plant lover, cookie monster, shoe fiend
19185 stories
·
21 followers

FDA making plans to end its routine food safety inspections, sources say - CBS News

2 Shares
Read the whole story
sarcozona
7 hours ago
reply
Epiphyte City
acdha
9 hours ago
reply
Washington, DC
Share this story
Delete

A deadly E. coli outbreak hit 15 states, but the FDA chose not to make the details public

1 Share

An E. coli outbreak linked to romaine lettuce ripped across 15 states in November, sickening dozens of people, including a 9-year-old boy in Indiana who nearly died of kidney failure and a 57-year-old Missouri woman who fell ill after attending a funeral lunch. One person died.

But chances are you haven’t heard about it.  

The Food and Drug Administration indicated in February that it had closed the investigation without publicly detailing what had happened — or which companies were responsible for growing and processing the contaminated lettuce.

According to an internal report obtained by NBC News, the FDA did not name the companies because no contaminated lettuce was left by the time investigators uncovered where the pathogen was coming from.  

“There were no public communications related to this outbreak,” the FDA said in its report, which noted that there had been a death but provided no details about it.   

Federal officials are not required by law to reveal detailed information about all known outbreaks of foodborne illnesses, and there are reasons the FDA may choose not to publicize an outbreak, including when the cause is unknown or when officials are still working behind the scenes with the companies responsible.   

But the FDA had shifted in recent years toward greater transparency in the wake of large-scale outbreaks and heightened public concern about contaminated food, said Frank Yiannas, the former deputy commissioner of food policy and response at the agency.   

“It is disturbing that FDA hasn’t said anything more public or identified the name of a grower or processor,” said Yiannas, who was at the FDA from 2018 to 2023.  

By declining to name the culprit, he said, the FDA was withholding critical information that consumers could use to make decisions about what they buy. It’s also possible that someone could have been sickened during the outbreak and not have realized the cause, and serious bacterial illness can cause long-term damage. 

Do you have a news tip you’d like to share about food safety or outbreaks of foodborne illness? You can message Suzy Khimm on Signal: SuzyKhimm.42 or contact NBC News securely here.

The FDA, which is a part of the Department of Health and Human Services, denied that its response to the recent E. coli outbreak marked any shift in policy.  

“The FDA names firms when there is enough evidence linking an outbreak to a firm and there is actionable advice for consumers, as long as naming the firm is not legally prohibited,” a spokesperson said in a statement to NBC News. “By the time investigators had confirmed the likely source, the outbreak had already ended and there was no actionable advice for consumers.” 

Food safety advocates argue that disclosing such information is still critical to ensure that people will dispose of contaminated food they may have frozen and stored and to allow consumers to make informed choices.  

“People have a right to know who’s selling contaminated products,” said Sandra Eskin, a former official at the U.S. Agriculture Department who now works as a food safety advocate

But much of the staff responsible for developing and distributing information to the public about foodborne illnesses was terminated this month as part of the Trump administration’s sweeping effort to shrink the federal government. 

“We no longer have all the mechanisms in place to learn from those situations and prevent the next outbreak from happening,” said Taryn Webb, who led the FDA’s public engagement division for human foods until she was laid off during the mass firing this month.

And the administration has separately moved to delay a new federal rule requiring food companies and grocery stores to rapidly track down contaminated food and pull it off the shelves, though the FDA said the delay was meant to give time to ensure better compliance.

The FDA said its staff members “continue to provide critical communications to consumers associated with foodborne outbreaks,” including information about recalls and investigations.  

The morning the first cases of E. coli started coming in, Dr. Amanda Brzozowski sensed something was very wrong.  

It was early November, and all three were E. coli 0157:H7 — an especially dangerous strain that can result in severe illness, organ damage and, in rare cases, death — and the people sickened were all high school students who lived in the same area of St. Louis County. 

Brzozowski, a senior epidemiologist for the county, immediately reached out to the school they attended, and, within hours, more families were reporting symptoms of E. coli infection: bloody diarrhea, stomach cramps, vomiting and dehydration.

Ultimately, the county Public Health Department found 115 confirmed or probable E. coli cases linked to food served by a local catering company — and that the salads they ate were a likely culprit. The catering company has declined to comment.    

“It was really scary,” Brzozowski told NBC News. “This type of situation we’ve never seen before.” 

The victims included 15-year-old Austin Carnaghi, who opted for more salad instead of a brownie at his marching band’s annual banquet before he developed severe stomach pain and needed to be hospitalized, according to his mother, Kristiana Carnaghi. “It was an unbelievable amount of cramping,” she said. 

Miles away in Indiana, the same strain of E. coli had stricken another boy.  

The morning after he played basketball, Colton George, 9, woke up and was doubled over in pain. His parents rushed him to the hospital, where testing confirmed the presence of E. coli 0157:H7.

He had developed hemolytic uremic syndrome, a life-threatening complication from the E. coli infection, and needed to be put on around-the-clock dialysis, without food or drink for days. 

His parents, Christopher and Amber George, tried to prepare Colton for what was happening. “Unfortunately, if we don’t do this,” his mother said she told him, “there is a chance you won’t make it.” 

Colton was on dialysis in a hospital bed for two weeks — including over his 10th birthday — before he was released. Months later, he is back to playing basketball but still experiences chronic stomach pain and fatigue because of the complications.  

And his parents have been wrestling with the same question ever since the doctors told them that the E. coli must have come from something Colton had eaten.  

“Where did he get this from?” his father said. “Something must have gone wrong somewhere.” 

Colton's parents say it wasn't just a coincidence their son had symptoms similar to those of the Missouri high-school students, around the same time and with the same diagnosis of E. coli 0157:H7.

The bacteria that infected them had the same genetic sequencing, according to a lawsuit by the Georges that alleges the tainted produce came from Taylor Farms, one of the country’s largest producers of salads and fresh cut vegetables.  

Public health officials use genetic fingerprints of bacteria to help pinpoint the source of foodborne illnesses. In late November, FDA officials were alerted to a cluster of E. coli O157:H7 cases after Missouri officials investigated the cases linked to the catering company, according to the FDA’s report on the outbreak.

The genomic fingerprint of the pathogen was also posted to a national laboratory network for tracking foodborne illnesses.  

That data was used to help connect 89 cases across 15 states: The youngest victim was 4, and the oldest was 90. They all first had symptoms in November; more than a third were hospitalized, and seven had developed hemolytic uremic syndrome, a disease that affects kidney function. But the number of probable cases local health officials tallied was significantly higher, since not all victims went to the hospital and had samples that were genetically sequenced, Brzozowski said.   

Using the genetic analysis, local health surveys and other evidence, federal investigators came to a conclusion. “Based on epidemiologic and traceback data, romaine lettuce was confirmed as the source of this outbreak,” according to the report, which noted the contaminated produce came from “a sole processor” that had obtained the lettuce from a grower.

But the FDA redacted the name of the companies that processed and grew the lettuce before it released the report in response to a public records request filed by the Georges’ attorney, Bill Marler.  

As part of the lawsuit, Marler obtained receipts, also reviewed by NBC News, that he says show the salad linked to the outbreak originally came from Salinas, California-based Taylor Farms, which supplies major supermarkets and chain restaurants across the country.

The Georges, the Carnaghis and other victims have all accused Taylor Farms in nine different lawsuits, arguing in court papers that it sold “defective and unreasonably dangerous” food products.

