[HN Gopher] Arizona resident dies from the plague less than 24 h...
       ___________________________________________________________________
        
       Arizona resident dies from the plague less than 24 hours after
       showing symptoms
        
       Author : Anon84
       Score  : 182 points
       Date   : 2025-07-12 17:05 UTC (5 hours ago)
        
 (HTM) web link (www.independent.co.uk)
 (TXT) w3m dump (www.independent.co.uk)
        
       | Waterluvian wrote:
       | Which plague?
        
         | carterschonwald wrote:
         | Bubonic
        
           | mcv wrote:
           | According to the article, they're all the same plague, but it
           | manifests differently based on which organs it hits.
           | 
           | Apparently there's a couple of cases every year, but I've got
           | to say that amidst the return of measles and various other
           | diseases, the cuts in healthcare, this is not a great look.
        
             | Waterluvian wrote:
             | Apparently it's very easy to treat, if you can and do seek
             | treatment. Which is why the annual deaths are usually rural
             | regions.
        
               | toomuchtodo wrote:
               | https://ruralhospitals.chqpr.org/Map.html
        
               | ginko wrote:
               | From the article:
               | 
               | >Symptoms often begin within a week of infection and may
               | include fever, chills, swollen lymph nodes, nausea and
               | weakness.
               | 
               | If I had symptoms like that I think I'd just stay at home
               | and not visit a doctor yet. Certainly not within 24 hours
               | of them showing up.
        
               | jll29 wrote:
               | Mumps, a common kid's viral disease, has overlapping
               | symptoms, so many people might follow a "let's wait and
               | see" approach.
               | 
               | Also, medical practitioners may not immediately put on
               | their bioharzard protection suite when someone walks in
               | with swollen lymph nodes and nausea.
               | 
               | That's why it is important to take news of incidents and
               | location of the occurrence into consideration, both as a
               | patient and as medical staff.
        
               | SoftTalker wrote:
               | Mumps is commonly vaccinated against when children are
               | very young. It's one of the Ms in the MMR vaccine.
        
               | asyx wrote:
               | It's 2025 my guy. Can't count on kids getting vaccinated
               | anymore.
        
             | rayiner wrote:
             | As of July 2025, the U.S. had about 1,300 measles cases
             | compared to over 2,700 in Canada as of May 2025:
             | https://vaxopedia.org/2025/06/02/the-north-american-
             | measles-.... See also: https://abcnews.go.com/Health/us-
             | measles-cases-hit-highest-n...
             | 
             | Canada obviously had only 1/10th the population. Your
             | attempted connection to domestic policies is spurious.
        
               | Waterluvian wrote:
               | I think the statistical anomaly you point out is an
               | incredibly worthwhile thing to explore. There's something
               | to understand there. But I'm not sure it directly
               | supports or refutes any arguments about domestic
               | policies, other than perhaps saying that domestic policy
               | making does not have a 100% guaranteed desired effect.
               | 
               | There's likely numerous other variables to explore.
        
               | rayiner wrote:
               | No, I'm agreeing that it's not about domestic policies.
               | That's my point. OP tried to bring domestic cuts to
               | Medicaid into the issue to make it sound like the measles
               | cases in the U.S. have something to do with that domestic
               | policy.
        
               | mcv wrote:
               | That's a misrepresentation. I did not claim that the cuts
               | to medicaid caused the rise in measles; that would have
               | been a silly claim, considering those cuts are being made
               | right now, whereas the rise in measles is already
               | ongoing.
               | 
               | I'm saying it's part of a pattern. The rise in measles,
               | after it was practically eliminated, is obviously caused
               | by the rise in anti-vax beliefs. And that plus the other
               | factors I mentioned are part of a pattern of carelessness
               | and misinformation around public health. All of it put
               | together, these are extremely worrisome developments.
        
         | throw310822 wrote:
         | Yersinia pestis, the bubonic plague.
        
