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U.S. has its first confirmed case of the coronavirus heres what you need to know – Yahoo News

The Wuhan coronavirus a respiratory illness spreading in China, where it has infected more than 200 people and killed at least six people is now in the U.S.

A man in his 30s who is a U.S. resident and had recently traveled from Wuhan, China, to his home in Washington States Snohomish County is the first confirmed case of the coronavirus in the states.

According to a Centers for Disease Control and Prevention (CDC) press briefing on Tuesday, the man did not experience symptoms while traveling home on January 15. On January 19, however, he was feeling ill and, aware of reports of the coronavirus in China where he had just visited, the man proactively sought medical help. The sample he provided, which was sent overnight to the CDC for testing, came back positive for the virus. The man was transferred to Providence Regional Medical Center in Everett, Wash., last night, and is currently in isolation.

The risk to the general public is low, Chris Spitters, MD, the interim health officer for Washingtons Snohomish Health District, said at the CDC press conference Tuesday. No one wants to be the first in the nation in these types of situations, but these are the types of situations that the public health prepares for.

The coronavirus has infected more than 200 people in China and killed at least six people. The first case of coronavirus in the U.S. has been confirmed by the CDC. (Photo: Kevin Frayer/Getty Images)

The CDC has assigned people to work on tracing the mans travel route, as well as anyone he may have come into contact with, from China to his home state.

There is new information hour by hour, day by day that we are tracking and following closely, Nancy Messonnier, MD, the director of the National Center for Immunization and Respiratory Diseases at the CDC, said at the conference. We and the global health community are working together to understand what is happening. The key issue we need to understand is how easily the virus is spread from human to human.

Spitters added that the man is in good condition and is currently hospitalized out of an abundance of caution not because there was severe illness.

There are seven known types of coronaviruses. The current Wuhan coronavirus (2019-nCoV) named after the city where it originated is a new (novel) form of coronavirus thats been linked to a large seafood and animal market in that town. The virus was first reported to the World Health Organizations China country office on December 31, 2019. There have also been reported cases in Thailand, Japan, and South Korea.

But there may be many more people infected than the 200 cases currently being reported, according to a new study out of Imperial College London. The studys researchers estimate that a total of 1,723 cases of the virus had symptom onset by January 12, 2020. It is likely that the Wuhan outbreak of a novel coronavirus has caused substantially more cases of moderate or severe respiratory illness than currently reported, wrote the study authors.

Air travel also contributes to the spread of the virus. Worldwide travel can mean these viruses are transmitted further and faster than before, Lisa Maragakis, MD, senior director of infection prevention at the Johns Hopkins Health System and associate professor of medicine at Johns Hopkins University School of Medicine, tells Yahoo Lifestyle.

The viruses typically cause mild to moderate upper-respiratory tract illnesses, like the common cold, according to the CDC. People who become infected can experience a runny nose, cough, fever, headache, and sore throat. In severe cases, the viruses can cause pneumonia or bronchitis and can be fatal.

Coronaviruses are spread in several ways: through the air, such as by coughing and sneezing; through close contact with an infected person, such as touching or shaking hands; and by touching an object or surface (such as a doorknob or table) with the virus on it and then touching your mouth, nose, or eyes before washing your hands, according to the CDC.

To check for a coronavirus infection, healthcare providers can test respiratory specimens and blood serum, according to the CDC. Currently, there is no vaccine for coronaviruses though Messonnier said that there are active conversations about vaccines, as well as diagnostics for the virus and no specific treatment regimen.

Respiratory viruses, particularly those that are new and somewhat unknown, are concerning to everyone, Maragakis tells Yahoo Lifestyle. Its important to note that you should be vigilant and somewhat concerned, but not panicked.

Maragakis recommends that people wash their hands regularly, cover coughs and sneezes, and not go into work when theyre sick to help protect others.

To help prevent more cases from entering the U.S., the CDC and the Department of Homeland Securitys Customs and Border Protection (CBP) have stepped up health entry screening efforts at three U.S. airports (San Francisco airport, New Yorks JFK, and Los Angeles airport) with Atlanta and Chicago (ORD) airports adding screenings this week to check passengers traveling from Wuhan, China, to the U.S. for symptoms. According to Tuesdays CDC briefing, those passengers traveling from Wuhan, China, will be rerouted to U.S. airports performing health entry screenings.

