Jumat, 19 April 2019

Listeria outbreak linked to deli meats spreads to N.J., N.Y., Pa. Fatal case reported in Michigan. - NJ.com

An outbreak of listeria linked to sliced deli meats has spread to four states including New Jersey, and one person has died from the infection in Michigan, according to the Centers for Disease Control.

A total of eight cases have been reported and all have led to hospitalizations, the CDC said as of Wednesday. The cases include:

  • Michigan - 2
  • New Jersey - 1
  • New York - 2
  • Pennsylvania - 3

No information about the infected patients has been released.

The outbreak is linked to deli sliced meats and cheeses, though no single retailer or brand of meat has been identified as the culprit, the CDC said.

The CDC is not advising consumers to avoid deli products or asking retailers should stop selling deli-sliced products. Retailers are urged to frequently clean and sanitize deli slicers and other areas where deli products are prepared, stored or served.

Symptoms of listeria include muscle aches, diarrhea, fever, headaches, confusion and convulsions.

To prevent the infection, the CDC encourages washing hands after handling deli and lunch meats and cheeses, storing opened packages of meat sliced at a local deli no longer than 3 to 5 days in the fridge, and not allowing juice from lunch meat and hot dog packages to get on other food or preparation surfaces.

Pregnant women, newborns, adults over age 65 and people with weakened immune systems are more likely to get sick with listeriosis, the CDC said.

Sophie Nieto-Munoz may be reached at snietomunoz@njadvancemedia.com. Follow her at @snietomunoz. Find NJ.com on Facebook.

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https://www.nj.com/healthfit/2019/04/listeria-outbreak-linked-to-deli-meats-spreads-to-nj-ny-pa-fatal-case-reported-in-michigan.html

2019-04-19 15:26:00Z
CAIiEN7B2InNAGB-VeaRduUsPV8qGQgEKhAIACoHCAowr6T_CjD1tPgCMNKcpAY

CDC investigates multi-state Listeria outbreak connected to deli meats, one person dead - WZTV

[unable to retrieve full-text content]

  1. CDC investigates multi-state Listeria outbreak connected to deli meats, one person dead  WZTV
  2. Listeria outbreak linked to deli meats spreads to N.J., N.Y., Pa. Fatal case reported in Michigan.  NJ.com
  3. Listeria outbreak linked to deli meats turns deadly  CBS News
  4. Listeria Outbreak Tied To Deli Meats, Cheeses  CBS New York
  5. New Jersey Listeria Infection Among Eight In U.S. Linked To Deli Meats, Cheeses  Daily Voice
  6. View full coverage on Google News

http://fox17.com/news/local/cdc-investigates-multi-state-listeria-outbreak-connected-to-deli-meats-one-person-dead

2019-04-19 13:52:00Z
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Anti-vax parents lose in NY court, face steep fines for not vaccinating - Ars Technica

A sign warns people of measles in the ultra-Orthodox Jewish community in Williamsburg on April 10, 2019 in New York City. Mayor Bill de Blasio recently announced a state of emergency and mandated residents at the center of the outbreak to get vaccinated for the viral disease.
Enlarge / A sign warns people of measles in the ultra-Orthodox Jewish community in Williamsburg on April 10, 2019 in New York City. Mayor Bill de Blasio recently announced a state of emergency and mandated residents at the center of the outbreak to get vaccinated for the viral disease.

A Brooklyn judge on Thursday rejected the petition from five anonymous anti-vaccine mothers who attempted to block the city’s recent vaccination mandate amid the largest measles outbreak the city has seen in several decades.

And the city wasted no time enforcing its upheld order. As the judge made his decision Thursday, city health officials doled out the first penalties to violators, according to the New York Times. Officials sent summonses to the parents of three children for failing to vaccinate the children even after city officials determined that they had been exposed to the dangerous viral illness.

Measles is so contagious that up to 90 percent of unvaccinated or otherwise susceptible individuals who are exposed will become ill, according to the Centers for Disease Control and Prevention. Measles’ extreme contagiousness is due in part to the fact that once it is launched into the air from a cough or sneeze it can remain airborne and infectious for up to two hours. Any vulnerable passersby who breathe in the virus or touch contaminated surfaces can pick it up.

