Wednesday, July 15, 2026

The Democrat Socialists of American Platform Is a War On America

I saw their platform shown on the news earlier, and if this doesn't make you show up to vote in droves and vote for the Republicans, then you get what you deserve.

Here's the link to the discussion on today's Fox News show, "Outnumbered". 

I refuse to click on the DSA website, but here are a few items from their platform as shown on the news:

*Eliminate the Presidency 
*Eliminate the Senate
*Medicare for All
*No Bills
*No Debt
*Defund the Department of War
*Eliminate Cash Bail
*Amnesty for All Illegal Aliens 
*No Aid To Israel 

This is Obama's radical transformation of the United States plus his redistribution of wealth -- on steroids.

The GOP had better put up a good fight, and so should any normal Democrats who might be out there.

Your Local Epidemiologist 7-15-26: Cyclosporiasis Q&A

Dr Katelyn Jetelina answers important questions about the cyclosporiasis stomach virus that's been making people sick across America with no end in sight. I've given up lettuce until further notice.

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Top 10 Cyclospora questions

The cyclosporiasis foodborne outbreak continues to grow, and individuals are left to figure out how to weather this storm until government systems catch up. So we are getting flooded with questions! The YLE team compiled answers to the top 10 to bring the nuance you may be looking for.

Note: This post builds on a previous YLE post that explained what’s going on. If you missed that, start here.

1. Can you just tell me what not to eat?

Unfortunately, it’s not that easy, because a source hasn’t been confirmed. So risk falls on a spectrum and risk tolerance varies.

This is how I’m thinking about it:

Skip bagged salads, salad kits, and boxed salads from the grocery store, and avoid them at restaurants and fast food places, too. Michigan’s warning on Monday (unusual to go public before the FDA) is a strong signal of what they’re seeing. Whole heads of lettuce are fine if you strip the outer 2-3 layers, since that’s where contamination is most likely to sit.

Michigan’s investigation has yet to pinpoint a company or rule out other foods. Two dozen other states are still under active investigation. So avoiding other foods is reasonable. In previous outbreaks, the culprits were raspberries, fresh herbs (basil, cilantro), onions, and snap/snow peas. I would still avoid these, especially if you’re high risk (pregnant, older, or immunocompromised).

Stick to produce you can peel or cook. (If you have frozen berries from January, you should be in the clear as this outbreak likely started in May.)

2. How long do I need to cook produce for? Does freezing work?

Cooking food to an internal temperature of 158°F is the only thing known to kill Cyclospora. This means sautéing raw spinach for about 1.5 minutes. (Turn your salad into a stir fry!)

Microwaving doesn’t work as well because heat spreads unevenly; research shows 45 seconds wasn’t enough to kill Cyclospora, so go longer and check that every part, not just the surface, is steaming hot.

Freezing isn’t reliable because a typical home freezer isn’t cold enough to kill the parasite. Research shows you’d need -20°C (-4°F) for at least 2 days, or a commercial deep freeze at -70°C for an hour, well below what most kitchen freezers hit.

Washing helps a little, but not entirely, because these microscopic parasites love to hide in the grooves and crevices. They also hide from home remedies people suggest, like lemon juice.

3. Is local produce better than big distributors?

The risk is much lower. In fact, there has never been a documented cyclosporiasis outbreak linked to a local farm.

That said, Cyclospora lives in soil and contaminated water, so a local farm could be affected if it shares a water source with a large commercial farm. Cyclospora can also enter the food supply at a packing, processing, or distribution facility, where outbreaks get amplified—a local farm would be safer on this front, too. My hunch is that the real culprit here isn't the farm itself, but distribution, but we don't yet know yet.

Figure by Your Local Epidemiologist, adapted from Dr. Kristen Panthagani at You Can Know Things

4. How much precaution should we be taking in California (or other states), where very few cases have been reported?

Distribution networks are complex, but all states are now actively looking for cases. That makes me more confident that states with low case counts (that stay low) aren’t linked to whatever is driving the outbreaks in Michigan, Ohio, New York, and elsewhere.

All states have some cyclosporiasis cases, but that’s expected: it reflects multiple outbreaks happening at once. California, for example, has cases, but not more than in past years—actually fewer. About 95% of California’s cases have involved people who picked up the parasite while traveling outside the U.S.

For what it’s worth, I live in California, and I’m not eating lettuce but being liberal with the other foods. I don’t have time for weeks of exploding diarrhea, but my guard is a little more down than it would be if I lived in Michigan or New York.

Source: PopHIVE

5. How do I know what bug I have?

Many bugs can cause diarrhea. Norovirus is a common virus that spreads year-round and causes similar symptoms, but is highly contagious, while Cyclospora is a parasite that is not contagious from person to person.

To differentiate between the two at home, it really comes down to symptoms and timing. If symptoms show up within a day or two and pass quickly, think norovirus. If it lasts more than a week and then it comes and goes for weeks, that’s likely cyclosporiasis. Antibiotics help with cyclosporiasis, so it’s worth getting tested (although I hear the test is expensive).

Table by Your Local Epidemiologist.

6. How does this end?

Once the product is out of circulation. That can happen naturally (e.g., clean salad gradually replaces infected salad), through intervention (stores pull it), or as the season shifts toward fall, since cooler, drier conditions make it harder for the parasite to mature.

I don’t know how long it will take to end. No one does. But the Cyclo season typically ends in September when the parasites can no longer mature as efficiently.

