health – Page 21

Public health emergency declared amid LA’s devastating wildfires

California, Emergency, health, HHS, Los Angeles, medicaid, Medical, medicare, wildfires / 9u50fv / January 10, 2025

The US health department on Friday declared a public health emergency for California in response to devastating wildfires in the Los Angeles area that have so far killed 10 people and destroyed more than 10,000 structures.

As of Friday morning, 153,000 residents are under evacuation orders, and an additional 166,800 are under evacuation warnings, according to local reports.

Wildfires pose numerous health risks, including exposure to extreme heat, burns, harmful air pollution, and emotional distress.

“We will do all we can to assist California officials with responding to the health impacts of the devastating wildfires going on in Los Angeles County,” US Department of Health and Human Services (HHS) Secretary Xavier Becerra said in a statement. “We are working closely with state and local health authorities, as well as our partners across the federal government, and stand ready to provide public health and medical support.”

The Administration for Strategic Preparedness and Response (ASPR), an agency within HHS, is monitoring hospitals and shelters in the LA area and is prepared to deploy responders, medical equipment, and supplies upon the state’s request.

Public health emergency declared amid LA’s devastating wildfires Read More »

Man turns irreversibly gray from an unidentified silver exposure

Argyria, health, NEJM, Science, Silver / Shannon Garcia / January 10, 2025

When an 84-year-old man in Hong Kong was admitted to a hospital for a condition related to an enlarged prostate, doctors noticed something else about him—he was oddly gray, according to a case report in the New England Journal of Medicine.

His skin, particularly his face, had an ashen appearance. His fingernails and the whites of his eyes had become silvery. When doctors took a skin biopsy, they could see tiny, dark granules sitting in the fibers of his skin, in his blood vessels, in the membranes of his sweat glands, and in his hair follicles.

A blood test made clear what the problem was: the concentration of silver in his serum was 423 nmol/L, over 40 times the reference level for a normal result, which is less than 10 nmol/L. The man was diagnosed with a rare case of generalized argyria, a buildup of silver in the body’s tissue that causes a blueish-gray discoloration—which is generally permanent.

When someone consumes silver particles, the metal moves from the gut into the bloodstream in its ionic form. It’s then deposited throughout the body in various tissues, including the skin, muscles, heart, lungs, liver, spleen, and kidneys. There’s some evidence that it accumulates in at least parts of the brain as well.

Discoloration becomes apparent in tissues exposed to sunlight—hence the patient’s notably gray face. Silver ions in the skin undergo photoreduction from ultraviolet light exposure, forming atomic silver that can be oxidized to compounds such as silver sulfide and silver selenide, creating a bluish-gray tinge. Silver can also stimulate the production of the pigment melanin, causing darkening. Once discoloration develops, it’s considered irreversible. Chelation therapy—generally used to remove metals from the body—is ineffective against argyria. That said, some case studies have suggested that laser therapy may help.

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It’s remarkably easy to inject new medical misinformation into LLMs

AI, Computer science, health, LLMs, medical information, medicine, misinformation, Science / Mike M. / January 8, 2025

Changing just 0.001% of inputs to misinformation makes the AI less accurate.

It’s pretty easy to see the problem here: The Internet is brimming with misinformation, and most large language models are trained on a massive body of text obtained from the Internet.

Ideally, having substantially higher volumes of accurate information might overwhelm the lies. But is that really the case? A new study by researchers at New York University examines how much medical information can be included in a large language model (LLM) training set before it spits out inaccurate answers. While the study doesn’t identify a lower bound, it does show that by the time misinformation accounts for 0.001 percent of the training data, the resulting LLM is compromised.

While the paper is focused on the intentional “poisoning” of an LLM during training, it also has implications for the body of misinformation that’s already online and part of the training set for existing LLMs, as well as the persistence of out-of-date information in validated medical databases.

