#Louisiana Department of Health

[justinspoliticalcorner]

Rosemary Westwood at NPR:

A group of high-level managers at the Louisiana Department of Health walked into a Nov. 14 meeting in Baton Rouge expecting to talk about outreach and community events. Instead, they were told by an assistant secretary in the department and another official that department leadership had a new policy: Advertising or otherwise promoting the COVID, influenza or mpox vaccines, an established practice there — and at most other public health entities in the U.S. — must stop. NPR has confirmed the policy was discussed at this meeting, and at two other meetings held within the department's Office of Public Health, on Oct. 3 and Nov. 21, through interviews with four employees at the Department of Health, which employs more than 6,500 people and is the state's largest agency.

According to the employees, who spoke on the condition of anonymity because they fear losing their jobs or other forms of retaliation, the policy would be implemented quietly and would not be put in writing. Staffers were also told that it applies to every aspect of the health department's work: Employees could not send out press releases, give interviews, hold vaccine events, give presentations or create social media posts encouraging the public to get the vaccines. They also could not put up signs at the department's clinics that COVID, flu or mpox vaccines were available on site. The new policy in Louisiana was implemented as some politicians have promoted false information about vaccines and as President-elect Donald Trump seeks to have anti-vaccine activist Robert F. Kennedy Jr lead the U.S. Department of Health and Human Services. And some public health experts are concerned that if other states follow Louisiana, the U.S. could face rising levels of disease and further erosion of trust in the nation's public health infrastructure.

[...]

A blow to public health practice

Staff at Louisiana's health department fear the new policy undermines their efforts to protect the public, and violates the fundamental mission of public health: to prevent illness and disease by following the science.

[...]

Experts fear consequences of undermining trust in vaccine

Last year, 652 people in Louisiana died of COVID, including five children. Louisiana currently is tied with DC for the highest rate of flu in the U.S. In 2022 alone, flu killed 586 people in Louisiana. Every health department staff member, former staff member, public health official and vaccine expert contacted by NPR repeated the scientific consensus that vaccines are safe, effective, and essential for preventing illness, hospitalizations, and deaths.

[...]

Policy change follows new governor's election

Until becoming Louisiana governor in early 2024, Republican Jeff Landry served as the state's attorney general for eight years. During the pandemic, he criticized the state's COVID response and filed lawsuits over federal and state vaccine mandates. On Dec. 6, 2021, Attorney General Landry spoke at a state committee hearing against adding COVID to the childhood immunization schedule. At his side was Robert F. Kennedy, Jr., who presented false claims about COVID vaccines. This year the Republican-controlled legislature passed five bills — all signed by Gov. Landry — and two resolutions aimed at loosening vaccine requirements, limiting the power of public health authorities and sowing doubt about vaccine safety.

Gov. Landry also appointed Dr. Ralph Abraham, a family medicine doctor, to be the state's surgeon general. That position co-leads the Department of Health, and is tasked with crafting health policy that is then carried out by the departmental co-leader, the secretary. [...] Abraham said masking, lockdowns and vaccination requirements "were practically ineffective," that COVID vaccine adverse effects have been "suppressed," that "we don't know" whether blood from people who've been vaccinated is safe for donation and that "we hope and pray" COVID vaccines don't increase the risk miscarriages.

[...]

A slippery slope to future disease outbreaks

Experts told NPR they feared a policy that undermines COVID, flu and mpox vaccinations could have a spillover effect, reducing public trust in vaccinations overall, including those given to children to prevent a host of dangerous and deadly illnesses. "I believe that we will see measles cases. I believe we will see whooping cough cases. I believe we will likely see meningitis outbreaks," said Hood. In the Nov. 14 meeting, a staff member asked whether the ban on promoting vaccines applied to children's immunizations, but the answer was noncommittal, according to an employee with knowledge of the meeting's details. "My understanding was it's not clear to what extent we might be able to promote childhood vaccinations," the staff member said. (The Louisiana Department of Health's statement to NPR said the changes in policy and messaging do not apply to childhood immunizations.) Nationally, vaccination rates for serious childhood diseases have been falling in recent years, including in Louisiana.

[...]

The rise of public health officials promoting misinformation

Louisiana isn't the only state where public health officials have recently announced controversial decisions and repeated false or discredited health theories. Florida's surgeon general has made false claims about COVID vaccines, undermined school vaccine mandates for the measles and said local officials should stop adding fluoride to water supplies.

The consequences of anti-vaxxer extremism and anti-public health sentiments being normalized by Republicans: Louisiana bans the state's Department of Health from promoting COVID, flu, or mpox vaccines.

[tomorrowusa]

A reminder: Get up to date with your vaccines before January 20th.

In a taste of things to come, Louisiana has apparently forbidden public health workers from promoting vaccines – even flu vaccines.

A group of high-level managers at the Louisiana Department of Health walked into a Nov. 14 meeting in Baton Rouge expecting to talk about outreach and community events. Instead, they were told by an assistant secretary in the department and another official that department leadership had a new policy: Advertising or otherwise promoting the COVID, influenza or mpox vaccines, an established practice there — and at most other public health entities in the U.S. — must stop. NPR has confirmed the policy was discussed at this meeting, and at two other meetings held within the department's Office of Public Health, on Oct. 3 and Nov. 21, through interviews with four employees at the Department of Health, which employs more than 6,500 people and is the state's largest agency.

According to the employees, who spoke on the condition of anonymity because they fear losing their jobs or other forms of retaliation, the policy would be implemented quietly and would not be put in writing. Staffers were also told that it applies to every aspect of the health department's work: Employees could not send out press releases, give interviews, hold vaccine events, give presentations or create social media posts encouraging the public to get the vaccines. They also could not put up signs at the department's clinics that COVID, flu or mpox vaccines were available on site. The new policy in Louisiana was implemented as some politicians have promoted false information about vaccines and as President-elect Donald Trump seeks to have anti-vaccine activist Robert F. Kennedy Jr lead the U.S.

While they are not outlawing vaccines outright, the Louisiana GOP state government doesn't want citizens of the state to know that vaccines are available.

As with other states, people are still dying of COVID-19 in Louisiana. Flu is also taking its toll.

Last year, 652 people in Louisiana died of COVID, including five children. Louisiana currently is tied with DC for the highest rate of flu in the U.S. In 2022 alone, flu killed 586 people in Louisiana.

If RFK Jr. is confirmed as HHS secretary, we can see practices like this becoming federalized.

"It's reckless," said Lawrence Gostin, a professor of global health law at Georgetown University. "I think it's a sign of what is about to happen under the second Trump administration." If U.S. senators confirm Kennedy to run HHS, he said, "we're going to see the fomenting of public distrust of vaccines so we lose precious herd immunity, and we're going to see major outbreaks of disease that are fully preventable over the next four years."

[blackfemmejeanvaljean]

I'm well above the federal poverty line and no longer qualify for medicaid

turns out they weren't checking "during" covid and now loserana decided they need to purger well over 500,000 people (and counting!) from medicaid

the gag is I make $15 an hour before tax that's $600 a week in what world is that not poverty???

