Nursing house in states with COVID-19 vaccine mandates noticed larger employees uptake
Nursing houses in US states with COVID-19 vaccine mandates for healthcare employees noticed a 7 percentage-point enhance in employees vaccine uptake over houses in non-mandate states throughout a 5-month interval in 2021, with no worsening of employee shortages, finds a research printed late final week in JAMA Well being Discussion board.
The research, led by a researcher from the College of Rochester Medical Middle in New York, used weekly Nationwide Healthcare Security Community knowledge on employees COVID-19 vaccination charges and employee shortages at nursing houses in 38 study-eligible states from Jun 6 to Nov 14, 2021.
The crew selected this time window to keep away from confounding from the federal nursing house mandate that was introduced on Nov 4 and took impact Dec 6. Vaccination was thought of a minimum of 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 house employees, whereas 8 had a mandate with no choice to substitute with weekly COVID-19 checks, and 4 had a mandate with a test-out possibility.
A minimum of 10 weeks after mandate announcement, nursing houses in states with a mandate and no test-out possibility noticed a rise in employee COVID-19 vaccination of 6.9 proportion factors (95% confidence interval [CI], −0.1 to 13.9) over these in no-mandate states. Nursing houses 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 reviews of worsened staffing shortages.
Will increase in COVID-19 vaccination charges in mandate states with no test-out possibility had been higher in Republican-leaning counties than in Democrat-leaning counties (14.3 proportion factors with no test-out possibility and 4.3 proportion factors with test-out possibility), though Republican counties had decrease baseline vaccination charges.
“These findings recommend that given the waning vaccine-induced immunity and low booster dose protection amongst nursing house employees in lots of components of the US, state mandates for booster doses could also be warranted to enhance and maintain vaccination protection in nursing houses,” 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 current warning from the US Facilities for Illness Management and Prevention (CDC) about reviews of parechovirus (PeV) infections in infants from many states, a crew from Tennessee reported on a cluster of 23 infants admitted to a Tennessee kids’s hospital for PeV meningoencephalitis.
Writing in the latest challenge of Morbidity and Mortality Weekly Report (MMWR), the authors stated the infants, ages 5 days to three months, had been beforehand wholesome and had been admitted to the hospital between Apr 12 and Might 24. Signs included fever, fussiness, and poor feeding. All obtained sick in neighborhood settings, besides one preterm toddler who began having signs within the neonatal intensive care unit (NICU). Sixteen infants had siblings or had been uncovered to different children, and one went to daycare.
4 infants had extreme illness and had 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 Might 2018 to assist detect pathogens in sufferers with suspected meningitis or encephalitis. Nineteen instances had been detected over 5 months in 2018, most likely reflecting a baseline of PeV central nervous system infections. Seven instances had been detected from 2019 by 2021. The group wrote that the current peak in infections may replicate relaxed COVID-19 measures, much like patterns seen with different respiratory viruses.
They suggest that clinicians check for the virus when PeV is circulating, even in infants with regular cerebrospinal fluid parameters. And so they 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 not too long ago recognized polio case in New York’s Rockland County has revealed constructive samples from June in Rockland County, the New York State Division of Well being (NYSDOH) stated right now.
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 sort 2 isolates collected type Rockland County wastewater samples, in addition to these from Jerusalem, Israel, and not too long ago detected environmental samples from London. The well being division stated the findings don’t suggest that the affected person in New York had traveled to Israel or the UK.
In response to media reviews, the Rockland County affected person is a person who sought take care of weak spot and paralysis.
Well being officers urged all New Yorkers who’re unvaccinated or who have not accomplished their immunization collection to get vaccinated straight away. They warned that unvaccinated individuals who reside, work, go to highschool in, or go to Rockland County are on the highest publicity threat. Rockland County’s polio vaccination price of 60.5% in 2-year-olds is beneath the statewide common of 79.1%.
USDA to declare Salmonella an adulterant in breaded, stuffed uncooked rooster
The US Division of Agriculture (USDA) Meals Security and Inspection Service (FSIS) right now introduced that it’s going to 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, “At this time’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 offered to customers. Presently, federal tips 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 customers usually do not realized that they’re getting ready a uncooked product and assume that the gadgets are precooked.
Some gadgets are labeled as microwavable, and attributable to variability within the ovens, undercooking may end up. The USDA stated efforts to enhance labeling have not been efficient at lowering sicknesses.
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 searching for feedback on whether or not a distinct adulteration degree, corresponding to zero tolerance of 1 restricted to particular serotypes, could be extra acceptable.
The USDA stated it is going to publish a discover within the Federal Register within the fall searching for public feedback.
Aug 1 USDA press release