Health officials in Hood River County of Oregon are now investigating the three suspected cases of a rare and a fatal brain disorder. It is called the Creutzfeldt-Jakob disease (CJD). What is even more concerning is that two residents of the small county have already been reported dead and a third case is currently under review. While CJD is extremely rare, with a cluster of cases in the community of just 24,000 which prompt its serious concern, a deeper look at this mysterious disease could help people understand more about it.

What Is Creutzfeldt-Jakob disease (CJD)?

Before we delve into how it happens or what causes, let us first understand what is it. CJD is degenerative brain disorder that is caused by abnormal or infectious proteins, also known as prions. Unlike bacteria or viruses, prions are misfolded protein which can induce normal protein in the bodies to misfold itself too. It can also lead to severe and irreversible brain damage. These proteins accumulate and cause the brain to develop sponge-like holes, which disrupt normal function and lead to a rapid mental and physical decline.

As per the Centers for Disease Control and Prevention (CDC), most patients diet within a year of symptom onset and there is currently no cure of that same.

Is The Disease Common?

We have already established the fact that it is a rare disease. In fact, as per the National Institutes of Health (NIH) only 350 cases of CJD is diagnosed in the US each year. This translates into 1 to 2 cases per million people, annually. Most cases—about 85%—are considered sporadic, meaning they arise without any known cause or risk factors.

Other types include:

Familial CJD (about 10–15% of cases), caused by inherited mutations in the prion protein gene.

Acquired CJD, which is extremely rare, can result from exposure to infected brain or nervous system tissue, often during certain medical procedures or, in even rarer cases, through the consumption of infected cattle (known as variant CJD).

Health officials in Hood River have stated that the current cases do not appear to be linked to cattle consumption, and it’s unclear whether the individuals were related or had any shared genetic factors.

What Are The Common Symptoms Of CJD?

CJD progresses rapidly. According to the World Health Organization (WHO) and CDC, early symptoms can include:

• Rapid memory loss and confusion
• Changes in behavior and personality
• Visual disturbances
• Poor coordination and balance
• Muscle stiffness or jerking
• Difficulty speaking or swallowing

As the disease advances, patients often lose the ability to move or speak and may enter a coma. The rapid progression makes early diagnosis difficult and complicates treatment, especially in communities with limited access to specialized neurological care.

How Can It Be Diagnosed?

In the Hood River cases, one of the diagnoses was done through an autopsy. This is also one of the most definitive way to identify CJD by analyzing the brain tissue under a microscope. Testing it for prion proteins then reveals the result. Two other cases are considered likely, however, the results are pending.

Because CJD is so difficult to confirm during life, doctors often rely on clinical symptoms, advanced imaging like MRI, and spinal fluid tests to support a diagnosis. But confirmation usually requires a postmortem examination.

The National Prion Disease Pathology Surveillance Center at Case Western Reserve University plays a key role in diagnosing and studying cases in the U.S. Dr. Brian Appleby, the center’s director, notes that genetic testing can also help determine whether a case is inherited.

Every year on September 17, the world pauses to reflect on one of the most pressing challenges in healthcare, patient safety. Since its launch by the World Health Organization (WHO) in 2019, World Patient Safety Day has become a global campaign calling for stronger collaboration, awareness, and action to prevent avoidable harm in healthcare systems.

In 2025, the theme is “Safe care for every newborn and every child”, with the slogan “Patient safety from the start!”. The message is clear: children are not just fragile as they do not have the same levels of immunity as adults, they require special attention, protection, and tailored medical care from the very beginning of life.

Why Patient Safety Matters

Patient safety is not an isolated goal; it is the very foundation of healthcare. Without safe practices, no system can achieve universal health coverage or progress toward the Sustainable Development Goals (SDGs). The WHO emphasizes that unsafe care remains one of the top ten causes of death and disability worldwide, disproportionately affecting vulnerable groups such as newborns and children.

The objectives of World Patient Safety Day include:

• Increasing public awareness and commitment to safety.
• Promoting global solidarity for safer healthcare.
• Addressing specific issues that put patients at risk.
• Empowering families and communities to play an active role.

