Enlarge / A recall notice is posted next to Boar's Head meats that are displayed at a Safeway store on July 31, 2024, in San Rafael, California. (credit: Getty | Justin Sullivan)

The Boar's Head deli-meat plant at the epicenter of a nationwide Listeria outbreak that killed nine people so far harbored the deadly germ in a common area of the facility deemed "low risk" for Listeria. Further, it had no written plans to prevent cross-contamination of the dangerous bacteria to other products and areas. That's according to a federal document newly released by Boar's Head.

On Friday, the company announced that it is indefinitely closing that Jarratt, Virginia-based plant and will never again produce liverwurst—the product that Maryland health investigators first identified as the source of the outbreak strain of Listeria monocytogenes. The finding led to the recall of more than 7 million pounds of Boar's Head meat. The Jarratt plant, where the company's liverwurst is made, has been shuttered since late July amid the investigation into how the outbreak occurred.

In the September 13 update, Boar's Head explained that "our investigation has identified the root cause of the contamination as a specific production process that only existed at the Jarratt facility and was used only for liverwurst. With this discovery, we have decided to permanently discontinue liverwurst."

Enlarge / A recall notice is posted next to Boar's Head meats that are displayed at a Safeway store on July 31, 2024, in San Rafael, California. (credit: Getty | Justin Sullivan)

Federal inspections found 69 violations—many grisly—at the Boar's Head meat facility at the center of a deadly, nationwide Listeria outbreak that has now killed nine people, sickened and hospitalized a total of 57 across 18 states, and spurred the nationwide recall of more than 7 million pounds of meat.

The Jarratt, Virginia-based facility had repeated problems with mold, water leaks, dirty equipment and rooms, meat debris stuck on walls and equipment, various bugs, and, at one point, puddles of blood on the floor, according to inspection reports from the US Department of Agriculture's Food Safety and Inspection Services. The reports were obtained by CBS News through a Freedom of Information Act Request. In all, the reports outline 69 violations just between the dates of August 1, 2023, and August 2, 2024.

The findings in the reports reveal the perfect conditions for the company's meat to become contaminated with the germ behind the deadly outbreak, Listeria monocytogenes. This is a hardy germ that is ubiquitous in the environment, including in soil and water, and it spreads among people via the fecal-oral route. In healthy people, it usually only causes gastrointestinal infections. But for older people, newborns, and the immunocompromised, it can cause a life-threatening invasive infection with a fatality rate of around 17 percent. It's also a significant danger to pregnant people, causing miscarriage, stillbirth, premature delivery, and life-threatening infections in newborns.

Enlarge / Listeria monocytogenes. (credit: Getty | BSIP)

Five more people have died in a nationwide outbreak of Listeria infections linked to contaminated Boar's Head brand meats, the Centers for Disease Control and Prevention reported Wednesday.

To date, 57 people across 18 states have been sickened, all of whom required hospitalization. A total of eight have died. The latest tally makes this the largest listeriosis outbreak in the US since 2011, when cantaloupe processed in an unsanitary facility led to 147 Listeria infections in 28 states, causing 33 deaths, the CDC notes.

The new cases and deaths come after a massive recall of more than 7 million pounds of Boar's Head meat products, which encompassed 71 of the company's products. That recall was announced on July 30, which itself was an expansion of a July 26 recall of an additional 207,528 pounds of Boar's Head products. By August 8, when the CDC last provided an update on the outbreak, the number of cases had hit 43, with 43 hospitalizations and three deaths.

Enlarge / A cicada from a 17-year cicada brood clings to a tree on May 29, 2024, in Park Ridge, Illinois. The state experienced an emergence of cicadas from Brood XIII and Brood XIX simultaneously. This rare occurrence hasn't taken place since 1803. (credit: Getty | Scott Olson)

A plague of parasitic mites has descended upon Illinois in the wake of this year's historic crop of cicadas, leaving residents with raging rashes and incessant itching.

