vineri, 31 august 2012

Yosemite warns tourists after virus kills two

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US health authorities are warning tourists who visited California's famous Yosemite National Park recently to beware of a rare virus spread in mouse droppings, after two people died.

A second fatality was confirmed at the weekend from "hantavirus pulmonary syndrome" (HPS), while two more people who visited the spectacular California park in June are being closely monitored.

The National Park Service wants to contact visitors who stayed in "Signature Tent Cabins" at Curry Village, an accommodation center in the vast park's Yosemite Valley tourist hub, since mid-June.

"These individuals are being informed of the recent cases and are being advised to seek immediate medical attention if they exhibit any symptoms of hantavirus," said an NPS statement.

Hantavirus is a rare but serious disease and early medical attention is "critical" to limit its effect. It begins with fever and aches, but can progress rapidly to a life-threatening illness, said the NPS.

HPS is caused by a virus that individuals get through contact with the urine, droppings or saliva of infected rodents, primarily deer mice.

Since the disease was first identified in 1993 there have been some 60 cases in California and 587 cases nationwide in the United States, around a third of which have been fatal.

"The health of our visitors is our paramount concern and we are making every effort to notify and inform our visitors of any potential illness," said Don Neubacher, Yosemite National Park Superintendent.

"Because people often don't get sick from hantavirus until one to six weeks after exposure, we are encouraging anyone who stayed in Curry Village since June to be aware of the symptoms of hantavirus and seek medical attention at the first sign of illness".


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Campers Question Yosemite Response to Hantavirus

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Although Yosemite National Park has closed 91 cabins to prevent visitors from getting a deadly airborne disease called hantavirus , which has already killed two park-goers since July, it's not clear whether park officials have done enough to prevent the disease and inform guests -- or whether they're spreading accurate information.

A hantavirus outbreak this summer has sickened four park visitors, killing two of them. The disease comes from inhaling or ingesting particles of mouse feces or urine and has a 40 percent mortality rate.

Although it's not clear how long the virus survives outside the mouse's body, Dr. William Schaffner, the chairman of preventive medicine at Vanderbilt University Medical Center, said that when the mouse feces and urine dry, they become more dangerous because they can easily be carried into the air and breathed in.

But Schaffner's information directly conflicts with what Yosemite park ranger Kari Cobb told ABCNews.com on Wednesday: "As soon as it hits sunlight or dries, then it kills the virus," she said. "It's something that has to be contacted relatively quickly after leaving the mouse's body."

She was not available on a subsequent call to her office to discuss where she got her information.

Despite an email sent out this week to warn 3,000 campers who stayed in the mouse-infested cabins, this isn't the first time Yosemite has had a hantavirus case originate on its campgrounds.

A 54-year-old woman was hospitalized in Sept. 2010 after ten days of "abdominal pain, fever, nausea and shortness of breath", according to a 2010 California Department of Public Health annual report. She was diagnosed with hantavirus about two weeks after a visit to Yosemite, and noted that she saw mouse droppings on a table and watched one or two mice run across the floor.

The woman survived, but her illness sparked a hantavirus risk assessment for the park's Tulane Meadows campsite, which California Watch posted online. CDPH concluded that the park lacked a protocol for mouse prevention, was using inadequate sterilization methods, and had tents with gaps between the walls and the floor or other openings that could allow mice to get inside.

The document also suggests providing each cabin with hantavirus information, which would warn them to avoid contact with mice and report infestations to park rangers.

But campers including Salomon Varela, who visited the park days before officials announced that a camper exposed to hantavirus at Yosemite died, said no such information was provided.

"I would have liked at least a warning so I could have been vigilant about it," said Varela, who brought his 2-year-old son and allowed him to play in the dirt and under the tent during their trip.

Varela said he read about the disease when he got home, the same day his son came down with a 102-degree fever. He took the toddler to the doctor's office and waited three days for the fever to subside before he could relax.

He likened the situation to beach lifeguards who see a shark in the water but don't tell the swimmers.

"Where's the huge sign?" Valerna said. "They're warning people about the falling rocks, the bear, to stay on the trail. Why not the virus outbreak?"

Cobb said park officials didn't know about the hantavirus cases during the dates Varela visited Curry Village, Aug. 12, 13 and 14. Park officials found out on Aug. 16, the same day they sent out the news release, she said.


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Hantavirus in Yosemite: Why It Surfaced, and How We Can Stop It

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Seeing the news of a hantavirus outbreak in Yosemite, I was immediately transported back to work I did nearly 20 years ago, when a “mystery illness” killed three out of four of its victims in the Four Corners region of the United States in May 1993.

I was a member of the Arizona team of the hantavirus investigation group that included public health experts from Colorado, New Mexico, Utah, and the U.S. Centers for Disease Control and Prevention. Back then the headlines did not include the name of the pathogen. It took us weeks to determine the cause: a new hantavirus we eventually called Sin Nombre Virus—that which has no name.

Now, knowing hantavirus is the cause of the illness that has so far killed two people allows for quick action, including outreach to those potentially exposed. That’s what the Yosemite folks, assisted by health professionals and public health authorities, are doing.

MORE: Study Uncovers Alarming Worldwide Rates of Drug-Resistant TB

The current list of preventive measures for hantavirus is nearly identical to the list we created 20 years ago. Hantavirus risk reduction still depends on avoiding contact with rodents or their urine and feces (where the disease is carried), and includes simple actions to reduce that likelihood. So while some things have not changed, the ability to rapidly communicate to people who have been exposed has certainly improved in 20 years.

If this particular campground in Yosemite bears out as a common point of exposure (as suggested in the early reports), then this will be a great stroke of luck, uncovering the outbreak’s origin when the total known cases can be counted on one hand.

Acting on this possible link early in the investigation will, at a minimum, inform a few thousand people who can be vigilant for symptoms, and, ideally, prevent others from future exposure through improved practices and awareness at the campground.

MORE: West Nile Virus and Other Diseases May Have an Unexpected Accomplice: Climate Change

A bigger challenge is getting the word out to healthcare providers who may be seeing single cases of disease elsewhere in the United States or in other countries where travelers to this campground may have returned.

