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Texas Hospital Investigates Tuberculosis Exposure in Newborn Area


Fuse/Thinkstock(EL PASO, Texas) -- The City of El Paso's Department of Public Health is investigating a tuberculosis exposure at a local hospital affecting more than 700 patients and 40 employees.

Individuals were exposed to a hospital worker with an active case of the disease in the post-partum and newborn nursery area of Providence Memorial Hospital, officials announced Friday. The incident occurred between September 2013 and August 2014.

Health workers are reviewing records to determine which infants and employees were exposed, and the families of patients are being contacted with instructions for free follow-ups and screening.

The employee involved is no longer working at the hospital and is receiving treatment, officials in a statement.

"The health and well-being of our employees and patients is our top priority," hospital representatives added.

While tuberculosis is not highly contagious and generally requires close contact over an extended period of time for spreading, the bacteria can remain dormant for months or years before becoming active.Follow @ABCNewsRadio
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Doctor Explains Why Death at 75 is Right for Him


ABC News(NEW YORK) -- Citing the increased chance of Alzheimer's disease among other quality of life factors, one doctor says he wants to die at 75.

Though he makes it clear he does not believe in euthanasia, Dr. Ezekiel Emanuel, director of the Clinical Bioethics Department at the U.S. National Institutes of Health, raised some eyebrows when The Atlantic published an article written by him discussing the issue.

“I look at the data on disability, I look at the data on Alzheimer’s disease, I look at the data on loss of creativity. And 75 seems to be the right moment where the chance of disability, physical disability is low, you're still not in the high Alzheimer's risk of 30% or 50% and creativity has sort of come to an end,” Emanuel, who also serves as Chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, told ABC’s Dr. Richard Besser during an interview for This Week.

“I coined this term called 'American immortals,' people want to do everything crazily to live as long as possible. Take these protein concoctions, change their diet, exercise like mad, that’s trying to put it off, that’s trying to say I am going to live as long as possible,” he said.

“I am trying to say alright you’re going to live in this amount of time. What are you going to do in that amount of time that is meaningful to you, meaningful to your family, meaningful to your community? That’s what I want people to think about,” Emanuel added.


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Officials Warn Virus Could Sicken, Kill Dogs


iStock/Thinkstock(NEW YORK) -- Health officials are warning dog owners to be on the lookout for a deadly canine virus that could sicken or kill their pets.

Dozens of dogs have been killed by the canine parvovirus in New Jersey, according to ABC News affiliate WPVI-TV in Philadelphia.

The American Veterinary Medical Association says the virus is highly contagious and can affect all dogs, although puppies and unvaccinated pets are most at risk.

The virus affects a dog's gastrointestinal tract and symptoms can include lethargy, loss of appetite, fever, vomiting and bloody diarrhea.

The virus is spread though dog-to-dog contact or from contaminated surfaces or items.

Trenton Health Officer Jim Brownlee told WPVI-TV that the virus can spread extremely easily in puppies.

"It's not easy to clean up, it's not easy to pick up and so you're stepping in it, animals are stepping in it and that is exactly the way it's transmitted," Brownlee said.

In worst-case scnearios some dogs have been so sick, that owners have reportedly asked that the animals be euthanized.

"They end up signing their dog over to us as a release and because the dog is very sick we end up having to euthanize the animal," Elaine Thaxton, manager of the Trenton Animal Shelter, told WPVI-TV.

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Swedish Man Acquitted of Rape Due to 'Sexomnia'


Ingram Publishing/Thinkstock(SUNDSVALL, Sweden) -- A Swedish man who was convicted of rape had his charges overturned after an appeals court found the man could have been asleep during the attack and cited "sexomnia" as a reason he should be released.

Mikael Halvarsson was acquitted of rape this month after experts said he was asleep during the attack and had no memory of the incident, according to a translated court ruling from the Sundsvall appeals court in Sweden.

Halvarsson was accused after the victim woke up as Halvarsson allegedly assaulted her on April 2, 2014. They had been sleeping in the same bed, but they each had their own blanket, according to the translated court documents, which also noted that she called the police the next morning, and they found Halvarsson still asleep in her bed when they arrived.

In the appeal, Halvarsson's previous girlfriend testified that he had previously tried once to have sex with her when she was sleeping. When she stopped him, he then acted confused and asked what had happened.

His mother also confirmed that he had disturbed sleeping patterns before.

While the term sexomnia may seem made up for the purposes of getting away with a crime, Dr. Kingman Strohl, a professor of medicine and director of research at the Sleep Center at Case Medical Center in Cleveland, confirmed it's an actual medical diagnosis that includes unintentional sexual behaviors during sleep.