With continued exposures of unvaccinated children—such as the three children of the penalized parents—health officials in the city expect that the outbreak will continue to get worse. As of April 18, officials have confirmed 359 cases in the outbreak, which started last October. That tally is up from 285 cases confirmed just ten days ago.

The parents of the three children—who are from three separate households—face $1,000 fines if an officer upholds the summons in a hearing. If the parents fail to respond to the summons or appear at their hearing, they will be fined $2,000.

New York City Health Commissioner Oxiris Barbot said Thursday that officials did not make the decision to issue the mandate—and its associated penalties—lightly. “It was a dramatic response to a serious problem,” she said, according to the Times.

Earlier this week, lawyers for the health department vigorously defended the mandate in court. Based on the lawsuit (PDF) brought by the anonymous mothers, their attorney claimed that the order is “excessive, it’s coercive.” The city’s lawyers countered that the pace of the outbreak’s spread has quickened and remains a serious public health concern. They also noted that the mothers’ vaccination objections relied on bogus and discredited science.

The judge in the case, Judge Lawrence Knipel, sided with the city, calling it a rare but necessary response to a dangerous outbreak.

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https://arstechnica.com/science/2019/04/anti-vax-parents-lose-in-ny-court-face-steep-fines-for-not-vaccinating/

2019-04-19 13:50:00Z
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Losartan recall expands for fourth time, targeting dozens more products - WKYT

(Gray News) – A recall for medication used to treat high blood pressure has expanded for a fourth time, targeting more variants of generic losartan produced by Torrent Pharmaceuticals.

A recall of Torrent losartan products was originally issued in December. A Thursday update posted by the Food & Drug Administration expanded it to include dozens more.

Other recall expansions were announced in January and March.
For a full list of the products affected, visit the FDA website.

The recall has targeted losartan potassium tablets and losartan potassium/hydrochlorothiazide tablets. The pills have been flagged for containing an impurity known as NMBA.

"Torrent is only recalling lots of losartan-containing products that contain NMBA above the acceptable daily intake levels released by the FDA," the agency says.

According to the FDA, losartan is used to treat hypertension, hypertensive patients with Left Ventricular Hypertrophy and for treating nephropathy in Type 2 diabetics.

The FDA advises patients on these medications to continue taking them until they can find an alternative.

"Risk of harm to the patient's health may be higher if the treatment is stopped immediately without any alternative treatment," the FDA says.

Copyright 2019 Gray Television Group, Inc. All rights reserved.

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https://www.wkyt.com/content/news/508796432.html

2019-04-19 11:26:50Z
CBMiMGh0dHBzOi8vd3d3LndreXQuY29tL2NvbnRlbnQvbmV3cy81MDg3OTY0MzIuaHRtbNIBAA

A measles outbreak is dividing families in this Orthodox Jewish community. Passover could make it worse - CNN

"Say you have six kids that want to come to the Seder, with all the grandchildren," said Eli Banash, 32, a member of the Orthodox community who works in Williamsburg.
"Grandmother wants everybody to come. One family didn't vaccinate the kids. Five did. The five families are saying, 'We're not coming unless they don't come!' With Passover, it's going to intensify."
A persistent measles outbreak has hit this ultra-Orthodox enclave and led city officials to declare a public health emergency.
Passover, which begins at sundown Friday and ends April 27, marks the Exodus story from the Old Testament and is celebrated with large gatherings and ceremonial meals. But community leaders and health officials fear the holiday may further fuel the spread of the highly contagious disease.
Already, 359 cases of measles have been confirmed in Brooklyn and Queens since October, mostly in Williamsburg.
"The concern is that with Passover and increased travel, we're going to be putting more people at risk," said New York City's health commissioner, Dr. Oxiris Barbot.
Across the country, measles cases have jumped to the second-highest level in a quarter century, with 555 cases confirmed in 20 states, according to the US Centers for Disease Control and Prevention.
"Because of measles' long incubation period, we know this outbreak will get worse before it gets better," Barbot said in a statement this week.

