(CNN) — Liam Payne is taking a step back from professional commitments for health reasons. The former One Direction member announced on his Instagram on Friday “with a heavy heart” that he has “no other choice but to postpone” his upcoming tour in South America, since he has been in the hospital “with a serious kidney infection.” He added in the caption to the video post that the ordeal is “something I wouldn’t wish on anyone, and doctors orders are that I now need to rest and recover.” “I was beyond excited to come play for you guys. To all of you who have bought tickets: I’m so sorry. We’re working to re-schedule the tour as soon as we possibly can, but for now we will be refunding the tickets,” Payne added. In his video address, he concluded that once he’s well again, “hopefully we’ll put on an even bigger, better show.” According to the singer’s official website, Payne was slated to play six dates in early September, in Peru, Colombia, Chile, Brazil, Argentina and Mexico. Last month, the crooner shared that he was six months sober after spending 100 days in a rehabilitation facility. “I just needed to take a little bit of time out for myself actually because I kind of became somebody who I didn’t really recognize anymore,” Payne said in the video, adding “And I’m sure you guys didn’t either.” He continued of his rehab experience, “I was in bad shape up until that point and I was really happy more than anything after I arrived to kind of put a stopper to life and work.” “Ever since then, I’ve just been trying to learn to get to know this new guy,” he added. Thanks for reading CBS NEWS. Create your free account or log in for more features.
Author: medicalviseAdmin
By Soonia Fernandez, UC Santa Barbara Indigenous peoples suffered disproportionately from the COVID-19 pandemic, experiencing a lack of sovereignty, limited infrastructure and discrimination in local healthcare systems that make them particularly vulnerable to infectious diseases. Yet little research exists to guide interventions and public health efforts tailored to remote-living Indigenous populations during pandemics. In Bolivia, for example, a team of researchers including UC Santa Barbara’s Tom Kraft and Michael Gurven, and local collaborators, attempted to mitigate SARS-CoV-2’s impact on the Tsimané, a small-scale Indigenous society living in remote areas of the Amazon. The effort centered on a strategy of voluntary collective isolation, in the hopes that remoteness, coupled with self-sufficiency in food production and a culture of resilience, would act as a buffer against disease. A new study by the same team, now published in the journal PLOS Biology, set out to test whether voluntary collective isolation was likely to be effective at preventing rapid spread of COVID-19 transmission among Tsimané. The authors used 20-plus years of data on Tsimané population structure, movement patterns and social networks to build a computer model to assess Tsimané vulnerability to COVID-19. The simulation predicted that without any intervention, approximately four out of every five Tsimané would be infected during an outbreak, and that even the most remote communities (more than 100 km from the nearest market town) would be affected. It also revealed that without severely curtailing travel, voluntary collective isolation was likely to fail. Sadly, the researchers confirmed their model’s predictions, observing a nearly identical rate of infection in the real world across Tsimané communities, based on serological testing of individuals after a first wave of COVID-19 infections. “Remote-living, small-scale populations are highly vulnerable to global diseases,” said Kraft, an anthropologist from both UC Santa Barbara and the University of Utah, and the lead author of the study. “We can’t rely on remoteness and voluntary isolation alone to mitigate risks — we need to plan to direct medical resources to these communities.” The Tsimané are one of several Indigenous tribes who hold collective title for much of the Estación Biologica del Beni and Pilón Lajas Biosphere Reserves and Indigenous Communal Lands, protected areas on the eastern flank of the Andes Mountains. They share characteristics common to many small-scale Indigenous societies, making this case study a useful reference for understanding infectious disease dynamics and public health interventions in other populations globally. The researchers designed their model to simulate the introduction of SARS-CoV-2 from the closest urban market town, and its spread among Tsimané communities. The idea for the study began at the outbreak of the pandemic. Many of the authors have worked with the Tsimané through theTsimané Health and Life History Project, which operates a mobile medical team that travels between villages to provide aid, while also conducting biomedical and anthropological