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🍔 GLP-1s shift portions & policies

COVID surging, NYC Legionnaires' lawsuits, and confusion around vaccination

August 22, 2025

Health News:

  • COVID is surging nationwide, and the highest rates are in California. (LA Times)

  • 500+ CDC employees received permanent layoff notices this week. (Washington Post)

  • Americans consume more than half their calories from ultra-processed food. (ABC)

  • Eli Lilly’s weight loss pill may not cause as much weight loss as injectables like Zepbound or Wegovy, but pills are cheaper and easier, which could be a game changer. (WSJ)

  • The FDA approved the first-ever glucose monitoring system for weight loss from the startup Signos. (CNBC)

  • Employer healthcare costs are expected to rise by 9% in 2026. (Modern Healthcare)

  • Two construction workers are suing a pair of construction companies after contracting Legionnaires’ disease... (Gothamist)

  • …and NYC lost over a third of its cooling tower inspectors in the three years leading up to this deadly Legionnaires’ outbreak. (Gothamist)

  • States are encouraging pregnant women to get COVID vaccines despite a federal guideline shift. (19th)

  • A California resident tested positive for the plague, likely after being bitten by a flea in the Lake Tahoe area. (LA Times)

  • Measles exposures have been reported at airports in Colorado and Montana. (CIDRAP)

Climate Health News:
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  • States along the Gulf Coast and Eastern Seaboard are warning beachgoers about a surge in flesh-eating Vibrio infections. (AP)

  • Over 62% of the nation’s drug manufacturing plants reside in areas where there’s already been a hurricane, wildfire, or other climate-related disaster. (MedPage Today)

  • Wildfires firefighters, who often go into wildfires with minimal PPE, are getting sick and sometimes dying.  (NY Times)

Best Questions:

What’s the latest on vaccine recommendations for kids?

There’s a surprising split right now between the CDC and the American Academy of Pediatrics. The AAP says it “strongly recommends” COVID shots for kids ages 6 months to 2 years. The CDC, meanwhile, has softened its stance, advising that parents of children 6 months to 17 years “discuss the benefits” with their healthcare provider. Why the stronger language from pediatricians? While the risk of death from COVID in kids is lower than in older adults, children (especially the youngest) are more likely to end up in the hospital or ICU if they do get sick. Vaccination can help prevent those severe outcomes while young kids’ immune systems are still developing.

Helping drive these recommendations is a new effort from the University of Minnesota called the Vaccine Integrity Project. Run by the same team at CIDRAP that we cite often in this newsletter, it takes no pharma money and independently vets its experts for conflicts of interest. The group reviewed thousands of studies to provide a clear evidence base for medical groups like AAP to use in making vaccine recommendations.

This isn’t the first professional group that’s split from the updated CDC recs—the American College of Obstetrics and Gynecology updated theirs this month with a “strong” recommendation for pregnant people to get the updated COVID shot, despite being removed from the CDC’s guidance. It likely won’t be the last, either. Buckle up for a few weeks of confusing vaccination news as we wait to hear what insurance companies make of all this.

Sources: NPR, CIDRAP

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Do employees on weight-loss drugs need to be excluded if they have nausea, fatigue, or diarrhea?

Not automatically. GLP-1 drugs like Wegovy and Zepbound commonly cause digestive side effects, especially when someone first starts taking them. Those symptoms aren’t contagious, so on their own they don’t require work exclusion.

The challenge comes when chronic symptoms overlap with signs of something infectious. We’ve seen some of the worst outbreaks start when employees with ongoing issues (like IBS, pregnancy, or now GLP-1 side effects) didn’t recognize when their “usual” nausea turned into something more severe. If an employee who’s usually a little queasy suddenly can’t leave the bathroom with vomiting and diarrhea, that’s a red flag for norovirus or another contagious illness. With ZHH’s Sick Call Program, our clinical team always digs into the details - if an employee mentions they’re on a new medication, we’ll talk with them about what’s normal and what’s changed. We’ll also decide when to require a doctor’s note if the same person has been out multiple times with GI symptoms, especially if they work in foodservice.

As more of the workforce starts taking GLP-1 drugs, the key is helping managers and employees understand the difference between side effects and stomach bugs. If you need support with your sick call program or guidance for your managers, don’t hesitate to reach out to ZHH.

Sources: Cleveland Clinic
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Best Read:

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Weight loss drugs fall squarely at the intersection of health and the restaurant industry, and we know many are already feeling the impact. Ordering more to-go boxes, guests ordering appetizers as their mains, and now: mini meals.

As Ozempic Shrinks Appetites, Some Restaurants Offer Miniature Meals - The New York Times

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