[saywhat-politics]

A group of high-level managers at the Louisiana Department of Health walked into a Nov. 14 meeting in Baton Rouge expecting to talk about outreach and community events.

Instead, they were told by an assistant secretary in the department and another official that department leadership had a new policy: Advertising or otherwise promoting the COVID, influenza or mpox vaccines, an established practice there — and at most other public health entities in the U.S. — must stop.

NPR has confirmed the policy was discussed at this meeting, and at two other meetings held within the department's Office of Public Health, on Oct. 3 and Nov. 21, through interviews with four employees at the Department of Health, which employs more than 6,500 people and is the state's largest agency.

According to the employees, who spoke on the condition of anonymity because they fear losing their jobs or other forms of retaliation, the policy would be implemented quietly and would not be put in writing.

Staffers were also told that it applies to every aspect of the health department's work: Employees could not send out press releases, give interviews, hold vaccine events, give presentations or create social media posts encouraging the public to get the vaccines. They also could not put up signs at the department's clinics that COVID, flu or mpox vaccines were available on site.

The new policy in Louisiana was implemented as some politicians have promoted false information about vaccines and as President-elect Donald Trump seeks to have anti-vaccine activist Robert F. Kennedy Jr lead the U.S. Department of Health and Human Services. And some public health experts are concerned that if other states follow Louisiana, the U.S. could face rising levels of disease and further erosion of trust in the nation's public health infrastructure.

[followthebluebell]

You posted about bird flu a few days ago, so I thought I should give you an update: the first case of death in humans from bird flu has happened, In Louisiana.

!!

Confirmed by AP news and the Louisiana Department of Health.

[batboyblog]

Things Biden and the Democrats did, this week.

January 19-26 2024

The Energy Department announced its pausing all new liquefied natural gas export facilities. This puts a pause on export terminal in Louisiana which would have been the nation's largest to date. The Department will use the pause to study the climate impact of LNG exports. Environmentalists cheer this as a major win they have long pushed for.

The Transportation Department announced 5 billion dollars for new infrastructure projects. The big ticket item is 1 billion dollars to replace the 60 year old Blatnik Bridge between Superior, Wisconsin, and Duluth, Minnesota which has been dangerous failing since 2017. Other projects include $600 million to replace the 1-5 bridge between Vancouver, Washington, and Portland, Oregon, $427 million for the first offshore wind terminal on the West Coast, $372 million to replace the 90 year old Sagamore Bridge that connects Cape Cod to the mainland,$300 million for the Port of New Orleans, and $142 million to fix the I-376 corridor in Pittsburgh.

the White House Task Force on Reproductive Healthcare Access announced new guidance that requires insurance companies must cover contraceptive medications under the Affordable Care Act. The Biden Administration also took actions to make sure contraceptive medications would be covered under Medicare, Medicaid, CHIP, and Federal Employee Health Benefits Program. HHS has launched a program to educate all patients about their rights to emergency abortion medical care under the Emergency Medical Treatment and Labor Act. This week marks 1 year since President Biden signed a Presidential Memorandum seeking to protect medication abortion and all federal agencies have reported on progress implementing it.

A deal between Democrats and Republicans to restore the expand the Child Tax Credit cleared its first step in Congress by being voted out of the House Ways and Means Committee. The Child Tax Credit would affect 16 million kids in the first year and lift 400,000 out of poverty. The Deal also includes an expansion of the Low-Income Housing Tax Credit which will lead to 200,000 new low income rental units being built, and also tax relief to people affected by natural disasters

The Senate Foreign Relations Committee voted for a bill to allow President Biden to seize $5 billion in Russian central bank assets. Biden froze the assets at the beginning of Russia's war against Ukraine, but under this new bill could distribute these funds to Ukraine, Republican Rand Paul was the only vote against.

The Senate passed the "Train More Nurses Act" seeking to address the critical national shortage of nurses. It aims to increase pathways for LPNs to become RNs as well as a review of all nursing programs nationally to see where improvements can be made

3 more Biden Judges were confirmed, bring the total number of Judges appointed by President Biden to 171. For the first time in history the majority of federal judge nominees have not been white men. Biden has also appointed Public Defenders and civil rights attorneys breaking the model of corporate lawyers usually appointed to life time federal judgeships

[uzumaki-rebellion]

Spinning the Block Part 3

Pairing: Terry Richmond x Officer Jessica "Jess" Sims

Warning(s): 18+ Animal violence (hunting)

Summary: Jess tries to avoid running into Terry again, but a tip given to her may reveal who killed Mike in prison.

Word count: 4. 4K

"After all that we've been through

I know we'll make it,

I know the way

The question is it true

There is nothing we can't do

I see you along the way baby

The stillness is the move"

Solange – "Stillness is the Move"

Jess spread the bucket of corn on the cob that she soaked for a week on the ground. Dawn broke an hour earlier and the morning sky barely turned a pale peach to match the time of day. She kicked around the ears of corn that soured over time and spread a pungent odor in the air. The perfect bait for wild hogs that roamed on her granddaddy's land.

She lifted her high-powered Marlin 336 rifle onto her shoulder and carried the empty bucket away, stashing it behind a snag tree. Trudging past the bait, she joined up with her father and grandfather. Wild hog hunting had been passed down in her family for five generations. Her hunting knife rested against her right hip for dressing up game on site. Plenty of wild game thrived on the property — deer, turkey, raccoons, rabbit, alligator, wood ducks — but the Sims family loved some good feral hog meat.

Louisiana hog hunting required patience, a talent for shooting, and quick thinking on the spot. In the old days, her grandfather Hebert used trained hunting dogs with her father, Jermaine, and her three uncles. The dogs had all died off over the decades except for a ten-year-old brown and black hound dog named Redbone, the last of his lineage. Jess lived with Redbone and Hebert on the property. Ever since she lost her job with the police department because of its shut down over Terry's case, Hebert's house became her refuge. She took care of him, and he gave her shelter from financial ruin.

Redbone, blind in one eye, rested near Hebert's feet behind the camo netting they used to blend into the surroundings. Hebert stretched his legs in a folding chair and peered out into the trees with his binoculars. His lank gray hair looked thinner pulled back in a long ponytail that touched the middle of his back. She noticed the once sallow coloring of his fair skin had improved. His health hadn't relapsed since she'd been home most days while unemployed. Rheumatoid arthritis wore on him before. Perhaps her presence energized him. He had his good days and bad days with pain in his hands and feet. But today was a good one. Hebert could bend his fingers and shuffle his feet along without wincing.

The hogs roused up early in the morning and stayed active, openly, until full light. Hebert wanted to participate in the hunting, and Jess worried that a long outing would bother him. She found a doctor that prescribed marijuana usage to help his pain management, and since she no longer worked, he shared his weed with her on some nights when inflammation got bad. He toked on a little before they left the house. It pleased her that the effects lasted.

Jermaine nudged the drag sled prepared to haul the meat out.

"We'll probably need to take down about three or four…if we're lucky," Jermaine said.

"We're in the best hotspot, Daddy," Jess said.

