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Hep A restaurant outbreak in Maine 🍽️

The Executive Briefing - Friday, October 6th.

October 6, 2023

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Health News:

  • 1.8 million people got the updated COVID vaccine last week, and about 4 million total in September. (Reuters)
  • A new outbreak of Salmonella Thompson is being investigated, with 64 confirmed cases and an unknown source. (FDA)
  • An employee at a Lewiston, ME restaurant worked with active Hepatitis A in September. Customers who ate on specific dates are advised to get vaccinated, including some regulars who are patients from a nearby cancer center.  (Maine.gov)
  • NYC has a TB problem - a 20% increase over last year and nearly 500 active cases. (Politico)
  • The largest strike of healthcare workers in US history is set to end tonight with no bargain in sight. (Reuters)
  • Paper CDC vaccine cards are being phased out in favor of digital vaccination records from each state. (SF Chronicle)
  • A new report says that conflicts of interest with the food and pharma industries may influence dietary guidelines. (NY Times)
  • Moderna’s combo flu and COVID vaccine was effective in the early stages of a trial. (Reuters)
  • CA workers will get 5 sick days instead of 3 under a new state law. (AP)
  • The CDC predicts that this year’s flu and RSV season will look a lot like last year’s. (MedPage Today)
  • Arkansas is added to the list of states with a locally acquired malaria case. (Arkansas.gov)
  • Paris is experiencing an enormous bed bug infestation, and travelers are concerned about bringing them home. (CNBC)
  • Dengue will ‘take off’ in the southern US (and Europe) according to the WHO’s top scientist. (Reuters)

Mental Health & Substance Use News:

  • Kids’ use of mental health services rose 22% from 2019 to 2022. (JAMA)
  • Employees say their mental health is improving so far this year. (Benefits Pro)
  • A fall check-up can help you prepare for and alleviate some symptoms of winter seasonal depression. (Washington Post)

If you or someone you know may be considering suicide or need help, call 988 or message the Crisis Text Line by texting HOME to 741741.

Best Questions:

I felt pretty sick for a day after my last COVID shot. Which updated COVID vaccine has the fewest side effects?

Now that Novavax is approved as a COVID booster dose, evidence shows that it has fewer side effects like muscle pain and body aches. Unlike Pfizer and Moderna’s vaccine, Novavax isn’t an mRNA vaccine. The evidence is mixed on whether it’s best to mix and match Novavax with mRNA vaccines - some studies show mixing is more effective, while others show it’s more effective to stick with mRNA vaccines. There are pros and cons to the type of protection you get from each. But either option is safe, and both slash your chances of getting serious complications from COVID. If you’re worried about feeling sick the day of or the day after your shot, getting the Novavax updated vaccine might be a good option for you.

Source: YLE

Is there such a thing as COVID season?

It’s too soon to say that COVID is seasonal because we actually get spikes throughout the year. There is a fall and winter virus season when colds, flu, RSV, and COVID are all in play. Unlike flu and RSV, which are seasonal and have standard spikes in the winter, COVID does seem to spike twice per year, once in the summer and again in the late fall or winter, but experts in virus patterns say that it’s too soon to say for sure if that pattern will continue. Much of it might be our own behavior - between precautionary measures and vaccination, it’s possible that the time between spikes stretches out until it’s just once a year, or it could be more variable than that. This year, the late summer spike might mean that protection stretches farther and the winter surge is pushed later in the year, though new variants could easily throw that theory for a loop. All in all, it’s still to early to say that COVID has seasons, and we’ll have to continue to monitor spikes and take vaccinations into account as we plan for future surges.

Source: WIRED

Should I test on the first day I have symptoms or wait?

If you have lots of available rapid tests, you can certainly test as soon as you want to and repeat the test a few times, but you might not test positive for COVID until day three or even day four of your symptoms. If you have limited tests, it’s best to wait a few days to take one for a more accurate result since many rapid tests can show a negative result on the first couple of days of illness since your viral load is relatively low in your nose. Rapid tests tend to be most accurate on the fourth day of symptoms. As always, you should stay home if you have COVID or flu symptoms, even if the rapid test is negative.

Source: ABC

Best Read:

If Ozempic is already hurting junk food sales, what other sectors should be on alert? - Quartz