7. There is no federal guidance for us physicians. When am I supposed to test and how?

It’s absolutely insane how long the federal Health Alert Network (HAN) notice was delayed, but it finally came out yesterday. Michigan’s provider bulletin is absolutely fantastic. If you’re a clinician, read that.

8. Can our animals get this?

No. Cyclospora only infects humans and spreads solely through the fecal-oral route. Researchers have tried to infect chickens, dogs, mice, rabbits, monkeys, and several other species in lab studies, and it hasn’t taken. So feeding your salad to your chickens is fine.

9. How easily is it transferred within a restaurant kitchen, like if a cook has unknowingly handled contaminated lettuce or something for someone else’s order and then touches your food? Or via cooking utensils/equipment/shared prep surfaces?

If the produce arrives at a restaurant already contaminated and is infectious (which takes about 2 weeks on a head of lettuce, for example), and then that lettuce touches a cutting board, knife, or bin used for other food, the parasite can be transferred. It was great news to see Taco Bell move quickly last week.

10. Is there any hope of CDC or any of our government agencies tracking down the source of this outbreak? Does the EIS have the resources to find the source?

I’m confident that the federal scientists are doing the best job they can do with what they have. Cyclo is difficult to investigate because it takes so long to cause symptoms (do you remember what you ate 10 days ago), it takes an enormous amount of resources to pinpoint; some foods, like at Mexican restaurants, have many ingredients; making it challenging to pinpoint a single ingredient; and testing options are limited. There were definitely outbreaks in the past where no source was found.

Local and state public health departments are also working their tails off. But public health, and specifically parasitic teams, have been chronically underfunded. They are holding on by scotch tape, and now, with the largest cyclosporiasis outbreak in history, they are overwhelmed. While resources can be pulled from elsewhere, public health departments are also dealing with record cases of measles and whooping cough on top of travel-related Ebola and the World Cup, and everything else. It’s a lot.

Communication, guidance, timeliness, and transparency are what the federal government is falling short on. There has been very little communication, and what has been said is that these outbreaks happen all the time. This is not normal, and saying so without communicating what the public should actually do is unhelpful to the point of gaslighting.

Bottom line

There are steps you can take to reduce your risk during this big foodborne outbreak while the systems around us catch up. I will be back when we know more. Keep your questions coming!

Love, YLE

Tuesday, July 14, 2026

Your Local Epidemiologist - The Dose, 7-14-26

Here's Dr. Katelyn Jetelina with the latest medical news.

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Cyclospora keeps climbing, a bad West Nile season, truck spraying, and good news
The Dose (July 14)

Katelyn Jetelina and Marisa Donnelly, PhD, Jul 14, 2026

The YLE team is back from summer break, tanned (some of us), rested (debatable with small kids), and ready to jump right back in.

I know a lot of you have questions about the Cyclospora outbreak. The YLE team is collecting them all, and tomorrow I’ll pick the top 10 for a deep dive. As of this morning, there is still very, very little communication from HHS, which is pretty insane.

In the meantime, here’s what’s going on with health this week, including other bugs like ticks and mosquitoes. Expect trucks to be spraying insecticide soon, and let’s celebrate an enormous public response to a new proposed federal rule.


Disease weather report

Cyclospora keeps climbing

Cyclospora cases continue to climb. Some of this is expected, since more people are now aware of it and testing for it, but it is still an undercount, given that many people wait out the sickness at home.

The total number of cases is hard to pin down. This is because data in the U.S. is decentralized (local health departments report to states, states report to the CDC), so you will likely see numbers all over the place. If we scrape for state-level data, the most cases (2,640) are in Michigan, followed by New York (470). A local health department in Northwest Ohio is reporting 661 cases.

Figure from the Health Security Operations Center

While there are cases in over 30 states, the U.S. sees cases every year, often from different outbreaks. A key question is whether the number exceeds expectations and, if so, why. In some states, this is certainly the case. For example, the number of infections in Michigan is 31 times higher than in previous years, and in New York, it’s three times higher. In some states, like California, rates are not higher than normal.

Michigan’s health official announced yesterday that preliminary findings indicate lettuce or packaged salad greens as a likely source. The investigation has yet to pinpoint a company or rule out other foods. Two dozen other states are still under active investigation. Zero word from FDA.

What this means for youContinue to avoid bagged and boxed salads at grocery stores and restaurants. I’m still sticking to produce that can be peeled or vegetables with smooth surfaces, like cucumbers, until more data comes in.

Ticks are backing off

We’re well on our way down for tick season. Activity tends to drop off as we move deeper into the heat of summer.

Source: CDC; Annotated by Hannah Totte at Your Local Epidemiologist

Why? Ticks are prone to drying out, so in peak summer heat they retreat into moist, shaded leaf litter rather than questing (climbing grass to grab a host), which reduces host-seeking activity even if the tick population hasn’t shrunk. This dip also lines up with the tick life cycle: nymphs, responsible for most Lyme transmission, peak in late spring/early summer, then quiet down in the hottest weather before adults pick back up in fall.

Mosquitoes taking over

As ticks recede, mosquitoes take over and with them, the rare diseases they can carry. The most common one in the U.S. is West Nile.

Peak mosquito season is still about a month out, but the CDC is already flagging an unusually early surge in West Nile virus (WNV) activity this year. They have flagged 48 cases across 23 states detecting the virus, which is more than five times the historical average for this point in the season.

Source: CDC. Annotated by Hannah Totte at Your Local Epidemiologist

What this means for you: Most people infected with WNV never even know it because ~80% have no symptoms. But older adults and those who are immunocompromised can develop serious neurological illness. Start being consistent with using an EPA-registered repellent (with DEET or picaridin), dumping standing water around your home, and using screens at dusk and dawn. You may also start seeing mosquito spraying trucks. (See more below.)

