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03/14/2024 13:45 EDT
The Rhode Island Department of Health (RIDOH) and Rhode Island Attorney General Peter F. Neronha will hold two public meetings on the proposed sale of Roger Williams Medical Center and Our Lady of Fatima Hospital. Each meeting will take place from 4 to 6 p.m. in room 110 of Alger Hall at Rhode...
03/06/2024 17:30 EST
The Rhode Island Department of Health (RIDOH) is advising consumers that a group of ground cinnamon products are being recalled because they contain elevated levels of lead. Prolonged exposure to these products may be unsafe. The products were sold under the brands names: La Fiesta, Marcum, MK,...
02/29/2024 11:30 EST
The Rhode Island Department of Health (RIDOH) is reporting a confirmed case of the tick-borne Powassan virus disease (Powassan) detected in a Rhode Island resident. This resident is a male in his 70s who lives in Kent County. He began experiencing symptoms of Powassan in late January. He is...
02/28/2024 11:00 EST
Today, the Rhode Island Department of Health (RIDOH) and Rhode Island Attorney General Peter F. Neronha announced two public hearings on the proposed sale of Roger Williams Medical Center and Our Lady of Fatima Hospital. The two public hearings will be held on March 19, 2024, and March 26, 2024,
02/07/2024 14:45 EST
The Rhode Island Department of Health (RIDOH) is advising consumers that Rizo-Lopez Foods is recalling several dairy products because they have the potential to be contaminated with Listeria monocytogenes. The recalled products include cheese, yogurt, and sour cream sold under the brand names...
02/07/2024 09:45 EST
The Rhode Island Department of Health (RIDOH) and the Board of the Health Professional Loan Repayment Program (HPLRP) today recognized the 2020-2023 HPLRP award recipients for their service and commitment during one of the most challenging times in healthcare. The event, held at the Rhode Island...
01/29/2024 16:45 EST
Today, the Rhode Island Department of Health (RIDOH) and Rhode Island Attorney General Peter F. Neronha have released the Initial Hospital Conversion application submitted to the State for the proposed sale of Roger Williams Medical Center and Our Lady of Fatima Hospital. The application was...
01/19/2024 16:00 EST
In advance of the extreme cold expected tonight and this weekend, the Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders about ways to stay healthy and safe. Extreme cold can cause hypothermia, frostbite, and can contribute to events like household fires and carbon...
01/05/2024 17:15 EST
With levels of respiratory viruses like the flu and COVID-19 continuing to increase in Rhode Island and across the country, all Rhode Islanders are urged to take prevention measures to help keep themselves and their family members healthy. "As we have seen the last several years, holiday travel,
01/04/2024 14:30 EST
The Rhode Island Department of Health (RIDOH) is advising consumers that Blue Ridge Beef is recalling specific lots of Kitten Mix and Puppy Mix due to contamination of Salmonella and Listeria monocytogenes. Salmonella and Listeria monocytogenes can affect animals eating the products and there is...
01/02/2024 16:15 EST
The Rhode Island Department of Health (RIDOH) is advising consumers that Reckitt/Mead Johnson Nutrition (MJN) is recalling select batches of Nutramigen Powder, a specialty infant formula for the dietary management of cow milk allergies. This product could be contaminated with Cronobacter sakazakii.

2023 News

Preliminary Lists of Top Baby Names in Rhode Island in 2023

2023-12-27

The Rhode Island Department of Health (RIDOH) is sharing preliminary lists of the most popular baby names in Rhode Island in 2023.

Female

1. Charlotte

2. Sophia

3. Olivia

4. Amelia

5. Emma

6. Nora

7. Luna

8. Isabella

9. Mia

10. Isla

Male

1. Noah

2. Liam

3. James

4. Theodore

5. Lucas

6. Michael

7. Julian

8. Benjamin

9. Henry

10. Luca

In 2022, the three most popular female names were Charlotte, Amelia, and Isabella. The three most popular male names in 2022 were Liam, Noah, and Owen.

RIDOH's Center for Vital Records finalizes the prior year's birth data by the end of February.

Governor McKee Highlights 2023 Rhode Island Department of Health Accomplishments: Promoting Healthy Lifestyle, Ensuring Safe Food and Drinking Water, Preventing Chronic Disease

2023-12-27

In a year full of public health successes, the Rhode Island Department of Health (RIDOH) put interventions in place throughout the State in 2023 to promote healthy lifestyle changes, ensure the safety of food and drinking water, promote emergency preparedness, perform infectious disease and chronic disease prevention and control, and promote maternal and child health, to name only a few focus areas.

"A healthier Rhode Island is a more resilient, prosperous, and equitable Rhode Island. This belief is driving our administration and the team at RIDOH to make critical public health services available in every city and town throughout the state," said Governor Dan McKee. "RIDOH's achievements over the last 12 months run the gamut from community-centered chronic disease prevention work to interventions that are preventing overdoses and saving lives. The team at RIDOH has a lot of momentum headed into 2024, and I'm looking forward to supporting their great work."

"While the expertise of RIDOH was on full display throughout the COVID-19 pandemic, we work every day – often behind the scenes – to make Rhode Island a healthier place to live, work, and play," said Utpala Bandy, MD, MPH, Interim Director of Health. "We do this with a specific commitment to health equity, and to ensuring that every Rhode Islander has an equal opportunity to be healthy and thrive. We are proud of all we did during 2023 and look forward to another year of collaboration with our partners to promote health and wellbeing throughout Rhode Island in 2024."

Specific examples of RIDOH's successes in 2023 include:

Rhode Island continued to be a national leader in adolescent immunizations. Rhode Island teens were at or above the national average for every recommended vaccine type. For example, Rhode Island has the nation's highest rate for 13 to 17-year-olds who are up to date on their human papillomavirus (HPV) vaccines. For Tdap vaccination (protecting against tetanus, diphtheria, and pertussis), 95.1% of Rhode Islanders 13-17 years old have had at least one dose, compared to 89.9% of adolescents in this age group nationally.

Substantial construction happened on the site of the new Life Sciences Hub in Providence's Innovation and Design District. This site will include a new, 80,000-square-foot State Health Laboratory, as well as life science laboratories for Brown University and additional bio-technology space. The new facility is expected to be ready for occupancy in 2025.

RIDOH coordinated the testing of drinking water from public water systems in Rhode Island for a group of harmful chemicals called per- and polyfluorinated substances (PFAS) [r20.rs6.net [r20.rs6.net]]. In addition to doing public education on these emerging contaminants, RIDOH is partnering with public water systems that exceeded a new Rhode Island PFAS threshold on corrective actions. RIDOH has also launched a program for testing drinking water in Rhode Island public schools for lead.

As part of efforts to prevent overdoses and save lives, RIDOH activated an enhanced system to track non-fatal overdoses throughout the State daily and to get text message alerts out into the community in real-time. These alerts go to first responders and other healthcare professionals, harm reduction organizations, local leaders, and residents in impacted areas. Using this data system, mobile outreach teams deploy peers with lived experience to overdose hotspots each week to connect at-risk populations to treatment, recovery, and harm-reduction services.

To address the growing need for behavioral healthcare, RIDOH initiated the application and supported the process to have Rhode Island added to the Psychology Interjurisdictional Compact (PSYPACT). Psychologists in any of the other PSYPACT states can now apply to provide telepsychology services to patients in Rhode Island. (And Rhode Island psychologists in the program can provide these services to patients in other states.)

Within hours of being notified of a case of meningococcal meningitis, a serious and sometimes fatal illness, RIDOH organized a clinic to make doses of post-exposure prophylaxis medication available to this person's immediate contacts. Getting this medication to contacts is critical to preventing severe illness, particularly for at-risk populations. Almost 80% of the patient's approximately 100 close contacts received this post-exposure prophylaxis medication, an exceptional acceptance rate. This response was a collaboration between RIDOH's Center for Acute Infectious Disease Epidemiology, RIDOH's Center for Emergency Preparedness and Response, and many other teams throughout the Department.

RIDOH took swift regulatory action requiring the out-of-state owner of Roger Williams Medical Center and Our Lady of Fatima Hospital to do more to support these two Rhode Island hospitals. An Immediate Compliance Order was issued to the owner, Prospect Medical Holdings and its corporate parents, after a thorough, extensive review by RIDOH's Center for Health Facilities Regulation and monitoring by RIDOH's Office of Health Systems Development.

Rhode Island is one of only a few states in the nation that does not have local health departments providing services and shaping public health policy at the local level. This makes the scope of RIDOH extremely broad, and results in close partnerships between RIDOH and healthcare professionals, healthcare facilities, community partners, schools, and local, state, and federal offices, among others.

RIDOH's various functions and programs are organized in the following units:

- Division of Community Health and Equity

- Division of Emergency Preparedness and Infectious Disease

- Division of Environmental Health

- Health Equity Institute

- Division of Healthcare Quality and Safety

- Division of Policy, Information and Communications

- Office of Policy, Planning, and Strategy

- Division of State Laboratories

- Office of Workforce Development and Engagement

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae

2023-12-22

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the recreational advisories at Waterman Reservoir in Glocester/Greenville, Little Pond in Warwick, Blackamore Pond in Cranston, and Indian Lake in South Kingstown. The recreational advisories were associated with high levels of blue-green algae, also known as cyanobacteria. Almy Pond in Newport, Roger Williams Park Ponds in Providence, J.L. Curran Upper Reservoir, Spectacle Pond, and Mashapaug Pond in Cranston remain under advisory due to continued visual evidence of blue-green algae.

Blue-green algae are generally less active as seasonal changes reduce light and temperature in the winter. However, the possibility of recurring blooms and/or toxins represent potential risks, even in iced-over conditions.

DEM monitoring has ended for the year. Regardless of season, the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating scum. Blue-green algae blooms may look like green paint or thick pea soup.

For more information and a list of historical advisories, visit http://www.dem.ri.gov/bluegreen. DEM still encourages the public to send reports of suspected blue-green algae blooms, along with photographs, if possible, to DEM.OWRCyano@dem.ri.gov.

Quaker Recalls Granola Bars and Granola Cereals Due to Possible Health Risk

2023-12-18

The Rhode Island Department of Health (RIDOH) is advising consumers that the Quaker Oats Company is recalling specific granola bars and granola cereals because they have the potential to be contaminated with Salmonella.

Most of the granola bars were sold as Quaker Big Chewy Bars. Recalled granola bars were included in many snack boxes.

Salmonella is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting, and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses, such as arterial infections (i.e., infected aneurysms), endocarditis, and arthritis.

To date, Quaker has received no confirmed reports of illness related to the products covered by this recall.

RIDOH and RIAG Deem The Centurion Foundation HCA Application Complete

2023-12-14

Today, Rhode Island Department of Health (RIDOH) Interim Director Utpala Bandy, MD, MPH and Rhode Island Attorney General Peter F. Neronha, the two State regulators empowered to oversee hospital conversions in Rhode Island, notified the parties involved in the proposed hospital conversions of Roger Williams Medical Center and Our Lady of Fatima Hospital in a letter (attached) that their application has been deemed complete to initiate formal review.

The two hospitals are operated by CharterCARE, which is currently owned by Prospect Medical Holdings. The proposed transaction would sell the CharterCARE hospital system to The Centurion Foundation, a Georgia-based non-profit company.

The Attorney General and RIDOH will now have 180 days to review the application under the Hospital Conversions Act (HCA), before issuing their respective decisions. Consistent with the standard process set forth by statute, the Attorney General's Office will make the application public in mid-January after completing a full review to protect confidential information of the transacting parties, in accordance with the provisions of the HCA. The review process will also include public comment meetings and hearings.

