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“When I landed in Puerto Rico, I realized there were a lot of gaps in message retention and people understanding what was important,” says CDC responder Ibad Khan. Communication is a critical part of any response and that is particularly true in Puerto Rico. Khan (fourth from the left in photo) realized one of the biggest challenges was helping the public to understand the serious risks associated with Zika. Read more about his work in the field: http://bit.ly/2jDgDDx.
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“Zika had been around for 70 years, and nobody had reported a link between Zika and microcephaly before,” says CDC Responder Peggy Honein. She and her team created public health messages, tracked cases in pregnant women and their infants, and learned as much as they could about Zika and its effects on pregnancy. Read more about her work in the field: http://bit.ly/2inJAlu
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I have the sense that Zika is behaving like a bacteriophage. I believe it is acting in tandem with Wolbachia targeting the gonads.

Zika is supported 99 percent within the clade shared along with West Nile and St. Louis encephalitis viruses (even though the CDC lumps Zika in with hemorrhagic diseases like dengue and yellow fever).

Culex mosquitoes in Brazil and China are spreading Zika (which means birds are likely reservoir hosts). These are locations where Wolbachia-infected Aedes mosquito releases have been carried out.

The presence of a virus facilitates the invasion of Wolbachia (Straub and Telschow, 2015).

What is likely happening: Wolbachia enters the food chain (unnaturally) from the copepod Mesocyclops longisetus (which prefers to eat Aedes larvae) to small planktivorous fish and sand eels; to terns, gulls, and larger planktivorous fish (such as herring); and so on.

When these fish or birds die, the Wolbachia can live on in them for (at least) a week. West Nile virus (very similar to Zika) can live 5 days in a dead host. This, I feel, is ample time for Culex mosquitoes to acquire Wolbachia and/or Zika.

Given their vertical transmission through the female germline and their reproductive manipulations, Wolbachia are expected to reside primarily in the host reproductive tissues (Zug and Hammerstein, 2015).

My point: If the Zika virus is hitching a ride with Wolbachia, then it will follow it to the human reproductive system.

I've heard the argument that mammals are "too warm" for Wolbachia to survive but the testes are outside the inner core (to remain cooler). Not only that, Wolbachia is the bacteria emitted by roundworms responsible for river blindness and filariasis. So, once introduced into the blood stream, obviously Wolbachia can thrive.

Furthermore, UC San Francisco researchers have identified fetal brain tissue cells that are targeted by the Zika virus and determined that azithromycin, a common antibiotic regarded as safe for use during pregnancy, can prevent the virus from infecting these cells.

As you know, antibiotics work on bacteria, not viruses (re: Wolbachia).

My latest post:
More Proof: Wolbachia-Infected Mosquito Releases Might Be Causing the Most Devastating Zika Infections
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While men were more likely than women to die of opioid overdose, the number of overdose deaths from opioids among women has increased significantly. Since 1999, women’s deaths have quadrupled from prescription opioid overdose. Watch our next CDC Public Health Grand Rounds live webcast on Tuesday, January 17, at 1:00 pm ET. http://bit.ly/2j7Q4Gf
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Thanks from the earth!

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“Unlike many causes of birth defects, this is a known cause that is preventable,” says CDC Responder Peggy Honein. Zika is the first known mosquito-borne virus that can cause birth defects, which is transformative for birth defects science. Read more about her work as part of CDC’s Zika response. http://bit.ly/2inJAlu
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Thanks!
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Deaths from drug overdoses are the number one cause of injury death in the U.S. Most of these deaths are related to the misuse of prescription opioids and heroin. While men were more likely than women to die of opioid overdose, the number of overdose deaths from opioids among women has increased substantially. Since 1999, women’s deaths have quadrupled from prescription opioid overdose.

Consider the following: Nearly 48,000 women died of prescription opioid overdose between 1999 and 2010. For every woman who dies of a prescription opioid overdose, over 30 of them go the emergency department for opioid misuse or abuse.

Women’s biological differences may influence susceptibility to substance abuse, which could have implications for prevention and treatment. In order to identify and treat women most at risk, health care providers must be able to recognize and consider these differences.

Join us as we discuss how health care providers, researchers, and the public health community can best address the complexities of opioid use disorder among women. Speakers will give an overview of the federal response to the disorder, along with approaches to care and prevention of substance use.

Presented By:

Karin A. Mack, PhD
Associate Director for Science, Division of Analysis Research and Practice Integration,
National Center for Injury Prevention and Control, CDC

Linda Frazier, RN, MCHES, CADC
Director, Addictions Initiatives, Chair, APHA ATOD Section,
Advocates for Human Potential, Inc.

Mishka Terplan, MD, MPH, FACOG, FASAM
Professor, Department of Obstetrics and Gynecology, Professor, Department of Psychiatry, Associate Director, Addiction Medicine, Virginia Commonwealth University

Watch the live webcast on Tuesday, January 17, at 1:00pm ET. Follow @CDC_eHealth on Twitter for live tweeting during the event, and use the hashtag #CDCGrandRounds to participate. If you are unable to attend, post your questions in the comments below or send to grandrounds@cdc.gov.

For more information on CDC Public Health Grand Rounds, visit http://1.usa.gov/1rzB4JL
“Addressing the Unique Challenges of Opioid Use Disorder in Women”
Tue, January 17, 1:00 PM
https://twitter.com/CDC_eHealth

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Diabetes is the leading cause of kidney failure, a costly condition that requires dialysis or kidney transplant for survival. Kidney failure can be delayed or prevented by controlling blood pressure and blood sugar and by taking prescribed medicines. Learn what you, your community, and health care providers can do. http://bit.ly/2iciQRL
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See all the latest health articles including MMWR, Emerging Infectious Disease, and Preventing Chronic Diseases on the redesigned CDC mobile app. Download today on iTunes http://apple.co/2hM68KC and GooglePlay http://bit.ly/2i726f9.
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Today’s live webcast of CDC Public Health Grand Rounds discusses how health care providers, researchers, and the public health community can best address the complications of opioid use disorder among women. Join us at 1:00 pm ET. http://bit.ly/2j7Q4Gf
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Live in a rural area? A new CDC study shows that Americans living in rural areas are more likely to die from five leading causes than their urban counterparts. What you can do to protect yourself and your family: http://bit.ly/2jc8RjH 
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Deaths from drug overdoses are the number one cause of injury death in the U.S. Nearly 48,000 women died of prescription opioid overdose between 1999 and 2010. Join us January 17, at 1:00 pm ET for the next CDC Public Health Grand Rounds. Follow @CDC_eHealth on Twitter and use the hashtag #CDCGrandRounds to participate in the event. http://bit.ly/2j7Q4Gf
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Get Travel Notices, Disease Case Counts, and FluView Weekly wherever you go on the updated CDC mobile app. Download today on Apple http://apple.co/2hM68KC or Android http://bit.ly/2i726f9 Phones!
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Are you a healthcare professional? Stay up to date on the latest health news with the updated CDC app. Available in iTunes http://apple.co/2hM68KC and GooglePlay http://bit.ly/2i726f9.
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