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Never-ending illness?

JN.1 variant and other cold- and flu-like illnesses on the rise

Health News:

  • Healthy food and exercise may qualify for HSA and FSA funds, including gym memberships and fitness trackers. (Washington Post)
  • The JN.1 variant is growing in the US and is already dominant in the Northeast. (CNN)
  • The norovirus outbreak linked to a sushi restaurant in NC has grown to over 240 cases. (NBC)
  • The FDA has released guidelines for cooking morel mushrooms after the deadly outbreak in Montana. They should not be eaten raw. (KFF Health News)
  • A high-dose flu vaccine may cut infections another 15% over the standard version. (CIDRAP)
  • Louisiana is leading the nation in flu activity ahead of the holidays. (WDSU)
  • It’s not just long COVID - long flu happens, too, and can lead to lingering symptoms for months. (NBC)
  • Another person has died in the cantaloupe Salmonella outbreak. There are now over 300 cases, and half have required hospitalization. (CIDRAP)
  • NYC is offering free therapy to teens via Talkspace, but some experts are not sure it's enough. (NY Times)
  • Quaker recalled some of their popular Chewy granola bars over Salmonella contamination. (Quaker)
  • Mexico’s health department closed a melon-packing plant in relation to the Salmonella outbreak that’s caused hundreds of illnesses. (ABC)
  • Most of the 2.2 million kids that lost Medicaid coverage come from just nine states. (Axios)
  • All immigrants in CA may qualify for Medicaid starting in the new year regardless of their legal status. (KFF Health News)


Mental Health & Substance Use News:

  • NYC is calling for more treatment teams and psychiatric beds to help support mental health among the city’s homeless population. (NY Times)
  • After actor Matthew Perry’s death was linked to ketamine (an anesthetic now popular for mental health and recreation), experts are urging people to follow doctors’ orders when using the drug. (PBS)
  • Alcohol use is declining among teens, according to an NIH study. (HuffPost)

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 JN.1 something to worry about?

Short answer: worry, but don’t panic. JN.1 is an offshoot of BA.2.86, the ‘Pirola’ variant that made headlines because it appeared suddenly and had 35 new mutations. But BA.2.86 didn’t cause the surge that some people feared because it wasn’t actually very good at infecting people. It has since gained one more mutation on the spike protein and become JN.1, which is causing some concern because there’s evidence that it’s better at evading our immune systems. It’s rapidly becoming dominant globally, which isn’t inherently problematic. But what is concerning to epidemiologists like Katelyn Jeteilna of YLE is the wastewater data coming out of places where it’s already dominant, showing exponential growth even in places like Australia, where it’s summer. We’re concerned about the rising hospitalization rates in the UK and Singapore, which have high vaccination rates compared to the US. It may turn out to be another wave instead of a massive surge, but it’s hard to say and definitely worth keeping an eye on.
Source: YLE

What are the most common symptoms with the new JN.1 ‘Pirola’ variant?

Right now, we don’t really know if JN.1 creates different symptoms than other variants since it’s still relatively new. But we do know that most recent variants, including Omicron, tend to have similar symptoms associated. Some symptoms like loss of taste and smell and dry cough, were more common early in the pandemic than they are now, especially as the first symptoms to appear. Anecdotally, doctors say sore throat has been one of the most common symptoms that people first notice, followed by congestion or runny nose, fever, and other common cold and flu symptoms. For the relatively new JN.1 variant, we’re still waiting to see but suspect that, like most other Omicron subvariants, peoples’ symptoms will have more to do with their overall health and immunity level than the variant that caused their infection.

Sources: CDC, NBC


We have a lot of sick employees. Should we cancel our company holiday party this week?

Holiday parties are fun - that’s why it’s tempting for someone with a new sore throat or slight cough to attend. But we’re seeing a big rise in cold and flu-like illnesses right now, and know that the next few weeks are traditionally hard to staff. If your staffing simply can’t handle an extra spike in sick calls 3-4 days after the party, you might be better off postponing it to the new year. If you do decide to go ahead with it, remind people to stay home if they're not feeling well and remember that ventilation is key. Get that air moving! As always, we recommend adding some extra shifts over the next few weeks to help ease the pressure on managers and let sick people stay home.
Source: CDC

Best Read:

The Case of the Never-Ending Illness - NY Times

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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.