9 Tips for Eco-Friendly Naturist Vacations.

Ecological awareness, climate change and global warming have been hot topics for quite a while now. We would almost dare to call it a trend. It’s a bit sad when important things like those need to be hyped before people start thinking about them. Nevertheless, we’re happier that something like respect for the planet becomes trendy than let’s say Pokemon or Dr. Martens boots.



7 Heroin Users Die From Flesh-Eating Bacteria in San Diego

Seven people in San Diego have died in the last two months from a flesh-eating bacteria associated with black-tar heroin use, prompting public health officials to warn the medical community to be on the lookout for additional cases.

The San Diego County Health and Human Services Agency reported Wednesday that the seven people died from myonecrosis, a severe infection that destroys muscle tissue. The dead ranged in age from 19 to 57; five were male.

They were among nine people admitted between Oct. 2 and Nov. 24 to county hospitals with the condition after injecting black-tar heroin, a dark, sticky drug that often contains impurities resulting from crude processing methods.

Two remain hospitalized. One is expected to survive; the other is “quite ill,” said Dr. Eric McDonald, medical director for the epidemiology program at the county health agency.

Dr. McDonald said the outbreak of myonecrosis was the most serious the county has seen in 10 years, although there have been similar outbreaks in California in the late 1990s and early 2000s.

“You just have to recognize it really early and have early surgery, and give antibiotics really quickly, and hope that not enough toxin has been produced to cause death,” Dr. McDonald said in an interview.

The source of the heroin is unknown and an investigation is continuing, the county said. Most black-tar heroin is produced in Mexico and sold in the United States west of the Mississippi River, according to the National Institute on Drug Abuse.

Dr. Wilma Wooten, a county public health official, said people who use black-tar heroin are not only at higher risk of dying from an overdose, but also more prone to developing myonecrosis and wound botulism, a rare but serious illness that attacks the body’s nerves.

The county asked the medical community to be on alert for additional cases of both conditions.

Symptoms of myonecrosis include severe pain and swelling around a wound or injection site; pale skin that quickly turns gray, dark red, purple or black; blisters with a foul-smelling discharge; air under the skin; and fever.

Signs of wound botulism include drooping eyelids, blurred vision, slurred speech, trouble swallowing and difficulty breathing. The condition can cause paralysis that begins at the face and head and travels down the body.

The county warned that “cooking” black-tar heroin does not kill the bacteria that causes wound botulism.

In October, the county confirmed its first case of wound botulism from black-tar heroin use this year. Seven cases were reported last year and three in 2017.

Across Southern California, 13 probable and confirmed wound botulism cases, mostly among black-tar heroin users, have been reported since Sept. 1, the county said.

Dr. Paul Little, medical director at the Laguna Treatment Hospital, an addiction treatment center in Aliso Viejo, Calif., said he hoped the seven deaths would prompt black-tar heroin users to seek treatment.

“If you ever see a wound like this, it’s pretty devastating,” he said. “It’s just another situation where it shows the dangerous epidemic of the opioids we’re facing now.”

Your Mom Is Wrong: Your Vegetarian Diet Did Not Cause Cancer

I recently was told by my doctor to go see a doctor at the Cancer Institute to be tested for cervical cancer. When I told my mother she freaked out and told me my vegetarian diet was to blame, and that all the soy in my diet was the leading cause of all of this. Could diet lead to cervical cancer?

—D. from New Mexico

[Have a question about women’s health? Ask Dr. Gunter yourself.]

There is no data linking cervical cancer with a vegetarian diet or soy intake.

Dietary soy doesn’t increase the risk of any cancer.

The most common type of cervical cancer is squamous cell carcinoma. This cancer is almost exclusively caused by infection with human papillomavirus (HPV). The second most common type of cervical cancer is adenocarcinoma, and approximately 70 percent of these cancers are caused by HPV. It is important to know that HPV is very common, so much so that according to the Centers for Disease Control and Prevention (C.D.C.), almost all sexually active people will get the virus at some point in their lives.This is why the HPV vaccine is the best way to prevent cervical cancer. Condoms also help reduce exposure to HPV.

