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Hepatitis A Crisis Explodes Across US—165 Infected, 7 Dead
Los Angeles County is facing its largest hepatitis A outbreak in over a decade, with 165 confirmed cases and seven deaths.

United States: Los Angeles County is now grappling with a sweeping hepatitis A outbreak, one that’s taken a dramatic turn both in the spread and in the unexpected profile of those falling ill. Once mainly confined to unhoused populations, this fierce and virulent strain is now reaching well beyond those earlier boundaries.
In 2024 alone, 165 cases were reported — a staggering threefold leap from the year before. Authorities have linked at least seven deaths to this fast-spreading menace. It’s the most extensive hepatitis A outbreak seen in the region in over ten years.
Traditionally, hepatitis A has festered among unhoused communities, where access to clean sanitation is scarce. But this time, the tide has turned. Many of those infected are housed individuals with no recent drug use or travel — the usual red flags. This unexpected shift has caused local health officers to be deeply troubled, as per the LA Times.
Dr. Muntu Davis, Los Angeles County’s chief health officer, issued an urgent plea this week, calling for swift action and mass vaccination. “The surge in hepatitis A infections is a clear signal — we must respond rapidly to safeguard public health,” Davis emphasized.
Between January and March this year, 29 cases were logged — double what the County recorded during that window in 2023.
Hepatitis A outbreak declared in LA County.
— Noha Aboelata, MD (@NohaAboelataMD) May 6, 2025
"…this year, most infections have been reported among people who aren’t homeless, and who haven’t recently traveled or used illicit drugs…"
Most fully recover from Hep A, but 7 deaths have been linked to this outbreak so far. pic.twitter.com/NGJAk8UfPO
This aggressive virus hides in the stool and bloodstream of infected individuals. It spreads subtly — often via tainted food or drinks. The Centers for Disease Control and Prevention (CDC) warns that close personal contact, drug sharing, and intimate exposure can easily pass the virus on.
Despite the confirmed 165 cases, officials suspect the true count is far higher — hidden behind undiagnosed or asymptomatic carriers. Even now, this outbreak dwarfs the 2017 crisis, when 87 confirmed cases rattled the region.
Dr. Sharon Balter, who heads the County’s Division of Communicable Disease Control and Prevention, warned that these numbers are likely just the surface. “The outbreak is broader than the data suggests,” she remarked, urging medical practitioners to test any patient showing hepatitis-like symptoms.
Telltale signs of this illness include exhaustion, fever, abdominal cramping, queasiness, jaundice (yellow skin or eyes), and dark-colored urine. In adults, the disease often screams loud — more than 70 percent show symptoms. In children under six, however, it tends to whisper — nearly three-quarters show none at all.
Wastewater surveillance, a newer method to track silent viral spread, has confirmed an uptick in virus levels, hinting that the outbreak is still burning hot — even as late 2024 data briefly teased a downturn.
This kind of data is crucial. “Many infected folks never even seek care — either because they show no symptoms or can’t access healthcare,” Balter said.
While the vast majority of infected people recover without issue, the virus can occasionally escalate — damaging the liver permanently or even proving fatal.
Genetic tracing shows this strain is mostly confined to LA County, with only a few spillover cases in Orange and San Bernardino counties, according to Dr. Prabhu Gounder, medical director of the County’s viral hepatitis division, as per LA Times.
The hepatitis A vaccine — first introduced for high-risk kids in 1996 and for all children in 2006 — remains the strongest shield. The CDC urges parents to vaccinate their children at ages 1–2. Adults who missed those early shots can still get vaccinated.
California, however, doesn’t require hepatitis A shots for school or daycare enrollment. This leaves a wide swath of adults potentially unprotected.
“This means many grown-ups never received the vaccine,” Balter explained.
Because of the outbreak, public health officials are urging vaccination for all unvaccinated county residents — especially those experiencing homelessness or drug use. “This vaccine is both incredibly safe and powerful,” Balter said. “You can get it at your doctor’s office or at most pharmacies.”
She also noted that if you’re unsure whether you’ve been vaccinated before, it’s safe to take the shot again. No harm done.
“If you’re uncertain, just go ahead and get it,” she advised.
A second dose isn’t needed if you’ve already completed the two-shot course — unless you’ve had something like a bone marrow transplant.