           | mplewis9z wrote:
           | You do know that both pneumonic and bubonic are caused by the
           | same bacterium, right? They're just different transmission
           | methods.
        
             | throw310822 wrote:
             | Indeed. I wrongly assumed it would be bubonic as it seems
             | to be the most common form (and because it qualifies a bit
             | the term "plague" which can be perceived as generic, I
             | think).
        
               | lazide wrote:
               | Yes, many types of bacteria can cause 'a plague', but at
               | least in the western world, only one was 'The Plague'.
               | 
               | Probably anyway, there is some debate on that. But it's
               | pretty likely.
        
             | readthenotes1 wrote:
             | You left one variant off, apparently:
             | 
             | "Plague occurs in three forms, bubonic, septicemic and
             | pneumonic, depending on whether the infection hits the
             | lymph nodes, bloodstream or lungs. Most US cases are
             | bubonic, typically spread via flea bites from infected
             | rodents. "
             | 
             | Given the discussion of the prairie dog die off, it's more
             | interesting than it was mnemonic and not move on it for me
             | fleas
        
               | Waterluvian wrote:
               | Mnemonic Plague
               | 
               | People
               | 
               | Learn
               | 
               | About
               | 
               | Germs
               | 
               | Using
               | 
               | Epidemiology
        
               | marssaxman wrote:
               | Many years ago, I knew a family who named the three
               | squirrels who regularly visited their back yard
               | "Bubonic", "Pneumonic", and "Septicemic". The squirrels
               | did not respond to these names, but the family sure did
               | find it amusing to use them.
        
               | isoprophlex wrote:
               | What a wonderful typo. Death by infected memories.
        
               | Waterluvian wrote:
               | This is a solid short story prompt.
        
               | stirfish wrote:
               | You might enjoy the movie Pontypool. I describe it as a
               | zombie movie about linguistics.
        
               | opello wrote:
               | Cue the Fall Out Boy track...
               | 
               | https://www.youtube.com/watch?v=onzL0EM1pKY
        
             | littlestymaar wrote:
             | I genuinely don't understand why this comment is downvoted.
        
         | lynndotpy wrote:
         | Not stated in the article, but it's pneumonic plague, according
         | to this story from azcentral and this story from CNN:
         | https://www.azcentral.com/story/news/local/arizona-health/20...
         | https://www.cnn.com/2025/07/12/health/plague-death-arizona
        
           | Gys wrote:
           | > Plague is a bacterial infection known for killing tens of
           | millions in 14th century Europe. Today, it's easily treated
           | with antibiotics.
           | 
           | > The bubonic plague is the most common form of the bacterial
           | infection, which spreads naturally among rodents like prairie
           | dogs and rats.
        
           | southernplaces7 wrote:
           | Nasty thing that. Bubonic plague became famous for killing
           | nearly half the western world in the 14th century in just a
           | few years, but for all its voracious destructiveness, the
           | pneumonic variant left it in the dust in specific situations.
           | I've read that in cities and towns where plague took on its
           | pneumonic form instead of its bubonic variant, 80%+ of the
           | local population would die in just days. In some cities
           | struck by this, populations didn't recover until the 18th
           | century.
        
             | southernplaces7 wrote:
             | I think it's innately impossible for us now in the
             | comparatively near-sterile, social safety-laden developed
             | world of today to imagine such grotesque death happening so
             | suddenly on such a vast scale.
             | 
             | The COVID pandemic, for all the fear and emergency measures
             | it sparked mostly killed sporadically. In any average
             | social group, family or community, one would hear of only a
             | very small minority of people having actually died. It was,
             | comparatively, a sort of kid-gloves pandemic in terms of
             | pure clinical impact.
             | 
             | Compare that with hearing stories of a vast and utterly
             | mysterious dying sweeping towards all that you know, only
             | to suddenly hear one day of inhabitants in the outermost
             | parts of your city falling like flies in the most
             | disgusting of ways, and then being forced to watch the same
             | thing you'd feared from rumor unfold before your very eyes
             | to those you love, taking each of them in turn so terribly
             | that you can barely bring yourself to even approach (let
             | alone try help) these same people that you'e cherished
             | since birth. This abyss of tragedy overwhelms you and all
             | your senses before finally, just days later, you wake up
             | with yet another exhausting morning to the discovery of
             | nearly every single person you know being dead, and all the
             | social tapestry that wove you together so richly across so
             | many years now completely erased from your personal world.
             | All this monstrous upheaval, in just a single week.
        
