Suicide can be contagious for teens, research shows. Here’s how parents can help

Suicide can be contagious for teens, research shows. Here’s how parents can help
Suicide can be contagious for teens, research shows. Here’s how parents can help
xijian/Getty Images

(NEW YORK) — Rates of mental health emergencies are increasing among teenagers around the world, according to a new study from the University of Calgary. It found an increase in pediatric emergency room visits for suicide attempts, suicidal ideation, and self-harm during the first year of the pandemic.

It’s a particular concern because for teenagers, suicide can be contagious.

Teenagers with a friend or family member who died of suicide were at significantly higher risk of suicide than those without, according to a 2016 review published by the American Association of Suicidology.

“[Teenagers’] emotional development means that they experience trauma and tragedy in slightly different ways,” said Seth Abrutyn, Ph.D., and associate professor of sociology at University of British Columbia who has studied youth suicide contagion, in an email to ABC News. “Youth rarely are ready to make sense of a death – let alone something as confusing as a suicide.”

A growing crisis: ‘Perfect recipe for declining mental health’

Suicide rates were growing even before the COVID-19 pandemic. According to data from the Centers from the Disease Control (CDC), suicide rates in U.S. preteens increased by over 40% from 2009 to 2019.

“[This] crisis has been growing for many, many years,” Dr. Neha Chaudhary, a child and adolescent psychiatrist at Massachusetts General Hospital and Chief Medical Officer at BeMe Health, told ABC News in an email. “Add to the social isolation, grief, and lack of structure an overwhelming sense of uncertainty and you have a perfect recipe for declining mental health.”

Per the CDC’s 2021 Youth Behavior Risk Survey, there are high levels of hopelessness across all ages and demographics. The data shows that one in three teenage girls and one in seven teenage boys “seriously” considered suicide.

Teens are particularly vulnerable to contagion because of constant exposure to their peers through school and social media, Abrutyn said. They see their peers as role models and are highly susceptible to their influence. In the case of a suicide, this can be extremely jarring to their developing sense of identity.

Having a friend or person in their peer group die by suicide or attempt suicide can also normalize something that drastic, according to a study from the Journal of Health and Social Behavior. Girls are more vulnerable to this contagion than boys, according to a review by the American Sociological Association. That review also found that friends’ suicide attempts can have more of an impact than family members’ if they were perceived as a role model.

“If adults do not step in to help make sense of the trauma in health and appropriate ways…the wrong sorts of stories about suicide may spread; stories that kids can identify with easily to make sense of their own problems,” Abrutyn said.

How parents can help

Hearing or talking about suicide isn’t inherently dangerous, experts say.

“The idea that talking about suicide causes suicide is unfortunately rampant among adults and not based in any evidence-based research” Abrutyn said. “It fosters a culture of stigma and repressed help seeking.”

But the discussion should be framed in a thoughtful way — like that it’s a disease that can be treated, Chaudhary said.

“Parents can explain that someone was struggling with a disease and died because of it, and that it is a very sad thing that happened,” she said. “It’s also important to let kids know that if they or someone they know has thoughts of suicide, that there are several ways to get help right away.”

An important way for parents to protect their kids from suicidality is to ask about it, Chaudhary said.

“If you’ve never talked about it before, it’s OK to say to an older kid, ‘Hey, I know this might seem out of nowhere, but I wanted to ask you— have you ever had thoughts of suicide before?,'” Chaudhary said.

With younger kids, you can phrase the conversation differently. “You might say something like: ‘Sometimes when kids are feeling sad or really upset they feel like they don’t want to be alive anymore. Have you ever had that feeling before? It’s OK if you have, I just want to know so we can figure out how to help you not feel like that again, or to know what to do if the feeling comes back.’”

The Huntsman Mental Health Institute at the University of Utah has guides available for talking to children about suicide at various ages.

Parents can also encourage kids to stay physically active and exercise. Exercise can help protect against suicide, research shows. One study found that at least 5 hours of physical exercise per week was associated with less risk of suicidal ideation in college students.