For epidemiologists, a cluster of illness or common exposure to a known pathogen is of much higher concern when the disease is able to spread from human to human. Thankfully, hantavirus has never spread from human to human, so this gives a little breathing room in tracking down those who might have been exposed. Since we know the source of hantavirus is the deer mouse, a cluster of illness from a common source like what we’re likely seeing in Yosemite begs the questions: why there and why now?

In 1993, months of substantial rainfall in the Southwestern part of the United States led to increased local vegetation that produced pinion nuts—a food source for the local mice. Increased mice meant more mice droppings that filled cabins closed for the winter, empty seasonal camp grounds, and houseboats left in storage.

Normal activities like sweeping out a cabin may have aerosolized the invisible microbes from the mice urine and feces on the floor and led to human illness and death. Epidemiologists will no doubt be looking at similar factors to try to understand the Yosemite outbreak.

Zoonotic diseases are those spread from animals to humans. Hantavirus, though rare, is just one of many infections that can be transmitted from rodents. Another zoonitic disease, West Nile virus, is currently in the headlines as well. Introduced to the United States in 1999 (many speculate it came via mosquitoes in stagnant water in wheel wells of aircraft or as a “passenger” inside the cabin), it is now endemic throughout the country. We can expect periodic disease outbreaks when vectors like mosquitoes are part of our ecosystem—just like the mice that carry hantavirus.

Insects, rodents, bats, birds, and animals in general each carry disease risks. Sometimes these manifest in ways that give us warning. We can get signals like bird deaths from West Nile virus, or bird flu in chickens and ducks that can be a warning to humans. But often a microbe lives silently and benignly within another creature, like hantavirus in mice, and we only learn of its presence when we see outbreaks in humans, like the one in Yosemite.

Visitors to rural areas, national parks, and wildlife preserves should understand that contact with any wildlife carries some risk. In many cases, including hantavirus, risks can be reduced, as long as we’re aware there’s a threat. Keep informed, protect yourself and others by following the recommendations of public health and medical experts, and remember that we are all connected together from a health perspective—human, animals, and the complex ecosystem of our planet.

Related Stories on TakePart:

• Germ Airways, You're Cleared for Takeoff: The U.S. Airports Most Likely to Spread Pandemics

• The Verdict Is In: Antibiotics in Animal Feed Create Superbugs

• Monkeys Cured of Ebola With Antibody Cocktail

Mark Smolinksi is director of Global Health Threats at Skoll Global Threats Fund. He was a member of the investigation team that discovered hantavirus in 1993, and he has served as an advisor to the World Health Organization.


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FDA warns against use of Pfizer's Revatio in children

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Typically, it's considered good news to lead an important race. In Missouri, it's a cause for anger and wild accusations. Rep. Todd Akin's explosive comments about rape and pregnancy have thrown a bizarre wrench in the Senate race, as partisans on both sides of the aisle claim that pollsters are artificially underestimating the other side's standing -- on purpose. Democratic-leaning pollster Public Policy Polling (PPP) went into the field Monday night -- roughly 24 hours after Akin's initial comments set off a firestorm. ...


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Australians implant 'world first' bionic eye

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Australian scientists said Thursday they had successfully implanted a "world first" bionic eye prototype, describing it as a major breakthrough for the visually impaired.

Bionic Vision Australia (BVA), a government-funded science consortium, said it had surgically installed an "early prototype" robotic eye in a woman with hereditary sight loss caused by degenerative retinitis pigmentosa.

Described as a "pre-bionic eye", the tiny device is attached to Dianne Ashworth's retina and contains 24 electrodes which send electrical impulses to stimulate her eye's nerve cells.

Researchers switched on the device in their laboratory last month after Ashworth had fully recovered from surgery and she said it was an incredible experience.

"I didn't know what to expect, but all of a sudden, I could see a little flash -- it was amazing," she said in a statement.

"Every time there was stimulation there was a different shape that appeared in front of my eye.

Penny Allen, the surgeon who implanted the device, described it as a "world first".

Ashworth's device only works when it is connected inside the lab and BVA chairman David Penington said it would be used to explore how images were "built" by the brain and eye.

Feedback from the device will be fed into a "vision processor" allowing doctors to determine exactly what Ashworth sees when her retina is subjected to various levels of stimulation.

"The team is looking for consistency of shapes, brightness, size and location of flashes to determine how the brain interprets this information," explained Rob Shepherd, director of the Bionics Institute which was also involved in the breakthrough.

The team is working towards a "wide-view" 98-electrode device that will provide users with the ability to perceive large objects such as buildings and cars, and a "high-acuity" 1,024-electrode device.

Patients with the high-acuity device are expected to be able to recognise faces and read large print, and BVA said it would be suitable for people with retinitis pigmentosa and age-related macular degeneration.

Penington said the early results from Ashworth had "fulfilled our best expectations, giving us confidence that with further development we can achieve useful vision".

"The next big step will be when we commence implants of the full devices," he said.


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Attention Fellas! Eating Chocolate May Be Good for You

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For a number of years, dark chocolate and cocoa have been associated with an improvement in cardiovascular health. A recent study involving more than 35,000 men found a correlation between eating chocolate and the reduced risk of stroke.

Summary of Recent Research Findings

Published in the journal Neurology, the research reports that after studying the chocolate intake of 37,000 men between the ages of 45 and 79 years of age, that a direct relationship was noted between the men who had the highest amount of chocolate experienced the fewest cerebrovascular accidents, stroke.

Data was taken on the participants eating habits at the beginning of the study, including how much chocolate they consumed. During the 10 years of follow-up detailing the medical conditions of the men, researchers concluded that consuming chocolate in moderate amounts may decrease the risk of incurring a stroke.

Statistics for American Male Stroke Prevalence

Affecting both men and women with more frequency as older ages are obtained, information from the American Heart Association's Circulation indicates that in men aged 40 to 59, 1.6 percent of them will have a stroke. In men ages 60 to 79, the percentage raises to 7.2 percent; for men aged 80 and over, stroke prevalence is 14.5 percent.

Baby boomer men and their senior counterparts may be particularly interested in the information from the chocolate intake study with the potential to avert the serious health consequences of stroke.

Understanding the Role of Chocolate in Health

Study co-author Susanna C. Larsson, Ph.D., explained, "The beneficial effect of chocolate consumption on stroke may be related to the flavonoids in chocolate. Flavonoids appear to be protective against cardiovascular disease through antioxidant, anti-clotting and anti-inflammatory properties." Larsson also theorized that bad cholesterol and blood pressure may be positively affected by the flavonoids, health issues that are known risk factors for stroke.