research. Senior author Gurven, a professor of anthropology at UC Santa Barbara, co-founded the project back in 2002. For this work amidst the pandemic, the team wanted to understand how best to direct public health messages and deploy their limited medical resources. “At the time, there was great concern about what COVID might do if it reached the remote Amazon,” Gurven said. “So we shut down our normal operations and went into full COVID prep, hoping it wouldn’t spread. When COVID hit anyway, we then went into full surveillance mode, poised to help lessen the spread, and to help treat severe cases.” The Tsimané are mostly self-sufficient by small-scale farming of plantains, manioc, rice and corn, and by hunting and fishing. But with better roads and outboard motors, they now come into greater contact with Bolivian merchants, colonists and others in local towns. About 18,000 Tsimané live in over 95 villages spread along rivers and logging roads — the farthest requires a multi-day boat trip to the market town. Multiple generations live together in large extended households. The close-knit community is quite social, and individuals travel frequently between villages to visit friends and family. The authors evaluated how these characteristics would influence the extent and trajectory of disease spread, the community- and individual-level risk factors for susceptibility of infection and the effect of various intervention scenarios. “The Beni region of Bolivia is pretty remote, and medical facilities are hard to come by,” said Dr. Daniel Eid Rodriguez, a physician and medical coordinator for the Tsimané project based in Bolivia. “Any information that can help us make informed choices to best direct limited health resources is a blessing.” “We can’t rely on remoteness and voluntary isolation alone to mitigate risks — we need to plan to direct medical resources to these communities.” To the researchers’ surprise, the remoteness of the Tsimané communities made little difference in preventing the spread of COVID-19, both in computer simulations and observed infections. Once introduced, the disease spread in a chain reaction to even the most isolated villages, as predicted by the model. The timing and magnitude of infection differed in the short term, with communities closest to market towns getting infection peaks earlier than remote villages. Yet the smaller, more isolated villages experienced the largest outbreaks proportionally, challenging the intuition that epidemics are likely to be limited in remote, low-density populations. The authors suggest that for maximum impact, public health efforts in the future should focus on dispersing limited medical and messaging resources across remote communities, rather than concentrating efforts solely on denser communities closer to urban centers. Michael Gurven – Professor Gurven’s research links the evolved life history of humans with high levels of intragroup cooperation. He has conducted fieldwork for two decades with South American indigenous populations, and his work takes an evolutionary perspective on behavior, health, physiology and psychology. (Photo: Matt Perko) Simulations of different intervention strategies had mixed effectiveness. Restricting travel to market town alone slowed transmission, but made essentially no difference in the final outbreak size. Even extreme travel restrictions showed limited efficacy; simultaneously reducing 90% of travel to town and between villages substantially slowed transmission but was predicted to reduce
Blood donations are on the cusp of running critically low in Washington before the end of summer if people don’t step up donations, according to the state Department of Health and Northwest Blood Coalition. “Our collections are certainly in a situation you would call precarious,” said Curt Bailey, Bloodworks Northwest president and CEO. The Red Cross’s Pacific Northwest Region does not expect to have enough blood to meet patient needs this month without an increase in donations, according to a Thursday release from the state Department of Health. Wildfire smoke resulted in several canceled blood drives, exacerbating the problem. “Fewer donations make it difficult to keep hospital shelves stocked with lifesaving blood products. Trauma patients, transplant recipients, and those undergoing cancer treatment depend on the generosity of blood donors,” a release from the state Department of Health said. Nationally, the American Red Cross has seen a shortfall of around 25,000 donations during the first two months of summer. Some blood donation services characterize the summer months as the “100 Deadliest Days.” According to the state Department of Health, between Memorial Day in late May and Labor Day in early September, “demand for blood remains constant, transfusion needs increase, but donations go down.” Donor eligibility guidelines were recently updated nationwide. In May, the Food and Drug Administration removed blanket restrictions on blood donations from gay and bisexual men. The Northwest Blood Coalition includes Vitalant, Cascade Regional Blood Services, Bloodworks Northwest, and the American Red Cross Pacific Northwest Region. Find locations and donor eligibility information on their websites. The Washington State Standard, like the Idaho Capital Sun, is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Follow Washington State Standard on Facebook and Twitter. SUPPORT NEWS YOU TRUST. DONATE