Strohl, who has no connection to the case in Sweden, said that sexomnia is one kind of parasomnia or undesirable behavior or experience during sleep. More common parasomnias can include sleepwalking or sleep talking.

“Usually people are very scared and also quite confused as to what's going on," Strohl said of patients who report sexomnia. "We look for signs,” of the behavior in the patient’s past, he said. That it has “gone on before and occurs in context of sleep walking and sleep talking."

Strohl said in cases of parasomnias, a person isn't usually dreaming but instead they are undertaking an automatic action, such as walking across a room, drawing a bath, or even driving around the block. According to Strohl, these kinds of sleep behaviors are more common if a person is very tired or has taken sleep aids.

Even though sexomnia is rare, Strohl said there are clear questions and diagnosis tools to figure out if a person suffers from the sleep disorder.

If a person is on trial and wants to claim they were asleep when they allegedly committed a crime, Strohl said doctors had to be particularly careful that people aren't trying to lie about their symptoms.

"You want to know how people react to it. You want to know what the people look like and want to know how each partner reacts to it," said Strohl of diagnosing a sexomnia incident. "You don't want to encourage unwanted sexual advances."

A person who is actually asleep will not have very refined actions or be responsive to their surroundings, Strohl said. For example, a sleepwalker will start walking into a chair and make no move to get around it.

Red flags that could signal a person is faking symptoms would include actions that are more refined and responsive, Strohl said. For example, a person might try to bake a cake in their sleep, but they won't finish baking the cake and then ice it if they are asleep.

Dr. Mark Eric Dyken, a professor of neurology and director of the sleep disorder clinic at the University of Iowa, said he's seen people who attempted to blame parasomnia for their actions.

Dyken said doctors have to be careful to remember that while sexomnia is a real and studied sleep disorder, it is also very rare.

"There are bad people and there are sociopaths," said Dyken, who was also not involved with the case in Sweden. "You worry about people utilizing this diagnosis."

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Insurance Coverage Could Be Obstacle to Genetic Testing That Could Warn of Breast Cancer Risk


monkeybusinessimages/iStockphoto/Thinkstock(NEW YORK) -- Researchers say that poor insurance coverage may mean a lack of genetic testing to warn women of their risk of breast cancer.

When breast cancer runs in families, mutations in the BRCA gene puts women at much higher risk of developing the disease. If those mutations are found, steps can be taken to prevent those cancers from developing. However, researchers say, health insurance may be an obstacle for some women.

Looking at data from 11,000 people, the vast majority of them women, from a study done at the University of Michigan, researchers found 2,671 people with cancer who did not receive BRCA testing. About 29 percent said that health insurance coverage was the main reason -- leading researchers to believe that lesser insurance could be a barrier to important genetic testing.

The study has not yet been published in a peer-reviewed medical journal.

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Researchers Call for Improved End-of-Life Care


drpnncpp/iStockphoto/Thinkstock(NEW YORK) -- Researchers at the Institute of Medicine released a report on Wednesday calling for improved end-of-life care.

"For patients and their loved ones, no care decisions are more profound than those made near the end of life," the study reads. Researchers point out that factors including barriers to access for certain groups, a mismatch between services needed and available, inadequate palliative care and a fragmented delivery system leave significant room for improvement.

The IOM calls for "a person-centered, family-oriented approach, that honors individual preferences and promotes quality of life through the end of life." The need for such changes, researchers say, "should be a national priority."

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Enterovirus Confirmed in Washington State, 160 Sick


Thomas Northcut/Digital Vision/Thinkstock(KING COUNTY, Wash.) -- The U.S. Centers for Disease Control and Prevention confirmed at least two cases of Enterovirus 68 in Washington state, officials announced on Friday.

The CDC "did confirm the presence of Enterovirus 68 in two children that were hospitalized at Children's Hospital," Dr. Jeff Duchin of King County Public Health said. The respiratory disease is now confirmed in at least 22 states, and about 160 people have fallen ill.

Duchin urged Washington residents not to panic, saying that "there is no need for parents to bring their children to a health care provider or an emergency department for Enterovirus D-68 testing," and that doing so would not have "a value to the patient."

The news, Duchin says, "confirms that this virus is in our community, which was not surprising. It's circulating and we may see additional cases over the coming weeks, although we really can't predict at this point if we will see a lot more or a few more."

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Sierra Leone Starts 'Lockdown' as UN Sounds Alarm on Ebola


Hemera/Thinkstock(NEW YORK) -- As the worst-ever Ebola outbreak shows no sign of slowing, government officials have now resorted to desperate measures to stop the virus from infecting more people.