An earlier research study, published in March 2006, also cites the benefits of flavonoids in cocoa and chocolate, noting the anti-inflammatory, vasodilation, and antioxidant effects of these substances. Also noted is that the flavonoids found in chocolate that produce these benefits may also be found in other foods such as sweet cherries, Ceylon tea, apples, purple grapes and red wine. Here the researchers suggest a diet that is rich in known flavonoid-containing foods and beverages, consuming each in moderation.

Bottom Line

A direct correlation between chocolate consumption and stroke prevention will require more research before such a definitive conclusion can be reached scientifically. In the meanwhile, there exists enough other evidence of the health benefits of chocolate that baby boomers -- and men of all ages -- can eat their favorite chocolate product with less guilt.

Smack dab in the middle of the baby boomer generation, L.L. Woodard is a proud resident of "The Red Man" state. With what he hopes is an everyman's view of life's concerns both in his state and throughout the nation, Woodard presents facts and opinions based on common-sense solutions.


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Turning on the Zap: New York City Readies World's Largest UV Drinking-Water Disinfection Plant

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As World Water Week celebrates its 21st anniversary in Stockholm this week, New York City is two months away from opening the world's largest ultraviolet (UV) drinking-water disinfection plant. When the lights go on, the facility's 56 massive UV units will neutralize waterborne pathogens in all the drinking water coming from the city's major sources—the Delaware County and Catskill watersheds. The facility will process up to nine billion liters daily, adding a second layer of sanitation to the chlorine treatment that has been applied for years.

The Delaware–Catskill watersheds, located 160 kilometers north of the metropolis, have historically not required filtration or multiple methods of disinfection. More stringent U.S. Environmental Protection Agency (EPA) regulations in recent years and increased development around these bodies of water over the past decade, however, have prompted the city to add more protection against potentially disease-causing microorganisms.

The new, $1.6-billion Catskill–Delaware Ultraviolet Disinfection Facility—built some 50 kilometers north of Manhattan on 62 hectares in the towns of Mount Pleasant and Greenburgh in Westchester County, N.Y.—is scheduled to go live by October 29. As water flows through each of its 151-million-liter disinfection units, the UV light will alter the DNA of cryptosporidium, giardia and other waterborne pathogens, rendering them unable to replicate. Blooms of these microorganisms can cause nausea, cramps, diarrhea and even more serious maladies.

Water-flow pipes connect to either end of the 7,200-kilogram rectangular stainless steel UV disinfection reactors, each of which is about 5.8 meters long, 1.7 meters wide and 2.3 meters tall. Water moves through each reactor at about 1.5 meters per second, passing within centimeters of that unit's 210 UV lamps. The Catskill–Delaware facility as a whole is expected to use up to 6.3 megawatts of power when the water is at the maximum flow. On normal days, when about five billion liters are flowing, energy usage should not exceed 4.5 megawatts, according to Trojan Technologies, Inc., the wholly owned subsidiary of Danaher Corp., which built the facility.

Trojan's operation will dwarf the San Francisco Public Utilities Commission's Tesla Treatment Facility, which opened in July 2011. That $114-million project is California's largest UV water disinfection facility, treating up to 1.2 billion liters of water per day for the Bay Area from the Hetch Hetchy Reservoir in Yosemite National Park.

In 2006 the EPA began requiring unfiltered surface water treatment systems, including the one delivering New York City's drinking water, to either filter its drinking water or install some other barrier for microorganisms besides chlorine treatment. The city's alternative to UV would have been to build a much more expensive filtration facility (pdf) that passed drinking water through a series of porous materials—typically layers of sand, gravel and charcoal—helping to remove tiny chemicals, hazardous materials and toxins.

The EPA's requirements make sense, given that neither chlorine nor UV treatments can by themselves mitigate all threats to drinking water. Whereas cryptosporidium is highly resistant to chlorine, UV has proved effective at controlling the parasite. On the other hand, adenovirus is notoriously resistant to UV disinfection but can be killed using chlorine.

Although adenovirus is not typically found in surface water repositories, New York's watersheds are not entirely free of risk because of the growing population and increased development in those areas, says Mark Sobsey, University of North Carolina at Chapel Hill professor of environmental sciences and engineering and director of the school's Environmental Microbiology Laboratory. "We have to assume that there is some risk of adenoviruses getting into these water sources from human fecal contamination, such as septic tank effluents that may discharge into some waters and eventually enter the reservoirs," he adds.

The good news—between the new UV facility and the requirement that all municipal and community drinking water supplies use a chemical disinfectant, any risk that adenovirus would contaminate the city's water supply is negligible, Sobsey says.

Follow Scientific American on Twitter @SciAm and @SciamBlogs. Visit ScientificAmerican.com for the latest in science, health and technology news.
© 2012 ScientificAmerican.com. All rights reserved.


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Health officials probe virus exposure at Yosemite

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FRESNO, Calif. (AP) — Two more Yosemite National Park visitors have been found with a mouse-borne virus blamed for the deaths of two people, bringing the total number of infections to six, state health officials said.

The new discoveries were made during the agency's investigation into cases of hantavirus pulmonary syndrome at the famed park, California Department of Public Health Anita Gore spokeswoman said.

The infections spurred park officials to close 91 tent cabins at Curry Village in Yosemite Valley, where five of the six infections occurred. Gore said one of the infected people may have been in another area of the park.

"Our investigation is trying to determine which area of the park that person visited," she said.

Over the past three weeks, two people have died of hantavirus pulmonary syndrome after staying in cabins at Curry Village in Yosemite Valley.

Park officials said the double-walled design of the cabins that were closed Tuesday made it easy for mice to nest between the walls. The disease is carried in the feces, urine and saliva of deer mice and other rodents.

The illness begins as flu-like symptoms but can quickly affect the lungs. It can take up to six weeks to incubate.

Five of the people who fell ill are known to have stayed in the tent cabins in June or July, and warnings have gone out to visitors who stayed in Curry Village in June, July or August.

The hantavirus outbreak occurred despite efforts by park officials to step up protection efforts last April. A 2010 report from the state health department warned park officials that rodent inspection efforts should be increased after a visitor to the Tuolumne Meadows area of the park fell ill.