Focus on Children’s Health

Children are particularly vulnerable to risks in healthcare. Unlike adults, they cannot decide which clinic to visit or which treatment to accept. They must rely entirely on parents, caregivers, and healthcare professionals. Their smaller bodies, developing immune systems, and emotional needs mean they often respond differently to illness and medical interventions.

The German Coalition for Patient Safety (APS) stresses that children should not be treated through an “adult lens.” Its slogan for 2025: “Patient safety from childhood onwards, an investment for life", captures the long-term importance of safe care for the youngest patients. APS is also encouraging parents, pediatricians, obstetricians, and nurses to share their experiences and identify both strengths and gaps in healthcare delivery.

A Global Call for Action

The urgency of this year’s theme is evident in global statistics. WHO’s Regional Director for Africa, Dr. Mohamed Janabi, recently highlighted that poor quality care, rather than lack of access, accounts for 60% of maternal deaths and 56% of neonatal deaths in low- and middle-income countries.

While access to hospitals has improved in many regions, unsafe practices, such as inadequate infection prevention, misdiagnosis, or insufficiently trained staff, continue to harm patients. Encouragingly, 21 African countries have already introduced National Quality Policies and Strategies that include patient safety measures like infection control, but more progress is needed.

Building on Past Efforts

World Patient Safety Day campaigns in previous years have focused on areas such as safe childbirth, medication safety, health worker safety, and diagnostic safety. This year’s emphasis on paediatric and newborn care builds on those efforts, recognizing that safety at the start of life shapes long-term health outcomes.

The Global Patient Safety Action Plan 2021–2030 provides a roadmap to strengthen safe practices through:

• Safer clinical processes.
• Improved training and workforce competencies.
• Stronger patient and family engagement.
• Advocacy and education beginning from childhood.

From Awareness to Action

World Patient Safety Day 2025 is not just about raising awareness, it is also about mobilizing concrete action. Governments, hospitals, professional associations, and civil society organizations are being urged to implement sustainable strategies to safeguard children’s health. Parents and caregivers, too, are encouraged to actively participate in their child’s medical journey by asking questions, understanding treatment plans, and advocating for safe care.

Around the world, awareness activities will include advocacy campaigns, technical discussions, and the illumination of landmarks in orange, the signature color of the campaign. These symbolic gestures serve as powerful reminders that safe healthcare is a universal right, not a privilege.

Patient Safety From the Start

This year’s slogan, “Patient safety from the start!”, underscores that ensuring safe care from birth is not optional, it is essential. Protecting children from avoidable harm is both a moral responsibility and an investment in healthier societies.

World Patient Safety Day 2025 is a reminder that safe care is achievable when everyone, from policymakers to frontline nurses, and from parents to international organizations, works together. After all, safeguarding the health of children today ensures a stronger, healthier world tomorrow.

Just 10 days after the Democratic Republic of the Congo (DRC) declared an Ebola virus outbreak in Kasai province, health authorities have rolled out a vaccination drive targeting frontline workers and contacts of patients, the World Health Organization (WHO) confirmed in its latest update.

First Vaccines Arrive in Bulape

The first consignment of 400 doses of Ervebo (VSV-EBOV) was dispatched to Bulape health zone from a national stockpile of 2,000 doses stored in Kinshasa. Some frontline health workers in the capital had already received the vaccine. The WHO said additional shipments are expected in the coming days to sustain the response effort.

Health teams are deploying a “ring vaccination” strategy, which prioritizes those at the highest risk of infection, including patient contacts and health workers directly exposed to cases.

Global Support for Vaccine Supply

To ensure adequate coverage, the International Coordinating Group on Vaccine Provision has approved an additional 45,000 doses to be sent to the DRC. The WHO is assisting the Ministry of Health in formalizing a request for these doses and has also worked with partners to draw up a detailed immunization plan. Training sessions for vaccination teams are underway to streamline the rollout.

Alongside vaccines, treatment options are being reinforced. Courses of the monoclonal antibody therapy MAb114 (ansuvimab-zykl, commercially known as Ebanga) have already been dispatched to treatment centers in Bulape to support patient care.