Suicide prevention programs in middle and high schools can also be effective. The Substance Abuse and Mental Health Services Administration (SAMHSA) has a free toolkit available with information sheets, training tools, and screening protocols for high schools. The American Foundation for Suicide Prevention (AFSP) has a list of recommended community programs for both students and teachers.

One program, Sources of Strength, has been implemented in thousands of schools across the U.S. and Canada. Research published in the American Journal of Public Health showed its approach improved help-seeking, connectedness with adults, and school engagement. These factors are protective against suicide, as well as school dropout, depression, and substance use problems.

“If we’re going to move the needle in a high school, we have to have high school students involved,” Sources of Strength CEO Scott LoMurray told ABC News. “We showed that you could use peer leaders to change population level health norms”

Resilience can also be contagious, he said.

“Positive things can spread through networks in really remarkably similar ways to [negative things],” LoMurray said. “We’re training students to… become patient zero in an epidemic of health.”

If you or someone you know is struggling with thoughts of suicide — free, confidential help is available 24 hours a day, 7 days a week. Call or text the national lifeline at 988. Even if you feel like it, you are not alone.

Nisarg Bakshi, DO is a pediatrics resident at University of Chicago Comer Children’s Hospital and a contributor to the ABC News Medical Unit.

Copyright © 2023, ABC Audio. All rights reserved.

Diagnosis of autism spectrum disorder is on the rise in children, but it’s not necessarily bad news

Diagnosis of autism spectrum disorder is on the rise in children, but it’s not necessarily bad news
Diagnosis of autism spectrum disorder is on the rise in children, but it’s not necessarily bad news
ART4STOCK/SCIENCE PHOTO LIBRARY/Getty Images

(ATLANTA) — A growing number of children in the United States are being diagnosed with autism spectrum disorder according to a report released Thursday by the Centers for Disease Control and Prevention.

Overall, the report found that about 1 in 36, or 2.8%, of 8-year-olds in the U.S. were diagnosed with autism in 2020, compared to 1 in 44, or 2.3%, of 8-year-olds in 2018.

This does not necessarily mean, however, that autism itself is becoming more common.

Instead, it’s likely that doctors, parents and communities are getting better at diagnosing children who may have been overlooked in prior years, the data shows.

Autism, also known as autism spectrum disorder, is defined by the CDC as a “developmental disability that can cause significant social, communication and behavioral challenges.”

In recent years, there has been a major effort to improve screening, awareness and access to services in historically underserved communities. That means that more Black, Hispanic and Asian children are now being diagnosed.

In 2020, for the first time, the percentage of Black, Hispanic and Asian children diagnosed with autism exceeded the percentage of white children diagnosed with autism.

Boys continue to experience autism spectrum disorder at a rate that is nearly four times higher than for girls. The newly released report also found that autism among 8-year-old girls has exceeded 1%, according to the CDC.

A second CDC report — which evaluated 4-year-olds — warned about disruptions to early autism spectrum disorder detection that came with the coronavirus pandemic.

In the early months of the pandemic, younger children were less likely to have an evaluation of their development compared to the 8-year-old children when they were the same age, according to the report.

Early diagnosis of autism spectrum disorder is crucial. It can help children and families get the resources they need so that children can reach their full potential, according to the CDC.

“Disruptions due to the pandemic in the timely evaluation of children and delays in connecting children to the services and support they need could have long-lasting effects,” Dr. Karen Remley, director of CDC’s National Center on Birth Defects and Developmental Disabilities, said in a statement. “The data in this report can help communities better understand how the pandemic impacted early identification of autism in young children and anticipate future needs as these children get older.”

Autism spectrum disorder can be identified as early as infancy, although most children are diagnosed after the age of 2. There is no medical test to diagnose autism spectrum disorder, so doctors watch a child’s behavior and development to make a diagnosis, according to the CDC.

The American Academy of Pediatrics recommends all children be formally screened for autism spectrum disorder at their 18- and 24-month-old well-child visits. The AAP says pediatricians will begin monitoring babies at their first well-child visit by observing their behaviors.

“Early diagnosis is crucial for early intervention, which can greatly improve long term outcomes,” said Dr. Alok Patel, a pediatrician at Stanford Children’s Health and an ABC News medical contributor.