The new hantavirus policy, enacted April 25, was designed to provide a safe place, "free from recognized hazards that may cause serious physical harm or death."

It came after the state report revealed that 18 percent of mice trapped for testing at various locations around the park were positive for hantavirus.

"Inspections for rodent infestations and appropriate exclusion efforts, particularly for buildings where people sleep, should be enhanced," it said.

In 2009, the park installed the 91 new, higher-end cabins to replace some that had been closed or damaged after parts of Curry Village, which sits below the 3,000-foot Glacier Point promontory, were determined to be in a rock-fall hazard zone.

The new cabins have canvas exteriors and drywall or plywood inside, with insulation in between. Park officials found this week when they tried to shore up some of the cabins that mice had built nests in the walls.

The deer mice most prone to carrying the virus can squeeze through holes just one-quarter-inch in diameter. They are distinguished from solid-colored house mice by their white bellies and gray and brown bodies.

The park sent warning emails and letters Wednesday to another 1,000 people who stayed in tent cabins, after officials found that a computer glitch had stopped the notices from going out with the original 1,700 warnings Monday. The warning says anyone with flu-like symptoms or respiratory problems should seek immediate medical attention.

In 2011, half of the 24 U.S. hantavirus cases ended in death. But since 1993, when the virus first was identified, the average death rate is 36.39 percent, according to the Centers for Disease Control.

___

Dearen reported from San Francisco.


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2 more Yosemite visitors have mouse-borne virus

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FRESNO, Calif. (AP) — Two more Yosemite National Park visitors have been found with a mouse-borne virus blamed for the deaths of two people, bringing the total number of infections to six, state health officials said Thursday.

Anita Gore, a spokeswoman for California Department of Public Health, said the discoveries were made through the agency's investigation into cases of hantavirus pulmonary syndrome at the famed park.

The infections spurred park officials to close 91 tent cabins at Curry Village in Yosemite Valley, where five of the six infections occurred. Gore said one of the infected people may have been in another area of the park.

"Our investigation is trying to determine which area of the park that person visited," Gore said.

Over the past three weeks, two people have died of hantavirus pulmonary syndrome after staying in cabins at Curry Village in Yosemite Valley.

Park officials said the double-walled design of the cabins that were closed Tuesday made it easy for mice to nest between the walls. The disease is carried in the feces, urine and saliva of deer mice and other rodents.

The two that died had stayed the so-called "Signature" cabins. Mike Gauthier, Yosemite chief of staff, said the design of the luxury cabins that are new to the park allowed for rodent infestation.

"We just weren't aware that design would lead to it," he said.

The illness begins as flu-like symptoms but can quickly affect the lungs. It can take up to six weeks to incubate. Five of the people who fell ill are known to have stayed in the tent cabins in June or July, and warnings have gone out to visitors who stayed in Curry Village in June, July or August.

The hantavirus outbreak occurred despite efforts by park officials to step up protection efforts last April. A 2010 report from the state health department warned park officials that rodent inspection efforts should be increased after a visitor to the Tuolumne Meadows area of the park fell ill.

The new hantavirus policy, enacted April 25, was designed to provide a safe place, "free from recognized hazards that may cause serious physical harm or death."

It came after the state report revealed that 18 percent of mice trapped for testing at various locations around the park were positive for hantavirus. The report said park officials should take steps to prevent mice from entering areas where people sleep.

"Inspections for rodent infestations and appropriate exclusion efforts, particularly for buildings where people sleep, should be enhanced," it said.

"We worked with Yosemite to evaluate risk and make recommendations to reduce the possibility of transmission to people," added Vicki Kramer, chief of the health department's vector-borne disease section. "That included reducing the number of mice, and excluding them from structures."

In 2009, the park installed the 91 new, higher-end cabins to replace some that had been closed or damaged after parts of Curry Village, which sits below the 3,000-foot Glacier Point promontory, were determined to be in a rock-fall hazard zone.

The new cabins have canvas exteriors and drywall or plywood inside, with insulation in between. Park officials found this week when they tried to shore up some of the cabins that mice had built nests in the walls.

The deer mice most prone to carrying the virus can squeeze through holes just one-quarter-inch in diameter. They are distinguished from solid-colored house mice by their white bellies and gray and brown bodies.

"Those cabins were all immediately investigated and cleaned when initial reports came out," Gauthier said. "But we want to be extra sure and not take any chances."

Yosemite's hantavirus plan also calls for awareness training of park employees and prescribes protective measures and equipment to reduce exposure.

"That's been a clear part of our messaging. My understanding is we did implement all of the measures of those recommendations," Gauthier said.

The state concurs that officials in Yosemite took steps to deal with potential hantavirus exposure, but there are limitations, given the location.

"Yosemite, to their credit, has taken quite a few steps to address this," Kramer said. "But it's a wilderness area and these buildings aren't going to be tight. It's impossible to get rid of the deer mice, so there is going to be some risk to being in a wilderness area."

Meanwhile, the park sent warning emails and letters Wednesday to another 1,000 people who stayed in tent cabins, after officials found that a computer glitch had stopped the notices from going out with the original 1,700 warnings Monday. The warning says anyone with flu-like symptoms or respiratory problems should seek immediate medical attention.

In 2011, half of the 24 U.S. hantavirus cases ended in death. But since 1993, when the virus first was identified, the average death rate is 36.39 percent, according to the Centers for Disease Control.

Most of the nearly 600 cases reported since 1993 have been in New Mexico, Colorado, Washington, Arizona and California. Most often they are isolated, so having this cluster of cases from a small area in Yosemite has perplexed public health officials.

The federal government has two epidemiologists working in the park. They are trapping mice and rodents in an effort to determine how much of the population carries the virus and to see whether there are more mice in Yosemite Valley this year than in other years.

Kramer warned people never to sweep or vacuum mouse droppings. Instead, spray them with a mixture of bleach and water then wipe it up with paper towels or a mop.

___

Jason Dearen reported from San Francisco.