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Pain doesn’t cause stigma. We do that to each other – STAT

In 2000, a truck rear-ended my friend Andreas car as she stopped at a crosswalk in a school zone. The truck was going at least 45 miles per hour when it slammed into her. The accident damaged muscles, nerves, and bones from the base of her skull to the bottom of her left leg. It left her with an injured spine, pelvic instability, and significant leg injuries. She has been living with chronic pain ever since.

Andrea rarely takes opioids; she says they make her feel incredibly drowsy and often dont work well to control her pain.

Yet she frequently experiences intense stigma when seeking care for her pain. Health care providers often regard her pain as a kind of personal weakness. Many of them have told her that she doesnt look like she is in pain. She has lost count of the number of times she has been told that if she just lost weight, her pain would lessen.

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Andrea isnt alone. Millions of people who live with chronic pain experience intense stigma.

I view stigma as the combination of difference plus deviance: An in-group marks an out-group as different on the basis of a shared demographic characteristic, then judges the out-group as deviant. This is precisely what happens to many people in pain. They are marked as different because of their pain, and then have that pain denied, invalidated, and delegitimized. This is more likely to happen to women and racial or ethnic minorities than to white men.

Stigma is fundamentally social. Although we often speak colloquially of pain, or illnesses like HIV/AIDS, stigmatizing people, that isnt correct. It is always people who stigmatize other people. We do this to each other.

Pain-related stigma can come from anyone. Health care providers are a major source of it, but so are intimate partners, family caregivers, insurers, and policymakers. Chronic pain sufferers sometimes stigmatize other people with chronic pain, perhaps because the difficulty of living with such a condition makes it harder to countenance in others. And people in pain sometimes stigmatize themselves. When you are told repeatedly that your pain is invalid or illegitimate, after a while it becomes easy to believe that. People in pain do not have the luxury of denying the existence of their own pain, but they can and do judge it.

That is one of the catastrophic impacts of stigma: It can spoil individuals identities, their sense of who they are as persons.

Sadly, stigma is a terribly common problem for people in pain, and has been for close to 1,000 years.

This matters, because stigma is corrosive. Members of groups subjected to persistent stigma get sicker and die quicker. This is partly because stigma is a barrier to care. Who wants to visit their provider if they feel like they will be judged and blamed for their illness, or have their experiences denied or invalidated? But even when they do seek care, stigma worsens chronic disease outcomes.

Why do we attach so much stigma to people in pain? One likely factor is that pain is subjective. This means that the ability to diagnose and treat pain effectively depends in large part on what people say about their pain. That subjectivity is a problem for Western medicine because it is built on the ability to identify physical, identifiable pathologies that can be linked to illness. Most kinds of chronic pain defy this easy objectification, which frustrates the dominant Western framework for knowing and understanding illness. And because chronic pain cant easily be objectified through clinical tests blood work, lab tests, imaging, and the like it is ripe for doubt and skepticism.

Stigma is so deeply rooted in our society that it can shape laws and policies at the highest levels.

Consider the regulations that govern access to Social Security benefits for disability. They say that a claimants own testimony is insufficient to justify benefits and specifically require objective medical evidence to do that. This doesnt make sense, since virtually every clinical guideline for treating pain stipulates that a patients self-report is the single most important tool for effectively diagnosing and treating pain. These regulations effectively repudiate one of the most fundamental and critical tools for taking people in pain seriously.

The Social Security regulations also explicitly note that evidence from X-rays and laboratory tests such as blood work are forms of evidence that can be used to prove a disability sufficient to generate access to Social Security benefits. These regulations systematically disenfranchise most people in chronic pain, who are unable to provide the needed proof via these preferred forms of evidence.

In essence, our basic social safety net channels and reflects the widespread stigma that people in pain experience.

The mention of X-ray evidence in the regulations is especially interesting given the staggering amount of medical imaging we do for nonspecific low-back pain, one of the most common forms of chronic pain experienced by people in the U.S. Researchers cant find much evidence that this imaging benefits people with low-back pain in any way. Yet doctors order it often.

Doctors alone arent to blame. Patients want such imaging, too, as a way to provide testimony that is more valued and seen as better evidence of their pain. People in pain cant be blamed for wanting medical imaging even if theres little evidence it helps.

In addition to being bad for physical health, stigma is also morally bad. It is among the most antisocial and alienating experiences humans can inflict on each other. It isolates people, causes suffering, and violates basic obligations to treat people fairly and with dignity. Accordingly, we should intervene to alleviate it.

