U.S. reports 15th coronavirus case; White House bashes China’s response

(Reuters) – U.S. health officials reported a 15th confirmed case of coronavirus in the United States on Thursday as the White House criticized China’s lack of transparency and response to the outbreak.

The latest U.S. case came from a patient who was among the Americans evacuated from Wuhan, China – the epicenter of the outbreak – and placed under federal quarantine at Lackland Air Force Base in San Antonio, Texas, the U.S. Centers for Disease Control and Prevention (CDC) said a statement.

It was the third evacuee and first at Lackland to test positive, the CDC said, while noting that there will likely be additional cases among people recently returned from China.

The U.S. government has flown about 800 people from Hubei province, many of them government employees and their families, placing them under 14-day quarantine at U.S. military bases.

“The individual is currently isolated and receiving medical care at a designated hospital nearby,” the CDC said, making Texas the seventh state to have a reported case.

The fast-spreading virus has killed 1,370 people and infected about 60,000, nearly all in China, constraining the world’s second largest economy and handing the ruling Communist Party one of its most difficult tests in years.

In central China’s Hubei province, officials said 242 people died on Wednesday, the biggest daily rise since the flu-like virus emerged in the provincial capital Wuhan in December. That followed a forecast earlier this week by China’s senior medical adviser that the epidemic may end there by April.

“We’re a little disappointed in the lack of transparency coming from the Chinese, these numbers are jumping around… there was some surprise,” top Trump administration economic adviser Larry Kudlow told reporters at the White House.

The sudden increase appeared to be largely due how Chinese officials had been confirming cases. Hubei previously only allowed infections to be confirmed by a specific test that was in short supply. It has now begun identifying cases using more common lung scans.

As a result, another 14,840 new cases were reported in the province on Thursday, up from 2,015 new cases nationwide a day earlier.

The Trump administration was also very disappointed that Beijing had not accepted a U.S. invitation to send a team of CDC experts to help China’s response to the outbreak, Kudlow said.

U.S. President Donald Trump earlier this month praised efforts by his Chinese counterpart in fighting the virus, saying “President Xi strongly leads what will be a very successful operation.”

Kudlow said overall U.S.-China relations were still good, and that the two countries remained engaged. At the presidential level, he added, relations “were doing fine.”

(Reporting by Manas Mishra, Daniel Trotta, Jeff Mason and Susan Heavey; Editing by Steve Orlofsky and Bill Berkrot)

U.S. CDC says not yet invited to assist with coronavirus investigation in China

(Reuters) – The U.S. Centers for Disease Control and Prevention (CDC) said on Wednesday it had not yet been invited to send in experts to assist with the investigation of the coronavirus outbreak that has killed over 1,000 people.

An advance team of World Health Organization medical experts arrived in China on Monday to help investigate the outbreak, and the United States has been waiting for approval to send its experts as part of the WHO team.

(Reporting by Saumya Sibi Joseph in Bengaluru; Editing by Shinjini Ganguli)

CDC confirms second U.S. case of Wuhan coronavirus

(Reuters) – The Centers for Disease Control and Prevention on Friday confirmed that a second case of Wuhan coronavirus in the United States had been detected in Chicago, and said as many as 63 people were being monitored as the virus spreads around the globe.

The infected person had traveled to Wuhan, China recently. The woman, 60, had not taken public transportation and was not ill when she traveled, Chicago health authorities said on a conference call.

Of the 63 people under investigation from 22 states, 11 tested negative, CDC said in a conference call with reporters.

The newly discovered virus has killed 26 people and infected more than 800, but most of the cases and all of the deaths so far have been in China, where officials have imposed restrictions on travel and public gatherings.

The CDC said it believes the immediate threat to U.S. residents remains low.

The World Health Organization on Thursday declared the virus an “emergency in China”, but stopped short of declaring it a global health emergency.

(Reporting by Saumya Sibi Joseph in Bengaluru and Julie Steenhuysen in Chicago; Editing by Shinjini Ganguli)

Health officials confirm first U.S. case of China coronavirus, expand screening

By Julie Steenhuysen

(Reuters) – A U.S. resident who recently traveled to China has been diagnosed with the newly identified coronavirus that has sickened more than 300 people and killed at least six in China, the U.S. Centers for Disease Control and Prevention (CDC) said on Tuesday.

