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Sunday, August 30, 2015

Mumps and Raw Sewage in Cumberland, Maryland ~ Is There a Connection ?

Cumberland, Maryland currently has a "mumps" outbreak.

http://www.times-news.com/news/mumps-outbreak-at-fort-hill-high-school/article_36401524-4e61-11e5-b50c-af299342c45c.html

and

http://www.acpsmd.org/site/default.aspx?PageType=3&DomainID=42&ModuleInstanceID=10&ViewID=047E6BE3-6D87-4130-8424-D8E4E9ED6C2A&RenderLoc=0&FlexDataID=6292&PageID=52

We also have a sewage problem in town! Are the two connected? Well the scientific medical literature seems to say no, however I cannot find 100% certain truth of that, but what  have is as close to 100% as we can scientifically expect for today. So, we have two very serious issues to address, and who knows, perhaps they are still intertwined, as poor health is effected my such a multitude of factors, most of which are unknown and things that we are exposed too that we cannot see.

I am always curious to the deeper and actual causation (etiology) behind these types of diseases (virus), such as actual molecular origin. Concerning "mumps", it is indeed a very rare disease and it make some think there must be an obvious source we can isolate and then alleviate out of the equation as we move forward and make certain we will not experience this threat again if we can indeed isolate, treat and remove the origin itself, root and all !

The etiology as expressed in literature would lead one to not believe that it could be present any where other then within the human body and its fluids. Until I know the exact molecular origin from genesis until death I cannot accept that as a fully valid answer as accurate, but merely speculation based upon the best facts we can derive today utilizing the science we have at hand. Perhaps it is true that it manifests in the body and as we are the only known host that is the only place it can reside, but if it is born within the body, I think only exposure to one or more compounds must happen in order for it to manifest in an individual. I cannot accept that it has somehow hopped along over and over for eons and just survived by manner of fortune, especially in this day and age of vaccination, and this one is able to be vaccinated against however this is a virus that the vaccination is all too often refused, and of course that just offers the ability for it to continue its "life" as a virus. (not to say it meets the definition of life or that it does not)


This is what the reputable literature and the experts state:

Transmission, course, and symptoms

Humans are the sole reservoir for the mumps virus. The transmission mode is person to person via respiratory droplets and saliva, direct contact, or fomites. (See Etiology.) The presence of maternal antibodies typically protects infants younger than 1 year from the disease. Infections can be a symptomatic in 20-30% of persons. Of those with symptomatic infection, adults tend to be more severely affected when compared to children. Lifelong immunity usually follows clinical or subclinical mumps infection, although second infections have been documented.
Mumps has an incubation period of 16-18 days; however, cases can arise 12-25 days after exposure. After this period, prodromal symptoms (such as low-grade fever, malaise, myalgias, headache, and anorexia) occur; these symptoms can last 3-5 days.
After this prodromal period (about 48 h), the clinical path of the virus depends on which organ is affected. The most common presentation is a parotitis, which occurs in 30 to 40% of all patients and in 95% of those who are symptomatic. Parotitis is caused by the direct viral infection of the ductal epithelium and presents with localized gland inflammation. Other reported sites of infection are the central nervous system (CNS), eyes, pancreas, kidneys, testes, ovaries, and joints.

So, even if it appears that mumps cannot be brewing in our stagnated sewage system, it is for certain many other pathogens may indeed be and are likelie to be in the air we are breathing in these areas ad this situation needs to be properly addressed.

For well over 10 days I have smelled a foul smell as I have drive to our local theatre. That smell is due to what I was informed was called a "dry sewer" which we will have flushed A.S.A.P. and my understanding is that this is a sewer that is damaged and will take extensive work to repair properly, which of course means coming up with greater funding in our city budget, but we also have to weight this against possible health concerns as well.

However I have to think that this is not healthy at all and I know for a fact that it has been noticed by many people as we all shared discussion about it in a thread under a comment listed in facebook just yesterday August 30, 2015. It was later in the day when I same that we were having a mumps outbreak, and the incubation timing and first time I smelled this terrible stench in the air that was always there and lingering and so bad you would have to hold your breath matches that timing.

The exact area I smell this so very strongly is here at this map, and  have smelled it since at least 2015-08-20 and in particularly on the hotter days, as we had many days near 90+ where it strongly permeated the air. The rough location is W. Harrison Street and S. Centre Street 21502 .

https://www.google.com/maps/place/The+Western+Maryland+Scenic+Railroad/@39.6488816,-78.7622468,17z/data=!4m6!1m3!3m2!1s0x883551de7871cde3:0x2fc80573b9481729!2sI-68+West+Hazleton+Rest+Area!3m1!1s0x0000000000000000:0x443c4bb66b25e462

Open the below link and read page 11 and 12 carefully, and keep in mind that although this is speaking about a sewage treatment plant, raw standing sewage in a broken pipe can be just as lethal potentially and should not be overlooked or under addressed!

...excerpt from the pages at the link:

" Inhalation itself may lead to a respiratory infection or the respiratory mucous laden with trapped pathogens may be swallowed so that the infection actually occurs in the digestive tract. Aerosols might contaminate food or water and lead infection in the digestive system. Organisms which can infect the lungs include Mycobacterium tuberculosis and some of the enteric viruses. It is difficult to study health effects from aerosols since the treatment plant is located within the area it serves: the ultimate sources of the pathogens in the aerosol are infected individuals in the service area. It is difficult to determine if the route of transmission for a disease was wastewater contact or contact with other people.