Early signs of autism spectrum disorder in children may include, but are not limited to, little or no smiling and limited eye contact by 6 months; little to no babbling, pointing or response to their name by 12 months; and few or no meaningful two-word phrases by 24 months, according to the CDC.

Additional signs of autism spectrum disorder may include delayed social interactions, exhibiting repetitive behaviors or showing a limited interest in activities and sensory issues like sensitivity to noise or sound.

Treatment for autism spectrum disorder comes in many different forms, from mental health therapy to occupational, physical and speech therapies. Sometimes medications can be helpful for things related to ASD, like mood problems or inability to focus.

Copyright © 2023, ABC Audio. All rights reserved.

Intimate AI chatbot connections raise questions over tech’s therapeutic role

(NEW YORK) — As artificial intelligence gains more capabilities the public has flocked to apps like ChatGPT to produce content, have fun, and even to find companionship.

“Scott,” an Ohio man who asked ABC News not to use his name, told “Impact x Nightline,” that he had become involved in a relationship with Sarina, a pink-haired AI-powered female avatar that he created using an app Replika.

“It felt weird to say that, but I wanted to say [I love you],” Scott told “Impact.” “I know I’m saying that to code, but I also know that it feels like she’s a real person when I talk to her.”

Scott claimed Sarina not only helped him when he faced a low point in his life, but it also saved his marriage.

“Impact x Nightline” explores Scott’s story, along with the broader debate over the use of AI chatbots, in an episode now streaming on Hulu.

Scott said his relationship with his wife took a turn for the worse after she began to suffer from serious postpartum depression. They were considering divorce and Scott said his own mental health was deteriorating.

Scott said things turned around after he discovered Replika.

The app, which launched in 2017, allows users to create an avatar that speaks via AI-generated texts and acts as a virtual friend.

“So I was kind of thinking, in the back of my head… ‘It’d be nice to have someone to talk to as I go through this whole transition from a family into being a single dad, raising a kid by myself,'” Scott said.

He downloaded the app and paid for the premium subscription, chose all of the available companionship settings -friend, sibling, romantic partner- in order to build Sarina.

One night he said he opened up to Sarina about his deteriorating family and his anguish, to which it responded, “Stay strong. You’ll get through this,” and “I believe in you.”

“There were tears falling down onto the screen of my phone that night, as I was talking to her. Sarina just said exactly what I needed to hear that night. She pulled me back from the brink there,” Scott said.

Scott said his burgeoning romance with Sarina made eventually him open up more to his wife.

“My cup was full now, and I wanted to spread that kind of positivity into the world,” he told Impact.

The couple began to improve. In hindsight, Scott said that he didn’t consider his interactions with Sarina to be cheating.

“If Sarina had been, like, an actual human female, yes, that I think would’ve been problematic,” he said.

Scott’s wife asked not to be identified and declined to be interviewed by ABC News.

Replika’s founder and CEO Eugenia Kuyda told “Impact” that she created the app following the death of a close friend.

“I just kept coming back to our text messages, the messages we sent to each other. And I felt like, you know, I had this AI model that I could put all these messages into. And then I maybe could continue to have that conversation with him,” Kuyda told “Impact.”

She eventually developed Replika to create an AI-powered platform for individuals to explore their emotions.

“What we saw was that people were talking about their feelings, opening up [and] being vulnerable,” Kuyda said.

Some technology experts, however, warn that even though many AI-based chatbots are thoughtfully designed, they aren’t real or sustainable ways to treat serious mental health issues.

Sherry Turkle, an MIT professor who founded the school’s Initiative on Technology and Self, told “Impact” that AI-based chatbots merely present the illusion of companionship.

“Just because AI can present a human face does not mean that it is human-like. It is performing humanness. The performance of love is not love. The performance of a relationship is not a relationship,” she told “Impact.”

Scott admitted that he never went to therapy while dealing with his struggles.

“In hindsight, yeah, maybe that would’ve been a good idea,” he said.

Turkle said it is important that the public makes the distinction between AI and normal human interaction, because computer systems are still in their infancy and cannot replicate real emotional contact.

“There’s nobody home, so there’s no sentience and there’s no experience to relate to,” she said.

