Topic: Public Health
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Public Health

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📊 Analysis Summary

Alternative Data 13 Facts

Mainstream reporting this week focused on three public‑health stories: an expanded nationwide recall by infant‑formula maker ByHeart after independent tests found Clostridium botulinum type A in 5 of 36 samples and health officials linked at least 31 infant hospitalizations to the outbreak; a Northwestern Medicine JAMA Network Open study showing current USPSTF lung‑cancer screening criteria would have missed about 65% of cases while a universal age‑based CT approach could detect ~94% and potentially prevent ~26,000 deaths a year; and the WHO/CDC adoption of a diagnostic code for Cannabis Hyperemesis Syndrome amid a reported ~650% rise in CHS‑related ER visits since 2016, with experts pointing to higher‑potency THC products as a likely factor.

Several important gaps and additional perspectives emerged from alternative sources. Coverage largely omitted that BabyBIG antitoxin vials run about $69,300 each, that BabyBIG can shorten hospital stays by ~3.6 weeks (roughly $94,000 in avoided costs per patient), and that detecting C. botulinum in powdered formula is technically difficult so negative tests don’t rule out contamination; past studies have found clostridial spores in sizable shares of formula samples. On lung screening, reports didn’t emphasize that 10–20% of U.S. lung cancers occur in never‑smokers (20k–40k/year), a high proportion of Asian American women with lung cancer have never smoked (reported ~57%), only ~18% of eligible people were screened in 2022, and low‑dose CT commonly finds nodules (~20%) leading to potential harms from follow‑up. For CHS, independent analyses note racial/ethnic differences in presentations and emerging genetic associations (CYP2C9, TRPV1, ABCA1, COMT, DRD2) that mainstream pieces didn’t discuss. No prominent contrarian viewpoints or broad social‑media narratives were identified in the brief.

Summary generated: November 29, 2025 at 09:03 PM
Study: Lack of sleep rivals smoking mortality risk
A peer‑reviewed study in SLEEP Advances led by OHSU’s Andrew McHill finds insufficient sleep is one of the strongest predictors of shorter U.S. life expectancy, second only to smoking, based on CDC survey data from 2019–2025 across 3,000+ counties. Defining sufficient sleep as at least seven hours, researchers mapped county‑level sleep patterns to life expectancy while controlling for smoking, diet, inactivity and loneliness, and cautioned the self‑reported data cannot prove causation.
Public Health Sleep and Longevity
South Carolina measles outbreak hits 111 cases
South Carolina’s Department of Health said Wednesday the Spartanburg County measles outbreak has reached 111 confirmed cases since first reported Oct. 2, prompting 254 people to quarantine and 16 to isolate. Officials identified exposure at Inman Intermediate School—where 43 students are quarantined—and eight other area schools, noted 105 of the cases are unvaccinated, and warned evidence of community spread alongside some travel‑related cases.
Measles Outbreaks Public Health
FDA expands ByHeart infant botulism outbreak
The FDA has expanded its investigation of a botulism outbreak linked to ByHeart infant formula to include all ByHeart products, reporting 51 infants sickened across 19 states — with California accounting for at least nine cases and Texas seven or eight. After broadening the case definition, investigators added 12 cases (two within the original timeline and 10 from Dec. 2023–July 2025), with the most recent illness reported Dec. 1, 2025; the FDA says it "cannot rule out" contamination of any ByHeart formula produced since March 2022, and ByHeart, which had about 1% of the U.S. formula market (~200,000 cans/month), says it is cooperating.
Food Safety and Recalls Public Health Infant Formula and Public Health
ACS backs self-collected HPV tests for screening
The American Cancer Society has issued updated cervical-cancer screening guidelines in December 2025 that deem patient self-collected vaginal swabs for HPV testing a safe and accurate alternative to clinician-collected samples, potentially reducing reliance on Pap smears. Lead author Dr. Rebecca Perkins says HPV testing detects 90–95% of precancers versus 70–80% for Pap tests; positive HPV results still require follow-up testing, and widespread availability of self-collection is not yet in place.
Public Health Cervical Cancer Screening
CDC logs 21st cruise norovirus outbreak in 2025
The CDC’s Vessel Sanitation Program confirmed a norovirus outbreak aboard Aida Cruises’ AIDAdiva, with 95 passengers and six crew reporting vomiting and diarrhea during a Nov. 10–Dec. 16 voyage that includes U.S. ports. The cruise line notified CDC on Nov. 30, implemented enhanced cleaning, isolated ill persons and submitted stool samples; CDC says this marks the 21st cruise-ship norovirus outbreak reported this year.
Public Health Cruise Industry
Minneapolis weighs downtown public restroom expansion
Minneapolis’ Public Health and Safety Committee is reviewing a 62-page city report on the shortage of public restrooms downtown and options to increase access, including installing standalone “Portland Loo” units or compelling businesses to open facilities. The analysis cites 27 city 311 complaints about human feces and 26 about public urination from July 1, 2024 through June 30, 2025, and notes costs of $152,000–$185,000 per unit (or ~$24,000/year to rent) as the Council considers next steps.
Local Government Public Health
Twin Cities hit record 90°F Saturday; cooler weather expected Sunday
Forecasts had warned of record warmth — even a possible 91°F — and gusty 30–40 mph winds Saturday with overnight lows in the low 70s Friday night. Saturday’s high reached 90°F in the Twin Cities, topping the previous 89°F record, and other Minnesota locations also set records (Hibbing 83°F, Brainerd 86°F, Rochester 86°F, Duluth 84°F); cooler weather is expected Sunday with highs near 78°F and a further cooldown into the 60s next week as winds shift.
Public Health Public Safety Environment