Heat blanketing the North

This week, a large swath of the northern U.S. is facing the most extreme heat risk category. If you’re in the purple or red areas, everyone is at risk and needs to take action. Heat kills more people in the U.S. than any other weather event.

Source: NOAA; Annotated by Hannah Totte at Your Local Epidemiologist

What this means for you: Check on elderly neighbors and relatives, hydrate before you’re thirsty, and move strenuous outdoor activity to early morning or evening if you can. Here are 6 things to know about heat-related illness from the YLE team.

World Cup Health Security Center Update

We’re nearing the end of the World Cup tournament (the final is on July 19!), and there have been no major outbreaks tied to the games, aside from heat-related illness. A few teams reported minor illnesses among players.

Measles remains the primary focus of monitoring. There are a number of cases passing through major airports (far more than in any other year), particularly near the World Cup games. While it will be very hard to track, we could very well see outbreaks across the world following the World Cup.


Spotlight: Why is that truck spraying my street?

With mosquito activity picking up and the U.S. having a particularly bad start to the season, you may start noticing spraying trucks in your neighborhood. Where they go is driven entirely by your local public health or vector control department’s surveillance data. Departments set traps to collect mosquitoes, send batches to a lab, and test them.

When lab tests consistently yield positive results, insecticide is then sprayed in the affected area. The spraying itself does two things:

  1. Kill flying adult mosquitoes by spraying very small amounts of adulticides into the air. This spray is a fine mist that acts as a fogger.

  2. Kill larvae by applying larvicides directly to the water where mosquito larvae have been detected. This helps kill more hard-to-reach areas.

People rightfully have many questions about whether these insecticides are safe for humans. They are safe because the dose and where they are applied are very purposeful. These insecticides work by overstimulating insect nerve cells until they’re paralyzed, but insect nerves are far more sensitive to the chemical than ours, and mosquitoes are tiny, cold-blooded, and can’t break the chemical down the way we can. So the same dose that’s fatal to them is far too small to hurt a person. How these insecticides are used also matters. Adulticide sprays are released as low-volume mist, and the droplets disperse and degrade quickly, resulting in very low human exposure. Larvicides are placed directly in standing water and target larvae through mosquito-specific biological mechanisms.

A 2025 review of community mosquito-control spraying found no causal relationship between adult mosquito-control applications and adverse human health impacts when applied appropriately, with estimated exposure levels far below regulatory concern.

People with asthma and other respiratory conditions are particularly concerned. But an older study in New York City found no increase in asthma visits, including among children, after West Nile spraying.

What this means for you: Reducing WNV is important, and spraying is safe. I’ll stay indoors during spraying when I can but won’t lose sleep over it. Check with your local public health or mosquito control department for the schedule—they’re supposed to publish one.


Good news

  • More than 341,000 comments were submitted on the OMB’s proposed rule that could, quite literally, break science in the U.S. This is an enormous public response by any standard; public comment on federal rules almost never gets anywhere close to that volume. Way to show up for science discovery in the U.S.! Comments are now closed, and it’s time to see how the federal government responds.


Bottom line

From salad choices to mosquito bites to heat safety, this world just never gets boring. Stay healthy out there.

Love, YLE


Your Local Epidemiologist (YLE) comprises a team of experts, ranging from physicians to immunologists to epidemiologists to nutritionists, working together with one goal: to “translate” ever-evolving public health science so that people are well-equipped to make evidence-based decisions. The YLE suite of newsletters reaches over 475,000 people across more than 132 countries. This newsletter is free to everyone, thanks to the generous support of fellow YLE community members. 

Monday, July 13, 2026

Dr. Ruth Report, 7-12-26

Here's another very important newsletter from Dr. Ruth Ann Crystal, M.D.

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Dr. Ruth Report 7/12/26
OMB, Explosive diarrhea, COVID, and more

Ruth Ann Crystal MD, Jul 13, 2026

Last week, I told you about a proposed change to an OMB rule that could affect federal funding for Meals on Wheels for seniors, community health programs, scientific research and much more. I made a free online tool to make it easy to write your comment on the proposed changes to OMB rule in less than 5 minutes at https://ombcomment.netlify.app/.

The tool was made to get you to a strong, personal first draft fast, so that you can submit your comment before the July 13 deadline tomorrow.

How The OMB Rule Could Hurt You And Your Town | Dr. Judy Stone in Forbes

I Built You a Tool That Helps You Write Your Federal Comment in 2 Minutes |

Cyclosporiasis

You may have heard about an outbreak of Cyclospora which causes watery, and sometimes explosive, diarrhea for days to weeks. Symptoms typically start about a week after eating contaminated produce such as raspberries, fresh basil, or lettuce, but unfortunately the source has not yet been determined. The CDC has not given guidance on this outbreak, but we do know that there have been more than 3,000 confirmed cases in 31 states, with Michigan being hit the hardest. The case count is probably much higher, as most people do not need to seek medical care for Cyclospora. Until we know the source, it may be best to avoid raspberries and bagged lettuce as the parasite hides in tiny crevices of produce. In general, most cases of diarrhea are self limited and are often caused by something else like Norovirus, but if you get watery diarrhea that lasts longer than a few days, an antibiotic called Bactrim can be used to treat Cyclospora.