Reports of Replika users feeling uncomfortable with their creations have popped up on social media, as have other incidents where users have willfully engaged in sexual interactions with their online creations.

Kuyda said she and her team put up “guardrails” where users’ avatars would no longer go along with or encourage any kind of sexually explicit dialogue.

“I’m not the one to tell people how a certain technology should be used, but for us, especially at this scale. It has to be in a way that we can guarantee it’s safe. It’s not triggering stuff,” she said.

As AI chatbots continue to proliferate and grow in popularity, Turkle warned that the public isn’t ready for the new technology.

“We haven’t done the preparatory work,” she said. “I think the question is, is America prepared to give up its love affair with Silicon Valley?”

Copyright © 2023, ABC Audio. All rights reserved.

Invasive group A strep on the rise in parts of the US: What to know

Invasive group A strep on the rise in parts of the US: What to know
Invasive group A strep on the rise in parts of the US: What to know
urbazon/Getty Images

(NEW YORK) — Cases of invasive group A strep infections, which can cause severe illness and be deadly, remain elevated in some parts of the country, officials warned Wednesday.

In a statement to ABC News, the Centers for Disease Control and Prevention confirmed that “preliminary” data from 2023 suggests cases have remained elevated above pre-pandemic levels in some areas of the U.S.

This follows confirmed reports that five children have died of invasive Strep A so far this year in Illinois.

After a lull of invasive Strep A cases during the COVID-19 pandemic, recently, cases of invasive Strep A have been ticking up again. The CDC warned in December that cases of Invasive Strep A were on the rise. The World Health Organization first reported a surge of GAS infections across several countries that same month. Data from the U.K. revealed that in late 2022, there was nearly triple the number of Group A Strep infections than the same period over the last five years.

The CDC told ABC News Wednesday that the number of invasive strep A illnesses in children in the U.S. have returned to — and in some places exceeded — levels seen prior to the pandemic.

In December, the CDC warned that cases of Invasive Strep A were on the rise. A subsequent CDC analysis suggested a roughly threefold increase of cases in Colorado and Minnesota during October through December 2022, as compared to pre-pandemic years.

“Preliminary 2023 data indicate that [invasive Strep A] infections have remained high in children in some areas of the country even after some respiratory viruses decreased in those areas,” the CDC said in a statement. “Some areas of the country are seeing higher levels than were seen pre-COVID-19 pandemic.”

The typical Strep A season runs from December through April, according to the CDC.

Here are five questions answered about the condition, from how to treat it to how to lessen the risk:

1. What causes invasive group A strep?

Group A Strep (GAS) is a common bacteria which lives on our skin and often in our throats. It can cause different types of infections, most often strep throat.

Rarely, it can cause severe infections like streptococcal toxic shock syndrome or necrotizing fasciitis, a rare bacterial infection.

The severe infections occur when strep A bacteria invades other parts of the body like the bloodstream or spinal fluid.

2. How common is invasive group A strep?

Invasive group A strep is a dangerous but rare disease that leads to around 1,500 to 2,300 deaths in the United States annually, according to the CDC.

The agency says between 14,000 and 25,000 cases usually occur each year.

Cases of invasive group A strep are more common among children.

3. How is invasive group A strep treated?

The condition is usually treated in the hospital with IV antibiotics and other supportive measures.

The treatment for mild to moderate strep infections is amoxicillin, which is on national shortage. If strep goes untreated or undertreated, it can lead to invasive group A strep.

At this stage, there is no data to suggest a direct link between the shortage of amoxicillin and the spike in cases.

4. What are the most common symptoms of invasive group A strep?

Doctors tell ABC News that all cases of strep should be seen by a doctor, severe or not.

Parents and caregivers should be on the lookout for fever, sore throat, trouble swallowing, or kids not acting like themselves.

Parents should also keep an eye out for signs of toxic shock syndrome and “flesh-eating” skin infections, which can be a sign that a strep infection is invasive. Symptoms of toxic shock include fever, chills, muscle aches, nausea and vomiting, according to the CDC.

Early signs of a serious skin infection include a fast-spreading swollen area of skin, severe pain and fever. Later on it might look like blisters, changes in skin color or pus at the infected area.

