E coli outbreak linked to McDonald’s Quarter Pounders declared over: CDC
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(NEW YORK) — The deadly E. coli outbreak linked to McDonald’s Quarter Pounders was declared over on Tuesday by the Centers for Disease Control and Prevention.
In total, 104 people reported falling ill across 14 states with about one-third of them being hospitalized, according to the CDC.
The true number of people who got sick was likely much higher because many people recover from E. coli without medical care and are never tested, the CDC noted.
Americans between ages 1 and 88 were affected in the outbreak, according to he CDC. Colorado had the greatest number of cases with at least 30 people falling ill. The state also reported one death.
An outbreak notice was first released by the CDC in late October. Evidence from health officials’ investigation at the time showed that slivered onions served on Quarter Pounders were a likely source of contamination.
Nearly all the people who fell ill and were interviewed by health officials reported eating at McDonald’s and the overwhelming majority remembered eating a menu item that contained the fresh, slivered onions, according to the CDC.
The fast food chain’s distributor of the onions, Taylor Farms, initiated a voluntary recall of the onions in late October. McDonald’s stopped using the ingredient and removed the Quarter Pounder entirely off the menu in a dozen states.
The latest reported illness was on Oct 21. All the confirmed cases occurred before the onions were recalled and the ingredient was taken off of the McDonald’s menu at some locations, according to health officials.
The fast-food chain is no longer serving the recalled onions and there “does not appear to be a continued food safety concern related to this outbreak,” the U.S. Food and Drug Administration said on Tuesday. The agency also noted that its investigation is now closed.
McDonald’s North America chief Impact officer Michael Gonda and chief supply chain officer Cesar Piña shared a message on Tuesday, saying the announcements from the CDC and FDA provide “certainty and validation” that the outbreak is over and the risk to the public has remained low since late October.
While the issue had been fully contained — and any contaminated product associated with this issue had been removed from our supply chain as of Oct. 22, 2024 — it can now be classified as “closed” and remediated,” the message read, in part.
The election of former President Donald Trump to a second term has put a spotlight on what his return to the White House may look like, particularly when it comes to women’s health.
Online searches for topics related to women’s health have spiked since the Nov. 5 election, particularly when it comes to birth control, Google data shows.
Searches for IUDs, birth control pills, and Plan B are trending higher than they have since June 2022, when Roe v. Wade was overturned, giving states the power to decide abortion access.
Since then, at least 14 states have ceased nearly all abortion services, and 21 states have put into effect restrictions on abortion.
The current abortion landscape combined with Trump’s comments about birth control on the campaign trail and his first administration’s efforts to roll back insurance coverage of contraceptives have led to uncertainty about what will happen in his second term.
Here are five questions answered.
1. What does the term ‘birth control’ include?
Birth control, also known as contraception, is the broad term for the act of preventing pregnancy.
The term includes everything from medicines and methods to devices and surgery used to prevent pregnancy, according to the National Library of Medicine.
One of the most widely-known and used types of contraception is the birth control pill, an oral, hormonal medication that commonly requires a prescription.
Around 14% of women in the United States between the ages of 15 to 49 currently use the pill, according to the Centers for Disease Control and Prevention.
2. What did Trump say about birth control on the campaign trail?
During an interview with a Pittsburgh TV station in May, Trump was asked if he supports any restrictions on a person’s right to contraceptives.
“Well, we’re looking at that and we’re going to have a policy on that very shortly,” Trump responded with. “And I think it’s something you’ll find interesting and it’s another issue that’s very interesting.”
When asked to clarify if he was suggesting he was open to supporting some restrictions on contraceptives, “like the morning-after pill,” Trump responded, “Things really do have a lot to do with the states — and some states are going to have different policy than others.”
The former president quickly took to social media to clarify his position, claiming that he was not advocating for restrictions on contraceptives.
“I HAVE NEVER, AND WILL NEVER ADVOCATE IMPOSING RESTRICTIONS ON BIRTH CONTROL, or other contraceptives,” he wrote in a May 21 post on his social media platform.
The Trump campaign further attempted to clarify, claiming the policy Trump was referring to during the interview was mifepristone, often used in pregnancy termination. However, Trump was not asked about the abortion medication.
After winning the 2024 presidential election, Trump and the transition team have been advised on health-related appointments by Robert F. Kennedy Jr., who has also been in discussions to possibly fill a major role in the next administration, sources familiar with the matter told ABC News.
ABC News has not found public comment from RFK Jr. on the issue of birth control.
3. What happened on birth control during Trump’s first administration?
During Trump’s first term, the Department of Health and Human Services issued new rules allowing more employers to opt-out of the Affordable Care Act mandate guaranteeing no-cost contraceptive services for women.