2023 USDA Report on Cyclospora cayetanensis

“The fruits and vegetables most frequently related to Cyclospora infections were: raspberries (34%), basil (31%), cilantro (10%) and salad mixes (10%). Sugar snap peas, lettuce, blueberries, blackberries, carrots, mangos, mint, scallions, mixed vegetable trays, and fruit salads were also associated with cyclosporiasis outbreaks (in some investigations, a single food vehicle was not identified).”

Explosive foodborne outbreak | Katelyn Jetelina YLE 7/11/26

Dozens hospitalized with cyclosporiasis as cases of gastrointestinal illness spike in 31 states | 7/10/26 NBC News

COVID

COVID levels are low through most places across America, but we are starting to see an uptick in Southern Florida, Central Texas, and Palo Alto, California. The Palo Alto finding may just be a blip, but you can follow it here on WastewaterSCAN.

It is wise to wear a mask indoors when the level of SARS-CoV-2 is above 100 PPMoV in wastewater. Here are the hot spots above 100 PPMoV according to WastewaterSCAN (omits 12 states, but is up to date):

  • Key Biscayne, FL 370 PPMoV

  • St Petersburg, FL 204 PPMoV

  • Woodlands, TX 173 PPMoV

  • Palo Alto, CA 140 PPMoV

  • Atlanta, GA 119 PPMoV

  • Tallahassee, FL 111 PPMoV

These numbers are high, but they are nowhere near what we have seen during COVID waves where levels of SARS-CoV-2 virus in wastewater can easily reach over 1,000 PPMoV.

Using the CDC and Biobot data, Mike Hoerger estimates that as of July 4, every 1 in 250 Americans was actively infectious with COVID. Here is his COVID map with data from 7/4/26.

Acute COVID infection

Antiviral therapy and interleukin-6 blockade associated with lower thrombotic risk in hospitalized COVID-19: a target trial emulation | 2026-07-06 Nature

  • Researchers in Spain analyzed outcomes among 2,524 patients hospitalized with COVID-19, finding that remdesivir and tocilizumab (Actemra) were each independently associated with reduced thrombotic events beyond what standard anticoagulation alone provided. Corticosteroids, by contrast, showed no similar protective association against blood clot formation in this population.

Gut barrier integrity biomarkers are associated with increased inflammation and predict disease status in hospitalized COVID-19 patients | July 4, 2026 Nature Scientific Reports

  • University of Minnesota scientists studied 173 hospitalized COVID patients and found elevated levels of lipopolysaccharide binding protein (LBP) and soluble CD14 in the blood, indicating that bacterial products were crossing the gut barrier (“leaky gut”) and entering systemic circulation. These two biomarkers tracked closely with levels of inflammation and were predictive of how severely ill patients became during hospitalization.

Pediatrics

SARS-CoV-2 Reinfection: A Possible Contributing Factor to Long COVID in Children and Adolescents | 2026-07-02 Frontiers in Pediatrics

  • Researchers at the Mexican Social Security Institute studied 349 pediatric patients and found that 11.8% developed Long COVID after SARS-CoV-2 infection. Among children older than 8 years, reinfection was associated with greater odds of Long COVID, though only 9 reinfection cases were documented in the cohort.

Post-acute sequelae of COVID in children: Pulmonary assessment using impulse oscillometry and the effect of vaccination | 2026-07-07 Pediatrics & Neonatology

  • A Chinese study of 209 pediatric patients with respiratory symptoms after COVID and found that impulse oscillometry detected airway abnormalities in 74.6% of them, with small airway disease representing the predominant pattern.

Long COVID

Dr. Michal Tal posted on Twitter that her lab is making a website where people can upload capillaroscopy selfie images to get key features quantified. She shared these images of capillaroscopy findings.

Vagal cholinergic denervation of the gastric mucosa in Long-COVID-19: in vivo evidence of structural autonomic dysfunction | Int J of Infectious Diseases 7/9/26

  • Italian researchers studied stomach biopsies from 12 Long COVID patients and 8 controls and found direct evidence that Long COVID causes measurable loss of cholinergic nerve fibers within the stomach lining. In Long COVID patients, nerve fiber density was half of normal in the fundus and the antrum, with cholinergic fibers affected most. Lower nerve density tracked with worse heart rate variability, higher NT-proBNP, and higher D-dimer. Structural damage to vagus nerve pathways as shown in the gastric mucosa may account for persistent autonomic dysfunction observed in many Long COVID patients.

Harshi Peiris PhD posted a Twitter thread with emerging evidence on butyrate-producing bacteria F. prausnitzii and how it is low in COVID, Long COVID, and other diseases. Low F. Prausnitzii leads to low butyrate which can lead to a weakened gut barrier, increased inflammatory signals in the blood, and eventually brain fog symptoms from microglial activation. I chose to use organic kiwi in our LC-02 synbiotic in order to boost F. Prausnitzii and Roseburia species which produce anti-inflammatory butyrate.

👁️👁️ Long-term ocular symptoms following COVID-19 linked to immune dysregulation, dysautonomia and peripheral neuropathy | 2026-07-08 Nature Communications

  • Mild COVID can lead to long-term hidden eye problems. Swedish scientists from Linköping University found that people who experienced persistent eye problems (ocular pain, light sensitivity, reduced/blurred vision, and difficulties in reading) after mild COVID infection showed measurable corneal nerve fiber loss, diminished pupil reflex responses, and activated immune cells present in their tears. The findings suggest that prolonged eye symptoms in post-COVID patients may be driven by T cell mediated neuroinflammation affecting both the peripheral nervous system and autonomic function.