Under the HCA, transacting parties seeking the transfer of ownership of a hospital must first complete an Initial Application which is filed with the Office of the Attorney General and the RIDOH. Following review of the submission from Prospect Medical Holdings and The Centurion Foundation, the Attorney General and RIDOH determined that the submitted materials contain sufficient information necessary for the State to initiate its review under the HCA.

Ambulances Recommended for Pregnant People in the East Bay / Se recomienda el uso del servicio de ambulancias para personas embarazadas que viven en East Bay

2023-12-13

The Rhode Island Department of Health (RIDOH) is recommending that ambulances be used by pregnant people in the East Bay who are in labor and who, after consulting with their healthcare professional, need to get to a medical facility west of the Washington Bridge immediately. The Washington Bridge carries 195 between East Providence and Providence. People can contact an ambulance by calling 911.

This recommendation is being made because of current traffic disruptions on the Washington Bridge. Currently, emergency vehicles (including ambulances) can travel westbound on the bridge. Personal vehicles are not currently permitted to travel westbound on the Washington Bridge.

RIDOH will provide additional updates as traffic patterns over the bridge change.

El Departamento de Salud de Rhode Island (RIDOH por sus siglas en inglés) recomienda que las personas embarazadas que viven en East Bay utilicen el servicio de ambulancias cuando estén en trabajo de parto y que, después de consultar con su profesional de atención médica, necesiten llegar inmediatamente a un centro médico al oeste del Puente Washington. El Puente de Washington es el tránsito de la interestatal 195 entre East Providence y Providence. Las personas pueden comunicarse para el servicio de ambulancias llamando al 911.

Esta recomendación se hace debido a las actuales interrupciones del tráfico en el Puente de Washington. Actualmente, los vehículos de emergencia (incluidas las ambulancias) pueden transitar por el Puente de Washington en dirección oeste pero no se permite el tránsito en dirección oeste de los vehículos personales.

RIDOH proporcionará actualizaciones adicionales a medida que cambien las recomendaciones de tráfico sobre el puente.

Rhode Islanders Urged to Get Vaccinated Before Seasonal Travel and Gatherings

2023-12-11

The Rhode Island Department of Health (RIDOH) is reminding anyone who will be traveling for the holidays or plans to attend holiday gatherings to get vaccinated now against common respiratory viruses. Large gatherings, crowded travel, and more time indoors can mean more viruses spreading this time of year.

Everyone older than six months of age should get a flu shot every year. The 2023-2024 COVID-19 vaccine is also recommended for everyone older than six months of age. It can take up to two weeks after vaccination for antibodies to develop and provide people with protection against viruses like COVID-19 and the flu. Vaccination is particularly important for older adults and people with underlying health issues, including weakened immune systems, diabetes, obesity, asthma, cancer, and heart or lung disease.

"Holiday cheer is in the air. Unfortunately, so are respiratory viruses," said Interim Director of Health Utpala Bandy, MD, MPH. "If you plan to see people for New Year's or attend a holiday party with family, friends, or colleagues this month, now is the best time to get vaccinated, if you have not been vaccinated already. In addition, if you are sick, stay home to avoid putting others at risk. This is particularly true if you were planning to see any older adults or people with underlying health issues."

Flu vaccine and COVID-19 vaccine are available throughout Rhode Island at pharmacies, the offices of many primary care providers, and community health centers. These vaccines are also available at community clinics. These clinics are being held in the late afternoon and evening at schools and are open to the entire community. To register, go to http://covid.ri.gov/vaccination and click "Community Clinic Registration." People can register for either COVID-19 vaccine (available at these clinics for people ages 5 and older), flu vaccine (available at these clinics for people ages 3 and older), or both vaccines. It is safe to receive both vaccines at the same visit. There is no insurance requirement and no cost for vaccination. People can get the 2023-2024 COVID-19 vaccine even if they have not received a COVID-19 vaccine in the past.

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In addition to flu vaccine and COVID-19 vaccine, many people are eligible for respiratory syncytial virus (RSV) vaccine, including pregnant people, infants under eight months, eligible children 8-19 months at increased risk, and many people 60 and older. Talk to your healthcare provider about RSV vaccination if you are in one of these groups.

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Additional information about preventing respiratory viruses?

-- Stay home when you are sick. Stay home for at least 24 hours after a fever is gone. Temperature should be measured without the use of fever-reducing medicines (medicines that contain ibuprofen or acetaminophen). Avoid contact with others, especially older adults and people with underlying health conditions, if you are sick.??

-- Wash your hands regularly throughout the day using soap for at least 20 seconds. If soap and water are not readily available, use a hand sanitizer with at least 60% alcohol to clean your hands.?Hand washing is especially important after touching your eyes, nose, or mouth; after leaving a public place; after touching objects or surfaces that may be frequently touched, such as door handles, light switches, and tables.??

-- Cover your mouth and nose with a tissue when you cough or sneeze. If you don't have a tissue, cough or sneeze into your elbow, not your hands. Always wash your hands as soon as you can after you cough or sneeze.?

-- Get tested for COVID-19 if you have any of the classic symptoms, like fever or chills, a runny nose, a cough, achiness, or loss of taste or smell. If you or someone you live with tests positive for COVID-19, there are steps you can take to prevent spreading the virus to others and protect yourself from getting very sick. The Isolation Calculator can help you determine how long you should stay home and isolate away from others. Learn more about doctor-recommended treatments for COVID-19 that can keep you from getting sicker and being hospitalized.

For additional information about preventing respiratory viruses can be found at: http://health.ri.gov/respiratoryviruses

Chicken Fried Rice Products Recalled

2023-12-07

The Rhode Island Department of Health (RIDOH) is advising consumers that Garland Ventures is recalling 13,842 pounds of ready-to-eat chicken fried rice products that may be contaminated with Listeria monocytogenes.

The chicken fried rice products were produced on November 10, 2023. Specifically, the product is in 12-oz. trays containing Freshness Guaranteed brand "CHICKEN FRIED RICE DICED CHICKEN MEAT WITH VEGETABLES AND RICE IN A SAVORY SOY SAUCE" with lot code WK10CFR and a best if used by date of 11/10/2024 on the label. The products subject to recall bear the establishment number "EST. P-31993" inside the USDA mark of inspection. These items were shipped to retail locations nationwide.

There have been no confirmed reports of adverse reactions due to consumption of these products. Anyone concerned about an injury or illness should contact a healthcare professional.

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection primarily affecting older adults, people with weakened immune systems, and pregnant women and their newborns. Less commonly, persons outside these risk groups are affected. Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. People in higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell a healthcare professional about eating the contaminated food.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Tiogue Lake

2023-12-05

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Tiogue Lake in Coventry.

The advisory related to high levels of blue-green algae, also known as cyanobacteria. Recent consecutive surveys confirmed that there was no visual evidence of a bloom. These findings meet the advisory guidelines and support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Tiogue Lake again or other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible. To report suspected blue-green algae blooms, contact RIDEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov

RIDOH and DEM Recommend Lifting Restrictions for Blue-Green Algae in Melville Ponds and Carbuncle Pond

2023-11-28

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Upper and Lower Melville Ponds in Portsmouth and Carbuncle Pond in Coventry. The advisories were related to high levels of blue-green algae, also known as cyanobacteria.

Recent consecutive surveys confirmed that blue-green algae have been present but at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet the advisory guidelines and support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect other water bodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact RIDEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov

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Nurse Assist Recalling Saline and Sterile Water Medical Products

2023-11-22

The Rhode Island Department of Health (RIDOH) is advising consumers, healthcare professionals, and healthcare facilities that Nurse Assist is recalling certain saline (0.9% sodium chloride) and sterile water medical products due to the potential for a lack of sterility assurance. The products may not be sterile.

Nurse Assist is recalling:

- 0.9% Sodium Chloride Irrigation USP (100 mL bottles, 250 mL bottles, 500 mL bottles, 1000 mL bottles, 3.1oz spray can, 7.1oz spray can, 3mL syringes, 5mL syringes, and 10mL syringes);

- Sterile Water for Irrigation USP (100 mL bottles, 250 mL bottles, 500 mL bottles, 1000 mL bottles, 120 mL cups, 10mL syringes, and 30mL syringes).

These products were sold under the following brands: Nurse Assist, Cardinal, Covidien, Halyard Owens Minor, Idexx, Mac Medical, McKesson, Medichoice Owens Minor, Medline, Sol, SteriCare, Trudell, and Vyaire. The recalled products may be available as individual units or may be included as part of a kit.

Additional product information is available online (see link below).

Blue-Green Algae Bloom at Indian Lake

2023-11-21

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Indian Lake in South Kingstown due to blue-green algae (or cyanobacteria) blooms in the ponds.

Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in the lake by the RIDOH State Health Laboratories from water samples collected by the DEM. All recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest water or eat fish from the pond. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. People should not rake weeds or plants out of the waterbody. If you are raking leaves in your lawn, please be sure to compost responsibility and far from the waterbody. Decomposing leaves and plant matter can increase nutrients and trigger unwanted algae blooms, these algae can consume oxygen which causes fish kills. Contact your city or town to find out the best way to dispose of yard waste.

The advisory will remain in effect until further notice. Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomachache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider. If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen

RIDOH Issues Reminder About Proper Use of Antibiotics

2023-11-20

As a part of on-going efforts to combat antibiotic resistant bacteria, the Rhode Island Department of Health (RIDOH) is reminding Rhode Islanders about the importance of using antibiotics properly. People should only use antibiotics when they are truly necessary, and antibiotics should be used exactly as they are prescribed.

Antibiotics save lives, but any time antibiotics are used, they can cause side effects and can lead to antibiotic resistance. Antibiotic resistance is one of the most urgent public health threats in the US today. Antibiotic resistance does not mean the body is becoming resistant to antibiotics; it means bacteria develop the ability to defeat the antibiotics designed to kill them. When bacteria become resistant, antibiotics cannot fight them, and the bacteria multiply. Some resistant bacteria can be hard or impossible to treat and can spread to other people.

According to the Centers for Disease Control and Prevention (CDC), more than 2.8 million antibiotic-resistant infections occur in the US each year, and more than 35,000 people die as a result.

"When someone takes the time out of their day to go to the doctor, they want to walk out with a prescription that is going to make them feel better. But antibiotics are not always the answer," said Interim Director of Health Utpala Bandy, MD, MPH. "In fact, they can sometimes make things even worse. By taking antibiotics when not appropriate, people put themselves at risk for serious side effects while also undermining our ability to use antibiotics as a life-saving tool for future generations."

Public health officials throughout the country and worldwide are taking similar measures to educate the public this week, during Antibiotic Awareness Week November 18-24. Governor Dan McKee has issued a proclamation declaring Nov. 18-24, 2023 as Antibiotic Awareness Week in Rhode Island.

CDC and RIDOH encourage patients and families to:

-- Get the facts about antibiotics. Antibiotics do not work on viruses, such as those that cause COVID-19, RSV, colds, flu, bronchitis, or runny noses, even if the mucus is thick, yellow, or green.

-- Ask your doctor, nurse, or pharmacist about alternatives to antibiotics.

-- While your body fights off a virus, pain relievers, fever reducers, saline nasal spray or drops, warm compresses, liquids, and rest can help you feel better.

-- If you need antibiotics, take them exactly as prescribed. Talk with your doctor if you have any questions about your antibiotics.

-- Do your best to stay healthy and keep others healthy by washing hands, covering coughs, staying home when sick, and getting recommended vaccines, such as the flu, COVID-19, and RSV vaccines.

-- Do not share prescription medications.

In addition to these action steps, talk with your healthcare provider if you develop any side effects from an antibiotic. Common side effects of antibiotics can include rash, dizziness, nausea, diarrhea, or yeast infections. It is particularly important to talk to a healthcare provider if you experience severe diarrhea after taking an antibiotic. Severe diarrhea could be an indication of Clostridioides difficile (C. difficile or C. diff) infection, which needs to be treated. November is also C. Diff Awareness Month.

