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Cases of ‘white plague’ rising in US as doctors warn of ‘rebound effect’

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A potentially deadly disease known as “the white plague” has been rising in the U.S. since the pandemic, health officials have warned.

Tuberculosis (TB) gets its nickname from the pale appearance of those affected with the disease.

After a dip in 2020 with the onset of COVID – likely due to underdiagnosis and reduced screenings, according to health experts – cases of TB have increased every year since.

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More than 10,600 cases were confirmed in 2024, which is around three people for every 100,000, per the latest available data from the Centers for Disease Control and Prevention.

This marks the third consecutive annual increase, and the total 2024 case count is the highest annual number since 2013.

Despite the recent increase, TB rates in the U.S. remain relatively low compared to many parts of the world, as the global average is about 131 cases per 100,000, per the World Health Organization. That’s approximately 40 times higher globally compared to the U.S.

TB is a curable bacterial infection that targets the lungs, but can also infect other organs, according to Johns Hopkins. It is spread through airborne particles released when an infected person coughs, speaks or sneezes.

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Renuga Vivekanandan, MD, professor at Creighton University School of Medicine and VP and CMO of CHI Health Physician Enterprise Midwest, said the rise in tuberculosis cases in the U.S. is concerning, but noted that it was foreseeable.

“The COVID-19 pandemic effectively disrupted TB surveillance and treatment programs across the country,” the doctor, who is board-certified in internal medicine and infectious diseases, told Fox News Digital. 

“What we’re seeing now is largely a rebound effect – latent TB infections that went undetected or untreated during the pandemic are now activating.”

Another factor is a return to international travel and increased migration from countries where TB is more prevalent, according to Vivekanandan.

The uptick has also strained healthcare systems. “Local and state public health TB programs became understaffed during the pandemic, and that capacity hasn’t fully recovered,” the doctor said.

While around 25% of people have likely been infected with the TB bacteria, about 5% to 10% will go on to develop active disease, according to health agencies.

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A person with a latent infection has been infected with the tuberculosis bacteria, but the bacteria are inactive in the body. While latent-stage TB is not contagious, it can develop into active disease in 5% to 10% of people. 

Only people with active TB disease in the lungs or throat can spread the infection.

Those who get sick with TB may experience mild symptoms, including coughing, chest pain, fatigue, weight loss, weakness, fever and night sweats, per the CDC. In some cases, however, the disease can also affect the kidneys, spine, skin and brain.

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“TB can affect any organ of the body, but it causes disease in the lung in over 80% of cases,” Masae Kawamura, M.D., a former TB control director in San Francisco and a tuberculosis clinician, previously told Fox News Digital. “This is dangerous because it causes cough, the mechanism of airborne spread.”

In more severe cases, patients may cough up blood, noted Kawamura, who serves on the board of directors of Vital Strategies, a global public health organization.

“Often, there are minimal symptoms for a long time, and people mistake their occasional cough with allergies, smoking or a cold they can’t shake off,” she added.

“The good news is that TB is both preventable and treatable,” Vivekanandan said.

“People who are at higher risk – including those born in or traveling frequently to high TB-burden countries, individuals living in crowded conditions, or those who are immunocompromised – should speak with their doctor about TB testing.”

Other high-risk groups include people who have diabetes, are malnourished, use tobacco and/or drink excess amounts of alcohol. Babies and children are also more vulnerable to the disease.

Doctors typically use a skin or blood test to detect TB infection, followed by imaging or sputum (mucus) testing to confirm active disease, per the CDC.

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The disease is treated with antibiotics that are taken every day for four to six months, the CDC states. Some of the most common include isoniazid, rifampicin, pyrazinamide and ethambutol.

Failure to take the complete course of medications can cause the bacteria to become drug-resistant, which means it does not respond to standard antibiotics. Drug-resistant TB is more difficult and costly to treat and requires longer, more complex medication regimens, according to experts.

If TB goes untreated, it is fatal in about half of its victims.

“Latent TB, which causes no symptoms and is not contagious, can be treated and cured before it ever progresses to active TB, which is infectious,” Vivekanandan said.

“Identifying and treating latent infection is one of the most powerful tools we have for protecting both individual patients and the broader community.”

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The U.S. Preventive Services Task Force recommends screening only for populations at increased risk rather than for the general population.

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Republican Shocks California With Stunning Election Night Comeback

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Republican Shocks California With Stunning Election Night Comeback

California voters headed to the polls Tuesday to begin the process of selecting a successor to Gov. Gavin Newsom, and one result immediately grabbed the attention of political observers across the country: Republican Steve Hilton’s surprisingly strong performance in the state’s gubernatorial primary.