A pamphlet directed at Orthodox communities helped fuel the fear of vaccines

In Hasidic Williamsburg, bearded men walk hurriedly in long frock coats crowned by black hats. Women in ankle-length skirts push strollers on crowded sidewalks and Hasidic boys with spiraling side curls dart through the streets in bunches.
In an insular community where some don't take kindly to intrusion, residents blame the outbreak largely on a hardline minority opposed to vaccinations, or anti-vaxers. The close-knit neighborhood -- where residents explain the insularity as a way of preserving the community's identity -- has seen heightened tension in some families, especially as Passover preparations got underway.
A sign warns residents of a measles outbreak in the Williamsburg neighborhood of Brooklyn.
Blima Marcus, a nurse and past president of the Orthodox Jewish Nurses Association, has been holding small workshops with the nurses in Brooklyn and New Jersey to educate members of the ultra-Orthodox community who are fearful of vaccines.
The fears were fueled in part by a slick 40-page booklet being distributed in Orthodox enclaves about the dangers of vaccines. The booklet is directly aimed at the Orthodox community, partly written in Hebrew and filled with snippets from the Torah, or Old Testament. Yet Marcus and Orthodox Jewish leaders say there is nothing in Jewish law that prohibits vaccinations.
Signs warn of the dangers of a persistent measles outbreak in Williamsburg.
The booklet was created by a group called PEACH, or Parents Educating and Advocating for Children's Health. Attempts to reach the organization for comment have been unsuccessful.
"People figured it's a fringe magazine and didn't pay a lot of attention to it, but I think what we're realizing now is that it had a much larger impact than anyone ever realized," Marcus said.

'Every night, people are arguing'

Burach Kahan, 25, said he had his youngest child, 9 months old, vaccinated this week. His two other children are vaccinated. He said he started a separate family text group where most of his 13 siblings can only talk about vaccines and the measles outbreak.
"One of my sisters is very scared," he said. "Most of her friends are anti-vaccine and she forwards all their messages. She brought (up vaccines) on the regular group and everyone was busy all day and night fighting."
"People will argue throughout the holiday," said Shaya Hershko, 22, who had his 14-month-old daughter vaccinated against the measles before a family Passover trip to Canada. "Every night, people are arguing. The people you argue with about everything -- you're arguing partners."
The outbreak is occurring as Jewish families prepare for Passover.
Hershko, who lives in Williamsburg, frequently argues with his sister-in-law in upstate Orange County, New York. He says she is an adherent of alternative medicine and refuses to vaccinate her children.
"I have a lot of friends that didn't want to give the shots but I figured that a doctor knows better than my friends know," said Hershko's wife, Friny, 20. "The people that don't give the shots are actually a little bit looked down because the schools and everybody are making like a big deal."
New York health officials announced last week that in the neighborhoods affected by the outbreak, anyone who has not been vaccinated against measles or cannot show evidence of immunity could face a $1,000 fine.

Nurses are fighting misinformation

On Monday, the health department said a Williamsburg child-care program was closed "for repeatedly failing to provide access to medical and attendance records." Schools and child care programs are required to maintain records on-site, and unvaccinated students and staff are prohibited from attending.
The child care program has reopened, but health officials said Thursday that four other city schools and pre-schools will close imminently for failing to comply with the department orders.
Marcus and a group of other nurses have researched and refuted each piece of misinformation in the PEACH booklet, and plan to soon publish a rebuttal to be distributed in Orthodox communities.
Children at a playground in Williamsburg, which has seen 294 confirmed cases of measles.
The nurses have also been meeting with mothers in Williamsburg and other Orthodox communities, Marcus said.
"I feel really bad for these women whose internal instincts of motherhood and protecting their children have been exploited by this movement and now are feeling that heat and feeling that backlash and are being kind of attacked for their medical choices," she said.
"I talk to these women and I say you're trying to use Jewish law to defend not vaccinating. Instead, you're deliberately trying to harm them. It's almost kind of like breaking your child's bone in the hope that when it grows back it will be stronger," she said.
"We listen to them and take them seriously on an issue where they're usually mocked," Marcus said.

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https://www.cnn.com/2019/04/19/health/new-york-measles-outbreak-passover-williamsburg/index.html

2019-04-19 12:57:00Z
52780271526419

A measles outbreak is dividing families in this Orthodox Jewish community. Passover could make it worse - CNN