The Supreme Court upheld the HHS decision in a 7-2 ruling in 2020, giving an employer or university with a religious or moral objection to opt out of covering contraceptives for employees.
4. As president, what power does Trump have over birth control?
As president, Trump would have the authority to order rollbacks of measures implemented by President Joe Biden’s administration to protect birth control.
As recently as October, the Biden administration announced a plan to require insurers to fully cover over-the-counter contraceptives.
In January, the administration announced several other measures to protect contraception access, including federal agencies issuing new guidance to “clarify standards” and make sure Food and Drug Administration-approved contraceptive medications are available for free under the Affordable Care Act.
Once Trump is in office, he will also have the chance to appoint Supreme Court justices if vacancies arise. During his first term, Trump appointed three justices.
Trump could also work with Congress to enact legislation on women’s reproductive rights, including birth control. Following the Nov. 5 election, control of the House of Representatives is still up in the air, while ABC News has projected that Republicans will win the Senate.
5. What has the Supreme Court said on birth control?
When the Supreme Court overturned Roe v. Wade in 2022, a solo concurring opinion by Justice Clarence Thomas included a line on birth control.
In his opinion, Justice Clarence Thomas wrote that the court “should reconsider” Griswold v. Connecticut, the Supreme Court ruling that invalidated a Connecticut law that made it illegal to use birth control devices or to advise about their use.
“We have a duty to ‘correct the error’ established in those precedents,” Thomas wrote, citing the Griswold ruling among others.
ABC News’ Lalee Ibssa, Will McDuffie, Kelsey Walsh and Soo Rin Kim contributed to this report.
(NEW YORK) — North Carolina became the latest state to have a public health emergency declared by U.S. health officials in response to Hurricane Helene.
In a press release on Sunday evening, the Department of Health and Human Services said its Administration for Strategic Preparedness and Response (ASPR) was moving equipment and personnel to North Carolina to help address the “potential health impacts” of Hurricane Helene.
It comes after PHEs were previously declared for Florida and Georgia. On Thursday, major disaster declarations were approved by President Joe Biden, which unlocked federal funds for disaster assistance and authorized the Federal Emergency Management Agency to coordinate all disaster relief efforts.
“We will do all we can to help North Carolina officials respond to the health impacts of Hurricane Helene,” HHS Secretary Xavier Becerra said in a statement. “We are working closely with state and local health authorities, as well as with our partners across the federal government, and stand ready to provide additional public health and medical support.”
Communities in western North Carolina, including the city of Asheville, were hit with “catastrophic” and “historic” flooding and landslides from Helene. Gov. Roy Cooper said between 10 and 29 inches of rain fell across the state’s western mountains.
Water systems have been impacted and some roads have washed away, hampering the ability for officials to set up food and water distribution sites.
The PHE declaration gives the Centers for Medicare & Medicaid Services greater flexibility in meeting the needs of Medicare and Medicaid beneficiaries and allows the ASPR to deploy teams to support local health requests, according to the HHS.
ASPR has deployed about 200 personnel including Health Care Situational Assessment Teams to evaluate the impact on health care facilities such as hospitals, nursing homes and dialysis centers, and Disaster Medical Assistance Teams to help state and local health workers provide care.
While the immediate impacts of natural disasters — such as hurricanes — include injuries and deaths, there are longer-term health issues that PHEs can help address.
Natural disasters can disrupt vital health services, including dialysis and breathing machines, and affect survivors’ emotional health and well-being, according to FEMA.
Flooding from hurricanes can damage sewage systems. If untreated sewage enters the drinking water supply, it could lead to widespread gastrointestinal illness. Additionally, flooding can cause mold to form, which can lead to respiratory illnesses if not removed.
HHS said it is identifying the number of Medicare beneficiaries in affected zip codes that rely on electricity-dependent medical equipment and devices, including dialysis and oxygen tanks “to help anticipate, plan for, and respond to the needs of at-risk citizens in potentially impacted areas.”
This is especially important for older Americans, who are at the highest risk of health issues. Research has shown that natural disasters can worsen mortality caused by heart disease and strokes among senior citizens.
For those experiencing emotional distress related to the hurricane, the HHS Substance Abuse and Mental Health Services Administration has free crisis counseling through the Disaster Distress Helpline, which is toll-free and available 24/7 to all residents in the U.S. and its territories.
Counselors are available in more than 100 languages via third-party interpretation services when callers indicate their preferred language to the responding counselor, according to the HHS.
A PHE declaration lasts for the duration of the emergency or 90 days but can be extended by Secretary Becerra if needed.
