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Norovirus & Hep A are up nationwide

NYC public & private school cafeterias have racked up 100s of food safety violations, 100+ cruise passengers got sick due to a norovirus outbreak, plus experts criticize WHO COVID guidelines for overlooking pandemic lessons

February 2, 2024

Health News:

  • China reported the first death from co-infection of H3N2 seasonal flu and a H10N5 flu virus that is genetically related to avian subtypes. (CIDRAP)
  • Flu seems to have hospitalized more people than COVID during this year’s peak, though COVID deaths remain high at about 1700 per week. (Inside Medicine)
  • Some experts are disappointed that the new WHO COVID guidelines for healthcare workers miss the mark on lessons learned from the pandemic. (CIDRAP)
  • Bangladesh reported 2 more fatal Nipah virus deaths this week, while Cambodia reported 2 more human H5N1 avian flu infections. (CIDRAP)
  • Officials at Dana-Farber Cancer Institute are moving to retract at least six published research papers and correct 31 others due allegations of data manipulation. (Medscape)
  • Wyoming and parts of Wisconsin are reporting high levels of norovirus. (Wyoming HD, Wausau Pilot and Review)
  • The US and Canada have declared the salmonella outbreak linked to cantaloupe over, with more than 600 confirmed cases and last illness reports of 12/25. (QA Magazine)
  • More than 100 passengers on a Cunard Line cruise ship got sick due to a  norovirus outbreak. (USA Today)
  • A landmark NJ case may determine the future of telehealth licensure requirements with nationwide implications around rules requiring providers to be licensed in the same state their patients are physically located. (Health Law Advisor)
  • NYC public school cafeterias have racked up 100s of food safety violations but private school cafeterias have nearly twice as many.  (The Gothamist)
  • Bangor, Maine is vaccinating the unhoused population in places like libraries and warming shelters to address the recent uptick in Hepatitis A. (NewsCenterME)
  • The Kansas Dept. of Health released a new dashboard to address an ongoing Hep A outbreak with more than 100 cases, including 15 so far this year. (WIBW)

Mental Health & Substance Use News:

  • Elmo posted on the social media site X to check in, asking "How is everybody doing?" The post had 140 million views and was an uncommon indicator of the depth of the mental health crisis.  (Axios)
  • Researchers are looking into whether weight loss drugs like Wegovy may also help treat depression and bipolar disorder.  (STAT)
  • Tianeptine, sold as Neptune’s Fix, is not approved in the US, but is often sold in convenience stores. It caused at least 20 severe illnesses in NJ and the CDC warns they might be adulterated with synthetic cannabinoid receptor agonists or other drugs. (MMWR)

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:

Do we need to exclude an employee who was exposed to TB?

First, make sure you have the right information. They’re really only at risk if they were exposed to someone with active TB disease, and even then, their risk is very low. If they were actually exposed to active TB, or if they’re not sure and can’t figure out if it was really active TB, they should stay home from work until they’re seen by a doctor and tested for TB. It’s not likely that this employee will be infectious right away since it takes time for bacteria to multiply enough to have active TB that can spread to others. Some people with latent (non-active) TB never develop TB disease. The employee can return to work with a doctor’s note clearing them to work in a foodservice setting, if applicable. Again, no note is required unless they were definitely exposed to someone with active TB. 

Source: CDC

Why are so many Americans still dying of COVID? 

Over 1,500 Americans are dying each week this winter from COVID, compared to under 200 for flu. This is much, much lower than the height of the pandemic when 25,000+ people died in a single week in January 2021, but it’s still 1,500 parents, friends, and community members lost every week. A major reason so many people are dying is that relatively few are getting the updated vaccine. Over 80% of adults don’t have it, meaning they are less protected, especially if they haven’t been infected in the last few months. Vaccines don’t last forever - that’s why we get the flu shot every year, and COVID shots will have to be the same. Another reason for so many deaths is that antiviral treatments like Paxlovid are underused in just about a quarter of cases, even though they’re incredibly effective at preventing deaths. Ultimately, as long as cases are high, deaths will increase since a huge number of people getting sick translates to more people dying, even if it’s only a tiny percentage of the whole. To protect yourself, get the updated booster (it’s not too late!), ask your doctor about Paxlovid as soon as you test positive, and continue to take sensible precautions if you’re at higher risk. 

Source: ABC

Is COVID seasonal? 

After nearly four years, it appears that COVID isn’t particularly seasonal, unlike other respiratory viruses, like flu and the common cold. Those viruses are very sensitive, and the heat and humidity of summer make them less stable and, therefore, less effective at spreading. A new study shows that airborne transmission of COVID doesn’t seem to be influenced by environmental factors like heat and humidity. That means we can continue to expect spring/summer waves like we’ve seen over the past few years and that human behavior and immunity levels will continue to be the driving factor in when we see spikes. 

Source: YLE, Nature

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