https://danielcameronmd.com/babesia-microti-imported-foreign-countries/

BABESIA MICROTI IMPORTED INTO FOREIGN COUNTRIES

Man with babesia microti infection travelling with suitcase

Over the past two decades, there have been reports of the tick-borne infection Babesia microti being imported into foreign countries from the United States. International travelers are unknowingly carrying the disease into countries, which may be unfamiliar with diagnosing tick-borne illnesses.

“Recently, sporadic cases of human babesiosis caused by several species of Babesia have been reported in other countries,” write the authors of “Imported Human Babesiosis, Singapore, 2018.” [1] These cases include:

  • Babesia microti (Germany, Australia, South Korea)
  • Babesia microti-like (Japan, Taiwan, China)
  • Babesia duncani (United States, Canada)
  • Babesia divergens (Europe)
  • Babesia venatorum (Europe, China)
  • Babesia crassa-like (China)
  • Babesia motasi-like (South Korea)

Additionally, in 2003, Nohýnková and colleagues reported what was believed to be the first case of symptomatic Babesia microti infection imported into the Czech Republic from the United States. [2] Meanwhile in 2013, investigators described the “first human case of Babesia microti infection imported to Denmark from the United States by a 64-year-old female traveler with fever of unknown origin.” [3]

READ MORE: Tourists visiting the United States contract Babesia, leaving one dead

According to the authors, “The case raises the possibility that Babesia infections may be under-diagnosed, [and] illustrates the importance of a thorough travel history…” [3]

The number of international travelers carrying tick-borne diseases into foreign countries is rising, making it increasingly important for clinicians to gather a thorough travel history on patients. CLICK TO TWEET 

Two recent case reports demonstrate the rise of tick-borne diseases being imported into other countries and highlights the challenges clinicians face in distinguishing these illnesses, specifically Babesia microti, from malaria.

Case 1: Singapore

A 37-year-old man traveled to multiple places in the year before his illness. His travel history included Vietnam, Thailand, Indonesia, Cambodia, Indonesia, and the United States.

On June 17, 2018, after visiting the Northeastern USA, he noted a right ankle papule that lasted 3 weeks. “He sought consultation at a travel clinic [in Singapore] because of high fever (104°F), rigors, and headaches, which had persisted and worsened over 18 days,” writes Lim and colleagues. [1]

Doctors had prescribed amoxicillin, but the symptoms persisted.

LISTEN TO PODCAST: Babesia treatment of two travelers

“Laboratory test results revealed moderate thrombocytopenia and anemia, and malaria blood films revealed trophozoites forming in erythrocytes, suggestive of Babesia,” writes Lin.

The doctors confirmed the diagnosis of Babesia microti with additional testing. He was treated successfully with quinine and clindamycin.

Case 2: Spain

“A 72-year-old man with a 15-day history of fever, generalized arthralgia, asthenia, and decreased appetite was admitted to Hospital Universitario San Cecilio, Granada, Spain,” writes Guirao-Arrabal and colleagues in “Imported babesiosis caused by Babesia microti − A case report.” [4]

The man had a history of sweating and his inflammatory markers were elevated. He also had a history of type 2 diabetes.

He reportedly traveled to a park in Westchester County, NY, an area that is considered endemic for babesiosis.

Malaria was considered based on intraerythrocytic forms in the red cells. The malaria antigen and PCR tests for malaria were negative.

Babesia microti was presumed with a low level of parasitemia (0.5 %). There was no evidence of another tick-borne illness. After treatment with atovaquone and azithromycin, his parasitemia resolved.

Editor’s note: It is encouraging to see that Babesia is now being considered by clinicians and treated appropriately.

_______________________

For more:  https://madisonarealymesupportgroup.com/category/babesia-treatment/

 

https://threader.app/thread/1269642397836869634

Steven Phillips, MD+Your Authors@StevePhillipsMDYale-trained MD, author, & researcher. Likes: Truth. Dislikes: Lies. Hobbies: Distinguishing science from propaganda. Tweets don’t contain medical advice.Jun. 07, 2020 3 min read

My Dad’s recent #COVID19. Not an academic document-just sharing a human experience of outrage & triumph.

