San Diego Contends with Homelessness, Hepatitis Outbreak

SAN DIEGO (AP) — For Christine Wade, the tent she shared with six children, pitched in an asphalt parking lot, was far better than their previous home — a shelter where rats ate through the family's bags of clothes. "It's peaceful here," Wade, 31 and eight months pregnant, said in an October interview at the campground. A tent, of course, is not a home. But for these San Diegans, it is a blessing. Like other major cities all along the West Coast, San Diego is struggling with a homeless crisis. In a place that bills itself as "America's Finest City," spiraling real estate values have contributed to spiraling homelessness, leaving more than 3,200 people living on the streets or in their cars. Most alarmingly, the deplorable sanitary conditions help spread a liver-damaging virus that lives in feces, contributing to the deadliest U.S. hepatitis A epidemic in 20 years. "Some of the most vulnerable are dying in the streets in one of the most desirable and livable regions in America," a San Diego County grand jury wrote in its report in June  — reiterating recommendations it gave the city over the past decade to address homelessness. San Diego has struggled to do that. Two years ago, Mayor Kevin Faulconer closed a downtown tent shelter that operated for 29 years during winter months. He promised a "game changer" — a new, permanent facility with services to funnel people to housing. But it wasn't enough. The result?...
Source: JEMS Administration and Leadership - Category: Emergency Medicine Authors: Tags: News Administration and Leadership Source Type: news

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Authors: Çam İ, Şengül E, Kale A, Ulukaradag E, Öztürk O, Yalnız A, Çakır Ö PMID: 31941398 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
We examined the pathways by which three domains of women's empowerment (WE)—assets, intrinsic agency, and instrumental agency—may influence women's nutritional status (WNS) in East Africa. We used data from 42,721 married non-pregnant women, 15–49 years old interviewed in Demographic and Health Surveys (DHS) from five east Africa countries (2011–2016). WNS was operationalized through body mass index (BMI) and altitude-adjusted blood-hemoglobin level (Hb). A latent factor for women's human/social assets (assets) measured women's enabling resources. Two additional latent factors measured women's intri...
Source: Social Science and Medicine - Category: Psychiatry & Psychology Source Type: research
Passengers from Wuhan, China, will be screened at J.F.K. beginning Friday night, and in San Francisco and Los Angeles starting on Saturday.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Coronavirus (2019-nCoV) Centers for Disease Control and Prevention Los Angeles (Calif) San Francisco (Calif) Wuhan (China) New York City Viruses Epidemics Respiratory Diseases Airport Security Pneumonia Kennedy International Airport Source Type: news
CONCLUSIONS: Maternal physical activity is favorably associated with neonatal cord blood high-density lipoprotein cholesterol levels. This novel beneficial finding highlights the potential for physical activity in pregnancy to aid the early prevention of cardiovascular disease. PMID: 31945742 [PubMed - as supplied by publisher]
Source: Journal of Physical Activity and Health - Category: Sports Medicine Tags: J Phys Act Health Source Type: research
Publication date: Available online 16 January 2020Source: The Brazilian Journal of Infectious DiseasesAuthor(s): Veronica Elizabeth Mata, Sonia Regina Lambert Passos, Maria Angelica Borges dos Santos, Sibelle Nogueira Buonora, Carlos Augusto Ferreira de Andrade, Monique da Rocha Queiroz Lima, Betina Moreira Costa, Yara Hahr Marques HökerbergAbstractBackgroundAlthough performance of rapid immunochromatographic tests (RITs) for dengue virus (DENV) serotypes 1, 2 and 3 is relatively settled, evidence on accuracy of RITs for DENV-4 are based on studies with small sample sizes and with discrepant results.ObjectivesTo asses...
Source: The Brazilian Journal of Infectious Diseases - Category: Infectious Diseases Source Type: research
This study compared the efficacy, in terms of reproductive performance, of a porcine reproductive and respiratory syndrome virus (PRRSV)-1 or PRRSV-2 modified-live virus (MLV) vaccine against a dual heterologous PRRSV-1 and PRRSV-2 challenge. Gilts were administered either the PRRSV-1 or PRRSV-2 MLV vaccine at 21 days prior to breeding and were challenged intranasally with both PRRSV species at day 93 of gestation. Vaccination of gilts with PRRSV-2 MLV vaccine resulted in improved reproductive performance in sows (e.g. duration of pregnancy) and piglet health and overall viability (e.g. increase of the number of live-born ...
Source: Comparative Immunology, Microbiology and Infectious Diseases - Category: Infectious Diseases Source Type: research
ConclusionsThe costs of healthcare-associated infection outbreaks of antimicrobial-resistant bacteria can be significant. The productivity loss was much greater than the containment costs. Therefore, hospitals should meet the costs for prevention of these outbreaks.
Source: American Journal of Infection Control - Category: Infectious Diseases Source Type: research
Conclusions: A higher seroprevalence of HEV as compared to HAV together with a co-infection rate of 2.07% mandates screening for HEV in all suspected cases of acute hepatitis, particularly pregnant women in whom the outcomes of HEV infection are poor. Health and civic authorities should make necessary efforts to counter epidemic or outbreak situations, thus reducing morbidity, mortality and economic burden.
Source: Indian Journal of Medical Microbiology - Category: Microbiology Authors: Source Type: research
Conclusions Apart West Nile virus (78), thousands of congenital microcephaly cases, fetal brain tissue damage and neurological syndromes have been associated with ZIKV infection. Unfortunately, the epidemics of this mosquito born, and a relative stable virus is on a rise. Although congenital microcephaly is a rare disorder however, due to lack of standardized diagnostic test facilities, the incidence in the geographically widespread ZIKV epidemic regions is higher. Animals studies showed that ZIKV is a neurotropic virus. It directly targets the developing embryonic brain cells by inducing apoptosis, cell-cycle arrest, and...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
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