Pegasus Research Consortium

General Category => General Discussion Area => Topic started by: sky otter on February 17, 2014, 05:40:17 PM

Title: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: sky otter on February 17, 2014, 05:40:17 PM

anyone living around this area know of anything?
three-county area near Yakima, Wash



http://www.nbcnews.com/health/kids-health/bizarre-cluster-severe-birth-defects-haunts-health-experts-n24986


'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts


By JoNel Aleccia
A mysterious cluster of severe birth defects in rural Washington state is confounding health experts, who say they can find no cause, even as reports of new cases continue to climb.

Federal and state officials won't say how many women in a three-county area near Yakima, Wash., have had babies with anencephaly, a heart-breaking condition in which they're born missing parts of the brain or skull. And they admit they haven't interviewed any of the women in question, or told the mothers there's a potentially widespread problem.

But as of January 2013, officials with the Washington state health department and the Centers for Disease Control and Prevention had counted nearly two dozen cases in three years, a rate four times the national average.

Since then, one local genetic counselor, Susie Ball of the Central Washington Genetics Program at Yakima Valley Memorial Hospital, says she has reported "eight or nine" additional cases of anencephaly and spina bifida, another birth defect in which the neural tube, which forms the brain and spine, fails to close properly.

"It does strike me as a lot," says Ball.

And at least one Yakima mother whose baby is part of the cluster says no one told her there was a problem at all.

"I had no idea," said Andrea Jackman, 30, whose blue-eyed daughter, Olivia, was born in September with the most severe form of spina bifida. "I honestly was really surprised that nobody had said anything. If my doctor hadn't wanted us to see the geneticist, I wouldn't have known."

There's no secret, state and CDC officials said, and they noted that small clusters of birth defects often turn out to be nothing more than sad coincidence.

The agencies released a report last summer detailing an investigation of 27 women with pregnancies that resulted in neural tube defects in Yakima, Franklin and Benton counties between 2010 and 2013. That included 23 cases of anencephaly, a rate of 8.4 per 10,000 live births, far higher than the national rate of 2.1 cases per 10,000. There were three cases of spina bifida and one with encephalocele, a sac-like protrusion of the brain through the front or back of the skull.

They publicly posted the results of the investigation in press releases and on state and federal websites. Those were picked up in news stories, including one in the local newspaper, the Yakima Herald-Republic. "State says no cause found for birth defect in Yakima County," the July headline read.

But it's not clear whether affected women saw those stories, and there was no effort to reach out to individual families, said Mandy Stahre, the CDC's Epidemic Intelligence Service Officer based in Washington state, who led the inquiry. "There were very few of us that could spend time doing this investigation," Stahre said. "I'm not sure the women knew they were part of a cluster."

Health officials originally were alerted to the problem by a nurse, Sara Barron, 58, who was in charge of infection control and quality assurance at Prosser Memorial Hospital, a 25-bed medical center in the farm town set on the Yakima River. A 30-year nursing veteran, she'd seen perhaps one or two devastating cases of anencephaly in her wide-ranging career.

"And now I was sitting at Prosser, with 30 deliveries a month and there's two cases in a six-month period," Barron said. "Then, I was talking to another doctor about it and she has a third one coming. My teeth dropped. It was like, 'Oh my God.'"

At a regional medical meeting, there were more anecdotal reports. So Barron notified state health officials, who started looking into the problem.

"This is bizarre," Barron said. "This is a very, very small area."

Investigators pored over medical records of the 27 area women with affected pregnancies and 108 matched controls who received care at the same 13 prenatal clinics, Stahre said. They examined where the women worked, what diseases they had, whether they smoked or drank alcohol, what kind of medications they took and other factors. They looked at where they lived and whether they got their water from a public source or a private well. They looked at race and whether the problem was more pronounced in the area's migrant farm workers or in other residents.

In the end, there was nothing — "no common exposures, conditions or causes," state officials said — to explain the spike.

"No statistically significant differences were identified between cases and controls, and a clear cause of the elevated prevalence of anencephaly was not determined," the CDC wrote.

The results were disappointing, but not entirely unexpected, said Jim Kucik, a health scientist with the CDC's Birth Defects Surveillance Team who reviewed the results. There's not usually one single factor that causes such birth defects and it can take an examination of a much larger population to find when something's wrong.

"This cluster is fairly small in size. It makes it challenging to find that smoking gun," he said.

A group of birth defects can appear to be related, when it's actually just coincidence, Kucik added. "I think that there is a lot of frustration when dealing with these type of cluster investigations because they end up without a lot of answers," he added.

