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Don't Panic About the Plague

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If reports of measles and whooping cough making a reappearance aren't alarming enough, the news that three people in New Mexico have contracted plague this year might have you on edge. But these aren't the only recent cases of plague in the state—the disease appeared in both 2016 and 2015, causing one death—or even in the U.S.

In 2015, a child contracted the plague in Yosemite National Park, and so did a tourist from Georgia; park officials closed a campground where they discovered two dead squirrels infected with the disease. That same year in Colorado, a pitbull infected four humans with pneumonic plague before being put down, and two other Colorado residents died from plague, including a 16-year-old boy.

It all seems very scary, but don't go sealing yourself in protective gear yet. There's less to fear about plague than you may think. While the public is prone to panic that a medieval illness, which wiped out a quarter of Europe in the Middle Ages during the Black Death, has suddenly arisen from obscurity, the truth is: Plague never left.

Though we haven't seen a widespread epidemic of plague since the early 20th century, thanks to advances in sanitation and medicine, and there hasn't been a human-to-human case of transmission in America since 1924, an average of seven new cases are reported every year in the U.S. From 2010 to 2015, there were 3248 cases, including 584 deaths, reported worldwide, according to the World Health Organization.

Yersinia pestis, the flea-borne bacteria that's most often responsible for plague, infects rodents; humans are “incidental hosts,” who can acquire the infection if bitten by an infected flea or rodent. Compared to the 14th century, when the Black Death spread wildly, or the late 19th century, when 10 million people died of the disease after it traveled from Hong Kong to port cities worldwide, most people today live in more sanitary conditions and have less frequent contact with the rodents most likely to carry the infected fleas. Today, 95 percent of plague cases originate in parts of sub-Saharan Africa and Madagascar.

The most common of the three strains of plague is the notorious bubonic plague, which causes painful swollen lymph nodes (also called buboes) and was responsible for Europe's Black Death—so named because internal hemorrhages caused by the infection make the skin appear black. But the pitbull that infected four Colorado residents carried the rarer respiratory strain of pneumonic plague, which is contagious when the infected person coughs up infected particulates. There is also septicemic plague, the most lethal form, which infects the blood, and most often occurs when plague virus has gone undetected and is allowed to spread.

In the U.S., you're generally only at risk of contracting plague in late spring to early fall if you've been in a rural or semi-rural area of the West, especially New Mexico, Arizona, or Colorado, and have had contact with fleas or rodents including ground squirrels, chipmunks, prairie dogs, or rats. And even then, the risk is low.

Only the pneumatic version of plague is contagious from human to human (though untreated bubonic plague can become pneumonic), but you have to be coughed upon, or receive fluid from an infected person upon an open wound or directly into your mouth or nose.

Plague symptoms mimic any flu—fever, chills, headache, difficulty breathing or coughing—but people have been known to cough up blood with the pneumonic variety. If you've been in a rural area, or camping, and come down with these symptoms two to three days later, it's best to go to a hospital.

Now for some good news: While untreated plague is quite deadly, people with plague who are treated with antibiotics within 24 hours of infection have strong recovery rates.

So while it's good to be aware and take precautions, the chances of another plague pandemic remain slim.

This story was originally published in 2015 and has been updated. 

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Live Smarter
5 Tips for Becoming A Morning Person
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You’ve probably heard the term circadian rhythm. Your circadian rhythm is an internal clock that influences your daily routine: when to eat, when to sleep, and when to wake up. Our biological clocks are, to some extent, controlled by genetics. This means that some people are natural morning people while others are night owls by design. However, researchers say the majority of us fall somewhere in the middle, which is good news if you want to train yourself to wake up earlier.

In addition to squeezing more hours out of the day, there are plenty of other good reasons to resist hitting the snooze button, including increased productivity. One survey found that more than half of Americans say they feel at their best between 5 a.m. and noon. These findings support research from biologist Christopher Randler, who determined that earlier risers are happier and more proactive about goals, too.

If you love the idea of waking up early to get more done, but you just can't seem to will yourself from out under the covers, here are five effective tips that might help you roll out of bed earlier.

1. EASE INTO THE HABIT.

If you’re a die-hard night owl, chances are you’re not going to switch to a morning lark overnight. Old habits are hard to break, but they’re less challenging if you approach them realistically.

“Wake up early in increments,” Kelsey Torgerson, a licensed clinical social worker at Compassionate Counseling in St. Louis suggests. “If you normally wake up at 9:00 a.m., set the alarm to 8:30 a.m. for a week, then 8:00 a.m., then 7:30 a.m.”

Waking up three hours earlier can feel like a complete lifestyle change, but taking it 30 minutes at a time will make it a lot easier to actually stick to the plan. Gradually, you’ll become a true morning person, just don’t try to force it to happen overnight.

2. EXERCISE IN THE MORNING.

Your body releases endorphins when you exercise, so jumping on the treadmill or taking a run around the block is a great way to start the day on a high note. Also, according to the National Sleep Foundation, exercising early in the morning can mean you get a better overall sleep at night:

“In fact, people who work out on a treadmill at 7:00 a.m. sleep longer, experience deeper sleep cycles, and spend 75 percent more time in the most reparative stages of slumber than those who exercise at later times that day.”