Taylor Farms denied that any of its products were responsible for the outbreak. 

“We don’t believe Taylor Farms was the source of the referenced recent E. coli outbreaks, based on information collected during thorough third-party investigations and robust food safety controls,” it said in a statement.   

After this article was published, Taylor Farms released an updated statement saying, in part, “Taylor Farms product WAS NOT the source of the referenced 2024 E. Coli outbreak. We perform extensive raw and finished product testing on all our product and there was no evidence of contamination.”

Asked whether Taylor Farms had produced the contaminated lettuce involved in the outbreak, the FDA said in a statement that it was restricted by federal law from disclosing “confidential commercial information.”  

The accusations against the company come on the heels of another deadly outbreak: In October, just weeks before the St. Louis cases surfaced, Taylor Farms had voluntarily recalled yellow onions linked to a separate E. coli outbreak — one that also infected more than 100 people and killed one.  

In that case, though, the FDA issued an advisory notifying the public about the contaminated onions, which were served on McDonald’s hamburgers, making headlines across the country.  

Taylor Farms said it would always act out of an abundance of caution to protect consumers. It added that it had robust food safety and pathogen testing procedures and that onion samples that health officials had taken at McDonald’s restaurants had tested negative for E. coli O157:H7. 

On the romaine lettuce outbreak, the FDA said only that it was investigating an E. coli O157:H7 outbreak involving 89 cases.

In mid-January, the Centers for Disease Control and Prevention declared the outbreak was over, according to a letter sent to state health departments obtained by NBC News. And in February, the FDA moved its outbreak investigation from “active” to “closed,” without providing further details, according to archived versions of its website.

The full scope of the outbreak came to light only in response to the public records requests filed by the victims' attorneys.  

Even in outbreaks without recalled products, Yiannas said, he pushed the FDA to publish more advisories describing the cases and where they occurred, the symptoms to watch for and the brands of contaminated food that were sold, as well as investigative reports detailing the FDA’s findings.  

In 2022, for instance, the FDA issued public health advisories in cases of hepatitis A in fresh strawberries and E. coli in packaged salad greens, even though they were not subject to recalls and were no longer sold.  

The FDA told NBC News that it had issued such statements because “consumers could have frozen product for later use” and the outbreaks were still ongoing when it pinpointed the source, unlike with the 2024 E. coli case linked to romaine lettuce.  

Federal officials may also hold off on making public statements while they are privately pushing food growers and processors to change their safety practices and procedures or because elements are still under investigation, former FDA staff members said. Other times, the federal government may not have enough definite evidence to pinpoint the source of an outbreak.   

It’s especially challenging for FDA investigators to hunt down and identify foodborne illness linked to fresh produce, because the products have a short shelf life compared to canned goods, which can be stored for years. Highly perishable, fresh produce is often considered out of circulation once it is no longer available for sale. 

But publicly identifying the source can help pressure companies to adopt and improve practices to prevent food from being contaminated in the first place, said Barbara Kowalcyk, a professor and food safety expert at George Washington University.  

E. coli cases can stem in some cases from contamination between animal waste and produce while fruits and vegetables are still being grown in fields, because of runoff from livestock farms, the design of irrigation systems or even extreme weather that results in an unexpected flooding of contaminated water.  

“The whole purpose of investigating these outbreaks is to stop the illnesses and to learn how to prevent future outbreaks,” Kowalcyk said. “If you don’t come out and talk about what happened, we’ve lost that opportunity.” 

And the FDA’s reticence about the romaine lettuce outbreak has angered families like the Georges, who say they are still struggling to pay off about $20,000 in medical bills while their son continues to recover. Even if that contaminated lettuce is no longer sold, they believe the public has a right to know. 

“It’s not fair for them to get off the hook,” Amber George said. “People are still going out and buying their product every day and have no idea what happened.”

Read the whole story
sarcozona
7 hours ago
reply
Epiphyte City
Share this story
Delete

Weekly US Influenza Surveillance Report: Key Updates for Week 15, ending April 12, 2025 | FluView | CDC

1 Comment

Seasonal influenza activity continues to decline.

All data are preliminary and may change as more reports are received.

Directional arrows indicate changes between the current week and the previous week. Additional information on the arrows can be found at the bottom of this page.

A description of the CDC influenza surveillance system, including methodology and detailed descriptions of each data component is available on the surveillance methods page.1

Additional information on the current and previous influenza seasons for each surveillance component are available on FluView Interactive.

  • Seasonal influenza (flu) activity continues to decline; however, CDC expects several more weeks of flu activity.
  • This season is classified as a high severity season overall and for all age groups (children, adults, older adults) and is the first high severity season since 2017-2018.
  • During Week 15, of the 620 viruses reported by public health laboratories, 429 were influenza A and 191 were influenza B. Of the 381 influenza A viruses subtyped during Week 15, 248 (65.1%) were influenza A(H1N1)pdm09, 133 (34.9%) were A(H3N2), and 0 were A(H5).
  • No new influenza A(H5) cases were reported to CDC this week. To date, human-to-human transmission of avian influenza A(H5) virus (H5 bird flu) has not been identified in the United States.
  • Nationally, outpatient respiratory illness decreased this week and is below baseline. HHS Region 1 is above its region-specific baseline, Region 10 is at its baseline, and all other HHS regions are below their respective baselines.
  • Based on data from FluSurv-NET, the cumulative hospitalization rate for this season is the highest observed since the 2010-2011 season.
  • Ten pediatric deaths associated with seasonal influenza virus infection were reported this week, bringing the 2024-2025 season total to 198 pediatric deaths.
  • CDC estimates that there have been at least 46 million illnesses, 600,000 hospitalizations, and 26,000 deaths from flu so far this season.
  • CDC continues to recommend that everyone ages 6 months and older get an annual flu vaccine as long as influenza viruses are circulating.1
  • There are prescription flu antiviral drugs that can treat flu illness; those should be started as early as possible and are especially important for patients at higher risk for severe illness.2
  • Influenza viruses are among several viruses contributing to respiratory disease activity. CDC is providing updated, integrated information about COVID-19, flu, and respiratory syncytial virus (RSV) activity on a weekly basis.

Nationally, and in regions 1, 3, 5, 6, 7, 9 and 10, the percentage of respiratory specimens testing positive for influenza virus in clinical laboratories decreased (change ≥ 0.5 percentage points), while in regions 2, 4, and 8 the percentage remained stable (change < 0.5 percentage points) compared to the previous week. Influenza A and B viruses were co-circulating this week. For regional and state level data and age group distribution, please visit FluView Interactive. Viruses known to be associated with recent receipt of live attenuated influenza vaccine (LAIV) or found upon further testing to be a vaccine virus are not included, as they are not circulating influenza viruses.

The results of tests performed by clinical laboratories nationwide are summarized below. Data from clinical laboratories (the percentage of specimens tested that are positive for influenza virus) are used to monitor whether influenza activity is increasing or decreasing.

Week 15 Data Cumulative since
September 29, 2024
(Week 40)
No. of specimens tested 65,066 3,050,300
No. of positive specimens (%) 4,354 (6.7%) 470,795 (15.4%)
Positive specimens by type
Influenza A 1,576 (36.2%) 427,767 (90.9%)
Influenza B 2,778 (63.8%) 43,028 (9.1%)

The results of tests performed by public health laboratories nationwide are summarized below. Data from public health laboratories are used to monitor the proportion of circulating influenza viruses that belong to each influenza subtype/lineage.

