Richard Knox

This year is on track to be the worst ever for West Nile virus in the United States. Here are the latest numbers from the Centers for Disease Control and Prevention:

• 1,590 reported cases, nearly 500 more than a week ago for a rise of 44 percent.
• 889 cases, or 56 percent, involve severe neurological disease.
• 66 deaths, compared to 41 last week.

Flu is most deadly for children with neurologic problems and disorders, an analysis of swine flu fatalities finds.

The results come from Centers for Disease Control and Prevention researchers who looked at childhood fatalities during the H1N1 flu pandemic of 2009, when there were five times the usual number of deaths.

In all, 43 percent of the deaths occurred in children who had neurologic diseases, such as cerebral palsy and epilepsy, or developmental disorders.

Scientists have found solid evidence that older men have more random mutations in their sperm cells. They're warning that can cause autism, schizophrenia and a long list of other genetic diseases in their offspring.

The new report, in the journal Nature, comes from deCODE Genetics, an Icelandic firm that studied the entire genomes of 78 families involving 219 individuals.

America's oldest citizens are generally getting healthier, living longer and doing better financially. But there's lots of room for improvement.

That's the take-home from an exhaustive picture of Americans over 65 put together by the federal government and released last week during the summer doldrums.

A month ago the results of a successful cholera vaccine project in Haiti became available. Now the World Health Organization is calling for the establishment of a global stockpile of the vaccine to respond to outbreaks like Haiti's.

Dr. Rochelle Walensky thinks the 19th International AIDS Conference will be remembered as the moment when the world began to mobilize to end the pandemic.

The Harvard researcher probably speaks for many of the 23,000 scientists, activists and policy mavens who came to the Washington conference. But they're going home with a big question on their minds: Can the world afford it?

The big question hanging over the International AIDS Conference this week is whether all 34 million people in the world with HIV can possibly get antiviral drug treatment.

The HIV epidemic among African-Americans is getting deserved new attention at the 19th International AIDS Conference in Washington, D.C. And the news isn't all bad.

New data from the U.S. Centers for Disease Control and Prevention show that black high school students are engaging in risky sexual behavior far less often than they were 20 years ago.

Since black teens are the future of the epidemic for the hardest-hit ethnic group, this is encouraging.

Here are the main results:

There's a lot of buzz at the 19th International AIDS Conference about powerful new strategies to prevent HIV infection.

But a potent old strategy isn't used enough around the world, many researchers say, and is even neglected entirely in places where it's most urgently needed.

It's called needle exchange.

If you show up at the emergency department at San Francisco General Hospital — for any reason — there's a good chance they'll offer you an HIV test.

It's part of a big push, in a city closely associated with the AIDS pandemic, to find nearly all people infected with the virus and get them in treatment right away.