In Sierra Leone, the government will attempt to institute a 72-hour “lockdown” in order to give volunteers a chance to find Ebola patients and keep the deadly disease from spreading. The lockdown began Friday at midnight.

According to Doctors Without Borders, the Sierra Leone government has ordered the country’s six million residents to stay home for three days as volunteers conduct door-to-door Ebola screenings. However, the stringent lockdown may backfire, according to Doctors Without Borders.

"Without enough beds to treat patients who have Ebola we will fail to stop it spreading even further," Doctors Without Borders said. "What Sierra Leone and Liberia urgently need are more beds in case management centers, and they need them now."

The outbreak in West Africa has already infected more than 5,300 and killed more than 2,600 since it started in March, according to the World Health Organization. The Ebola outbreak is the worst ever, with more people infected and killed in six months than all other previous outbreaks from the past 38 years combined.

The hardest hit countries in West Africa include Liberia, Sierra Leone, Nigeria, Guinea and Senegal. Some countries have requested help from the international community and aid agencies after being overwhelmed by sick patients.

On Thursday, WHO chief Dr. Margaret Chan sounded the alarm about the outbreak, calling it “likely the greatest peacetime challenge” the United Nations agency has ever faced.

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Bone Marrow Recipient Meets Donor Who Saved His Life


ABC News(NEW YORK) -- Two men who changed each other’s lives forever by being on the giving and receiving ends of a bone marrow transplant met for the first time on Friday and had their first chance to say, “Thank you,” face-to-face.

“Thank you so much,” Joe Yannantuono, 33, said to his bone marrow donor, Justin Jenkins, 35, as he embraced him in a hug in a live, emotional meeting on ABC News' Good Morning America.

Yannantuono, not very long ago, was waging a two-year long battle for his life against stage 4 lymphoma.

As his wife, Christine Buono, and his 4-year-old son, JJ Yannantuono, stood by his side, the family, from Staten Island, New York, got the unbelievable news that a man in Texas was a rare 10 for 10 genetic bone marrow match.

That stranger in Texas, Jenkins, of Dallas, had registered to be a bone marrow donor by chance 15 years ago when he was 21 years old and donated blood because they were offering free snacks.

Soon after Jenkins was found to be a match, his stem cells were transported by airplane to New York and transplanted into Joe Yannatuono’s body in December 2012 at Memorial Sloan Kettering Cancer Center.

For more than one year after the successful transplant, Yannantuono had no idea whose cells he was now carrying in his body.

As Yannantuono was rebuilding his life, Jenkins’ life was thrown a tragic curveball. His mother, who raised him on her own and had been a big part of his donation journey, was killed in a car crash.

Just days after his mother’s death, in April of this year, Yannantuono called Jenkins as they found out each other’s identities, giving Jenkins something to help pull him through his grief.

“I was in a dark spot when we got all your information and you helped pull me out of that,” Jenkins said to Yannantuono on GMA. “To lose somebody you love but to gain a whole family, it’s touching.”

Jenkins says he is now “doing fine,” and focusing on the man to whom he gave new life.

“My life continues on normal. I don’t have to worry about remission or anything like that,” he said. “My only concern that I worry about every day is Joe. He’s got JJ.”

For Yannantuono’s family, there can never be enough words, they say, to thank Jenkins.

“This is incredible. To do that for somebody you’ve never met,” said Yannantuono’s wife, Christine. “I don’t know how we can thank you enough, for giving JJ and myself a future with Joe.”

“We’re thankful to everybody,” she said.

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Lawmakers Propose Overhaul to Federal Black Lung Program


iStock/Thinkstock(WASHINGTON) -- Two U.S. senators are preparing legislation to better protect ailing coal miners who are suffering from black lung disease on the heels of reports by ABC News and the Center for Public Integrity that exposed flaws in the federal benefits program.

“We don’t want these kinds of injustices that have been perpetrated for many years now to continue,” said Sen. Robert Casey, a Pennsylvania Democrat.

The legislation, which was made public Thursday, attempts to improve a cumbersome and time-consuming program that is supposed to provide health benefits to coal miners who contract black lung disease and become too sick to work. The new bill is intended to help miners with legal costs, to help speed up the review process, and to assist them in gathering medical evidence when a coal company disputes the worker’s claim of being sick.

Perhaps most pointedly, the proposed law would increase penalties for unethical conduct by attorneys and doctors in the black lung claims process.