Jermaine patted her shoulder and slid his hunting goggles down over his eyes. The feral hogs on their land were invasive, and the state welcomed hunters culling their populations. Hebert often gave permission to outsiders to come on their land to hunt for a small fee. He already allowed loggers to remove walnut trees annually for extra income. Any money he made from those two ventures he split among his children and used the rest to pay his property tax.

They perched quietly behind their camo netting for four hours. Jess noticed Redbone's nose twitching, and she slid her wrap-around shades on and peeked through her telescopic sight. Four rotund hogs barreled into view, chomping down on the corn.

Jess lined up her shot. Unfortunately, the wind shifted slightly, blowing their scent toward the animals. A mottled pink one caught the odor of human and hound, alerting the others.

BLAM!

BLAM!

Jess and Jermaine blasted the brains of two hogs, causing the others to scatter. They both used their levers to reload and popped off two more rounds. Jess downed another hog while her father clipped the shoulder of the one he aimed for. Jumping out from behind the camo, Jermaine went after the injured hog to finish it.

"Daddy! Watch out!"

Another aggressive hog appeared from out of nowhere and charged Jermaine. Jess shot it behind the ear, and it dropped a foot away from her father.

"Getting slow," Jess teased.

"Some good shootin', Jess," Hebert called out.

"Learned from the best," she said, and winked at him.

Jermaine killed the injured hog, and Jess dragged over the sled. Her father was a big, muscular, cornbread fed man, and he used that strength to drag two hogs onto the sled. She packed up the camo net and grabbed the bucket.

"Grandpa, I'll get the chair in a minute. You just relax," Jess said.

Redbone jumped around being frisky and followed Jess behind her father. They trudged along the wooded area until they reached Jermaine's truck. She helped him lift each hog onto the truck bed and they headed back to Hebert and repeated the process two more times. Hebert admired the hundreds of pounds of fresh meat piled on the truck.

"Gon' be some good barbecue," Hebert said.

Back home, Jermaine and Jess set about cutting up the meat behind the house. They donned protective covering and surgical gloves to prevent bacterial contamination.

After gutting the pigs, Jess and her father strung them up under their hunter gazebo. Herbert added salt to three large coolers half filled with ice on standby. Jermaine would transfer the meat to his house and a few others covered in the ice, and Jess's mother would prep their share for the big Saturday cookout.

Jess used her big knife to skin the carcasses, and then she dove right in to carve out sections of meat. She deboned joints, cut off shoulders, back strap, ham parts, hocks, and kneckbones. She used a smaller knife to work on the tenderloin parts and ribs once they moved the rest to a work table nearby. The pigs were too lean to carve out bacon, so she worked efficiently to get as much useful meat as possible off the carcass. Jermaine used a lopper to snap apart larger bones, joints, and the heads when needed. It took them about an hour to cut and quarter the various parts needed for Saturday. The rest would go into a deep freezer for winter soup beans and stews. Her father would drop off the unused parts at a rendering plant to be turned into fertilizer. It was a good day of hunting.

She cleaned up the gazebo and work table and then took a shower. Hebert caught up on his marathon viewing of Law & Order episodes in the livingroom. She fixed him an early dinner of baked sweet potato with turnip greens and fried catfish, placing it on a TV dinner tray in front of his recliner. Sitting near him on the couch, she ate with him and quietly watched cops go after bad guys. After Terry's case, Jess couldn't watch the show the same way again.

Terry.

Jess nibbled on her catfish. Was he still in town? She planned on staying away from the town square. No need to tempt fate and run into that man again. He was a past that needed burying.

The landline rang, and Jess answered it. Her friend Melody sounded breathless.

"Jess…girl…come on down to the Pit with me and Alexa tonight. It's Ladie's night and free cover. Alexa doesn't have to work tomorrow, so she's up for some drinking and dancing."

Jess glanced at her grandfather.

"Who is it?" he asked.

Jess covered the mouthpiece.

"Melody wants me to go down to the Pit tonight with Alexa."

Hebert waved his hand.

"Go on and get outta the house. Do you some good to be out with your girlfriends. I'll be okay by myself."

"You sure?"

"I got Redbone with me."

"Promise not to overdo it on the weed?"

"A man runs out of his house naked one time, and now his granddaughter can't trust him to be by hisself," he grumbled.

Jess giggled.

"Okay, I'm in," she said into the phone.

"Oh, good! Dress real cute, because you know Zion is on the prowl for you."

Jess sucked her teeth.

"I wish y'all would stop tryna fix me up with that man."

"Girl, do you know how hard it is to find a fine man that's single, child-free, and looking to settle down right away? He's had his eye on you for the longest."

"With all that's been going on with me, I don't see how he could be interested."

"Jess, hush, now. All that shit is over and done with. Time for a new start… and time for you to throw your hat in the ring before he gets snatched up. Be ready by seven thirty. Cover is free until nine. We get there early and we can get a good booth seat by the dance floor."

"Alright. I'll be ready. But I'm driving there myself."

She hung up and sighed.

"You don't sound excited," Hebert said.

"It's a setup. They're tryna get me with Zion."

"Zion is a nice fella. Decent family. I know his grandfather real well. You not interested in dating?"

"People think partnering up with somebody is going to make me happy now that I'm not working. I need a job, not a man."

"Zion makes good money down at the plant. Let a man spoil you a little bit if he wants to. You ain't gotta marry him or nothin'."

"You right, Granddaddy. You right. I just don't want to feel pressured about it, like I can't get a man on my own…if I wanted one."

She lifted his empty plate and glass from his tray.

"You want anymore to eat?"

"Nah, I'm full. That was a tasty dinner. Thank you."

She picked up her empty plate and piled it on his. While washing dishes in the kitchen, she thought of what to wear.

The Pit smelled like perfumed sweat and chicken grease, a thick country kind of odor that lingered in the air. Jess didn't know if that was a good or bad thing. She flat ironed her hair so that it looked long and silky falling down her back, but by the time she got inside the jumping club, her edges curled back because of the heat. A live band kicked up some fiery zydeco music, and she danced with several men before taking a breather at a booth seat with her friends. Several men bought them drinks, and Jess sulked a bit when she didn't find Zion anywhere. All that talk about him seeking her affections by her friends didn't pan out. She twisted her hair into a high bun and sipped on some bourbon. Revealing some cleavage kept plenty of other suitors barking up her tree.

Shelby Springs men loved big women. The more rolls on the belly and back, the better, too. The women were known to be talented cooks in the kitchen and in the bedroom, and southern Black Creole men had a predilection toward securing one and wifing them up. They liked buxom chests, real asses, and lively personalities.

Jess knew she was a catch.

Men eyed her up and down the moment she walked in the door, displaying her wares and swinging her hips from east to west. Tight booty-hugging jeans. Low cut V-neck top with her good strapless push-up bra. High heel ankle boots gave her extra va-voom. Her breasts were always her best lure, and then the men noticed she had a pretty face to match all the big girl curves. Pear-shaped with a short waist, Jess could use her front and back to attract dance partners.