Dengue prevention diet: Foods to eat and avoid for boosting immunity and preventing infection
ByParmita Uniyal, New Delhi Aug 28, 2023 08:50 PM IST Share Via Copy Link Give a boost to your immune system by including seasonal foods, drinking plenty of fluids and avoiding roadside food. Here are expert tips to prevent dengue. Dengue cases have been increasing at an exponential rate this year across the country due to incessant rains, waterlogging and floods. It is important to build immunity against the disease by doing regular exercise, sleeping adequately and eating a nutritious diet. Experts recommend seasonal fruits and vegetables, adequate fluids, nuts, proteins, vitamins to stay healthy and prevent infections. One should also avoid consuming sugary drinks, junk food, deep-fried foods, baked and processed foods. (Also read: Dengue outbreaks: 9 reasons why dengue cases are getting more severe; what role does global warming play) Practising mindful eating behaviours, choosing seasonal foods, staying physically active and being positive is the best way to maintain good health status(Freepik) “Dengue season is here. Bolstering the immune system is the key mantra in the current scenario, which helps the body to build resistance and combat infections. Practising mindful eating behaviours, choosing seasonal foods, staying physically active and being positive is the best way to maintain good health status,” says Deepti Khatuja, Head – Clinical Nutritionist, Fortis Memorial Research Institute, Gurgaon. Food groups to be added in the diet regimen during this season and in dengue to boost immunity and keep infections at bay are as follows: • Fluids Plenty of fluids, potable water is as vital as consuming warm, concoctions, herbal teas, broths, and soups should be consumed to build immunity. Along with these hot liquids, cold liquids like lemon water, buttermilk or lassie, coconut water etc. are also beneficial. These drinks are rehydrating that maintain electrolyte balance, detoxifies the system and essential for building a robust immune system. • Fruits Adding seasonal fruits like jamun, pears, plum, cherries, peaches, papaya, apples, and pomegranates supports meeting the increasing demands of nutrients like vitamins A, C, antioxidants, and fibre. These fruits aids to improve digestion, maintain gut flora and triggers the immune response. • Vegetables Seasonal and different coloured vegetables should be made part of your regular diet to foster good gut health and immune activity. Various vitamins present in different coloured vegetables like Vitamin A, C along with minerals like Zinc, magnesium etc. are good antioxidants and provide the immunity. • Spices Spices and herbs like turmeric, ginger, garlic, pepper, cinnamon, cardamom, and nutmeg are bestowed with anti-inflammatory, antifungal, antiviral, antimicrobial, anti-bacterial and immune-boosting activities. They work amazingly well to support the immune system by regulating immune cells like T-cells that helps the body to defend off the pathogens. Add these spices generously in your regular cooking during this weather and uplift your overall health. • Nuts Nuts and seeds are loaded with proteins, healthy fats, vitamins, minerals, and antioxidants. Proteins and amino acid are the basic building blocks of body and helps keep the GI tract and immune system healthy. They support immune functions by activation of immune cell functions, multiplication of immune cells and production of antibodies. • Probiotics Include probiotics in the diet: Opt for yogurt, buttermilk, cheese kefir, kombucha, and soybeans. Probiotics are packed with good bacteria that act on our digestive system and boost immunity. Prachi Jain, Chief Clinical Nutritionist & HOD (Nutrition & Dietetics), CK Birla Hospital, Gurgaon says to Strengthen our immune system adequate nutrition is the key. To attain strong immunity, one needs to modify the lifestyle as it cannot achieved in one day. Jain suggests the following foods: Indian food plate which contains all the food groups in proper proportion i.e.