               | askonomm wrote:
               | You should write a book, if you haven't yet. I'd buy it.
               | Love the way you convey emotion with words.
        
               | southernplaces7 wrote:
               | Now that was a wonderful compliment. Thank you.
        
               | Grosvenor wrote:
               | Try Michael Crichtons "The hot zone".
               | 
               | https://en.wikipedia.org/wiki/The_Hot_Zone
               | 
               | There's entire chapters of this:
               | 
               | "The author describes the progression of the disease,
               | from the initial headache and backache, to the final
               | stage in which Monet's internal organs fail and he
               | hemorrhages extensively in a waiting room in a Nairobi
               | hospital. "
               | 
               | Edit: Richard Preston, not Michael Chrichton. Not sure
               | what I was thinking.
        
               | jameshart wrote:
               | Richard Preston, not Crichton.
               | 
               | Maybe you're thinking of _The Andromeda Strain_?
        
               | literalAardvark wrote:
               | The Hot Zone was an awesome read. Highly recommended.
        
               | harryquach wrote:
               | This reinforces my belief that today is the best time in
               | human history to live. Yes there is still pain and
               | suffering but overall more humans live lives our
               | ancestors could not begin to imagine.
        
               | Waterluvian wrote:
               | And we know this. We can measure it and reason about it.
               | But good times breeds weak people and we're well into the
               | phase of people no-longer grokking why vaccines, civil
               | government, democracy, floodplain management, etc. need
               | to exist.
               | 
               | This social plague is proliferating and I'm not sure we
               | really know how to fight it as it takes colleagues,
               | friends, family, celebrities we once admired.
        
               | deadbabe wrote:
               | You can't fight it, you just endure, and one day you may
               | die but hopefully others will carry on in a better world.
        
               | overfeed wrote:
               | Same goes for preventative maintenance, handling
               | technical debt or any action that keeps negative
               | consequences at bay. It's a failure mode that's almost an
               | inverse of loss-aversion; some people will start asking
               | "Why are we investing in $ACTION, it seems unnecessary as
               | nothing bad ever happens"
        
               | pixl97 wrote:
               | People don't understand why Chesterton's fence exists
        
               | tyre wrote:
               | > good times breeds weak people
               | 
               | This is a silly and regularly disproven trope.
               | 
               | For an extensive and approachable start:
               | https://acoup.blog/2020/01/17/collections-the-fremen-
               | mirage-...
        
               | southernplaces7 wrote:
               | Beat me to the punch. That simplistic piece of fantasized
               | trope needs to die as soon as possible.
        
               | MangoToupe wrote:
               | > But good times breeds weak people
               | 
               | Yea I know a couple of people who watched their families
               | and friends get chopped to bits with machetes and lemme
               | tell you, they are not stronger for it. I would maybe
               | rethink this idea. I suspect ignorance has always
               | thrived.
        
               | n3storm wrote:
               | Eventhoug JFK Jr
        
               | suzzer99 wrote:
               | And yet Americans have never been angrier.
        
               | lazide wrote:
               | Eh, people got pretty worked up in the '70's. And WW2.
               | And the Cold War. And WW1.
        
               | davidw wrote:
               | Tom Nichols has a theory that people are actually just
               | kind of bored.
               | 
               | Most of the men involved in this were pretty well off,
               | for instance. Big trucks, nice houses.
               | 
               | https://en.wikipedia.org/wiki/Gretchen_Whitmer_kidnapping
               | _pl...
               | 
               | Hardly oppressed people.
        