The amount and survival of microorganisms in wastewater aerosols depends upon the amount of the organism in the wastewater, aeration basin, or 11 sludge; the amount of material aerosolized; what happens to the aerosol while in the air (such as drying of moisture or impact with a surface); and the die-off of the organisms with distance in the downwind direction. Even when these circumstances are known, interpreting the health risk from the information is difficult since it is necessary to consider what is the quantity of a particular pathogen required to start an infection in people.

Bacteria and viruses are not necessarily evenly distributed throughout a liquid, but can concentrate in the in the surface microlayer. This affects how many organisms can be put into the air. During aeration, when air bubbles break at the air-water interface, microorganisms are ejected into the atmosphere. The bacterial concentration in the ejected drops from bubbles may, depending upon the drop size, be from 1 to 1000 times that of the water from which the bubbles burst. "

This is indeed a critical problem ! On a level of a huge health concern as well as concerning infrastructure and the repairs so needed and budgeting to accomplish that feat. (read it all but pay particular attention to Pg. 11)

http://digitalcommons.ilr.cornell.edu/cgi/viewcontent.cgi?article=1001&context=manuals

TO READ MORE ABOUT MUMPS SEE THESE LINKS

http://www.cdc.gov/mumps/

and

https://en.wikipedia.org/wiki/Mumps

https://en.wikipedia.org/wiki/Rubulavirus

http://reference.medscape.com/article/966678-overview

Perhaps I am incorrect, however in the least we need to plan on addressing these problems soon as they are very poor for tourism and they certainly have to be terrible for our collective health. I will not longer drive there and will purposely go around the long way for now on to get where I need to go moving forward.

What is critical is that we help our Mayor and City Council to efficiently address these issues and seek long term solutions that insure both our fiscal and physical health!

My ideas outlined herein and some research as sited is purely speculative, however it is not something that should be at all overlooked!

Infrastructure here is old, poorly documented if at all, and a huge issue concerning our budget as well as our future potential of growth. These are not uncommon problems around the country actually, however we have to solve them and we have to do so as quickly as possible.

I hope that the threat of a serious health risk may make some federal emergency type of funds, such as grants perhaps, immediately available to us, and we certainly owe it to our citizens and tourists from afar to maintain as healthy a city as possible, most especially over such known and threatening issues as these that are clearly threatening according to Cornell, a prestigious university study as enclosed herein for all to read and understand for themselves.

This link may not be perfect as to this particular scenario we are experiencing, however it will help guide us very possibly towards a better answer then inaction!

Federal Funding Sources for Small Community Wastewater Systems


http://water.epa.gov/type/watersheds/wastewater/eparev.cfm


State & Local Funding Resources

http://www.transportation.gov/highlights/disaster-recovery/funding/state-local

Please share and respond with any pertinent information that may help our city be healthier and correct the problems that we are aware of.

OTHER REPORTS IN OUR LOCAL NEWS

FOUR CASES OF MUMPS CONFIRMED AT FORT HILL

The following press release was issued by the Allegany County Health Department.  For more information, contact Lynn Kane at 301-759-5093. 
 
Health Department Plans After-School Vaccination Clinic for F.H.H.S. Students, Staff

Lab testing has confirmed four cases of mumps at Fort Hill High School. In response to the outbreak, the Allegany County Health Department and the Allegany County Board of Education, in cooperation with the Maryland Department of Health and Mental Hygiene (DHMH) and the Centers for Disease Control and Prevention (CDC), are planning an after-school vaccination clinic at Fort Hill for students and staff to receive a booster dose of the MMR (Measles, Mumps, and Rubella) vaccine. The clinic will be held Tuesday, September 1st, from 3 p.m. to 7 p.m. The vaccine is being provided by the CDC free of charge to F.H.H.S. students and staff.

It is recommended that all persons without medical contraindications receive two MMR doses, ideally beginning at 12 months of age and again at 4 to 6 years of age. With two doses, the vaccine is estimated to be approximately 88% effective. In order to proactively combat the spread of the mumps cases at Fort Hill, the CDC has recommended that a third dose of vaccine be administered to increase the level of protection against the mumps virus.

The vaccine requires health screening; therefore, students will need to have a parent or guardian with them who is familiar with their health history and any existing medical conditions.

Symptoms of mumps include swollen or tender salivary glands in the cheek and jaw area, fever, headache, and swollen and tender testes in teenage and adult men. Symptoms may occur most commonly within 14 to 18 days of exposure, and individuals are contagious anywhere from two days prior to becoming symptomatic up to five days after symptoms present, so it is possible to pass the mumps to others before you have symptoms. The mumps virus spreads by way of airborne droplets or close contact with respiratory secretions, so preventive measures such as frequent handwashing, avoid the sharing of food and drink and covering coughs and sneezes are recommended. Up to half of those who do contract mumps have only very mild symptoms and may not even know they had mumps.

For more information about mumps and the MMR vaccine, contact the health department at 301-759-5090 or go to


 
Published 8/28/15 

http://www.acpsmd.org/site/default.aspx?PageType=3&DomainID=42&ModuleInstanceID=10&ViewID=047E6BE3-6D87-4130-8424-D8E4E9ED6C2A&RenderLoc=0&FlexDataID=6292&PageID=52