Casey crafted the bill with another senator from coal country, Sen. Jay Rockefeller, D-West Virginia. Casey said the proposal comes in direct response to a joint, year-long investigation by ABC News and the Center for Public Integrity that found the head of the Johns Hopkins black lung program, Dr. Paul S. Wheeler, had not reported a single instance of severe black lung in the more than 1,500 claims that the news outlets reviewed going back to the year 2000.

Officials at the U.S. Department of Labor, which oversees the benefits program, said they were unaware of Wheeler's record until the ABC News report was broadcast.

"It was shocking," said Patricia Smith, the Labor Department solicitor, in an interview earlier this year, when the department issued new rules to assist miners with their claims.

Labor Department officials declined to comment on the proposed legislation because it had not yet been formally introduced. Casey’s office said that was due to occur immediately after the congressional recess that was scheduled to begin Friday. The United Mine Workers of America called the proposal an “imperative,” noting reports that black lung disease has resurgent in mining country after years of decline.

“As the recent troubling revelations about the rapid rise of black lung in Central Appalachia indicates, it is imperative that action be taken as soon as possible,” said Phil Smith, director of governmental affairs for the union. “It is important for Congress to step up and pass this bill.”

Casey expressed doubts about the prospects for the bill, noting the strength of the coal industry lobby in Washington. “It’s very much uphill because you have a lot of vested interests who would like to see the system stay just like it is,” Casey told ABC News.

Bruce Watzman, a spokesman for the National Mining Association, said the legislation was being introduced “under the guise of equity,” but would actually open the black lung benefits program up to fraud and abuse. It would also unfairly limit the ability of coal companies to defend against unjustified claims, he said.

“It will result in more litigation with the losers being those who truly suffer from occupational disease resulting from coal mine employment,” Watzman said in a statement. “No one wants to deny a miner with this disease the benefits he or she deserves and there are existing guidelines to ensure those are allocated as the law intends. But this legislation does nothing to advance this admirable goal.”

ABC News sought reaction from Johns Hopkins Thursday but received no response. The hospital suspended its black lung x-ray reading program since shortly after the report first aired last fall and pledged to investigate the matter.

During the initial broadcast, Wheeler explained why he had rarely concluded that coal miner x-rays revealed the complicated form of black lung disease. He said he could not conclude the miners had black lung without first seeing a biopsy -- a step not required by the government benefits program. And he said he believed other maladies were as likely, or more likely, to cause lung damage that could be mistaken as black lung.

"That's my opinion, and I have a perfect right to my opinion," he said.

For his work, coal companies paid Hopkins $750 for each X-ray he reads for black lung, about ten times the amount miners typically pay their doctors.

One leading expert in black lung, Dr. Jack Parker of West Virginia University, called Wheeler's X-ray readings "intellectually dishonest” in ABC News’ original broadcast.

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Emergency Room Wait Times Vary Widely


iStock/Thinkstock(NEW YORK) -- How long did you have to wait the last time you visited an emergency room?

According to two new studies reported in JAMA Internal Medicine, wait and treatment times vary widely, and the hospital setting is a factor.

An analysis of medical records for adults seen at almost 3,700 different emergency rooms across the country in 2012 and 2013 shows admitted patients spent an average of four hours in the ER, with about one-third of that time occurring after admission while waiting for an in-patient bed to become available.

Patients who did not end up getting admitted waited an average of a half-hour to see a health care professional, and overall spent a little more than two hours in the ER.

The analysis also showed that ER patients at urban hospitals waited longer to see someone and spent more time overall in the ER than patients at smaller and/or rural facilities.

And among admitted patients, those seen at either a public hospital or a major teaching hospital tended to get stuck in the ER longer than those admitted to other types of care centers.

In a separate analysis of data from nearly 25,000 ER visits, just over half of the ERs were able to get a vast majority of admitted patients in and out within an 8-hour period, but less than a quarter of ERs were able to get 90 percent of their non-admitted patients discharged within a four-hour period. That data was collected by the 2010 National Hospital Ambulatory Medical Care Survey.

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FDA: 'Low T' Therapy Provides Few Benefits and Increased Heart Risk


iStock/Thinkstock(WASHINGTON) -- You've seen the "Low-T" commercials targeted at Baby Boom generation men to convince them that testosterone replacement therapy is the answer to the sagging muscles, lower energy levels and sexual problems that often come with aging, but a Food and Drug Administration advisory panel reported this week there is little evidence the treatment works.

The panel voted 20-1 to tighten use of testosterone replacement drugs and require drug manufacturers to conduct tests to gauge the drugs' risk of heart attack and stroke, according to Bloomberg News.

The FDA is not required to follow the recommendations of its expert panels, but it usually does.

