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It's officially respiratory virus season...

New Listeria & E. coli outbreaks, RSV is bad this year, and measles is skyrocketing worldwide

Health News:

  • The FDA is investigating two new outbreaks: Listeria and E. coli 0103, each with about a dozen cases. (FDA)
  • RSV season is bad this year, and both flu and COVID are starting to rise. (YLE)
  • As RSV is straining some hospitals, the CDC helped release 77,000 new shots for infants. (AP)
  • Getting COVID and flu shots at the same time is actually better, a new study suggests. (Guardian)
  • The WHO reported a “staggering” rise in measles worldwide last year, including a 43% rise in deaths to over 136,000, mostly in children. (Reuters)
  • An 87-year-old woman linked to the E. coli outbreak from a restaurant in San Diego has died. (NBC)
  • Another Hep A restaurant worker case, this time at a restaurant in Falmouth, ME. Guests who ordered food there in late Oct. and early Nov. are encouraged to get vaccinated. (Maine.gov)
  • More Americans are experiencing a cognitive fog, including difficulty remembering, concentrating, and deciding. Long COVID is a major cause. (NY Times)
  • The MN Department of Health has investigated 10 school-based norovirus outbreaks since October 1st. (KSTP)
  • A doctor who performed surgery while knowingly COVID-positive has been reprimanded by the state medical board. (MedPage Today)
  • Nearly half of 363,000 veterans who tested positive for COVID still had some symptoms 6 months later. (CIDRAP)
  • High medical costs have caused over half of Pennsylvanians to skip a medical appointment or ration medication. (Philadelphia Enquirer) 
  • A cannabis worker died of an asthma attack from work-related exposure, prompting questions about work-related asthma. (AP)


Mental Health & Substance Use News: 

  • It’s getting harder to find long-term behavioral health treatment for kids. (KFF Health News)
  • Biden and Xi agreed to curb illicit fentanyl production in the US and China. (AP)
  • The Golden Gate Bridge finally has suicide prevention steel netting, the culmination of decades of work by activists. (NY Times)

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:


These measles numbers are crazy. Do we need to start thinking about preventing measles outbreaks in our workplaces? 

We almost can’t believe it, but yes, we do. Total measles cases jumped 18% to over 9 million worldwide last year, but those numbers are still rising, and we may blow past that this year. More school-age children in the U.S. have vaccination exemptions now than ever before, which means that we can expect measles to continue to rise in the US over the next few years. Right now, workplace cases should remain relatively low, but as this new wave of unvaccinated kids enters the workforce in the next decade, it’s likely to rise, especially because measles is so contagious. Having clear, short-term outbreak plans for measles (and other vaccine-preventable contagious diseases) is going to be required, and your teams will need to get good at deciding when to initiate them. 

Source: STAT

What can we do to stay properly staffed as the respiratory virus season starts in earnest?

Respiratory virus season is officially here, and that means managers will be handling sick employees and call-outs related to employees' sick kids who are forced to stay home from school and daycare. The reality is that more workers will call out sick in the next three months, especially in the weeks after holiday gatherings when they’ve traveled and been with larger groups indoors. If you can, consider staffing up in anticipation. You can also encourage your employees to go get their flu and COVID shots. As sick as we all are of hearing about it, there are still millions of Americans who are NOT against vaccination who just haven’t gotten their shots this year. It may be about convenience; it may be not wanting to have side effects. Encourage your team leaders to share their stories - just one person saying, “I got the booster yesterday, and my only side effect was a sore arm for one afternoon!” can be the difference maker for someone on the fence. Emphasize how easy it can be - and advertise it internally if you offer paid time to go get vaccinated. It can really make the difference between reducing operations and having enough staff to stay open this winter if you can convince even just a small fraction of your on-the-fence employees to get their shots. 

Source: NIH

Any food safety tips for Thanksgiving at home? 

Every year, without fail, we hear of clients or their employees getting sick from a home-cooked meal during the holidays. With all the food safety practices in place in restaurants, it’s easy to forget that the same risks apply at home, and holiday meals can have extra risk factors. First, and always the most stressful: defrosting the turkey properly. It’s always best to do this in the fridge, but it takes a long time. Never thaw by leaving your turkey on the counter, though! Next is cross contamination, a threat with all home cooking but especially when people are preparing complicated meals with lots of moving parts. Wash your hands every time you touch your bird! The last big one we’ll highlight today is refrigerating your leftovers within two hours of cooking them. It’s easy to leave food out all day, but that allows bacteria to grow. For more tips, check out the CDC’s guide, too. 

Source: CDC

Best Read:

WHO says we can 'write the final chapter in the story of TB.' How close are we? - NPR




Note: We're off next week to spend some time with family, and we'll be back on Tuesday, Nov. 28th. 


Because it’s Thanksgiving, we also want to acknowledge that we are settlers on the traditional, ancestral, and contemporary lands of Indigenous people. ZHH's office is located on Wappinger and Munsee Lenape land. 

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Disclaimer: This post is meant for general information and educational purposes only and does not constitute, and is not intended as, any form of medical, legal or regulatory advice or a recommendation or suggestion regarding the same.  No recipient of this information should act or refrain from acting on the basis of this information without first seeking legal advice from counsel in the relevant jurisdiction.