The Public Health Emergency Bi-Weekly Report ~


Public Health Emergency. Resilient People. Healthy Communities. A Nation Prepared.

Hurricane Maria:  90 Days of  Health Response and Recovery in Puerto Rico

In the days, weeks, and months that followed Hurricane Maria, HHS deployed thousands of health professionals to Puerto Rico to provide lifesaving care.  Today, the health care system is stabilizing and most health care facilities are open and operational. HHS will continue to work with leaders in Puerto Rico as the health system recovers.  We will keep providing support for as long as we are needed.  View the Infographic >>

Thumbnail of Hurricane Maria infographic

Keeping Facilities Open: Stabilizing and Restoring Puerto Rico’s Health Sector Following the Island’s Worst Hurricane Season Ever

Since Hurricane Maria, HHS has supported hospitals, dialysis facilities, medical supply manufacturers, and more. Find out how HHS worked behind the scenes to help these facilities restore services. Learn More >>

Hospital building exterior and hospital sign

Working with Older Adults and People with Disabilities: Tips for Treatment and Discharge Planning

Find out what responders and healthcare professionals can do to promote effective patient care and independence for older adults and people with disabilities after disasters like Hurricane Maria.  Learn More >>

Medical personell assisting a disabled elderly patient

Public Health Emergency Medical Enterprise Publishes Key Planning Documents

The Public Health Emergency Medical Enterprise (PHEMCE) has released the PHEMCE Strategy and Implementation Plan and the PHEMCE Multiyear Budget.  The PHEMCE Strategy and Implementation Plan provides the blueprint for the PHEMCE to enhance national security through the development, procurement, and planning for effective use of critical medical countermeasures (MCMs).  The PHEMCE Multiyear Budget shows how much HHS agencies are spending or plan to spend over a five-year period to develop, review, and stockpile medical countermeasures.

Report covers for the 2017-2018 PHEMCE SIP and 2016-2020 PHEMCE MYB

NIH Lifts Funding Pause on Gain-of-Function Research

This week, NIH announced that it would lift the funding pause on certain types of experiments involving influenza, SARS and MERS viruses. NIH lifted the ban on this research following the publication of the new HHS Framework for Guiding Funding Decisions about Proposed Research Funding, which describes a robust review process that considers the potential scientific and public health benefits, biosafety and biosecurity risks, and appropriate risk mitigation strategies to help inform agency decisions. Learn More >>

Colorized SEM image reveals ultrastructural details at the site of interaction of numerous yellow-colored MERS-CoV virus

Join the fight with women like Luisa ~ A Better Balance


A Better Balance
Join the fight with women like Luisa
Support A Better Balance
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Dear Friend,
Luisa* worked in a supermarket in New York City, making $10.50 per hour. When her employer found out she was pregnant, they harassed her, made discriminatory comments, cut her hours, and penalized her for taking her regular breaks.
Luisa asked if she could avoid climbing ladders because of the risk of miscarriage from a fall. HR ignored her request. Her direct supervisor recommended she go on unpaid leave until the baby was born, potentially eliminating her main source of income. Luisa refused. Soon after, Luisa was fired after requesting a change in her schedule to attend one prenatal appointment. 
Losing her job while expecting a baby was devastating. She had to rely on the support of family members, and sought public assistance just to make ends meet.
That’s when Luisa called A Better Balance.
We represented Luisa and, after laying out the myriad legal violations the employer faced—including failing to provide her with reasonable pregnancy accommodations and earned sick time—the employer agreed to compensate Luisa. The supermarket also agreed to give notice of all relevant federal, state, and local policies so that employees are aware of their workplace rights.
Stories like Luisa’s are all too common. A Better Balance will continue to hold employers accountable when they discriminate against workers like her, but we need your help.
In Solidarity,
Dina & Sherry
*Names have been changed to protect confidentiality.

FDA/USDA ~~Dec 2017 Alerts & Safety


  • Jack Brown Produce, Inc. of Sparta, MI is recalling Gala, Fuji, Honeycrisp and Golden Delicious apples processed and shipped by one of its suppliers, Nyblad Orchards, Inc., on December 11 through December 16, 2017, because they have the potential to be contaminated with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women. No illnesses have been reported to date.