👁️👁️ Ocular Symptoms in Long COVID: A Cross-Sectional Study | 2026-07-08 Ophthalmology and Therapy

  • Yale University researchers examined 595 individuals living with Long COVID and found that 57% reported developing new vision related symptoms. “Ocular symptoms were defined as self-reported new-onset blurring or loss of vision, dry eyes, or floaters/flashes of light attributed to Long COVID.”

🫀 Cardiac Findings in RECOVER Autopsies | 2026-07-01 USCAP 2026 Annual Meeting

  • The RECOVER initiative examined 74 autopsy cases and detected actively replicating SARS-CoV-2 within heart muscle cells in 11 of those cases, with 82% of that group showing cardiac symptoms consistent with Long COVID. Researchers also identified accompanying immune and structural changes in the cardiac tissue, supporting SARS-CoV-2 viral persistence in tissues.

Implications of RNA virus persistence for post-acute sequelae and chronic inflammatory syndromes | 2026-07-07 Nature Immunology

  • A new review in Nature Immunology shows that many RNA viruses (RSV, coronaviruses like SARS-CoV-2, influenza and parainfluenza viruses, measles, chikungunya, and lethal viruses like Ebola virus and the henipaviruses) are capable of leaving residual RNA or proteins in body tissues and within circulating immune cells after the acute phase of infection has resolved. When the immune system fails to fully eliminate this lingering viral material, it may drive chronic inflammation that contributes to post-acute conditions such as Long COVID.

Autoantibodies could trigger neurological symptoms of long COVID | Nature Reviews Neurology 7/9/26

  • A review of the recent article from Yale published in Cell shows a causal link between Long COVID autoantibodies and the neurological symptoms. “Passive transfer of IgG from patients with long COVID to healthy mice produced signs of fatigue, pain and heat sensitivity, resembling the symptoms reported by patients… The recipient mice [also] showed evidence of intraepidermal nerve fibre damage in the skin.”

Temelimab versus placebo in patients with post-COVID condition | 2026-07-07 eBioMedicine

  • Twenty-four weeks of treatment with Temelimab, a monoclonal antibody targeting the HERV-W ENV protein, showed no measurable advantage over placebo in Long COVID patients.

Macrophage-specific targeting of histone demethylases with small-molecule inhibitors suppresses inflammatory response in vivo | 2026-07-07 Journal of Biological Chemistry

  • University of Pittsburgh researchers discovered that lung macrophages from Long COVID patients showed elevated levels of histone demethylase enzymes, pointing to an epigenetic mechanism underlying persistent inflammation. In a mouse model, small molecule inhibitors reprogrammed inflammatory gene activity in macrophages and reduced expression of IL1b and iNOS following immune stimulation.

Postacute COVID-19 and Health Care Utilization and Spending in Medicare Beneficiaries | 2026-07-07 JAMA Network Open

  • A cohort study of 937,077 Medicare patients found that healthcare utilization and spending spiked immediately following a COVID diagnosis, but declined in subsequent months. However, patient-reported symptom scores remained high, indicating that billing claims data substantially undercount the ongoing burden of Long COVID.

Chronic stress primes TLR3-mediated systemic inflammation to produce persistent post-viral fatigue syndrome-like symptoms in mice | 2026-07-06 Brain Research (IBRO Neuroscience)

  • In mice, chronic stress prolonged TLR3 immune activation which led to a prolonged fatigue illness resembling post-viral fatigue syndrome with elevated IL-6 and CXCL10. Treatment with minocycline (an antibiotic and microglial activation inhibitor) reduced both fatigue behaviors and inflammatory markers, implicating neuroinflammation as a central mechanism.

🎵 Material-specific quarantine durations for SARS-CoV-2 inactivation on musical instruments and music-related materials | July 3, 2026 bioRxiv

  • Researchers at Aix-Marseille University tested music instruments and found that SARS-CoV-2 remained infectious on metals and ABS plastic for up to 3 days, while porous materials such as reeds and printed scores retained viable virus for 6 to 7 days.

Efficacy and safety of rivaroxaban, colchicine, and famotidine–loratadine with specialist supportive clinical care for fatigue in patients with post-COVID-19 condition in the UK: a multisite, open-label, randomised controlled trial | Lancet 7/8/26

  • The STIMULATE ICP trial randomized 778 UK Long COVID patients across 12 clinics to colchicine, rivaroxaban, famotidine plus loratadine, or no drug for 12 weeks. Colchicine and antihistamines added a small benefit which went away after stopping the medications. Rivaroxaban showed no added benefit.

ME/CFS

Gastrointestinal symptoms correlate with core clinical features and systemic inflammation in myalgic encephalomyelitis/chronic fatigue syndrome | Journal of Translational Medicine 6/19/26

  • Columbia University researchers assessed symptoms in 116 ME/CFS patients vs 80 controls. Gastrointestinal symptoms tracked with fatigue, cognitive trouble, pain, and sensory sensitivity, and correlated with higher CRP. Patients with more flu-like symptoms had stronger antibody responses to gliadin and bacterial lipopolysaccharide indicating a leaky gut barrier.

Measles

CDC Measles update:

  • As of July 9, 2026, 2,231 confirmed measles cases were reported in the United States in 2026.

Ebola in DR Congo

According to the Minister of Communication in DR Congo, as of July 10th:

  • 1,830 confirmed Ebola cases, including 780 patients currently under care, 284 recoveries, and 648 deaths. The contact tracing rate stands at 78% which means that contacts are unknown for at least 400 confirmed Ebola patients.

Ebola workers strike as CDC head says agency’s response will last months | 7/8/26 CIDRAP

  • Unfortunately, some doctors and nurses treating Ebola patients haven’t been paid in months and are striking. This will certainly not help the situation.