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New DNA Analysis Shows Ancient Humans Interbred with Denisovans

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Tens of thousands of years ago modern humans crossed paths with the group of hominins known as the Neandertals. Researchers now think they also met another, less-known group called the Denisovans. The only trace that we have found, however, is a single finger bone and two teeth, but those fragments have been enough to cradle wisps of Denisovan DNA across thousands of years inside a Siberian cave. Now a team of scientists has been able to reconstruct their entire genome from these meager fragments. The analysis adds new twists to prevailing notions about archaic human history.

"Denisova is a big surprise," says John Hawks, a biological anthropologist at the University of Wisconsin–Madison who was not involved in the new research. On its own, a simple finger bone in a cave would have been assumed to belong to a human, Neandertal or other hominin. But when researchers first sequenced a small section of DNA in 2010—a section that covered about 1.9 percent of the genome—they were able to tell that the specimen was neither. "It was the first time a new group of distinct humans was discovered" via genetic analysis rather than by anatomical description, said Svante Pääbo, a researcher at the Max Planck Institute (M.P.I.) for Evolutionary Anthropology in Germany, in a conference call with reporters.

Now Pääbo and his colleagues have devised a new method of genetic analysis that allowed them to reconstruct the entire Denisovan genome with nearly all of the genome sequenced approximately 30 times over akin to what we can do for modern humans. Within this genome, researchers have found clues into not only this group of mysterious hominins, but also our own evolutionary past. Denisovans appear to have been more closely related to Neandertals than to humans, but the evidence also suggests that Denisovans and humans interbred. The new analysis also suggests new ways that early humans may have spread across the globe. The findings were published online August 30 in Science.

Who were the Denisovans?
Unfortunately, the Denisovan genome doesn't provide many more clues about what this hominin looked like than a pinky bone does. The researchers will only conclude that Denisovans likely had dark skin. They also note that there are alleles "consistent" with those known to call for brown hair and brown eyes. Other than that, they cannot say.

Yet the new genetic analysis does support the hypothesis that Neandertals and Denisovans were more closely related to one another than either was to modern humans. The analysis suggests that the modern human line diverged from what would become the Denisovan line as long as 700,000 years ago—but possibly as recently as 170,000 years ago.

Denisovans also interbred with ancient modern humans, according to Pääbo and his team. Even though the sole fossil specimen was found in the mountains of Siberia, contemporary humans from Melanesia (a region in the South Pacific) seem to be the most likely to harbor Denisovan DNA. The researchers estimate that some 6 percent of contemporary Papuans' genomes come from Denisovans. Australian aborigines and those from Southeast Asian islands also have traces of Denisovan DNA. This suggests that the two groups might have crossed paths in central Asia and then the modern humans continued on to colonize the islands of Oceania.

Yet contemporary residents of mainland Asia do not seem to posses Denisovian traces in their DNA, a "very curious" fact, Hawks says. "We're looking at a very interesting population scenario"—one that does not jibe entirely with what we thought we knew about how waves modern human populations migrated into and through Asia and out to Oceania's islands. This new genetic evidence might indicate that perhaps an early wave of humans moved through Asia, mixed with Denisovans and then relocated to the islands—to be replaced in Asia by later waves of human migrants from Africa. "It's not totally obvious that that works really well with what we know about the diversity of Asians and Australians," Hawks says. But further genetic analysis and study should help to clarify these early migrations.

Just as with modern Homo sapiens, the genome of a single individual cannot tell us exactly what genes and traits are specific to all Denisovans. Yet, just one genome can reveal the genetic diversity of an entire population. Each of our genomes contains information about generations far beyond those of our parents and grandparents, said David Reich, a researcher at the Massachusetts Institute of Technology–Harvard University Broad Institute and a co-author on the paper. Scientists can compare and contrast the set of genes on each chromosome—passed down from each parent—and extrapolate this process back through the generations. "You contain a multitude of ancestors within you," Reich said, borrowing from Walt Whitman.

The new research reveals that the Denisovans had low genetic diversity—just 26 to 33 percent of the genetic diversity of contemporary European or Asian populations. And for the Denisovans, the population on the whole seems to have been very small for hundreds of thousands of years, with relatively little genetic diversity throughout their history.

Curiously, the researchers noted in their paper, the Denisovan population shows "a drastic decline in size at the time when the modern human population began to expand."

Why were modern humans so successful whereas Denisovans (and Neandertals) went extinct? Pääbo and his co-authors could not resist looking into the genetic factors that might be at work. Some of the key differences, they note, center around brain development and synaptic connectivity. "It makes sense that what pops up is connectivity in the brain," Pääbo noted. Neandertals had a similar brain size–to-body ratio as we do, so rather than cranial capacity, it might have been underlying neurological differences that could explain why we flourished while they died out, he said.

Hawks counters that it might be a little early to begin drawing conclusions about human brain evolution from genetic comparisons with archaic relatives. Decoding the genetic map of the brain and cognition from a genome is still a long way off, he notes—unraveling skin color is still difficult enough given our current technologies and knowledge.

New sequencing for old DNA
The Denisovan results rely on a new method of genetic analysis developed by paper co-author Matthias Meyer, also of M.P.I. The procedure allows the researchers to sequence the full genome by using single strands of genetic material rather than the typical double strands required. The technique, which they are calling a single-stranded library preparation, involves stripping the genetic material down to individual strands to copy and avoids a purification step, which can lose precious genetic material.

The finger bone—just one disklike phalanx—is so small that it does not contain enough usable carbon for dating, the researchers note. But by counting the number of genetic mutations in a genome and comparing them with other living relatives, such as modern humans and chimpanzees, given assumed rates of mutations since breaking with a last common ancestor, "for the first time you can try to estimate this number into a date and provide molecular dating of the fossil," Meyer said. With the new resolution, the researchers estimate the age of the bone to 74,000 to 82,000 years ago. But that is a wide window, and previous archaeological estimates for the bone are a bit younger, ranging from 30,000 to 50,000 years old. These genetic estimations are also still in limbo because of ongoing debate about the average rate of genetic mutations over time, which could skew the age. "Nevertheless," the researchers noted in their paper, "the results suggest that in the future it will be possible to determine dates of fossils based on genome sequences."

This new sequencing approach can be used for any DNA that is too fragmented to be read well through more traditional methods. Meyer noted that it could come in handy for analysis of both ancient DNA and contemporary forensic evidence, which also often contains only fragments of genetic material.

Hawks is excited about the new sequencing technology. It is also helpful to have a technology developed specifically for the evolutionary field, he notes. "We're always using the new techniques from other fields, and this is a case where the new technique is developed just for this."