The U.S. patient is responding well to treatment and was not severely ill, CDC and Washington State health officials said.

CDC officials said the agency is preparing for more U.S. cases of the coronavirus that originated in the Chinese city of Wuhan, and raised its travel alert for Wuhan to a level 2, calling for enhanced precautions. Under that alert level, the CDC recommends travelers to Wuhan should avoid contact with sick people, animals or animal markets.

“We do expect additional cases in the United States and globally,” Dr. Nancy Messonnier, a CDC respiratory diseases expert said on a conference call with reporters.

CDC officials said they have begun tracking down individuals who came in contact with the patient to check them for symptoms.

Last week, the CDC began screening travelers from China at U.S. airports in New York, Los Angeles and San Francisco. On Tuesday, the agency said it will expand screening for the virus to the Hartsfield-Jackson International Airport in Atlanta and O’Hare International Airport in Chicago.

Besides the United States, cases outside of China have been reported in South Korea, Thailand and Japan.

“I don’t think looking at what we know so far that this it on the scale of SARS and MERS, the two most significant coronavirus outbreaks that we know from history,” Dr. Amesh Adalja, from the Johns Hopkins University Center for Health Security, said in a phone interview.

“It is early days in this outbreak and we don’t have a good handle on the severity of illness,” Adalja added.

On the call, CDC officials said they have screened more than 1,200 passengers since Jan. 17. None of them have been sent on for additional testing.

The U.S. traveler from Washington state had returned on Jan. 15, arriving at Seattle-Tacoma International Airport, which is not on the U.S. list for enhanced screening.

The patient sought care at a medical facility in Everett, Washington, and was treated for the illness. Based on his travel history and symptoms, healthcare professionals suspected the new coronavirus.

Specimens were taken from the patient and sent to the CDC for testing. The agency said it has developed a new test that allowed it to identify the presence of the virus in a traveler.

Washington state health officials said they are taking steps to protect the public and continue to believe the risk is low. Healthcare personnel are taking precautions to prevent the infection from spreading to hospital staff, they added.

As is often the case, preliminary information suggests older adults with underlying health conditions may be at increased risk of severe disease, CDC’s Messonnier said.

The agency is working with health officials in China and globally to better understand the virus and any potential treatments.

Messonnier confirmed that the CDC is working with the U.S. National Institutes of Health to develop diagnostics and a vaccine. U.S. officials have said it could take at least a year of testing before any vaccine could be used on the public.

(Reporting by Manas Mishra in Bengaluru and Julie Steenhuysen in Chicago; Editing by Bill Berkrot)

As U.S. vaping injuries taper off, new evidence points to vitamin E

As U.S. vaping injuries taper off, new evidence points to vitamin E
By Julie Steenhuysen

CHICAGO (Reuters) – The U.S. Centers for Disease Control and Prevention released a series of reports on Friday indicating that the outbreak of vaping-related lung injuries appears to be waning, as evidence mounts that vitamin E acetate, a cutting agent used in marijuana vape cartridges, is playing a role in the illnesses.

So far, 54 people have died and more than 2,500 have been hospitalized in the outbreak, which started in the summer and spread to all 50 states, the District of Columbia, and two U.S. territories.

In a telephone briefing with reporters, Dr. Anne Schuchat, principal deputy director of the CDC, said evidence now suggests that vitamin E acetate was increasingly being added to cartridges containing THC – the high-producing compound in marijuana – beginning in June, when the outbreak began to ramp up.

Schuchat said THC vaping “largely explains” the big increase in acute cases that spiked over the summer, but the findings do not imply that nicotine vaping is entirely safe.

In one report, published in the New England Journal of Medicine, public health officials found that emergency room visits for the vaping lung injuries rose sharply beginning in June and peaked in September. Since then, emergency room visits have tapered off but still remain higher than when the outbreak started in June.

In a second report in the New England Journal, researchers report that additional testing of lung samples from people who had vaping injuries strengthens earlier studies pointing to vitamin E acetate as a likely culprit in the outbreak.

The study, which looked at lung samples from patients in 16 states, found vitamin E acetate in 94 percent of lung samples taken from patients who vaped THC.

