FEB 24—-OUTBREAK NORTHEAST REGION FROM CAITLIN RIVERS

Welcome to the Northeast edition of Outbreak Outlook! It is only available to paid subscribers. If you wish to become a paid subscriber and access region-specific information, please click the Subscribe now button below. Thanks for reading! -Caitlin

Respiratory Diseases

Influenza

Flu activity is finally starting to recede. What a year it has been!

New York City leads the Northeast region with an outpatient influenza-like illness (ILI) rate of 10.6%.

Massachusetts is not far behind at 10.2%, though this is a big decrease from 11.8% in the previous week. Emergency department visits stand at 8.3%, a drop of 1.8 percentage points from the previous week.

As a reminder, outpatient ILI is the percentage of visits to the doctor that are for fever and cough or sore throat. The emergency department metric is the percentage of visits to the ED that are for influenza.

Northeast: Outpatient influenza-like illness
% of visits to the doctor that are for fever and either cough or sore throat

New Hampshire follows with an outpatient ILI rate of 10.0%, down from 10.9% last week. The state shows the highest emergency department visit percentage in the region at 9.5%, though this represents a 0.6 percentage point decrease from the previous week.

Maine is third highest in the region with an outpatient ILI rate of 8.8%, a notable increase from 6.8% the previous week. Emergency department visits are at 7.2%, one of the few states showing an increase (+0.5 percentage points) in ED visits week-over-week.

New Jersey and Rhode Island have moderate activity levels, with outpatient ILI rates of 7.9% (down from 10.2%) and 6.8% (stable from 6.9%) respectively. Emergency department visits in New Jersey decreased by 2.0 percentage points to 6.9%, while Rhode Island’s ED visits fell by 1.5 percentage points to 4.5%.

The largest states in the region have lower activity. Connecticut reports an outpatient ILI rate of 6.2% (down from 6.8%) with a hospitalization rate of 11.6 per 100,000, representing a significant decrease of 10.6 per 100,000 from the previous week. New York state shows an outpatient ILI rate of 6.0% (stable from 6.1%) with a hospitalization rate of 14.3 per 100,000, down 2.3 from the previous week. Pennsylvania reports the region’s lowest outpatient ILI rate at 4.9% (down slightly from 5.1%), with ED visits decreasing by 0.8 percentage points to 7.3%.

Northeast: ED visits for influenza (%)
% of visits to the emergency department that are for influenza

COVID-19

There is quite a bit of variation in Covid-19 activity across the Northeast. While wastewater activity has decreased to low levels in the region as a whole, it remains quite high in several states. Severe illness remains fairly low-to-moderate across much of the region.

Wastewater activity is high and decreasing in New Jersey, Connecticut, and holding steady in Pennsylvania. In Massachusetts, activity has rebounded to high levels.

However, wastewater activity has dropped to moderate levels in Maine, Vermont, and Rhode Island, and continues to be very low and stable in New York. (Insufficient data for New Hampshire.)

Northeast: Covid-19 wastewater concentration
Wastewater concentration of SARS-CoV-2

ED visits are low (<1.5%) and decreased or stable across the region.

Northeast: ED visits for Covid-19 (%)
% of visits to the emergency department that are for Covid-19

Hospitalizations are low in Maine (1.9 hospitalizations per 100,000 people) and have decreased to fairly low levels in Rhode Island (3.2), New Jersey (3.2), and Connecticut (4.1). New York held steady at a moderate 4.0. Hospitalizations remain high in Pennsylvania (8.5), but are on the decline. (Hospitalization data was not available this week for Vermont, New Hampshire, and Massachusetts.)


RSV

RSV activity is low and declining in the Northeast, with all states reporting that well under 1% of visits to the emergency department are for RSV. I expect activity to remain low until next fall.

Northeast: ED visits for RSV (%)
% of visits to the emergency department that are for RSV

Other Bugs

A few common causes of colds are at or nearing their high points for the season.

Human coronaviruses look to be nearing a peak, roughly consistent with peaks the past several years tending to fall in February-March. Human metapneumovirus also is at its highest point so far this season.


Stomach Bugs

This brutal norovirus season continues. Test positivity decreased slightly to 19.1% this week. Rates have been oscillating between ~15-22% since mid-December and I expect rates to remain quite elevated for the next several weeks, much to my – and I expect your – disappointment.