    The recalled apples were distributed through retail stores in Michigan, Georgia, Missouri, Indiana and Ohio. The product at issue consists of the following types of apples sold or distributed by Jack Brown Produce, Inc. under the brand name “Apple Ridge” including:

    1. Honeycrisp apples in two-pound clear plastic bags;
    2. Gala, Fuji, and Golden Delicious apples in 3-pound clear plastic bags;
    3. Fuji and Gala apples in 5-pound red-netted mesh bags; and
    4. Gala, Fuji and Honeycrisp apples that were tray-packed/individually sold.

    The potentially-affected product can be identified by the following lot numbers printed on the bag label and/or bag-closure clip:

    Fuji: NOI 163, 165, 167, 169, 174

    Honeycrisp: NOI 159, 160, 173 Golden Delicious: NOI 168
    Gala: NOI 164, 166 on either the product labels and/or bag-closure clip.

    The recall was the result of a routine sampling program at the Nyblad Orchards, Inc. facility which revealed that finished products contained Listeria monocytogenes. Jack Brown Produce, Inc. has ceased the distribution of any further products processed at Nyblad Orchards as the FDA and the Company continue their investigation as to what caused the problem.

    Consumers who have purchased Gala, Fuji, Honeycrisp and Golden Delicious Apples under the brand name “Apple Ridge” on or after December 11, 2017 are urged to destroy the product and contact Jack Brown Produce, Inc. for a full refund.

    Consumers with questions may contact the company at 616-887-9568 (Monday-Friday, 8:00 a.m. to 5:00 p.m. ET) and ask for Lisa Ingalls.

  • Santa Fe Importers, Inc. Recalls Ready-To-Eat Pork Products due to Possible Extraneous Material ContaminationSanta Fe Importers, Inc. a Long Beach, Calif. establishment, is recalling approximately 143 pounds of pork salami products that may be contaminated with extraneous materials, specifically metal shavings
  • Products due to Possible Salmonella Adulteration Piller’s Fine Foods, a Waterloo, Canada establishment, is recalling approximately 1,076 pounds of ready-to-eat salami and speck products that may be adulterated with Salmonella.
  • Springfield Smoked Fish of Springfield, Ma.is recalling its 1lb. packages Prescliced Nova Salmon because they have the potential to be contaminated with Listeria monocytogenes, an organism which can cause serious infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea.The recalled packages were distributed to customers in Rhode Island and Connecticut through retail stores.The product comes in a 1lb, clear plastic package marked with lot # 42173 on the back of the package and with an expiration date of 12/22/17. UPC 811907018018.No illnesses have been reported to date in connection with this problem.This issue was identified after FDA product sampling identified Listeria monocytogenes in the product.The production of the product has been suspended while FDA and the company continue to investigate the source of the problem.Consumers who have purchased the 1lb packages of the pre-sliced Nova Salmon are urged to return them to the place of purchase for a full refund. Consumers with questions may contact the company at 1-413-737-8693. Monday through Friday 8 am – 5 pm.
  • December 5, a partner food pantry agency in Wamego, Kansanotified Harvesters—The Community Food Network of potentially contaminated Bibi Frutix candy product it received through Harvesters’ distribution program.The candy product is likely contaminated with a chemical substance and is potentially harmful if eaten. To date, there has been a report of one illness. The candy product is the shape of a small baby bottle and labeled “Bibi Frutix.” The product was donated to Harvesters. Harvesters estimates six cases or fewer of the candy product was received.Harvesters followed recall procedures, including issuing a recall notice to all partner agencies (food pantries) and checking to see if any product remained in its warehouses. To date, no product has been found beyond what was involved in the initially reported incident in Wamego, Kan.Harvesters’ agencies that could have received the product are located in the following 19 counties of Harvesters’ service area: Kansas: Johnson, Wyandotte, Miami, Franklin, Douglas, Jefferson, Shawnee, Nemaha, Pottawatomie, and Wabaunsee. Missouri counties are:
    Jackson, Platte, Clay, Ray, Lafayette, Johnson and Bates. Harvesters continues to cooperate with local and state authorities to determine the potential scope of the distribution.This may be an isolated incident. Out of concern for public safety, Harvesters is alerting the public. The safety of the public, Harvesters’ agency partners, volunteers, clients and staff is most important.The FDA has advised, if a member of the community has possession of the candy product, do not consume the product and dispose of it immediately. People who experience symptoms should contact their health care provider for treatment. If you believe product you received was contaminated, you may file a complaint with the FDA consumer complaint coordinator for Kansas and Missouri at 1-800-202-9780.
  • FDA Alerts Consumers About Potentially Life-Threatening Health Problems Linked to Limbrel