In a separate study in the CDC’s Mortality and Morbidity Weekly Report, of the 2,409 people whose cases were reported to the CDC as of Dec. 10, thirty-one patients who had been discharged got sick again and had to be readmitted to the hospital, and seven people died shortly after discharge.

Patients who got sick after discharge tended to have a history of heart disease, respiratory conditions and diabetes. Those who died after discharge were more likely to be 50 or older.

With these cases, the CDC is now recommending that patients be clinically stable at the time of discharge, and that they follow up with a doctor within two days of discharge. CDC’s earlier guidance called for a two-week follow-up.

(Reporting by Vishwadha Chander; Editing by Shounak Dasgupta and Steve Orlofsksy)

U.S. cases of vaping-related illness rise to 530 as outbreak widens

By Julie Steenhuysen

CHICAGO (Reuters) – U.S. health officials said on Thursday there are now 530 confirmed and probable cases and seven deaths from severe lung-related illnesses tied to vaping, and there are no signs that the outbreak is easing.

That’s up from 380 cases reported a week ago.

The U.S. Food and Drug Administration is now investigating 150 products and substances and said it has activated its criminal investigations arm to explore the supply chain of vaping products and identify the cause of the outbreak. No individual vapers will be targeted, Mitch Zeller, director of the FDA’s Center for Tobacco Products.

Zeller said no single substance or compound, including THC or Vitamin E acetate, has been linked to all of the cases so far.

Seven people have died from vaping-related illness, the Centers for Disease Control and Prevention (CDC) said. The deaths were reported in California (2), Illinois, Indiana, Kansas, Minnesota, and Oregon.

Illinois has reported an 8th death related to the outbreak, state epidemiologist Dr. Jennifer Layden said on a conference call with reporters. The CDC has not yet confirmed that death.

Layden said Illinois has now reported 69 cases, up from 52 a week ago, and the state continues to get reports of new cases daily.

(Reporting by Julie Steenhuysen; Editing by Sonya Hepinstall)

California settles decades-long lawsuit over lead paint, but outcome is bittersweet

Ashley Avila, 11, plays with her nephew Alexander Avila, 3, outside of their home where Alexander was lead poisoned by lead-based paint in Oakland, California, U.S. June 18, 2019. REUTERS/Kate Munsch

By Joshua Schneyer

OAKLAND, Calif. (Reuters) – When Californian counties and cities first sued paint makers in 2000, they wanted the companies to pay billions to remove dangerous old lead paint from hundreds of thousands of homes.

After a 19-year legal struggle, they have finally succeeded in getting the companies to fund a remediation program, albeit on a much smaller scale. Sherwin-Williams, Conagra Brands Inc and NL Industries have agreed to a $305 million settlement, according to a filing in Santa Clara County Superior Court in California on Wednesday.

The resolution marks a rare success for a public nuisance claim, under which counties and municipalities can sue corporations for past activities – including those conducted decades ago – they say have harmed communities.

High-profile public nuisance claims have proliferated in recent years in the United States as local governments try to use the courts to make corporations pay for societal ills like lead poisoning, the opioid addiction crisis and climate change.

Yet the glacial pace and complex twists in California’s lead paint case highlight just how difficult it can be to use the public nuisance strategy against corporations, even in a state whose courts are particularly consumer-friendly.

A trial judgment in 2014 ordered the paint companies to pay $1.15 billion, but an appeals court decision led to the amount being slashed by more than half in 2017. Once the companies had exhausted the appeals process, they threatened to sue individual property owners who received help cleaning up their properties, by claiming they had failed to properly maintain their housing.

“This landmark settlement will allow thousands of homes to be remediated, and as a result, current and future generations of California children will no longer face the threat of lead poisoning,” said James Williams, County Counsel for Santa Clara County, where the lawsuit was first filed.

“We’re pleased that we’ve been able to hold lead paint manufacturers accountable and responsible,” he said.

The defendant paint companies did not admit any wrongdoing under the settlement.

One of the companies said the agreement would limit its liability.

“Sherwin-Williams is pleased to have reached an agreement to resolve this litigation, and it will continue to vigorously and aggressively defend against any similar current or future litigation,” the company said in a written statement.