First patients enrolled in record-breaking Ebola treatment trial in DRC | Guardian 7/12/26

  • The first patients have been enrolled in a trial of Remdesivir and MBP134 (a monoclonal antibody) to treat the Ebola Bundibugyo virus in DRC. Both drugs have been shown to be effective in animal models and now will be tested in a randomized trial to see whether they reduce mortality for Bundibugyo.

Government News

As Montana’s Medicaid work requirements roll out, cancer patients fear they’ll lose coverage | NBC 7/8/26

  • Montana became the second state to enforce Medicaid work requirements starting July 1, ahead of the federal 2027 deadline. “New Medicaid guidelines in Montana leave cancer patients vulnerable, with requirements that they must work, attend school or volunteer for 80 hours a month to maintain coverage, unless they qualify for an exemption.” Paperwork burdens and unclear medical frailty rules have been confusing for patients.

Other News

GLP-1 and MASH: When weight loss isn’t the whole story | 2026-07-08 Cell Metabolism

  • A new MASH (fatty liver) mouse model study shows that semaglutide reduced liver fat accumulation, inflammation, and fibrosis through GLP-1 receptors located specifically on intrahepatic blood vessel cells, independent of the drug’s weight loss effects.

👾 Phage intervention improves colitis and response to corticosteroids by attenuating virulence of Crohn’s disease–associated bacteria | 7/8/26 Science Translational Medicine

  • McMaster University scientists identified Phage HER259, which disarms adherent invasive E. coli linked to Crohn’s disease by switching off its FimH adhesin. In mouse models this reduced colitis and boosted low dose budesonide’s effect.

🌡️ Deaths in Belgium increased by 39% during June heatwave | Euronews 7/3/26

  • Belgium recorded 1,222 excess deaths, a 39% rise, between June 18 and 29 during a severe heatwave. More than half of those who died were 85 or older. France saw a 29% jump in deaths the same week, with 2,025 additional deaths nationwide.

Prenatal Acetaminophen (Paracetamol) Use and the Risk of Autism and/or Attention-Deficit/Hyperactivity Disorder Among Sibling-Matched Cohorts | JAMA Internal Medicine 6/29/26

  • The University of Hong Kong analyzed 708,020 mother child pairs and built sibling matched cohorts of 124,333 children assessed for autism and 97,285 for ADHD. Prenatal paracetamol (acetaminophen) exposure showed no added risk for either condition across dose, timing, and usage pattern.

This 22-year-old engineer 3D prints dentures to give low-income Americans their smiles back | CNN 6/22/26

  • Connor Gibson, a 22 year old engineer at Remote Area Medical, taught himself dentistry and 3D printing to build the first mobile denture lab in the United States. What once took three months now is completed in a single clinic weekend and patients are smiling with their new free custom dentures.

Remote Area Medical

Have a great week,

Ruth Ann Crystal MD

Sunday, July 12, 2026

From Israel, A Tribute to Lindsey Graham

What a lovely tribute this is. And what a void he leaves in the Senate.

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Israel Loses Its Greatest Friend on Capitol Hill
Amit Segal, 7-12-26
Lindsey Graham addressing Chabad of Charleston, July 2025. (@LindseyGrahamSC/X)

"It’s Sunday, July 12, and this morning the office of South Carolina Sen. Lindsey Graham announced that he passed away Saturday evening after a sudden and brief illness—two days after turning 71. He had returned from Kyiv on Friday, where he met Volodymyr Zelensky, and was booked on Meet the Press for this very morning. Israel has lost its greatest friend on Capitol Hill.

"That isn’t an exaggeration; it’s the consensus of the Israeli opposition and coalition, who rose in unison this morning to eulogize the beloved senator.

"Born and raised in his beloved South Carolina, Graham grew up living in a cramped room behind his parents’ combined pool hall, bar and liquor store. Later becoming a lawyer and enlisting in the U.S. military, he entered Congress in 1995, becoming the first Republican to represent South Carolina’s 3rd District since Reconstruction. In 2003, he moved up to the Senate, where he and John McCain became a trio with Joe Lieberman—dubbed the “Three Amigos” by Gen. David Petraeus on one of their endless trips to Iraq and Afghanistan. Hawks, travelers and crossers of aisles for wars worth fighting. Especially Israel’s.

"Sander Gerber, his partner on the Taylor Force Act, once quipped that the senator was “more pro-Israel than AIPAC,” while Christians United for Israel counted him among Israel’s most stalwart allies in Congress. His evangelical base—a pillar of both South Carolina politics and American Zionism—wasn’t a constituency he courted so much as one he belonged to.

"Addressing AIPAC’s annual dinner on March 22, 2010, he told the room the evening was about “our best friend in the world, the State of Israel”—and had every member of Congress present stand while he pledged that Congress had Israel’s back and would not let it down. In the same speech, he declared Jerusalem the undivided capital of Israel and the eternal home of the Jewish faith, said it was sometimes better to go to war than to allow a second Holocaust to develop, and closed with “never again.”

"He more than lived up to the commitment. From Obama’s JCPOA—which he fought—to Donald Trump’s short-lived rapprochement with Tehran this past month, through the Taylor Force Act, the anti-BDS legislation, the embassy move and the Golan recognition he personally championed, Graham operated on a single axiom, the one the Hebrew press identified this morning as his signature line: Israel’s security is America’s security. He applied it without exception. In 2013, he threatened to sink Chuck Hagel’s nomination as the most anti-Israel defense secretary in American history; in December 2014, standing in Jerusalem beside Netanyahu, he promised on Iran sanctions that “the Congress will follow your lead”—a sentence no other American senator would say to a foreign leader, and Graham said it on camera.