In addition to the impact on patient health, C. diff rates have a financial impact on hospitals under Medicare's Healthcare-Acquired Condition (HAC) Reduction and Value-Based Purchasing Programs. To help reduce these healthcare-acquired infections, RIDOH's Antimicrobial Stewardship and Environmental Cleaning Task Force has developed the CDI Playbook for Rhode Island healthcare providers and facilities.

"I commend the RIDOH's Antimicrobial Stewardship and Environmental Cleaning Task Force—a devoted team of nurses, pharmacists, and physicians. Together we crafted a playbook for Rhode Island's hospitals, aiding in the remarkable shift from ranking 51 out of 52 states in C. difficile rates to becoming a top-ten state with the lowest C. difficile lab test detection" said Kerry L. LaPlante, PharmD., Professor and Chair of Pharmacy Practice and Clinical Research at the University of Rhode Island, and Chair of RIDOH's Antimicrobial Stewardship, and Environmental Task Force. "This transformation reflects our unwavering dedication and strategic interventions, showcasing the impactful collaboration of a dedicated group in shaping a healthier future for Rhode Island."

More information and videos can be found at http://health.ri.gov/antibiotics and cdc.gov/antibiotic-use [cdc.gov].

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HMC Farms Recalls Whole Peaches, Plums, and Nectarines

2023-11-20

The Rhode Island Department of Health (RIDOH) is advising consumers that HMC Farms is recalling peaches, plums, and nectarines sold in retail stores between May 1 and November 15, 2022, and between May 1 and November 15, 2023.

The fruit is being recalled because it has the potential to be contaminated with Listeria monocytogenes, an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain, and diarrhea. Listeria infection can cause miscarriages and stillbirths among pregnant women.

The recalled fruit was distributed nationwide and sold at retail stores. This recall includes only conventionally grown fruit. No organic fruit is being recalled.

The recalled peaches have been linked to an outbreak of Listeriosis that has resulted in eleven illnesses.

Although the recalled fruit is no longer available in retail stores, consumers may have frozen the recalled fruit at home for later use. Consumers are urged to check their freezers for the recalled fruit, not consume it, and discard it.

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RIDOH and DEM Recommend Lifting Restrictions for Blue-Green Algae in Worden Pond

2023-11-17

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Worden Pond in South Kingstown. The advisory related to high levels of blue-green algae, also known as cyanobacteria.

Recent consecutive surveys and sample analysis confirmed that blue-green algae is not present in detectable concentrations. These findings meet the advisory guidelines and support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Worden Pond again, or other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov

State House Dome to Shine a Green Light on Injury Prevention

2023-11-17

In support of National Injury Prevention Day on November 18, Rhode Island will join other states around the country in "shining a light" on efforts to stop injuries and violence—the number one cause of death and hospitalization nationally for people ages 1 to 44. Tomorrow will be the first time the Rhode Island State House dome will be lit green as a commitment to addressing injuries and violence.

"All of us, at every stage of life, can act to prevent injuries and violence. For some, injury prevention means safe sleep practices, putting children in car seats, fastening seatbelts, and wearing bike helmets. For some other folks, it may mean fall prevention strategies or safe firearm storage," said Utpala Bandy, MD, MPH, Interim Director of the Rhode Island Department of Health (RIDOH). "We can all take steps to make our homes and communities safer places to live."

RIDOH's Violence and Injury Prevention Program and partners are working to address all forms of injury and violence. Examples of projects include fall prevention initiatives; suicide prevention campaigns aimed at youth and Veterans; sexual violence prevention; and transportation safety. Earlier this year, Rhode Island was awarded $915,000 in federal funds from the Centers for Disease Control and Prevention (CDC) to develop a coordinated, data-driven suicide prevention program for higher-risk populations.

Falls remain the most common injury sending Rhode Islanders to the emergency department (ED). Falls are also common causes of inpatient hospital admissions.

"Older adults can reduce the risk of falls by staying physically active, removing tripping hazards at home, keeping living spaces well lit, and using grab bars and railings," said Tosin Ojugbele, MD, MPH, the Medical Director of RIDOH's Division of Community, Health, and Equity. "These steps can be part of a falls prevention strategy that you discuss with your health professional, who can help you assess your risk."

Data on injuries:

- Data from 2016 to 2022 indicate that while annual ED visits for injuries have decreased from nearly 87,000 to nearly 63,000, disparities persist. Black non-Hispanic people and Hispanic people continue to have higher rates of injury-related ED visits compared to White people.

- Common injury-related causes of ED visits after falls, include being struck by an object, motor vehicle-related injuries, assaults, and traumatic brain injury. Rhode Island data from 2022 show that females have higher fall rates compared to males. However, males have higher rates of being struck by an object, motor vehicle/traffic-related injuries, and assault.

- While Rhode Island has one of the lowest rates of suicide deaths per 100,000 population in the country, suicide is the second-leading cause of death for those ages 10-34 and the eleventh-leading cause of death among all Rhode Island residents.

Organized by the Injury Free Coalition for Kids and its partners, the fourth annual National Injury Prevention Day aims to raise awareness about the effects of injury and violence on the public's health, as well as actions needed to build safer communities. Partners include Safe Kids Worldwide, Safe States Alliance, the American Trauma Society, the American Academy of Pediatrics, Be SMART—a program of Everytown for Gun Safety Support Fund, the Society for Advancement of Violence and Injury Research, the Trauma Center Association of America, and JPMA Cares.

For more information and resources on violence and injury prevention, visit http://health.ri.gov/violence.

If you or someone you know is struggling or in crisis, help is available. Call or text 988 or chat 988lifeline.org [988lifeline.org]. If someone is in immediate danger, call 911.

Arruda's Dairy Farm Recalls Select Lots of Eggnog

2023-11-17

The Rhode Island Department of Health (RIDOH) is advising consumers that Arruda's Dairy Farm, based out of Tiverton, has issued a voluntary recall for select lots of eggnog out of an abundance of caution due to improper pasteurization.

The affected products were distributed to limited stores in Rhode Island and Massachusetts. All stores have been notified, and products have been removed from retail shelves to protect public health. Consumers are strongly urged to dispose of any product remaining in their refrigerators.

Affected products include Arruda's Dairy Farm Eggnog with best buy dates of 11/25/2023 and 12/09/2023.

During a routine inspection conducted by RIDOH, pasteurization records indicated that the pasteurization did not reach the required temperature for select lots of eggnog. Since these pasteurization charts are the primary record of pasteurization, Arruda's Dairy Farm is performing a voluntary recall.

Pasteurization involves heating liquids to a specific temperature for a set period of time to kill harmful bacteria. Bacteria can grow in unpasteurized or improperly pasteurized products and cause illness.

There have been no illnesses reported to date. Arruda's Dairy Farm has identified the cause of the issue, and corrective actions have been taken to resolve the matter.

Consumers with questions may contact Arruda's Dairy Farm at 401-624-8898.

RIDOH and DEM Recommend Lifting Restrictions for Blue-Green Algae in Slack and Wenscott Reservoir

2023-11-14

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Slack Reservoir in Smithfield and Wenscott Reservoir in North Providence. The advisories were related to high levels of blue-green algae, also known as cyanobacteria.??

Recent consecutive surveys and sample analysis confirmed that blue-green algae is not present in detectable concentrations. These findings meet the advisory guidelines and support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Slack Reservoir and Wenscott Reservoir again or other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.?

To report suspected blue-green algae blooms, contact RIDEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov?

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Dog Food and Cat Food Recalled

2023-11-10

The Rhode Island Department of Health (RIDOH) is advising consumers that Mid America Pet Food is recalling dog and cat food with Best By Dates before 10/31/24. The recalled products were distributed under the brand names Victor Super Premium Dog Foods, Wayne Feeds Dog Food, Eagle Mountain Pet Food, and Member's Mark. A full list of the recalled products is available online (see link below).

The recalled products may be contaminated with Salmonella. Salmonella can affect animals eating the products, and there is risk to humans from handling contaminated pet products, especially if they have not thoroughly washed their hands after having contact with the products or any surfaces exposed to these products.

Healthy people infected with Salmonella should monitor themselves for some or all of the following symptoms: nausea, vomiting, diarrhea or bloody diarrhea, abdominal cramping and fever. Rarely, Salmonella can result in more serious ailments, including arterial infections, endocarditis, arthritis, muscle pain, eye irritation, and urinary tract symptoms. Consumers exhibiting these signs after having contact with this product should contact their healthcare providers. Children, the elderly, and individuals with compromised immune systems may be at greater risk of Salmonella infection.

Pets with Salmonella infections may be lethargic and have diarrhea or bloody diarrhea, fever, and vomiting. Some pets will have may only exhibit decreased appetite, fever, and abdominal pain. Infected but otherwise healthy pets can be carriers and infect other animals or humans. If your pet has consumed the recalled product and has these symptoms, please contact your veterinarian.

The Best By Date is found on the middle top of the back of each bag. This recall is being issued due to some of the product lots testing positive for Salmonella through random and targeted sampling of finished product, including by the firm and the South Carolina Department of Agriculture

As of November 1, 2023, seven people reported Salmonella infections.

Do not feed the recalled product to pets or any other animals. Destroy the food in a way that children, pets, and wildlife cannot access. Wash and sanitize pet food bowls, cups, and storage containers. Always ensure that you wash and sanitize your hands after handling recalled food or any utensils that come in contact with recalled food.

For more information, people can contact Mid America Pet Food Consumer Affairs at 1-888-428-7544.

RIDOH Issues Compliance Order to Owners of Roger Williams and Fatima Hospitals

2023-11-09

The Rhode Island Department of Health (RIDOH) issued an Immediate Compliance Order today requiring the owners of Roger Williams Medical Center and Our Lady of Fatima Hospital to ensure the continuity of health services and care at the facilities by acting immediately to stabilize the two facilities financially.

This Immediate Compliance Order was issued to the California-based Prospect Medical Holdings and related entities after a thorough, extensive review by RIDOH determined that Prospect's underfunding of the hospitals is impacting operations. For example, in October 2023, at least 19 elective surgeries at the facilities were canceled because the proper equipment and supplies were not available because of non-payment to vendors. These latest issues are part of a pattern of Prospect Medical Holdings engaging in non-compliance and creating delays in making required disclosures of financial information.

The Immediate Compliance Order requires the owners to hire an independent Fiscal Monitor and cover all operating costs of the hospitals, as determined by that Fiscal Monitor. Prospect also must create a "cash on hand" escrow account to ensure the stability of the facilities, and have an independent Operations Monitor on site who will report to RIDOH daily. The Compliance Order includes many additional, stringent requirements in the areas of finance, operations, and oversight.

"The healthcare providers at Roger Williams Medical Center and Our Lady of Fatima Hospital are amongst the best in the state. People receive very high-quality care at these hospitals," said Interim Director of Health Utpala Bandy, MD, MPH. "However, these facilities need more consistent support from their corporate owners. The action we took today will ensure immediate accountability and get the hospitals on sounder footing. This is critical for the state as a whole, and for the communities these facilities serve as safety net hospitals."

While Rhode Island law requires hospitals to maintain local governing bodies, much of the financial decision-making for these two hospitals happens in California. Prospect Medical Holdings sweeps all patient care revenue from Roger Williams and Fatima every day and then returns an operating allowance back to the hospitals once a week. The amounts of these allowances vary and are determined by Prospect Medical Holdings. The amounts of these allowances are inadequate to pay vendors in a timely manner, leading to interruptions in services.