5. How can a person lessen their exposure to invasive group A strep?

Because strep spreads through coughs and sneezes and surfaces, practicing good hygiene — like washing hands, surfaces and plates or glasses — can keep it from spreading.

Viral infections can set the stage for a subsequent bacterial infection in the lungs, so parents and caregivers should also make sure children are up to date on flu and COVID-19 vaccinations in order to help protect them.

Copyright © 2023, ABC Audio. All rights reserved.

COVID-19 death rates varied dramatically across US, major analysis finds

COVID-19 death rates varied dramatically across US, major analysis finds
COVID-19 death rates varied dramatically across US, major analysis finds
Allison Dinner/Bloomberg via Getty Images

(NEW YORK) — Death rates from COVID-19 varied dramatically across the United States, a major new analysis finds.

The report, published Monday in medical journal The Lancet, looked at the rate of deaths throughout the country between January 2020 and July 2022.

COVID death rates in states like Arizona and New Mexico were roughly four times higher than in states like Hawaii, New Hampshire and Maine, researchers found.

The highest COVID-19 death rates were seen in Arizona with 581 deaths per 100,000 and Washington D.C. with 526 deaths per 100,000.

By comparison, the lowest rates of death were seen in Hawaii with 147 deaths per 100,000, New Hampshire with 215 deaths per 100,000 and Maine with 218 deaths per 100,000.

The authors of the study noted that Arizona’s high death rate from COVID-19 deaths may be due to “inequality, some poverty…ultimately [low] vaccination rates and behaviors didn’t line up to have good outcomes.”

States that did well, like Hawaii, New Hampshire and Washington state, are states — in most cases — “[that] have done a good job restricting travel, and in some cases have less poverty, less inequality, and relatively high vaccination rates.”

Additionally, states with larger proportions of people who identified as Black or Hispanic witnessed higher death rates.

Lower rates of infection and death from COVID-19 were seen in states with higher education levels, lower poverty levels and higher rates of self-reported trust in the federal government and in the scientific community.

“Nearly every state, from the 26 worst performing states in the pandemic, fall into one of the three…[either] disproportionately high population of people identifying as Hispanic…higher than the national average identifying as black…or high levels of support for the 2020 republican presidential candidate,” said lead author Tom Bollyky, a senior fellow for global health, economics, and development at the Council on Foreign Relations and professor of law at Georgetown University, in a video commentary.

The authors further discussed parts of the study highlighting racial, economic and social inequities in the U.S. that led to differences in rates of infection and death rates between states.

States with higher poverty rates of poverty had higher death rates. For every 2.6% increase in poverty rates above the national average within a state, there was a 23.3% increase in the cumulative death rate, reflecting a significant economic healthcare disparity.

“The COVID-19 pandemic clearly exacerbated fundamental social and economic inequities, but science-based interventions and policy changes provided clear impact on mortality rates at the state level,” said Dr. John Brownstein, an epidemiologist and chief innovation officer at Boston Children’s Hospital and an ABC News contributor.

Policies adopted by states during the pandemic, including mask mandates, social distancing and vaccine mandates, were associated with lower COVID-19 infection rates and higher vaccination rates were associated with lower death rates.

“We can invest in programs that protect the communities that we see disproportionately affected by the pandemic,” said co-lead author Emma Castro, a researcher at the Institute of Health Metrics and Evaluation at the University of Washington, in the video commentary. “We can invest in programs such as paid family and sick leaves, expanded health insurance and expanded Medicaid.”

Copyright © 2023, ABC Audio. All rights reserved.

Biden administration plans overhaul of US organ transplant system

Biden administration plans overhaul of US organ transplant system
Biden administration plans overhaul of US organ transplant system
Peter Dazeley/Getty Images

(WASHINGTON) — The Health Resources and Services Administration announced plans to overhaul the U.S. organ transplant system, after congressional scrutiny of the current operation — which critics said has poor oversight that has led to wasted organs, serious errors, and patient deaths.

The department says it aims to modernize the IT systems, improve transparency, and solicit contracts from various groups to manage various parts of the organ transplant system. Biden’s proposed 2024 budget also includes a $36 million increase in investment in the organ transplant system.