– healthy and balanced diet. Eat enough proteins – 0.8 to 1 gm per kg body weight at least. In case of any deficiencies, protein intake can be increased to 1.2 to 1.5 gm after consulting nutritionist or doctor as proteins help in muscle building, maintaining, repairing body tissues, healing and speeding up recovery. E.g., milk and milk products, paneer, soya, tofu, lentils, nuts, boiled egg etc. Vitamins and minerals – Include properly washed fresh seasonal fruits and vegetables as they are rich in antioxidants. You can boost your immune system by including these nutrients: Vitamin A: Carrot, sweet potato, papaya, apricots Vitamin C: All citrus fruits like lemon, amla, tomatoes, oranges, sweet lime etc Vitamin E: Sunflower seeds, saf flower seeds, almonds & pistachios Vitamin D: Fortified milk and milk products, exposure to sunlight, mushrooms, egg, fish Zinc & selenium: Seeds like chia seeds, pumpkin seeds, sunflower seeds, whole pulses, whole cereals, black til, eggs, fish Include probiotics and prebiotics like curd, yoghurt, and fermented foods. Indian herbs & spices – These have anti-inflammatory, anti-microbial and anti- bacterial properties. Examples are tulsi, dry ginger, lemongrass, garlic, turmeric, black pepper, and coriander etc. Omega 3 include nuts and seeds, almond, walnut, chia seeds, flax seeds, pumpkin seeds, sunflower seeds. Hydration – Stay hydrated by including coconut water, lemonade, fresh homemade soups, buttermilk, green tea. Maintain 2- 2.5 litre of fluid intake on a daily basis. Foods to avoid: 1. Avoid carbonated drinks, cold drinks, squashes etc. 2. Avoid roadside, raw, stale food to prevent infection. 3. Avoid fried, deep fried food. 4. Avoid bakery food, maida which includes junks – pizza, pasta, burgers & fries. 5. Avoid processed foods like cheese, mayonnaise etc. 6. Avoid alcohol. 7. Quit smoking and tobacco. Topics Dengue
NASHVILLE, Tenn. (WSMV) – A Nashville hospital patient was arrested Friday after police said he kicked a nurse in the face and flung blood toward staff while shouting racial slurs. Metro officers were dispatched to TriStar Summit Medical Center in response to a patient fighting with staff. Responding officers found the patient, 45-year-old Gregory Pollock, restrained to a bed. Hospital staff and security told police Pollock had been kicking and directing racial slurs toward the staff. He kicked one nurse in the face, police said. Staff also alleged Pollock took out his IV and began to “fling” blood toward hospital staff and security, according to the report. Pollock smelled like alcohol, police said, and was uneasy on his feet. He was transported to Metro jail and charged with assaulting a nurse. Copyright 2023 WSMV. All rights reserved.
Ooceraea biroi. Credit: Daniel Kronauer, The Rockefeller University In a new study in Nature Communications, an international research team including scientists at the Max Planck Institute for Chemical Ecology reports that, given the same genetic makeup, individual behavior alone determines whether or not an individual in a social group will contract a disease. Clonal raider ants of the species Ooceraea biroi that forage outside the nest are more likely to be infected by parasitic nematodes than conspecifics in the nest. The research team also observed that diseases in the colony altered the behavior of all ants: sick and healthy ants alike remained in the nest and the division of labor was reduced, affecting the overall social organization in the ant colony. The social role determines the risk of infection The COVID-19 pandemic made it quite obvious that not all people were equally at risk of catching the new virus. The elderly, the sick, and people with health problems needed special protection because the risk of contracting a life-threatening illness or dying from the virus was greatly increased. Apart from this, the risks of contracting the virus were also unequally distributed due to our occupational activities. By no means was everyone able to protect themselves from contact with infected persons by working at home. So-called “system-relevant” occupations were often those in which there were particularly large numbers of encounters with potential virus carriers: jobs in nursing and the medical sector, in child care and teaching, and providing the everyday necessities. “Division of labor, the fact that different members of a social group perform different tasks, has long been thought to result in different disease exposure. A frequent assumption is that the division of labor can lead to an unequal exposure of group members to pathogens or parasites,” explains study leader Yuko Ulrich of the Max Planck Institute for Chemical Ecology. She heads the Lise Meitner Group Social Behavior. However, it is not easy to test this assumption experimentally, as other factors, such as diet, age and personal susceptibility, often also play a role. In her postdoctoral work in Daniel Kronauer’s group at The Rockefeller University, Yuko Ulrich was involved in establishing the clonal raider ant Ooceraea biroi as a model for