Source: CDC


Food recalls

The following foods are being recalled because they are contaminated. Please check your cupboards and throw out any of these items:

New:

  • Nothing new this week

Previously reported:

  • Menma Ajitsuke Prepared Bamboo Shoots sold under Choshiya brand name (more info)
  • Canned Tuna sold under Genova, Van Camp’s, H-E-B, and Trader Joe’s brand names (more info)
  • Alfalfa sprouts sold under the Jack and the Green Sprouts brand name (more info)
  • Aleppo Tahini Sesame Paste (more info)
  • DJ’s Boudain sausage links (more info)
  • If you have food allergies, you may wish to review these FDA safety alerts and USDA alerts for foods with undeclared allergens.
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FEB 24– NEW ROCHELLE MAN CHARGED WITH MULTIPLE CHILD SEXUAL ABUSE CRIMES

 

WHITE PLAINS, N.Y. – Westchester County District Attorney Susan Cacace announced today that new child sexual abuse charges have been filed against the New Rochelle man arrested earlier this month in connection with the dumping of a 15-year-old boy’s corpse.

Hugo Horacio Perez-Gabriel, 32, of New Rochelle, was arraigned this morning on a felony complaint charging him with two counts each of Use of a Child in a Sexual Performance, a class C felony, Disseminating Indecent Material to Minors in the First Degree, a class D felony, and Possessing an Obscene Sexual Performance by a Child, a class E felony.

Judge Tamika Coverdale, sitting as a New Rochelle City Court judge, remanded Perez-Gabriel to the custody of the Westchester County Department of Correction.

DA Cacace said: “The allegations in this complaint are extremely disturbing. The fact that this same defendant was previously charged in connection with the dumping of a 15-year-old boy’s corpse makes this case all the more horrific. My office is working around the clock to find out what happened to this boy, and I am committed to delivering justice to his family.”

As alleged in a felony complaint, Perez-Gabriel used WhatsApp to request sexual material from an underage New Rochelle resident in early February. The minor sent Perez-Gabriel two videos engaging in a sexual performance, according to the complaint.

On Feb. 7, 2025, Perez-Gabriel was charged with one count of Concealment of a Human Corpse, a class E felony, in connection with the dumping of a 15-year-old boy’s body in New Rochelle. The deceased 15-year-old is the same victim who allegedly communicated with Perez-Gabriel on WhatsApp. The circumstances surrounding his death remain under investigation. A 16-year-old New Rochelle resident was also charged in connection with that incident.

The investigation is being conducted by the New Rochelle Police Department and the Westchester DA’s Office.

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FEB 22 — GEORGE WASHINGTON — THE FIRST AND THE BEST — ROLE MODEL

PRESIDENTS DAY AND WEEK: GEORGE WASHINGTON THE FIRST AND THE BEST.

Posted on February 18, 2024 by John Bailey

HITS: 114

FEBRUARY 22 IS GEORGE WASHINGTON’S BIRTHDAY.

 

THE TIME WHEN WE REMEMBER THE FIRST LEADER AND THE BEST. IT IS INSTRUCTIVE TO LOOK AT OUR FIRST LEADER, GEORGE WASHINGTON, THE FATHER OF OUR NATION — AMERICA — THAT USED TO BE. ONE CANNOT HELP BE REMINDED OF THE SNOWY WINTER AT VALLEY FORGE, WHEN THE BEDRAGGLED, POORLY EQUIPPED REBEL ARMY SUFFERED BUT HELD TOGETHER, AND ATTACKED THE GERMAN TROOPS IN TRENTON ON CHRISTMAS EVE, 1776, CROSSING THE DELAWARE RIVER AT NIGHT. WHAT KIND OF MAN WAS HE THAT GEORGE WASHINGTON COULD INSPIRE HIS TROOPS AGAINST ALL ODDS? WHAT KIND OF MEN WERE THEY WHO WOULD RISK CERTAIN DEATH IF WOUNDED (NO MED-EVACS IN 1776) FOR AN IDEA: RIGHTS AND FREEDOM?

 

WASHINGTON WAS A MAN OF TREMENDOUS CHARACTER. OF PRINCIPLE. WHERE DID HE GET THIS CHARACTER? HE SPECIALIZED IN SELF-CONTROL AT AN EARLY AGE. THAT CONGRESSMEN, LOBBYISTS, AND PUNDITS AND YES, PRESIDENTS,  MEANS MIND-CONTROL, REASON AND RESPONSIBILITY, AND HUMANITY. ACCORDING TO  THE BOOK, THE AMERICAN PRESIDENT,

 

WASHINGTON, AT SIXTEEN, HAD FORMED A CODE OF CONDUCT. HE HAD WRITTEN A BOOK OF ETIQUETTE WITH 110 “MAXIMS” TO GUIDE HIS CONDUCT IN MATTERS. IN THIS ETIQUETTE BOOK HE HAD WRITTEN:

 

EVERY ACTION DONE IN COMPANY OUGHT TO BE DONE WITH A SIGN OF RESPECT TO THOSE WHO ARE NOT PRESENT. SLEEP NOT WHEN OTHERS SPEAK; SIT NOT WHEN OTHERS STAND; SPEAK NOT WHEN YOU SHOULD HOLD YOUR PEACE; WALK NOT WHEN OTHERS STOP;…LET YOUR COUNTENANCE BE PLEASANT BUT IN SERIOUS MATTERS SOMEWHAT GRAVE…UNDERTAKE NOT WHAT YOU CANNOT PERFORM BUT BE CAREFUL TO KEEP YOUR PROMISE.