My Dad is almost 90, frail as can be, in a nursing home. I went to visit him 3 months ago & wore a mask before it was fashionable to protect him just in case I had it.

I sent an email to 5 people at the nursing home the next day saying that I was shocked that none of the staff or visitors were wearing PPE. I warned them that the now infamous Seattle nursing home which had massive deaths early on in the #COVID pandemic was a sentinel event.

I warned them that they needed to “act now” to prevent a “major tragedy,” but not a single one of the recipients responded to my email, silence. I reached out to my Dad’s doctor to discuss the situation. She felt that he was a sitting duck and that prophylaxis was appropriate.

For those who don’t know, my Dad had severe heart failure from #Lyme 20+ years ago. Top NYC cardiologists could only recommend heart transplant & said he’d be dead in 6-12 months without it. Long story short, antibiotics saved his life. The heart transplant was avoided.

He took several regimens for #Lyme back then, of which az/hcq was one & it was very effective. Before #COVID brought az/hcq to public consciousness, it had been previously published as a regimen for chronic #Lyme. Countless patients have taken it safely.  https://pubmed.ncbi.nlm.nih.gov/14586290/ 

Since my Dad had taken az/hcq safely in the past, his doctor recommended re-treating him with it, both for his persistent Lyme symptoms 20 years later (although his heart is still strong) as well as for prophylaxis against #COVID19. My brothers and I agreed.

He’s been on it for 3 months without side effects. EKG has been unchanged. He was put on zinc to enhance its good effects & magnesium to reduce its cardiac toxicity.

As I had warned, in the time since I sent my email to the nursing home, they’ve had a massive #COVID death toll.

My Dad has been subjected to overwhelming #COVID exposure and never developed a single symptom. He remains, to this day, unscathed. But 3 weeks ago, when all nursing home residents were tested for #COVID, his PCR swab was positive.

When his PCR returned positive, his doctor also started him on ivermectin. Now 3 weeks later, his PCR is negative. Due to his age and many co-morbidities, my Dad is high risk to have done quite poorly from #COVID, yet he sailed through it without a scratch.

People ask, “Hey Steve, why are you pro #HCQ?” I’m not pro HCQ, I’m pro truth. I think HCQ is an imperfect treatment, & doesn’t work well as single agent when used late into #COVID. But I also think that when it’s used early & optimally, with safety monitoring, it can have value.

And I think that ivermectin may work, or it may not, I’m not sure. The data isn’t high quality at this point, but there is some. The very good news is that it’s been historically an extremely safe drug.

So that’s what our family has endured. Apathy on the part of the nursing home & decisive action on the part of our doctor.

Like all tweets, this doesn’t contain medical advice. Just sharing a human experience, & what’s medical science for, if not to enhance our human experience?

You can follow @StevePhillipsMD.

_____________________

**Comment**

And personal experiences are important.  So thankful Dr. Phillips’ dad is well and that proactive treatment helped him.  Phillips brings up many important points: nursing homes need to wake up as this is the most affected population for COVID-19. HCQ is not a perfect treatment but when used early enough can save lives. The addition of zinc and azithromycin have merit. Jury’s out on Ivermectin.

https://www.lymedisease.org/shea-disulfiram-lyme-disease/

June 3, 2020

Disulfiram for Lyme disease: profiles of two patients reporting good outcomes

https://www.lymedisease.org/disulfiram-psychiatric-bransfield/

TOUCHED BY LYME: Treating psychiatric Lyme symptoms with disulfiram

https://vitalplan.com/blog/can-you-really-sweat-out-toxins-the-truth-about-exercise-and-detoxing?

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Can You Really Sweat Out Toxins? The Truth About Exercise and Detoxing

By Beth Janes Posted 06-01-2020

Exercise is one of those things that’s so good for you and has so much science backing up its advertised health benefits, it’s not hard to believe one more proclaimed benefit: That a good, sweaty workout would help expel toxins. After all, your body only has a few ways to get rid of waste, and it makes sense it would do so through the pores of its largest organ — skin — if given the chance.

