News Scan for Aug 01, 2022

Nursing dwelling in states with COVID-19 vaccine mandates noticed increased employees uptake

Nursing properties in US states with COVID-19 vaccine mandates for healthcare staff noticed a 7 percentage-point improve in employees vaccine uptake over properties in non-mandate states throughout a 5-month interval in 2021, with no worsening of employee shortages, finds a examine revealed late final week in JAMA Well being Discussion board.

The examine, led by a researcher from the College of Rochester Medical Heart in New York, used weekly Nationwide Healthcare Security Community information on employees COVID-19 vaccination charges and employee shortages at nursing properties in 38 study-eligible states from Jun 6 to Nov 14, 2021.

The workforce selected this time window to keep away from confounding from the federal nursing dwelling mandate that was introduced on Nov 4 and took impact Dec 6. Vaccination was thought of not less than one dose of the Pfizer/BioNTech, Moderna, or Johnson & Johnson COVID-19 vaccines.

Of the 38 states, 26 had no COVID-19 vaccine mandate for nursing dwelling staff, whereas 8 had a mandate with no choice to substitute with weekly COVID-19 exams, and 4 had a mandate with a test-out possibility.

At the least 10 weeks after a mandate announcement, nursing properties in states with a mandate and no test-out possibility noticed a rise in employee COVID-19 vaccination of 6.9 share factors (95% confidence interval [CI], −0.1 to 13.9) over these in no-mandate states. Nursing properties in states with a mandate and test-out possibility noticed a 3.1 percentage-point climb in vaccination (95% CI, 0.5 to five.7) relative to these in no-mandate states. There have been no studies of worsened staffing shortages.

Will increase in COVID-19 vaccination charges in mandate states with no test-out possibility have been better in Republican-leaning counties than in Democrat-leaning counties (14.3 share factors with no test-out possibility and 4.3 share factors with test-out possibility), though Republican counties had decrease baseline vaccination charges.

“These findings counsel that given the waning vaccine-induced immunity and low booster dose protection amongst nursing dwelling employees in lots of elements of the US, state mandates for booster doses could also be warranted to enhance and maintain vaccination protection in nursing properties,” the authors wrote.
Jul 29 JAMA Well being Discussion board study


Tennessee clinicians describe cluster of infants hospitalized with parechovirus

Within the wake of a latest warning from the US Facilities for Illness Management and Prevention (CDC) about studies of parechovirus (PeV) infections in infants from many states, a workforce from Tennessee reported on a cluster of 23 infants admitted to a Tennessee kids’s hospital for PeV meningoencephalitis.

Writing in the latest problem of Morbidity and Mortality Weekly Report (MMWR), the authors stated the infants, ages 5 days to three months, have been beforehand wholesome and have been admitted to the hospital between Apr 12 and Could 24. Signs included fever, fussiness, and poor feeding. All bought sick in neighborhood settings, besides one preterm toddler who began having signs within the neonatal intensive care unit (NICU). Sixteen infants had siblings or have been uncovered to different youngsters, and one went to daycare.

4 infants had extreme illness and have been admitted to the NICU. The imply hospital keep was 4.5 days. Of the group, 21 recovered with out issues. One was scheduled for follow-up for doable listening to loss and hypercoagulation, and one other had persistent seizures and is anticipated to expertise extreme developmental delays.

The hospital had launched a a number of molecular panel in Could 2018 to assist detect pathogens in sufferers with suspected meningitis or encephalitis. Nineteen circumstances have been detected over 5 months in 2018, in all probability reflecting a baseline of PeV central nervous system infections. Seven circumstances have been detected from 2019 by 2021. The group wrote that the latest peak in infections would possibly replicate relaxed COVID-19 measures, just like patterns seen with different respiratory viruses.

They advocate that clinicians take a look at for the virus when PeV is circulating, even in infants with regular cerebrospinal fluid parameters. They usually stated fast detection with multiplex molecular panels can restrict antibiotic administration and enhance affected person administration.
Jul 29 MMWR Note from the Field
Jul 13 CIDRAP Information scan


Polio samples in New York have genetic hyperlinks to Israel and UK

Wastewater surveillance as a part of the response to the just lately recognized polio case in New York’s Rockland County has revealed optimistic samples from June in Rockland County, the New York State Division of Well being (NYSDOH) stated immediately.

State officers despatched the wastewater samples to the World Polio Laboratory Community for testing, which confirmed that the New York affected person’s samples are genetically linked to 2 Sabin-like kind 2 isolates collected from Rockland County wastewater samples, in addition to these from Jerusalem, Israel, and just lately detected environmental samples from London. The well being division stated the findings do not indicate that the affected person in New York had traveled to Israel or the UK.

In line with media studies, the Rockland County affected person is a person who sought take care of weak point and paralysis.

Well being officers urged all New Yorkers who’re unvaccinated or who have not accomplished their immunization sequence to get vaccinated instantly. They warned that unvaccinated individuals who reside, work, go to high school in, or go to Rockland County are on the highest publicity danger. Rockland County’s polio vaccination fee of 60.5% in 2-year-olds is beneath the statewide common of 79.1%.

In 2018 and 2019, Rockland County skilled a big measles outbreak that resulted in 312 circumstances and was New York’s largest since 1992.
Aug 1 NYSDOH statement
Jul 21 New York Occasions


USDA to declare Salmonella an adulterant in breaded, stuffed uncooked rooster

The US Division of Agriculture (USDA) Meals Security and Inspection Service (FSIS) immediately introduced that it’ll declare Salmonella an adulterant in breaded and stuffed uncooked rooster merchandise, which have been related to as many as 14 foodborne sickness outbreaks since 2018.

Sandra Eskin, JD, USDA deputy undersecretary for meals security, stated, “In the present day’s announcement is a vital second in U.S. meals security as a result of we’re declaring Salmonella an adulterant in a uncooked poultry product.” USDA officers stated the step is a part of broader efforts to cut back Salmonella infections linked to poultry.

Declaring Salmonella an adulterant will be sure that extremely contaminated merchandise aren’t bought to shoppers. At present, federal pointers don’t require a recall, as a result of Salmonella is not thought of an adulterant in uncooked poultry. Salmonella in breaded and stuffed uncooked rooster merchandise is a frequent downside, as a result of shoppers typically do not understand that they’re making ready a uncooked product and assume that the objects are precooked.

Some objects are labeled as microwavable, and on account of variability within the ovens, undercooking may result. The USDA stated efforts to enhance labeling have not been efficient at lowering diseases.

The USDA stated it’s proposing that the merchandise be thought of adulterated in the event that they exceed a really low degree of Salmonella contamination. The FSIS is proposing a restrict of 1 colony-forming unit of Salmonella per gram of product. The company can be in search of feedback on whether or not a distinct adulteration degree, akin to zero tolerance of 1 restricted to particular serotypes, could be extra acceptable.

The USDA stated it’s going to publish a discover within the Federal Register within the fall in search of public feedback.
Aug 1 USDA
press release

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