Week 15
Data Cumulative since
September 29, 2024
(Week 40)
No. of specimens tested 1,198 127,887
No. of positive specimens 620 86,719
Positive specimens by type/subtype    
         Influenza A 429 (69.2%) 83,179 (95.9%)
Subtyping Performed 381 (88.8%) 73,537 (88.4%)
            (H1N1)pdm09 248 (65.1%) 38,950 (53.0%)
             H3N2 133 (34.9%) 34,507 (46.9%)
             H3N2v 0 0
             H5* 0 80 (0.1%)
Subtyping not performed 48 (11.2%) 9,642 (11.6%)
        Influenza B 191 (30.8%) 3,540 (4.1%)
Lineage testing performed 114 (59.7%) 1,685 (47.6%)
            Yamagata lineage 0 0
            Victoria lineage 114 (100%) 1,685 (100%)
Lineage not performed 77 (40.3%) 1,855 (52.4%)

*This data reflects specimens tested and the number determined to be positive for influenza viruses at the public health labs (specimens tested is not the same as cases). It does not reflect specimens tested only at CDC and could include more than one specimen tested per person. The guidance for influenza A/H5 testing recommends testing both a conjunctival and respiratory swab for people with conjunctivitis which has resulted in more specimens testing positive for influenza A/H5 than the number of human H5 cases. For more information on the number of people infected with A/H5, please visit the "How CDC is monitoring influenza data among people to better understand the current avian influenza A (H5N1) situation"

This graph reflects the number of specimens tested and the number determined to be positive for influenza viruses at the public health lab (specimens tested is not the same as cases). It does not reflect specimens tested only at CDC and could include more than one specimen tested per person. Specimens tested as part of routine influenza surveillance as well as those tested as part of targeted testing for people exposed to influenza A(H5) are included.

No confirmed human infections with influenza A(H5) virus were reported to CDC this week. To date, human-to-human transmission of avian influenza A(H5) virus (H5 bird flu) has not been identified in the United States.

The CSTE position statement, which includes updated case definitions for confirmed, probable, and suspected cases is available at http://www.cste.org/resource/resmgr/position_statements_files_2023/24-ID-09_Novel_Influenza_A.pdf

An up-to-date human case summary during the 2024 outbreak by state and exposure source is available at www.cdc.gov/bird-flu/situation-summary/index.html

Information about avian influenza is available at https://www.cdc.gov/flu/avianflu/index.htm.

A(H5N1) virus interim recommendations for Prevention, Monitoring, and Public Health Investigations are available at https://www.cdc.gov/bird-flu/prevention/hpai-interim-recommendations.html.

The latest case reports on avian influenza outbreaks in wild birds, commercial poultry, backyard or hobbyist flocks, and mammals in the United States are available from the USDA at https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/animal-disease-information/avian/avian-influenza/2022-hpai

CDC performs genetic and antigenic characterization of U.S. viruses submitted from state and local public health laboratories according to the Right Size Roadmap submission guidance. These data are used to compare how similar the currently circulating influenza viruses are relative to the reference viruses representing the current influenza vaccines. The data are also used to monitor evolutionary changes that continually occur in influenza viruses circulating in humans. CDC also tests susceptibility of circulating influenza viruses to antiviral medications including the neuraminidase inhibitors (oseltamivir, zanamivir, and peramivir) and the polymerase acidic protein (PA) endonuclease inhibitor baloxavir. The HA clade and subclades were assigned using Nextclade (https://clades.nextstrain.org).

CDC has genetically characterized 3,745 influenza viruses collected since September 29, 2024.

Virus Subtype or Lineage Genetic Characterization
Total No. of Subtype/Lineage

Tested

HA
Clade
Number (% of subtype/lineage

tested)

HA
Subclade
Number (% of subtype/lineage

tested)

A/H1 1,398
5a.2a

613 (43.8%)

C.1.9 77 (5.5%)
C.1.9.1 69 (4.9%)
C.1.9.2 5 (0.4%)
C.1.9.3 456 (32.6%)
C.1.9.4 6 (0.4%)
5a.2a.1 785 (56.2%) D 33 (2.4%)
D.1 11 (0.8%)
D.3 563 (40.3%)
D.5 178 (12.7%)
A/H3 1,935
2a.3a 6 (0.3%) G.1.3.1 6 (0.3%)
2a.3a.1 1,929 (99.7%) J.1 1 (0.1%)
J.1.1 8 (0.4%)
J.2 1,761 (91.0%)
J.2.1 47 (2.4%)
J.2.2 112 (5.8%)
B/Victoria 412
3a.2

412 (100%)

C.3 9 (2.2%)
C.5 42 (10.2%)
C.5.1 209 (50.7%)
C.5.5 1 (0.2%)
C.5.6 52 (12.6%)
C.5.7 99 (24.0%)
B/Yamagata 0
Y3 0 Y3 0 (0%)

CDC antigenically characterizes influenza viruses by hemagglutination inhibition (HI) assay (H1N1pdm09, H3N2, and B/Victoria viruses) or neutralization-based HINT (H3N2 viruses) using antisera that ferrets make after being infected with reference viruses representing the 2024-2025 Northern Hemisphere recommended cell or recombinant-based vaccine viruses. Antigenic differences between viruses are determined by comparing how well the antibodies made against the vaccine reference viruses recognize the circulating viruses that have been grown in cell culture. Ferret antisera are useful because antibodies raised against a particular virus can often recognize small changes in the surface proteins of other viruses. In HI assays, viruses with similar antigenic properties have antibody titer differences of less than or equal to 4-fold when compared to the reference (vaccine) virus. In HINT, viruses with similar antigenic properties have antibody neutralization titer differences of less than or equal to 8-fold. Viruses selected for antigenic characterization are a subset of the recent genetically characterized viruses and are chosen based on the genetic changes in their surface proteins and may not be proportional to the number of such viruses circulating in the United States.

  • A (H1N1)pdm09: 341 A(H1N1)pdm09 viruses were antigenically characterized by HI, and 339 (99.4%) were well-recognized (reacting at titers that were within 4-fold of the homologous virus titer) by ferret antisera to cell-grown A/Wisconsin/67/2022-like reference viruses representing the A(H1N1)pdm09 component for the cell- and recombinant-based influenza vaccines.
  • A (H3N2): 401 A(H3N2) viruses were antigenically characterized by HI or HINT, and 249 (62.1%) were well-recognized (reacting at titers that were within 4-fold of the homologous virus titer in HI or reacting at titers that were less than or equal to 8-fold of the homologous virus in HINT) by ferret antisera to cell-grown A/Massachusetts/18/2022-like reference viruses representing the A(H3N2) component for the cell- and recombinant-based influenza vaccines.
  • B/Victoria: 134 influenza B/Victoria-lineage virus were antigenically characterized by HI, and 132 (98.5%) were well-recognized (reacting at titers that were within 4-fold of the homologous virus titer) by ferret antisera to cell-grown B/Austria/1359417/2021-like reference viruses representing the B/Victoria component for the cell- and recombinant-based influenza vaccines.
  • B/Yamagata: No influenza B/Yamagata-lineage viruses were available for antigenic characterization.