Like most significant health problems in the U.S., the root causes of stigma are structural. This means that interventions used on the interpersonal level, like anti-stigma education and training programs, are likely to have only limited success. To be successful in reducing the stigma that millions of people in pain endure, we must address the deeper factors driving it, including our tendency to disregard individuals narratives and testimony in the absence of objective evidence. We must also address the sexism and racism that without a doubt contribute to the terrible and growing inequalities that exist in the diagnosis and effective treatment of people in pain.

One of the most promising approaches to reducing pain stigma is addressing laws and policies that intensify stigma toward people in pain. This might include revising laws at the state and federal levels, strengthening antidiscrimination protections, and enforcing existing laws that aim to alleviate stigma against people in pain. State laws that prohibit elder abuse, for example, can be used to mandate effective pain management.

Changing local policies can also make a difference. The policies of a health system that treats thousands of people in pain can have a huge impact on the extent to which people in pain are stigmatized. These policies include whether we force people in pain to sign demeaning, one-sided pain contracts or submit to random drug testing, use language that conveys hostility and suspicion, and countless others that sustain and perpetuate attitudes of doubt, distrust, and disbelief.

While changing federal or state laws takes time, local policies can change far faster. We could, for example, change or abandon commitments to policies and protocols that entrench and legitimize the tendency to stigmatize and doubt people in pain. We can implement policies and procedures that detail antidiscrimination requirements specifically for people in pain. And we can enact policies that govern discriminatory language and terms often directed against people in pain like hysteria and malingerer which have long and documented histories of being used to stigmatize vulnerable people in pain.

To alleviate pain stigma, we also have to decouple it from the stigma directed toward opioid use. While these two types of stigma often occur in the same spaces, they are not identical. We stigmatize people in pain, like my friend Andrea, who neither take nor desire opioids. And we stigmatize individuals who take opioids even if they do not live with chronic pain. A focus on opioid stigma is welcome and important, but it is not equivalent to intervening specifically to address pain stigma. Both of these terrible burdens deserve our attention and efforts.

We have tools to effectively and fairly treat people who live with chronic pain. We have the power to help them live better. We should do so, and without stigma.

Daniel S. Goldberg is a faculty member in the Center for Bioethics and Humanities at the University of Colorado Anschutz Medical Campus, associate professor of family medicine at the University of Colorado School of Medicine, and associate professor of epidemiology at the Colorado School of Public Health. He is the principal investigator of an epidemiologic study related to addiction stigma funded by The Well Being Trust, a 501(c)(3).

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Photos of skeletal lions at zoo spark massive outrage: ‘Seeing these animals … made my blood boil’ – Yahoo Lifestyle

UPDATE:As of late Thursday morning, the GoFundMe page to benefit the lions has finally been approved.

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Warning: Some of these images may be upsetting

Photos of a pack of emaciated lions at a zoo in Khartoum, Sudan, have sparked worldwide outrage, along with an online campaign to rescue them.

The condition of the sickly lions, which are currently being held in cages at Khartoum's Al-Qureshi Park, was first brought to light by Sudanese national Osman Salih, who spotted the creatures while walking by the zoo over the weekend and said seeing their condition "made my blood boil."

Salih later wrote on Facebook that he contacted zoo administrators, who informed him that wildlife police were the ones responsible for the care of the lions, which has reportedly gone weeks without food or medicine.

"The park holds the wildlife police directly responsible for the deteriorating condition of the lions, and stated that the income of the park for a month is not enough to feed one lion for a week," Salih claimed.

"We have consulted a number of veterinarians and wildlife specialists on the topic of treatment, which requires effort and follow-up to the health conditions of the lions, and there is a group of young people inside and outside the country who have the desire to provide assistance," he continued. "The issue is not simply food but most importantly the animals need detailed and special treatment to rid them of infections and issues probably brought about from infested meat and poor diet."

The heartbreaking post, which spawned the hashtag, #SudanAnimalRescue, has since been shared more than 500 times and covered by multiple media outlets.

Photos from the zoo:

Park officials and veterinarians responding to the public outcry surrounding the situation told the AFP that the animals' condition had deteriorated over the past few weeks, in part due to Sudan's worsening economic crisis.

"Food is not always available, so often we buy it from our own money to feed them," said Essamelddine Hajjar, a manager at Al-Qureshi park, which is run by Khartoum municipality and partly funded by private donors.

Although Salih said he has had many parties reach out to him wanting to help, he is still trying to set up a proper way to allow social media users to donate to the lions' plight after his GoFundMe page was apparently shut down due to U.S. government restrictions.