 

THE CHARACTER SKETCH PROVIDED BY THE AUTHORS OF THE AMERICAN PRESIDENT, INDICATES THIS PERSONAL “RULEBOOK” WAS A BOOK THAT WASHINGTON WROTE OVER THE YEARS AND REFERRED TO IT OFTEN, FOR, THEY WRITE, FOR THE FOLLOWING REASONS: “FOR SELF-CONTROL, TO AVOID TEMPTATION, TO ELUDE GREED, TO CONTROL HIS TEMPER. REPUTATION WAS EVERYTHING TO HIM. IT HAD TO DO WITH HIS STRENGTH, HIS SIZE, HIS COURAGE, HIS HORSEMANSHIP, HIS PRECISE DRESS, HIS THOROUGH MIND, HIS MANNERS, HIS COMPASSION. HE PROTECTED THAT REPUTATION AT ANY COST.” EARNING RESPECT BY EXAMPLE. QUELLING REBELLION WITH A FEW WORDS.

 

HE SETS AN EXAMPLE TODAY FOR THOSE WHO WOULD TAKE ADVANTAGE OF AMERICA’S WEAKNESS AND SEIZE POWER BY OPPORTUNISM. WASHINGTON INSPIRED BY EXAMPLE. HE LIVED WITH HIS TROOPS. HE SHARED HARDSHIPS WITH THEM, AND THERE WAS SO MUCH RESPECT FOR HIM THAT HE WAS ABLE TO TALK THEM OUT OF ARMED REBELLION AT THE END OF THE AMERICAN REVOLUTION.

 

WASHINGTON HAD BEEN ASKED BY THE ARMY TO JOIN THEM TO OVERTHROW THE CONTINENTAL CONGRESS, AND MAKE HIMSELF KING. WASHINGTON HAD BEEN ASKED BY ONE OF THE OFFICERS OF THE REBELS TO JOIN THEM, AND HE WROTE THEM,

 

YOU COULD NOT HAVE FOUND A PERSON TO WHOM YOUR SCHEMES ARE MORE DISAGREEABLE. BANISH THESE THOUGHTS FROM YOUR MIND.

 

HEARING THAT THE REBELS WHO WERE PLANNING INSURRECTION (BACK IN 1783, THEY KNEW WHAT INSURRECTION WAS) AGAINST THE NEW COUNTRY DUE TO PAY BEING  WITHHELD BY THE CONTINENTAL CONGRESS, WASHINGTON RODE TO NEWBURGH, NEW YORK, (NOT FAR FROM WHITE PLAINS, NY,USA) ON MARCH 15, 1783, TO MEET WITH THE DISSIDENT INSURGENTS. WASHINGTON SPOKE TO THE REBELLIOUS GROUP, SAYING,

 

“GENTLEMEN, AS I WAS AMONG THE FIRST WHO EMBARKED IN THE CAUSE OF OUR COMMON COUNTRY; AS I NEVER LEFT YOUR SIDE ONE MOMENT, BUT WHEN CALLED FROM YOU ON PUBLIC DUTY; AS I HAVE BEEN THE CONSTANT COMPANION AND WITNESS OF YOUR DISTRESSES…IT CAN SCARCELY BE SUPPOSED …THAT I AM INDIFFERENT TO YOUR INTERESTS. BUT…THIS DREADFUL ALTERNATIVE, OF EITHER DESERTING OUR COUNTRY IN THE EXTREMEST HOUR OF HER DISTRESS, OR TURNING OUR ARMS AGAINST IT…HAS SOMETHING SO SHOCKING IN IT THAT HUMANITY REVOLTS FROM THE IDEA…I SPURN IT, AS EVERY MAN WHO REGARDS LIBERTY…UNDOUBTEDLY MUST.”

 

THE WOULD-BE REBELS FELL SILENT, DIGESTING WHAT HE HAD SAID. THEN WASHINGTON WITHDREW A LETTER FROM CONGRESS, BUT COULD NOT READ THE TEXT, WITHDRAWING SOME EYEGLASSES FROM HIS TUNIC, REMARKING,

 

“GENTLEMEN, YOU WILL PERMIT ME TO PUT ON MY SPECTACLES FOR I HAVE NOT ONLY GROWN GRAY BUT ALMOST BLIND IN THE SERVICE OF MY COUNTRY.” THE MEN PRESENT WERE REPORTED TO HAVE TEARS IN THEIR EYES AT THIS GESTURE OF WASHINGTON’S AND ABANDONED THEIR PLOT OUT OF RESPECT FOR THEIR LEADER.

