Advocacy organization ‘Families Fighting Flu’ openly supported this change to increase vaccine rates. 

Michele Slafkosky, the organization’s executive director, said in a statement:

“For decades, the military prioritized the health and safety of troops and the public by requiring flu vaccines for recruits. It’s unfortunate that more than 200 individuals at Lackland Air Force Base in Texas became ill when that requirement was rescinded. This updated guidance from the military will save lives.” 

Dr Judy Chen

From Maternal Mortality to Miscarriage Care: The Hidden Toll of U.S. Policy | Dr. Judy H. Chen

What happens when science is sidelined by belief and healthcare is shaped more by ideology than evidence? In today’s America, reproductive care sits at the heart of this collision. As the legal and political landscape shifts, the consequences are rippling through every corner of women’s health, from fertility treatments to miscarriage care to the rising toll of maternal mortality.