Besides vaccination, prevention hinges on hygiene. Washing hands with soap and water after using the toilet and before handling food is key. If using sanitizer, it must contain at least 60% alcohol. “Most hand sanitizers don’t meet that threshold,” Balter warned.
The virus’s incubation window stretches from 15 to 50 days — a slow burn. Some people bounce back in weeks. Others endure months of fatigue and liver dysfunction. About 10–15% have symptoms that linger or return for up to nine months.
Because of this long delay between exposure and illness, “we have to stay ahead of this,” said Gounder. “The cases we’re seeing now are from exposures weeks ago,” as noted by LA Times.
Diagnosing hepatitis A early can be tricky. Its first signs mimic common stomach bugs. More obvious symptoms, like yellow eyes, may show up late — or only after blood tests are no longer effective.
Hepatitis A has shadowed humanity for centuries, though the virus itself wasn’t isolated until the 1970s. Case numbers plummeted after the vaccine’s US debut in 1995, dropping 95% from 1996 to 2011. But 2016 brought an unwelcome resurgence — driven by outbreaks among those using drugs and the unhoused.
San Diego County’s outbreak, from 2016 to 2018, was especially brutal: 592 cases, 20 deaths. L.A. County fought its 2017 outbreak with an aggressive vaccine drive and public awareness campaign.
Most of the 165 cases in 2024 were among adults, likely those who missed early vaccinations. “These are people who weren’t immunized and never got infected as kids,” Balter noted.
Wastewater has become a valuable tool in detecting the true scale of the outbreak. But federal budget cuts threaten such surveillance.
“There’s deep concern,” Balter warned. “Losing key funding could seriously limit our ability to track or react to threats like this.”
One especially worrying possibility is vaccine funding cuts. “If these resources vanish,” Gounder said, “we’ll lose a key supply of free vaccines — which are critical to ending this crisis.”
News
Plastic in Your Arteries? Stroke Risk Just Got Scarier
A study unveiled that nanoplastics have been found at dangerous levels within carotid artery plaques, especially among those experiencing vision loss.

Elevated residues of minute synthetic debris—namely micronanoplastics—have been uncovered deep within carotid artery deposits, particularly among individuals exhibiting neurological warning signs such as stroke or transient blindness. This evolving threat, though still under meticulous scrutiny, unveils a sinister layer of environmental harm embedded within vascular disease. Shared at the 2025 Vascular Discovery Sessions by the American Heart Association, these insights disrupt the conventional understanding of stroke causality.
A closer look reveals that individuals burdened with plaque accumulation in their carotid arteries exhibited amplified levels of tiny plastic fragments—far surpassing those found in healthier counterparts. The disparity was especially severe among those afflicted by cerebrovascular events, like ischemic strokes and retinal blood flow disturbances, according to scitechdaily.com.
Micronanoplastics, derived from both industrial origins and the decomposition of discarded plastics in nature, represent a stealthy category of pollution:
- Microplastics: Slightly discernible fragments, smaller than 5 millimeters, often unnoticed in daily exposure.
- Nanoplastics: Infinitesimal specks, invisible to the naked eye, yet capable of infiltrating biological tissue like a molecular Trojan horse.
These diminutive plastics can seep into ecosystems, embedding themselves into the very architecture of cells and vessels. Due to their invasive scale, scientists now advocate abandoning the blended term “micronanoplastics” in favor of the sharper, more targeted “nanoplastics.”
Microplastics Are Invading Our Arteries, and It Could Be Increasing Your Risk of #Stroke https://t.co/Dw6cd5cmPP A small study suggests that fatty plaques in the neck’s carotid arteries may contain over 50 times more micronanoplastics, tiny plastic particles, than healthy…
— Dr. Aliya Shah (@aliya_Hshah) May 5, 2025
Environmental Entrapment and Food Chain Infiltration
Dr. Ross Clark—vascular expert and lead investigator from the University of New Mexico—emphasized that these elusive fragments are not simply the byproduct of household plastic use. “While many suspect drinking bottles or plastic containers, the major intake lies hidden in what we consume—our meals and drinking water,” Clark disclosed.
He added that the breakdown of marine garbage and terrestrial plastic debris over decades results in widespread micro contamination, leaching into the soil, ocean layers, and—ultimately—human arteries, as per scitechdaily.com.