    December 4, 2017

    The U.S. Food and Drug Administration has recommended that Primus Pharmaceuticals, Scottsdale, Arizona, voluntarily recall Limbrel, a capsule marketed to “manage the metabolic processes associated with osteoarthritis.” The company has not yet acted to remove the product from the market. Although the product is marketed as a medical food, the preliminary determination of the FDA investigation is that Limbrel is an unapproved new drug. The agency does not have mandatory recall authority over drug products.

    The FDA reminds consumers not to use Limbrel because of the risk of drug-induced liver injury, and a lung condition called hypersensitivity pneumonitis. Consumers taking this product should stop immediately and contact their health care provider. Health care providers who are aware that their patients are taking Limbrel should advise them to stop using it. 

    Who Should be Contacted?

    Consumers and health care professionals who have questions about Limbrel are encouraged to contact the FDA’s Division of Drug Information at 888-INFO-FDA (888-463-6332) or druginfo@fda.hhs.gov.

    The information in this release reflects the FDA’s best efforts to communicate what it has learned from the manufacturer and the state and local public health agencies involved in the investigation. The agency will update this page as more information becomes available.

     

  • Updated information is now available. A list of retail consignees has been posted for recall 127-2017, Rafedain Shish Kabob Restaurant, Inc. Recalls Chicken Patty Shish Kabob Products Due To Misbranding and Undeclared Allergens (Dec 1, 2017).
  • Simple Diagnostics is voluntarily recalling three lots of Pharmacist Choice Alcohol Prep Pads (UPC # 898302001050, NDC # 98302-0001-05), which were manufactured by Foshan Flying Medical Products Co. Ltd., located in China, due to the lack of sterility assurance and other quality issues. The affected lots are:  SD2070421201 (Exp. 12/2019)
    SD2070420925 (Exp. 09/2019)
    SD2070420601 (Exp. 12/2019)The affected lots were distributed between 10/18/2016 and 07/19/2017  : Simple Diagnostics is notifying its distributors and customers by issuing a “Dear Customer” letter and arranging for the return of all recalled products. Healthcare providers that have affected lots of Pharmacist Choice Alcohol Prep Pads that have been recalled should stop using the product and should return them to Simple Diagnostics.Health professionals and consumers with questions regarding this recall can contact Simple Diagnostics at 1-877-342-2385.Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA’s MedWatch Safety Information and Adverse Event Reporting Program:

    Read the MedWatch Safety Alert, including a link to the press release, at:
    https://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm587711.htm

 

  • The Kroger Company has recalled Comforts FOR BABY Purified Water with Fluoride Added 1 GAL (3.78 L) with sell by dates from 4/26/2018 to 10/10/2018, after receiving complaints about mold in the product. Testing by Kroger has identified the mold as Talaromyces penicillium. The water is sold in clear containers, but the mold may not be visible with the naked eye.

The FDA is issuing this consumer alert to reach parents and Consumers caregivers who may have bought the product, which is intended for infants.

 1-888-SAFEFOOD

The products were distributed to Kroger stores, including Food 4 Less, Jay C, Jay C Food Plus, Kroger, Kroger Marketplace, Owen’s, Payless Super Market, and Ruler stores in Alabama, Arkansas, Georgia, Illinois, Indiana, Kentucky, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Virginia and West Virginia.  The Kroger Company has instructed its stores to remove the recalled products. The recalled products are labeled with the UPC Code 0 41260 37597 2 and the plant code 51-4140. The labels also state DISTRIBUTED BY THE KROGER CO, CINCINNATI, OHIO 45202. If you have purchased this water return it to the store for a refund.