The mighty attack follows the overlapping emergence of the 17-year Brood XIII and the 13-year Brood XIX this past spring, a specific co-emergence that only occurs every 221 years. The cacophonous boom in cicadas sparked an explosion of mites, which can feast on various insects, including the developing eggs of periodical cicadas. But, when the mites' food source fizzles out, the mites bite any humans in their midst in hopes of finding their next meal. While the mites cannot live on humans, their biting leads to scratching. The mite, Pyemotes herfsi, is aptly dubbed the "itch mite."

"You can't see them, you can't feel them, they're always here," Jennifer Rydzewski, an ecologist for the Forest Preserve District of DuPage County, told Chicago outlet The Daily Herald. "But because of the cicadas, they have a food source [and] their population has exploded."

Enlarge / A negative stain electron micrograph of an mpox virus virion in human vesicular fluid. (credit: Getty | BSIP)

The World Health Organization on Wednesday declared an international health emergency over a large and rapidly expanding outbreak of mpox that is spilling out of the Democratic Republic of the Congo.

It is the second time in about two years that mpox's spread has spurred the WHO to declare a public health emergency of international concern (PHEIC), the highest level of alarm for the United Nations health agency. In July 2022, the WHO declared a PHEIC after mpox cases had spread across the globe, with the epicenter of the outbreak in Europe, primarily in men who have sex with men. The outbreak was caused by clade II mpox viruses, which, between the two mpox clades that exist, is the relatively mild one, causing far fewer deaths. As awareness, precautions, and vaccination increased, the outbreak subsided and was declared over in May 2023.

Unlike the 2022–2023 outbreak, the current mpox outbreak is driven by the clade I virus, the more dangerous version that causes more severe disease and more deaths. Also, while the clade II virus in the previous outbreak unexpectedly spread via sexual contact in adults, this clade I outbreak is spreading in more classic contact patterns, mostly through skin contact of household members and health care workers. A large proportion of those infected have been children.

Enlarge / A recall notice is posted next to Boar's Head meats that are displayed at a Safeway store on July 31, 2024, in San Rafael, California. (credit: Getty | Justin Sullivan)

A third person has died in a nationwide bacterial outbreak linked to Boar's Head brand deli meats. Last week, the company recalled more than 7 million pounds of its meats, which was in addition to a recall of over 200,000 pounds of meat from July 26. In all, 71 types of products made between May 10, 2024, and July 29, 2024, and sold nationwide have been recalled.

According to an update Thursday from the Centers for Disease Control and Prevention, the outbreak has now sickened a total of 43 people, an increase from 34 last week. There have been 43 hospitalizations, up from 33 last week. The illnesses are reported from 13 states. The three deaths in the outbreak include one from Illinois and one from New Jersey, and the newly reported death is from Virginia. The CDC expects the tally of illnesses so far to be a significant undercount of actual cases, and additional states may be affected.

The illnesses in the outbreak are caused by Listeria monocytogenes, a foodborne bacterium that is particularly dangerous to people who are pregnant, people age 65 years or older, and people who have weakened immune systems. In these high-risk groups, the bacteria are more likely to move beyond the gastrointestinal system to cause an invasive infection called listeriosis. During pregnancy, listeriosis can cause miscarriage, stillbirth, premature delivery, or a life-threatening infection in newborns. For non-pregnant people who develop listeriosis, nearly 90 percent require hospitalization, and 1 in 6 die.

Enlarge / A 2003 photo of the arms and legs of a 4-year-old girl infected with mpox in Liberia. (credit: Getty | BSIP)

A deadly outbreak of mpox (previously called monkeypox) is spilling out of the Democratic Republic of the Congo, raising alarm among global health experts.

The DRC has reported more than 22,000 suspected cases since the start of 2023, including 1,200 suspected deaths, according to the US Centers for Disease Control and Prevention. A high proportion of the cases are in children younger than 15 years old.

On Wednesday, the CDC released a health advisory noting that although mpox is endemic to the DRC, the current outbreak is larger and more widespread than any outbreak the country has previously seen. The virus has also spilled over to several neighboring countries in recent months, including the Republic of the Congo, the Central African Republic, Burundi, Rwanda, and Uganda. The World Health Organization reported that cases have also been detected in Kenya.

