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TB outbreak in CA linked to sick casino worker

11 cases of TB over 5 years linked to a sick worker, plus dengue near LA and noro in Denver...

Health News:

  • Casino staff and guests in Contra Costa, CA, may have been exposed to a worker with TB over a 5 year period, with 11 cases so far linked to a sick worker. (Mercury News) 
  • A ‘tropical disease’ carried by sand flies has been found in the US. (NPR)
  • Substituting one serving per day of red meat was associated with a 30% lower risk of developing Type 2 diabetes in a new study. (NPR)
  • Four ingredients, including red dye 3 and brominated vegetable oil (found in soda), will be banned in California starting in 2027 due to health risks. (NPR)
  • The ‘pharmageddon’ staff walkout had minimal impact on operations for CVS and Walgreens, the chain pharmacies say. (Reuters)
  • Health misinformation and lack of confidence in vaccines are continuing to grow, even after the pandemic was declared over. (CNN)
  • A young woman with a heart condition died after drinking a highly caffeinated lemonade at Panera Bread last year, and a lawsuit has renewed safety concerns. (NY Times)
  • A new simulation shows that higher ventilation isn’t always the best way to prevent viral transmission. (CIDRAP)
  • COVID vaccines are not linked to miscarriages, a new study proves. In fact, vaccinated women had slightly lower miscarriage rates. (CIDRAP)
  • A norovirus outbreak closed a Denver elementary school. (KDVR)
  • Only half of the women and kids eligible for the WIC food program received benefits in 2021. (The Hill)
  • Four flight attendants won a $1 million lawsuit against a clothing manufacturer after claiming chemicals in their uniforms made them sick. (Washington Post)
  • CA confirmed a 2nd locally acquired dengue case, this time in the LA area. (CIDRAP)

Mental Health & Substance Use News: 

  • One high school in Sterling, VA, had eight student opioid overdoses in three weeks. (NBC)
  • CT is giving away thousands of pouches to safely dispose of drugs. (CTPR)
  • Seasonal affective disorder may start to affect more people as daylight savings ends. (CBS)

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:

Will the flu season be bad this year? 

There’s some good news in terms of flu this year! First, the Southern Hemisphere’s flu season wasn’t particularly rough, which is important because it’s usually a good indicator of how ours will turn out. It did start a bit early, and plenty of people still got sick, but the numbers of hospitalizations and deaths weren’t abnormally high. We also have some strong evidence that this year’s flu shot is a good match for the strains that are circulating. It’s a bit of a guessing game each year, and it’s a relief to know that this year’s offers strong protection against the flu. Now’s the time to go get your flu shot!

Source: WSJ


What do we know about how norovirus spreads through food?

A new study looked at two outbreaks from the same camp in Spain that led to dozens of schoolchildren and teachers getting sick in two separate incidents over a week apart. Both outbreaks were tied to the same two food handlers who worked sick or just after feeling better during the first outbreak and were likely still infectious during the second a week later. Interestingly, the hand washing sink was not adequately stocked - a piece of information that’s relevant to our Best Question last week about inadequate hand washing stations as the most common food code violation in the US this year. In addition to this study about one specific situation, a large CDC study of over 500 outbreaks in the US found that employees working sick were tied to 40% of outbreaks and that norovirus was the most common outbreak. The number one thing to help prevent norovirus outbreaks is to emphasize that employees must stay home if they have vomiting and diarrhea, and if it’s a LOT of it, they need to stay home for two full days after their GI symptoms end. That, and please make sure your hand washing sinks have hot water, soap, and paper towels!

Source: Nature, CDC

An employee regularly gets a rash that they say is due to stress. Can they work? 

Stress-induced rashes, usually hives, are actually somewhat common. And for those with existing skin conditions like eczema or psoriasis, stress can contribute to flare-ups, as well. If an employee has hives or rash that can be fully covered, they can continue to work as long as they don’t have any open wounds, blisters, or lesions. If it can’t be fully covered (for example, it’s on their face and neck), we recommend keeping them out of work. It may be stress-related hives, but it could also be any number of other issues - from an allergic reaction to chickenpox. If it’s a recurring issue and the employee says it’s stress-related, we recommend asking for a doctor’s note that clears them to work in your setting. 

Source: CNN

Best Read:

Chi-Chi's mixed legacy: Hepatitis A outbreak of 2003 left a trail of misery — and also helped to change America’s approach to food safety | Pittsburgh Post-Gazette

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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.