Rising Case Numbers and Death Toll

Despite these interventions, the outbreak continues to grow. At a meeting of the provincial Ebola emergency committee on September 13, officials reported a sharp increase in infections and fatalities. According to the DRC’s National Public Health Laboratory (INRB), total cases have now risen to 81, with 28 deaths recorded, marking a case-fatality rate of 34.6%.

The latest figures represent a significant jump from a few days earlier, when authorities reported 68 suspected cases (including 20 confirmed) and 16 deaths.

Also Read: Congo Ebola Outbreak Caused By The Zaire Strain So Far Has 28 Deaths, Confirms WHO

Of seven new suspected cases detected in the Bulape health zone, five have been confirmed through laboratory testing. This highlights both the rapid spread of the virus and the crucial role of diagnostic capacity in containing the outbreak.

Expanding Contact Tracing

Efforts to trace and monitor contacts are also being scaled up. Health officials identified 58 new contacts in recent days, bringing the total to 716. Contact tracing is a cornerstone of the response, enabling teams to vaccinate and monitor individuals most likely to have been exposed.

In a further boost to local capacity, another 360 vaccine doses have arrived in Tshikapa, the provincial capital of Kasai. This shipment is expected to support wider vaccination efforts in neighboring areas.

With Ebola continuing to claim lives in Kasai, health authorities in the DRC and their global partners are racing to contain the outbreak. Vaccines, therapeutic drugs, and intensive contact tracing remain at the heart of the strategy. However, the rising case count underscores the urgent need to maintain momentum and secure sufficient supplies before the virus spreads further.

Amoebic meningoencephalitis, a rare and often deadly brain infection caused by the free-living amoeba Naegleria fowleri, has recently raised alarms in Kerala. The state confirmed a new case involving a 17-year-old boy from Thiruvananthapuram, intensifying concerns amid the ongoing 2025 outbreak. Known as the “brain-eating amoeba,” this infection enters the body through the nose and attacks the brain, causing rapid health deterioration and a high risk of death.

The boy is believed to have contracted the infection while bathing in a pool with friends. Following the diagnosis, the Kerala health department has closed the swimming pool at Akkulam Tourist Village and sent water samples for testing.

Brain-Eating Amoeba: What Is This Brain Infection?Brain-eating amoeba is a type of amoeba that usually lives in warm freshwater or unclean, untreated water. When it enters the human body, it causes a deadly infection that inflames and destroys brain tissue. Medically, this condition is called primary amoebic meningoencephalitis (PAM).

You can only contract this infection if water contaminated with the amoeba enters your nose. While Naegleria exists in several species, only Naegleria fowleri is responsible for causing PAM.

ALSO READ: Panic In Kerala As Brain-Eating Amoeba Claims 5 Lives In A Month, 11 Under Watch

Where Can You Find Brain-Eating Amoebas?

• Warm ponds, lakes, and rock formations
• Mud holes
• Rivers with warm currents, especially those with low water levels
• Spas and swimming pools with untreated water
• Untreated municipal or well water
• Geothermal water sources, including hot springs
• Thermally contaminated water, like aquarium runoff from power plants
• Water play areas for children
• Aquatic parks

Brain-Eating Amoeba Cases Surge in Kerala

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“We urge people to avoid swimming in unchlorinated or stagnant water and to maintain strict hygiene when using water bodies for bathing,” she said. The government has also acted swiftly by closing the implicated swimming pool and enhancing water safety testing protocols.

Prevention remains the most effective protection. Experts recommend:

• Avoid swimming or diving in warm, stagnant freshwater
• Use nose clips when swimming in lakes or rivers
• Avoid putting your head underwater in hot springs or untreated water
• Ensure swimming pools are properly cleaned and chlorinated
• Avoid water-related activities

To tackle waterborne diseases, Kerala has launched the comprehensive ‘Water is Life’ campaign under the Haritha Keralam Mission. This statewide effort emphasises chlorinating wells, cleaning public water sources, and running awareness programmes in schools and local communities.