CDC assesses susceptibility of influenza viruses to the antiviral medications including the neuraminidase inhibitors (oseltamivir, zanamivir, and peramivir) and the PA endonuclease inhibitor baloxavir using next generation sequence analysis supplemented by laboratory assays. Information about antiviral susceptibility test methods can be found at U.S. Influenza Surveillance: Purpose and Methods | CDC.

Viruses collected in the U.S. since October 1, 2024, were tested for antiviral susceptibility as follows:

Antiviral Medication Total Viruses A/H1 A/H3 B/Victoria
Neuraminidase Inhibitors Oseltamivir Viruses Tested 3,691 1,381 1,903 407
Reduced Inhibition 1 (<0.1%) 1 (0.1%) 0 0
Highly Reduced Inhibition 8 (0.2%) 7 (0.5%) 1 (0.1%) 0
Peramivir Viruses Tested 3,691 1,381 1,903 407
Reduced Inhibition 0 0 0 0
Highly Reduced Inhibition 7 (0.2%) 7 (0.5%) 0 0
Zanamivir Viruses Tested 3,691 1,381 1,903 407
Reduced Inhibition 0 0 0 0
Highly Reduced Inhibition 0 0 0 0
PA Cap-Dependent Endonuclease Inhibitor Baloxavir Viruses Tested 3,554 1,271 1,887 396
Decreased Susceptibility 1 (<0.1%) 0 1 (0.1%) 0

Seven A(H1N1)pdm09 viruses had NA-H275Y amino acid substitution conferring highly reduced inhibition by oseltamivir and peramivir. One A(H1N1)pdm09 virus had NA-I223V and NA-S247N amino acid substitutions and showed reduced inhibition by oseltamivir. One A(H3N2) virus had NA-E119V amino acid substitution and showed highly reduced inhibition by oseltamivir. One A(H3N2) virus had PA-I38T amino acid substitution associated with reduced susceptibility to baloxavir.

High levels of resistance to the adamantanes (amantadine and rimantadine) persist among influenza A(H1N1)pdm09 and influenza A(H3N2) viruses (the adamantanes are not effective against influenza B viruses). Therefore, use of these antivirals for treatment and prevention of influenza A virus infection is not recommended and data from adamantane resistance testing are not presented.

The U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) monitors outpatient visits for respiratory illness referred to as influenza-like illness [ILI (fever plus cough or sore throat)], not laboratory-confirmed influenza, and will therefore capture respiratory illness visits due to infection with any pathogen that can present with similar symptoms, including influenza virus, SARS-CoV-2, and RSV. It is important to evaluate syndromic surveillance data, including that from ILINet, in the context of other sources of surveillance data to obtain a complete and accurate picture of influenza, SARS-CoV-2, and other respiratory virus activity.

Nationally, during Week 15, 2.4% of patient visits reported through ILINet were due to respiratory illness that included fever plus a cough or sore throat, also referred to as ILI. This week's percentage decreased (change of > 0.1 percentage points) compared to Week 14 and is below the national baseline of 3.0%. The percentage of visits for ILI decreased (change of > 0.1 percentage points) in HHS regions 1, 3, 4, 5, and 10 and remained stable (change of ≤ 0.1 percentage points) in regions 2, 6, 7, 8, and 9. Region 1 is above its baseline, Region 10 is at its baseline, and all other regions (2, 3, 4, 5, 6, 7, 8, and 9) are below their region-specific baselines. Multiple respiratory viruses are co-circulating, and the relative contribution of influenza virus infections to ILI varies by location.

About 70% of ILINet participants provide both the number of patient visits for respiratory illness and the total number of patient visits for the week broken out by age group. Based on these data, the percentage of visits for respiratory illness remained stable (change of ≤ 0.1 percentage points) in the 0-4 years age group and decreased (change of > 0.1 percentage point) in all other age groups (5-24 years, 25-49 years, 50-64 years, and 65+ years) in Week 15 compared to Week 14.

Data collected in ILINet are used to produce a measure of ILI activity* by state/jurisdiction and Core Based Statistical Areas (CBSA).

Activity Level Number of Jurisdictions Number of CBSAs
Week 15
(Week ending
Apr. 12, 2025)
Week 14
(Week ending
Apr. 5, 2025)
Week 15
(Week ending
Apr. 12, 2025)
Week 14
(Week ending
Apr. 5, 2025)
Very High 0 0 1 1
High 1 1 3 6
Moderate 2 5 20 32
Low 10 12 77 98
Minimal 42 37 590 565
Insufficient Data 0 0 238 227

*Data collected in ILINet may disproportionally represent certain populations within a jurisdiction or CBSA, and therefore, may not accurately depict the full picture of influenza activity for the entire jurisdiction or CBSA. Differences in the data presented here by CDC and independently by some health departments likely represent differing levels of data completeness with data presented by the health department likely being the more complete.

The overall percentage of emergency department (ED) visits with a discharge diagnosis of influenza reported in NSSP was 0.8% during Week 15, a decrease (change of > 0.1 percentage point) compared to the previous week. The percentage of ED visits with influenza discharge diagnoses remained stable in regions 7, 8 and 9 and decreased in all other regions. This percentage decreased for all age groups during Week 15 compared to Week 14.

The Influenza Hospitalization Surveillance Network (FluSurv-NET) conducts population-based surveillance for laboratory-confirmed influenza-related hospitalizations in select counties in 14 states and represents approximately 9% of the U.S. population. FluSurv-NET hospitalization data are preliminary. As data are received each week, prior case counts and rates are updated accordingly.

A total of 38,483 laboratory-confirmed influenza-associated hospitalizations were reported by FluSurv-NET sites between October 1, 2024, and April 12, 2025. The weekly hospitalization rate observed during Week 15 was 0.9 per 100,000 population. The weekly hospitalization rates observed during Weeks 5 and 6 (13.6 per 100,000 population) were tied for the highest peak weekly rate observed across all seasons since 2010-2011. The cumulative hospitalization rate observed in Week 15 was 125.6 per 100,000 population, which is the highest cumulative hospitalization rate for all seasons since 2010-11.

Among all hospitalizations, 37,040 (96.3%) were associated with influenza A virus, 1,247 (3.2%) with influenza B virus, 40 (0.1%) with influenza A virus and influenza B virus co-infection, and 156 (0.4%) with influenza virus for which the type was not determined. Among those with influenza A subtype information, 6,599 (58.2%) had A(H1N1)pdm09 and 4,741 (41.8%) had A(H3N2).

When examining rates by age, the highest cumulative hospitalization rate per 100,000 population was among adults aged 65 years and older (395.5), followed by adults aged 50-64 years (146.9), children aged 0-4 years (102.5), adults aged 18-49 years (51.0), and children aged 5-17 years (39.1).

When examining age-adjusted rates by race and ethnicity, the highest cumulative hospitalization rate per 100,000 population was among non-Hispanic Black persons (210.8), followed by American Indian/Alaska Native persons (161.9), non-Hispanic White persons (108.4), Hispanic persons (106.3), and Asian/Pacific Islander persons (78.0).

