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Why so many TB cases right now?

More on responding to TB in the workplace, the MLB managers meeting cut short due to likely noro, and more...

Health News:

  • An active TB case at UMass Boston has exposed at least 39 people in the Boston area over multiple years. (Boston Globe)
  • Another TB case in a Nebraska YMCA may have exposed over 500 people. (KETV)
  • The MLB managers' meeting was called off early in Scottsdale, AZ after many attendees had noro-like symptoms. (Boston Herald)
  • Scientists are studying the children in the Calgary daycare E. coli outbreak to learn more about the effects of STEC on kids. (Town and Country)
  • A preprint study finds that there are thousands of fake scientific papers churned out by “paper mills,” adding to distrust of the scientific community. (Nature)
  • Childhood vaccine exemptions are at an all-time high at 3%. That said, 93% still got their required shots by kindergarten. (Pittsburgh Post-Gazette)
  • Only 17% of healthcare workers in acute care settings were up to date on their COVID vaccines this fall. Flu coverage was much higher at 81%. (CDC)
  • Another 1 million chickens, this time on a Minnesota farm, are being slaughtered after an outbreak of avian flu. (ABC)
  • The new RSV shot can help save babies’ lives, but supply issues, a high price tag, and bureaucracy mean few shots are actually available. (KFF Health)
  • Amazon recently acquired One Medical, a primary care clinic, and is offering half-price membership to Amazon Prime members. (WSJ)
  • TX and FL lawmakers are undermining vaccine efforts through laws forbidding health departments from advertising or recommending COVID vaccines alone (TX), or downright advising against them (FL). (NBC)
  • A US appeals court may revive an EEOC case over a pharmacy worker harassed for wearing a mask in the early days of the pandemic. (Reuters)
  • The CDC director says now is the time to get your flu and COVID shots before Thanksgiving. (CBS)
  • Sweden’s largest egg producer is being ordered to cull all of its 1.2 million chickens after salmonella outbreaks at the facility. (ABC)

Mental Health & Substance Use News: 

  • The VA is considering using psychedelics to treat PTSD. (CBS)
  • Social media’s impact on teens is in the spotlight again after evidence shows Mark Zuckerberg ignored safety warnings from Facebook executives. (CNN)
  • Children having mental health crises are surging into ERs. (WSJ)
  • To fight bias against those with substance use disorder, the White House is calling for “recovery-friendly” workplaces. (STAT)

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:

Why are we seeing so much more TB this fall? 

Tuberculosis, or TB, is preventable and curable. But it’s just beat out COVID as the number one most deadly infectious disease in the world right now. In part, that’s because 40% of people who have TB don’t know they have it. It’s also a pain to treat and requires daily medication for a period of time, though there have been huge advances in recent years that make treatment easier. We’re seeing an uptick in employee cases across our client base, and the news is full of others, too - from a college in Boston and a YMCA in Nebraska to a California casino and a Canadian airport. Ultimately, TB is probably on the rise as a result of the pandemic, when people didn’t seek medical care as much, and health departments reassigned TB control units to help tackle COVID, leading to fewer screenings and delayed diagnoses. The pandemic also increased inequality in the US and around the world, and the conditions associated with poverty (crowded living and working environments, lack of access to medical care, etc.) are “powerful determinant[s]” of tuberculosis, according to the WHO. So, there’s a lot of work to do. As health departments get back to work, we’re hopeful that a combination of treatment improvements, more affordable vaccines worldwide, and education will help make TB a thing of the past. 

Source: NY Times, WHO

We have an employee with TB. The health department recommends testing for all employees but isn’t requiring it. Should we encourage our team to go get tested?

Generally, the risk in the workplace is low, especially if you have good ventilation (like in a commercial kitchen or dining room). The risks are greatest for people who live together, commute together, or hang out in enclosed spaces outside of work. We always recommend deferring to the health department regarding employee testing. You can help anyone who wants to be tested by giving them time off, a ride, or even facilitating the testing directly. There’s not usually a reason to encourage testing beyond that, though there are some rare instances when anxiety levels are high, and in those cases, helping the anxious employee get tested can actually help, especially once they have their results (usually negative). Educating your managers on TB is key so that they can share that knowledge and keep their team calm and informed. 

Source: ZHH


How can we make our workplace more “recovery friendly” for people who have had prior substance use disorder?

We love this question, and it’s one that’s more relevant now than ever as the opioid epidemic continues. That’s especially true in the construction, hospitality, and food service industries, which had the highest rates of substance use disorder among workers. This week, the White House announced that it’s partnering with Google and the governor of New Hampshire to launch a new Recovery Ready Workplace program, including a giant toolkit for employers. Businesses can start by ensuring strong resources and support for current employees with substance use disorder and providing training and education to reduce stigma and share those organizational policies. Beyond that, there’s also the opportunity to reduce work-related risk factors for substance use - like repetitive motion or lifting injuries. Adopting fair chance hiring policies can help with staffing shortages, too. Some businesses have partnered successfully with local recovery services, the VA, and similar organizations to create a strong pipeline of talent for their hard-to-fill roles. You don’t need to tackle them all at once, but we highly recommend checking out the toolkit and picking a few of these actions to focus on. 

Source: Department of Labor

Best Read:

Ending TB Is Within Reach — So Why Are Millions Still Dying? - The New York 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.