"Just 15 days after the October 7 massacre, Graham was in Tel Aviv leading a bipartisan delegation—noting that “10 percent of the United States Senate is in Israel.” Destroying Hamas, he made clear, was nonnegotiable, and he had stark words for Tehran: “We’re here today to tell Iran, we’re watching you”—if the war grew, it was coming to their backyard: “There won’t be two fronts, there will be three.” He told the room exactly why it had happened, insisting no one would ever convince him the massacre was about anything but stopping reconciliation between Saudi Arabia and Israel—the very normalization project he had spent the preceding months building.

"He wasn’t shy about Biden’s flip-flopping either. When the administration threatened to withhold weapons over Rafah, Graham hauled Lloyd Austin before the Armed Services Committee and asked whether he’d have supported Hiroshima and Nagasaki—then demanded to know how Washington could dictate terms to a country whose neighbors want to kill all the Jews. He called Biden’s approach “ass-backwards.” When the ICC prosecutor moved on Israeli leaders, his warning was five words of pure Graham: “If they do this to Israel, we’re next.”

"When Israel launched Operation Rising Lion on June 13, 2025, his reaction was five words: “Game on. Pray for Israel.” The tweet drew fury from all directions—including from Meghan McCain, his late best friend’s daughter, who informed him it was not a game—but it was, in its way, the most honest sentence of the war: the fight he had demanded since at least 2010 had finally arrived, and he was not going to pretend otherwise. By August, he was telling South Carolina Republicans that if America pulls the plug on Israel, God will pull the plug on us. By 2026, per The Wall Street Journal, he was shuttling to Jerusalem to coach Netanyahu on making the case for war to Trump.

"In January, no sooner had he disembarked than he posted: “I just landed in Israel, the one and only Jewish State, and America’s strongest ally and friend since its founding.” He returned once more in February 2026—Netanyahu, Defense Minister Katz, the General Staff—the final visit of several dozen across the decades. In March, amid the MAGA backlash over the Iran war, he gave the line that now reads as a valediction: “I will be with Israel until our dying day.”

"Far too soon, that day arrived. It found him the same as always: back from an ally’s capital, stalwartly defending a country’s right to freedom and safety, and scheduled for Sunday television to explain why.

"In 1995, an American president needed two Hebrew words to bury an Israeli prime minister. In 2026, Israel needs the same two for a Baptist son of a South Carolina pool hall.

"Shalom, chaver."

Senator Lindsey Graham, R.I.P.

I was so shocked to see the breaking news headline this morning about the death of Lindsey Graham! Like everyone else in the Carolinas, I'm so used to his presence that I had to double-check online to make sure this news wasn't a mistake.

He was such an optimist, a friend to all, a champion of the people of South Carolina, and a staunch supporter of Trump. 

He was a supporter of Israel, a great patriot, and we will probably never see his like again.

The Republicans had better get their act together, and fast. Without Lindsey Graham on their team, it's going to be rough going for them.

Saturday, July 11, 2026

How To Win An Election: Demonstrate Your Hatred For Israel

Here's Melanie Phillips on the contemptible Andy Burnham, the man who unfortunately will be England's new Prime Minister. He must be borrowing the Democrats' playbook of following the "free 'Palestine'" mob;  attacking Israel; and punishing Israel and the Jews in lieu of doing anything constructive for their own citizens.  These losers actually think that their anti-Israel stance is the #1 issue\that will get them elected. Let's hope they're very wrong.

After you've read this column, read this one by Spiked's Chief Political Writer, Brendan O'Neill: Andy Burnham’s shameful pandering to anti-Israel bigots.  His pompous, fact-lite sermon on Gaza is a transparent effort to win back Muslim voters and the keffiyeh classes.

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Amoral Andy sticks it to the Jews
Who cares that no-one knows how he'll govern Britain? He's passionate about Gaza

Melanie Phillips, Jul 10, 2026 

"Well that didn’t take long, did it?

"On the day that 322 politically bankrupt and panicky Labour MPs made it all but certain through their backing that Andy Burnham’s coup against Sir Keir Starmer had succeeded and he would replace him as prime minister, Burnham — whose only claim to fame is the common touch he brought to his role as mayor of Manchester — chose to celebrate by sticking it to the Jews.

"After meaningless bromides about condemning the Hamas-led atrocities in Israel on October 7 2023 and the “appalling” rise in antisemitism, as well as having “felt first-hand” the anxiety of British Jews about the “very real threat they face” after the lethal Manchester synagogue attack last year, he proceeded to parrot Hamas propaganda defaming Israel for defending itself against genocide. He did so using the same falsehoods about Israel that have fuelled the onslaught against British Jews as the presumed supporters of the cosmic and diabolical evil that apparently is the State of Israel.

"In his video on X yesterday, Burnham said:

"The terrible suffering in Gaza is a scar on our collective conscience. It’s completely unacceptable that innocent Palestinians including children continue to be killed. That there’s still a humanitarian crisis with too little aid getting in, and that the Israeli military continues to expand the area it controls in Gaza. We’ve got to do more to put pressure on the Israeli government.

"He approved of the pressure already imposed by the Starmer government including recognising “the Palestinian state”, placing sanctions on Israeli ministers and imposing “waves of sanctions on violent settlers and the organisations that support them”. He also supported the restrictions imposed on arms licences, he said,

"to make sure that no British bombs or bullets can be used by the IDF in Gaza or in the West Bank.