"Say you have six kids that want to come to the Seder, with all the grandchildren," said Eli Banash, 32, a member of the Orthodox community who works in Williamsburg.
"Grandmother wants everybody to come. One family didn't vaccinate the kids. Five did. The five families are saying, 'We're not coming unless they don't come!' With Passover, it's going to intensify."
A persistent measles outbreak has broken out in this ultra-Orthodox enclave that led city officials to declare a public health emergency.
Passover, which begins at sundown Friday and ends April 27, marks the Exodus story from the Old Testament and is celebrated with large gatherings and ceremonial meals. But community leaders and health officials fear the holiday may further fuel the spread of the highly contagious disease.
Already, 359 cases of measles have been confirmed in Brooklyn and Queens since October, mostly in Williamsburg.
"The concern is that with Passover and increased travel, we're going to be putting more people at risk," said New York City's health commissioner, Dr. Oxiris Barbot.
Across the country, measles cases have jumped to the second-highest level in a quarter century, with 555 cases confirmed in 20 states, according to the US Centers for Disease Control and Prevention.
"Because of measles' long incubation period, we know this outbreak will get worse before it gets better," Barbot said in a statement this week.

A pamphlet directed at Orthodox communities helped fuel the fear of vaccines

In Hasidic Williamsburg, bearded men walk hurriedly in long frock coats crowned by black hats. Women in ankle-length skirts push strollers on crowded sidewalks and Hasidic boys with spiraling side curls dart through the streets in bunches.
In an insular community where some don't take kindly to intrusion, residents blame the outbreak largely on a hardline minority opposed to vaccinations, or anti-vaxers. The close-knit neighborhood -- where residents explain the insularity as a way of preserving the community's identity -- has seen heightened tension in some families, especially as Passover preparations got underway.
A sign warns residents of a measles outbreak in the Williamsburg neighborhood of Brooklyn.
Blima Marcus, a nurse and past president of the Orthodox Jewish Nurses Association, has been holding small workshops with the nurses in Brooklyn and New Jersey to educate members of the ultra-Orthodox community who are fearful of vaccines.
The fears were fueled in part by a slick 40-page booklet being distributed in Orthodox enclaves about the dangers of vaccines. The booklet is directly aimed at the Orthodox community, partly written in Hebrew and filled with snippets from the Torah, or Old Testament. Yet Marcus and Orthodox Jewish leaders say there is nothing in Jewish law that prohibits vaccinations.
Signs warn of the dangers of a persistent measles outbreak in Williamsburg.
The booklet was created by a group called PEACH, or Parents Educating and Advocating for Children's Health. Attempts to reach the organization for comment have been unsuccessful.
"People figured it's a fringe magazine and didn't pay a lot of attention to it, but I think what we're realizing now is that it had a much larger impact than anyone ever realized," Marcus said.

'Every night, people are arguing'

Burach Kahan, 25, said he had his youngest child, 9 months old, vaccinated this week. His two other children are vaccinated. He said he started a separate family text group where most of his 13 siblings can only talk about vaccines and the measles outbreak.
"One of my sisters is very scared," he said. "Most of her friends are anti-vaccine and she forwards all their messages. She brought (up vaccines) on the regular group and everyone was busy all day and night fighting."
"People will argue throughout the holiday," said Shaya Hershko, 22, who had his 14-month-old daughter vaccinated against the measles before a family Passover trip to Canada. "Every night, people are arguing. The people you argue with about everything -- you're arguing partners."
The outbreak is occurring as Jewish families prepare for Passover.
Hershko, who lives in Williamsburg, frequently argues with his sister-in-law in upstate Orange County, New York. He says she is an adherent of alternative medicine and refuses to vaccinate her children.
"I have a lot of friends that didn't want to give the shots but I figured that a doctor knows better than my friends know," said Hershko's wife, Friny, 20. "The people that don't give the shots are actually a little bit looked down because the schools and everybody are making like a big deal."
New York health officials announced last week that in the neighborhoods affected by the outbreak, anyone who has not been vaccinated against measles or cannot show evidence of immunity could face a $1,000 fine.

Nurses are fighting misinformation

On Monday, the health department said a Williamsburg child-care program was closed "for repeatedly failing to provide access to medical and attendance records." Schools and child care programs are required to maintain records on-site, and unvaccinated students and staff are prohibited from attending.
The child care program has reopened, but health officials said Thursday that four other city schools and pre-schools will close imminently for failing to comply with the department orders.
Marcus and a group of other nurses have researched and refuted each piece of misinformation in the PEACH booklet, and plan to soon publish a rebuttal to be distributed in Orthodox communities.
Children at a playground in Williamsburg, which has seen 294 confirmed cases of measles.
The nurses have also been meeting with mothers in Williamsburg and other Orthodox communities, Marcus said.
"I feel really bad for these women whose internal instincts of motherhood and protecting their children have been exploited by this movement and now are feeling that heat and feeling that backlash and are being kind of attacked for their medical choices," she said.
"I talk to these women and I say you're trying to use Jewish law to defend not vaccinating. Instead, you're deliberately trying to harm them. It's almost kind of like breaking your child's bone in the hope that when it grows back it will be stronger," she said.
"We listen to them and take them seriously on an issue where they're usually mocked," Marcus said.