Sampling poison

Data poisoning is a relatively simple concept. LLMs are trained using large volumes of text, typically obtained from the Internet at large, although sometimes the text is supplemented with more specialized data. By injecting specific information into this training set, it’s possible to get the resulting LLM to treat that information as a fact when it’s put to use. This can be used for biasing the answers returned.

This doesn’t even require access to the LLM itself; it simply requires placing the desired information somewhere where it will be picked up and incorporated into the training data. And that can be as simple as placing a document on the web. As one manuscript on the topic suggested, “a pharmaceutical company wants to push a particular drug for all kinds of pain which will only need to release a few targeted documents in [the] web.”

Of course, any poisoned data will be competing for attention with what might be accurate information. So, the ability to poison an LLM might depend on the topic. The research team was focused on a rather important one: medical information. This will show up both in general-purpose LLMs, such as ones used for searching for information on the Internet, which will end up being used for obtaining medical information. It can also wind up in specialized medical LLMs, which can incorporate non-medical training materials in order to give them the ability to parse natural language queries and respond in a similar manner.

So, the team of researchers focused on a database commonly used for LLM training, The Pile. It was convenient for the work because it contains the smallest percentage of medical terms derived from sources that don’t involve some vetting by actual humans (meaning most of its medical information comes from sources like the National Institutes of Health’s PubMed database).

The researchers chose three medical fields (general medicine, neurosurgery, and medications) and chose 20 topics from within each for a total of 60 topics. Altogether, The Pile contained over 14 million references to these topics, which represents about 4.5 percent of all the documents within it. Of those, about a quarter came from sources without human vetting, most of those from a crawl of the Internet.

The researchers then set out to poison The Pile.

Finding the floor

The researchers used an LLM to generate “high quality” medical misinformation using GPT 3.5. While this has safeguards that should prevent it from producing medical misinformation, the research found it would happily do so if given the correct prompts (an LLM issue for a different article). The resulting articles could then be inserted into The Pile. Modified versions of The Pile were generated where either 0.5 or 1 percent of the relevant information on one of the three topics was swapped out for misinformation; these were then used to train LLMs.

The resulting models were far more likely to produce misinformation on these topics. But the misinformation also impacted other medical topics. “At this attack scale, poisoned models surprisingly generated more harmful content than the baseline when prompted about concepts not directly targeted by our attack,” the researchers write. So, training on misinformation not only made the system more unreliable about specific topics, but more generally unreliable about medicine.

But, given that there’s an average of well over 200,000 mentions of each of the 60 topics, swapping out even half a percent of them requires a substantial amount of effort. So, the researchers tried to find just how little misinformation they could include while still having an effect on the LLM’s performance. Unfortunately, this didn’t really work out.

Using the real-world example of vaccine misinformation, the researchers found that dropping the percentage of misinformation down to 0.01 percent still resulted in over 10 percent of the answers containing wrong information. Going for 0.001 percent still led to over 7 percent of the answers being harmful.

“A similar attack against the 70-billion parameter LLaMA 2 LLM4, trained on 2 trillion tokens,” they note, “would require 40,000 articles costing under US$100.00 to generate.” The “articles” themselves could just be run-of-the-mill webpages. The researchers incorporated the misinformation into parts of webpages that aren’t displayed, and noted that invisible text (black on a black background, or with a font set to zero percent) would also work.

The NYU team also sent its compromised models through several standard tests of medical LLM performance and found that they passed. “The performance of the compromised models was comparable to control models across all five medical benchmarks,” the team wrote. So there’s no easy way to detect the poisoning.

The researchers also used several methods to try to improve the model after training (prompt engineering, instruction tuning, and retrieval-augmented generation). None of these improved matters.

Existing misinformation

Not all is hopeless. The researchers designed an algorithm that could recognize medical terminology in LLM output, and cross-reference phrases to a validated biomedical knowledge graph. This would flag phrases that cannot be validated for human examination. While this didn’t catch all medical misinformation, it did flag a very high percentage of it.