Among 4,661 hospitalized adults with information on underlying medical conditions, 95.0% had at least one reported underlying medical condition; the most commonly reported were hypertension, cardiovascular disease, metabolic disease, and obesity. Among 1,899 hospitalized women of childbearing age (15-49 years) with information on pregnancy status, 28.0% were pregnant. Among 1,801 hospitalized children with information on underlying medical conditions, 53.7% had at least one reported underlying medical condition; the most commonly reported were asthma, followed by neurologic disease and obesity.

**In this figure, weekly rates for all seasons prior to the 2023-2024 season reflect end-of-season rates. For the 2023-2024 season, rates for recent hospital admissions are subject to reporting delays and are shown as a dashed line for the current season. As hospitalization data are received each week, prior case counts and rates are updated accordingly.

Hospitals report to NHSN the weekly number of patients with laboratory-confirmed influenza who were admitted to the hospital. Nationally, during Week 15, 4,639 laboratory-confirmed influenza-associated hospitalizations were reported. This week's influenza-associated hospitalizations decreased (change of > 5%) compared to Week 14.

The weekly hospital admission rate observed in Week 15 was 1.4 per 100,000. The weekly rate of hospital admissions decreased in all 10 HHS regions and ranged from 0.9 (Region 6) to 2.4 (Region 2).

When examining rates by age for Week 15, all age groups decreased compared to the previous week. The highest hospital admission rate per 100,000 population was among those 65+ years (3.8), followed by 0-to-4-year age group (1.5), and 50-to-64 -year age group (1.3).

Based on NCHS mortality surveillance data available on April 17, 2025, 0.5% of the deaths that occurred during the week ending April 12, 2025 (Week 15), were due to influenza. This percentage decreased (≥ 0.1 percentage point change) compared to Week 14. The data presented are preliminary and may change as more data are received and processed.

Ten influenza-associated pediatric deaths occurring during the 2024-2025 season were reported to CDC during Week 15. The deaths occurred between Week 4 (the week ending January 28, 2025) and Week 13 (the week ending March 29, 2025). Nine deaths were associated with influenza A viruses. Eight of the influenza A viruses had subtyping performed; five were A(H1N1) viruses and three were A(H3N2) viruses. One death was associated with an influenza virus for which type was not determined.

A total of 198 influenza-associated pediatric deaths occurring during the 2024-2025 season have been reported to CDC.

Read the whole story
sarcozona
7 hours ago
reply
One of my dearest friends - a trim and healthy athlete who got her flu shot every year - died of ARDS from the flu at age 26. We know now that was a preventable death. We could save so many lives and so much money by if we prevented transmission with clean indoor air and high vaccination rates
Epiphyte City
Share this story
Delete

The ‘great land reshuffle’ that’s transforming property rights | Aeon Essays

1 Share

As I cycle from downtown Chicago to my university’s campus, I pass over a complicated and consequential history with the land. Just over two centuries ago, the Chicago area was swampy, fur-trading land for Indigenous tribes. Most prominent among them were the Ojibwe, the Odawa and the Potawatomi, together known as the Council of the Three Fires. These tribes had collective rights to land and rotated hunting grounds. Much has changed since.

After war and disease weakened the tribes, the United States government claimed the grasslands, forests and, most crucially, the land around the Chicago River in the wake of the War of 1812. It then passed into the hands of the state of Illinois, followed by a canal commission, which in turn sold it to private buyers. As I set out on my bike, I ride through a public park that was once a frontier US Army post and later became a dumping ground for charred ruins following the Great Fire of 1871. I then pedal past the site of skirmishes between the US Army and local tribes, and between a set of beaches and neighbourhoods where racialised battles for land zoning and development played out between Black people, white people and the city since the time of the Great Migration. Arriving at my campus, I reach land owned by the University of Chicago that was bought in the late 1800s by the department-store owner Marshall Field, who subsequently donated it to John D Rockefeller to host the university, founded in 1891.

It can be easy to forget the significance of the ground beneath our feet – and how much it has shaped the societies we live in. For most people, their home is their house – or their landlord’s. It is bought, sold or rented along with the land underneath it, passing between families over the years. But at some point – and probably several times – there have been abrupt changes to that seemingly permanent arrangement. Land tenure can be profoundly reshuffled. It has in the past and it will be again in the future.

As a political scientist, I’ve studied how land power has shaped societies all over the world. From Ireland to Italy, from Chile to South Africa, and across the US West, struggles over ownership and land use are etched in family histories and have determined the fate of nations. In windswept mountains near Cuzco, Peru, for instance, I met a woman who recounted growing up as a forced worker on a private estate with colonial roots: in her 20s, that land was seized by the government and passed over to the community, which later broke it up into family plots. Another man I spoke with recently in South Africa told me of his parents’ forced displacement under apartheid. Their land was planted by a sugar company, but in 2008, it was returned to the community, who now lease it to the same company. And in Patagonia National Park in southern Chile, I recently hiked through grass-covered steppe that had, in the course of a century, passed from a natural, episodically transited landscape to an enclosed private ranch, a multi-family government cooperative, back to a private ranch, and then into the hands of a philanthropist who passed it to the government for conservation.

Today we are in the middle of a ‘great reshuffle’ of land. Over the past two centuries, nearly every society has reallocated land ownership and property rights. And because of the power that land confers to those who hold it, this reshuffling has set societies on distinct trajectories of development. It’s helped some countries become more egalitarian and productive, whereas for others it has embedded racial hierarchies, deep inequalities and economic stagnation.

The global population bubble and climate change will amplify the reshuffling, and a picture of how that will happen is starting to emerge. Land will become ever scarcer and more valuable as populations increase – and the opposite could occur in the next century as the world’s population plummets. Meanwhile, a changing climate will make vast areas of land more attractive and productive while rendering other areas uninhabitable. Amid these changes, the question is how to reshuffle land well. One thing is clear: centuries-old approaches to property rights and ownership are not up to that task.

Around 10,000 BCE, the global population was somewhere between that of modern San Diego (1.4 million) and New York City (8.5 million). In all prior human history, small groups had roamed Earth with access to abundant resources, so there was no need to fixate on land ownership. That changed with the rise of farming and sedentary communities. Permanent agricultural towns were established by around 5000 BCE, and in some places even earlier. For the first time, entire settlements of people could sustain themselves through crops and animal husbandry. Land power was born.

The control of land meant the control of production and surplus, and the ability to accumulate status, wealth and power through domination, conquest and the creation of social rules. Land soon became a focus of competition. Accordingly, there are records of land conflict dating to ancient Mesopotamia, as well as land disputes from the Roman Empire.

The still relatively small human population around the start of the Common Era – somewhere between 150 million and 300 million – multiplied to 1 billion around 1800. Land competition accelerated along with its relative scarcity. Entering the 19th century, landholding had become even more unequal in many parts of the world. From the sprawling and abusive haciendas of Latin America to lord/peasant societies in Europe and Russia and deeply unfair landlord/tenant systems in East Asia, many of the world’s wealthiest regions operated on exploitation and coercion. On my paternal side, my ancestors’ lives were caught, like many others’, at the bottom of this hierarchy, toiling under serfdom in parts of Austro-Hungarian and Russian-occupied Poland.

Over the next two centuries, states became strong and organised enough to appropriate, reallocate and reassign land at a massive scale and with considerable precision. Social tensions boiled over into conflict. The result was a dramatic upheaval in who holds the land in societies across the globe.