studies of the effects of individual behavior on social organization. Workers of this species have no queen and reproduce asexually via unfertilized eggs that develop into genetically near-identical individuals. As a consequence, all members of the ant colony are genetically identical and researchers can observe colonies of the same age under exactly the same conditions—the ideal model system to test the assumption. Automated tracking. Credit: Yuko Ulrich, Max Planck Institute for Chemical Ecology Parasitic nematodes are more likely to infect foraging ants The cause of disease in the focus of the current study are parasitic nematodes. They infect a particular gland on the ants’ heads. The behavioral studies were conducted using automated behavioral tracking, which allows computerized analysis of the behavior of each individual ant in a colony using videos. This tracking of individuals is done simultaneously in many ant colonies. This sophisticated system generates far more data than human observations and manual evaluations would create. “We observed that individual behavior alone affects their risk of infection. For example, ants that spend more time outside the nest foraging are more likely to become infected than individuals that have the same genotype and age but spend more time inside the nest,” first author Zimai Li summarizes key findings from the behavioral assays. As the research team found out, infection with the parasites significantly reduces the survival rate of the ants. Genetic analyses showed that infected ants exhibited altered gene expression patterns. In addition, the scientists used gas chromatography analyses and found that the odor profile of infected ants had changed. The ants’ cuticle is covered by a waxy layer of various hydrocarbons. “Our chemical analysis showed that infections altered the relative abundance of all cuticular hydrocarbon classes on the cuticle of clonal raider ants: both n-alkanes and methyl-branched alkanes had lower relative abundance in infected individuals. These substances are thought to be associated with desiccation resistance and communication among ants,” says Zimai Li. Infections in the colony change the behavior of all ants, even healthy ones The behavioral observations also revealed a quite surprising result: the division of labor within the colony not only affects the risk of infection of individual ants, but an infection also controls the behavior of the ants. Not only did infected animals spend more time in the nest, but also their healthy nestmates did. “We were surprised to find that the presence of infection reduced activity outside the nest in not only the direct host but also the uninfected nestmates. Since the nestmates are not infected, we did not expect that their behavior would also change; their behavioral changes were not directly induced by infection. This observation raises new questions that we need to investigate further. We would like to find out whether ants recognize the infection status of their nestmates and whether this induces some kind of care-taking behavior expressed by the healthy ants staying close to the sick ones,” says Zimai Li. Another explanation would be that the parasites cause these behavioral changes in order to be able to reproduce further. This is because parasite infection causes healthy and sick ants to come together more frequently in the nest, which should increase the likelihood of transmission. The altered odor profile of infected ants, which the researchers identified, may also play a role. “This study has raised many questions that we hope to answer in follow-up studies. For example, we want to know why the nematodes infect this one gland in the ants’ heads. We are also interested in how the ants’ chemical communication changes when some individuals are infected. And finally, we want to find out whether the changes in the ants’ behavior benefit their own colony or the parasites,” says Yuko Ulrich. More information: Zimai Li et al, Behavioural individuality determines infection
Mon, 28 Aug 2023 19:51:05 GMT (1693252265306) 6c1a9239626623b12804f7b5400cf5752fcbc847 a98b9a68b0d53dec453755579bc8ceb9717067d6 by Liz Bonis and Megan Burgasser, WKRC Mon, August 28th 2023, 6:46 PM UTC Hoxworth puts out call for blood donors leading up to Labor Day (WKRC file) Loading …