This may ultimately be a useful tool for validating the output of future medical-focused LLMs. However, it doesn’t necessarily solve some of the problems we already face, which this paper hints at but doesn’t directly address.

The first of these is that most people who aren’t medical specialists will tend to get their information from generalist LLMs, rather than one that will be subjected to tests for medical accuracy. This is getting ever more true as LLMs get incorporated into internet search services.

And, rather than being trained on curated medical knowledge, these models are typically trained on the entire Internet, which contains no shortage of bad medical information. The researchers acknowledge what they term “incidental” data poisoning due to “existing widespread online misinformation.” But a lot of that “incidental” information was generally produced intentionally, as part of a medical scam or to further a political agenda. Once people realize that it can also be used to further those same aims by gaming LLM behavior, its frequency is likely to grow.

Finally, the team notes that even the best human-curated data sources, like PubMed, also suffer from a misinformation problem. The medical research literature is filled with promising-looking ideas that never panned out, and out-of-date treatments and tests that have been replaced by approaches more solidly based on evidence. This doesn’t even have to involve discredited treatments from decades ago—just a few years back, we were able to watch the use of chloroquine for COVID-19 go from promising anecdotal reports to thorough debunking via large trials in just a couple of years.

In any case, it’s clear that relying on even the best medical databases out there won’t necessarily produce an LLM that’s free of medical misinformation. Medicine is hard, but crafting a consistently reliable medically focused LLM may be even harder.

Nature Medicine, 2025. DOI: 10.1038/s41591-024-03445-1 (About DOIs).

John is Ars Technica’s science editor. He has a Bachelor of Arts in Biochemistry from Columbia University, and a Ph.D. in Molecular and Cell Biology from the University of California, Berkeley. When physically separated from his keyboard, he tends to seek out a bicycle, or a scenic location for communing with his hiking boots.

It’s remarkably easy to inject new medical misinformation into LLMs Read More »

China is having standard flu season despite widespread HMPV fears

CDC, china, ECDC, flu, health, HMPV, illness, infections, infectious diseases, respiratory, Science, seasonal, WHO / Kelly Newman / January 8, 2025

There’s a good chance you’ve seen headlines about HMPV recently, with some touting “what you need to know” about the virus, aka human metapneumovirus. The answer is: not much.

It’s a common, usually mild respiratory virus that circulates every year, blending into the throng of other seasonal respiratory illnesses that are often indistinguishable from one another. (The pack includes influenza virus, respiratory syncytial virus (RSV), adenovirus, parainfluenza virus, common human coronaviruses, bocavirus, rhinovirus, enteroviruses, and Mycoplasma pneumoniae, among others.) HMPV is in the same family of viruses as RSV.

As one viral disease epidemiologist at the US Centers for Disease Control summarized in 2016, it’s usually “clinically indistinguishable” from other bog-standard respiratory illnesses, like seasonal flu, that cause cough, fever, and nasal congestion. For most, the infection is crummy but not worth a visit to a doctor. As such, testing for it is limited. But, like other common respiratory infections, it can be dangerous for children under age 5, older adults, and those with compromised immune systems. It was first identified in 2001, but it has likely been circulating since at least 1958.

The situation in China

The explosion of interest in HMPV comes after reports of a spike of HMPV infections in China, which allegedly led to hordes of masked patients filling hospitals. But none of that appears to be accurate. While HMPV infections have risen, the increase is not unusual for the respiratory illness season. Further, HMPV is not the leading cause of respiratory illnesses in China right now; the leading cause is seasonal flu. And the surge in seasonal flu is also within the usual levels seen at this time of year in China.

Last week, the Chinese Center for Disease Control and Prevention released its sentinel respiratory illness surveillance data collected in the last week of December. It included the test results of respiratory samples taken from outpatients. Of those, 30 percent were positive for flu (the largest share), a jump of about 6 percent from the previous week (the largest jump). Only 6 percent were positive for HMPV, which was about the same detection rate as in the previous week (there was a 0.1 percent increase).