 

WASHINGTON RETIRED FROM THE MILITARY, SURPRISING THE ENTIRE NEW COUNTRY. HIS ACTION SURPRISED KING GEORGE III OF ENGLAND, WHO WAS ASTONISHED THAT WASHINGTON HAD REFUSED TO HOLD ON TO HIS MILITARY AUTHORITY AND USE IT FOR POLITICAL OR FINANCIAL GAIN. THE DEFEATED KING OF ENGLAND, REMARKED, “IF TRUE, THEN HE IS THE GREATEST MAN IN THE WORLD.”

 

WASHINGTON WAS. SEEKER OF DIVERSE VIEWS. HOW TO PICK A CABINET. AS PRESIDENT, GEORGE WASHINGTON INVENTED THE PRESIDENTIAL CABINET, WHOM HE REFERRED TO AS “THE FIRST CHARACTERS,” PERSONS WHO POSSESSED THE BEST REPUTATIONS IN FIELDS AND AREAS OF THE JOBS HE WAS FILLING. WASHINGTON SAID ON POLITICAL APPOINTMENTS: “MY POLITICAL CONDUCT AND NOMINATIONS MUST BE EXCEEDINGLY CIRCUMSPECT. NO SLIP INTO PARTIALITY WILL PASS UNNOTICED…”

 

WASHINGTON TOLERATED THE RELENTLESS CLASHES BETWEEN THOMAS JEFFERSON, SECRETARY OF STATE, AND ALEXANDER HAMILTON, SECRETARY OF THE TREASURY, BUT LECTURED THEM ON THE NECESSITY FOR TOLERANCE AND MOVING BEYOND PARTISANSHIP: “I BELIEVE THE VIEW OF BOTH OF YOU ARE PURE, AND WELL MEANT. WHY THEN, WHEN SOME OF THE BEST CITIZENS IN THE UNITED STATES, MEN…WHO HAVE NO SINISTER VIEW TO PROMOTE, ARE TO BE FOUND, SOME ON ONE SIDE, SOME ON THE OTHER…SHOULD EITHER OF YOU BE SO TENACIOUS OF YOUR OPINIONS AS TO MAKE NO ALLOWANCES FOR THOSE OF THE OTHER? I HAVE GREAT ESTEEM FOR YOU BOTH, AND ARDENTLY WISH THAT SOME LINE COULD BE MARKED OUT BY WHICH BOTH OF YOU COULD WALK.”

 

THE CONSTITUTION SHOULD BE PROTECTED WHEN GEORGE WASHINGTON LEFT OFFICE AFTER TWO TERMS, HE MADE A FAREWELL ADDRESS WHICH WARNED FUTURE GENERATIONS OF AMERICANS ABOUT FOREIGN ENTANGLEMENTS AND PARTISANSHIP IN THE REPUBLIC: I SHALL CARRY TO MY GRAVE THE HOPE THAT YOUR UNION AND BROTHERLY AFFECTION MAY BE PERPETUAL; THAT THE CONSTITUTION MAY BE SACREDLY MAINTAINED; AND THAT FREE GOVERNMENT…THE EVER FAVORITE OBJECT OF MY HEART…WILL BE THE HAPPY REWARD OF OUR MUTUAL CARES, LABORS AND DANGERS.”

 

WASHINGTON DIED IN 1800, THREE YEARS AFTER LEAVING OFFICE IN 1797. HE WAS SALUTED ON THE FLOOR OF CONGRESS AS BEING “FIRST IN WAR, FIRST IN PEACE, FIRST IN THE HEARTS OF HIS COUNTRYMEN.” HE WAS THE FIRST AND BEST. THE ULTIMATE ROLE MODEL FOR ANY LEADER,

 

FEBRUARY 22, 2025 IS A DAY THAT TRIES AMERICANS’ SOULS. IT IS HOPED THAT SOME OF OUR “LEADERS” IN WESTCHESTER, IN ALBANY, IN WASHINGTON MIGHT READ THE WORDS I HAVE QUOTED ABOVE AND TAKE THEM TO HEART IN FUTURE DELIBERATIONS.

 

WORK A LITTLE. IT’S NOT ALL ABOUT YOU. IT’S ABOUT DOING WHAT IS BEST FOR US ALL.

 

GEORGE WASHINGTON’S VISION OF HIS COUNTRY IS BEING CHALLENGED BY THOSE WHO KNOW NOT WHAT THEY DO. OR WANT TO DO TO VOICES THAT DISAGREE WITH THEM

 

BUT WE WHO REMEMBER, AND READ THESE WORDS MUST REFOCUS. I HEAR YOU, MR. WASHINGTON, AND WE HEED, SO HELP US GOD.

 

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FEB 21–GOVERNOR HOCHUL “WE’RE KEEPING THE CAMERAS ON.”

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