Morning Briefing
Summaries of health policy coverage from major news organizations
Public Health Perspectives: Zika's Impact On Millennials; The Disease's Demographic And Social Implications
I am a millennial; half my peers are single and on Tinder, half are getting ready to start families. I鈥檓 also a scientist, working toward a master鈥檚 degree in bioethics. And I am more and more worried about Zika. This summer, I co-wrote a guide for travelers to Rio de Janeiro about how to stay healthy in a place where Zika infection is common. After the Olympics鈥 closing ceremony, I worry that Americans will stop paying attention to the virus. They shouldn鈥檛. (Kelly McBride Folkers, 8/20)
Even if military and medical might could eliminate every single trace of Zika, the social, environmental and political conditions that made Brazil, Florida, and Puerto Rico vulnerable to the rapid spread of a new infectious disease remain in place. These conditions include, global warming, movements of populations into overcrowded urban areas, and attitudes and policies that restrict women鈥檚 sexual and reproductive rights. (Susan Sered, 8/19)
In June, when I was on the ground in Puerto Rico working with local providers at community health centers to help stop the spread of Zika, a virus that has become a public health emergency, there were 130 cases of Zika-positive pregnancies on the island. Since then, that number has shot up to about聽900 and, today, there are probably聽many more. Unfortunately, I had little to share with her that day other than the typical lines: We don鈥檛 know much, she should stay protected if she can with mosquito nets and condoms. During pregnancy, a woman often worries about the food she鈥檚 eating, if she鈥檚 sleeping in the right position. The threat of聽Zika doesn鈥檛 just alter the equation: It blows it up. (Kristyn Brandi, 8/22)
Pregnant women across the United States are living in fear of Zika every single day.聽The economic and emotional costs of this virus are astronomical and growing, with new cases in Miami Beach sounding the latest alarm.聽Yet the American public and some elected officials are downplaying a public health crisis that threatens an entire generation of babies. I am one of those pregnant women, one with a master鈥檚 degree in public health. I plan my life around a tiny insect that could cause devastating birth defects to my unborn child. There is no reprieve from the planning. And when all the precautions fail to prevent the dreaded mosquito bite, there is no reprieve from the worry. (Kelsey Mishkin Gardner, 8/21)
Like climate change deniers, the United Nations for years has stood virtually alone against the weight of scientific opinion on its own peacekeepers鈥 responsibility for the outbreak of cholera six years ago in Haiti, which continues to suffer from the world鈥檚 worst epidemic of that deadly disease. (8/21)
As Zika was moving north from Brazil to the United States, a different mosquito-borne disease 鈥 yellow fever 鈥 was cutting a devastating trail through Angola and the Democratic Republic of Congo, killing more than 400 people and sickening thousands. This epidemic is not yet over, and, like Ebola in West Africa, it has exposed glaring weaknesses in how the world confronts infectious diseases. (8/20)
So it鈥檚 worrisome that in recent decades, Lyme cases have surged, nearly quadrupling in Michigan and increasing more than tenfold in Virginia. It鈥檚 now the 鈥渟ingle greatest vector-borne disease in the United States,鈥 Danielle Buttke, an epidemiologist with the National Park Service in Fort Collins, Colo., told me, and it鈥檚 鈥渆xpanding on a really epic scale.鈥 What鈥檚 behind the rise of Lyme? Many wildlife biologists suspect that it is partly driven by an out-of-whack ecosystem. (Moises Velasquez-Manoff, 8/20)