Back in 2024, Italian researchers unearthed traces of micronanoplastics within carotid plaques of asymptomatic individuals undergoing vascular surgeries. Follow-ups showed a chilling outcome: those harboring plastic-polluted plaques were significantly more prone to fatal or near-fatal cardiac events, even in the absence of initial symptoms.
Fresh Data, Same Worrying Trend
Building upon the Italian groundwork, Clark’s team examined under 50 patients divided into three groups: healthy arteries, asymptomatic plaque buildup, and symptomatic plaque-caused impairments. Each artery was then combed through for plastic content and gene-level markers of inflammation and cellular activity.
What emerged was unsettling:
Individuals with silent plaque buildup had 16 times the plastic load compared to deceased donors without plaque.
Stroke-afflicted individuals held 51 times the plastic saturation in their artery deposits.
Even when inflammation levels weren’t acutely high, plaques tainted with synthetic debris demonstrated altered behavior in key immune cells—namely macrophages—and the stem-like cells responsible for structural plaque stability. These findings suggest the damage may not lie in sudden immune activation, but rather a subtler, gene-driven decay of artery integrity.
Proceeding with Caution
Despite these compelling signs, Clark advises restraint. “These observations are just the beginning. It’s too early to declare causation between nanoplastics and vascular collapse. We must tread carefully before rewriting the medical playbook.”
He points to several limitations. The study can’t definitively state that plastic deposits caused the carotid issues—it may be a coincidental marker linked to another disease mechanism. Also, limitations in the testing method (pyrolysis-GC-MS) can blur results, as fatty tissue breakdown mimics the chemical signature of common plastics like polyethylene.
“To refine accuracy, we’ve modified our approach to remove lipid interference, but science is always evolving,” Clark noted.
Implications Beyond the Lab
Dr. Karen Furie, a neurologist unaffiliated with the study, emphasized the weight of these revelations. “Until now, no one flagged environmental nanoplastic exposure as a modifiable stroke risk. This opens an entirely new window for prevention strategies,” according to scitechdaily.com.
Study Design and Technical Grounding
Researchers studied 48 artery samples gathered between 2023 and 2024 from surgical patients and deceased donors aged 60 to 90. The groups were:
Symptomatic patients (stroke, temporary vision loss)
Asymptomatic patients with detected carotid plaque
Tissue donors without vascular blockages
All samples were dissected to gauge inflammatory agents like TNF-α and IL-6, and then further analyzed using RNA sequencing to observe immune cell gene dynamics in the presence of high vs. low plastic content, as per scitechdaily.com.
Conclusion: A Silent Threat in Plain Sight
This study doesn’t just hint at an invisible invader—it exposes it. As the modern world continues its love affair with plastic, the cost may be etched into our very arteries. The question is no longer if these particles harm us, but how deeply they do—and whether we can stop them in time.
News
From Weight Loss to Liver Healing: Semaglutide Shines Again
Semaglutide, the active ingredient in Ozempic and Wegovy, has shown promising results in treating MASH—a severe form of fatty liver disease.

Semaglutide, already a celebrated compound in renowned medications like Ozempic and Wegovy, has now unveiled another dimension of its healing prowess—this time targeting an aggressive liver affliction. A sweeping international research endeavor has brought to light its potent influence on a condition known as Metabolic Dysfunction-Associated Steatohepatitis (MASH), a severe variation of fatty liver disease.
Spanning across 72 weeks and engaging 800 participants from 37 countries, this phase 3 clinical voyage unraveled transformative effects. Individuals who were administered weekly semaglutide doses displayed substantial reversal in MASH symptoms, with nearly two-thirds reflecting clinical improvement.
“This expansive investigation underscores semaglutide’s power—not just in mending liver tissue, but in alleviating the tangled metabolic roots of the disease,” shared Arun Sanyal, distinguished medicine professor at Virginia Commonwealth University, according to sciencealert.com.
🚨 A weight-loss drug may do more than trim pounds.
— The Educated Patient (@TheEduPatient) May 1, 2025
New research shows semaglutide (Wegovy) helped reduce liver damage in people with MASH—a serious fatty liver disease.https://t.co/ra7xPOLHOG#LiverHealth pic.twitter.com/CgIhkzskc5
Participants were segmented into treatment and placebo brackets. Among those receiving semaglutide, 62.9 percent manifested marked improvement in MASH-related symptoms. In stark contrast, only 34.3 percent of the placebo group showed comparable results.