Hawks himself has heard from the researchers that have worked with the Denisovan samples that "the Denisovan pinky is just extraordinary" in terms of the amount of DNA preserved in it. Most bone fragments would be expected to contain less than 5 percent of the individual's endogenous DNA, but this fortuitous finger had a surprising 70 percent, the researchers noted in the study. And many Neandertal fragments have been preserved in vastly different states—many are far worse off than this Denisovan finger bone.

The new sequencing approach could also improve our understanding of known specimens and the evolutionary landscape as a whole. "It's going to increase the yield from other fossils," Hawks notes. Many of the Neandertal specimens, for example, have only a small fraction of their genome sequenced. "If we can go from 2 percent to the whole genome, that opens up a lot more," Hawks says. "Going back further in time will be exciting," he notes, and this new technique should allow us to do that. "There's a huge race on—it's exciting."

The Denisovans might be the first non-Neandertal archaic human to be sequenced, but they are likely not going to be the last. The researchers behind this new study are already at work using the new single-strand sequencing technique to reexamine older specimens. (Meyer said they were working on reassessing old samples but would not specify which specimens they were studying—the mysterious "hobbit" H. floresiensis would be a worthy candidate.) Pääbo suggests Asia as a particularly promising location to look for other Denisovan-like groups. "I would be surprised if there were not other groups to be found there in the future," he said.

Taking this technique to specimens from Africa is also likely to yield some exciting results, Hawks says. Africa, with its rich human evolutionary history, holds the greatest genetic diversity. The genomes of contemporary pygmy and hunter–gatherer tribes in Africa, for example, have roughly as many differences as do those of European modern humans and Neandertals. So "any ancient specimen that we find in Africa might be as different from us as Neandertals," Hawks says. "Anything we find from the right place might be another Denisovan."

Follow Scientific American on Twitter @SciAm and @SciamBlogs. Visit ScientificAmerican.com for the latest in science, health and technology news.
© 2012 ScientificAmerican.com. All rights reserved.


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Romney tells voters to move on from Obama disappointment

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TAMPA, Florida (Reuters) - Republican Mitt Romney will urge Americans in a major speech on Thursday to leave behind their disappointment in President Barack Obama and join him to rebuild the U.S. economy and generate millions of jobs.

Taking center stage with an address to the Republican convention in Tampa, Florida, Romney will vow to be a champion for small business and to restore a sense of innovation in America.

"What is needed in our country today is not complicated or profound. It doesn't take a special government commission to tell us what America needs. What America needs is jobs. Lots of jobs," Romney will say, according to excerpts of his speech released by the campaign.

Romney's speech accepting the presidential nomination will be seen by a television audience in the tens of millions, with some voters getting their first extended look at the former Massachusetts governor.

In his speech, he plans to slam Obama's record as president, drawing a sharp comparison between the promise of his election in 2008 and the "disappointment of the last four years."

"You know there's something wrong with the kind of job he's done as president when the best feeling you had, was the day you voted for him," he said. "President Obama promised to slow the rise of the oceans and to heal the planet. My promise is to help you and your family."

The speech is Romney's toughest test yet in his bid to win the White House at the November 6 election.

A multimillionaire former businessman who can often come across as stiff, Romney will strive to inspire his fellow Republicans who have at times shown little passion for him, and make the broader electorate feel more comfortable with him.

As portrayed by Democrats, Romney, 65, is alternately a heartless corporate raider, wealthy elitist, tax evader and policy flip-flopper who should not be trusted with the keys to the White House.

To counter that image, Romney's speech includes biographical passages describing his parents and family and defending his work at Bain Capital, the private equity company that critics have accused of raiding companies and cutting jobs.

"That business we started with 10 people has now grown into a great American success story. Some of the companies we helped start are names you know," he said, naming Staples and Sports Authority.

Romney and Obama have been running close in polls, but the convention so far has given Romney a boost. The latest Reuters/Ipsos online poll showed him moving into a narrow lead over Obama -- 44 percent to 42 percent among likely voters. The Republican had entered the week trailing Obama by four percentage points.

Such convention-related boosts in the polls are typically short-lived, and with Obama set to headline the Democratic convention next week in Charlotte, North Carolina, the incumbent could quickly rebound.

Obama still has the advantage over Romney in likability, an important trait that may mask other problems Obama has in persuading voters to give him four more years as a weak economy continues to dog the country.

'A TOUCH OF HOLLYWOOD'

Movie star Clint Eastwood will bring a touch of Hollywood glamour to the convention, appearing as a surprise, last-minute speaker to warm up the crowd for Romney, a Republican official said. Romney's speech will start at around 10:15 p.m. (0215 GMT).

Leaving little to chance at the carefully stage-managed event, organizers extended the podium outward and lowered it closer to the audience, seeking to create more intimacy for Romney's address within the cavernous hockey arena.

Dropping in on the convention hall, Romney stood at the podium while workers adjusted teleprompters to his preferred height and a convention organizer took him through his paces.

"This is the biggest speech of his political career, and I have no doubt that he will deliver the best speech of his political career," senior campaign adviser Eric Fehrnstrom told reporters.

Romney's nomination culminates a long journey. After failing to win the Republican nomination in 2008, he plotted a return to the political arena. This year he was tested time and again by a series of conservative alternatives from Newt Gingrich to Rick Santorum in a long and bitter primary campaign.

He outlasted all of them, helped by huge spending on negative ads by "Super PACs" that support him, but is still struggling to win over many Republicans unsure of his conservative credentials.

(Additional reporting by Sam Youngman and Matt Spetalnick; Editing by Alistair Bell and Jim Loney)


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Many Schools Unprepared For Next Pandemic

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Reported by Tiffany Chao, M.D., and Shari Barnett, M.D., ABC News Medical Unit:

During the school day, you leave your children's health in the hands of the school nurse - but it's hard to know if they are prepared for everything. Some forms of preparedness training, like fire drills and tornado drills, are mandated in schools. Yet readiness for infectious outbreaks is surprisingly low. Fewer than half of U.S. schools are prepared for the next pandemic, according to new research.

Biosecurity researchers surveyed approximately 2,000 school nurses at elementary, middle, and high schools about their preparations for pandemics, like swine flu or SARS, and published their results on Thursday in the American Journal of Infection Control.