A RIDOH investigation revealed that, as of October 24, more than 250 of the hospitals' approximately 830 vendors were operating with the hospitals on a "cash on demand" basis. This means they only deliver supplies if they are paid at the time of delivery. This is generally reserved for payors with a history of non-payment. The average time it takes the hospitals to pay bills ("days payable outstanding," or DPO), was in excess of the 90-day limit set when the acquisition of the facilities was approved in 2021.

Unpaid vendors have included suppliers of hip joints, catheters, endoscopes, and eye lenses. The procedures that were canceled included endoscopies, eye surgeries, and a spinal surgery. There is no indication that issues with vendors ever prevented emergency procedures from being performed.

Among other requirements, the Immediate Compliance Order requires Prospect Medical Holdings to:

- Retain a third-party Fiscal Monitor for six months. This person will immediately determine the average monthly operational expenses for the hospitals and create a plan to ensure that the DPO for all vendors is less than 90 days. The Fiscal Monitor will report to RIDOH weekly on the progress of vendor accounts and the general fiscal standing of the hospitals.

- Retain a third-party Operations Monitor for six months. This person will be charged with doing an assessment of the extent to which vendor non-payment has previously impacted patient care and resulted in canceled surgeries. This person will report to RIDOH daily on census numbers at the hospitals, as well as on staffing and any procedure cancellations.

- Provide funding over and above the weekly allowances to the hospitals to cover all operational expenses.

- Create and fund a separate "cash on hand" escrow account equaling 30 days of average daily operational expenses for the sole use of operations at the hospitals. This account will be maintained by a RIDOH-approved escrow agent, located in Rhode Island.

In addition to these requirements, the Immediate Compliance Order states that RIDOH reserves the right to order a cease and desist on the daily sweeping of patient care revenue from the hospitals to the parent company in California.

Add Vaccination to Your Holiday Season To-Do List

2023-11-09

The Rhode Island Department of Health (RIDOH) is urging people to get vaccinated now as part of their planning for Thanksgiving gatherings with family and friends.

Everyone older than six months of age should get a flu shot every year. The 2023-2024 COVID-19 vaccine is also recommended for everyone older than six months of age. These vaccines are particularly important for older adults and people with underlying health issues, including weakened immune systems, diabetes, obesity, asthma, cancer, and heart or lung disease.

"It can take up to two weeks after vaccination for antibodies to develop and provide you with protection against viruses like COVID-19 and the flu. If you plan to see people on Thanksgiving and other holidays over the coming weeks, now is the best time to get vaccinated," said Interim Director of Health Utpala Bandy, MD, MPH. "If you are not feeling well around the holidays, you should avoid gatherings. This is particularly true if you were planning to see any older adults or people with underlying health issues."

Flu vaccine and COVID-19 vaccine are available throughout Rhode Island at pharmacies, the offices of many primary care providers, and community health centers. These vaccines are also available at community clinics. These clinics are being held in the late afternoon and evening at schools and are open to the entire community. To register, go to http://covid.ri.gov/vaccination and click "Community Clinic Registration." People can register for either COVID-19 vaccine (available at these clinics for people ages 5 and older), flu vaccine (available at these clinics for people ages 3 and older), or both vaccines. It is safe to receive both vaccines at the same visit. There is no insurance requirement and no cost for vaccination. People can get the 2023-2024 COVID-19 vaccine even if they have not received a COVID-19 vaccine in the past.

In addition to flu vaccine and COVID-19 vaccine, many people are eligible for respiratory syncytial virus (RSV) vaccine, including pregnant people, infants under eight months, eligible children 8-19 months at increased risk, and many people 60 and older. Talk to your healthcare provider about RSV vaccination if you are in one of these groups.

Additional information about preventing respiratory viruses:

- Stay home when you are sick. Stay home for at least 24 hours after a fever is gone. Temperature should be measured without the use of fever-reducing medicines (medicines that contain ibuprofen or acetaminophen). Avoid contact with others, especially older adults and people with underlying health conditions, if you are sick.

- Wash your hands regularly throughout the day using soap for at least 20 seconds. If soap and water are not readily available, use a hand sanitizer with at least 60% alcohol to clean your hands. Hand washing is especially important after touching your eyes, nose, or mouth; after leaving a public place; after touching objects or surfaces that may be frequently touched, such as door handles, light switches, and tables.

- Cover your mouth and nose with a tissue when you cough or sneeze. If you don't have a tissue, cough or sneeze into your elbow, not your hands. Always wash your hands as soon as you can after you cough or sneeze.

- Get tested for COVID-19 if you have any of the classic symptoms, like fever or chills, a runny nose, a cough, achiness, or loss of taste or smell. If you or someone you live with tests positive for COVID-19, there are steps you can take to prevent spreading the virus to others and protect yourself from getting very sick. The Isolation Calculator can help you determine how long you should stay home and isolate away from others (see link below). Learn more about doctor-recommended treatments for COVID-19 that can keep you from getting sicker and being hospitalized.

Blue-Green Algae Bloom at Worden Pond, Tiogue Lake, and J.L Curran Upper Reservoir

2023-11-06

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Worden Pond in South Kingstown, Briar Point Beach on Tiogue Lake in Coventry, and J.L Curran Upper Reservoir in Cranston, due to blue-green algae (or cyanobacteria) bloom in the ponds.

Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in the pond by the RIDOH State Health Laboratories from water samples collected by DEM. All recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest water or eat fish from the pond. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice. Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomachache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins.

People who have had contact with these ponds and experience those symptoms should contact their healthcare provider. If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen

Tips for a Healthy and Safe Halloween

2023-10-30

The Rhode Island Department of Health (RIDOH) is reminding Rhode Islanders about Halloween safety precautions.

Halloween street smarts:

- Always accompany young children on their trick-or-treating rounds. Research shows that evenings from 6 p.m. to 9 p.m. are the riskiest times of day for child pedestrians.

- If your older children are trick-or-treating without you, plan and review a route that is acceptable to you. Agree on a specific time when they should return home.

- Older children should travel in groups and create a "buddy system."

- Talk with kids about the risks of distracted walking. This includes texting, talking on or looking at a phone, and listening to music.

- Cross the street as a group at crosswalks.

- Stay on well-lit streets and always use the sidewalk. If no sidewalk is available, walk at the far edge of the roadway facing traffic.

- Caution kids to never enter a home or a car for a treat.

Costume safety tips:

- Plan costumes that are bright and reflective. Consider adding reflective tape or striping to costumes and trick-or-treat bags for greater visibility.

- Look for "flame resistant" on the costume labels. Wigs and accessories should also clearly indicate this.

- Hats should fit properly to prevent them from sliding over eyes and blocking vision.

- Consider non-toxic makeup and decorative hats as safer alternatives to masks.

- Do not use decorative contact lenses without an eye exam and a prescription from an eye care professional.

Healthy Halloween tips:

- Consider offering non-edible goodies to trick-or-treaters (such as spider rings, vampire fangs, pencils, or bubbles). Halloween is one of the trickiest days of the year for children with food allergies.

- Wait until children are home to sort and check treats before eating them.

- Enjoy sweets in moderation.

Driving:

- Drive slowly in residential neighborhoods.

- Watch for trick-or-treaters at intersections, medians, and on curbs.

- Watch for trick-or-treaters darting from between parked cars.

- Enter and exit driveways carefully.

- If a teen driver is in your household, consider not allowing that person to drive after dark on Halloween. If you have a teen driver who will be driving, talk about precautions and set specific rules.

Continue to take measures to prevent mosquito bites:

This has been a higher-than-average risk year for mosquito-borne diseases, including Eastern Equine Encephalitis (EEE), in southeastern New England. Rhode Island is still in mosquito season until the first hard frost of the year, which Rhode Island has not had yet. (A hard frost is when temperatures are below 32 degrees for three consecutive hours.) For that reason, Rhode Islanders who will be outdoors on Halloween should continue to take mosquito bite prevention measures. These prevention measures are most important at sundown (and sunrise).

- Wear long-sleeved shirts and long pants.

- Use EPA-approved bug spray with at least 20% DEET. Alternatively, people can use a bug spray with one of the following active ingredients: Picaridin, IR3535, oil of lemon eucalyptus (OLE), para-menthane-diol (PMD), or 2-undecanone. People should not use bug spray with DEET on infants under two months of age.

- Put mosquito netting over baby carriages.

Visit http://www.health.ri.gov/mosquito for additional mosquito prevention tips.

2023-2024 COVID-19 Vaccine Available at Community Clinics

2023-10-30

The Rhode Island Department of Health (RIDOH) is announcing that the updated 2023-2024 COVID-19 vaccine will be available at community clinics throughout the state over the coming weeks.

These clinics will be held in the late afternoon and evening at schools and are open to the entire community. To register, go to http://covid.ri.gov/vaccination and click "Community Clinic Registration." People can register for either COVID-19 vaccine (available at these clinics for people ages 5 and older), flu vaccine (available at these clinics for people ages 3 and older), or both vaccines. It is safe to receive both vaccines at the same visit. There is no insurance requirement and no cost for vaccination. People can get the 2023-2024 COVID-19 vaccine even if they have not received a COVID-19 vaccine in the past.

"Everyone older than six months of age should get the updated COVID-19 vaccine. Vaccination is especially important for older adults and people with underlying health issues," said Interim Director of Health Utpala Bandy, MD, MPH. "Just like the flu, the virus that causes COVID-19 is always changing, and protection from COVID-19 vaccines declines over time. Getting your updated COVID-19 vaccine helps restore your protection and is one of the best steps you can take to avoid serious illness and hospitalization."

In addition to preventing serious illness, COVID-19 vaccine can also help prevent the spread of COVID-19 to people who are more vulnerable to the health effects of COVID-19, including older adults and people with underlying health issues. Vaccination also reduces your chance of experiencing Long COVID (https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects/index.html [cdc.gov]), which can develop during or following acute infection and last for an extended period of time.

Clinics are being held during school hours for students, in addition to these afternoon and evening community clinics. Schools that already held their flu vaccination clinics will be given the opportunity to hold additional clinics to make the updated COVID-19 vaccine available. Schools are communicating directly with families about these clinics for students. People who have already registered for a flu vaccine at a daytime or evening clinic who wish to add a COVID-19 vaccine may complete the online COVID-19 vaccine consent form through the registration system and both vaccines will be given at the same appointment. People may select any available timeslot as a placeholder. Pre-registration is required to guarantee an appointment. Walk-ins will be accepted on a limited basis, as resources allow.

Additional information about preventing respiratory viruses:

- Get your flu shot. Everyone older than six months of age should be vaccinated against the flu every year.

- Stay home when sick. Stay home for at least 24 hours after a fever is gone. Temperature should be measured without the use of fever-reducing medicines (medicines that contain ibuprofen or acetaminophen). Avoid contact with others, especially older adults and people with underlying health conditions, if you are sick.

- Wash your hands regularly throughout the day using soap for at least 20 seconds. If soap and water are not readily available, use a hand sanitizer with at least 60% alcohol to clean your hands. Hand washing is especially important before touching your eyes, nose, or mouth; after leaving a public place; after touching objects or surfaces that may be frequently touched by other people, such as door handles and tables.

- Cover your mouth and nose with a tissue when you cough or sneeze. If you don't have a tissue, cough or sneeze into your elbow, not your hands. Always wash your hands as soon as you can after you cough or sneeze.

- Get tested for COVID-19 if you have any of the classic symptoms, like fever or chills, a runny nose, a cough, achiness, or loss of taste or smell. If you or someone you live with tests positive for COVID-19, there are steps you can take to prevent spreading the virus to others and protect yourself from getting very sick. The Isolation Calculator (https://www.cdc.gov/coronavirus/2019-ncov/your-health/isolation.html [cdc.gov]) can help you determine how long you should stay home and isolate away from others. Learn more about doctor-recommended treatments for COVID-19 that can keep you from getting sicker and being hospitalized at https://covid.ri.gov/treat/therapeutics#treatment

Health Advisory Issued for Toddler Fruit Puree Pouches

2023-10-30

The Rhode Island Department of Health (RIDOH) is advising parents and caregivers to not feed WanaBana Apple Cinnamon Fruit Puree Pouches to toddlers or young children. These products contain elevated lead levels.