Adding to the problem is that investigations take time and personnel. Stahre and her crew relied only on medical records for their study because there weren't resources for a full "boots-on-the-ground" effort, Kucik explained.

"We certainly don't shrug off any indication of high rates of birth defects," he said.

But that doesn't help Andrea Jackman, who was an assistant manager at a Yakima Blockbuster Video store when she discovered she was pregnant — and then that the baby had spina bifida.

"The doctor who did the ultrasound said she'd be in a wheelchair the rest of her life. He pretty much told us she'd be a vegetable," said Jackman, who now lives with Olivia at the home of her aunt and uncle in Ellensburg, Wash.

The news was devastating, and Jackman initially considered ending the pregnancy.

"Then I decided that it wasn't my decision to make," she said. "If she wasn't going to live, it wasn't going to be my decision."

That choice was a good one, she said, cradling a smiling Olivia as they waited for a medical appointment at Seattle Children's Hospital. The tiny girl has survived surgery to close the gap on her back and endured multiple MRI procedures to measure the fluid inside her brain. So far, she hasn't needed a shunt to drain fluid, and she's meeting all typical developmental milestones.

"It was scary at first, but every time they see her, she gets better and better," Jackman said.

Olivia's defect isn't as severe as some, but she's still considered part of the cluster of neural tube defects in the region. Jackman said that if she'd known that other area women had babies with similar birth defects, she would at least have been aware that the issue existed.

That concern is shared by experts in neural tube defects, who say health officials should look harder — and spread the word about what what they find.

"Any time you see a geographic cluster of a pretty severe birth defect, it does make you wonder if there is a common exposure contributing," said Allison Ashley-Koch, a professor at the Duke University Medical Center for Human Genetics, whose focus is anencephaly. "If there were resources, it really would be wonderful to go back to the families to conduct more intensive interviews regarding common environmental exposures."

That's been true in high-profile clusters, including one in Texas in April 1991, in which three babies with anencephaly were born in a Brownsville hospital within 36 hours. It sparked years of surveillance and research that found that the problem could be traced in part to the lack of folic acid in the diets of the mostly Hispanic women who lived on the Texas-Mexico border. Obesity and diabetes appeared to be factors, as did exposure to fumonisins, or grain molds.

Research has shown that there are potential links between anencephaly and exposure to molds and to pesticides, Ashley-Koch said. Central Washington is a prime agricultural area that produces crops from apples and cherries to potatoes and wheat, which may require pesticides that contain nitrates.

"They may have eaten the same type of produce from a particular grower or farmer, which essentially put all those folks at risk," she said.

A Texas A&M University Health Science Center study published last year found that mothers of babies with spina bifida were twice as likely to ingest at least 5 milligrams of nitrate daily from drinking water than control mothers of babies without major birth defects.

The study, led by Jean Brender, associate dean of research at the School of Rural Public Health, found that nitrate levels in drinking water varied widely according to the source, with average levels of 0.33 miligrams per liter in bottled water, 5.0 milligrams per liter in public water supplies and 17.5 milligrams per liter in private wells.

"I have a daughter in her childbearing years," Brender said. "If she were on a private well, I would tell her to have her well-water tested or drink bottled water."

Ashley-Koch, the Duke professor, acknowledged that CDC and state officials faced a tough task. It's difficult tracing back through previous pregnancies and trying to find a common cause for birth defects, particularly when not all of defects are the same. Still, she suggested that the investigation may have been a "cursory approach."

"Without actually conducting interviews, it's pretty difficult to discern what potential exposures may or may not have occurred," she said.

Sara Barron, the nurse who discovered the problem, thinks that health officials could — and should — do more.

"I definitely believe something is going on," she said. "There was something. Maybe it just hit once and blew through, God willing. If there are still cases going on, we need to know."

CDC and state officials refused to tell NBC News how many new cases they'd received in 2013, saying they plan a full report later this spring. Stahre had previously said they'd received "a few more cases" after the original investigation.

Susie Ball, the genetic counselor who has reported additional cases, said she's "not convinced — yet" that there's a problem in the area and that it may take more time to tell. She wouldn't want to scare people, she said. Still, she said the situation should be more widely publicized to let local women of child-bearing age know the risk — and to help them take action to prevent birth defects.

"Make sure that everyone who could become pregnant knows they should be taking folic acid," Ball said, referring to the B vitamin that can help prevent spina bifida. "Look at this unexplained spike here in the valley. Take your folic acid."

It's the lack of information that still haunts Andrea Jackman, who said she lived near a pesticide-laden apple orchard and drank well water in the couple years before her surprise pregnancy.

"There's got to be something. I mean, something causes it," she said. "Every mother wants their child to be perfect. If you could find a way to stop this from happening, why wouldn't you want to do that? Why would you not want to tell people?"


Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: WarToad on February 17, 2014, 05:58:55 PM
Horrible, simply horrible.  I wouldn't be too shocked if down the line we get a news story about illegal chemical dumping going on in the area.
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: Amaterasu on February 17, 2014, 05:59:01 PM
Hmmmm...  I can think of two possibilities off hand.  Wonder if They looked into it...  Likely not.

1.  A particularly dense fallout occurred in the area after Fukushima

2.  They sprayed something experimental on the area that caused this.

I don't think We can write it off as "just coincidence."
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: Shasta56 on February 20, 2014, 01:31:08 AM
My first thought was Hanford.  It's about eighty miles from Yakima.  My heart aches for the families.

Shasta
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: The Matrix Traveller on February 20, 2014, 03:19:57 AM
Sadly certainly NO coincidence; Something has affected their Genome ....

This just shows... we need to know more about the human genome and others,
instead of believing Science is highly advanced and little is left to be discovered !


The truth of the matter is, little is still known about the Genome, contrary to peoples beliefs !

What we believe we know, is only a very, very small fraction of what is really involved.


My heart goes out to the parents, and offspring.

While there is much beauty in this world, sadly (but Necessary) there exists the Opposites also.

All part of WHAT Invokes the "Awakening" in our "Real Selves" a "partition of LIFE"
and NOT the flesh being experienced !
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: Norval on February 20, 2014, 04:49:31 AM
, , , , , and "monsters" will be born of women in the latter days, , , ,


Just some more food for the thoughts.  :'(
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: sky otter on February 20, 2014, 07:57:27 PM



well no offence to anyone's opinion...and for those families  coping with this i feel deeply for them

but on the monsters shall be born of women..you could say all MEN ( generic term for all)
are monsters..
crusades..war. religions.those playing with dna and genetics via animal or human testing

what i have said before  about cancer and some other things is that i think they are a form of
or a part of mankind evolving
into what?... i don't know
maybe a form just to be able to handle the radiation that is to be let loose on this rock..?
maybe as another form needs to take shape?

i don't know..
it's just a thought

Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: Norval on February 20, 2014, 10:42:30 PM
Quote from: sky otter on February 20, 2014, 07:57:27 PM


well no offence to anyone's opinion...and for those families  coping with this i feel deeply for them

but on the monsters shall be born of women..you could say all MEN ( generic term for all)
are monsters..
crusades..war. religions.those playing with dna and genetics via animal or human testing

what i have said before  about cancer and some other things is that i think they are a form of
or a part of mankind evolving
into what?... i don't know
maybe a form just to be able to handle the radiation that is to be let loose on this rock..?
maybe as another form needs to take shape?

i don't know..
it's just a thought

Thank god its just a thought, and you can only think about it, , ,   :P
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: sky otter on February 21, 2014, 02:02:47 AM


i'm just an observer
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: zorgon on February 21, 2014, 02:17:11 AM
Quote from: sky otter on February 17, 2014, 05:40:17 PM

A mysterious cluster of severe birth defects in rural Washington state is confounding health experts, who say they can find no cause, even as reports of new cases continue to climb.

Can we say Fukushima?

::)

but then Yakima.... Hmmmmm

Seems to me there is a military thingamajig out there

Yakima Research Station and Echelon Station
Yakima, Washington
Code Name: Cowboy
+46° 40' 31.15", -120° 21' 35.57"


8)
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: Shasta56 on February 21, 2014, 02:53:49 AM
I've encountered one anencephalic patient in 20+ years of working in healthcare.  He was born with a partial brain, and was completely dependent for care.

Shasta
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: ArMaP on February 21, 2014, 09:16:08 AM
Quote from: zorgon on February 21, 2014, 02:17:11 AM
Can we say Fukushima?
You can, but you can also say black magic. :P

From what I have read, this type of defect is not related to radiation but to chemicals.
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: Shasta56 on February 22, 2014, 02:33:58 AM
It seems to me, that where you have radiation, other than naturally occurring, you have chemicals.  The guys that worked in the glove boxes at Rocky Flats, making plutonium buttons, were classified as chemical operators.  The cooling towers at the plant used chemicals in the coolant system.  The chemicals and radioactive material contaminated a much larger area than was admitted to while the site was active.