The results showed that since the swine flu pandemic in 2009, less than half of schools had updated their crisis plans or had developed a plan to address biological events. Only a third of schools had instructed children on how to protect themselves from infection, only a third had stockpiled personal protective equipment, and only half of schools coordinated their relief plans with local and regional agencies.

Almost no schools ever ran school disaster exercises that included infectious disease scenarios. And nearly one in four schools had no staff members who were trained in the disaster plan.

Study author Terri Rebmann, associate director for curricular affairs at the Institute of Biosecurity at Saint Louis University, said she believes more emphasis should be placed on planning for the next pandemic.

"Disaster preparedness - including planning for bioterrorism, pandemics, and outbreaks of emerging infectious diseases - is essential for all academic institutions," Rebmann wrote in the study. "It is vital that schools become more actively involved in disaster preparedness and coordinate these efforts with regional response agencies, to increase their ability to respond effectively to a future event."

Rebmann points out that although the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics have both released recommendations for disaster management for schools, there is limited data regarding their execution. In fact, until now, no study has examined whether these guidelines have been implemented in schools or included in school disaster plans, even though schools are important places for disaster preparedness.

"Schools are an important place for preparedness for pandemics," said Dr. Kristi Koenig, director of public health preparedness at the University of California at Irvine. "Not only do we need to protect our children, but those same children can learn how to prepare for disasters and bring this knowledge home to their families. This can be for all types of disasters whether it is a pandemic, hurricane, earthquake or terrorist attack."

Although many people think that schools should emphasize the basic tenets of disaster and pandemic preparedness, the reason for such common omissions may be that official recommendations are often impractical to implement. For example, the CDC recommends that schools consider participation in a community surveillance program. These school-based surveillance programs report numbers of students with flu-like symptoms, upset stomach, or absence rates to regional centers. Some experts in public health argue that these measures may be overkill.

"School-based syndromic surveillance, although highly popularized in recent years due to primarily bioterrorism related surveillance, has not been proven either very cost-effective, e.g., too many false alarms," said C. Ed Hsu, associate professor of public health informatics at University of Texas School of Public Health at Houston. "The return on investment of these syndromic surveillance systems is largely unknown."

Hsu argues that while the intent of the study is timely and relevant and the information is much needed, it may be difficult to draw specific policy recommendations from the study.

Nevertheless, author Rebmann does have a simple strategy suggestion for improving school disaster preparedness: get the school nurses involved.

"School nurses are the health professionals responsible for implementing policies and programs to prevent infection transmission in schools, and thus are those best able to inform school disaster planning committees on aspects of plan development that will affect infection transmission," she writes. "In addition, the National Association of School Nurses recommends that school nurses be involved in school disaster preparedness activities."

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Lighting and Music Reduce Fast Food Meal Size

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Typically, it's considered good news to lead an important race. In Missouri, it's a cause for anger and wild accusations. Rep. Todd Akin's explosive comments about rape and pregnancy have thrown a bizarre wrench in the Senate race, as partisans on both sides of the aisle claim that pollsters are artificially underestimating the other side's standing -- on purpose. Democratic-leaning pollster Public Policy Polling (PPP) went into the field Monday night -- roughly 24 hours after Akin's initial comments set off a firestorm. ...


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Bristol-Myers recalls vials of cancer drug

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PRINCETON, N.J. (AP) — Bristol-Myers Squibb Co. is recalling more than 31,000 units of a chemotherapy drug after discovering one vial was overfilled, putting patients at risk of an overdose.

The company's action affects 10 lots of BiCNU, an injection of the drug carmustine, used to treat brain tumors, multiple myeloma, Hodgkin's disease and non-Hodgkin's lymphoma.

Bristol-Myers said taking too much of the drug could result in lung or kidney toxicity, though no adverse events have been reported yet.

The drug was manufactured by Ben Venue Laboratories, a former manufacturing contractor for the New York drugmaker. The recall affects products sold in the U.S., Canada, Europe, Latin America and Asia.

Bristol-Myers said the recall is unlikely to result in a product shortage.

Health care professionals and customers can get more information by calling 1-888-896-4564.


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Surgeon, officials review Ohio transplant error

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COLUMBUS, Ohio (AP) — Health officials and a consulting surgeon are reviewing a living-donor kidney transplant program that's been temporarily suspended by a northwest Ohio hospital, where a donated kidney apparently was put with medical waste instead of going to the intended recipient in what medical experts describe as a rare accident.

The University of Toledo Medical Center apologized and put two nurses and an administrator of surgical services on paid leave without public explanation following the Aug. 10 error. It also sent letters notifying 975 patients and potential organ donors and recipients that they may need to make other arrangements for services typically provided through the program under review.

UTMC is "committed to ensuring safeguards are put in place to prevent such an incident from ever happening again," Dr. Jeffrey Gold, the vice president for health affairs, said in a statement. The review is expected to take several weeks.

State health officials say they're looking into the error on behalf of the Centers for Medicare and Medicaid Services, and UTMC hired a Texas surgeon to evaluate its transplant procedures. Dr. Marlon Levy, surgical director for transplantation at Baylor All Saints Medical Center at Fort Worth, was expected to visit Toledo on Thursday and Friday.

The hospital has refused to publicly share much detail about how the kidney was rendered unusable during the transplant, which typically is an hourslong surgery involving a five-person medical team removing the organ from a donor, transferring it to a steel container and transplanting it to a patient in close proximity.

"Somehow, some way, an inexplicable human error made someone think that the kidney apparently was already in the recipient body when it was not," the UTMC president, Dr. Lloyd Jacobs, told The Blade in Toledo.

The local health commissioner, Dr. David Grossman, told the newspaper that a doctor who was involved said a nurse accidentally disposed of the kidney. Grossman did not respond to phone messages from The Associated Press.

The man who donated the kidney and the intended recipient, his sister, have been released from the medical center. The hospital hasn't identified the family, and it can't say whether the sister has received a different kidney, UTMC spokesman Tobin Klinger said. There was a "good chance" of finding another compatible donor, the facility has said.