The Pit was full of Black Creoles and Black Cajuns. There's no real hardcore distinction between the two in Jess's mind. After hundreds of years, they were all a big pot of gumbo culturally. Most of the Black Cajuns descended from the French Canadians that migrated to Louisiana from Acadie. Her great-grandfather used to tell Hebert stories about their white side. That's how Jess learned that Acadians were referred to as 'cadians by English speakers in Louisiana that eventually mutated into 'cajuns'.

The Black Creoles had immigrant French and Italian roots from Europe with some Indigenous heritage that spread out from New Orleans. Many of the Black Creoles had bloodlines all the way from Haiti. Out of the two, Creoles were the wilder by far because they had liberation DNA encoded in them from their African and Native ancestry. There was something about that Black and Red mix that stood out sometimes. Whenever Jess had to be called out as a cop to break up fights or do a welfare check, she could tell how things would go down by the ancestry. Black Cajuns valued communication first before they went off…but the Creoles? Pfft. Those negroes were cayenne pepper. Fists first, questions last.

Terry Richmond was definitely a Creole.

Jess chugged down her drink. The man lingered in her mind like a severe headache. He hugged her, and she knew what those muscles felt like now…the same ones that beat the ass of nearly a dozen men in front of her without using a gun. Pure Creole fury.

He smelled good, too.

Jess stood and walked around with Melody and left their two other friends, Patricia and Alexa, to watch their purses and seats. She tapped her feet to the hot, rambunctious music and searched around for another dance partner.

A man at the bar kept staring at her. He had a lean, rawhide build and purposely kept his baseball cap low on his face to obscure his eyes. Every few seconds, he glanced over at Jess. She sensed he wasn't interested in dancing or checking her out sexually. He studied her. She moved away to see if he would follow, and he did. She positioned herself behind some tall men near the end of the bar, facing the dance floor. Melody went to the restroom, and Jess waited for her. Right when Melody came back, a cute short king grabbed her hand to dance and pulled her away from Jess. Zion appeared then, and Jess forgot all about the man with the cap.

"Where you been?" Jess asked.

Zion grinned, flashing her big teeth. A husky man nearly six feet tall, he had rugged good looks and a flirtatious voice that sounded playful in her ear. Sweat shined up his dark brown skin. A crisp new haircut and fancy fits helped him stand out from the crowd, especially his gator skin boots.

"I've been looking for you, sweet thing," he uttered with sly charm.

"That's what I hear."

"What we gonna do about it, then?"

Jess grabbed his hand and dragged him out to the center of the dance floor, hugging her body tight against his as the ricochet of silver spoons dragging across a metal washboard and a reedy accordion squeezed by a heavyset man singing in French Creole controlled their spinning and grinding in time to the music. Jess snaked her hips and Zion swiveled his. The heat of her crotch rested on his thigh as they wiggled down to the floor and back up, the old school French La La music of her granddaddy's day pushing them to go faster and faster. Zion swung her out in a catch and release move and they yelled their delight at being alive in a sweltering club. God, it felt good to dance her blues away!

They stayed on the packed dance floor for three full songs until Jess begged for a break in her boots. She grabbed her purse and took a breather outside. A quick call on her smartphone reassured her that her grandfather was tucked in bed for the night. He told her not to come home early if she didn't need to, hinting that it was okay to hook up with Zion if she wanted.

She hung up and wiped perspiration from her brow, and noticed the reflection of the strange man behind her from the car window. Digging into her purse, she pretended to put her phone away and reached for her nine millimeter handgun to scare him. He caught her in the blind sight of the club, where no one would see or hear them by the SUV. She spun around and aimed it at his chest.

"The fuck are you following me for?" she barked.

The man held his hands up.

"Easy…I just want to talk to you."

"About what?"

"Terry Richmond."

She narrowed her eyes. Kept the gun on him.

"What about him?"

"I know who you are and I know what those cops did to him…and his cousin."

The man glanced around to make sure no one heard them.

"I have some information and know who killed Mike Simmons. I was at the prison where he was murdered."

Jess drew in a sharp breath.

"You betta not be fucking lying."

"I'm not. I also know the location of the weapon that was used on him. Hid it myself."

"Where?"

"We can't talk here. I'll meet you somewhere safe. You choose where. But I'ma need some money for the information to help me get outta town. It'll be too dangerous for me to stay here once I tell you."

"There's always some catch involving cash."

"It is what it is."

"How much?"

"Ten thousand dollars."

Jess rolled her eyes.

"You think I'm supposed to pay you that?"

"Not you…him. I know he's in town. I saw you with him."

She kept the gun on him and pulled out her cell.

"Give me your number."

"225-342-6863"

She typed and then glared at him.

"What's your name?"

His eyes diverted toward noisy patrons leaving the club in the opposite direction.

"Zeb Chapman."

Jess took a long, hard look at him.

"Zion's brother? How long have you been out of prison?"

"Eighteen months."

She relaxed and put away her weapon. Slinging her purse across her shoulders, Jess stared at him, full of curiosity.

"Call me and tell me where to meet you, Jess. I swear this ain't no con. I shouldn't even be seen with you. If they know I contacted you, they'd kill me."

"They?"

Zeb's jittery moves let her know he was truly nervous.

"Call me."

Zeb scurried back into the club. Jess stood next to her car to gather her thoughts. She assumed the "they" Zeb mentioned must've been the gangsters that had it out for Mike for snitching on a mob boss back east. It was the main reason Terry was vigilant about getting his cousin's bail. An uncomfortable tightness clenched her stomach. She called Melody on her phone.

"Where are you?" Melody squeaked, with the feisty zydeco music cracking in the background.

"I have a headache and went to my car. I'm going to head home early."

"Okay, call me and let me know you made it home safe. Are you good to drive?"

"I'm fine."

"I'm sorry you're not feeling well. Zion is looking for you."

"Tell him I'll catch him on the dance floor another time."

"Will do."

Jess dug into her purse again and pulled out a business card at the bottom. Terry's motel number was a few touches away on her phone. It might be too late to call. Plus, she didn't want him to have her number. She could just drive over there, knock on his door, and give him the information directly. He could pass it off to the authorities and she could wash her hands of the whole thing.

She popped open the trunk and rummaged around for something else to put over her top. Just a gray long-sleeve shirt sat under a pile of plastic recycled shopping bags. She glanced around and quickly yanked off her sexy top and traded it for the gray shirt.

Loading the GPS with the motel address, Jess quelled the anxiousness rising in her chest. Her Durango rode smoothly on the highway and she arrived at the rinky-dink establishment in less than twenty minutes. She parked at the far end of the guest parking and watched the property. Terry's room was the middle one on the bottom floor. The outside light was on and the curtains were drawn. She couldn't tell if the indoor lights were on because the curtains looked dark and heavy. Debating to get out or not, Jess sat in the SUV for half an hour, mustering up the guts to face him. Eventually, she hopped out and strode toward his room.

She knocked on the door and waited.

Knocked again.

No answer.

She closed her eyes, thankful that he wasn't there. It would be better to deal with everything in the morning with the soothing light of day. She turned to go back to her vehicle and bright headlights blasted her eyes. A car pulled in front of the empty parking space facing Terry's door. Summer and Terry stared at her in surprise. They both stepped out of Summer's car and faced her.