Sadly, one of the sick lionesses died on Jan. 20, despite all efforts being made to save her. Salih and local parties are still working hard to ensure the rest of the animals make full recoveries.

On Jan. 20, one of the other lionesses made a huge stride when she was able to eat minced meat brought to her enclosure by rescuers.

"Best video of the day," Salih captioned a clip of the lion'sprogress.

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Breaking Down Good and Bad Cholesterol: Everything You Need to Know About HDL and LDL, According to Experts – Yahoo Lifestyle

Maintaining healthy cholesterol levels is important at all phases of life, since this lowers your chance of developing heart disease or having a stroke later on. And, as with every other aspect of your health, understanding exactly what healthy cholesterol levels really areand the various cholesterol types that inform themwill ultimately help you make better choices for your body, now and always. To do so, you'll first need to grasp the difference between good and bad cholesterol. Ahead, Cheryl Anderson, professor and interim chair of the Department of Family Medicine and Public Health at the UC San Diego School of Medicine, breaks down everything you need to know.

Related: Why Eating Eggs Might Not Be So Bad for Your Cholesterol After All

According to Anderson, who is also the chair of the nutrition committee of the American Heart Association, "low-density lipoprotein, or LDL, is considered the 'bad' cholesterol because it contributes to fatty buildup in arteries, which increases the risk of things like heart attack and stroke," she explains. High-density lipoprotein, or HDL, on the other hand, is thought of as the 'good' cholesterol"because it can work to break down LDL cholesterol," adds Anderson. Another categorically bad type? Triglycerides, which are the most common type of fat in your bodythey can also contribute to fatty buildup within arteries. When your cholesterol levels are measured, doctors look at the total summation of the valuesbut it's just as important to understand where you fall within each individual category, as well (having a higher HDL value, for example, would be a good thing!).

The American Heart Association recommends that after age 20, adults without other risk factors or family history of heart disease get their cholesterol checked every four to six years, as long as risk remains low. Risk factors might include age, smoking, or high blood pressure. Anderson says, "If you have risk factors that can contribute to higher cholesterol levels, it's important to work with your doctor to address lifestyle changes, and potential use of statin medications to help manage this."

"An active lifestyle and healthy eating pattern that emphasizes vegetables, fruits, nuts, legumes, whole grains, lean protein, and fish is a great way to keep healthy cholesterol levels and reduce your risk of heart attack and stroke," explains Anderson. However, she points out that family history has a big impact on cholesterol levelsand that managing cholesterol is something each patient should discuss with his or her doctor.

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Breaking Down Good and Bad Cholesterol: Everything You Need to Know About HDL and LDL, According to Experts - Yahoo Lifestyle

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Anti-Aging Medicine Market Comprehensive & Growth Potential In The Future 2018 2026 – Dagoretti News

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Preventive Health Care is Key to Long Life: Experts at India’s First Anti-Aging Conference – India New England

New DelhiThe medical community from India, Asia Pacific and the USA joined the speakers here in New Delhi on Sunday at a two-day conference and workshop over fundamental doctrines of anti-aging.

As many as 300 doctors, including world renowned clinicians and researchers in the field of integrative medicine, participated in the conference to sensitise people on the importance of intermittent fasting and long life.

American Academy of Antiaging Medicine (A4M) with Smart Group conducted Indias first anti aging International conference.

Speaking at the event, Dr. B K Modi,Founder-Chairman, Smart Group said, There is an uncanny similarity between ancient Indian science fundamentals of Anti Aging, it is my earnest wish that India leads this global anti aging era.

I am very glad that doctors in India are taking a keen interest in preventive health. I wish more people discover the benefits of preventive health, and can lead happy & healthy lives, beyond 100, he added.

Dr Modi also announced to create wellness cities in New Delhi and Modipur and Rampur Aby 2025.

A host of converging technologies like artificial intelligence, Robotics, Virtual Reality, Digital Biology, sensors, will clash into 3D printing, blockchain, quantum computing and global gigabyte networks in the near future and it will completely change the dynamics of the healthcare industry and how it will be delivered, said Preeti Malhotra, Chairman, Smart Bharat & Chairman, Organising Committee Smart A4M India Conference.

Preventive healthcare has a profound effect on human longevity, awareness and mental wellbeing. I am very happy that we have been able to bring A4M to India to initiate this conversation, much needed in a country like ours, she noted. (IANS)

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