               | spooky_deep wrote:
               | In some ways - particularly health and food security -
               | definitely.
               | 
               | Although I wonder if loneliness, stress and lack of
               | direction are much bigger problems today.
        
               | southernplaces7 wrote:
               | >Although I wonder if loneliness, stress and lack of
               | direction are much bigger problems today.
               | 
               | I'm pretty sure that abysmal health options, food
               | insecurity to the point of famine always being just a
               | stone's throw or single bad season away, and grinding
               | poverty all created plenty of stress. The vast majority
               | of people at the time just had no IG Reels with which to
               | vent about their crisis mode for posterity. I just can't
               | imagine any random modern person's level of stress being
               | somehow worse.
               | 
               | As for lack of direction. Life in those times for a vast
               | majority had a simple direction: labor and toil intensely
               | until you die of old age/disease in the same place you
               | were born, rarely straying more than a few miles from
               | those horizons. I'd call today's self-created "lack of
               | direction" pretty preferable to that.
        
               | roywiggins wrote:
               | > I think it's innately impossible for us now in the
               | comparatively near-sterile, social safety-laden developed
               | world of today to imagine such grotesque death happening
               | so suddenly on such a vast scale
               | 
               | The Black Death was so big that people struggled to
               | comprehend it at the time, too.
        
               | southernplaces7 wrote:
               | Exactly that too. Coupled with them living in almost
               | complete darkness about how or why diseases spread, it
               | would have been exceptionally terrifying to behold in a
               | way that a modern person in the middle of a pandemic
               | wouldn't have to face in quite the same way.
        
               | literalAardvark wrote:
               | Everyone I know lost someone to COVID. I almost croaked
               | twice to it.
               | 
               | Idk where that "small minority" is but it sounds like you
               | might not value your friends very highly.
               | 
               | Sure, it wasn't 80%, but still, it's not that isolated
               | and I hate this narrative that it was a light cold.
        
               | sokoloff wrote:
               | The IFR (infection fatality rate: the chance of dying for
               | an individual who contracted COVID) is under 1%.
               | 
               | That's a small minority by any reasonable measure,
               | especially in a thread comparing it to the plague.
        
               | literalAardvark wrote:
               | One could argue that the plague also has a low kill rate
               | these days.
               | 
               | The IFR was only low because we could get all the
               | infected to the hospital.
        
               | sokoloff wrote:
               | What?! I know hundreds of people who have had it, and
               | only one I know went to the hospital. Zero died. I've had
               | it three times. Zero hospital visits. One was "bad cold";
               | one was "mild cold"; the last was "would have never known
               | I had anything if not for a complete loss of smell, which
               | made me test".
               | 
               | Where is this place where everyone who gets infected with
               | C19 goes to the hospital or seriously risks death?
        
               | literalAardvark wrote:
               | Who said everyone? iirc untreated IFR is around 10%
        
               | sokoloff wrote:
               | You did: "IFR was only low because we could get _all the
               | infected to the hospital_."
        
               | literalAardvark wrote:
               | Eh, ESL. I meant the ones who need it, obviously.
        
               | SoftTalker wrote:
               | I mean I know dozens of people who caught it and nobody
               | died. Anecdotes don't mean much.
        
               | literalAardvark wrote:
               | Everyone caught it by now, so you know more than that.
               | 
               | Doesn't mean it wasn't deadly during the initial wave.
        
               | suzzer99 wrote:
               | I know a couple in Missouri who lost 5 family members
               | between his and her side. All obese. I believe 4 of them
               | died after the vaccine was available, but they refused to
               | take it.
        