If you don’t have much time in the morning, an afternoon workout is your second best bet. The Sleep Foundation says aerobic afternoon workouts can help you fall asleep faster and wake up less often throughout the night. “This may be because exercise raises your body’s temperature for about four to five hours,” they report. After that, your body’s core temperature decreases, which encourages it to switch into sleep mode.

3. MAKE YOUR BEDROOM IDEAL FOR SLEEP.

Whether it’s a noisy street or a bright streetlight, your bedroom environment might be making it difficult for you to sleep throughout the night, which can make waking up early challenging, as you haven’t had enough rest. There are, however, a few changes you can make to optimize your room for a good night’s sleep.

“Keep your bedroom neat and tidy,” Dr. Nancy Irwin, a Los Angeles-based doctor of psychology on staff as an expert in sleep hygiene at Seasons Recovery Centers in Malibu, suggests. “Waking up to clutter and chaos only makes it more tempting to crawl back in bed.”

Depending on what needs to be improved, you might consider investing in some slumber-friendly items that can help you sleep through the night, including foam earplugs (make sure to use a vibrating alarm), black-out drapes, light-blocking window decals, and a cooling pillow

Another simple option? Ditch the obnoxious sound of a loud, buzzing alarm.

“One great way to adapt to rising earlier is to have an alarm that is a pleasing sound to you versus an annoying one,” Dr. Irwin says. “There are many choices now, whether on your smartphone or in a radio or a freestanding apparatus.”

4. TAKE THE TIME TO PROPERLY WIND DOWN.

Getting up early starts the night before, and there are a few things you should do before hitting the sack at night.

“Set an alarm to fall asleep,” Torgerson says. “Having a set bedtime helps you stay responsible to yourself, instead of letting yourself get caught up in a book or Netflix and avoid going to sleep.”

Torgerson adds that practicing yoga or meditation before bed can help relax your mind and body, too. This way, your mind isn’t bouncing from thought to thought in a flurry before you go to bed. If you find yourself feeling anxious before bed, it might help to write in a journal. This way, you can get these nagging thoughts out of your head and onto paper.

Focus on relaxing at night and stay away from not just exercise, but mentally stimulating activities, too. If watching the news gets your blood boiling, for example, you probably want to turn it off an hour or so before bedtime.

5. GET YOUR DAILY DOSE OF LIGHT.

Light has a immense effect on your circadian rhythm—whether it’s the blue light from your phone as you scroll through Instagram, or the bright sunlight of being outdoors on your lunch break. In a study published in the Journal of Clinical Sleep Medicine, scientists compared the sleep quality of 27 subjects who worked in windowless environments with 22 subjects who were exposed to significantly more natural light during the day.

“Workers in windowless environments reported poorer scores than their counterparts on two SF-36 dimensions—role limitation due to physical problems and vitality—as well as poorer overall sleep quality," the study concluded. "Compared to the group without windows, workers with windows at the workplace had more light exposure during the workweek, a trend toward more physical activity, and longer sleep duration as measured by actigraphy.”

Thus, exposing yourself to bright light during the day may actually help you sleep better at night, which will go a long way toward helping you wake up refreshed in the morning.

Conversely, too much blue light can actually disturb your sleep schedule at night. This means you probably want to limit your screen time as your bedtime looms closer.

Finally, once you do get into the habit of waking up earlier, stick to that schedule on the weekends as much as possible. The urge to sleep in is strong, but as Torgerson says, “you won't want your body and brain to reacclimate to sleeping in and snoozing.”

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technology
New Device Sanitizes Escalator Handrails While They're in Use
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LG

If you have ever hesitated to touch a well-used escalator's handrails for fear of contracting some disease from the masses, LG Innotek has an answer for you. The company just released a handrail sterilizer that uses UV light to kill nearly every germ coating the rubber belts, according to The Verge.

As the railings move with the escalator, they pass through the UV light, which kills 99.99 percent of germs, according to tech developer LG Innotek. The sterilizer is placed just before escalator users hop on, ensuring the handrails are still relatively clean when you grab on at the bottom. The device is a little bigger than a regular hand sanitizer dispenser (around the size of a piece of paper) and starts automatically when the escalator begins moving. It runs on power generated by the movement of the escalator.

UV radiation is used to kill super-germs in hospitals (and one company wants to bring it to planes), but it's relatively easy to use on your phone, your toothbrush, or anywhere else in your house. You can already get handheld UV sterilizers online, as well as aquarium-specific ones. In April 2017, LG Innotek released a faucet that purifies water by UV-sterilizing it inside the aerator. However, the fact that escalator railings are constantly on the move makes them easier to clean automatically than subway railings, door handles, and other potentially germy public surfaces we touch every day.

Bear in mind that while nobody likes getting a cold, germs aren't always bad for you. Some types can even help protect you against developing asthma, as scientists found while researching the health differences between Amish children and their counterparts on more industrialized farms. Whether you touch the handrails or not, cities have their own unique microbiomes, and those ubiquitous bacteria are pretty much guaranteed to get on you whether you like it or not. On the bright side, if you are a germophobe, UV sterilization has been touted as a possible alternative to other antibacterial treatments that cause supergerms.

[h/t The Verge]

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