Earlier this year, HHS issued PHEs in Texas in response to Hurricane Beryl; in Florida, Georgia and South Carolina in response to Hurricane Debby; and in Louisiana in response to Hurricane Francine.
(DURHAM, N.C.) — As hospitals and health care facilities work to get back up and running after Hurricane Helene slammed into Florida’s Big Bend, affecting several states, the medical supply chain could be at risk.
Baxter International, a health care and medical technology company, announced this week that it must close its largest plant in North Carolina due to flooding and destruction caused by the hurricane.
The plant, located in North Cove, 60 miles northeast of Asheville, primarily manufactures IV fluids and peritoneal dialysis solutions, according to Baxter. It is the largest manufacturer of such solutions in the U.S., employing more than 2,500 people, the company said.
“Our hearts and thoughts are with all those affected by Hurricane Helene,” José Almeida, chair, president and CEO of Baxter, said in a statement. “The safety of our employees, their families, and the communities in which we operate remains our utmost concern, and we are committed to helping ensure a reliable supply of products to patients.”
“Remediation efforts are already underway, and we will spare no resource – human or financial – to resume production and help ensure patients and providers have the products they need,” the statement continued.
Baxter said it implemented a hurricane preparedness plan ahead of Helene, which included evacuation plans for staff and moving products to higher ground or to secure storage. However, heavy rainfall and storm surge “triggered a levee breach,” which led to flooding in the facility.
Among those impacted by the Baxter plant closing is Duke University Health System (DUHS), in Durham, North Carolina, according to William Trophi, DUHS interim president vice president of supply chain.
“[Baxter has] published their action items, and they have announced to us that they’re putting a hold on all distribution for 48 hours to understand what they have in their supply line, and then they’re going to be setting up pretty strict allocations based on prior usage to make sure that everyone is getting their fair share based on their volume and their needs,” he told ABC News.
Trophi said DUHS and Duke University have not seen major disruption to their supply chain following Helene’s landfall, but notes there may be delays in the future if the Baxter plant closure lasts for several weeks, if more plants close, and depending on how long the dockworkers’ strike on the East Coast and the Gulf Coast lasts.
“What we’re doing internally is we’re looking at conservation models, so similar with our IV solutions, we’re going to look at what can we be doing differently to treat our patients in a safe, effective manner to conserve IV solutions,” he said. “And we’ll start to look at other high, critical, sensitive items that could be impacted by this, and look at what can we be doing differently to conserve the way in which we treat our patients in a safe, effective manner.”
Paul Biddinger, chief preparedness and continuity officer for the Boston-based Mass General Brigham health care system, told ABC News that facilities typically begin stockpiling and taking inventory of supplies prior to a natural disaster. After the event has happened, health care centers will work to identify what products are affected by supply chain issues and which patients are using the products.
In the case of the Baxter plant, the products are primarily used by kidney patients, cardiac patients and urologic patients, Biddinger said, adding that hospitals and other health care facilities will typically try to conserve as much of the affected product as possible, and will also investigate any alternatives or substitutions for the product.
“If the shortage is so severe that we just can’t continue with normal usage, even with conservation, then we have to start a process of allocating across our clinical services, of course, prioritizing lifesaving care and emergency care, and then going down our list for more scheduled or more elective kinds of procedures,” Biddinger said.
Samantha Penta, an associate professor of emergency management and homeland security at the University at Albany in New York, said one really important factor to consider when understanding the implications of Hurricane Helene is just how large the affected area is.
“We’re not just talking about a couple of counties. We’re not even just talking about one state. This has affected multiple states very significantly,” she told ABC News. “One of the things that organizations, in general, including hospitals, long-term care facilities and like – really, anything in the health care sector – does, is you can rely on neighboring facilities.”
Penta said if health care facilities need to send patients to a neighboring facility because they’re running low on supplies or space, or if their facility is damaged, they typically can do so. The same holds true if one facility is running low on supplies; another facility might send them some of their reserves as part of a mutual aid agreement.
But in the case of Helene, “effectively, the people who need help, their neighbors are also being affected. So, any given hospital, the closest hospitals to them, are likely dealing with the same issues,” Penta said. “That further complicates it, because things have to come from even farther away, whether that’s working within a network or ordering from different vendors.”
Over the weekend, North Carolina became the latest state to have a public health emergency declared by the U.S. Department of Health & Human Services (HHS) in response to Hurricane Helene.
The HHS’s Administration for Strategic Preparedness and Response deployed about 200 personnel to the state, including Health Care Situational Assessment teams to evaluate the storm’s impact on health care facilities such as hospitals, nursing homes and dialysis centers, and Disaster Medical Assistance teams to help state and local health workers provide care.