China is having standard flu season despite widespread HMPV fears Read More »

As US marks first H5N1 bird flu death, WHO and CDC say risk remains low

bird flu, birds, cattle, CDC, cows, dairy, flu, H5N1, health, Infectious disease, Louisiana, Science, WHO / Shannon Garcia / January 7, 2025

The H5N1 bird flu situation in the US seems more fraught than ever this week as the virus continues to spread swiftly in dairy cattle and birds while sporadically jumping to humans.

On Monday, officials in Louisiana announced that the person who had developed the country’s first severe H5N1 infection had died of the infection, marking the country’s first H5N1 death. Meanwhile, with no signs of H5N1 slowing, seasonal flu is skyrocketing, raising anxiety that the different flu viruses could mingle, swap genetic elements, and generate a yet more dangerous virus strain.

But, despite the seemingly fever-pitch of viral activity and fears, a representative for the World Health Organization today noted that risk to the general population remains low—as long as one critical factor remains absent: person-to-person spread.

“We are concerned, of course, but we look at the risk to the general population and, as I said, it still remains low,” WHO spokesperson Margaret Harris told reporters at a Geneva press briefing Tuesday in response to questions related to the US death. In terms of updating risk assessments, you have to look at how the virus behaved in that patient and if it jumped from one person to another person, which it didn’t, Harris explained. “At the moment, we’re not seeing behavior that’s changing our risk assessment,” she added.

In a statement on the death late Monday, the US Centers for Disease Control and Prevention emphasized that no human-to-human transmission has been identified in the US. To date, there have been 66 documented human cases of H5N1 infections since the start of 2024. Of those, 40 were linked to exposure to infected dairy cows, 23 were linked to infected poultry, two had no clear source, and one case—the fatal case in Louisiana—was linked to exposure to infected backyard and wild birds.

As US marks first H5N1 bird flu death, WHO and CDC say risk remains low Read More »

Controversial fluoride analysis published after years of failed reviews

fluoride, health, National Academies, NTP, public health, Science, Toxicology, water / Mike M. / January 6, 2025

70 percent of studies included in the meta-analysis had a high risk of bias.

Federal toxicology researchers on Monday finally published a long-controversial analysis that claims to find a link between high levels of fluoride exposure and slightly lower IQs in children living in areas outside the US, mostly in China and India. As expected, it immediately drew yet more controversy.

The study, published in JAMA Pediatrics, is a meta-analysis, a type of study that combines data from many different studies—in this case, mostly low-quality studies—to come up with new results. None of the data included in the analysis is from the US, and the fluoride levels examined are at least double the level recommended for municipal water in the US. In some places in the world, fluoride is naturally present in water, such as parts of China, and can reach concentrations several-fold higher than fluoridated water in the US.

The authors of the analysis are researchers at the National Toxicology Program at the National Institute of Environmental Health Sciences. For context, this is the same federal research program that published a dubious analysis in 2016 suggesting that cell phones cause cancer in rats. The study underwent a suspicious peer-review process and contained questionable methods and statistics.

The new fluoride analysis shares similarities. NTP researchers have been working on the fluoride study since 2015 and submitted two drafts for peer review to an independent panel of experts at the National Academies of Sciences, Engineering, and Medicine in 2020 and 2021. The study failed its review both times. The National Academies’ reviews found fault with the methods and statistical rigor of the analysis. Specifically, the reviews noted potential bias in the selection of the studies included in the analysis, inconsistent application of risk-of-bias criteria, lack of data transparency, insufficient evaluations of potential confounding, and flawed measures of neurodevelopmental outcomes, among other problems.

After the failing reviews, the NTP selected its own reviewers and self-published the study as a monograph in August.

High risk of bias

The related analysis published Monday looked at data from 74 human studies, 45 of which were conducted in China and 12 in India. Of the 74, 52 were rated as having a high risk of bias, meaning they had designs, study methods, or statistical approaches that could skew the results.