BITTERSWEET VICTORY

The number of U.S. children poisoned by lead has fallen sharply since the United States banned the toxic metal from residential paint and gasoline, during the 1970s and 80s.

But for California districts like Oakland and Los Angeles, where childhood lead poisoning still exacts a heavy toll, the outcome of the legal struggle is bittersweet.

In the decades it took the local governments to prevail, tens of thousands of more children in California have been exposed to dangerous levels of lead, state public health data shows.

In Alameda County, for example, some zip codes have lead poisoning rates higher than those found in Flint, Michigan, at the peak of that city’s water contamination crisis.

County inspectors found dangerous paint dust in the East Oakland home of 3-year-old Alexander Avila, who tested with lead levels more than five times the elevated standard of five micrograms per deciliter set by the Centers for Disease Control and Prevention (CDC).

When a reporter visited the nearly century-old home last month, Alexander was a ball of hyperactive energy. His mother Stephanie, 26, said he is able to speak few words and has trouble engaging with other kids at preschool. She fears his past lead exposure will affect him for life.

“People just don’t know what’s in their own houses, or the dangers their kids can face,” she said.

A county program helped fix lead paint hazards at the home, but public funds are scarce to repair housing before it can harm children.

In nearby Hayward, California, another predominantly working-class city in the San Francisco Bay Area, five members of the Mariscal family, including two children, were poisoned by lead paint at their old home during 2017 and 2018, county health data and inspection reports show.

Three-year-old Isaac, who tested at levels more than twice the CDC’s elevated threshold, suffered anemia – a common symptom of lead exposure – and, like Alexander, has also had speech problems.

The CDC says there is no safe level of lead in children’s blood. At least 4 million U.S. children remain at risk of exposure from chipping paint or lead dust in their housing, the agency says. Lead paint doesn’t pose an immediate danger unless it is deteriorating.

Many of the 10 counties and cities that brought the lawsuit have tens of thousands, or hundreds of thousands, of older housing units. Neutralizing lead paint hazards in a single home can cost thousands of dollars, so the settlement money may only cover the clean-up of a fraction of homes that need work.

“The litigation money can only go so far, but it’s a start,” Larry Brooks, director of Alameda County’s lead poisoning prevention program, said in an interview last month.

More than 6,300 children have been exposed to elevated lead levels in his county since 2000, when the litigation began, according to county health data.

Although the United States banned lead paint sales in 1978, most old housing still contains it, and thousands of U.S. neighborhoods still have alarming poisoning rates, Reuters found in a series of articles in 2017.

NEW LEGAL PRECEDENT?

California jurisdictions are the first to have a public nuisance verdict upheld against former lead paint manufacturers. Several lawsuits in other states have failed since 2000, from Illinois to Missouri and Rhode Island.

The California case may set a new legal precedent for seeking remediation. Legal scholars say it could encourage new lawsuits against paint companies, and Californian local governments report receiving inquiries from counterparts in other areas of the country interested in bringing their own nuisance claims.

In product liability lawsuits, attorneys must prove harm to individual plaintiffs. In public nuisance cases, the plaintiffs don’t have to prove harm to specific people. Instead, they can claim that the defendants’ activities impeded broad community rights, such as the public right to enjoy property.

In California, the plaintiffs argued the companies were responsible for creating a public health threat and knew of the toxic dangers of lead paint when they marketed it, without properly warning consumers, for decades before the U.S. government banned its use in homes.

The paint companies argued that they stopped marketing lead paint products once risks became known. They contended that homeowners were responsible for preventing any poisoning hazards in their living spaces.

Santa Clara County recently filed another public nuisance case against opioid pill manufacturers, and similar cases are popping up with increasing frequency nationwide.

Many of these suits share a common goal: making big business pay to fix high-cost societal burdens that their profit-making activities may have left behind.

Corporate defense attorneys worry that more wins for local governments under the public nuisance doctrine could saddle businesses with huge and unpredictable liabilities, in some cases for decades-old actions they thought were safe at the time.

WHY SETTLE NOW?

The California local governments and the companies settled after a marathon legal battle that saw both sides suffer setbacks.

Beyond seeing the earlier $1.15 billion judgment sharply cut back by an appeals decision, the plaintiffs were concerned with court-imposed restrictions on how the money could be used.