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Credit: Unsplash/CC0 Public Domain White-tailed deer across Ohio have been infected with the virus that causes COVID-19, new research has found—and the results also show that viral variants evolve about three times faster in deer than in humans. Scientists collected 1,522 nasal swabs from free-ranging deer in 83 of the state’s 88 counties between November 2021 and March 2022. More than 10% of the samples were positive for the SARS-CoV-2 virus, and at least one positive case was found in 59% of the counties in which testing took place. Genomic analysis showed that at least 30 infections in deer had been introduced by humans—a figure that surprised the research team. “We generally talk about interspecies transmission as a rare event, but this wasn’t a huge sampling, and we’re able to document 30 spillovers. It seems to be moving between people and animals quite easily,” said Andrew Bowman, associate professor of veterinary preventive medicine at The Ohio State University and co-senior author of the study. “And the evidence is growing that humans can get it from deer—which isn’t radically surprising. It’s probably not a one-way pipeline.” The combined findings suggest that the white-tailed deer species is a reservoir for SARS-CoV-2 that enables continuing mutation, and that the virus’s circulation in deer could lead to its spread to other wildlife and livestock. The study is published in Nature Communications. Bowman and colleagues previously reported detection of SARS-CoV-2 infections in white-tailed deer in nine Ohio locations in December 2021, and are continuing to monitor deer for infection by more recent variants. “We expanded across Ohio to see if this was a localized problem—and we find it in lots of places, so it’s not just a localized event,” Bowman said. “Some of the thought back then was that maybe it’s just in urban deer because they’re in closer contact with people. But in rural parts of the state, we’re finding plenty of positive deer.” Beyond the detection of active infections, researchers also found through blood samples containing antibodies—indicating previous exposure to the virus—that an estimated 23.5% of deer in Ohio had been infected at one time or another. The 80 whole-genome sequences obtained from the collected samples were represented groups of viral variants: the highly contagious delta variant, the predominant human strain in the United States in the early fall of 2021 that accounted for almost 90% of the sequences, and alpha, the first named variant of concern that had circulated in humans in the spring of 2021. The analysis revealed that the genetic composition of delta variants in deer matched dominant lineages found in humans at the time, pointing to the spillover events, and that deer-to-deer transmission followed in clusters, some spanning multiple counties. “There’s probably a timing component to what we found—we were near the end of a delta peak in humans, and then we see a lot of delta in deer,” Bowman said. “But we were well past the last alpha detection in humans. So the idea that deer are holding onto lineages that have since gone extinct in humans is something we were worried about.” The study did suggest that COVID-19 vaccination is likely to help protect people against severe disease in the event of a spillover back to humans. An analysis of the effects of deer variants on Siberian hamsters, an animal model for SARS-CoV-2 studies, showed that vaccinated hamsters did not get as sick from infection as unvaccinated animals. That said, the variants circulating in deer are expected to continue to change. An investigation of the mutations found in the samples provided evidence of more rapid evolution of both alpha and delta variants in deer compared to humans. “Not only are deer getting infected with and maintaining SARS-CoV-2, but the rate of change is accelerated in deer—potentially away from what has infected humans,” Bowman said. How the virus is transmitted from humans to white-tailed deer remains a mystery. And so far, even with about 30 million free-ranging deer in the U.S., no substantial outbreaks of deer-origin strains have occurred in humans. Circulation among animals, however, remains highly likely. Bowman noted that about 70% of free-ranging deer in Ohio have not been infected or exposed to the virus, “so that’s a large body of naive animals that the virus could spread through rather uninhibited.” “Having that animal host in play creates things we need to watch out for,” he said. “If this trajectory continues for years and we have a virus that becomes deer-adapted, then does that become the pathway into other animal hosts, wildlife or domestic? We just don’t know.” Martha Nelson of the National Library of Medicine was co-corresponding author of the study. Ohio State co-authors Dillon McBride, Steven Overend, Devra Huey, Amanda Williams, Seth Faith and Jacqueline Nolting worked on the study with co-authors from St. Jude Children’s Research Hospital; the University of California, Los Angeles; the National Research Center in Giza, Egypt; PathAI Diagnostics; the Ohio Department of Natural Resources; the U.S. Department of Agriculture; Columbus and Franklin County Metroparks; and the Rega Institute for Medical Research in Belgium. More information: Accelerated evolution of SARS-CoV-2 in free-ranging white-tailed deer, Nature Communications (2023). DOI: 10.1038/s41467-023-40706-y Provided by The Ohio State University Citation: COVID-19 virus is evolving rapidly in white-tailed deer, new research finds (2023, August 28) retrieved 29 August 2023 from https://phys.org/news/2023-08-covid-virus-evolving-rapidly-white-tailed.html This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