The study’s primary meta-analysis only included 59 of the studies: 47 with a high risk of bias and 12 with a low risk. This analysis looked at standardized mean differences in children’s IQ between higher and lower fluoride exposure groups. Of the 59 studies, 41 were from China.

Among the 47 studies with a high risk of bias, the pooled difference in mean IQ scores between the higher-exposure groups and lower-exposure groups was -0.52, suggesting that higher fluoride exposure lowered IQs. But, among the 12 studies at low risk for bias, the difference was slight overall, only -0.19. And of those 12 studies, eight found no link between fluoride exposure and IQ at all.

Among 31 studies that reported fluoride levels in water, the NTP authors looked at possible IQ associations at three fluoride-level cutoffs: less than 4 mg/L, less than 2 mg/L, and less than 1.5 mg/L. Among all 31 studies, the researchers found that fluoride exposure levels of less than 4 mg/L and less than 2 mg/L were linked to statistically significant decreases in IQ. However, there was no statistically significant link at 1.5 mg/L. For context, 1.5 mg/L is a little over twice the level of fluoride recommended by the US Environmental Protection Agency for US community water, which is 0.7 mg/L. When the NTP authors looked at just the studies that had a low risk of bias—seven studies—they saw the same lack of association with the 1.5 mg/L cutoff.

The NTP authors also looked at IQ associations in 20 studies that reported urine fluoride levels and again split the analysis using the same fluoride cutoffs as before. While there did appear to be a link with lower IQ at the highest fluoride level, the two lower fluoride levels had borderline statistical significance. Ten of the 20 studies were assessed as having a low risk of bias, and for just those 10, the results were similar to the larger group.

Criticism

The inclusion of urinary fluoride measurements is sure to spark criticism. For years, experts have noted that these measurements are not standardized, can vary by day and time, and are not reflective of a person’s overall fluoride exposure.

In an editorial published alongside the NTP study today, Steven Levy, a public health dentist at the University of Iowa, blasted the new analysis, including the urinary sample measurements.

“There is scientific consensus that the urinary sample collection approaches used in almost all included studies (ie, spot urinary fluoride or a few 24-hour samples, many not adjusted for dilution) are not valid measures of individuals’ long-term fluoride exposure, since fluoride has a short half-life and there is substantial variation within days and from day to day,” Levy wrote.

Overall, Levy reiterated much of the same concerns from the National Academies’ reviews, noting the study’s lack of transparency, the reliance on highly biased studies, questionable statistics, and questionable exclusion of newer, higher-quality studies, which have found no link between water fluoridation and children’s IQ. For instance, one exclusion was a 2023 study out of Australia that found “Exposure to fluoridated water during the first 5 [years] of life was not associated with altered measures of child emotional and behavioral development and executive functioning.” A 2022 study out of Spain similarly found no risk of prenatal exposure.

“Taking these many important concerns together, readers are advised to be very cautious in drawing conclusions about possible associations of fluoride exposures with lower IQ,” Levy concluded. “This is especially true for lower water fluoride levels.”

Another controversial study

But, the debate on water fluoridation is unlikely to recede anytime soon. In a second editorial published alongside the NTP study, other researchers praised the analysis, calling for health organizations and regulators to reassess fluoridation.

“The absence of a statistically significant association of water fluoride less than 1.5 mg/L and children’s IQ scores in the dose-response meta-analysis does not exonerate fluoride as a potential risk for lower IQ scores at levels found in fluoridated communities,” the authors argue, noting there are additional sources of fluoride, such as toothpaste and foods.

The EPA estimates that 40 to 70 percent of people’s fluoride exposure comes from water.

Two of the three authors of the second editorial—Christine Till and Bruce Lanphear—were authors of a highly controversial 2019 study out of Canada suggesting that fluoride intake during pregnancy could reduce children’s IQ. The authors even suggested that pregnant people should reduce their fluoride intake. But, the study, also published in JAMA Pediatrics, only found a link between maternal fluoride levels and IQ in male children. There was no association in females.