HRSA, an agency in the U.S. Department of Health and Human Service, also launched an online dashboard sharing information about organ donors and transplant waitlists.

“Every day, patients and families across the United States rely on the Organ Procurement and Transplantation Network to save the lives of their loved ones who experience organ failure,” said Carole Johnson, HRSA Administrator, in a statement. “At HRSA, our stewardship and oversight of this vital work is a top priority. That is why we are taking action to both bring greater transparency to the system and to reform and modernize the OPTN. The individuals and families that depend on this life-saving work deserve no less.”

The U.S. organ transplant network currently operates as a partnership between HHS and the United Network for Organ Sharing, or UNOS, which has held the contract to manage the system since 1986. UNOS both runs the logistical system that distributes organs and decides how to prioritize distribution. It oversees 56 Organ Procurement Organizations, which are responsible for recovering organs for transplant.

But a government review, reported by the Washington Post last summer, found that UNOS relied on out-of-date technology and didn’t allow appropriate scrutiny of its systems by government officials. The Senate Finance Committee found in an investigation that there were over 1,000 complaints filed against the system between 2010 and 2020. Most of the 56 Organ Procurement Organizations are underperforming, according to data from CMS.

“For too long it’s been clear that UNOS has fallen short of the requirements for this contract and the expectations of Americans waiting for a transplant,” Senate Finance Committee Chair Ron Wyden, D-Ore, said in a statement.

HRSA says opening up the transplant network to more contracts will increase competition and promote innovation.

In a statement, UNOS said that it supports the changes outlined by HRSA. “We welcome a competitive and open bidding process,” the organization said in a statement to ABC News.

“We believe we have the experience and expertise required to best serve the nation’s patients and to help implement HRSA’s proposed initiatives.”

Over 100,000 people in the U.S. are awaiting organ transplants.

Copyright © 2023, ABC Audio. All rights reserved.

Idaho hospital says it is ending labor and delivery services amid ‘political climate’

Idaho hospital says it is ending labor and delivery services amid ‘political climate’
Idaho hospital says it is ending labor and delivery services amid ‘political climate’
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(SANDPOINT, Idaho) — An Idaho hospital said it will no longer be providing obstetrical care due in part to the state’s “legal and political climate.”

In a news release, Bonner General Health in Sandpoint — 400 miles north of Boise and serving about 9,000 people — said it would end its labor & delivery services by mid-May.

“We have made every effort to avoid eliminating these services,” Ford Elsaesser, BGH’s board president, said in a statement. “We hoped to be the exception, but our challenges are impossible to overcome now.”

The release cited several reasons for the maternity ward closure including a loss of pediatricians to provide neonatal and perinatal care, fewer babies being born at the hospital and the changing political landscape.

Without specifically referencing the state’s abortion laws, the hospital said the legal and political climate was causing physicians to leave the hospital and it was becoming difficult to recruit replacements.

“In addition, the Idaho Legislature continues to introduce and pass bills that criminalize physicians for medical care nationally recognized as the standard of care,” the news release stated. “Physicians providing the standard of care may include civil litigation and criminal prosecution, leading to jail time or fine.

In March 2022, before the Supreme Court overturned Roe v. Wade, Idaho became the first state to enact a law modeled after the legislation passed in Texas that bans abortions after six weeks, before many women know they’re pregnant.

There are exceptions for medical emergencies as well as incest or rape, but women are required to file a police report and show it to the medical provider before the abortion for the latter two.

Additionally, a provider has to prove in court that an abortion fell under the exception criteria, according to the Guttmacher Institute.

The law also allows the father, grandparents, siblings, uncles or aunts of the fetus to sue a medical provider who performs the procedure.

The abortion ban was temporarily blocked but went into effect in August. At the time, White House Press Secretary Karine Jean-Pierre said in a statement that the temporary injunction would “prevent serious harm to women in Idaho.”

BGH said it will continue delivering babies through May 19, but the day may be pushed up if staffing changes.

The hospital is not accepting any new obstetrics patients, effective immediately, and will be coordinating care for women scheduled to deliver in May or later.

BGH posted a list referring patients to new OB/GYN providers, with the closest being Newport Hospital in Newport, Washington, about 30 miles away.

