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2 Fla. cases of mosquito virus contracted in US

MATT SEDENSKY
Associated Press

WEST PALM BEACH, Fla. (AP) — Health officials are reporting that for the first time, U.S. mosquitoes are spreading a virus that has been tearing through the Caribbean.

Two people in Florida have domestically-acquired chikungunya (chik-en-GUN-ye) infections, officials said Thursday. In both cases, they said, a person infected with the virus after visiting the Caribbean was then bitten again by an uninfected mosquito in Florida, which then transmitted the illness further.

Health officials urged residents to prevent mosquito bites, but said there was no cause for alarm.

“There is no broad risk to the health of the general public,” said Dr. Celeste Philip, a public health official with the Department of Health.

Federal officials noted it’s an unfortunate milestone in the spread of a painful infectious disease that has raced across the Caribbean this year and is apparently now taking root in the United States.

“The arrival of chikungunya virus, first in the tropical Americas and now in the United States, underscores the risks posed by this and other exotic pathogens,” said Roger Nasci of the Centers for Disease Control and Prevention, in a prepared statement.

Chikungunya virus is rarely fatal. Infected people typically suffer fever, severe joint pain and swelling, muscle aches, headaches, or rash. Patients usually recover in about a week, although some people suffer long-term joint pain. There is no vaccine and no specific treatment for it.

This virus is not spread person to person, but rather by the bite of certain mosquitoes. That’s why health officials believe the virus is spreading here — the two cases had not recently left the country.

The infected Floridians were described as a 41-year-old woman in Miami-Dade County who began experiencing symptoms on June 10, and a 50-year-old man in Palm Beach County, who first noticed symptoms July 1.

Philip said both are doing well.

State epidemiologist Anna Likos said in order for the virus to be transmitted from an infected person to an uninfected mosquito, they must be bitten within the first week of illness.

More than 230 chikungunya cases have been reported in Americans this year, but all the others were travelers believed to have been infected elsewhere.

Now that chikungunya is in the United States, CDC officials think it will behave like dengue virus, with imported cases causing occasional local transmissions but not widespread outbreaks.

Chikungunya was first identified in 1952 in Tanzania. It first appeared in the Americas late last year, on a Caribbean island. By July 11, more than 355,000 suspected and confirmed cases were being reported in the Americas.

Officials have been expecting it to land in the United States, noting that two types of mosquitoes that can carry the virus live here.

Earlier this week, the New England Journal of Medicine published an editorial on the looming chikungunya threat by two National institutes of Health infectious diseases experts — Dr. David Morens and Dr. Anthony Fauci.

They noted several chikungunya vaccines are being developed. But even if they prove effective, they would be years away from becoming available.

Mosquito control and avoidance are the best current options, they said.

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Follow Matt Sedensky on Twitter at http://twitter.com/sedensky

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Stobbe reported from New York.

Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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