The study drew heavy backlash, with blistering responses published in JAMA Pediatrics. In one response, UK researchers essentially accused Till and colleagues of a statistical fishing expedition to find a link.

“[T]here was no significant IQ difference between children from fluoridated and nonfluoridated communities and no overall association with maternal urinary fluoride (MUFSG). The authors did not mention this and instead emphasized the significant sex interaction, where the association appeared for boys but not girls. No theoretical rationale for this test was provided; in the absence of a study preregistration, we cannot know whether it was planned a priori. If not, the false-positive probability increases because there are many potential subgroups that might show the result by chance.”

Other researchers criticized the study’s statistics, lack of data transparency, the use of maternal urine sampling, and the test they used to assess the IQ of children ages 3 and 4.

Beth is Ars Technica’s Senior Health Reporter. Beth has a Ph.D. in microbiology from the University of North Carolina at Chapel Hill and attended the Science Communication program at the University of California, Santa Cruz. She specializes in covering infectious diseases, public health, and microbes.

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Flu surges in Louisiana as health department barred from promoting flu shots

CDC, Covid, flu, health, Louisiana, Science, vaccination / 9u50fv / December 23, 2024

The statement seemed to offer an assurance that other vaccines were not subject to the new restrictions. “Changes regarding seasonal vaccines like COVID and influenza do not change the Department’s policy or messaging regarding childhood immunizations,” it read.

This flu season, the health department has reportedly canceled standard vaccination events and clinics. On social media, the department has avoided mentioning flu shots in posts about the flu, instead advising people to wash their hands and cover their coughs.

While Louisiana is seeing an early surge in influenza, the rest of the country is on an upward trend in what appears to be a normal-looking season so far. Nationally, the percentage of doctor visits that were for ILIs is 3.8 percent, with the upswing in ILI activity similar to what was seen in the 2019–2020 flu season at this point in the year. At the peak of flu seasons, the percentage of visits for ILIs usually tops out around 7 percent to 8 percent.

US ILI activity charted by week across several flu seasons Credit: CDC

Two children died last week of flu, bringing the season’s total pediatric deaths to four. In the 2023–2024 season, 206 children died with influenza-associated disease. Most of the deaths occurred in early 2024.

COVID-19 is also ramping up a winter wave. While standard disease burden indicators—hospitalization and deaths—are low, they’re trending positive. Wastewater surveillance, meanwhile, is showing a steep incline, with levels of the virus being detected at “moderate” levels.

Flu surges in Louisiana as health department barred from promoting flu shots Read More »

Louisiana bars health dept. from promoting flu, COVID, mpox vaccines: Report

anti-vaccine, COVID-19, flu, health, health department, KFF Health News, Louisiana, mpox, NPR, public health, Science, vaccines / 9u50fv / December 21, 2024

Louisiana’s health department has been barred from advertising or promoting vaccines for flu, COVID-19, and mpox, according to reporting by NPR, KFF Health News, and New Orleans Public Radio WWNO.

Their investigative report—based on interviews with multiple health department employees who spoke on the condition of anonymity for fear of retaliation—revealed that employees were told of the startling policy change in meetings in October and November and that the policy would be implemented quietly and not put into writing.

Ars Technica has contacted the health department for comment and will update this post with any new information.

The health department provided a statement to NPR saying that it has been “reevaluating both the state’s public health priorities as well as our messaging around vaccine promotion, especially for COVID-19 and influenza.” The statement described the change as a move “away from one-size-fits-all paternalistic guidance” to a stance in which “immunization for any vaccine, along with practices like mask wearing and social distancing, are an individual’s personal choice.”

According to employees, the new policy cancelled standard fall flu vaccination events this year and affects every other aspect of the health department’s work, as NPR explained:

“Employees could not send out press releases, give interviews, hold vaccine events, give presentations or create social media posts encouraging the public to get the vaccines. They also could not put up signs at the department’s clinics that COVID, flu or mpox vaccines were available on site.”