"He went on:

"Israel continues to violate the ceasefire agreement killing innocent Palestinians. Netanyahu’s government is clearly attempting to make a two state solution impossible. We need to do more, including … looking at further sanctions, both against those involved in the violence in Gaza but also measures to ban trade in goods with illegal settlements. I like many others feel passionately about Gaza and I will work with international partners to stop the suffering, to ensure the Israeli government adheres to international law…There’s increasing evidence that war crimes appear to have been committed. … holding the Netanyahu government to account… I will always take a fair and balanced approach and stand up for what is right.

"This was all an obscene travesty of truth and fairness and a shocking display of either brainwashed ignorance or the most shameless cynicism.

"There was zero condemnation of Hamas for causing that suffering in Gaza by using “innocent Palestinians including children” not just as human shields but as cannon fodder — war crimes against their own people.

"He made no mention that Hamas has been regularly torturing and murdering Gazans who dare oppose the tyrannical terrorist group.

"No mention that Hamas hid in the tunnels they built to commit war crimes against innocent Israelis, including children, while failing to build one single shelter for their own civilians. Hamas prevented the Gazans from sheltering in the tunnels because the Islamist barbarians wanted as many of them as possible to die under bombardment as a strategy of war to get the credulous, post-truth progressive world to support barbarism against civilisation. As has happened, and as Burnham has now done.

"It is Hamas, not Israel, that’s been repeatedly breaching the ceasefire in Gaza. Burnham omitted that bit, thus reversing aggressor and defender as is routinely done against Israel to delegitimise and destroy it.

"No mention that Hamas, although much depleted, are still attacking Israeli soldiers in Gaza and refusing to disarm because, as they have repeatedly declared, they intend to commit more atrocities against Jews.

"No mention of putting more pressure on Hamas and its state sponsors in Qatar and Iran to abandon their genocidal agenda.

"Instead, Burnham stated that Britain would refuse to provide a single bomb or bullet to help defend civilians in Israel under attack from Gaza or in the disputed territories known as the “West Bank”.

"Just think about that. The incoming British prime minister believes it’s doing “what is right” to refuse to assist the prospective targets of genocide against their attackers.

"Defaming the half million or so Jewish residents of these disputed areas, of whom a few hundred delinquent boys are genuinely mounting unprovoked attacks against local Arabs — a real issue that’s being grossly exaggerated as another weapon of delegitimisation against Israel — Burnham made no mention of the dozens of murderous attacks and plots against these Jewish residents that are being perpetrated or hatched every day.

"He also parroted the untruth that the Jewish “settlements” in these areas are illegal. This reflects Britain’s long-standing and cynical misrepresentation of international law. The fact is that the Jews alone are entitled to live in the “West Bank” under international law many times over.

"As for Israel committing war crimes, this is the foulest lie. Israel, which goes to enormous lengths to behave in accordance with the laws of war, has committed no war crimes. These have been committed instead in their thousands by Hamas against Israeli and Gazan civilians.

"Why is Burnham parroting this disgusting rubbish? Why, indeed, is he giving Gaza top priority while the British public is still waiting to hear how he proposes to govern the United Kingdom? Why doesn’t he identify the murder of more than 40,000 Iranian men and women by the fanatical Tehran regime as a “stain on our collective conscience”?

"The reason is simple. Amoral Andy is falling over himself to suck up to the “Gaza first” Islamists and the “Zios out” gang in his own party and throughout so-called liberal Britain, because he believes that this is where electoral success now lies.

"Referring to Starmer saying shortly after October 7 that Israel had the right to defend itself, and subsequently being criticised for being seen to be slow to call for Israel to cease fire, Burnham also said:

"I know many people feel that, at the start of Israel’s military action in Gaza, my party didn’t get it right, and I am sorry about that. The response has too often not been good enough.

"In fact, by parroting Hamas’s propaganda and then rewarding its murderous behaviour by recognising “Palestine”, Labour’s response to Gaza helped cause the killing of yet more Israelis at the hands of a galvanised Hamas that actually thanked it for “justifying” the October 7 atrocities. By defaming Israelis as diabolical and wanton killers, Labour also ramped up the Jew-hatred which has subjected British Jews to unprecedented vilification, intimidation, harassment and murderous attack.

"If Britain had been subjected to a fraction of the thousands of missile and terrorist attacks on Israeli civilians, not to mention the increasing stranglehold through a “ring of fire” by a regime intent on wiping it off the map, does anyone doubt that Britain wouldn’t have gone to war just as Israel has been forced to do — and would have been far less scrupulous than the Israelis have been about trying to safeguard civilian lives?

"Yet for Burnham and the entire progressive west, Israel alone is not to be allowed to defend itself against annihilation. For Burnham and his ilk, all of Israel’s defensive military measures are instead acts of aggression.

"This is not morality but depravity, and the disintegration of reason.

"Burnham’s video will have caused a shudder among all who respect truth and justice, and all who understand the threat to Britain and the west from the Islamist onslaught that’s being laundered through the Palestinian cause. And he hasn’t yet even got his feet across the Downing Street welcome mat.

"Nevertheless, it’s still not enough for the Israel-baiting far-left. The Telegraph reports:

"But on Thursday night, both the Greens and Your Party said the comments had not gone far enough, as Mr Burnham refused to accuse Israel of committing war crimes unequivocally.

"Robespierre, the architect of the French revolutionary terror who went to the same guillotine to which he had condemned an entire class of people, had the same problem.

"Progressives always eat their own. But they help kill the rest of us first."