John Ross, MD, FIDSA

Measles has serious, even fatal complications. A worrisome multistate outbreak underscores why preventing measles is so important. Here’s how to protect yourself, your circle, and your community –– and why you should.

In an eight-month study of toddlers in day care, researchers compared handwashing with soap and water to frequent and rigorous use of hand sanitizer. While the results were better for the hand sanitizer group, the study conditions may not reflect real-world hand hygiene.

The number of annual cases of Lyme disease in the United States nearly doubled from 2004 to 2016 (and those are just the reported cases), but several other serious illnesses can be spread by ticks and mosquitoes.

Researchers testing the dispersal of bacteria in public restrooms found that the hand dryers were picking up bacterial deposits, likely from aerosolized microbes caused by the flushing of uncovered toilets.

This winter flu activity has been higher than usual across the United States. If you have not gotten a flu shot yet, it’s not too late; some protection is better than none, plus there are other steps you can take to protect yourself and those around you.

Conventional medical wisdom has held that taking antibiotics for longer periods of time produces better results and lowers the risk for antibiotic resistance. But the evidence for this is slim, and researchers are now questioning this approach.

Because measles is so highly contagious, and because there is a significant delay before symptoms manifest, a person can carry the virus and infect others without knowing it, and many adults may not have received an effective dose of the vaccine. Many outbreaks of measles could probably be prevented if more travelers received MMR vaccine prior to foreign travel.

The constant stream of antibiotics in the food we eat and in the hospitals that treat us is creating the perfect environment for antibiotic resistant bacteria. It’s not cost effective to develop new antibiotics to replace the now-useless ones, so our pipeline is drying up. And while this sounds bleak, there are things you can do as a consumer and as a patient to help. You can start by paying attention to the food you eat and by not pressing your doctor for unnecessary antibiotics.

An insect known as the kissing bug has the ability to pass along Chagas’ disease to unsuspecting people. While it affects more people in Latin America than in this country, this parasitic disease can still be a problem in the southwestern United States. Most cases of Chagas’ disease pass without much incidence, but it can cause lasting problems. The rates of Chagas’ disease could go up with climate change, and more research is definitely needed. Charles Darwin may be one of the first “researchers” on the subject, but he’s not to be the last.

While e-cigarettes do not produce the tar or toxic gases found in cigarette smoke, this doesn’t make them a healthy option. The e-liquid found in e-cigarettes still contains highly addictive nicotine that also increases your risk of insulin resistance and type 2 diabetes. Nicotine also increases the risk of addiction to other drugs and may impair brain development. Rather than rely on the perceived benefits of e-cigarettes, people should avoid smoking altogether.