This health advisory is being issued for all lot codes of WanaBana Apple Cinnamon Fruit Puree Pouches, with any expiration dates. These products were sold nationally and are available through multiple retailers including Sam's Club, Amazon, and Dollar Tree.

The U.S. Food and Drug Administration (FDA) was recently made aware of a developing investigation by the North Carolina Department of Health and Human Services (NCDHHS) and the North Carolina Department of Agriculture & Consumer Services (NCDA&CS) regarding four children with elevated blood lead levels, indicating potential acute lead toxicity. The NCDHHS investigation identified WanaBana Apple Cinnamon Fruit Puree Pouches as a potential shared source of exposure. As part of their investigation, NCDHHS analyzed multiple lots of WanaBana apple cinnamon fruit puree, detecting extremely high concentrations of lead. The FDA has reviewed and supports NCDHHS's analytical findings and found that analytical results at this level could result in acute toxicity.

Lead is toxic to humans and can affect people of any age or health status. Lead exposure in children is often difficult to see. Most children have no obvious immediate symptoms. If there's suspicion that a child may have been exposed to lead, parents should talk to their child's healthcare provider about getting a blood test. Although lead can only be diagnosed through clinical testing, signs and symptoms of lead toxicity vary based on exposure.

Short-term exposure to lead could result in the following symptoms:

• Headache

• Abdominal pain/Colic

• Vomiting

• Anemia

Longer term exposure could result in additional symptoms:

• Irritability

• Lethargy

• Fatigue

• Muscle aches or muscle prickling/burning

• Occasional abdominal discomfort

• Constipation

• Difficulty concentrating/Muscular exhaustibility

• Headache

• Tremor

• Weight loss

Utopia Foods Recalls Enoki Mushrooms

2023-10-25

The Rhode Island Department of Health (RIDOH) is advising consumers that Utopia Foods is recalling all lots of their 200-gram packages of Enoki Mushrooms because they have the potential to be contaminated with Listeria monocytogenes.

The recalled Enoki Mushrooms were distributed to wholesalers in New York, New Jersey, Pennsylvania, Massachusetts, and Maryland. Products may have been further distributed to retail locations such as grocery stores. The product comes in a 200 gram, clear plastic package with barcode 8928918610109 marked on the packaging. All products in the recall and were distributed between August 7, 2023 and October 20, 2023.

Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain, and diarrhea, Listeria monocytogenes infection can cause miscarriages and stillbirths among pregnant women.

The potential contamination was noted by a routine sampling conducted by the State of West Virginia on products which were further distributed by Utopia's customers. The products tested positive for Listeria monocytogenes.

Consumers who have purchased the 200-gram packages of "Enoki Mushrooms" are urged to return them to the place of purchase for a refund. Consumers with questions may contact the company at 718-389-8898.

Greenhead Lobster Products Recalled

2023-10-23

The Rhode Island Department of Health (RIDOH) is advising consumers that Greenhead Lobster Products is recalling all frozen and refrigerated cooked lobster meat products produced from May 9, 2023 through October 19, 2023. These products have the potential to be contaminated by Listeria monocytogenes.

The recalled products were sold frozen or refrigerated in packages ranging from 1 to 2 lbs. or in cases up to 12 lbs. and can be identified with "best if used by" dates ranging from May 9, 2025 to October 12, 2025 for frozen products, and May 27, 2023 to October 30, 2023 for refrigerated products. The "best if used by" date is located on the white label on the front of the package.

Products were directly distributed to Maine and New Hampshire and then sold nationwide through wholesale distributors and online via e-commerce.

Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain, and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

Although none of the recalled products has tested positive for Listeria monocytogenes, the recall is being conducted based on the presence of the organism in the processing environment. No other Greenhead Lobster retail products are impacted by this recall, including raw products.

Consumers who have purchased any of the products listed should not consume the product and can return it to the place of purchase for a full refund.

The company's customer service desk is available to answer questions at Recall@greenheadlobster.com.

RIDOH and DEM Recommend Avoiding Contact with Blue-Green Algae Bloom at Carbuncle Pond

2023-10-12

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Carbuncle Pond in Coventry due to blue-green algae (or cyanobacteria) bloom in the lake. Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in ponds by the RIDOH State Health Laboratory from water samples collected by DEM.

All recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest water or eat fish from the ponds. Pets can also be affected by exposure to the algal toxins so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen

RIDOH and DEM Recommend Avoiding Contact with Blue-Green Algae Bloom at Spectacle Pond, Mashapaug Pond, and Little Pond

2023-10-10

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Spectacle Pond in Cranston, Mashapaug Pond in Providence, and Little Pond in Warwick due to blue-green algae (or cyanobacteria) bloom in the lake. Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in ponds by the RIDOH State Health Laboratory from water samples collected by DEM.

All recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest water or eat fish from the ponds. Pets can also be affected by exposure to the algal toxins so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen.

RIDOH Launches Enhanced, Daily Overdose Surveillance System

2023-10-06

As part of efforts to leverage data to prevent overdoses and save lives, the Rhode Island Department of Health (RIDOH) is activating an enhanced system to track non-fatal overdoses throughout the state daily, and to get alerts out into the community in real time.

Before this system enhancement, RIDOH would send out any community overdose alerts on a weekly basis after analyzing data from two datasets: overdose-related emergency department visits in Rhode Island, and?overdose-related Emergency Medical Services (EMS) runs in Rhode Island. With the enhanced system in place, alerts can now go out daily to first responders and other healthcare professionals, harm reduction organizations, local leaders, and residents in impacted areas. RIDOH will also have the ability to monitor daily opioid overdose trends statewide, regional hot spots, and the utilization of emergency medical care.

"The faster we can get overdose data to our community partners, the more effective their overdose prevention strategies will be," said Interim Director of Health Utpala Bandy, MD, MPH. "Using data to inform action is a key strategy in our work to prevent overdoses and save lives in Rhode Island."

While data on fatal overdoses is central to Rhode Island's overall overdose prevention strategy, it can take several weeks or months to confirm fatal overdoses (because of the complex toxicology testing often needed). By tracking suspected non-fatal overdoses (through data on emergency department visits and EMS runs), RIDOH can get life-saving information into the community almost right away.

Rhode Island is divided into 11 overdose regions, based on past overdose trends. Each region has its own overdose threshold, based on the previous year of overdose data. Overdose Spike Alerts are sent based on exceedances of these thresholds. (These were previously called Rhode Island Overdose Action Area Response Public Health Alerts, or ROAARs.)

In addition to daily monitoring of overdose activity, RIDOH has implemented a three-tiered approach to address increases in local overdose activity. This plan, called the Levels of Response, deploys public health strategies based on the overdose activity occurring in a particular region. These levels range from an initial overdose spike, a sustained overdose spike, or a sustained high rate of burden in that region.

If a region has a sustained overdose spike or a sustained high rate of overdose burden, RIDOH will respond with additional targeted notification to the area, including involving community partners for increased outreach and convening an emergency community meeting. The burden rate can also help inform funding priorities and/or program implementation.

To view these data, visit RIDOH's Drug Overdose Surveillance Data Hub at https://health.ri.gov/data/drugoverdoses. To learn more about local drug overdose prevention resources, visit PreventOverdoseRI.org [preventoverdoseri.org].

RIDOH Reports First Human Case of West Nile Virus in 2023

2023-10-04

The Rhode Island Department of Health (RIDOH) is announcing Rhode Island's first human case of West Nile Virus (WNV) in 2023. WNV is spread to humans by the bite of an infected mosquito.

The person who tested positive was a resident of Newport County in their 70s who developed symptoms of WNV in late August and is recovering.

"Mosquito season in Rhode Island is not over. People need to continue taking prevention measures through the first hard frost," said Interim Director of Health Utpala Bandy, MD, MPH. "The best way to prevent mosquito-borne diseases is to prevent mosquitoes from breeding and to avoid mosquito bites. Mosquitoes breed in water, so you should get rid of anything around your house and yard that collects water, such as tires, planters, and old trash cans or recycling bins. You should use repellent, and also wear long-sleeved shirts and long pants when you are outside, especially at sunrise and sunset."

There continues to be an increased level of Eastern Equine Encephalitis (EEE) and WNV circulating in mosquitoes this year in Rhode Island and the Northeast. Connecticut has confirmed four WNV cases in a human and Massachusetts has confirmed three human cases this year. The Rhode Island Department of Environmental Management (DEM) and RIDOH have confirmed 13 WNV findings in mosquito samples from around Rhode Island as of last Friday: six in Westerly, two in Barrington, and one each in Central Falls, Cranston, Johnston, Richmond, and Tiverton. DEM and RIDOH will be announcing the latest mosquito sample findings on Friday.

Common symptoms of WNV include fever, headache, body aches, nausea, vomiting, and sometimes swollen lymph glands or a skin rash. Although many people who are infected with WNV show no symptoms, symptoms last for some people for several days or several weeks.

Protect yourself:

- Put screens on windows and doors. Fix screens that are loose or have holes.

- At sunrise and sundown (when mosquitoes are most active), consider rescheduling outdoor activities. If you must be outside, wear long-sleeved shirts and long pants and use bug spray.

- Use EPA-approved bug spray with one of the following active ingredients: DEET (20-30% strength); picaridin, IR3535; and oil of lemon eucalyptus or paramenthane. Do not use bug spray with DEET on infants under two months of age. Children should be careful not to rub their eyes after bug spray has been applied on their skin. Wash children's hands with soap and water to remove any bug spray when they return indoors.

- Get rid of mosquito breeding grounds:

- Get rid of anything around your house and yard that collects water. Just one cup of water can produce hundreds of mosquitoes.

- Clean your gutters and downspouts so that they can drain properly.

- Remove any water from unused swimming pools, wading pools, boats, planters, trash and recycling bins, tires, and anything else that collects water, and cover them.

- Remove or treat any shallow water that can accumulate on top of a pool cover.

- Change the water in birdbaths at least once a week and rinse out birdbaths once a week.

Governor McKee, Health Officials Kick Off Flu Vaccination Campaign

2023-10-04

Governor Dan McKee joined leaders from the Rhode Island Department of Health (RIDOH) today to get his flu shot and encourage everyone 6 months of age and older to get their flu shots to stay as healthy as possible this fall and winter.

"Getting a flu shot is your best protection against serious illness from the flu, and it's also the best way to protect the people you love by helping reduce the spread of the flu," said Governor McKee. "For that reason, we have worked to make sure that plenty of flu vaccine is available in every community in Rhode Island. Make your plans to get vaccinated today."

The flu vaccination campaign kick-off event was held at Blackstone Valley Prep Elementary School 2 in Cumberland. A community-wide vaccination clinic will be held today at the school from 5 p.m. to 8 p.m. More than 225 flu vaccination clinics will be held at schools throughout Rhode Island this year, many of them in the afternoon and evening. The afternoon and evening clinics are open to the entire community. There is no insurance required, and there is no cost for the vaccine at these clinics. For a full list of clinics, https://health.ri.gov/flu.

"The flu is more than just a bad cold. The flu is a serious virus that keeps many people in bed for a week. This could mean missing a lot of time at work because you are sick, or having to stay home with a sick child who can't go to school," said Dr. Tosin Ojugbele, the Medical Director of RIDOH's Division of Community Health and Equity. "Flu vaccination is important every year because the flu strains we see each year are different. Flu shots are fast, easy, and free. Make sure you get yours today."