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https://www.cnn.com/2019/04/19/health/new-york-measles-outbreak-passover-williamsburg/index.html

2019-04-19 10:18:00Z
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Brooklyn Judge Upholds Mandatory Vaccinations, As New York City Closes More Schools - NPR

A Brooklyn judge on Thursday upheld a mandatory measles vaccinations order. On the same day, the United Talmudical Academy, pictured here, reopened after being closed for failing to comply with a Health Department order that required it to provide medical and attendance records amid a measles outbreak. Seth Wenig/AP hide caption

toggle caption
Seth Wenig/AP

A Brooklyn judge has sided with New York City health officials to uphold a mandatory measles vaccinations order, dismissing a lawsuit from a group of parents who claimed the city had overstepped its authority.

Judge Lawrence Knipel on Thursday refused the parent's request to lift the vaccination order that was imposed last week to stem a severe measles outbreak. "A fireman need not obtain the informed consent of the owner before extinguishing a house fire," Knipel wrote in his ruling as quoted by Gothamist. "Vaccination is known to extinguish the fire of contagion."

On the same day, the city announced that it was closing four more schools and issuing three civil summons for parents who had failed to comply with the mandate.

As of Thursday, the New York Department of Health had recorded 359 cases of measles since the outbreak began in October, up from 329 confirmed cases on Monday. The cases are centered in ultra-Orthodox Jewish communities in Brooklyn.

A group of five parents had sued the city over the mandated measles, mumps and rubella vaccinations, claiming that the current outbreaks do not justify "drastic emergency measures" that override individual rights. The lawsuit argued that the outbreak was not a "clear and present danger to public health."

But the judge disagreed.

"The unvarnished truth is that these diagnoses represent the most significant spike in incidence of measles in the United States in many years and the Williamsburg section of Brooklyn is at its epicenter," he wrote in his opinion, The Wall Street Journal reports.

Robert Krakow, the parents' attorney, said that his clients were disappointed and that they were discussing next steps, according to the Journal. He said he was not surprised by the decision.

In Thursday's release, the city said it had identified three children who were exposed to measles but were still unvaccinated as of last Friday. The cases will go to a hearing, where parents will pay a $1,000 penalty if the violations are upheld, according to the city. Parents who do not appear at the hearing or respond to the summons will be fined $2,000.

The city said its health authority is working with community leaders to ensure schools comply with emergency mandates.

A preschool program at United Talmudical Academy, which was closed for violating a city order that required it to provide medical and attendance records, reopened on Thursday "under Health Department monitoring," the city announced.

"Because of measles' long incubation period, we know this outbreak will get worse before it gets better," said Health Commissioner Oxiris Barbot in a press release on Thursday. "However, we can turn the tide by people getting vaccinated, especially before Passover when families and communities will gather."

Prior to the hearing, the city's Board of Health had voted to extend the mandate until the end of the current outbreak. Barbot said on Wednesday that an estimated 500 children aged one to five in Williamsburg had been vaccinated since the mandate was imposed on April 9, Gothamist reports.

"The purpose of this emergency order isn't to fine people," Barbot said. "It's to stress the urgency and the importance of getting vaccinated and to enlist as many people as possible spreading the message that these vaccines are safe and effective."

According to city data, about 14% of the children aged one to five in Williamsburg still have not been immunized, Gothamist reports.

Meanwhile in Washington state, which has also seen a measles outbreak this year, lawmakers in the Senate passed a bill Wednesday that removes the personal belief exemption from MMR vaccinations, as NPR's Laurel Wamsley reports. The bill, which is expected to become law, leaves medical and religious exemptions intact.

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https://www.npr.org/2019/04/19/715016284/brooklyn-judge-upholds-mandatory-vaccinations-as-new-york-city-closes-more-schoo

2019-04-19 05:38:00Z
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