BACK TO MENU

Plague? Alaskapox? What?!

What employers needs to know about novel(ish) viruses, plus cholera outbreaks, sewage issues, and more on the CDC updates

February 16, 2024

Health News:

  • Only 16% of eligible pregnant people have gotten the new life-saving RSV shot and only about 20% of adults over 65. Disinformation is part of the problem.  (Politico)
  • California’s top epidemiologist is warning that measles is reappearing, especially as post-pandemic travel picks up. (SF Chronicle)
  • A cross-border sewage flow is creating a health threat in San Diego. (The Hill)
  • The global emergency stockpile of cholera vaccines is empty due to multiple ongoing outbreaks, including those in Zambia and Zimbabwe. (Reuters)
  • A vaccine for the current strain of bird flu is in development, but still about 18 months away, the Dept. of Agriculture said. (Reuters)
  • CDC is considering whether to recommend another spring COVID vaccine for some higher-risk Americans. (NBC)
  • There’s a new COVID antiviral, first developed in Japan, that shortens symptoms. (CIDRAP)
  • Nearly half of healthcare workers say they’ve seen racial discrimination against patients. (USA Today)
  • The likelihood of getting long COVID varies from state to state and is highest in West Virginia. (CIDRAP)
  • Hawaii has 5 confirmed cases of whooping cough (pertussis), with one child hospitalized. (Fox)
  • CalOSHA is tightening rules on worker exposure to poisonous lead. (LA Times)
  • Central Illinois is a hotspot for norovirus right now. (WJBC)


Mental Health & Substance Use News:

  • The construction industry is grappling with its biggest killer: overdoses. (NY Times)
  • The leading route of drug use in overdose deaths changed from injection to smoking over the past few years. (MMWR)
  • People are comfortable discussing mental health at work -  just not their own. (TIME)

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:

Is Alaskapox likely to be the next ‘Disease X’ that causes another pandemic? 

Probably not, though any time a novel pathogen is discovered that can infect - and kill - humans, it’s concerning. Alaskapox was only identified in 2015, and there have only been a handful of cases identified in humans since then. The recent death of an immunocompromised man in Alaska was probably caused by a scratch from his cat, which likely hunted an infected small rodent. The other six known cases of Alaskapox were not fatal, and this person’s cancer treatments likely played a part in why his case was so severe. There’s no evidence that it spreads person-to-person, so the chances that this particular novel virus is the next big one are low. But the general themes - a changing climate, zoonotic diseases spilling over to humans - are major contenders for what we can expect in ‘Disease X’ whenever it does happen. 

Sources: NPR, Alaska.gov

We read about a person with the plague in Oregon. Why is that still around? Should we be worried? 

Oregon reported its first human plague case in over eight years this week, in a person who likely got the disease from their pet cat. First, let’s clarify: yes, it’s the bubonic plague, the Black Death, the same one that wiped out millions of people in Europe in the 1300s. It’s rare, but less rare than you might think; there are an average of seven human cases per year in the U.S. It’s actually endemic (regularly circulating) in U.S. rodent populations and the fleas that bite them. It’s treatable with antibiotics, but early detection and treatment are key. If you have pet cats, discourage them from hunting rodents and treat them with flea medication to reduce risk (A similar issue likely caused the Alaskapox death discussed in our other question today, so these tips are broadly useful for cat owners!). Avoid feeding wild rodents, including squirrels and chipmunks. 

Source: Washington Post 

When are the new CDC guidelines for COVID isolations going to go into effect?

Earlier this week, someone from the CDC leaked information to the Washington Post about possible upcoming changes to their COVID isolation guidelines. The news story leaked before these changes had been workshopped with stakeholders or finalized. At the time, internal documents were marked for April discussion, but the hubbub caused by the early leak with incomplete information might change that timeline one way or another. The CDC confirmed to Reuters on Tuesday afternoon that “there are no updates to COVID guidelines to announce at this time.” Right now, we think that there will be more internal CDC debate and engagement with external partners (including OSHA) before a fully fleshed-out policy change in the spring. We don’t recommend any changes just yet until we see how this shakes out. 

Sources: Reuters, YLE

Best Read:

A post-Valentine’s best read on the effects of long COVID:

How long covid takes a toll on relationships and intimacy - Washington Post