During typical flu seasons, the flu results in approximately 1,000 hospitalizations and many fatalities. For example, during the 2022-2023 flu season, the flu resulted in 819 hospitalizations and there were 32 flu-associated deaths.

RIDOH and the Centers for Disease Control and Prevention (CDC) recommend flu shots for everyone six months of age and older. Flu shots are especially important for certain people, including:

- Anyone 50 and older (CDC recommends the use of specific flu vaccines for adults 65 and older, including higher dose and adjuvanted flu vaccines),

- Healthcare workers,

- Anyone who lives in a long-term care facility,

- Children younger than 5 years of age,

- People who are pregnant, and

- People with weakened immune systems or chronic medical conditions, such as diabetes, cancer, heart disease, and asthma.

In addition to the school clinics, there are many other places in Rhode Island where flu shots are available. Those locations include pharmacies, many worksite clinics, community clinics, and the offices of many primary care providers.

After getting a flu shot, some people may experience a slight ache at the injection site or a low-grade fever. That means the vaccine is working – your body is learning to fight the virus. These mild symptoms are much less significant than the actual flu.

In addition to flu vaccination, RIDOH and CDC also recommend that Rhode Islanders 6 months of age and older get their updated 2023-2024 COVID-19 vaccine. People can get the flu vaccine and the COVID-19 vaccine at the same time. The updated 2023-2024 COVID-19 vaccine is available in the offices of many primary care providers, pharmacies, federally qualified health centers, and other settings. People can get the updated COVID-19 vaccine even if they have never been vaccinated against COVID-19 previously. Visit vaccines.gov [vaccines.gov] to find providers that offer no-cost COVID-19 vaccines through the Bridge Access Program.

In addition to getting vaccinated against the flu and COVID-19, Rhode Islanders can take other steps to stay healthy and safe over the coming months:

- Wash your hands often during the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

- Cough or sneeze into your elbow to prevent other people from getting sick.

- Stay home if you are sick.

- Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

Additional resources:

- List of vaccination clinics and general information about the flu: https://health.ri.gov/flu [RI Flu Vaccination Site Locator].

- Information about the flu in Spanish: https://health.ri.gov/gripe.

- People with additional questions, including questions about where to get vaccinated if you do not have insurance, can call the Health Information Line at 401-222-5960 / RI Relay 711.

Media Release: RIDOH and DEM Recommend Lifting Restrictions for Blue-Green Algae in Tiogue Lake, Coomer Lake, and Georgiaville Pond

2023-09-29

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Tiogue Lake in Coventry, at Coomer Lake in Glocester, and at Georgiaville Pond in Smithfield. The advisories were related to high levels of blue-green algae, also known as cyanobacteria.

Recent consecutive surveys and sample analysis confirmed that blue-green algae have been present but at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet the advisory guidelines and support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect other water bodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact RIDEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov

Rhode Island Remains a Vaccination Leader Nationwide

2023-09-25

Rhode Island continues to be a national leader in adolescent immunizations, with Rhode Island teens at or above the national averages for every vaccine type, according to recently released data from the Centers for Disease Control and Prevention (CDC).

"Rhode Island's immunization success is directly attributable to the dedication of our community partners and healthcare workforce, including primary care providers, school nurses, and pharmacists," said Utpala Bandy, MD, MPH, Interim Director of the Rhode Island Department of Health (RIDOH). "Prevention is a fundamental principle of public health. By vaccinating Rhode Island children so well, we are helping to control healthcare costs, we are preventing the serious health consequences of many illnesses, and we are giving everyone in our state the opportunity to be as healthy as possible. With flu vaccine and the updated COVID-19 vaccine to be widely available in Rhode Island in the coming weeks, I encourage everyone to continue putting prevention first by getting vaccinated."

Rhode Island highlights:

• Rhode Island saw minor decreases in adolescent vaccination coverage rates during the COVID-19 pandemic, but overall coverage increased from 2021 to 2022, returning to rates similar to those in the 2020 survey (which represents pre-pandemic levels).

• Rhode Island has the nation's highest rate for 13 to 17-year-olds who are up to date on their human papillomavirus (HPV) vaccines. 94.6% of Rhode Islanders in this age group have had at least one dose, compared to 76.0% nationally.

• Rhode Island continues to exceed national vaccination averages for adolescent Tdap vaccination (preventing tetanus, diphtheria, and pertussis). 95.1% of Rhode Islanders 13-17 years old have had at least one dose, compared to 89.9% of adolescents in this age group nationally. Rhode Island is also a national leader in MenACWY vaccination (meningococcal conjugate vaccine). 96.2% of Rhode Islanders 13-17 years old have had at least one dose, compared to 88.6% of adolescents in this age group nationally.

The Rhode Island Child and Adult Immunization Registry (RICAIR) contributes to Rhode Island's high vaccination rates. RICAIR is a statewide health information system that houses child and adult immunization records in one unified system, which healthcare providers can access statewide to coordinate care for patients. An additional factor in Rhode Island's immunization success is its Universal Vaccine Policy. This Universal Vaccine Policy allows healthcare providers to order all vaccines from the state for children from birth through 18 years of age, and most recommended vaccines for adults, at no cost. (As a condition of enrollment in the system, providers have to vaccinate patients at no cost.)

The data were collected using the CDC's National Immunization Survey-Teen. Vaccination estimates are generated by calling randomly selected phone lines nationally among households that include adolescents from 13 to 17 years of age. Parents and guardians are interviewed to obtain adolescent, maternal, and household information and are asked to provide consent for their adolescent's vaccine providers to be contacted. Data is not collected on every individual, so the true vaccination rates (and therefore rankings) could be slightly higher or lower.

Complete Rhode Island immunization data are available online at https://ricair-data-rihealth.hub.arcgis.com/ [ricair-data-rihealth.hub.arcgis.com]

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RIDOH and DEM Recommend Avoiding Contact with Lower Melville Pond in Portsmouth

2023-09-21

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Lower Melville Pond in Portsmouth, due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals. Blue-green algae can produce toxins that can harm humans and animals. RIDOH's State Health Laboratories detected high concentrations of cyanobacteria toxins in the water collected by DEM.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomachache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water's surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible, to DEM.OWRCyano@dem.ri.gov.

Kraft Heinz Recalling American Cheese Slices

2023-09-20

The Rhode Island Department of Health (RIDOH) is advising consumers that Kraft Heinz is recalling approximately 83,800 cases of individually wrapped Kraft Singles American processed cheese slices. The recall comes after an issue was identified with wrapping machines, making it possible that a thin strip of the individual film may remain on the slice after the wrapper is removed. If the film sticks to the slice and is not removed, it could become a gagging or choking hazard.

The company is recalling:

- 16 oz. Kraft Singles American Pasteurized Prepared Cheese Product with an individual package UPC of 0 2100061526 1 and a "Best When Used By" date of 10 JAN 24 through 27 JAN 24. Individual packages in this recall will contain an S and 72 in the Manufacturing code.

- 3 lb. multipacks of Kraft Singles American Pasteurized Prepared Cheese Product with a carton UPC of 0 2100060491 3 and a "Best When Used By" of 09 JAN 2024 through 13 JAN 2024 and 16 JAN 2024.

The issue was discovered after Kraft received several consumer complaints about finding the plastic stuck to a slice, including six complaints of consumers saying they choked or gagged in connection with the issue.

Kraft Heinz has fixed the machine that wrapped the affected slices and all other processing machines have been thoroughly inspected.

Consumers who purchased these items should not consume them and can return them to the store where they were purchased for an exchange or refund. Consumers can contact Kraft Heinz from 9 a.m. to 6 p.m. Eastern Standard Time, Monday through Friday, at 1-800-280-8252 to see if a product is part of the recall and to receive reimbursement.

Updated 2023-2024 COVID-19 Vaccine to be Available in Rhode Island

2023-09-14

The Rhode Island Department of Health (RIDOH) is recommending that everyone six months of age and older get the updated 2023-2024 COVID-19 vaccine to protect against the potentially serious outcomes of COVID-19 illness this fall and winter.

Vaccine will become increasingly available over the next several weeks at sites throughout Rhode Island. The 2023-2024 COVID-19 vaccine will be available in the offices of many primary care providers, pharmacies, federally qualified health centers, and other settings. People can call these sites to inquire about availability and make appointments. People can get this updated COVID-19 vaccine even if they have never been vaccinated against COVID-19 previously.

People can get no-cost COVID-19 vaccines from healthcare providers, federally qualified health centers, and retail pharmacy chains participating in the Bridge Access Program. Visit vaccines.gov [vaccines.gov] to find providers that offer no-cost COVID-19 vaccines through the Bridge Access Program.

"Just like the flu, the virus that causes COVID-19 is always changing, and protection from COVID-19 vaccines declines over time. Getting your updated COVID-19 vaccine helps restore your protection, and is one of the best steps you can take to avoid serious illness and hospitalization," said Interim Director of Health Utpala Bandy, MD, MPH. "Our team has been preparing to ensure that this vaccine is available in Rhode Island in the coming weeks."

In addition to preventing serious illness, COVID-19 vaccine can also help prevent the spread of COVID-19 to people who are more vulnerable to the health effects of COVID-19, including older adults and people with underlying health issues. Vaccination also reduces your chance of experiencing Long COVID [cdc.gov [cdc.gov]], which can develop during or following acute infection and last for an extended period of time.

On Monday experts at the U.S. Food and Drug Administration (FDA) authorized the use of this updated COVID-19 vaccine. This vaccine is a monovalent vaccine, meaning that it targets one variant, the Omicron variant XBB.1.5. It is an mRNA vaccine. On Tuesday a group that advises the Centers for Disease Control and Prevention (CDC), called the Advisory Committee on Immunization Practices, voted to recommend this vaccine for everyone older than six months of age who has not received a COVID-19 vaccine in the last two months. The CDC accepted this recommendation.

Vaccine recommendations

- Everyone aged five years and older should get one dose of 2023-2024 Pfizer-BioNTech or Moderna COVID-19 vaccine, regardless of previous vaccination history, at least two months after the last dose of COVID-19 vaccine.

- People who are moderately or severely immunocompromised may get additional doses of updated Pfizer-BioNTech or Moderna COVID-19 vaccine. People in this situation should talk to their healthcare providers about the 2023-2024 COVID-19 vaccine.

- Children from six months to five years of age who have previously been vaccinated against COVID-19 can get one dose of the 2023-2024 COVID-19 vaccine. However, children six months to five years who have not been vaccinated against COVID-19 previously may need multiple doses. Parents and guardians should talk to their child's healthcare provider.

Additional information about preventing respiratory viruses

- Get your flu shot. Everyone older than six months of age should be vaccinated against the flu every year. Vaccine for the 2023-2024 flu season will be available throughout Rhode Island in the coming weeks. You can get a flu shot and a COVID-19 vaccine at the same time.

- Stay home when sick. Stay home for at least 24 hours after a fever (temperature of 100 degrees Fahrenheit or 37.8 degrees Celsius or higher) is gone. Temperature should be measured without the use of fever-reducing medicines (medicines that contain ibuprofen or acetaminophen). Avoid contact with others, especially older adults and people with underlying health conditions, if you are sick.

- Wash your hands regularly throughout the day using soap for at least 20 seconds. If soap and water are not readily available, use a hand sanitizer with at least 60% alcohol to clean your hands. Hand washing is especially important before touching your eyes, nose, or mouth; after leaving a public place; after touching objects or surfaces that may be frequently touched by other people, such as door handles and tables.

- Cover your mouth and nose with a tissue when you cough or sneeze. If you don't have a tissue, cough or sneeze into your elbow, not your hands. Always wash your hands as soon as you can after you cough or sneeze.