               | southernplaces7 wrote:
               | I'm sorry but you're way off base, or deliberately
               | reacting to information that you perceive as having a
               | political agenda that it actually doesn't have.
               | 
               | How I value my friends has nothing to do with the death
               | toll and mortality rate I saw anecdotally, of nearly
               | nobody I know dying from it out of hundreds of people of
               | many ages that I knew at the time. Do you imagine that me
               | valuing my friendships more or less somehow changes the
               | clinical mortality stats for a carefully monitored virus?
               | Really?
               | 
               | Also, COVID wasn't a light cold, but for many people, the
               | vast majority in fact, its symptoms were moderate to mild
               | and far from fatal. Again, this isn't politics of any
               | kind talking, it's just the raw numbers from any reliable
               | source you care to look at. IFR wasn't anywhere close to
               | 10% by the way, as you say further down. Most people, by
               | far, with COVID, were never hospitalized for it (that
               | would have been impossible considering what percentage of
               | the population eventually got it) and the IFR rate among
               | them wasn't 10%. I'd truly love to see your source for
               | that whopper.
               | 
               | Globally, in absolute averaged total, as far as any
               | source I've seen indicates, COVID had/has an IFR that
               | roughly breaks down as follows: This is from the National
               | Institute of Health btw.
               | 
               | "For 29 countries (24 high-income, 5 others), publicly
               | available age-stratified COVID-19 death data and age-
               | stratified seroprevalence information were available and
               | were included in the primary analysis. The IFRs had a
               | median of 0.034% (interquartile range (IQR) 0.013-0.056%)
               | for the 0-59 years old population, and 0.095% (IQR
               | 0.036-0.119%) for the 0-69 years old. The median IFR was
               | 0.0003% at 0-19 years, 0.002% at 20-29 years, 0.011% at
               | 30-39 years, 0.035% at 40-49 years, 0.123% at 50-59
               | years, and 0.506% at 60-69 years. IFR increases
               | approximately 4 times every 10 years. Including data from
               | another 9 countries with imputed age distribution of
               | COVID-19 deaths yielded median IFR of 0.025-0.032% for
               | 0-59 years and 0.063-0.082% for 0-69 years. Meta-
               | regression analyses also suggested global IFR of 0.03%
               | and 0.07%, respectively in these age groups."
               | 
               | In any case, all of this deviates slightly from a more
               | basic point there's simply no comparison between COVID
               | and the Black Death, in no scenario or circumstance, and
               | mentioning that is not denying that COVID could be
               | dangerous. It's just a statement of obvious facts about
               | how much, much more horrific one of those two pandemics
               | was historically.
        
               | hibikir wrote:
               | In the middle ages they understood quarantine, but the
               | fact that the disease was carried by fleas made it worse:
               | It'd break containment unless the arrival was by boat,
               | and you didn't let anyone disembark.
               | 
               | So even when warned (and people were warned) often the
               | people bringing the warnings could spread the disease
               | anyway.
        
               | hn_throwaway_99 wrote:
               | > Compare that with hearing stories of a vast and utterly
               | mysterious dying sweeping towards all that you know, only
               | to suddenly hear one day of inhabitants in the outermost
               | parts of your city falling like flies in the most
               | disgusting of ways, and then being forced to watch the
               | same thing you'd feared from rumor unfold before your
               | very eyes to those you love, taking each of them in turn
               | so terribly that you can barely bring yourself to even
               | approach (let alone try help) these same people that
               | you'e cherished since birth.
               | 
               | My partner did his medical internship at UCSF in 1994.
               | Your quote pretty perfectly describes what happened in
               | gay communities in cities like NY and SF in the 80s and
               | early 90s due to the AIDS epidemic.
        
               | southernplaces7 wrote:
               | I can imagine, though in the context you describe, the
               | entire terrifying process would have been much slower-
               | moving. Months maybe? I'm honestly curious.
        
         | tolerance wrote:
         | I was let down by the link to "plague" in the lede being
         | internal. I don't know what I expected, because that's the
         | norm.
         | 
         | At the very least, what I'd like to see from news sites is
         | using a LLM to synthesize the most recent/relevant stories to
         | generate some sort of blurb explaining the topic for a given
         | page.
         | 
         | That is, if a human can't be bothered to do it themselves.
        