Shasta
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: ArMaP on February 22, 2014, 01:24:28 PM
Everything is chemical. :)
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: Shasta56 on February 22, 2014, 08:45:46 PM
Everything is chemical, but not all chemicals are benign.  Chemicals used in nuclear production facilities are usually cytotoxic.  Of course chemotherapy is cytotoxic too.  That's why it makes people so sick while it's killing the cancer.  One chemotherapy drug, don't remember which one at the moment is based on mustard gas.  Mustard gas was some pretty nasty stuff back in "The World War."  That's how it's referred to on the monument where my grandfather's name and my great-uncle's name are both engraved.  A small obelisk containing the names of the men from Hanna, WY who served in that war.  Uncle Pat has a star next to his name.  He was killed in France.

Shasta
Title: Re: 'Bizarre' Cluster of Severe Birth Defects Haunts Health Experts
Post by: sky otter on February 25, 2014, 03:05:54 PM


and now this also from the west coast.. hummmmmmmmm


http://www.nbcnews.com/health/health-news/california-polio-illnesses-not-linked-officials-say-n37851



reports of polio-like illnesses

By JoNel Aleccia
A medical mystery is deepening in California, where state health officials now say reports of polio-like illnesses that have left as many as 25 children with paralyzed limbs don't appear to be connected.

It's not clear what may be behind the rash of acute infections first reported Sunday by researchers in a presentation for the American Academy of Neurology's annual meeting. Tests of 15 of 20 cases submitted by doctors and researchers have come up empty, according to Dr. Gil Chavez, state epidemiologist for the California Department of Public Health.

"Thus far, the department has not identified any common causes to suggest that the cases are linked," he said in a statement. "The investigation is ongoing."

But that only heightened the resolve of the parents of 4-year-old Sofia Jarvis, who was the first to be identified as part of the series of unexplained cases of sudden paralysis in kids ages 2 to 16.

"Thus far, the department has not identified any common causes to suggest that the cases are linked."

She was barely a toddler two years ago when she was stricken with flu-like symptoms and trouble breathing — and later realized she couldn't move her left arm. An MRI later confirmed that she had a spinal cord lesion that was causing paralysis.

"I'd like to say that Sofia is still a healthy young girl who's thriving," Sofia's mother, Jessica Tomei, 37, said at a news conference Monday. "She goes to pre-school. She does dance. We were very lucky that it only affected her left arm. But it's taken us a long time to get to that point to be OK with that."

Sofia's parents joined doctors from Stanford University's Lucile Packard Children's Hospital to discuss the very rare — but very frightening — infections.

"This is a decision to let everyone know what happened to our daughter so that we can raise awareness and hopefully if there is anyone else out there, this will help them in the future," she said.

Early surveillance identified five children between August 2012 and July 2013, but as many as 20 more cases have been identified since last summer, said Dr. Keith Van Haren, a pediatric neurologist at the hospital.

"We're seeing them throughout California," he said. "The farthest north is in the Bay Area and the farthest south is in San Diego."


Van Haren and colleagues from the University of California, San Francisco, suspect that the illnesses may be caused by a virus, possibly a type of enterovirus, the same family of virses as poliovirus.

Two of the children in the early reports showed signs of infection with human enterovirus-68, which has previously been associated with polio-like symptoms. HEV-68 is a rare form of very common enteroviruses, which cause between 10 million and 15 million infections in the U.S. every year, according to the Centers for Disease Control and Prevention.

Other enteroviruses have been responsible for outbreaks elsewhere in the world, including Australia and Asia.

Like polio infections, most enterovirus cases cause no symptoms or only mild symptoms, but a fraction of cases can result in serious illness — including paralysis.

At its peak in the 1950s, polio paralyzed up to 20,000 people a year in the U.S., mostly children, until a vaccine eradicated the disease in the U.S. and virtually worldwide.

All of the children identified in the cases so far were immunized against polio. Although they were treated, recovery has been minimal at best, doctors said.

Identifying a common cause for the illnesses will be difficult, Van Haren conceded.

"The tricky thing for this is the window of opportunity for detecting the virus is very limited," he said.

Spinal fluid samples would yield best results, but only for a couple of days. The virus could be detected in the nose and throat or in stool samples for longer, but those tests are much less sensitive and could lead to high numbers of false results.

"The tricky thing for this is the window of opportunity for detecting the virus is very limited," Van Haren said. "We're talking about doing a sort of epidemiological math where the scientists have to factor in how specific this is."

Van Haren and other researchers say they'll work with state officials to collect and analyze information about new cases. They say that if children show signs of sudden limb weakness, with or without other illness, parents should seek medical care.

He cautioned parents not to panic.

"We want to temper the concern because, at the moment, it does not appear to represent a major epidemic," Van Haren said. "The CDPH is taking these reports very seriously. We hope our efforts will help us develop prevention and treatment strategies in the future."

NBC's Miguel Almaguer and Hayley Goldbach contributed to this story.

First published February 25 2014, 5:27 AM