A Tough Mudder competition in California’s Sonoma County may have sickened hundreds, according to an updated report on the event, where participants claimed they smelled cow manure on the muddy, wet field. “There was a few times during the race where I could smell cow manure,” Nicole Villagran, who developed a rash after participating in the event, told ABC News. “You wake up the next day and you’re like, ‘What is all this on my arm? Like, what is going on here?’ And it’s on both arms. That’s where I was digging and doing army crawls and it’s on the inside of my knees where I was pushing off of as well,” said Villagran. A Tough Mudder race is a collaborative obstacle course challenge, where participants attempt Boot Camp-style hurdles in mud and muddy water. TikToker Lindsay Sirmon, who participated in the Tough Mudder challenge, shared a video of rash-covered knees, writing, “Had a blast at Tough Mudder Sonoma but…..little did we know that chills, fever, body aches (headache) and infection would follow.” “We hosed off, changed clothes then showered well after,” Sirmon wrote in the TikTok caption. “After drs. visits, we are on antibiotics and topicals.” But as Sirmon pointed out, “I mean, it is in the mud, I get that.” ABC News reports that now at least 350 people who participated in the August 19-20 event have become sick. Their symptoms were so severe, ranging from skin rashes to vomiting, that it prompted the county health department to issue an advisory. “The Tough Mudder race involved extensive skin exposure to mud. Most affected persons have pustular rash [rashes with pus-filled blisters], fever, myalgias [muscle pain], and headache,” the August 23 advisory from the Sonoma County Department of Health Services said. However, the advisory continued that the symptoms could have a wide range of causes — some potentially deadly, although there have been no reports of fatalities from the Sonoma County event. “These symptoms could be indicative of a minor illness called Swimmers’ Itch, but they can also indicate a staph infection or other more serious bacterial infection such as Aeromonas.” Swimmer’s Itch is caused by microscopic parasites in water, according to the CDC, and while uncomfortable, can usually be treated at home with corticosteroid cream. Some participants in the Sonoma County Tough Mudder experienced rashes and fevers. Tayfun Coskun/Anadolu Agency via Getty Staph infections, however, can turn deadly, the Mayo Clinic says. While symptoms vary, staph usually presents with pus-filled boils, impetigo (a painful rash), and cellulitis. If the staph bacteria enters the bloodstream, it can cause a deep infection known as bacteremia, which can impact internal organs, and muscles. While staph is generally treated with antibiotics, the Mayo Clinic points out that antibiotic-resistant strains of staph may require intravenous antibiotics. And according to the National Institute of Health, Aeromonas is caused by “opportunistic bacteria” that generally live in water, and possess a “wide spectra of antibiotic resistance.” The CDC says California is the first state to mandate reporting of Aeromonas infections. “Bloodstream infections caused by Aeromonas tend to be very severe and progress rapidly,” the National Institute of Health has said. “While the overall frequency of Aeromonas as a cause of … bacteremia is low, Aeromonas bacteremia has a high fatality rate.” The Sonoma County health department also advised: “If you participated in the race and have a rash with fever or other symptoms, please see your medical provider or, if you do not have a medical provider, your local emergency department. You may wish to take this Advisory with you. Incubation period is 12 to 48 hours.” A representative for Tough Mudder said in a statement to PEOPLE that all participants and spectators from the event have been contacted and urged to seek medical attention if they are experiencing any symptoms. Additionally, they are working closely with the County of Sonoma Health Services to investigate the matter. “As it has been for the thousands of races we have put on for millions of racers across the globe, the health and safety of the Tough Mudder community is always our top priority,” the statement said. “All necessary protocols were followed in preparation for, and during, the event. Our thoughts are with those affected and we are actively investigating to understand exactly what occurred.” PEOPLE has reached back out to Tough Mudder for further comment.