       | slicktux wrote:
       | I recall being on a road trip and was at the foothills of the
       | Sierra Nevada mountains; was getting ready to camp at a random
       | camp site and noticed a sign warning or squirrels that carry
       | bubonic plague via fleas... Scary..
        
         | kulahan wrote:
         | It's not usually very bad. My wife used to do epidemiology in
         | Utah, and the four corner states have a few plague cases every
         | year. Very easy to get from prairie dogs as well. Iirc, prairie
         | dog colonies are separated based on which ones have the plague
         | and which don't.
        
           | ugh123 wrote:
           | > Iirc, prairie dog colonies are separated based on which
           | ones have the plague and which don't.
           | 
           | Do you mean 'naturally' by their own selection, or some
           | external means?
        
             | afiori wrote:
             | I read it as someone keeps track of it for public safety
        
           | __MatrixMan__ wrote:
           | I hope that the black footed ferret reintroduction efforts
           | are successful (https://www.fws.gov/project/black-footed-
           | ferret-recovery). There would be a lot less plague out there
           | if so.
           | 
           | Lime disease has a similar relationship with predators that
           | eat mice, so let's also keep an eye out for the owls and
           | snakes.
        
           | atomicnumber3 wrote:
           | When you say it's easy to get from prairie dogs, how exactly
           | does that happen? Is it like, you're camping, and a prairie
           | dog gets into your tent? How exactly does that people get
           | exposed to a prairie dog?
        
             | 317070 wrote:
             | It's not the prairie dogs themselves, but the fleas on the
             | dogs. The carriers for the plague are fleas.
        
       | Animats wrote:
       | There's a vaccine, but it's old and not recommended for the
       | general population.[1]
       | 
       | [1] https://www.cdc.gov/mmwr/preview/mmwrhtml/00041848.htm
        
         | kulahan wrote:
         | There is also a cure if you catch it quick. It's a pretty good
         | cure - TFA says it has a survival rate of 90% with treatment.
        
           | apparent wrote:
           | Sounds like a great medicine to take, but a 10% death rate
           | even when treated is pretty scary.
        
       | RandomBacon wrote:
       | I knew someone (in the U.S.) who contracted the plague along with
       | his wife. He survived but his wife did not.
       | 
       | According to him, about one person dies each year from it.
        
         | iJohnDoe wrote:
         | How did they get exposed?
        
           | fakedang wrote:
           | Fleas moving from rats to pets I presume.
        
       | iJohnDoe wrote:
       | In general, how do you get exposed to it? Hiking? Do people often
       | get that close to prairie dogs? Hiking in Utah?
        
         | heavyset_go wrote:
         | Fleas bite you in your sleep
        
       | Fire-Dragon-DoL wrote:
       | What improvements do we have to survive against the plague
       | compared to in the past? I'm curious to understand the difference
        
         | LarsDu88 wrote:
         | Antibiotics. Yersenia pestis is a bacteria that can be killed
         | by most antibiotics
        
         | Beijinger wrote:
         | I think the plague has not been an issue since it is very
         | sensitive against penicillin. What is concerning is more the
         | speed from diagnosis to death in this case.
        
           | carl_dr wrote:
           | Sadly, it could be as simple as the guy didn't run up tens of
           | thousands of dollars of healthcare, and left it too late to
           | get treatment.
        
       | cvoss wrote:
       | I can find no news outlet reporting the fact claimed in the
       | headline, that the person died less than 24 hours after showing
       | symptoms.
       | 
       | What is reported, in this article and many others, is that the
       | person arrived at the hospital and died there the same day. There
       | is no mention in any article I have read that the symptoms began
       | less than 24 hours before the death.
        
         | OJFord wrote:
         | This article kind of implies it:
         | 
         | > The victim was rushed to Flagstaff Medical Center, showing
         | severe symptoms, and died the same day.
         | 
         | But sure, that doesn't rule out that the symptoms _became_
         | severere, or that there weren 't different lesser symptoms
         | beforehand. It does make it sound like it was all pretty
         | immediate though.
        
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