According to an FDA review, the number of men with a testosterone prescription jumped from 1.3 million people in 2010 to 2.3 million in 2013.  An agency analysis found that just 50 percent of the men now taking testosterone therapy had been diagnosed with hypogonadism, the specific medical diagnosis for testosterone deficiency.

In addition, the FDA review found 25 percent of men started the therapy without lab testing to confirm they had low levels of testosterone.

The FDA report warns that testosterone therapy, even if done correctly, can often have serious health consequences.

The agency cites a study that found a 30-percent increased risk of stroke or heart attack in a group of men recently prescribed testosterone therapy.

The FDA says a second study found that men 65 and older experienced a twofold increase in heart attack risk within the first three months of starting testosterone therapy.

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Study: 'Angelina Effect' Led to Increase in Breast Cancer Referrals and Testing


ABC/Rick Rowell(NEW YORK) -- A new study from the United Kingdom found a 2.5 percent increase in hereditary breast cancer referrals, which they linked to the publicity given to the BRCA1 gene when actress Angelina Jolie opted for a double mastectomy last year.

The study, published in the journal Breast Cancer Research, found that more than 4,800 referrals were made to medical clinics that specialize in treating women with a family history of breast cancer in the two months after Jolie's announcement. That figure is more than double the 1,900 from before her announcement, a phenomenon referred to as the "Angelina Effect."

Additionally, testing for BRCA genes doubled for six months following the news of Jolie's decision.

The researchers noted that the referrals were appropriate and not due to excess worry.

Other studies have noted a similar impact of Jolie's announcement, finding that it led to a surge in breast cancer referrals and BRCA testing.

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NFL Teams Up with National Domestic Violence Hotline


JumpStock/iStockphoto/Thinkstock(NEW YORK) -- The National Domestic Violence Hotline announced Thursday that the NFL has, "committed to providing significant resources to the organization" in order to help women who have been abused by their boyfriends or husbands.

“We have never had the funding needed to meet the demand for our services from those seeking help with domestic violence and dating abuse. Last year, because of this lack of resources, more than 77,000 calls went unanswered. Recent domestic violence incidents involving NFL players pushed the capacity of our organization to unprecedented levels,” said Katie Ray-Jones, president and chief executive officer of the National Domestic Violence Hotline.

“Because of this long-term commitment by the NFL to provide The Hotline with much-needed resources, our services will finally be accessible to all those who need us when they bravely take the first step to find safety and live a life free of abuse."

The move comes after the NFL has been hit with several high-profile cases of players arrested for domestic violence.

The group, who announced the agreement in a news release posted to its website, did not specify how much the NFL had given them.

The organization said that just days after the release of a video last week showing Baltimore Ravens running back Ray Rice punching his then-fiancé in an elevator, the Hotline’s call volume increased by 84 percent.

“Our decision to enter into a long-term partnership with the NFL will help us immediately increase our ability to hire additional advocates, improve our infrastructure and provide more education about domestic violence that affects one in four women and one in seven men in their lifetimes,” said Maury Lane, who chairs the board of the National Domestic Violence Hotline. “It is important that we answer their calls."

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Obama Administration Acts to Combat Antibiotic-Resistant Infections


shironosov/iStockphoto/Thinkstock(WASHINGTON) -- President Obama and his administration acted on Thursday in an effort to combat antibiotic-resistant bacteria.

According to a White House fact sheet, Obama signed an Executive Order directing key agencies and departments to take action on the matter. The administration released its National Strategy on Combating Antibiotic-Resistant Bacteria Thursday, which includes a five-year plan for preventing and containing outbreaks of resistant infections.

Included in Obama's Executive Order are the establishment of a new task force, establishment of the Presidential Advisory Council on Combating Antibiotic-Resistant Bacteria, improvement over antibiotic stewardship, strengthened surveillance, promoted development of new and next-generation antibiotics and diagnostics and strengthened international cooperation.

The Departments of Health and Human Services, Defense and Veterans Affairs will be urged to review existing regulation governing antibiotic stewardship and more stringent regulation will be undertaken at office-based practices, outpatient settings, emergency departments and long-term care facilities. Additional federal agencies will be asked to engage the World Health Organization and its member states on a global action plan.

The U.S. Centers for Disease Control and Prevention say that antibiotic-resistant infections are associated with 23,000 deaths and two million illnesses in the U.S. each year. Those figures could cause an impact of up to $20 billion in direct health care costs and $35 billion in lost work productivity.

Obama also launched a $20 million prize, co-sponsored by the National Institutes of Health and Biomedical Advanced Research and Development Authority to promote the development of a, "rapid, point-of-care diagnostic test for healthcare providers to use to identify highly resistant bacterial infections."

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