Within a generation, families were sending their children to schools rather than the fields

This great reshuffle began in different ways. In some cases, it entailed the appropriation of Indigenous lands on the part of settlers. Other times, it involved stripping large landowners of their property and granting it to peasants, whether collectively, in cooperatives or as individuals. My ancestors in southern Poland won a small plot of land – presumably taken from the local noble family – through the 1848 revolutions that swept across Europe.

Land reshuffling rewired nearly every country on Earth and set societies on new trajectories of development, race and gender relations, and treatment of the environment. For some societies, that meant becoming more egalitarian. In the years after the Second World War, Japan, South Korea and Taiwan all adopted sweeping programmes that transferred land from landlords to their tenants in small, family-sized plots. The governments of these countries followed that up with generous subsidies. Within a generation, families were sending their children to schools rather than the fields. Urbanisation and industrialisation followed, vaunting these nations to the forefront of the global economy.

Far more countries stumbled. Following the end of China’s civil war in the late 1940s, the Communist Party seized all private land in the country, nationalised it, and then formed large land collectives that incorporated some 430 million people. It was one of the largest experiments in land reshuffling in human history. And it wreaked havoc as China’s forests were felled and underproductivity in agriculture drove the Great Famine. Walking through the fields of a place like Dali in Yunnan province today, as I have done, paints a different picture of productivity that emerged only after China broke up its collectives and allowed families to farm specific plots of land.

In South Africa, land ownership was dictated by apartheid. The government forcibly removed Black people from their land and dumped them in low-quality areas removed from centres of economic and political power. White people then appropriated the land for themselves. By the end of apartheid, the white minority, which comprised about 11 per cent of the population, held 86 per cent of the country’s farmland.

In the US, land reshuffling had varied consequences. The displacement of Indigenous communities and reallocation of their land to settlers set the stage for a radical experiment in democracy among smallholding settlers in New England, the slavery and plantation system in the South, and a system of Indian reservations in the West. When I did fieldwork at the Agua Caliente Reservation that centres on Palm Springs, California in late 2023, tribal members pointed to repeated land grabs as the root of attempts by outsiders to break down tribal cohesion and cultural preservation.

Around the world today, people are living and breathing the consequences of how the great reshuffle has rewired societies – from resource depletion to racism, gender inequalities, prosperity levels, and the global pecking order. In the coming decades, addressing problems linked to these shifts will require recognising their origins and crafting policies that turn land into a force for positive social change.

After all, land is still the world’s most valuable asset, despite the economic rotation toward technology and manufacturing in advanced economies. Growing populations and the need to feed them and generate resources for them have driven a spiralling demand for land. This is true even in urban areas, where land prices typically skyrocket. Pressure on the land is only going to increase in the coming decades. More land reshuffles are coming.

The same drivers of the onset of the great reshuffle are still operating. Countries like Brazil, Canada, Colombia and South Africa continue reshuffling their land today to address land pressure and to redress prior actions such as the forcible dispossession of Indigenous groups. South Africa, for instance, is still working to return millions of acres of land to meet the demands of Black people dispossessed under apartheid. In late 2023, I worked with several beneficiary Black communities in the Tenbosch area of Mpumalanga province whose members bear witness to both the brutality of apartheid-era displacement and the transformative power of land restitution. Their story is one of thousands.

Meanwhile, the global population is growing, crowding the land and raising calls for governments to accommodate the landless. Towards the end of the century, demographers expect the global population will reach a peak of around 10 billion people – a tenfold increase since 1800. However, growth will be uneven. The populations of countries like Japan and China are already shrinking. Meanwhile, sub-Saharan Africa is anticipating a population boom that will dramatically increase pressure on agricultural land, echoing events in Europe several hundred years ago and in Latin America a century ago. Nigeria, with a fertility rate of 5.2 births per woman, could surpass China’s population before 2100. And the Democratic Republic of Congo, Ethiopia and Tanzania could become among the 10 most populous countries on Earth.

Climate change is beginning to drive a new surge of migration and competition over land

Popular demands to reshuffle land and political desires to do so will be overwhelming in these countries. It’s already happening in conflict areas like Sudan. Some decisions could have salutary effects, shifting land from illegitimate elites into the hands of families and clans that face insecure land tenure or land displacement. Reshuffling, however, could just as easily become weaponised: a violent economic tool of ethnic conflict or political domination.

And just as the world is going through its population crunch, a potent new factor – climate change – is beginning to drive a new surge of migration and competition over land. As the planet warms and resources dwindle, land is poised to change hands and uses at an increasing rate.

The future lies to the north. Latitudes north of the 45th parallel make up only 15 per cent of the world’s surface area but have 29 per cent of its ice-free land and are very sparsely populated. Even more northern land is set to shed its ice and permafrost in the coming decades and become more temperate and productive. Much of this land is owned directly by governments and Indigenous communities, often with colliding claims; little of it is privately owned.

Canada and Russia, the world’s two largest northerly countries, will undergo the most dramatic changes. Agriculture could dramatically expand through longer growing seasons, warmer temperatures and the melting of millions of acres of permafrost. One recent climate model shows Canada gaining 4.2 million square kilometres of arable land suitable for growing crops like wheat, corn and potatoes by 2080 – a fourfold increase of its current stock of suitable land. A comparable amount of land will become newly arable in Russia, positioning these two countries as the world’s key breadbaskets of the future. At the same time, these changes will threaten expansive boreal forests and the forestry industry.

The more temperate climate and increased economic activity in these countries will drive population growth and migration, placing pressure to reshuffle lands. In Canada, 89 per cent of all land is ‘Crown land’ – publicly owned by the federal government and provincial governments. Indigenous First Nations people lay claim to large portions, so tensions could boil over as private interest strengthens.

A growing share of Alaska’s land will become arable within decades

It would also come at a time when Canada is aiming to conserve more of its land through a new set of national parks. Such land conservation is part of a growing trend. The Chilean government, for instance, in 2018 created a new system of 17 national parks located over 2,800 kilometres between the southern port city of Puerto Montt and the southern tip of South America at Cabo de Hornos. The parks system – including Patagonia National Park, a rugged and windswept patchwork of mountains and grasslands that I recently visited to document this transformation – covers nearly 30 million acres of land. From 2014 to 2018, Chile went from protecting just 4 per cent of its land and sea area to protecting 36 per cent. Meanwhile, China now aims to create the world’s largest national park system by 2035, and countries like Norway are poised to expand their national parklands.

In 2016, the Russian president Vladimir Putin began a programme to encourage settlement in Russia’s Far East, much of which is anticipated to gain from climate change. The Far-Eastern Hectare programme, similar to the US Homestead Act of 1862 but double in size, opened hundreds of millions of acres of public land to prospective settlers. So long as they stay there for five years, they can gain a small plot of land and a grant to work it. Although it had a slow start, more than 100,000 Russians had won grants as of 2023, and Putin started a similar Arctic Hectare programme in 2021 to settle Arctic regions. Both of these programmes could expand in the coming years and rewire land ownership in Russia’s periphery, while simultaneously posing a threat to Indigenous territorial claims.

As for the US, the picture in Alaska parallels that in Canada. The US federal government owns 61 per cent of Alaska’s land, and a growing share will become arable within decades. With Indigenous claims to a large portion, there will be campaigns to reallocate this land – for instance by privatising more federal land – as it becomes more attractive for settlement and economic activity.