"Hey," she said.

Terry's lips quirked up into a half smile. The whites of his eyes looked pink under the overhead light of his room. But the green stayed intense…probing. He had a way of looking at people that unraveled them. Jess glanced at Summer.

"Summer was dropping me off," Terry said.

"Yeah, we just had dinner…dropping him off for the night," Summer said.

Terry took in her uneasy stance. It was after eleven at night. He turned to Summer.

"Thanks for a great meal, and the ride back," he said.

"No problem. Talk to you another time. Before you leave."

Summer awkwardly looked at Jess.

"Good seeing you, Jess."

"Yeah."

"Night y'all," Summer said.

She climbed into her car and drove off. Terry used a motel card to slip inside the door handle slot of room six instead of five. An audible click sounded off, and Terry opened the door wide.

"Come in," he said.

He reached inside and flicked on a light. Jess walked in before he did. Everything in the simple room was neat and undisturbed.

"Sit," he said, offering her the only chair in the room.

He sat on his bed.

"There's no air conditioning in room five. It broke before I went to dinner with Summer, so the manager switched me into this room. I'm glad you showed up. I had no way to contact you about the change. What brought you here so late?"

"A man approached me outside of a club tonight. He's been watching me and said he knows who killed your cousin. He wants to meet in a safe place."

Jess watched the information spread across Terry's features like water rippling across a pond. His eyes bore into hers like a sun blazing through a magnifying glass, causing her to shift uncomfortably in her seat and dart her gaze elsewhere. Like the wall to her right.

"Who is he?"

"He claims to have been in the prison with Mike when it happened. He's scared, and he also wants you to pay him ten thousand for the information."

Terry bolted from the bed.

"Take me to him right now."

He loomed over her, and those damn eyes rooted her to the chair.

"Jess…take me to him."

It was a stern command.

She jumped up.

"I'll give you his number—"

"If he's still at the club, you know what he looks like and can point him out to me. I need to talk to him tonight."

"It might spook him. He said he'll be in danger once he tells you. The money is for his escape from town."

Terry walked around the bed and pulled open the closet door. He dug into a suitcase, pulling out a fresh shirt. He took off the one he had on and replaced it with a form-fitting black shirt that fit his chest like new skin. Jess averted her gaze. His dark chinos and stylish black Moschino boots didn't need changing. He tucked a pair of shades into his shirt.

"C'mon…you drive," he said.

She couldn't protest. The determination in his face and steps forced her to comply and follow him.

Outside, she led him to her Durango.

"He might be gone already."

"Then we'll call him if he is."

She drove him in silence and slid into a parking spot not too far from her original one earlier. He climbed out and she walked to the back of her SUV. She opened her trunk and picked up her sexy top.

"Turn your head, please," she said.

Terry looked away, and she pulled off the long sleeve shirt, switching back to her previous top. She adjusted it and smoothed back her hair. He turned back around and her stomach filled with butterflies. Her cleavage worked its magic despite the circumstances, and Terry showed his hand by glancing at her breasts. He threaded his fingers with hers and tossed his shades on, pulling her toward the club entrance.

"Once we get inside, you play it cool. Understand? We're just on a night out together. When you spot him, whisper in my ear," he said.

The words flew right over her head. His hand was gentle, yet strong, holding hers. She could feel underboob sweat breaking out on her breasts. They reached the front entrance, and Jess took a deep breath. Terry squeezed her hand, reassuring her, and they stepped inside together.

Part 4 HERE.

Masterlist

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[afeelgoodblog]

The Best News of Last Week

🦾 - High-Five for Bionic Hand

1. Houston-area school district announces free breakfast and lunch for students

Pasadena ISD students will be getting free breakfast and lunch for the 2023-24 school year, per an announcement on the district's social media pages.

The 2023-24 free lunch program is thanks to a Community Eligibility Provision grant the district applied for last year. The CEP, which is distributed by the Department of Agriculture, is specially geared toward providing free meals for low-income students.

2. Dolphin and her baby rescued after being trapped in pond for 2 years

A pair of dolphins that spent nearly two years stuck in a Louisiana pond system are back at sea thanks to the help of several agencies and volunteers.

According to the Audubon Nature Institute, wildlife observers believe the mother dolphin and her baby were pushed into the pond system near Grand Isle, Louisiana, during Hurricane Ida in late August 2021.

3. Studies show that putting solar panels over waterways could boost clean energy and conserve water. The first U.S. pilot project is getting underway in California.

Some 8,000 miles of federally owned canals snake across the United States, channeling water to replenish crops, fuel hydropower plants and supply drinking water to rural communities. In the future, these narrow waterways could serve an additional role: as hubs of solar energy generation.

4. Gene therapy eyedrops restored a boy's sight. Similar treatments could help millions

Antonio was born with dystrophic epidermolysis bullosa, a rare genetic condition that causes blisters all over his body and in his eyes. But his skin improved when he joined a clinical trial to test the world’s first topical gene therapy.

The same therapy was applied to his eyes. Antonio, who’s been legally blind for much of his 14 years, can see again.

5. Scientists develop game-changing vaccine against Lyme disease ticks!

A major step in battling Lyme disease and other dangerous tick-borne viruses may have been taken as researchers announced they have developed a vaccine against the ticks themselves.

Rather than combatting the effects of the bacteria or microbe that causes Lyme disease, the vaccine targets the microbiota of the tick, according to a paper published in the journal Microbiota on Monday.

6. HIV Transmission Virtually Eliminated in Inner Sydney, Australia

Sydney may be the first city in the world to end AIDS as a public health threat by 2030. Inner Sydney has reduced new HIV acquisitions by 88%, meaning it may be the first locality in the world to reach the UN target to end AIDS as a public health threat by 2030

7. New bionic hand allows amputees to control each finger with unprecedented accuracy

In a world first, surgeons and engineers have developed a new bionic hand that allows users with arm amputations to effortlessly control each finger as though it was their own body.

Successful testing of the bionic hand has already been conducted on a patient who lost his arm above the elbow.

----

That's it for this week :)

This newsletter will always be free. If you liked this post you can support me with a small kofi donation:

Support this newsletter ❤️

Also don’t forget to reblog.

[justinspoliticalcorner]

Amy Maxmen at KFF Health News:

Keith Poulsen’s jaw dropped when farmers showed him images on their cellphones at the World Dairy Expo in Wisconsin in October. A livestock veterinarian at the University of Wisconsin, Poulsen had seen sick cows before, with their noses dripping and udders slack. But the scale of the farmers’ efforts to treat the sick cows stunned him. They showed videos of systems they built to hydrate hundreds of cattle at once. In 14-hour shifts, dairy workers pumped gallons of electrolyte-rich fluids into ailing cows through metal tubes inserted into the esophagus. “It was like watching a field hospital on an active battlefront treating hundreds of wounded soldiers,” he said. Nearly a year into the first outbreak of the bird flu among cattle, the virus shows no sign of slowing. The U.S. government failed to eliminate the virus on dairy farms when it was confined to a handful of states, by quickly identifying infected cows and taking measures to keep their infections from spreading. Now at least 875 herds across 16 states have tested positive.