“We’re really talking about deaths”

The change comes amid a dangerous swell of anti-vaccine sentiment and misinformation in Louisiana and across the country. President-elect Trump has picked Robert F. Kennedy Jr.—a high-profile anti-vaccine advocate and one of the most prolific spreaders of vaccine misinformation—to head the US Department of Health and Human Services.

Louisiana bars health dept. from promoting flu, COVID, mpox vaccines: Report Read More »

Louisiana resident in critical condition with H5N1 bird flu

bird flu, CDC, H5N1, health, Infectious disease, Louisiana, Science / 9u50fv / December 18, 2024

The Louisiana resident infected with H5N1 bird flu is hospitalized in critical condition and suffering from severe respiratory symptoms, the Louisiana health department revealed Wednesday.

The health department had reported the presumptive positive case on Friday and noted the person was hospitalized, as Ars reported. But a spokesperson had, at the time, declined to provide Ars with the patient’s condition or further details, citing patient confidentiality and an ongoing public health investigation.

This morning, the Centers for Disease Control and Prevention announced that it had confirmed the state’s H5N1 testing and determined that the case “marks the first instance of severe illness linked to the virus in the United States.”

In a follow-up, the health department spokesperson Emma Herrock was able to release more information about the case. In addition to being in critical condition with severe respiratory symptoms, the person is reported to be over the age of 65 and has underlying health conditions.

Further, the CDC collected partial genetic data of the H5N1 strain infecting the patient, finding it to be of D1.1. genotype, which has been detected in wild birds and some poultry in the US. Notably, it is the same genotype seen in a Canadian teenager who was also hospitalized in critical condition from the virus last month. The D1.1. genotype is not the same as the one circulating in US dairy cows, which is the B3.13 genotype.

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“Unprecedented” decline in teen drug use continues, surprising experts

adolescent, alcohol, Drug use, health, illicit drugs, marijuana, nicotine, Science, Teens / Shannon Garcia / December 17, 2024

A new era

“Kids who were in eighth grade at the start of the pandemic will be graduating from high school this year, and this unique cohort has ushered in the lowest rates of substance use we’ve seen in decades,” Miech noted.

For alcohol, use in the past 12 months among eighth graders was at 12.9 percent in 2024, similar to 2023 levels, which are all-time lows. For 10th graders, the rate dropped significantly from 30.6 percent in 2023 to 26.1 percent, and for 12th graders, from 45.7 percent to 41.7 percent—both record lows.

For nicotine vaping, rates fell for 10th graders (from 17.5 percent to 15.4 percent) and remained at low levels for eighth and 12th graders. For marijuana, use remained low for eighth and 10th graders and fell significantly for 12th graders (from 29 percent to 25.8 percent). All three grades are at lows not seen since 1990.

For abstainers from alcohol, marijuana, and nicotine in the prior 30 days, the rate among eighth graders hit 90 percent, up from 87 percent in 2017, when it was first measured. The rate was 80 percent among 10th graders, up from 69 percent in 2017, and 67 percent for 12th graders, up from 53 percent in 2017.

“This trend in the reduction of substance use among teenagers is unprecedented,” Nora Volkow, director of NIH’s National Institute on Drug Abuse (NIDA), said. “We must continue to investigate factors that have contributed to this lowered risk of substance use to tailor interventions to support the continuation of this trend.”

“Unprecedented” decline in teen drug use continues, surprising experts Read More »

$huge-math-error-corrected-in-black-plastic-study;-authors-say-it-doesn’t-matter$

Huge math error corrected in black plastic study; authors say it doesn’t matter

black plastic, chemosphere, electronic plastic, EPA, flame retardants, health, plastic, plastic recycling, Science, Toxicology, waste / Kelly Newman / December 16, 2024

Ars has reached out to the lead author, Megan Liu, but has not received a response. Liu works for the environmental health advocacy group Toxic-Free Future, which led the study.

