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FDA’s Food Safety Role Changes 🥬

Plus, a switch to the European model of vaccine recs & more.

April 18, 2025

Measles News:

  • Canada has 880 measles cases, and Mexico has at least 330 cases, with many cases linked to Mennonite communities and possibly spreading via travelers. (NY Times)
  • A team of NIOSH specialists went to TX to help hospitals work on their ventilation to slow the spread of measles, which is airborne. Plans to help TX schools do the same are on hold as those employees got laid off. (CBS)
  • Montana has its first measles case since 1990. (KRTV)
  • The U.S. total of measles cases is now up to 800, with 597 in TX. (CDC)
  • But the real number of measles cases is likely much higher than our official count - potentially up to 3x higher. (CBS)

Health News:

  • The FDA is reportedly making plans to end its role in routine food safety inspections, effectively outsourcing that role to state and local authorities. (CBS)
  • The CDC’s vaccine advisory panel (ACIP) discussed a shift from the current universal recommendation model toward the European model for vaccine policy, which is more risk-based. (YLE)
  • The ACIP also recommended lowering the age when adults can get the RSV vaccination to those in their 50s. (STAT)
  • Mexico’s fatal H5N1 case was the same D1.1 genotype that has been found in serious human cases in the U.S. and Canada. (CIDRAP)
  • Despite being very near to eradication worldwide, wild-type polio cases are making a comeback in Afghanistan and Pakistan. (NPR)
  • As deaths from fentanyl overdoses drop, some states are seeing a resurgence in meth use. (NY Times)
  • A strike by Kaiser mental health workers has set a new U.S. record, and nearly 6 months in, eight workers organized a hunger strike to call attention to their cause. (CalMatters)
  • WHO member countries agreed this week on a draft treaty to try to avoid COVID pandemic mistakes. (AP)
  • The mosquito-borne Oropouche virus may be more widespread in Latin America than previously thought, and up to 10% of people had evidence of prior infection. (CIDRAP)

Best Questions:

What are other ZHH clients seeing when a health department informs them that a guest visited while infectious with measles? 

Lately, when clients have a guest visit their facility while infectious with measles, the response from state or local health departments has looked very different than it did a few years ago. In the past, a single exposure could trigger major disruptions—mandatory 21-day exclusions for unvaccinated employees, active contact tracing, and even temporary closures until proof of vaccination was submitted for all staff. Now, in many areas, including Texas, health departments don’t have the bandwidth—or aren’t as willing—to take that kind of hands-on approach. Most of our clients aren’t being asked to provide vaccination documentation or remove staff from work, just to keep sick employees out and report if anyone shows symptoms.

That’s a relief in many ways: fewer staffing headaches, less guest anxiety, and no business interruption. Even when facilities are named publicly as exposure sites, we aren’t seeing major drops in sales or lasting concerns from customers. But when health departments step back, the responsibility shifts to you. Do you know your team’s vaccination status? Are you offering vouchers for employees who still need a dose (or two) of their MMR vaccine? The businesses handling this best are the ones who are quietly preparing on an ongoing basis. They’ve updated policies, have systems to track vaccination status quickly, and talked through their plan for when — and probably not if — this happens.

Need help updating your vaccination tracking policies or systems? ZHH can help, and clients can check the app for the latest Measles Action Plan, now with separate checklists for a guest exposure versus an employee’s positive test.

Sources: ZHH, CDC

I got the MMR a long time ago. Do I need a measles booster?

As measles cases are rising across the U.S., Canada, and Mexico, we’re getting this question more and more. The good news: you’re probably well protected. If you had the measles as a kid (if you were born before 1957) or if you got two doses of the MMR vaccine (everyone vaccinated after 1989), there’s almost certainly no need for any kind of booster dose. 

You may have less protection if:

  • You were born after 1957 but vaccinated before 1968. The early vaccine used a different method of inoculation, and the newer version is more effective. 
  • You only got one dose. If you were vaccinated before 1989, you probably just got one dose. That alone provides strong protection, but if you’re high risk - like you work in health care, travel internationally, or if there’s a measles outbreak in your community. 

Speak with your doctor or healthcare provider about whether a booster dose makes sense for you. If you’re not sure of your vaccination status, there’s no harm in getting an extra shot, but you should talk it over with your doctor, regardless. 

Sources: NPR, CDC

Best Read:

In November, an E. coli O157:H7 outbreak linked to romaine lettuce sickened dozens of people in 15 states, killing one person and landing others in the hospital. But the FDA didn’t publicize the name of a grower or processor linked to the outbreak because by the time they found it, there was no more of the contaminated lettuce on grocery shelves. Patient lawsuits are accusing Taylor Farms, the same company linked to the Quarter Pounder onion recall last year, but they firmly deny that any of their products were the source of the lettuce outbreak. This NBC News story goes into detail:

A deadly E. coli outbreak hit 15 states, but the FDA chose not to publicize it. | NBC News