And alongside this thawing, governments, private interests and, where present, Indigenous communities, are poised to clash over sparsely populated territories like Greenland and Antarctica with weak, absent or transitional sovereignty. Indeed, under President Donald Trump, that has already begun.

While looming northern land reshuffles will catch outsized attention, climate change will also foster internal reshuffles on the land in countries across the globe. That dynamic could be scary and destabilising, but it is also an opportunity. Changing land relationships and migration patterns associated with climate change present a possibility to put land in service of society in ways that have rarely been attempted in human history.

The coming global land reshuffle will produce winners and losers, but it can be positive-sum if we make it so. Reshuffling the nature of property rights must be a cornerstone of those efforts.

Over the past few centuries, Western notions of individual, exclusive and alienable property spread across the world via colonialism and globalisation, replacing more complex and conditional rights to land. However, in recent decades, a range of different approaches have emerged.

One approach entails a shift toward ‘layered’ property rights. Countries like Mexico and Peru now recognise community territorial claims over large areas of land while also allowing for private property. Members of Mexican communal lands that I have spoken to in community meetings, on street corners and at their homes in the southern states of Oaxaca and Chiapas can seamlessly and readily identify individual versus communal property within their communities, and recognise the different value and purposes of each. The same is true in remote Indigenous villages I’ve hiked through near the peaks of the Andes in Peru.

Property owners can voluntarily enter into legal agreements that limit land use for certain activities

Australia in recent decades has recognised the concept of ‘native title’ over land on the part of Aboriginal and Torres Strait Islander people and has allowed this concept to overlap with government leases of land to private pastoralists. The US, in the landmark 2020 case McGirt v Oklahoma, recognised tribal jurisdiction over certain criminal cases in a massive swathe of eastern Oklahoma. These examples demonstrate the flexibility in delegating a variety of rights and autonomies to different occupants and interest-holders in the same land.

Another approach involves restricting individual property rights for greater social purposes. For instance, property owners can voluntarily enter into legal agreements known as conservation easements that limit land use for certain activities (like draining wetlands or clearing land for grazing). Government agencies and conservation organisations like land trusts (eg, the Nature Conservancy) engage in these agreements with private landowners at an increasingly large scale – more than 30 million acres across the US alone.

There will inevitably be mistakes and growing pains associated with such approaches. But these efforts will be increasingly important if we are going to manage future land reshuffling to the benefit of societies as a whole, and without systemic conflict. Everyone from Aboriginal Australian leaders to Minnesotan farmers have expressed excitement to me about this future under new land arrangements.

In the 22nd century, the great reshuffle will shift once again. There will be major changes in the size of human populations, the climate, technology and, inevitably, in politics. The result will be new relationships with the land that could look foreign to what we experience today. Experiments with new forms of property rights will need to go mainstream in order to accommodate shifting populations and climate change in an orderly and equitable fashion.

There is considerable uncertainty in population projections beyond 2100 but, if fertility rates continue their steady decline, the several-millennia-old human population boom is most likely going to bust. If the world converges to today’s average low fertility rate in East Asia, the 22nd century would be one of rapid depopulation, tracing back to some 2 billion people.

Having grown up in the suburbs of Detroit, I have seen firsthand how population decline can hollow out a city. At its peak in 1950, Detroit’s population was 1.85 million. It has since declined to barely over 600,000. In 2013, this tipped the city into the largest municipal bankruptcy in US history. The Detroit Land Bank Authority now owns a vast array of vacant property that it seeks to offload, in part through a programme that offers residents vacant lots for a mere $250.

In the 22nd century, many cities may trace Detroit’s trajectory. If housing remains dense, city footprints will have to shrink dramatically. Meanwhile, in the countryside, there will be far more land to go around, but that land may be degraded if it was not adequately protected.

A significant portion of the world’s population could end up as renters

The climate picture in the 22nd century will also drastically alter where people live on the land and how they relate to it. Even if emissions slow considerably, global temperatures and sea levels will rise, and weather patterns will be more extreme. As we explored earlier, a thawing North will continue to open up to agriculture, but land elsewhere will undergo drastic change. Arid and drought-prone areas like northeastern Brazil, the US Southwest and the African Sahel will become increasingly hot and pose a challenge for human livelihoods. Crop yields in the US Southwest are already declining and farmers are struggling to access water for their fields. Some are giving up and fallowing or leaving the land. Meanwhile, low-lying coastal areas in places like Florida and Bangladesh will disappear, as well as entire island nations like the Maldives.

That changing land use will inform the political landscape. Some countries may trace the path that Canada envisions for itself: welcoming immigrants into a dynamic economy. An influential group of Canadian leaders are already organising around an idea known as the Century Initiative that aims to triple the country’s population by 2100, largely by supercharging immigration. Other countries may wall themselves off to protect existing landholdings, resources and wealth from outsiders.

Growing wealth inequality could directly impact who owns the land, too. Powerful multinational companies have increasingly amassed land in order to secure their supply chains, crowding out local populations. If wealthy individuals and investors buy up land at a large scale, a significant portion of the world’s population could end up as renters, mimicking patterns of concentrated large landholding and widespread landlessness that prevailed prior to the onset of the great reshuffle.

Amid all these climatic and economic changes, future generations will make choices once again about whether to spread out on the land or to concentrate in shrinking cities. Land will once more undergo a radical reshuffle in either scenario.

If humanity is to flourish, the next century and beyond will again require a rethink of land relationships. From their origins several centuries ago to their global spread in recent decades, notions of exclusive, individual and alienable private property have gone hand in hand with population growth and land reshuffling. That will not be a sustainable way to pass through the bursting of the population bubble and impending climate change.

If the next chapter of the great reshuffle is to go well, we must incorporate considerations of community, prosperity, dignity and the environment. This isn’t so radical as it sounds. I see glimpses of this vision, and its advocates are already emerging. The ground beneath our feet may always be shifting, but by rethinking traditional notions of who owns the land, we can approach the future on a firmer footing.

Read the whole story
sarcozona
1 day ago
reply
Epiphyte City
Share this story
Delete

Haitians face record hunger as gang violence grips country in throes of economic crisis | AP News

1 Share

PORT-AU-PRINCE, Haiti (AP) — More than half of Haiti’s population is expected to experience severe hunger through June, and another 8,400 people living in makeshift shelters are projected to starve, according to a new report released this week.

Relentless gang violence and an ongoing economic collapse is to blame, according to an analysis from the Integrated Food Security Phase Classification, a multi-partner U.N. initiative that analyzes food insecurity and malnutrition around the world.

It noted that the number of those facing severe hunger increased by more than 300,000 people to some 5.7 million since last year.

Among those going hungry is Jackie Jean-Jacques, his wife and their three sons, who lost their home to gang violence and have lived in a crowded makeshift shelter for more than a year.

“There are days where the kids have to live on sugar water and bread,” he said. “It hurts me to see that.”

Jean-Jacques, 52, used to work as a bus driver but could no longer afford to rent the bus or buy gasoline. Besides, he worries that one day gangs would open fire on his public transportation vehicle like they have on others.

Meanwhile, his wife sells small items like plastic cups and lunch boxes on the street.

“This is not enough to feed us,” he said.