Experts say they have lost faith in the government’s ability to contain the outbreak. “We are in a terrible situation and going into a worse situation,” said Angela Rasmussen, a virologist at the University of Saskatchewan in Canada. “I don’t know if the bird flu will become a pandemic, but if it does, we are screwed.” To understand how the bird flu got out of hand, KFF Health News interviewed nearly 70 government officials, farmers and farmworkers, and researchers with expertise in virology, pandemics, veterinary medicine, and more. Together with emails obtained from local health departments through public records requests, this investigation revealed key problems, including deference to the farm industry, eroded public health budgets, neglect for the safety of agriculture workers, and the sluggish pace of federal interventions. Case in point: The U.S. Department of Agriculture this month announced a federal order to test milk nationwide. Researchers welcomed the news but said it should have happened months ago — before the virus was so entrenched.

“It’s disheartening to see so many of the same failures that emerged during the covid-19 crisis reemerge,” said Tom Bollyky, director of the Global Health Program at the Council on Foreign Relations. Far more bird flu damage is inevitable, but the extent of it will be left to the Trump administration and Mother Nature. Already, the USDA has funneled more than $1.7 billion into tamping down the bird flu on poultry farms since 2022, which includes reimbursing farmers who’ve had to cull their flocks, and more than $430 million into combating the bird flu on dairy farms. In coming years, the bird flu may cost billions of dollars more in expenses and losses. Dairy industry experts say the virus kills roughly 2% to 5% of infected dairy cows and reduces a herd’s milk production by about 20%. Worse, the outbreak poses the threat of a pandemic. More than 60 people in the U.S. have been infected, mainly by cows or poultry, but cases could skyrocket if the virus evolves to spread efficiently from person to person. And the recent news of a person critically ill in Louisiana with the bird flu shows that the virus can be dangerous.

Just a few mutations could allow the bird flu to spread between people. Because viruses mutate within human and animal bodies, each infection is like a pull of a slot machine lever. “Even if there’s only a 5% chance of a bird flu pandemic happening, we’re talking about a pandemic that probably looks like 2020 or worse,” said Tom Peacock, a bird flu researcher at the Pirbright Institute in the United Kingdom, referring to covid. “The U.S. knows the risk but hasn’t done anything to slow this down,” he added. Beyond the bird flu, the federal government’s handling of the outbreak reveals cracks in the U.S. health security system that would allow other risky new pathogens to take root. “This virus may not be the one that takes off,” said Maria Van Kerkhove, director of the emerging diseases group at the World Health Organization. “But this is a real fire exercise right now, and it demonstrates what needs to be improved.”

[...] Curtailing the virus on farms is the best way to prevent human infections, said Jennifer Nuzzo, director of the Pandemic Center at Brown University, but human surveillance must be stepped up, too. Every clinic serving communities where farmworkers live should have easy access to bird flu tests — and be encouraged to use them. Funds for farmworker outreach must be boosted. And, she added, the CDC should change its position and offer farmworkers bird flu vaccines to protect them and ward off the chance of a hybrid bird flu that spreads quickly. The rising number of cases not linked to farms signals a need for more testing in general. When patients are positive on a general flu test — a common diagnostic that indicates human, swine, or bird flu — clinics should probe more deeply, Nuzzo said. The alternative is a wait-and-see approach in which the nation responds only after enormous damage to lives or businesses. This tack tends to rely on mass vaccination. But an effort analogous to Trump’s Operation Warp Speed is not assured, and neither is rollout like that for the first covid shots, given a rise in vaccine skepticism among Republican lawmakers.

KFF Health News reports on how America lost control on containing the bird flu that could set the stage for another pandemic. If we see another COVID-level or even Ebola-level pandemic, America will be in for a world of hurt, thanks to the rise of anti-public health sentiments.

See Also:

CNN: How America lost control of the bird flu, setting the stage for another pandemic

[007reid]

yay! (honestly don’t stress about the adhd characterisation being perfect)

r cannot stay still during one of the cases and the other officers at the *insert state* station get really frustrated with r's hyperactive tendencies (pacing, humming, fidgeting etc) (possibly a small bit of angst)

and of course because of that we get an overprotective dr reid because he can see that r is trying to mask to appease the officers (he most likely knows the facts and all that jazz about how harmful masking can be)

masking is where we basically try and suppress our actions - ignoring what our brain is telling us to do and trying to act ‘normal’ (it is very exhausting and honestly just sucks - can also lead to mental health issues)

also tysm if you consider this <3

- 🦕 xx

HI DINO ANON!! i imagined glasses reid for this cus he’s the sassiest and spencer is def sassy here. i hope i did it okay, kinda nervous about this one. enjoy!

spencer reid x adhd fem!reader

cases involving children always stresses you out more than usual, and this one is no exception.

hotch is cruel in the way that he requested for you not to join the team. 'request' is actually him being nice. you stood your ground until he demanded you to, and you know he's right, knows why you can't be with the team this time. "you're too shaken up, y/n," hotch had said, firmly, eyes as soft as steel. "you won't benefit the team. just hang tight and keep an eye out, alright?”

penelope had gone back to the hotel but it's hard for you to muster up the will to. you need to hear the news right when the team comes back, need to know what happens to the two siblings held hostage, and the only way to get immediate information once the information comes is to lurk in the louisiana's sheriff department and wait for the inevitable phone call.

one of the assistants were nice enough to hand you a donut with a pink napkin for it to sit on and a coffee, but god forbid you have any caffeine or sugar so you set it deliberately to the side for spencer, who, predictably, comes by a second later and it grabs his attention immediately, pointing to it as if to ask "you want this?" silently. you shake your head. he stuffs the donut into his mouth and takes the coffee with him as he makes to go somewhere else.

you're grateful for spencer, and you wish that you can say something about it but your mouth's clamp shut and you don't remember the last time you've been so nervous on a case. you're no newbie to the bau, you know the procedure and you know the horrific scenes that goes on but it's been a while since there is children involved and it took you for a toll and you don't know how to deal with it.

spencer had insisted staying at the station with you and you know the officers aren’t too pleased about it, having two fbi officers strolling around in their post just because. they can't send you back, but they’re dying too; you can tell it on their disdained faces that they're practically looking for a reason to kick the two of you out.

feeling constrained by standing in the hard, wooden stool, you decide to get up and take a walk around the pace, and a walk turns into just pacing back and forth between these two desks and then humming a little song that’s been stuck in your head, trying to keep your mind distracted and off the possibilities of what could be happening to those innocent kids right now if the team hasn't taken care of everything yet. your eyes stay on the dark green telephone that sits menacingly and quietly in the sheriff's office desk. you don’t pick up the glances directed at you.