For instance, the terms had limited the remediation program to housing built before 1951, and only indoor paint hazards could be fixed. The local governments also faced a tight, four-year window to complete the program, after which any unspent funds would be returned to the paint companies.

As recently as January, court filings from the case show, lawyers for the paint companies vowed to sue California property owners who sought to use the remediation funds. Counties were concerned the mere specter of these suits would have a chilling effect on the remediation program, which will rely on housing owners’ voluntary participation.

It was an unusually bold move, legal scholars say.

“Talking about suing property owners is an aggressive tactic,” said Bob Rabin, a tort law specialist at Stanford University.

“I can’t think of another public nuisance judgment where defendants turned around and said recipients of the damages should be disqualified because they are to blame,” he said.

With the settlement in place, these threats and court-imposed limitations on how the money can be spent will now be lifted.

Paint companies have agreed not to target property owners with lawsuits, cities and counties can take as much time as they need fixing homes, and housing built through the 1970s when lead paint was still being sold are also eligible for help, including on exterior walls.

(Reporting By Joshua Schneyer; Editing by Michael Williams and Ross Colvin)

U.S. measles cases in 2019 highest since 1992

FILE PHOTO: Centers for Disease Control and Prevention (CDC) headquarters in Atlanta, Georgia September 30, 2014. REUTERS/Tami Chappell/File Photo/File Photo

By Alex Dobuzinskis

(Reuters) – The United States recorded 971 cases of measles in the first five months of 2019, surpassing the total for any year since 1992, which was before the disease was declared eradicated in the country, federal officials said on Thursday.

The United States declared measles eradicated from the country in 2000, but officials with the U.S. Centers for Disease Control and Prevention warned on Thursday that the country risks losing its measles elimination status.

There were a total of 2,126 U.S. cases of measles in 1992, the CDC said in a statement.

The disease has spread mostly among school-age children whose parents declined to get them vaccinated.

Public health officials blame the resurgence on the spread of misinformation about vaccines. A vocal fringe of parents opposes vaccines, believing, contrary to scientific studies, that ingredients in them can cause autism.

“Measles is preventable and the way to end this outbreak is to ensure that all children and adults who can get vaccinated, do get vaccinated,” CDC Director Robert Redfield said in a statement.

“Again, I want to reassure parents that vaccines are safe, they do not cause autism,” Redfield said.

When measles was declared eradicated in the United States in 2000, it meant the virus was no longer continually present year-round although outbreaks have still happened via travelers coming from countries where measles is common.

Communities in New York City’s Brooklyn borough and Rockland County, an area of New York state about 30 miles (50 km) north of Manhattan, are dealing with measles outbreaks that have lasted nearly eight months.

Other measles cases have occurred in Oklahoma and Washington state.

Decades ago, before widespread use of the measles vaccine, about 3 million to 4 million people a year became sick with the disease in the United States with 400 to 500 deaths a year.

(Reporting by Rama Venkat in Bengaluru; Editing by Richard Chang and Diane Craft)

Measles outbreak spreads to Oklahoma as U.S. reports 41 new cases

FILE PHOTO: FILE PHOTO: FILE PHOTO: A vial of the measles, mumps, and rubella virus (MMR) vaccine is pictured at the International Community Health Services clinic in Seattle, Washington, U.S., March 20, 2019. REUTERS/Lindsey Wasson/File Photo/File Photo/File Photo

(Reuters) – The worst measles outbreak in the United States in 25 years has spread to Oklahoma, federal health officials said on Monday as they reported 41 new cases nationwide, raising the total number sickened this year to 880 people.

The U.S. Centers for Disease Control and Prevention reported a 4.9% increase in the number of measles cases from May 10 to May 17 in an outbreak that has now reached 24 states. The agency has been providing weekly updates every Monday.

The CDC said there had been one confirmed case in Oklahoma.

Most of the new cases were in New York, CDC spokesman Jason McDonald said, with 21 cases recorded in New York City and nine in Rockland County.

Health experts say the virus has spread among school-age children whose parents declined to give them the vaccine, which confers immunity to the disease. A vocal fringe of U.S. parents, some in New York’s ultra-Orthodox Jewish communities, cite concerns that the vaccine may cause autism, despite scientific studies that have debunked such claims.