Dwindling aid

While food and potable water were commonly distributed at shelters, aid began to dwindle after the administration of U.S. President Donald Trump in late February decided to terminate 90% of USAID foreign aid contracts.

“Since March 2025, funding has no longer been guaranteed,” according to the report issued Monday.

It said that from August 2024 to February 2025, nearly 977,000 Haitians received humanitarian food aid monthly, although rations have been reduced by up to half.

“The assistance you get is not enough,” Jean-Jacques said.

UNICEF said Thursday that an estimated 2.85 million children — one quarter of Haiti’s entire child population — “are facing consistently high levels of food insecurity.”

The agency warned that it faces a 70% funding shortfall. It said it has helped more than 4,600 children this year with severe acute malnutrition, which represents only 4% of the estimated 129,000 children expected to need life-saving treatment this year.

Meanwhile, the U.N.’s World Food Program said it urgently needs $53.7 million to “continue its life-saving operations in Haiti over the next six months.”

“Right now, we’re fighting to just hold the line on hunger,” Wanja Kaaria, WFP’s country director in Haiti, said in a statement Thursday.

‘I can barely feed them’

In 2014, only 2% of Haiti’s population was food insecure, with gang violence largely under control and most people enjoying the successful spring harvests from the previous year, according to a previous report by the Integrated Food Security Phase Classification.

Hunger at that time affected mostly those in poor rural areas.

But in 2016, Hurricane Matthew battered Haiti as a Category 4 storm, destroying crops and livelihoods.

By 2018, more than 386,000 Haitians were experiencing severe hunger, a number that has since grown to an estimated 5.7 million.

“This is very alarming,” said Martin Dickler, Haiti director for the nonprofit CARE. “It really is an extremely serious food crisis, and Haiti is one of the worst in the world.”

The growing hunger coincides with a surge in the price of goods, with inflation reaching more than 30% in recent months.

Experts also blame gang violence, with gunmen controlling the main roads leading in and out of the capital, Port-au-Prince, disrupting the transportation of goods from the countryside.

Jean Rose-Bertha, a single, 40-year-old mother of two boys, said they have lived almost a year at a makeshift shelter after gangs chased them from their home.

“I can barely feed them. I sometimes do things I’m not supposed to do,” she said, explaining that she prostitutes herself on occasion.

Dickler said women and girls have been disproportionately affected by the crisis, facing greater obstacles in accessing both food and livelihoods..

“They are left to manage the daily family survival,” he said. “In food crises, women often eat least and last.”

___

Coto reported from San Juan, Puerto Rico.

____

Follow AP’s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america

Read the whole story
sarcozona
1 day ago
reply
Epiphyte City
Share this story
Delete

U.S.-born man held for ICE under Florida's new anti-immigration law • Florida Phoenix

1 Share

Juan Carlos Lopez-Gomez, a 20-year-old U.S. citizen, was being held in the Leon County Jail Thursday, charged with illegally entering Florida as an “unauthorized alien” — even as a supporter waved his U.S. birth certificate in court.

A Florida Highway Patrol trooper arrested Lopez-Gomez after a traffic stop in which he was a passenger. The 20-year-old is set to remain in jail for the next 48 hours, waiting for federal immigration officials to pick him up despite his first-degree misdemeanor charge being dropped.

His mother, Sebastiana Gomez-Perez, burst into tears at the sight of her son, who appeared virtually for his first hearing at the Leon County Courthouse. She left the courtroom distraught because she could do nothing to help her son, who was born and lives in Grady County, Georgia.

“I wanted to tell them, ‘Where are you going to take him? He is from here,'” his mother told the Phoenix in Spanish moments after exiting the courtroom. “I felt immense helplessness because I couldn’t do anything, and I am desperate to get my son out of there.”

She continued through tears: “It hurts so much. I’m sorry, I can’t.”

A lieutenant working in the Leon County Jail didn’t allow the mother to see Lopez-Gomez on Thursday and told her officials were working with U.S. Immigration and Customs Enforcement on how to proceed. A Phoenix reporter accompanied Gomez-Perez to the jail.

Leon County Judge LaShawn Riggans held Lopez-Gomez’s birth certificate up to the light after community advocate Silvia Alba silently waved the document in the courtroom.

“In looking at it, and feeling it, and holding it up to the light, the court can clearly see the watermark to show that this is indeed an authentic document,” Riggans said.

Based on her inspection of his birth certificate and Social Security card, Riggans said she found no probable cause for the charge. However, the state prosecutor insisted the court lacked jurisdiction over Lopez-Gomez’s release because U.S. Immigration and Customs Enforcement had formally asked the jail to hold him.

“This court does not have any jurisdiction other than what I’ve already done,” Riggans said.

Riggans said she was very sorry as Lopez-Gomez’s mother left.

‘I can’t do anything for their brother’

The 20-year-old’s first language is Tzotzil, a Mayan language, and he took a long pause when he was asked if he wanted to hire a private attorney or obtain a public defender. He lived in Mexico from the time he was 1-year-old until four years ago, when he returned to Georgia, his mother told the Phoenix.

The Homeland Security Investigations Office in Tampa issued the 48-hour ICE detainer on Thursday. An ICE officer whose name and phone number appear in the detainer refused to speak with the Phoenix.

“He hasn’t committed a crime for them to hold him, that’s what I don’t understand. I’m feeling bad because my daughters are asking me how their brother is. It hurts because I can’t do anything for their brother,” she said.

At issue is a recently passed law that a federal judge has temporarily barred the state from enforcing, further calling into question the validity of his arrest, the charge, and detention. Gov. Ron DeSantis signed SB 4-C into law on Feb. 14, and U.S. District Court Judge Kathleen Williams blocked its enforcement on April 4.

The law makes it a misdemeanor for undocumented immigrants over age 18 to “knowingly” enter Florida “after entering the United States by eluding or avoiding examination or inspection by immigration officers.”

Two other men who were in the car with Lopez-Gomez, the driver and another passenger, also had their first appearances on the same charges on Thursday. The driver was also charged with driving without a license.

The state trooper pulled over the car Lopez-Gomez was in because the driver was going 78 mph in a 65 mph zone, according to the arrest report. Lopez-Gomez gave his Georgia state ID to the trooper, who wrote in his report that Lopez-Gomez said he was in the country illegally.

Wednesday marked the second time Lopez-Gomez has been arrested. The Grady County Sheriff’s office took him into custody on Sunday and charged him with driving under the influence, his mother said. ICE also requested that the Georgia jail hold Lopez-Gomez, but he won release after his family showed officials his birth certificate and Social Security card, Gomez-Perez said.

Thomas Kennedy, a policy analyst for the Florida Immigrant Coalition, met Gomez-Perez at the courthouse. He said Lopez-Gomez’s case is exactly what his organization has been warning lawmakers would happen.

“It was just really sad seeing the mother distraught over her son, and the fact that she acknowledged that this is very likely a case of racial profiling against a U.S. citizen who can’t speak English,” he said in a phone interview with the Phoenix.

The Georgia Recorder, a partner of Florida Phoenix, has submitted a public records request to obtain more information about his arrest Sunday. This story was updated with information from the arrest report at 4:55 p.m. 

GET THE MORNING HEADLINES.

Last updated 5:10 p.m., Apr. 17, 2025

Read the whole story
sarcozona
1 day ago
reply
Epiphyte City
Share this story
Delete
Next Page of Stories