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CA State of Emergency 🚨

Vaccine safety, flu season picking up, and oysters recalled for noro

December 20, 2024

❄️ The Executive Briefing team is taking a break until Tuesday, January 7th. We hope you enjoy your holidays and we’ll report on any urgent matters via push notifications in the ZHH App. ❄️

Bird Flu News:

  • California declared a state of emergency over bird flu after new cases were found in dairy cows in Southern California for the first time. (CBS)
  • Louisiana reported the first severe human case of bird flu in the U.S. The patient is over 65 and in critical condition with respiratory symptoms after contact with infected birds in a backyard flock. (AP)
  • Wisconsin reported its first human case of bird flu in someone who also had contact with an infected poultry flock. (CBS)
  • LA County has three more domestic cats with likely H5N1; they’re all from the same household and two have died. (LA Times)
  • Labcorp announced a new H5 test that doctors can order for patients suspected of having bird flu. (PR Newswire)

Respiratory Virus News:

  • Flu in particular is rising fast right now. COVID is rising more slowly, and RSV may have peaked. (YLE)
  • Health workers think COVID and flu vaccines are safe, effective, and useful but nearly one in five are still quite hesitant to get them. (CIDRAP)
  • Emergency departments test for flu much more now than they did a decade ago - from just 2.5% of visitors back in 2013 to almost 11% in 2022. (CDC)
  • Despite national guidelines, less than a third of high risk kids are getting flu antivirals after they’re diagnosed. (CIDRAP)
  • Louisiana barred public health workers from promoting COVID, flu and mpox shots. (NPR)

Health News:

  • Oysters linked to norovirus have prompted two recalls on products from British Columbia and Washington state. 80 people got sick with noro at an LA restaurant event after eating the contaminated oysters. (NBC, NY Times)
  • The FDA released final rules updating the criteria for labeling “healthy” foods. (USA Today)
  • Fewer than half of Latinos in the U.S. have adequate health insurance coverage, a new survey shows. (The Hill)
  • Measles is killing thousands of children in DR Congo because of issues getting vaccines to families. (NY Times)
  • Global deaths from diarrheal disease dropped 60% over the past two decades. (Lancet)
  • UCLA doctors have identified an ‘alarming’ new strain of extensively drug resistant Shigella. (LA Times)
  • Two NY men died from a rare fungal infection after fertilizing marijuana plants with bat poop. (Newsweek)
  • 12 restaurant employees in the country of Georgia died of suspected carbon monoxide poisoning after running a generator indoors. (NY Times)
  • The mystery outbreak in DR Congo was likely a severe form of malaria. (BBC)

Mental Health & Substance Use News:

  • Gun violence around schools has risen since the pandemic. (NY Times)
  • The percentage of U.S. adults who got mental health treatment rose from 19.2% to 23.9% from 2019 to 2023. (MMWR)

If you or someone you know may be considering suicide or need help, call or text 988.

Best Questions:

Why did California declare a bird flu emergency? What’s the current situation?

California declared a state of emergency this week over H5N1, not so much because of its impact on humans, but because of the way it’s ravaging the state’s dairy cows. Some farmers there are calling it “COVID for cows.” There have been about 650 infected dairy herds in California, which is the largest dairy producer in the U.S. and has seen about a 4% drop in milk production. Until this past week, nearly all of the infected herds were in the Central Valley, the center of dairy production in the state. But after a few Southern California farms tested positive, the governor declared an emergency, which frees up budget and flexibility to dedicate staff and supplies to the response effort. There’s also an egg problem - California has lost 2.5 million egg-laying hens since early November, and shortages are only getting worse.

This announcement comes on the heels of the first severe U.S. case of H5N1 in a patient in Louisiana who had contact with sick birds. That person is over 65 and has other underlying medical conditions, which may explain the severity of their infection when all other U.S. cases have been mild. The overall pandemic risk to humans remains low right now because there has been no person-to-person spread, but if the virus continues to spread unchecked in cows and poultry, it increases the chances for viral reassortment and mutations that might allow it to spread more easily between humans. We’re eagerly watching to see what California will learn about the virus and how it’s spreading between farms with the increased monitoring that comes with an emergency declaration.

Sources: NPR, Washington Post, AP, NYT

Are childhood vaccines “overloading the immune system”?

No. This is a common rumor that's been circulating again after President-elect Trump repeated it last week on TV. The theory is that we overwhelm children’s immune systems by giving them multiple vaccinations, and that causes other conditions, like autism. But there is zero evidence for this theory. Vaccines cause a much smaller immune reaction than the kinds kids have every day when they interact with germs at kindergarten or on the playground. And it’s true that kids are fantastic at naturally building up their own immunity over time - they get exposed to some bug, have a fever and runny nose, get better, rinse and repeat dozens of times throughout their childhood. But there are some diseases that kids aren’t exposed to often or can’t slowly build immunity to, because when they are exposed, it can be incredibly dangerous. Polio and measles are two great examples. Both can disable or kill kids who contract them, and the vaccines to prevent them are incredibly effective. The idea that vaccines are linked to autism has been fully debunked, and was based on a single article with falsified data from 1998 that was later retracted by the medical journal that published it. The fact remains that autism is rising and we don’t know why, but there’s no evidence that shows that vaccinations have any effect on autism whatsoever, or that they can “overload” a kid’s immune system.

Sources: NY Times, AP

Best Read:

This study made headlines across the globe and had people tossing their spoons and spatulas. But a math mistake may have actually overstated the problem by 10x:

Viral study about black plastic spatulas had a big math problem - SF Chronicle