Although millions of ballots remain outstanding and California’s lengthy vote-counting process means final results may not be known for days or even weeks, early returns indicate Hilton and former Biden administration official Xavier Becerra are on track to advance to a highly anticipated November showdown.

California’s June 2 primary operated under the state’s top-two election system, which places all candidates on a single ballot regardless of party affiliation. The two candidates receiving the most votes advance to the general election, creating a dynamic that often produces unpredictable outcomes.

Democrats entered the race with a significant numerical advantage but faced a challenge of their own making: a crowded field that threatened to divide support among multiple high-profile candidates. That concern appeared to materialize as results rolled in Tuesday night.

As of Wednesday morning, Hilton held the lead with approximately 28 percent of the vote, outperforming expectations and positioning himself as the early frontrunner. Becerra followed in second place with roughly 25 percent, while billionaire environmental activist Tom Steyer trailed in third at just under 20 percent despite investing heavily in his campaign.

The results left several well-known Democratic contenders on the outside looking in. Former Rep. Katie Porter, San Jose Mayor Matt Mahan, and former Los Angeles Mayor Antonio Villaraigosa all failed to generate enough support to remain competitive, effectively ending their bids for the governor’s office.

Hilton’s strong showing is likely to energize Republicans who have struggled for statewide success in California for years. While Democrats still maintain a substantial registration advantage, the fragmented primary field created an opening that Hilton successfully capitalized on.

With ballots continuing to be counted, the exact margins remain subject to change. However, barring a dramatic shift in the outstanding vote, the race to replace Newsom appears increasingly likely to feature a head-to-head contest between Hilton and Becerra this fall.

The outcome sets the stage for what could become one of the nation’s most closely watched gubernatorial races, as voters in the country’s most populous state prepare to choose their next governor amid growing debates over the economy, public safety, homelessness, and the future direction of California.

Hilton’s strong performance quickly emerged as one of the night’s biggest surprises. The former Fox News host and onetime adviser to former British Prime Minister David Cameron entered the race as a political outsider, but his campaign gained momentum by tapping into voter frustration over California’s most persistent problems. Endorsed by President Donald Trump, Hilton focused heavily on issues such as homelessness, soaring housing costs, public safety concerns, burdensome regulations, and the state’s rising cost of living. Early results suggest that message struck a chord with voters increasingly dissatisfied with the status quo.

Becerra’s advancement to the projected runoff was significant in its own right. The former California attorney general and former Health and Human Services secretary under President Joe Biden mounted a late surge after months of uncertainty about whether any Democrat could emerge from the crowded field as the clear favorite. While he never fully united the party’s various factions, Becerra ultimately secured enough support to claim a spot in November’s general election. If successful, he would become California’s first Latino governor.

The results also highlighted growing divisions within California’s Democratic coalition. Establishment Democrats largely coalesced around Becerra, while many progressive voters gravitated toward billionaire activist Tom Steyer and other candidates. The fractured Democratic vote likely contributed to Hilton’s first-place finish and provided Republicans with a significant morale boost heading into the fall campaign.

National political observers are watching the race closely because of California’s outsized influence. Home to nearly 40 million residents and boasting a state economy worth more than $4 trillion, California often serves as a political bellwether and policy laboratory for the rest of the country. The state’s next governor will inherit a daunting list of challenges, including housing affordability, homelessness, wildfire preparedness, water management, and an increasingly unstable insurance market. Those concerns dominated voter conversations throughout the primary campaign and are expected to remain central issues in the general election.

Despite the early projections, election officials continue to count millions of ballots. California law allows valid mail ballots postmarked by Election Day to be counted after polls close, meaning final vote totals could continue shifting over the coming days. Nevertheless, current returns strongly indicate that Hilton and Becerra are positioned to advance to a November showdown.

Beyond the governor’s race, Californians also voted in a number of congressional and statewide contests that could have national implications. Several competitive House districts are expected to become major battlegrounds as both parties fight for control of Congress.

For now, however, the spotlight remains firmly on Hilton. By outperforming expectations and finishing atop the primary field, he demonstrated that Republicans may possess more political strength in California than many analysts assumed. Democrats remain the favorites in a state that has voted reliably blue for decades, but Tuesday night’s results suggest the race to replace Gavin Newsom could be far more competitive than initially anticipated.

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NIH Researchers Allegedly Smuggled Monkeypox Into America, Lied About It

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‘I do this all the time’
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Supreme Court Rebukes Effort To Force Race-Based House Map On Deep Red State

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‘race-based discrimination’
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