Further bolstering its therapeutic profile, semaglutide also contributed to a significant easing of liver fibrosis—essentially scarring caused as the liver attempts self-repair. In this regard, 36.8 percent of medicated individuals saw reduction in fibrosis severity, whereas only 22.4 percent of placebo recipients noticed such change.
A dual benefit—amelioration in both MASH and fibrosis—was witnessed in 32.7 percent of patients under semaglutide, doubling the 16.1 percent seen in the control group. This outcome not only reinforces semaglutide’s multifaceted influence but also paves the way for a broader medical horizon.
The placebo response, often attributed to psychological uplift and heightened lifestyle mindfulness during trials, remained consistent with typical trends.
“If this therapy gains formal sanction, it could stand as an essential addition for patients grappling with MASH and its hepatic scarring,” noted Sanyal.
The gravity of this prospect lies in MASH’s tight linkage with heart disease, diabetes, and kidney disorders—all arenas where semaglutide has already carved a track record of success, as per sciencealert.com.
Functionally, semaglutide acts as a GLP-1 receptor agonist—a mimic of the body’s natural hormone responsible for appetite suppression and blood glucose moderation. Though it was initially prized for combating obesity and type 2 diabetes, its biological fine-tuning capabilities seem to unlock broader therapeutic doors.
In the realm of liver diseases, experts speculate semaglutide’s modulation of metabolic and inflammation pathways strikes at the very nucleus of MASH progression.
While this phase has concluded, the study marches onward, extending its reach to a more expansive population over a five-year timeline to gauge durability of these initial strides. Currently, with only a single recognized treatment for MASH on the market, such breakthroughs carry urgent weight.
“By addressing both hepatic impairment and its metabolic undercurrents, semaglutide symbolizes a paradigm shift in treatment—offering a glimmer of hope to millions who endure in silence,” concluded Sanyal, according to sciencealert.com.
The detailed findings have now found a home in the pages of the New England Journal of Medicine.
News
Clock Ticking: US Rushes for Universal Bird Flu Vaccine by 2029
The US Department of Health and Human Services has launched an ambitious initiative to develop a universal flu vaccine within four years.

United States: In a sweeping scientific endeavor unmatched in nearly half a century, the US Department of Health and Human Services (HHS) declared its mission to fabricate a universal influenza inoculation within the next four years—one that could outmaneuver numerous mutating viral strains, including the highly pathogenic H5N1 avian flu.
“This is not incremental—it’s a cataclysmic recalibration,” stated Dr. Jay Bhattacharya, Director of the National Institutes of Health, as he unveiled the transformative project, Generation Gold Standard. “This isn’t just about today’s viral shadows—it’s about preempting tomorrow’s contagions using reimagined conventional vaccine craft.”
Hatched within the corridors of the National Institute of Allergy and Infectious Diseases, the plan has its sights set on gaining FDA sanction for a pan-influenza vaccine by 2029. Human trials are penciled in for next year. The initial disclosure came via The Wall Street Journal, confirming that the initiative would be underpinned by a $500 million infusion from the Biomedical Advanced Research and Development Authority, a figure corroborated by HHS spokespeople, according to CNN.
“I want this to succeed,” offered Dr. Paul Offit of the Children’s Hospital of Philadelphia, a veteran of influenza vaccine research. “This field isn’t barren from apathy nor drained of brilliance or funds. It’s simply an enormous biological conundrum.”
HHS touts universal flu, coronavirus vaccine initiative while casting doubt on future of seasonal Covid-19 shots |
— Prof Peter Hotez MD PhD (@PeterHotez) May 2, 2025
My comments and interview with @ReporterGoodman @CNN
https://t.co/ALHSSW5JHF
Influenza viruses mutate with a capriciousness that has continually outpaced all-encompassing immunization. As a result, the populace is prodded each year with revised formulations tailored to prevailing strains.
HHS’s gambit echoes its similar ambition in the COVID-19 sphere: to birth a universal coronavirus vaccine that shields not just against SARS-CoV-2, but its ominous kin, SARS-CoV-1 and MERS-CoV.
An Audacious Leap with Anachronistic Tools
Ironically, the engine of this cutting-edge aspiration is an old-school vaccine strategy: inactivated whole-virus methodology. Here, pathogens are chemically muted to prevent infection but still provoke an immune response. This strand of research is helmed by Dr. Matthew Memoli and Dr. Jeffery Taubenberger at NIH.