In reality, the link between exercise and detoxification isn’t quite so simple. Exercise does play a huge role in the process, but it doesn’t have much to do with sweat. While researchhas found traces of heavy metals like lead, mercury, and cadmium in the sweat of those with high blood levels of the toxins, for example, whatever toxins are released through perspiration (if any) are likely an overall drop in the bucket compared to what’s eliminated via urine and stool.

Man in the gymnasium after workout. He is sweaty, exhausted and wiping the face with a towel

“Sweat is certainly an area of interest, and there’s the possibility that some things do come out in sweat,” says Dr. Bill Rawls, M.D., medical director of Vital Plan. “But sweat’s primary function is thermoregulation, not detoxing. The main way your body removes toxins is through the liver and kidneys, which process them and turn them water soluble so they can be expelled through urine and stool.”

Even so, being active does play an integral role in the detoxification process. Keep reading to learn more — plus natural ways to maximize the cleansing power of exercise.

Movement Matters for Detox

For all of you who hear the word exercise and automatically think it means you must hit the gym, break into a jog, or otherwise go hard, relax — literally. While there’s certainly benefits to intense physical activity, low-to-moderate intensity activities are also extremely good for you, especially when it comes to detoxing.

“What we all really need is to just be active and move more throughout the day, and that can mean anything, really,” Dr. Rawls says. For example, everyday leisure activities like walking, biking and kayaking count.

Woman in denim apron and hat working with rake in public garden

So does housework, gardening, and other “work” you might otherwise have a machine do, which might mean raking leaves versus blowing them, or washing dishes by hand instead of loading them into the dishwasher. “Our bodies were designed to move, and up until about 100 years ago, when we started processing and using petroleum, that’s what we did,” Dr. Rawls says.

Unfortunately, the modern world has dealt most people a one-two punch when it comes to toxins: Not only are we moving much less than our ancestors thanks to machines, appliances, cars, and industrial processes, we’re also exposed to many, many more toxins because of those exact things. We’re also exposed to toxins from cleaning and other household items, self-care products, as well as in food in drinks in the form of herbicide and pesticide residue, plus chemicals from plastic packaging.

Shot of young woman with back pain sitting on the sofa in the living room at home.

“All those toxins are not compatible with human life; they damage cells and DNA, they inhibit normal functioning of cells, and they interfere with cellular messaging systems,” Dr. Rawls explains. Many also are free radicals that directly attack cells.

All combined, toxins put an enormous amount of stress on cells, causing them to burn out faster, which ultimately accelerates aging. In other words, detoxing is not only key for your health and healthy functioning of your systems now, it’s an investment in longevity, he says. And that’s why exercise, especially, which is already a multifaceted, well-known age decelerator, is the perfect detox tool.

3 Ways Exercise Supports Your Body’s Detoxification Processes

1. It Improves Circulation.

All cells are water-based and bathed in what’s called extracellular fluid, which helps encourage cells to release toxins and carry them away to the liver and kidneys for disposal, Dr. Rawls says. However the less you move, the more that fluid stagnates and the more toxins build up in your system and can do damage.

“You don’t have to do triathlons or run 10 miles a day,” says Dr. Rawls. “Just make it your goal to move more throughout the day, which is enough to flush out toxins from cells and the fluid around cells and keep it flowing.”

2. Exercise Lowers Inflammation.

Physical activity has also been proven time and again to help control inflammation, which reduces your body’s overall toxic load. Because while there are plenty of toxins we take in from the external world — from air pollution or pesticides, for example — chronic inflammation is itself toxic to our cells and produces an overabundance of natural “toxins.”

Here’s what’s happening: Under normal, healthy conditions, the body uses free radicals to break down cellular waste — the byproducts produced by cells as they make energy as well as other debris like bacteria or neutralized viruses. That waste is then carried away through the lymphatic system and filtered out in lymph nodes. The process is typically tightly controlled because free radicals also break down healthy tissue.

human cells receiving attack from free radicals

However, when cells are stressed due to environmental toxins, as well as psychological stress, a poor diet, lack of sleep, and other factors, cells produce more waste and burn out more quickly. That leads to a flood of excess free radicals, which also begin breaking down more and more healthy tissue, leading to more waste. It’s a vicious cycle that contributes to chronic illness and accelerates the general aging process.

