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It's possible to spread the flu before you feel sick and when you have symptoms. Typically, people with the flu can spread it a day before, and up to a week after feeling sick. Young children and people with weakened immune systems may be able to spread the flu for even longer. If you or someone you know is sick with the flu, take steps to help prevent spreading the disease

A cold is often milder than the flu. The flu and COVID-19 have similar symptoms, but COVID-19 spreads more easily and symptoms tend to be more severe. It's also more common to have a change in your sense of smell or taste with COVID-19.

You can get the flu at any time of year, but it's most common in the fall and winter. It usually starts to spread in October and peaks between December and February. That's why this time is called the flu season.

You need a flu vaccine every year for two reasons. First, flu viruses change and the flu vaccine is updated each year to target the flu viruses that are anticipated to spread that year. Second, the protection you get from a flu vaccine lessens with time, especially in older adults. Getting your flu vaccine every fall gives you the best protection from that year's flu viruses.

Skin cancer is a very common type of cancer in the United States. The main cause of skin cancer is the sun. Sunlamps and tanning booths can also cause skin cancer. Anyone, of any skin color, can get skin cancer. People with fair skin that freckles easily are at greatest risk. Skin cancer may be cured if it is found before it spreads to other parts of the body.

There are three types of skin cancers. Two types, basal cell carcinoma and squamous cell carcinoma, grow slowly and rarely spread to other parts of the body. These types of cancer are usually found on parts of the skin most often exposed to the sun, like the head, face, neck, hands, and arms. But they can happen anywhere on your body. The third and most dangerous type of skin cancer is melanoma. It is rarer than the other types, but it can spread to other organs and be deadly.

In addition, hookworm eggs hatch in the soil, releasing larvae that mature into a form that can actively penetrate the skin. People become infected with hookworm primarily by walking barefoot on the contaminated soil.

Unlike surgery, chemotherapy can take a long time. Doctors often give chemotherapy in many treatments spread over a few weeks or months. Then, you might take a break and have more treatments later. Even with breaks, having many treatments can lead to longer periods of weakness. If you are an older adult, chemotherapy might affect you differently than someone younger. For example, older adults have a greater risk of physical side effects from chemotherapy, which can affect your quality of life.

At first, the spread of the lionfish population was rather gradual, but in 2000 the number of sightings began to increase exponentially. By 2009, lionfish were pretty well established along the Atlantic coast and throughout the Caribbean.

In the era of HIV, curable infections such as bacterial sexually transmitted diseases (STDs) may be perceived as relatively benign. For women, however, the reproductive health risks associated with two common bacterial STDs, Neisseria gonorrhoeae and Chlamydia trachomatis, are serious: If left untreated or unresolved, these infections can spread from the lower genital tract to the upper reproductive tract and can result in pelvic inflammatory disease (PID).1 Moreover, both gonorrhea and chlamydia can facilitate transmission of HIV.2

Rates of gonorrhea and chlamydial infection are highest among women aged 15-19 (2,068 and 757 per 100,000, respectively),8 reflecting physiological, social and behavioral risk factors associated with early initiation of intercourse.9 Physiological risk for STDs among adolescent women is due to a number of factors, including the presence of columnar epithelial cells in the vagina and cervix prior to the onset of menarche. These cells are more vulnerable to bacterial STDs than are the stratified squamous cells that gradually replace them subsequent to estrogen stimulation in puberty.10 In general, changes in vaginal physiology confer some protection as girls mature, but not enough to eliminate infection risk among adult women.

There also are limitations with individual items. For example, data on the frequency of exposure to infection (i.e., frequency of intercourse) were obtained only if the woman indicated that she had been sexually active in the three months prior to the interview, and only for that time period. Consequently, we do not know about a respondent's coital frequency and potential exposure to STDs unless she had had sex in the recent past.

Finally, there are problems associated with self-reported data on bacterial STDs. Prevalence estimates of gonorrhea and chlamydial infections were calculated from two questions: \"Has a doctor ever told you that you have gonorrhea\" and \"Has a doctor ever told you that you have chlamydia\" Self-reports are likely to underestimate the true prevalence of infection for several reasons: The stigma associated with STDs may reduce the likelihood that a woman will report a history of a bacterial STD to an interviewer; the ability to remember a specific diagnosis may decrease over time; the information delivered or understood at the time of diagnosis may have been incomplete; and the infection may have been asymptomatic and thus never diagnosed. Despite these limitations, the NSFG is the only current data set based on a nationally representative sample of women that contains information about bacterial STDs, PID and behavioral risk factors.

Two important behavioral predictors of PID were measured in the NSFG: douching and use of an IUD, and both regular douching and a lifetime history of IUD use were significantly associated with self-reported PID. According to analyses of the 1988 NSFG,28 rates of douching appear to increase as women mature into young adulthood; thereafter, rates remain more or less constant. In addition, douching varies with education and race, with the prevalence of douching decreasing as education and socioeconomic status increase. But, regardless of modifying factors, black women are significantly more likely than white women to douche regularly. Although race itself did not contribute significantly to the PID analysis, it may have an effect through socioeconomic status and douching behaviors.

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A research paper and editorial published last week in JAMA Oncology may have brought knowledge, but if you read various media reports I am not so certain it has clarified understanding. And the distinction is important, because when a woman is confronted with the diagnosis of a \"stage O\" breast cancer (also known as ductal carcinoma in situ or DCIS), the decisions she makes about treatment can have far-reaching and long-lasting impact for her and those who care about her.

First, some brief background: DCIS was rarely diagnosed before the advent of mammographic screening for breast cancer. Perhaps it was found incidentally when a breast biopsy was done for another reason, or perhaps a woman or her physician felt a mass that turned out to be DCIS. Once mammography became more widespread in the 1970's, we began to see a marked increase in the number of women diagnosed with DCIS. Today, the American Cancer Society estimates that in 2015 slightly more than 60,000 women in the U.S. will be diagnosed with this lesion (compared to 234,190 women who will have a more typical invasive breast cancer).

The situation is more complicated because DCIS is non-invasive. That means it does not invade the milk ducts from which it originates, thus decreasing the possibility of spread. Some experts have even advocated that we should not call it a cancer at all, since it has been thought that the chances of spread from this cancer are quite small (putting aside the fact that if such lesions are carefully examined under the microscope there is a small possibility that an area of invasion might indeed be found).

After being followed for 20 years, one out of 33 women (3.3%) in the study died from breast cancer, which is almost twice as much (1.8 times) as the rate among women in the general population. In addition, women diagnosed before the age of 35 had about a 2.5-fold greater chance of dying from breast cancer after a DCIS diagnosis compared to older women. Black women had an almost 3 times greater chance of dying from breast cancer after a DCIS diagnosis than white women. Even more important, a woman who eventually developed another primary invasive breast cancer in the same breast had an 18 times greater chance of death from breast cancer.

What was stunning to me in this report was that there were 517 breast cancer deaths -- which represented slightly over half the women with DCIS diagnoses who ultimately died from breast cancer in this study -- among women who did not have any recurrence of cancer or a new cancer in the breast. That includes women who had mastectomies. That leads us to believe that in these women -- although a small number out of the 108,000 total DCIS cases -- there was something about their non-invasive DCIS tumor that was very, very aggressive resulting in distant spread and death. 781b155fdc