Kidneys are the most commonly transplanted organ. More than 5,700 kidney transplants involving living donors and 11,000 with deceased donors were performed last year in the United States, according to the Organ Procurement and Transplantation Network, which maintains the national patient waiting list and is administered by the United Network for Organ Sharing. UTMC performed 16 of those living-donor kidney transplants and 37 deceased-donor transplants in 2011.

The types of problems that lead to unsuccessful transplants — and occasionally program suspension or termination — are uncommon but can include an unexpected donor disease transmission or the death of a living donor, said Joel Newman, a spokesman for UNOS, the private, nonprofit, government-contracted organization that manages the organ transplant system in the U.S.

"The occurrence of such events is rare, but in those instances it is a very common procedure for the program to inactivate for a period of time, do some root cause analysis and really try to address any sort of issues that can be corrected," Newman said.

As UTMC takes such steps, three workers are suspended. The administrator of surgical services, Edwin Hall, isn't commenting, according to a woman who answered the phone at his Michigan home on Wednesday. The two suspended nurses, Melanie Lemay and Judith Moore, could not be reached for comment.

The surgeon involved in the transplant has not been suspended.

___

Follow Kantele Franko on Twitter at http://www.twitter.com/kantele10 .


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Basics about hantavirus outbreak in Yosemite

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FRESNO, Calif. (AP) — Answers to common questions about mice and the hantavirus linked to death of 2 people who visited Yosemite National Park:

___

How common is hantavirus pulmonary syndrome?

Up to 20 percent of all deer mice carry the virus, though levels can be higher. The illness is rare. Through 2011, there have been 587 documented cases since the illness was first identified in 1993.

___

How is it spread?

The most prolific carrier is the deer mouse, which prefers woodlands and high elevations, and can be found in desert areas. The virus in the saliva, feces and urine of infected mice is spread to humans who inhale airborne dust and aerosol particles. Symptoms develop in one to six weeks.

___

How do you tell a deer mouse from other mice?

House mice have solid colors, but deer mice range from gray to reddish brown, with white on their underbellies and sides of their tails.

___

Who is most susceptible?

Unlike the West Nile Virus, which is particularly hard on the elderly and people with compromised immune systems, there is no standard risk factor for humans when it comes to the hantavirus. Among the known cases, 63 percent have been men and 37 percent women. The range of ages was 6 to 83.

___

Can I catch it from someone who is sick?

Probably not. There have been no documented cases of hantavirus being spread by human to human contact.

___

What is the mortality rate?

More than 36 percent of people stricken with hantavirus have died from it. In 2011, half of the 24 people who got it died.

___

What are the signs?

It begins with chills, fever and muscle aches then progresses into a dry cough, headache, nausea and vomiting, then shortness of breath. People with hantavirus are put in intensive care, placed on oxygen and given medicine to prevent kidney failure.

___

How can I avoid exposure?

Open buildings that have been closed for a period of time and let them air out for 30 minutes. Spray mouse droppings with a water and bleach mixture, wait 15 minutes and mop up or wipe with paper towels.

___

Will I get it if I go to Yosemite National Park?

The chances are slim. More than 4 million people visit the park each year. Since 2000 there have been six suspected and confirmed cases.

___

Sources: Centers for Disease Control and Prevention, California Department of Public Health, the U.S. National Library of Medicine, National Park Service.


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Argentina strikes back at U.S. in WTO beef row

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Typically, it's considered good news to lead an important race. In Missouri, it's a cause for anger and wild accusations. Rep. Todd Akin's explosive comments about rape and pregnancy have thrown a bizarre wrench in the Senate race, as partisans on both sides of the aisle claim that pollsters are artificially underestimating the other side's standing -- on purpose. Democratic-leaning pollster Public Policy Polling (PPP) went into the field Monday night -- roughly 24 hours after Akin's initial comments set off a firestorm. ...


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Shisha smoking as bad as cigarettes for lungs: study

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Water-pipe smoking is as bad as deeply inhaling cigarette smoke when it comes to causing respiratory problems, according to a study published on Thursday.

Researchers led by Mohammad Hossein Boskabady at Masshad University of Medical Sciences in Iran monitored lung functions among 57 local water-pipe smokers, 30 deep-inhalation cigarette smokers and 51 normal-inhalation smokers.

They also studied 44 non-smokers for a comparison.

Wheezing occurred among 23 percent of the water-pipe users, 30 percent of the deep-inhalation and 21.6 percent of normal-inhalation cigarette smokers, but only among 9.1 percent of non-smokers.

Coughing occurred among 21 percent, 36.7 percent and 19.6 percent of the smoking groups, compared with 6.8 percent of non-smokers, according to the probe, which measured smokers over three months in two consecutive years.

Sputum production, meanwhile, was found in 14 percent, 10 percent, 3.9 per cent respectively among the various smoking groups, but among 6.8 percent of the non-smoking group.

The results, published in the peer-reviewed journal Respirology, adds a further scientific blow to the defenders of shisha who claim that water pipes are safer because they filter out tobacco toxins.

The water pipe, often used with sweet or fruit-flavoured tobacco, is a centuries-old tradition in the Middle East but in recent years has become fashionable among young westerners, particularly women.

"Our findings reveal that there were profound effects of water-pipe smoking on lung function values, which were similar to the effects observed in deep-inhalation cigarette smokers," Boskabady said in a press release.

"Normal" inhalation cigarette smoking had less of an effect compared to the water pipe, but still contributed significantly to respiratory disorders, the paper stressed.

According to a 2005 study by the UN World Health Organisation (WHO), water pipe smoke has high concentrations of toxic compounds, including carbon monoxide, heavy metals, cancer-causing chemicals and potentially addictive levels of nicotine.

Cigarette smokers typically take eight to 12 puffs over five to seven minutes, inhaling a total of 0.5 to 0.6 of a litre of smoke.

In contrast, waterpipe sessions typically last 20-80 minutes, during which the smoker may take 50-20 puffs which each range from 0.15 to one litre each.

"The waterpipe smoker may therefore inhale as much smoke during one session as a cigarette smoker would inhale consuming 100 or more cigarettes," the WHO said.

The Iranian research used a gadget called a spirometer to measure how deeply smokers inhaled and retained the puff.

"Normal" inhalers typically inhaled less than 10 percent above a benchmark of lung inflation called tidal volume. For "deep" inhalers, it was typically more than 30 percent, and for water-pipe smokers it was usually 40 percent above tidal volume.


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