- Get tested for COVID-19 if you have any of the classic symptoms, like fever or chills, a runny nose, a cough, achiness, or loss of taste or smell. If you or someone you live with tests positive for COVID-19, there are steps you can take to prevent spreading the virus to others and protect yourself from getting very sick. The Isolation Calculator (https://www.cdc.gov/coronavirus/2019-ncov/your-health/isolation.html [cdc.gov]) can help you determine how long you should stay home and isolate away from others. Learn more about doctor-recommended treatments for COVID-19 that can keep you from getting sicker and being hospitalized.

RIDOH and DEM Blue-Green Algae Advisories: J. L. Curran Advisory Lifted; Wenscott and Slack's Reservoir Remain in Effect

2023-09-08

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at J. L. Curran Reservoir in Cranston. RIDOH and RIDEM are also extending the advisory to avoid contact with all of Wenscott Reservoir in North Providence and all of Slack's Reservoir in Smithfield due to blue-green algae (or cyanobacteria) bloom in the lake. Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in ponds by the RIDOH State Health Laboratories from water samples collected by DEM.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from the ponds. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen

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RIDOH and DEM Recommend Avoiding Contact with Blue-Green Algae Bloom at Waterman Lake

2023-09-07

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Waterman Lake in Glocester and Greenville due to blue-green algae (or cyanobacteria) bloom in the lake. Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in ponds by the RIDOH State Health Laboratory from water samples collected by DEM.

All recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest water or eat fish from the ponds. Pets can also be affected by exposure to the algal toxins so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen.

Blue-Green Algae Bloom at Little Beach at Slack Reservoir in Smithfield

2023-09-05

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Little Beach (located on the northwest cove) in Slack Reservoir in Smithfield due to blue-green algae (or cyanobacteria) blooms in the reservoir. Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in ponds by RIDOH's State Health Laboratories from water samples collected by DEM.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from the ponds. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen.

RIDOH and DEM Recommend Lifting Restrictions for Blue-Green Algae in Spectacle Pond

2023-08-25

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Spectacle Pond in Cranston. The advisory was related to high levels of blue-green algae, also known as cyanobacteria.

Recent consecutive surveys and sample analysis confirmed that blue-green algae has been present but at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet the advisory guidelines and support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Spectacle Pond again, or other water bodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact RIDEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

Oysters from Rhode Island Harvester Recalled Following Vibrio Outbreak

2023-08-22

The Rhode Island Department of Health (RIDOH) is letting consumers know that Rocky Rhode Oysters Co., LLC, doing business as Walrus and Carpenter Oysters, is recalling all oysters harvested from the Walrus & Carpenter Oysters, LLC Farm with harvest dates of 7/28/2023 until 8/19/2023. This product is being recalled due to a potential link of the harvest area to a Vibrio parahaemolyticus outbreak investigation. RIDOH is working closely with partners on the investigation.

Only the Walrus & Carpenter Oysters, LLC Farm, in the Dutch Harbor area of harvest area 7B in Rhode Island is impacted. (The other lease areas in harvest area 7B are not impacted.) Oysters from this lease may be listed on the shellfish tags as B2015-09-105. The Rhode Island Department of Environmental Management (DEM) closed this area for harvesting on August 19, 2023.

RIDOH is working with the dealer to ensure that the product is removed from commerce. RIDOH has confirmed that the product has not been distributed out of state and was only sold directly to Rhode Island restaurants.

Vibrio parahaemolyticus symptoms can include diarrhea, abdominal cramps, nausea, vomiting, headache, fever, and chills. The illness is usually mild or moderate, although some cases may require hospitalization. Symptoms usually last two or three days. Children, the elderly, and anyone with a weakened immune system can develop more serious symptoms. Anyone who has eaten raw or improperly cooked shellfish and has these symptoms should contact their healthcare provider for diagnosis and treatment.

Blue-Green Algae Blooms in Coomer Lake in Glocester, Roger Williams Park Ponds in Providence, and a Section of Tiogue Lake in Coventry

2023-08-21

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Coomer Lake in Glocester, Roger Williams Park Ponds in Providence, and a Section of Tiogue Lake in the cove located between Harrington Drive and Briar Point Avenue in Coventry due to blue-green algae (or cyanobacteria) blooms in the ponds. Briar Point Beach on Tiogue did not have blue-green algae at the time of sampling but caution is advised as conditions can change. Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in ponds by the RIDOH State Health Laboratory from water samples collected by the DEM.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from the ponds. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen

RIDOH Recommends Reopening Third Beach

2023-08-17

The Rhode Island Department of Health (RIDOH) recommends reopening Third Beach in Middletown because bacteria counts have returned to safe levels.

RIDOH will monitor and review beach water quality through Labor Day. The status of a beach may change as new data become available. The most up-to-date beach information is available through a recorded message on RIDOH's beaches telephone line (401-222-2751). A list of closed beaches can also be accessed at health.ri.gov.

RIDOH and DEM Recommend Avoiding Contact with Upper J.L. Curran Reservoir

2023-08-15

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Upper J.L. Curran Reservoir in Cranston, due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals. Blue-green algae can produce toxins that can harm humans and animals. RIDOH State Health Laboratories detected high concentrations of cyanobacteria toxins in the water collected by DEM.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

###

RIDOH Reports Case of Rare Tick-Borne Disease Powassan

2023-08-15

The Rhode Island Department of Health (RIDOH) is reporting a confirmed case of the tick-borne Powassan virus disease (Powassan) detected in a Rhode Island resident who later died after contracting the disease. Laboratory testing was conducted by the Centers for Disease Control and Prevention (CDC), which confirmed the finding earlier this month. The case involved a female over the over the age of 80 from Washington County, who developed neurological symptoms and died in mid-July.

Powassan is a tick-borne disease that is found mostly in the Northeast and the Great Lakes region of the U.S. and in eastern Canada. Over 239 cases of Powassan have been reported in the United States in the past 10 years (2013-2022). Powassan cases are rare, but the reported number of cases has increased in recent years. Between 2013 and 2022, there were 93 cases of Powassan reported in New England: 49 cases in Massachusetts, 18 cases in Connecticut, 16 cases in Maine, five cases in New Hampshire, and five cases in Rhode Island.

Initial symptoms of Powassan include fever, headache, vomiting, and generalized weakness. The disease usually progresses to meningoencephalitis, which may include meningeal signs, altered mental status, seizures, aphasia (difficulty understanding or speaking), paresis (muscular weakness or paralysis), movement disorders, or cranial nerve palsies. People with severe Powassan disease often need to be hospitalized. There is no vaccine or treatment for Powassan, so preventing exposure to ticks is the best strategy to avoid this disease.

RIDOH and the Rhode Island Department of Environmental Management (DEM) remind Rhode Islanders to take steps to prevent tick-borne diseases, including Powassan and Lyme Disease, when spending time outdoors. RIDOH has launched its annual summer tick safety campaign with prevention messages featured on television, radio, and social media. The Tick Free Rhode Island campaign highlights the three keys to tick safety: repel, check, and remove.

Repel – Keep ticks off you, your children, and pets by:

• Avoiding wooded and brushy areas with high grass and leaves. If you are going to be in a wooded area, walk in the center of the trail to avoid contact with overgrown grass, brush, and leaves at the edges of the trail.

• Wearing long pants and long-sleeve shirts when outside.

• Tucking your pants into your socks so ticks do not crawl under your clothes.

• Using an EPA-approved bug spray with the active ingredient DEET (20-30% strength) on your skin or clothes. Check the product label to find the concentration of DEET in a product. (Do not use bug spray with DEET on infants under two months of age. Repellents should contain no more than 30% DEET when used on children. Children should be careful not to rub their eyes after bug spray has been applied on their skin. Wash children's' hands with soap and water to remove any bug spray when they return indoors.)

• Wearing light-colored clothing so you can see ticks more easily.

Check – Check yourself, your children, and pets, for ticks by:

• Taking a shower as soon as you come inside if you have been in grassy or wooded areas.

• Doing a full-body tick check using a mirror; parents should check their kids for ticks and pay special attention to the area in and around the ears, in the belly button, behind the knees, between the legs, around the waist, and in their hair.

• Checking your pets for ticks as well because they can bring ticks into the home.

Remove – Remove ticks from your body, as well as from children and pets, if you find them.

• Use a set of tweezers to remove the tick. Grasp the tick as close to the skin as possible and pull straight up. If you don't have tweezers, use your fingers with a tissue or rubber gloves.

For more information on Powassan, Lyme disease, and other tick-borne diseases, visit http://health.ri.gov/ticks.

Soft Serve Ice Cream and Sorbet Cups Recalled

2023-08-10

The Rhode Island Department of Health (RIDOH) is advising consumers that Real Kosher Ice Cream is recalling soft serve, on-the-go ice cream and sorbet cups because they have the potential to be contaminated with Listeria monocytogenes.

The recalled product is packaged in an 8 fl oz., clear plastic cup. The product looks like a soft serve cup from an ice cream store, with a clear plastic cover with a seal and spoon attached.

These ice cream and sorbet cups were distributed in many states, including Connecticut, Massachusetts, and New York. They were available in grocery stores and convenience stores. All products produced up to August 4, 2023 being recalled.

To date, two cases of illness have been reported in this outbreak in two states (New York and Pennsylvania). Both individuals were hospitalized but no deaths have been reported. Listeria monocytogenes can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy people may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain, and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The company has ceased the production and distribution of this product while an investigation is ongoing.

Consumers should discontinue consumption of the product immediately. Please dispose of this product or return to your store of purchase for full credit. Consumers with questions can call 845-668-4346 or write to info@softserveonthego.com.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Boone Lake and Slacks Reservoir

2023-08-01

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Boone Lake in Exeter and Slacks Reservoir in Greenville. The advisory was related to high levels of blue-green algae, also known as cyanobacteria. Recent consecutive surveys and sample analysis confirmed that blue-green algae has been present but at acceptably low levels. Cyanotoxin is not present in detectable concentrations. These findings support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may again affect Boone Lake and Slacks Reservoir, or other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact RIDEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Recommend Avoiding Contact with Spectacle Pond and a Section of Wenscott Reservoir

2023-07-28

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Spectacle Pond in Cranston and the area of Wenscott Reservoir on the southwest side of Douglas Pike (Route 7) in North Providence, due to a blue-green algae (or cyanobacteria) blooms. At this time, the northeastern basin of Wenscott Reservoir, including Governor Notte Beach, is not experiencing a bloom. Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from waters that are under advisories. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice. Caution should be used when recreating in other areas of Wenscott Reservoir as conditions may change and extend the cyanobacteria bloom to other areas.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Blue-Green Algae Blooms in Blackamore Pond in Cranston and Georgiaville Pond in Smithfield

2023-07-14

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Blackamore Pond in Cranston and Georgiaville Pond in Smithfield due to blue-green algae (or cyanobacteria) blooms in the ponds. Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in ponds by the RIDOH State Health Laboratories from water samples collected by DEM.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from the ponds. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen

Free 'Skin Check' Screenings to be Available at Rhode Island Beaches

2023-07-12

Between Friday and mid-August, the Rhode Island Department of Health (RIDOH), Brown Dermatology, and partners statewide will be making free skin cancer screenings available at select Rhode Island parks and beaches on five dates.

"Along with seeking shade and using a broad-spectrum sunscreen with an SPF of 30 or more, getting a skin check is the most important thing you can do to protect against skin cancer," said Interim Director of Health Utpala Bandy, MD, MPH. "Skin cancer can affect people of all skin tones and complexions, which is why all Rhode Islanders should take advantage of these free, convenient skin cancer checks. Cancer screenings have the power to save lives."