“hey, ma’am?” someone speaks up. you pause and whip your head around. you could read the man’s face as legibly as a news magazine. he’s annoyed and fed up, his lips turned at an ugly angle. you feel embarrassment bubble up inside of you. “can you sit down? we have work to take care of.”

first thing that comes to your mind is to talk back. the fuck you know about workload? you want to spit into the man’s face. i’m with the fucking fbi, jackass. you just sit at a fucking computer.

the fierce words don’t come out of you, however. instead, you just feel silly and childish, walking back to the stiff chair you had abandoned earlier and try to make yourself comfortable, mumbling a half-assed “sorry” under your breath.

“no worries, ma’am,” the man says, and it sounds saturated and sarcastic, and you can feel yourself burn a brighter red, ridiculed.

you hide the tremble in your hands by tucking it in the pockets of your fbi issued hoodie and resists your foot from tapping on the floor, looking around anxiously for something to watch.

“does her pacing ‘round a little bit distract you that much?”

spencer suddenly appears right next to you, enough bitterness on his face to give the man a run for his money. he looks strange like this, the innocent, permanently confused frown on his face replaced with a glare, harsh and intense under the gleaming of his glasses.

“yeah, it does, you android,” the man sneers, stopping his typing on the computer. he leans back on his chair. you feel the defensiveness in you rising up at the man’s words. “this place’s for business, not you kids’ playground, kay?”

“kids?” spencer says incredulously, laughing. “kids and we have a say above you as federal workers and you as state. you work under your boss who work under another boss who work under my boss. that’s three tiers, if you got lost along the way. we’re kids and we got more going for us than you ever do,” and spencer says all this so casually, as if he’s informing the man of the littleness of his worth as a fact instead of an insult. it stabs twice as deep and it shows on the man’s face.

“whatever, fucking android,” the man grumbles, continuing to type.

spencer, bless him, can’t seem to keep his mouth shut for to long and spinning around to face you, water in his hand. “here,” he press the bottle to your trembling hand, making you accept it. “don’t do that again, okay?” he says, sternly.

“do what?”

“suppressing it.” he doesn’t need to define what ‘it’ is. you get the memo immediately and look down in shame, biting at your lip. “it makes things worse, okay? you know it does.” he frowns, except his lips jut out in a pout. it’s cute. you guess spencer reid’s a little bit cute. spencer is oblivious to your little revelation as he continues his tangent, without a thought in the world. “masking can lead to anxiety or depression if you feel like you're constantly under too much stress. this isn’t a stress free job, y/n. you can’t keep piling more on top of what you already got,” he says, softly.

“i know,”

“i know you do,”

right then, the phone rings and you nearly trip over spencer’s beat up converses trying to get to the sheriff’s office fast enough. spencer catches you by the hand as you come sending towards the floor and the both of you rush, your hand in his as sheriff brody picks up the phone and press it to his ear.

a beat.

“they’re safe.”

[saywhat-politics]

The panel voted along party lines.

The Senate Finance Committee on Tuesday voted to advance Robert F. Kennedy Jr.’s controversial nomination to lead the Department of Health and Human Services under President Donald Trump.

The panel voted along party lines 14-13.

It was a high-stakes vote for Kennedy, as with the committee’s makeup it would have taken just one Republican to oppose him for his nomination to be potentially sunk.

All eyes were on Sen. Bill Cassidy, a Louisiana Republican and longtime physician who, during last week's hearings, expressed deep concerns about the impact of Kennedy's past comments casting doubt on vaccines, including saying on a 2023 podcast that "no vaccine is safe and effective.

Cassidy told Kennedy he was "struggling" with his nomination as those proceedings came to a close. The two spoke more over the weekend, according to one person familiar with the discussion, though it's unclear what was said. Cassidy avoided reporter questions ahead of the vote on that conversation and on whether he’d support Kennedy.

[corporationsarepeople]

He continued: "Now, I say that not to minimize the issue but to focus the issue as to where it would be. For whatever reason, people of color have a higher incidence of maternal mortality."

Overall, according to Louisiana's Department of Health, "four black mothers die for every white mother" in the state. It outpaces a three-to-one ratio nationwide, which is already the worst in the developed world, Politico reported.

You know, it would be “woke” to point that out. Are the racists woke now too?

[covid-safer-hotties]

Also preserved on our archive (Daily updates!)

Weird how this "endemic" German strain is poised to dominate worldwide... That almost sounds like a pandemic :O

By Ahjané Forbes

KP.3.1.1 is still the dominant COVID-19 variant in the United States as it accounts for nearly 60% of positive cases, but the XEC variant is not far behind, recent Centers for Disease Control and Prevention (CDC) data shows.

"CDC is monitoring the XEC variant," Rosa Norman, a CDC spokesperson told USA TODAY. "XEC is the proposed name of a recombinant, or hybrid, of the closely related Omicron lineages KS.1.1 and KP.3.3."

The variant, which first appeared in Berlin in late June, has increasingly seen hundreds of cases in Germany, France, Denmark and Netherlands, according to a report by Australia-based data integration specialist Mike Honey.

The CDC's Nowcast data tracker, which displays COVID-19 estimates and projections for two-week periods, reflected that the KP.3.1.1 variant accounted for 57.2% of positive infections, followed by XEC at 10.7% in the two-week stretch starting on Sept. 29 and ending on Oct. 12.

KP.3.1.1 first became the leading variant between July 21 and Aug. 3.

The latest data shows a rise in each variant's percentage of total cases from Sept. 15-28, as KP.3.1.1 rose by 4.6%, and XEC rose by 5.4%. Previously, the KP.3.1.1 variant made up 52.6% of cases and XEC accounted for 5.3% from Sept. 15-28.

Here is what you need to know about the XEC variant and the latest CDC data.

COVID-19:Your free COVID-19 at-home tests from the government are set to expire soon. Here's why.

Changes in COVID-19 test positivity within a week Data collected by the CDC shows a drop in positivity rate across the board, while the four states in Region 10 had the biggest decrease (-2.7%) in positive COVID-19 cases from Sept. 29, 2024, to Oct. 5, 2024.

The data was posted on Oct. 11.

Note: The CDC organizes positivity rate based on regions, as defined by the U.S. Department of Health and Human Services.

Here's the list of states and their regions' changes in COVID-19 positivity for the past week:

Region 1 (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont): -2% Region 2 (New Jersey, New York, Puerto Rico, and the Virgin Islands): -1.9% Region 3 (Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia): -1.3% Region 4 (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee): -0.6% Region 5 (Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin): -2% Region 6 (Arkansas, Louisiana, New Mexico, Oklahoma, and Texas): -0.8% Region 7 (Iowa, Kansas, Missouri, and Nebraska): -1.7% Region 8 (Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming): -1.2% Region 9 (Arizona, California, Hawaii, Nevada, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Marshall Islands, and Republic of Palau): -1.3% Region 10 (Alaska, Idaho, Oregon, and Washington): -2.7% The CDC data shows COVID-19 test positivity rate was recorded at 7.7% from Sept. 29 to Oct. 5, an absolute change of -1.8% from the prior week.

COVID-19 symptoms The variants currently dominating in the U.S. do not have their own specific symptoms, the CDC says..

"CDC is not aware of new or unusual symptoms associated with XEC or any other co-circulating lineage of SARS-CoV-2, the virus that causes COVID-19," Norman said.

