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Dr Gerberding: So, Kayla, like, right now, we’re kind of managing this as a US-centric situation, although H5N1 is not just a U
S-centric problem But yet, communication has to be relevant globally And I’m sure there’s a lot of anxiety on the part of the food production industry in terms of trade and the global impact of – concern about the safety of our cattle industry, et cetera
So how are you managing the global communication around this kind of unfolding? This is the hardest part of an outbreak, is the early days when there’s so much uncertainty – how bad is it, how bad will it be, who’s affected, how far will it go? You just don’t know So how are you handling that?Our editors are huge proponents of this strategy In addition to putting excess leftovers and produce on ice, we often have a stash of these freezer-friendly breakfasts and freezable casseroles ready to thaw, cook, and devour on the busiest of daysPrevention Choose pasteurized milk and dairy products, making sure to read labels carefully
Refrigerate perishable foods at 40°F or colder to slow bacterial growth Bacteria can multiply rapidly if left at room temperature or in the “Danger Zone” between 40°F and 140°F Never leave perishable food out for more than 2 hours (or 1 hour if exposed to temperatures above 90°F, like in a hot car or at a picnic) Throw away expired or spoiled food
When in doubt, throw it out“I tried it, and I was like this actually tastes amazing And what really shocked me was I didn’t have a reaction at all,” she said “My dairy intolerance prior to this was so severe that if sour cream touched the same guacamole spoon, I was down for the count for 24 hours, keeled over in pain
”Others are questioning whether the FDA has gone far enough A significant concern, raised in a 2016 petition to the FDA from the Natural Resources Defense Council and several other environmental groups, is that ending the use of medically important antibiotics for growth promotion doesn't really solve the problem These groups argue that growth promotion accounts for only 10% to 15% of medically important antibiotic use in food animals, a figure based on estimates from the Animal Health Institute, a group that represents veterinary pharmaceutical companiesThese two conditions are similar, and many symptoms overlap
While meningitis affects the covering of the brain and spinal cord, encephalitis affects the tissue of the brain itselfThe veterinarians I know in the poultry field have a high moral and ethical obligation to their profession, Johnson says They take this very seriously, and they understand the problem of antibiotic resistance just as much, if not more, than the public doesWhat to know Pasteurization is crucial for milk safety, killing harmful germs that can cause illness
Consuming raw milk can lead to serious health risks, especially for certain vulnerable populations Choosing pasteurized milk and dairy products is the best way to safely enjoy the nutritional benefits of milkOutbreaks of H5N1 continue to rise in dairy cattle and poultry, as well as in other wild and domesticated animals, including the first confirmed infection in a pig Human cases also continue to occur, primarily—but not exclusively—in people who had exposure to infected animals
In this Q&A, adapted from the November 26 episode of Public Health On Call, Stephanie Desmon speaks with Meghan Davis, DVM, PhD ’12, MPH ’08, associate professor in Environmental Health and Engineering, and Andrew Pekosz, PhD, professor in Molecular Microbiology and Immunology, for an update on the spread of H5N1 in the US They share updates on viral sequencing and patterns of spread, the potential for economic impacts and interruptions in the food supply, risks to the general public, and concerns about how a presidential administration change in January may impact public health’s ability to mount a sufficient responseJust walking into any old grocery store, Alabama citizens are unlikely to find unpasteurized milk on the shelf next to the whole milk and the 2 percent reduced fat
But if they look hard enough, there’s plenty of this “raw milk” to be found—for “pet consumption only,” of courseennuyer (vr) 1
to be lonesome, bored, sad s'ennuyer de to miss La petite fille s'ennuie de ses parents (The little girl misses her parents
)From avoiding raw milk to using a meat thermometer, you can greatly lower your risk of coming down with a Campylobacter infection If you or your child is at risk for complications, such diligence is especially important Talk to your healthcare provider about ways to help keep yourself and your family healthyDr
Laserson: So, you know, one of the strongest parts of CDC workforce overseas is the – is the locally employed staff, right? Almost 2,000 locally employed staff around the world And we have spent, you know, a lot of energy and a lot of investment to ensure, you know, great training amongst the staff, whether they’re trained in epidemiology, or in laboratory response And now we’re having more and more opportunities for those staff to move from country to country, to be assets from country to country And so the development of the locally employed staff is extremely important
Before we close, I would really like to thank some people First and foremost, Steve Morrison, who is the genius behind the CSIS Bipartisan Alliance for Global Health Security and has been a(n) incredible advocate for all things biosecurity, and particularly CDC But I also want to thank Sophia Hirshfield, Maclane Speer, and Michaela Simoneau, who have been the people who have pulled this all together and guided us and put all my talking points together (Laughter
)From avoiding raw milk to using a meat thermometer, you can greatly lower your risk of coming down with a Campylobacter infection. If you or your child is at risk for complications, such diligence is especially important. Talk to your healthcare provider about ways to help keep yourself and your family healthy.Dr. Laserson: So, you know, one of the strongest parts of CDC workforce overseas is the – is the locally employed staff, right? Almost 2,000 locally employed staff around the world. And we have spent, you know, a lot of energy and a lot of investment to ensure, you know, great training amongst the staff, whether they’re trained in epidemiology, or in laboratory response. And now we’re having more and more opportunities for those staff to move from country to country, to be assets from country to country. And so the development of the locally employed staff is extremely important.Before we close, I would really like to thank some people. First and foremost, Steve Morrison, who is the genius behind the CSIS Bipartisan Alliance for Global Health Security and has been a(n) incredible advocate for all things biosecurity, and particularly CDC. But I also want to thank Sophia Hirshfield, Maclane Speer, and Michaela Simoneau, who have been the people who have pulled this all together and guided us and put all my talking points together. (Laughter.)In addition to the European studies and other research cited by raw milk supporters, Porter said raw milk can also have religious significance, citing Muslim friends who pointed to scripture in the Quran identifying “pure milk” as having healing properties. Of course, pasteurization came long after the writing of the Quran.