The study highlighted that flame retardants used in plastic electronics may, in some instances, be recycled into household items.

“Companies continue to use toxic flame retardants in plastic electronics, and that’s resulting in unexpected and unnecessary toxic exposures,” Liu said in a press release from October. “These cancer-causing chemicals shouldn’t be used to begin with, but with recycling, they are entering our environment and our homes in more ways than one. The high levels we found are concerning.”

BDE-209, aka decabromodiphenyl ether or deca-BDE, was a dominant component of TV and computer housings before it was banned by the European Union in 2006 and some US states in 2007. China only began restricting BDE-209 in 2023. The flame retardant is linked to carcinogenicity, endocrine disruption, neurotoxicity, and reproductive harm.

Uncommon contaminant

The presence of such toxic compounds in household items is important for noting the potential hazards in the plastic waste stream. However, in addition to finding levels that were an order of magnitude below safe limits, the study also suggested that the contamination is not very common.

The study examined 203 black plastic household products, including 109 kitchen utensils, 36 toys, 30 hair accessories, and 28 food serviceware products. Of those 203 products, only 20 (10 percent) had any bromine-containing compounds at levels that might indicate contamination from bromine-based flame retardants, like BDE-209. Of the 109 kitchen utensils tested, only nine (8 percent) contained concerning bromine levels.

“[A] minority of black plastic products are contaminated at levels >50 ppm [bromine],” the study states.

But that’s just bromine compounds. Overall, only 14 of the 203 products contained BDE-209 specifically.

The product that contained the highest level of bromine compounds was a disposable sushi tray at 18,600 ppm. Given that heating is a significant contributor to chemical leaching, it’s unclear what exposure risk the sushi tray poses. Of the 28 food serviceware products assessed in the study, the sushi tray was only one of two found to contain bromine compounds. The other was a fast food tray that was at the threshold of contamination with 51 ppm.

Huge math error corrected in black plastic study; authors say it doesn’t matter Read More »

Why do we get headaches from drinking red wine?

headaches, health, red wine, sulfites, syndication, tannins / DJ Henderson / December 16, 2024

Putting enzymes to the test

Testing ALDH was the next step. We set up an inhibition assay in test tubes. In the assay, we measured how fast the enzyme ALDH breaks down acetaldehyde. Then, we added the suspected inhibitors—quercetin, as well as some other phenolics we wanted to test—to see whether they slowed the process.

The chemical structure of quercetin, which may cause red wine headaches. Credit: Johannes Botne (CC BY-SA)

These tests confirmed that quercetin was a good inhibitor. Some other phenolics had varying effects, but quercetin glucuronide was the winner. When your body absorbs quercetin from food or wine, most is converted to glucuronide by the liver in order to quickly eliminate it from the body.

Our enzyme tests suggest that quercetin glucuronide disrupts your body’s metabolism of alcohol. This disruption means extra acetaldehyde circulates, causing inflammation and headaches. This discovery points to what’s known as a secondary, or synergistic, effect.

These secondary effects are much harder to identify because two factors must both be in play for the outcome to arise. In this case, other foods that contain quercetin are not associated with headaches, so you might not initially consider quercetin as the cause of the red wine problem.

The next step could be to give human subjects two red wines that are low and high in quercetin and ask whether either wine causes a headache. If the high-quercetin wine induces more headaches, we’d know we’re on the right track.

So, if quercetin causes headaches, are there red wines without it? Unfortunately, the data available on specific wines is far too limited to provide any helpful advice. However, grapes exposed to the Sun do produce more quercetin, and many inexpensive red wines are made from grapes that see less sunlight.

If you’re willing to take a chance, look for an inexpensive, lighter red wine.

Andrew Waterhouse is professor of enology, University of California, Davis, and Apramita Devi is a postdoctoral researcher in food science and technology, University of California, Davis.

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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