BACK TO MENU

Salmonella Recall 🥒 Check Your Supplier?

Plus, new E. coli mutation, measles declining in TX, and arsenic in rice

May 20, 2025

Measles News:

  • The TX measles outbreak has slowed way down, in part due to an increase in vaccinations among infants. 320,000 Texans got at least one dose of the MMR vaccine this year, 15% more than last year in that time. (Bloomberg)
  • Canada’s outbreak continues to grow, with 1,846 total measles cases, an increase of nearly 350 from the week before. (Canada.ca)

Health News:

  • The FDA set new COVID booster guidelines requiring clinical trials for approvals for healthy adults under 65, effectively limiting availability to older adults and those at high risk. (Reuters)
  • The ongoing Salmonella Montevideo outbreak has been linked to fresh cucumbers from Bedner Growers, distributed by Fresh Start Produce Sales to wholesalers and restaurants as recently as yesterday. 26 people in 15 states have been sick, including passengers on 5 different cruises. The same grower was involved in two Salmonella outbreaks last year. (FDA, CDC)
  • A dangerous strain of E. coli O157:H7, responsible for multiple outbreaks and deaths since 2017, is linked to a single mutation that may make it better at infecting lettuce. (Ars Technica)
  • The U.S. hasn’t seen a case of human bird flu in months. Experts aren’t sure why. (AP)
  • Norovirus increased slightly last week to 11% test positivity rate, but is still trending down overall. The West and Midwest are still at ~13%, which is the peak in most normal years. (Outbreak Outlook)
  • California could face another record-breaking year of Valley fever fungal infection due to climate change. (NBC)
  • There was a dramatic dip in infants hospitalized with RSV this year, thanks to new vaccines and treatments available for babies. (Guardian)
  • WHO members (no longer including the U.S.) adopted a pandemic treaty based on lessons learned from COVID. (STAT)
  • Nebraska is the first state to ban soda and energy drinks from SNAP benefits, also known as food stamps. (AP)
  • 3 different norovirus outbreaks are tied to an outdoor environmental camp in Nevada County, California, near Lake Tahoe. (KCRA)

Best Questions:

Should we be worried about arsenic in the rice that we serve?

There are plenty of headlines about arsenic in rice due to a recent report, and while it may be something to consider long-term, it’s not an emergency.  

Arsenic is a naturally occurring element found in soil and water, and rice is very good at absorbing it. While the levels in most rice are too low to cause acute illness, chronic exposure—even at low levels—has been linked to increased risks of cancer, heart disease, and developmental issues. Brown rice, long considered the healthier alternative, tends to have more arsenic than white rice because the outer layers, which are removed during processing of white rice, retain more of the chemical. This isn’t about foodborne illness or contamination—it’s just how rice grows. There’s no requirement to post warnings about arsenic in rice, but the FDA recommends limits on arsenic in infant rice cereal, and encourages people to eat a variety of grains. 

For restaurants, this isn’t an immediate crisis or liability issue by any means, but if you have a health-conscious demographic, it could be worth thinking about. Some regions and farming practices produce rice with lower arsenic levels (California is lower than the Southwest, for example). Rinsing rice helps, and cooking it like pasta (in a lot of water and then draining it) can help reduce arsenic by up to 60%. For now, this issue isn’t likely to land you in the headlines—but as consumer awareness grows, some guests or staff may have questions, especially if you serve a lot of rice-based dishes or cater to health-conscious diners. 

Sources: CBS, FDA, HBBF

Who can get a COVID shot this fall? Will it be covered by insurance?

On Tuesday, FDA officials outlined their new approach to COVID vaccine approvals, which will effectively limit them to high-risk groups, including people over age 65 and anyone ages 6 months and up who have one or more risk factors for severe disease. 

For everyone else, they’re requiring 6-month-long randomized controlled trials before recommending seasonal shots. Those will be costly, and may be hard to fill, since so many people have had vaccines and COVID infections in the recent past. Until then, insurance likely won’t cover shots for this group. That may not have that much of an impact, since booster uptake is relatively low in the U.S. right now. Ultimately, that might mean that manufacturers don’t see a financial incentive to run these studies required to get the recommendation. 

Depending on your circumstances, you may still have access to COVID boosters. An estimated 100-200 million Americans have at least one of the risk factors. That’s anywhere between a third and half of the entire population. 

We’ll be keeping a close eye on this, and don’t have any information yet about whether similar policies will be applied to the seasonal flu vaccine, which is usually updated yearly in a similar process. 

Sources: STAT, MedPage Today, NEJM, Reuters

Best Read:

Amid major cuts to public health at both the federal and local levels, we loved this article about some of the wildest things that public health officers do to keep us safe. 

Note: This is a gift article, but entering your email may be required. 

She jumped from a helicopter while at the CDC: ‘That’s the nature of public health’ - Washington Post