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Missouri bird flu mystery 🔍

Breaking down the implications of an H5N1 case without known animal exposure; plus hurricane prep, Salmonella recalls for eggs and canteloupes, and more

September 10, 2024
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Health News:

  • A person in Missouri tested positive for H5N1 with no known exposure to animals over the weekend. (STAT)
  • Bird flu has already appeared in NYC’s live animal markets over the past two years, and there are at least 70 such “wet markets” in the city. (NY Times)
  • Tropical Storm Francine is likely to become a hurricane before landfall tomorrow morning, prompting businesses in Louisiana to prepare and some to close preemptively. (AccuWeather)
  • The U.S. is preparing for the possible arrival of the more severe clade 1b strain of mpox, including expanded testing. (NBC)
  • COVID is still high but finally showing signs of decline in some areas. (CIDRAP)
  • Recalled eggs from Milo’s Poultry Farms are linked to an outbreak of Salmonella enteritidis with 65 cases and 24 hospitalizations. (CDC)
  • California officials warn that the risk of Valley fever increases in the late summer and fall, and risk is highest for those outside in dusty air. (CNN)
  • A fourth EEE case was found in MA over the weekend. (Boston Globe)
  • Oropouche cases in the Americas are about to cross the 10,000 mark this year. (CIDRAP)
  • The former head of NYC schools food services was sentenced to 2 years in prison for a bribery scandal that resulted in kids eating tainted chicken. (AP)
  • Apple juice recalls have expanded to products sold at BJs, Aldis, Walgreens, and more. (CNN)
  • Kandy brand whole cantaloupe sold in retail supermarkets was recalled due to Salmonella contamination. (FDA)
  • Dozens got sick on a Hawaii hiking trail due to a norovirus outbreak, and the trail could remain closed for over a week. (NY Times)

Mental Health & Substance Use News:

  • The White House issued rules that would force health insurers to cover mental health care on the same basis as physical health conditions. (STAT)
  • Health coaching is a $7.6 billion market, but “coaches” are very different from licensed therapists, and knowing the distinction is important. (NPR)

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

Best Questions:

What’s going on with the bird flu case in Missouri? Should we be concerned?

Over the weekend, the Missouri Department of Health, and later the CDC, issued statements announcing that a person in the state had tested positive for H5N1 avian flu without any known contact with animals. That person had already been hospitalized two weeks before and has since recovered and been discharged. This late announcement was surprising, in part because it didn’t alert local doctors to be on the lookout and test flu-like symptoms to determine if they were related to H5N1. While we’re not overly concerned just yet, this is certainly important to keep an eye on: the 2009 swine flu outbreak was first identified when two children without contact with pigs were diagnosed. That’s not to say that a larger outbreak is what’s happening here - we have very limited information. It’s possible that this person had some close contact with farmworkers or exposure to wild bird droppings at their backyard bird feeder, drank raw milk, or even just has a cat. We have more questions than answers at this point, and we’re not panicking by any means. We’ll continue to keep a close watch on the situation and share important news as it’s reported.

Sources: STAT, NPR

Are my cats at risk for bird flu?

While the overall risk to domestic cats is low, there have been a number of cats that have died from H5N1 bird flu, and a few have gotten sick even though they live indoors. In general, cats that drink infected milk on dairy have been getting very sick. About half of the cats died on the two Texas farms where H5N1 was first identified. Other outdoor cats have gotten sick, and some have died after picking up or eating dead wild birds that were likely infected. But troublingly, at least two indoor cats in Colorado got sick, as well, without any known link to wild birds or dairy cows. It’s possible that they caught infected mice around the house or perhaps were served raw pet food containing contaminated meat or milk. The strain of H5N1 that infected all 6 domestic cats in Colorado was genetically the same as the one linked to dairy farm outbreaks. In general, there’s a low risk that your domestic cat could spread bird flu to you - while it is possible, it’s rare, and cats generally don’t spread flu to other animals. You can take precautions like keeping your cats indoors and away from dead animals and taking them to the vet if they have respiratory or neurological symptoms.

Source: USA Today

We have hurricane preparedness plans, but need to brush up on them. Anything we should be sure to include?

Ahead of Francine’s expected landfall on the Louisiana coast tomorrow morning, we’re hearing of hurricane prep meetings across our client base. We’ll focus on items on the to-do list that can be forgotten in the hustle and bustle of boarding up windows and other property protection. One of the most overlooked aspects is making sure that your hurricane response plans and key contact info are accessible offline - we like to have managers in high-risk areas actually print it while they still have power, in case their phones die later. Make sure they know when to close and when they can partially open with restricted service. Preparing for power outages is key, including turning walk-ins to a low temp, and having accurate time and temperature logs for food safety. Reiterate to any restaurant managers that throwing away food that’s “on the edge” is cheaper than causing foodborne illness. After the hurricane, everything from flooding to water supply issues to pests may affect when to reopen safely. ZHH can help your disaster response and reopening plans in the event of an emergency, so don’t hesitate to reach out for support.

Sources: Steritech, Ready.gov, NRA

Best Listen:

Frustrating Times: H5N1, Mpox, & Vectorborne Disease | The Osterholm Update Podcast