Dr. Memoli, who courted headlines in 2021 for rebuffing COVID vaccine mandates and declining the jab himself, described one candidate nasal vaccine as “an immune simulator, echoing the body’s response to an authentic flu invasion,” as per reports by CNN.
External experts—though applauding the vision—have voiced skepticism about feasibility.
Dr. Greg Poland of the Mayo Clinic delineated the scientific gold standard: a universal flu jab should grant at least 75% protection against both A and B strains for a full year or more across all age brackets. However, Poland critiqued the project’s top contender, BPL-1357, for only containing A-strain variants. “This suggests they’re eyeing potential pandemic instigators, not the seasonal usual suspects,” he surmised.
Poland also bristled at the decision to bet big on a vaccine archetype largely shelved by modern virology. “It feels like constructing a spacecraft with blueprints from the Wright brothers,” he mused.
While whole-virus formulations deliver multi-pronged immune training, their broad exposure can boomerang, triggering excessive immune reactions or adverse events. Such vaccines are often cultivated in egg or cell mediums—this initiative uses canine kidney cells. Viruses are chemically disarmed using beta-propiolactone before being packaged into injections or nasal sprays.
Historically, the US pivoted from these inactivated whole-virus methods to subtler options—like split-virus or subunit vaccines. Some nations, however, still employ the full-virus strategy, according to CNN.
Dr. Peter Hotez from Texas Children’s Hospital warned of history repeating. He invoked the 1976 swine flu debacle when a robust vaccine reaction led to a surge in Guillain-Barré syndrome. Hotez labeled whole-virus methods “highly reactogenic,” underscoring their propensity to overstimulate the immune system.
“It’s baffling why they’re doubling down on such a volatile platform,” Hotez confessed.
Revamping the Rules of Vaccine Approval
On the eve of its universal vaccine pronouncement, HHS quietly dropped a regulatory bombshell: henceforth, all new vaccines must undergo rigorous placebo-controlled trials before greenlighting. A seismic deviation from norms, this shift could bottleneck annual COVID shot rollouts.
Previously, the FDA emulated its flu model—only updating strains within the vaccine and skipping full trials. This strategy fast-tracked annual boosters aligned with dominant strains.
Dr. Offit noted, “Changing the strain gives us sharper antibody defenses for a few months—crucial for the elderly and frail.” Delays from mandatory trials could jeopardize vulnerable lives during flu and COVID seasons, according to CNN.
Though HHS hasn’t clarified if this edict applies to updated COVID jabs, one official told CNN it was about reinstating gold-standard science for newer mRNA-based vaccines, distinguishing them from long-tested flu inoculations.
Confusion deepened when the FDA missed its April 1 decision deadline for full approval of Novavax’s non-mRNA COVID vaccine. The company later disclosed that the FDA had requested post-approval clinical trials, signaling a possible precedent for future vaccines, including updates from Moderna and Pfizer.
Moderna, in a recent investor call, downplayed concerns, assuring it was “business as usual.” However, uncertainty looms over whether the FDA concurs. Decisions on Moderna’s next-gen COVID vaccine and RSV expansion are expected by late May and June, respectively. Approval for its combined flu-COVID jab has been pushed to 2026, pending more data.
The firm also announced it would pull back from developing combo vaccines for those under 50, pivoting towards oncology and elder care.
A Shifting Landscape and Growing Tensions
If the FDA locks in this new trial standard, it marks a philosophical U-turn. “They had adopted a flu-style model for COVID boosters. Now they’re unraveling it,” noted Dorit Reiss, a law professor at UC Law San Francisco, as per CNN.
The FDA has already penciled in a May 22 meeting to discuss which COVID strains should feature in the next vaccine cycle.
HHS didn’t stop at trials. It also lambasted current vaccine safety surveillance tools—like VAERS and the Vaccine Safety Datalink—as outdated and ineffective. The agency vowed to construct new systems to better track vaccine benefits and harms.
This contradicts a commitment Secretary Robert F. Kennedy Jr. allegedly made to Sen. Bill Cassidy in February: to avoid creating parallel monitoring infrastructures.
Sen. Cassidy, a physician and Republican, reiterated his backing for universal vaccines, calling them the “Holy Grail” against fast-mutating foes. But he cautioned against overhauling approval systems for updated shots: “If the original vaccine has proven safe, we shouldn’t withhold access just to fulfill trial quotas.”
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