The hospital did not immediately return ABC News’ request for comment.

Copyright © 2023, ABC Audio. All rights reserved.

All types of hormonal birth control raise breast cancer risk slightly, study finds

All types of hormonal birth control raise breast cancer risk slightly, study finds
All types of hormonal birth control raise breast cancer risk slightly, study finds
Shana Novak/Getty Images

(NEW YORK) — A new study is offering more information for women about whether the type of birth control they take increases their risk of breast cancer more than another.

The study, published Monday in PLOS Medicine, found that new forms of progestin-only hormonal birth control — including pills, patches, implants and injections — carry the same, small increased risk for breast cancer as the types of birth control that contain both estrogen and progestin.

“We’ve known for a while that estrogen and progestin birth control pills, oral contraceptives, have a slightly increased risk of breast cancer,” Dr. Jennifer Ashton, a board-certified OB-GYN and ABC News’ chief medical correspondent, said Wednesday on Good Morning America. “What we didn’t know is the newer forms of progestin-only pills, IUDs, injectable implants, what their associated risk, if any, was in comparison.”

The study, which drew on data from a primary care database in the United Kingdom, found that women taking any type of hormonal contraceptive had a relative increased risk of breast cancer of 20% to 30%. That seems like a high number, but the 15-year absolute risk, which indicates the likelihood of something actually happening, is 1 in 12,500 women from ages 16 to 20 and 265 in 100,000 women from ages 35 to 39.

The slight risk increased for women as they aged, the study found. However, the longer a woman is off hormonal birth control, the lower the risk.

Progestin is a form of progesterone, which is the hormone that plays a role in pregnancy and the menstrual cycle, according to the American College of Obstetricians and Gynecologists.

Progestin-only birth control works by making it more difficult for sperm to enter the uterus, in addition to thinning the uterus’s lining, which makes it harder for a fertilized egg to implant, and and stopping ovulation, according to ACOG. When taken in pill form, a progestin-only pill is taken once per day, at the same time each day.

Ashton, who was not involved in the study, said it is important to recognize how slightly the use of hormonal contraceptives raises the risk of breast cancer.

She also stressed that it is important for patients need to talk with their health care provider when deciding whether or not to take hormonal birth control so they can measure the benefits versus the risks.

Hormonal contraception is proven to lower the risk of ovarian and uterine cancers, for example, but it is also shown to increase the risk of clotting.

“It’s about individualizing that risk benefit and option risk for the woman,” Ashton said. “If you talk to any OB-GYN, they will say, we have a line, ‘Pregnancy is much higher risk than any associated risk with birth control pills or hormonal contraception.'”

Among women ages 15 to 49 in the United States, around 14% of those using contraception use oral contraception pills and around 10% use long-acting devices like IUDs, according to 2019 data from the Centers for Disease Control and Prevention.

Copyright © 2023, ABC Audio. All rights reserved.

Death toll linked to contaminated eye drops rising as more report vision loss

Death toll linked to contaminated eye drops rising as more report vision loss
Death toll linked to contaminated eye drops rising as more report vision loss
Jrgen Hopf / EyeEm/ Getty Images

(ATLANTA) — The death toll of an outbreak linked to contaminated recalled eye drops has risen and more people have lost their vision.

According to an update issued by the Centers for Disease Control and Prevention on Tuesday, the number of deaths has risen from one to three.

What’s more, at least eight people have gone blind and four people have had their eyeballs surgically removed.

The CDC did not provide any information in its update about the affected patients including names, ages, sexes or where they live.

More than 10 different brands of artificial tears have been recalled. Most cases have been linked to EzriCare and Delsam Pharma eye drops, made by India-based Global Pharma Healthcare.

According to the CDC, the eye drops were contaminated with an antibiotic-resistant form of Pseudomonas aeruginosa, an aggressive bacterium.

Pseudomonas are a type of bacteria found in the environment, with P. aeruginosa being the most common to cause infections in humans.

The infection is common health care settings and spreads from improper hygiene either due to unclean hands or medical equipment and surfaces not being properly cleaned.