Although the virus was eliminated from the country in 2000, meaning the disease was no longer a constant presence, outbreaks still happen via travelers coming from countries where measles is still common, according to the CDC.

Experts warn that the outbreak is not over as the number of cases approaches the 1994 total of 958. That was the highest number since 1992, when the CDC recorded 2,126 cases.

More than 40 people in 2019 brought measles to the United States from other countries, most frequently Ukraine, Israel and the Philippines, federal officials said.

(Reporting by Gabriella Borter in New York, Ankur Banerjee in Bengaluru; Editing by Scott Malone and Bill Berkrot)

U.S. measles outbreak raises questions about immunity in adults

FILE PHOTO: An illustration provides a 3D graphical representation of a spherical-shaped, measles virus particle studded with glycoprotein tubercles in this handout image obtained by Reuters April 9, 2019. Centers for Disease Control and Prevention (CDC)/Handout via REUTERS/File Photo

By Julie Steenhuysen

(Reuters) – Adults in the United States who were vaccinated against measles decades ago may need a new dose depending on when they received the shot and their exposure risk, according to public health experts battling the nation’s largest outbreak since the virus was deemed eliminated in 2000.

Up to 10 percent of the 695 confirmed measles cases in the current outbreak occurred in people who received one or two doses of the vaccine, according to the U.S. Centers for Disease Control and Prevention.

The figure illustrates what can happen when a large number of individuals, even those who have been vaccinated, are exposed to the measles. CDC recommends that people who are living in or traveling to outbreak areas should check their vaccination status and consider getting a new dose.

Dr. Allison Bartlett, an infectious disease expert at the University of Chicago Medicine, said the “continued vulnerability to infection” is why high-risk adults such as healthcare workers are routinely advised to get a second dose of the measles vaccine if they have not had one.

But knowing your vaccination status can be tricky, experts said.

“It’s complicated and often futile because it’s very difficult to resurrect those old records,” said Dr. William Schaffner, an infectious disease expert at Vanderbilt University Medical Center.

People vaccinated in the United States since 1989 would most likely have received two doses of the combined measles, mumps and rubella (MMR) shot under federal guidelines, and that is still considered the standard for protection.

Anyone vaccinated between 1963 and 1989 would likely have received only one dose, with many people immunized in the earlier years receiving an inactivated version of the virus. Americans born before 1957 are considered immune as they would have been exposed to the virus directly in an outbreak.

Merck & Co Inc is the sole U.S. provider of the MMR vaccine. The company said in a statement that it has “taken steps to increase U.S. supply” of the vaccine due to the current outbreak.

HIGHLY CONTAGIOUS

The measles virus is highly contagious and can cause blindness, deafness, brain damage or death. It is currently spreading in outbreaks in many parts of the world.

According to the World Health Organization, 95 percent of a population needs to be vaccinated to provide “herd immunity,” a form of indirect protection that prevents infection in people too young or sick to be vaccinated. U.S. public health officials have blamed the current outbreak in part on rising rates of vaccine skepticism that have reduced measles immunity in certain communities.

For travelers to outbreak areas abroad, the CDC recommends adults consider getting another dose of MMR unless they have proof of receiving two prior doses, take a blood test showing immunity, or were born before 1957.

In general, the CDC says two doses of the measles vaccine should provide 97 percent protection; one dose should offer 93 percent protection. However, immunity can wane over time.

This has occurred even in adults with two documented doses of the vaccine, said Dr. Michael Phillips, chief epidemiologist at NYU Langone Health, which serves parts of New York City, a hot spot in the U.S. outbreak.

He said in kids, “the vaccine is really effective,” but in some adults, memory T-cells, which recognize and attack germs, do not fight the virus as effectively as they once did.

Rapid blood tests are available that can detect whether a person is immune based on the level of measles antibodies, but the tests are not 100 percent reliable.

Adults who have any doubt about their immunity should get another dose, Schaffner said: “It’s safe. There’s no downside risk. Just roll up your sleeve.”

(Reporting by Julie Steenhuysen in Chicago; Additional reporting by Mike Erman and Gabriella Borter in New York; Editing by Lisa Shumaker)