The government agency outlines the basic symptoms of COVID-19 on its website. These symptoms can appear between two and 14 days after exposure to the virus and can range from mild to severe.

These are some of the symptoms of COVID-19:

Fever or chills Cough Shortness of breath or difficulty breathing Fatigue Muscle or body aches Headache Loss of taste or smell Sore throat Congestion or runny nose Nausea or vomiting Diarrhea The CDC said you should seek medical attention if you have the following symptoms:

Trouble breathing Persistent pain or pressure in the chest New confusion Inability to wake or stay awake Pale, gray, or blue-colored skin, lips, or nail beds

[mariacallous]

Yesterday, health officials in Louisiana announced that a patient who was hospitalized with severe bird flu in December has died. The individual contracted bird flu after exposure to a backyard flock and wild birds. It is the first death recorded in the United States attributed to H5N1, or avian influenza.

The person was over the age of 65 and reportedly had underlying medical conditions. The Louisiana Health Department has not released any more details about the patient.

A total of 66 people in the US tested positive for bird flu in 2024, according to the Centers for Disease Control and Prevention. In all of the other cases, people developed mild symptoms and made a full recovery. But the Louisiana case is a stark reminder that avian flu can be dangerous. And as the number of human infections rises, health experts worry about more cases of severe illness—and potentially more deaths.

“This is an ongoing game of Russian roulette,” says physician Nahid Bhadelia, founding director of the Center on Emerging Infectious Diseases at Boston University. “The more virus there is in our environment, the more chances there are for it to come into contact with humans.” It was only a matter of time before bird flu turned deadly, she says.

The US is in the middle of an H5N1 outbreak that shows no signs of stopping. The virus has infected more than 130 million birds, including commercial poultry, since January 2022. In April 2024 it spilled into dairy cows for the first time. Though not fatal for cows, the virus has sickened more than 900 dairy herds in 16 states.

Most people who come down with bird flu are farm workers or others who have direct contact with sick animals. Of the 66 confirmed infections in the US last year, 40 had exposure to dairy cows, while 23 had exposure to poultry and culling operations. In the three other cases, the exact source of exposure is unknown.

Since 2003, more than 850 human cases of H5N1 bird flu have been reported outside the United States, and about half of those have resulted in death. In a statement released Monday, the CDC said a death from H5N1 bird flu “is not unexpected because of the known potential for infection with these viruses to cause severe illness and death.” Federal health officials say the risk of getting bird flu remains low for the general public, and there is no evidence that the virus is spreading from person to person anywhere in the country.

One of the puzzling aspects of the current US outbreak is why all the human infections until now have resulted in mild illness. “It could be that they're young, healthy people,” says Jennifer Nuzzo, director of the Pandemic Center and a professor of epidemiology at Brown University. “It could be that the way they're being exposed is different from how we've historically seen people get infected. There are a number of hypotheses, but at this point they're all just guesses.”

Nuzzo says it’s very possible that the Louisiana patient’s preexisting health conditions contributed to the severity of their illness, but also points to the case of a teenager in Canada who was hospitalized with bird flu in November.

The 13-year-old girl was initially seen at an emergency department in British Columbia for a fever and conjunctivitis in both eyes. She was discharged home without treatment and later developed a cough, vomiting, and diarrhea. She wound up back in the emergency department in respiratory distress a few days later. She was admitted to the pediatric intensive care unit and went into respiratory failure but eventually recovered after treatment. According to a case report published in the New England Journal of Medicine, the girl had a history of mild asthma and an elevated body-mass index. It’s unknown how she caught the virus.

“What that tells us is that we have no idea who is going to develop mild illness and who is going to develop severe illness, and because of that we have to take these infections very seriously,” Nuzzo says. “We should not assume that all future infections will be mild.”

There’s another clue that could explain the severity of the Louisiana and British Columbia cases. Virus samples from both patients showed some similarities. For one, both were infected with the same subtype of H5N1 called D1.1, which is the same kind of virus found in wild birds and poultry. It’s different from the B3.13 subtype, which is dominant in dairy cows.

“Right now, the question is, is this a more severe strain than the dairy cattle strain?” says Benjamin Anderson, assistant professor of environmental and global health at the University of Florida. So far, scientists don’t have enough data to know for sure. A handful of poultry farm workers in Washington have tested positive for the D1.1 subtype, but those individuals had mild symptoms and did not require hospitalization.

“In the case of the Louisiana infection, we know that person had comorbidities. We know that person was an older individual. These are factors that contribute to more severe outcomes already when it comes to respiratory infections,” Anderson says.

In the Louisiana and British Columbia cases, there’s evidence that the virus may have evolved in both patients to produce more severe illness.

A CDC report from late December found genetic mutations in the virus taken from the Louisiana patient that may have allowed it to enhance its ability to infect the upper airways of humans. The report says the changes observed were likely generated by replication of the virus throughout the patient’s illness rather than transmitted at the time of infection, meaning that the mutations weren’t present in the birds the person was exposed to.

Writing in the New England Journal of Medicine, the team that cared for the Canadian teen also described “worrisome” mutations found in her viral samples. These changes could have allowed the virus to more easily bind to and enter cells in the human respiratory tract.

In the past, bird flu has rarely been transmitted from person to person, but scientists worry about a scenario where the virus would acquire mutations that would make human transmission more likely.

For now, people who work with birds, poultry, or cows, or have recreational exposure to them, are at higher risk of getting bird flu. To prevent illness, health officials recommend avoiding direct contact with wild birds and other animals infected with or suspected to be infected with bird flu viruses.

[meret118]

Staffers were also told that it applies to every aspect of the health department's work: Employees could not send out press releases, give interviews, hold vaccine events, give presentations or create social media posts encouraging the public to get the vaccines. They also could not put up signs at the department's clinics that COVID, flu or mpox vaccines were available on site.

The new policy in Louisiana was implemented as some politicians have promoted false information about vaccines and as President-elect Donald Trump seeks to have anti-vaccine activist Robert F. Kennedy Jr lead the U.S. Department of Health and Human Services. And some public health experts are concerned that if other states follow Louisiana, the U.S. could face rising levels of disease and further erosion of trust in the nation's public health infrastructure.

[vague-humanoid]

Louisiana has been dealing with an ongoing syphilis plague

Nationwide, nearly 3,700 babies were born with syphilis in 2022, about 11 times the number of babies born with the infection a decade earlier, according to a report released Tuesday from the federal Centers for Disease Control and Prevention.

Although the report did not release state-by-state numbers, data from the Louisiana Department of Health shows the state makes up an outsized share of those cases, with 115 newborns with syphilis in 2022.

Just 32 babies were born with syphilis in Louisiana a decade ago.

The return of syphilis is the result, experts say, of poorly funded prevention programs over the past two decades and difficulties in diagnosis; syphilis is referred to as the “great imitator” because its symptoms can vary so widely. Most people don’t show symptoms or know they’re infected, and even if they do visit the doctor’s office, there’s no guarantee they’ll be properly diagnosed.