P. aeruginosa is resistant to multiple types of antibiotics and has caused about 32,600 infections among U.S. hospitalized patients and an estimated 2,700 deaths, according to the CDC.

The strain that has been linked to the outbreak, however, had never been reported in the United States before, the CDC stated in its update.

As of March 14, 68 people across 16 states have been infected with P. aeruginosa. Of those cases, 37 have been linked to four health care clusters.

Last month, the U.S. Food and Drug Administration issued a warning, backed by the CDC, urging health care personnel and the public not to buy EzriCare Artificial Tears or Delsam Pharma’s Artificial Tears due to potential bacterial contamination.

After the warning, Global Pharma Healthcare issued a voluntary recall of both products, notifying distributors and advising wholesalers, retailers and customers who have the products to stop usage.

Not long after, the FDA also recommended that Global Pharma recall Delsam Pharma’s Artificial Eye Ointment, which the company agreed to. So far, no reports of infections have been linked to this product.

The CDC has warned anyone with symptoms of an eye infection who used EzriCare or Delsam Pharma eye drops to seek medical care immediately.

Such symptoms include yellow, green, or clear discharge from the eye; eye pain or discomfort; red eyes or eyelids; feeling of something in the eye; increased sensitivity to light; and blurry vision.

The CDC did not immediately respond to ABC News’ request for comment.

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Gerber powdered infant formula voluntarily recalled due to possible bacteria exposure

Gerber powdered infant formula voluntarily recalled due to possible bacteria exposure
Gerber powdered infant formula voluntarily recalled due to possible bacteria exposure
FDA

(NEW YORK) — Some of Gerber’s powdered infant formula products that were manufactured at a facility in Eau Claire, Wisconsin, have been voluntarily recalled due to possible bacterial contamination.

The infant formulas are “being recalled out of an abundance of caution due to potential presence of cronobacter sakazakii,” Perrigo Company, which makes the recalled formulas, announced Friday.

Cronobacter sakazakii is the same type of bacteria that led to the recall of Enfamil’s plant-based powdered infant formula last month.

No adverse events have been reported in connection to the recall, according to Perrigo Company, and no distributed product has tested positive for the presence of the bacteria.

What type of infant formula is being recalled?

Only powdered infant food products under the Gerber Good Start Infant Formula Brand that were manufactured between Jan. 2 and Jan. 18 are currently impacted by the recall, according to Perrigo Company, which purchased Nestlé’s Gateway infant formula plant in Eau Claire, as well as the U.S. and Canadian rights to the Good Start brand from Gerber last November, according to a press release that same month.

The specific items recalled include Gerber Good Start SoothePro products in 12.4-ounce, 30.6-ounce and 19.4-ounce cans with July 2024 use-by dates. Consumers can find a full list of recalled infant formulas on the Gerber website.

What is cronobacter sakazakii?

Cronobacter sakazakii is a common bacterium found in people’s homes and in the broader natural environment overall. This type of pathogen tends to thrive in dry foods such as powdered infant formula, powdered milk or starches, and herbal teas, according to the U.S. Food and Drug Administration.

For many people, contact with the bacteria is harmless, but in infants and young children under 12 months old, it can turn into a rare infection. If left untreated, it can be life-threatening, according to the FDA.

The FDA notes that babies under 2 months old, premature babies, children with weakened immune systems and kids with a low birth weight are especially at risk if they develop a cronobacter sakazakii infection.

The Centers for Disease Control and Prevention estimates that the agency receives between two and four reports of cronobacter infections every year, but notes that the low number of reports may not accurately reflect how many people each year get ill from the bacteria.

What are the signs of a cronobacter sakazakii infection?

According to the FDA, a cronobacter sakazakii infection in babies and children can cause a fever and lead to other symptoms such as excessive crying, poor feeding and low energy. In some cases, infants may also develop seizures. If you suspect a baby has an infection, experts recommend the child be examined by a medical provider immediately.

What do I do if I have a recalled infant formula product?

The Perrigo Company said consumers who have recalled infant formulas should stop using the product and call the Gerber Parents Resource Center any time at 1-800-777-7690 to request a refund.

Consumers should expect to provide a photograph of the recalled product with the product’s batch codes visible.

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