Enlarge (credit: Tony C. French/Getty)

A small study in Texas suggests that human bird flu cases are being missed on dairy farms where the H5N1 virus has taken off in cows, sparking an unprecedented nationwide outbreak.

The finding adds some data to what many experts have suspected amid the outbreak. But the authors of the study, led by researchers at the University of Texas Medical Branch in Galveston, went further, stating bluntly why the US is failing to fully surveil, let alone contain, a virus with pandemic potential.

"Due to fears that research might damage dairy businesses, studies like this one have been few," the authors write in the topline summary of their study, which was posted online as a pre-print and had not been peer-reviewed.

Enlarge / Shelves sit empty where Boar's Head meats are usually displayed at a Safeway store on July 31, 2024, in San Anselmo, California. (credit: Getty | )

Over 7 million pounds of Boar's Head brand deli meats are being recalled amid a bacterial outbreak that has killed two people. The outbreak, which began in late May, has sickened a total of 34 people across 13 states, leading to 33 hospitalizations, according to the US Department of Agriculture.

On June 26, Boar's Head recalled 207,528 pounds of products, including liverwurst, beef bologna, ham, salami, and "heat and eat" bacon. On Tuesday, the Jarratt, Virginia-based company expanded the recall to include about 7 million additional pounds of meat, including 71 different products sold on the Boar's Head and Old Country brand labels. The products were sold nationwide.

The meats may be contaminated with Listeria monocytogenes, a foodborne pathogen that is particularly dangerous to pregnant people, people over the age of 65, and people with compromised immune systems. Infections during pregnancy can cause miscarriage, stillbirth, premature delivery, or a life-threatening infection in newborns. For others who develop invasive illness, the fatality rate is nearly 16 percent. Symptoms of listeriosis can include fever, muscle aches, headache, stiff neck, confusion, loss of balance, and convulsions that are sometimes preceded by diarrhea or other gastrointestinal symptoms.

Enlarge (credit: Getty | David Paul Morris)

A second Colorado poultry farm has reported a case of bird flu in a worker, marking the state's seventh human case this month amid the ongoing outbreak among dairy cows.

Colorado health officials said the seventh case is, for now, a presumptive positive. That means that the person has tested positive at the state level while confirmatory testing is being carried out at the Centers for Disease Control and Prevention.

The presumptive positive worker was at a poultry facility in the state's northeastern Weld County. In recent weeks, six workers at another poultry farm in Weld also tested positive for bird flu. In that facility, a commercial egg layer operation with about 1.8 million birds, workers were infected as they culled chickens known to be infected with the highly pathogenic avian influenza. Genetic testing of the virus in the birds and the workers indicated that they were infected with a strain of H5N1 closely related to the virus found spreading in dairy cattle and to dairy farm workers.

Enlarge (credit: Getty | Edwin Remsberg)

The highly pathogenic avian influenza H5N1 virus that spilled from wild birds into US dairy cows late last year may have recently seeped from a dairy farm in Colorado to a nearby poultry farm, where it then infected five workers tasked with culling the infected chickens

In a press briefing Tuesday, federal officials reported that four of the avian influenza cases have been confirmed by the Centers for Disease Control and Prevention, while the fifth remains a presumptive positive awaiting CDC confirmation.

All five people have shown mild illnesses, though they experienced variable symptoms. Some of the cases involved conjunctivitis, as was seen in other human cases linked to the H5N1 outbreak in dairy cows. Others in the cluster of five had respiratory and typical flu-like symptoms, including fever, chills, sore throat, runny nose, and cough. None of the five cases required hospitalization.

Enlarge (credit: Diamond Shruumz)

Cases of illnesses linked to microdosing candies have more than doubled, with reports of seizures and the need for intubation, mechanical ventilation, and intensive care stays. But, there remains no recall of the products—microdosing chocolates, gummies, and candy cones by Diamond Shruumz—linked to the severe and life-threatening illnesses. In the latest update from the Food and Drug Administration late Tuesday, the agency said that it "has been in contact with the firm about a possible voluntary recall, but these discussions are still ongoing."