“In short, chronic inflammation is a reaction to the whole plumbing system of the body becoming overwhelmed and getting clogged and backing up,” Dr. Rawls says. “Your cells are so polluted that your system is collecting waste at a faster pace than the normal flow can get rid of.” Physical activity is effective because it helps both reduce inflammation and help clear lymphatic congestion.

3. It Helps Reduce Places For Toxins to Hide.

Fat tissue seems to be one place certain toxins like to hide once they get inside your body. And research suggests those who are overweight or obese tend to have higher body burdens of common environmental toxins. Exercise, along with a healthy diet, helps reduce fat tissue and keep your weight and, potentially, the amount of toxins in your system in check.

Herbs That Support Your Detox Efforts

Increasing your daily activity will go a long way toward more effective detoxification. Add supportive herbs into the mix, and the results are likely to be even better. Here are a few areas and specific herbs to focus on, according to Dr. Rawls:

Multitasking Adaptogenic Herbs

Adaptogens are very beneficial overall because they help balance and support a number of different functions and systems. One of their most important jobs, however, is supporting the immune system, which controls your body’s inflammatory response. So while they’re well-known for their anti-inflammatory powers, they also help protect the vascular system and liver.

Look for:

Herbs That Enhance Blood Flow

Plants known to help protect cardiac function and your vascular system help ensure good circulation and blood flow for the carrying away of toxins. They also contribute to the cardio-protective effects of exercise, Dr. Rawls says.

Look for:

Anti-Inflammatory Herbs

Most herbs have anti-inflammatory (as well as antioxidant) powers. However certain plants and other substances are known to help system-wide inflammation, as well as the inflammation that can contribute to the painful joints that otherwise may make exercise uncomfortable.

Look for:

Herbs That Support Healthy Liver Function

“We’re exposed to so many toxins these days that we’re burning out our liver cells quickly,” Dr. Rawls says. Herbs that help protect liver cells do so by increasing their natural antioxidant protection. And the healthier your liver, the better the detoxification process.

Look for:

No matter what you do when you start to think about optimizing your body’s detoxification powers, be wary of products that claim too-good-to-be-true cleansing powers. Most of them simply pump you full of natural laxatives without actually addressing the bigger, underlying issues, Dr. Rawls says.

The truth is, you already have the best detox tool available — the ability to move. Look at products, then, that help support healthy functioning of your cells and body so you feel motivated, energized, and ready to get up and go.

References
1. Sears, Margaret E., Kathleen J. Kerr and Riina I. Bray. 2012. “Arsenic, Cadmium, Lead, and Mercury in Sweat: A Systematic Review.” J Environ Public Health. 184745.
2. University of Arkansas Medical School. “Can you sweat toxins out of your body?” UAMC Health. March 8, 2019. https://uamshealth.com/medical-myths/can-you-sweat-toxins-out-of-your-body/
3. Hammer, Mark, Sabia Severine, G. David Batty, et al. 2012. “Physical Activity and Inflammatory Markers Over 10 Years: Follow-Up in Men and Women From the Whitehall II Cohort Study.” Circulation. 126(8):928–933
4. Ertek, Sibel and Arrigo Cicero. 2012. “Impact of Physical Activity on Inflammation: Effects on Cardiovascular Disease Risk and Other Inflammatory Conditions.” Arch Med Sci. 8(5):794-804.
5. Dimitrov, Stoyan, Elaine Hulteng and Suzi Hong. 2017. “Inflammation and exercise: Inhibition of monocytic intracellular TNF production by acute exercise via β2-adrenergic activation.” Brain, Behavior and Immunity. 61:60-68.
6. La Merril, Michele, Claude Emond, Min Ji Kim, et al. 2013. “Toxicological Function of Adipose Tissue: Focus on Persistent Organic Pollutants.” Environ Health Perspect. 2013 Feb; 121(2): 162–169.
7. Kim, Min-Ji, Philippe Marchand, Corneliu Henegar, et al. 2011. “Fate and Complex Pathogenic Effects of Dioxins and Polychlorinated Biphenyls in Obese Subjects Before and After Drastic Weight Loss.” Environ Health Perspect Mar;119(3):377-83.