There isn’t much data on the link between diet, HPV and cervical cancer. Dietary carotenoids and vitamin C may help reduce cancer risk, and limited data suggests low folate levels might increase risk. There are a lot of mights and maybes here, so concluding that a specific food or diet has a role in reducing the risk of cervical cancer is not possible. However, eating a diet high in vegetables and getting enough dietary vitamin C and folate is beneficial for many health reasons.

Studies that look at diet and disease risk often have many challenges and can be open to misinterpretation. However, there is data to suggest that a Western diet, which is high in ultraprocessed food and alcohol is associated with an increased risk of some cancers, although cervical cancer had not been identified as one of those cancers.

I’m sorry this is happening to you. Hearing that you needed to get tested for cervical cancer must have been scary and the testing can be hard for many people. Now that we have cleared up your mother’s misconceptions about HPV and diet, I hope she can get onboard supporting you in the ways that you need.

Dr. Jen Gunter, often called Twitter’s resident gynecologist, is teaming up with our editors to answer your questions about all things women’s health. From what’s normal for your anatomy to healthy sex and clearing up the truth behind strange wellness claims, Dr. Gunter, who also writes a column called The Cycle, promises to handle your questions with respect, forthrightness and honesty.

From the Naked Heart

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“I moved from Texas three years ago.  I was way too nice at…

“I moved from Texas three years ago.  I was way too nice at first.  I was out here in New York trying to exemplify Christ, and people were taking advantage of me.  I was getting run over.  So I had to get more stern.  Don’t get me wrong, I’m the same nice person, just more firm in my actions. Especially in the work environment.  My first job was working as a recruiter for a retail company.  And one day I’m on the computer, you know, recruiting people, which is my job, when my boss comes in and says: ‘You need to get to the floor, now!’  I was in shock, so I just did what I was told.  But I knew the next time I’d have to say something.  My job was important to me, but respect was even more important. Because if I allowed him to treat me that way, it was just going to happen over and over.  And sure enough it happened again the next week.  I was in the middle of an important task, and he gave me a command.  There was no question mark on the end of the sentence.  There was no use of my name.  So I told him: ‘If you want me to do something, you’ll have to ask me the proper way.’  He was shocked.  He looked at me like: ‘I know you’re not talking to me!’  But then he asked me the proper way.”


Winter Walk revisits downtown Hudson

Though the event has happened annually for the past 23 years, and has turned into a destination for out-of-towners, drawing some 20,000 participants last year, Hudson’s Winter Walk has prided itself from the get-go on a spirit of spontaneity. It started out as a way for a resurging urban area to encourage after-dark visitation, as antique stores and art galleries began to snap up vacant storefronts and industrial buildings one by one. Performances by modern dancers, a saxophone-playing Santa and the like, who used to appear in store windows on the evening of the Walk, have now had to relocate outdoors as the Warren Street corridor boomed. Some aspects of the event, such as the fireworks that cap it off, remain constant, however.

From 5 to 8 p.m. on Saturday, December 7, a mile stretch of downtown Hudson will be lit up with festive window displays, roamed by horse-drawn carriages, carolers, buskers and Christmastime cosplayers, with music coming from every arts venue, tavern and restaurant doorway and free or discounted treats offered by shops all along the way. Mr. & Mrs. Claus hold court at Hudson Hall. There’s plenty of kid-friendly activities, so bundle up the whole family to be ready for a full evening of fun – and arrive early to find a good parking spot nearby, as Warren Street will be closed to traffic. Municipal parking lots can be found on Columbia, Union and Warren Streets, at the John L. Edwards Elementary School, the Consolidated Firehouse at Seventh and Washington and the Henry Hudson Riverfront Park. County lots on Columbia and State Streets will also be available.

For more details about Winter Walk, visit https://hudsonhall.org/winter-walk-2.

Winter Walk, Saturday, Dec. 7, 5-8 p.m., Free, Warren St. & environs, Hudson, https://hudsonhall.org/winter-walk-2