In the update, the FDA reported 26 cases across 16 states, up from 12 cases in eight states last week. Of the 26 reported cases, 25 sought medical care and 16 were hospitalized. No deaths have been reported.

Last week, the Centers for Disease Control and Prevention released a health alert about the candies. The agency noted that as of June 11, the people sickened after eating Diamond Shruumz candies presented to health care providers with a host of severe symptoms. Those include: central nervous system depression with sedation, seizures, muscle rigidity, clonus (abnormal reflex responses), tremor, abnormal heart rate (bradycardia or tachycardia), abnormal blood pressure (hypotension or hypertension), gastrointestinal effects (nausea, vomiting, or abdominal pain), skin flushing, diaphoresis (excessive sweating), and metabolic acidosis with increased anion gap (an acid-based disorder linked to poisonings).

Enlarge / Diamond Shruumz's "extremely potent" infused cones in "sprinkles" flavor. (credit: Diamond Shruumz)

More people have reported severe poisonings in an ongoing outbreak marked by people seizing and needing to be intubated after consuming microdose candies made by Diamond Shruumz, the Food and Drug Administration reported Tuesday.

There are now at least 12 reported cases across eight states. All 12 people were ill enough to seek medical care, and 10 needed to be hospitalized. The symptoms reported so far include seizures, central nervous system depression (loss of consciousness, confusion, sleepiness), agitation, abnormal heart rates, hyper/hypotension, nausea, and vomiting, the FDA reported.

In Tuesday's update, the FDA also expanded the products linked to the illnesses. In addition to all flavors of Diamond Shruumz's Microdosing Chocolate Bars, the agency's warning now covers all flavors of the brand's Infused Cones and Micro Dose and Macro Dose Gummies.

Enlarge / A Diamond Shruumz chocolate bar, which come in a variety of flavors. (credit: diamondshruumz.com)

Various federal and state health officials are sounding the alarm on Diamond Shruumz-brand Microdosing Chocolate Bars. The candy, said to be infused with mushrooms, has been linked to severe illnesses, including seizures, loss of consciousness, confusion, sleepiness, agitation, abnormal heart rates, hyper/hypotension, nausea, and vomiting, according to an outbreak alert released by the Food and Drug Administration on Friday.

So far, eight people across four states have been sickened—four in Arizona, two in Indiana, one in Nevada, and one in Pennsylvania, the FDA reported. Of the eight, six have been hospitalized.

"We are urging the public to use extreme caution due to the very serious effects of these products," Maureen Roland, director of the Banner Poison and Drug Information Center in Phoenix, said in a press release earlier this week.

Enlarge / Fresh raw milk being poured into a container on a dairy farm on July 29, 2023, in De Lutte, Netherlands. (credit: Getty | Pierre Crom)

Despite the delusions of the raw milk crowd, drinking unpasteurized milk brimming with infectious avian H5N1 influenza virus is a very bad idea, according to freshly squeezed data published Friday in the New England Journal of Medicine.

Researchers at the University of Wisconsin-Madison squirted raw H5N1-containing milk from infected cows into the throats of anesthetized laboratory mice, finding that the virus caused systemic infections after the mice were observed swallowing the dose. The illnesses began quickly, with symptoms of lethargy and ruffled fur starting on day 1. On day 4, the animals were euthanized to prevent extended suffering. Subsequent analysis found that the mice had high levels of H5N1 bird flu virus in their respiratory tracts, as well their hearts, kidneys, spleens, livers, mammary glands, and brains.

"Collectively, our data indicate that HPAI [Highly Pathogenic Avian Influenza] A(H5N1) virus in untreated milk can infect susceptible animals that consume it," the researchers concluded. The researchers also found that raw milk containing H5N1 can remain infectious for weeks when stored at refrigerator temperatures.