"We are once again incredibly excited to be able to participate in this year's Skin Check along with our great partners," noted John C. Kawaoka, MD, Associate Professor of Dermatology, Warren Alpert Medical School. "One in five Americans will develop skin cancer in their lifetime. Everyone is at risk, even those with darker skin tones. Sun protection and getting screened is incredibly important. Every year at the beaches we find a number of skin cancers, including melanoma, many of which people had no idea that they had.

"Lifespan is thrilled to partner on another season of Skin Check," said Carrie Bridges Feliz, MPH, Vice President of Lifespan's Community Health and Equity. "Many Rhode Islanders look forward to skin cancer screening at local beaches, parks and festivals, and Lifespan is honored to be able to help facilitate access to this critical preventive service and appropriate follow-up care. This year, we hope to reach a larger audience of people who will benefit from this free screening."

All screenings will be private and provided by dermatologists and dermatology residents affiliated with Brown Dermatology. The first 100 people at each event will be screened. People who require follow-up will be referred for dermatology consults. People are asked to wear bathing suits or clothing that can easily be removed to reveal the areas of skin that they would like checked.

WJAR is the primary sponsor of the Skin Check screening events. Other partners include Brown Dermatology, the Partnership to Reduce Cancer in Rhode Island, Lifespan Community Health Institute, RIDOH, and the Rhode Island Department of Environmental Management (DEM).

Free Cancer Screenings Dates and Locations (link to list below):

Friday, July 14, 2023, 1 – 3 pm

Roger Wheeler State Beach (Sand Hill Cove), Narragansett

Friday, July 21, 2023, 1 – 3 pm

Lincoln Woods State Park, Lincoln

Saturday, July 29, 2023, 11:30 – 1:30 pm

Scarborough State Beach (North), Narragansett

Friday, August 11, 2023, 1 – 3 pm

Easton's Beach, Newport

Friday, August 18, 2023, 1 – 3 pm

East Matunuck State Beach, South Kingstown

If the weather forecast calls for rain, please check online for cancellation updates (link below).

Prevention and Early Detection

The two ways to stay sun safe this summer are prevention (using sunscreen, wearing protective apparel, and staying out of the direct sun) and early detection (getting screened).

Prevention:

- Apply sunscreen with a Sun Protection Factor (SPF) of 30 or more with both UVA and UVB protection ("broad spectrum" sunscreen). Make sure to put it on all areas of skin exposed to the sun, including ears, neck, nose, eyelids, fingers and toes, and reapply every two hours.

- Use water-resistant sunscreen while swimming, boating or exercising;

- Seek shade, especially when the sun rays are the strongest between 10 AM and 2 PM;

- Wear protective clothing, such as UPF clothing (UV resistant);

- Wear a hat with a wide brim to shade the face, head, ears, and neck;

- Wear wrap-around sunglasses with UV protection where possible;

- Use caution near water, sand and snow because they reflect and intensify the rays of the sun and can increase your chances of sunburn;

- Avoid indoor tanning.

Early detection:

- Talk with your primary care provider about seeing a dermatologist and getting screened for skin cancer, especially if you have a family history of it.

- Watch your moles and skin spots over time. If you see changes in their size, color, number, or thickness, they need to be checked by a primary care provider or a dermatologist.

- Get your kids screened. Skin cancer is a growing concern for children, especially among adolescents. Talk with your child's pediatrician about skin cancer screening.

- If you work outdoors, you should be screened annually by a dermatologist.

Boil Water Notice Issued for Camp Ker-Anna Cabin

2023-07-11

Camp Ker-Anna in Cumberland is required to issue a boil water notice to its customers because E. coli bacteria was found in the water system. For more information, customers should refer to the notice provided to them by their water supply officials.

Additional information can be found on the RIDOH Center for Drinking Water Quality website at http://www.health.ri.gov/water/for/consumersduringemergency

Camp Ker-Anna - Cabin collected a sample in the water system on July 7, 2023 that had total coliform and E. coli present, which required repeat and well samples to be collected within 24 hours. As the laboratory was closed over the weekend, the water system had until Monday, July 10, 2023 to collect these samples. Repeat samples were collected on July 10, 2023. Two (2) out of three (3) repeat samples were total coliform present and E. coli present. The well sample was also total coliform present and E. coli present. A boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact David Lamourex at 401-767-6385.

Blue-Green Algae Blooms in Exeter, Portsmouth, and Smithfield/Johnston

2023-07-10

As a result of blue-green algae (or cyanobacteria) blooms, the Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with three bodies of water:

- Boone Lake in Exeter

- Upper Melville (aka Thurston Gray Pond) in Portsmouth, and

- Little Beach (located on a northwest cove) in Slack Reservoir in Smithfield/Johnston

Blue-green algae can produce toxins that can harm humans and animals. Toxins and/or high cell counts have been detected in ponds by the RIDOH State Health Laboratories from water samples collected by the DEM. All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from the ponds. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For more information and current advisories, consult RIDEM's website: http://www.dem.ri.gov/bluegreen

Precautionary Boil Water Notice Removed for Greenville Water District Customers

2023-07-06

The Greenville Water District was notified by the Rhode Island Department of Health (RIDOH) on July 6 that the precautionary boil water notice issued to its customers can be removed. RIDOH and Greenville Water District alerted customers to this precautionary boil water notice on June 28 because of a water main break that had the potential to cause the loss of water pressure to multiple areas of the water system.

Greenville Water District repaired the water main break, temporarily increased chlorine in the system (within safe levels), flushed the water mains, and collected bacteria samples that showed the absence of bacteria.

For more information, customers should refer to the notice provided to them by their water supply officials. Additional information can be found on the RIDOH Center for Drinking Water Quality website at https://health.ri.gov/water/for/consumersduringemergency/ (scroll down to "What You Should Do Following Boil Water Advisories and Precautionary Boil Water Advisories"). Food establishments, businesses, schools, and healthcare facilities can refer to the links below.

Customers with questions should contact Greenville Water District at 401-231-1433.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Tiogue Lake

2023-06-29

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Tiogue Lake in Coventry. The advisory related to high levels of blue-green algae, also known as cyanobacteria.

Recent consecutive surveys and sample analysis confirmed that blue-green algae has been present but at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet the advisory guidelines and support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Tiogue Lake again, or other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact RIDEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

Boil Water Notice Issued for Sophie's Brew House Inc.

2023-06-29

Sophie's Brew House, Inc. in Exeter is required to issue a boil water notice to its customers because E. coli bacteria was found in the water system. For more information, customers should refer to the notice provided to them by their water supply officials.

Additional information can be found on the RIDOH Center for Drinking Water Quality website at http://www.health.ri.gov/water/for/consumersduringemergency/

Sophie's Brew House, Inc. collected a sample in the water system on June 26, 2023 that had total coliform present, which required repeat samples to be collected within 24 hours. Repeat samples were collected on June 27, 2023. Two out of three repeat samples were total coliform present and one of those samples was also E. coli present. A boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact Pamela Machon at 401-932-3435.

Precautionary Boil Water Advisory Issued for Some Customers of the Greenville Water District Water System

2023-06-28

The Rhode Island Department of Health (RIDOH) is alerting customers of the Greenville Water District Water System (PWS ID# RI1858410) that if they lost pressure or were without water on June 26 or after, they should boil their water before consuming it. This is because of a water main break that could cause loss of water pressure in multiple areas of the water system. Currently the specific areas affected are being determined.

All water used for consumption should be boiled vigorously for at least one minute. This recommendation pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Alternatively, customers can use bottled water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water.

Boiling kills bacteria and other organisms in the water. RIDOH is communicating guidance to restaurants and other food establishments in the area.

Water main breaks can cause low, or no, water pressure, especially at buildings in higher elevations. Low or no pressure increases the risk of contamination that can enter through cracks in the pipes or in areas without proper backflow preventers. Customers should continue to boil their water until the Greenville Water District repairs the water main break, increases the chlorine in the system (within safe levels), flushes the pipes, and collects one day of bacteria samples at each routine sampling location, as long as the samples are absent of bacteria. An announcement will be made when the advisory is lifted. Water system administrators are currently alerting customers about this advisory and will alert customers when it is lifted.

If the water becomes contaminated with human or animal waste, microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

A healthcare provider should be contacted if someone is on this water systems and has diarrhea and any of the following symptoms:

--Fever over 101.5° F, measured orally

--Blood in the stool

--Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)

--Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up

--Diarrheal illness that lasts more than 3 days.

Customers with questions can call Greenville Water District, at 401-231-1433.

###

Sunrise Growers Recalls Frozen Fruit Products Due To Possible Contamination with Listeria

2023-06-22

The Rhode Island Department of Health (RIDOH) is advising consumers that Sunrise Growers, Inc., is recalling frozen fruit products linked to pineapple provided by a third-party supplier that may be contaminated with Listeria monocytogenes.

The recalled product were distributed at the following stores:

--Walmart: Great Value Mixed Fruit, Great Value Dark Sweet Cherries, and Great Value Mango chunks sold from January 19, 2023 to June 13, 2023.

--Whole Foods: 365 Organic Tropical Fruit Medley, 365 Organic Pineapple Chunks, 365 Pineapple Chunks, 365 Organic Whole Strawberries, 365 Organic Slice Strawberries and Bananas, and 365 Organic Blackberries distributed to select stores throughout the US from November 1, 2022, to June 21, 2023.

--Trader Joe's: Trader Joe's Organic Tropical Fruit Blend distributed to select distribution centers or stores from March 28, 2023, to April 11, 2023.

--Target: Good & Gather Organic Cherries and Berries Fruit Blend, Good & Gather Dark Sweet Whole Pitted Cherries, Good & Gather Mango Strawberry Blend, Good & Gather Mixed Fruit Blend, Good & Gather Mango Chunks, Good & Gather Blueberries, and Good & Gather Triple Berry Blend distributed nationwide from October 14, 2022, to May 22, 2023.

--Aldi: Season's Choice Tropical Blend distributed to select distribution centers or stores from October 11, 2022, to May 22, 2023

--AWG (Associated Wholesale Grocers): Best Choice Pitted Red Tart Cherries Unsweetened distributed to select distribution centers or stores in KS, MO, NE and OK from April 5, 2023, to May 4, 2023.

A complete list of the lot numbers of all of the recalled products are available on the FDA website.

Consumers should check their freezers for any of these products they may have bought in recent months. Anyone who has purchased this product should not eat it. Consumers should throw it away or return it to the place of purchase.

There have been no reports of illness related to these products.

Anyone who eats food contaminated with L. monocytogenes can get listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns.

Symptoms of Listeriosis include fever, muscle aches, headache, stiff neck, confusion, loss of balance, convulsions, diarrhea, or other gastrointestinal symptoms. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery, or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who have flu-like symptoms within two months after eating contaminated food should seek medical care and tell the healthcare provider about eating the contaminated food.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

RIDOH and Attorney General Announce Rhode Island Free Lead Screening Days in June

2023-06-20

As part of efforts to help all children in Rhode Island be tested for lead poisoning at least twice by the age of three, the Rhode Island Department of Health (RIDOH) and the Office of Attorney General Peter F. Neronha are announcing two lead screening events this week. The events are free and no health insurance is required.

The lead screening days are open to the public and will be done by medical professionals. The events are intended for children between 9 months and six years old, and children who are are developmentally delayed. Children must be accompanied by a legal guardian. Families that participate in the event will receive a $50 gift card for groceries on a first-come, first-served basis.

--Central Falls: June 23 from 10 a.m. to 3 p.m. at the Blackstone Valley Community Health Care location at 1000 Broad St, Central Falls, Rhode Island 02863

--Providence: June 24 from 9 a.m. to 1 p.m. at the Providence Community Health Center at 355 Prairie Avenue, Providence, Rhode Island 02905

Although all children in Rhode Island are required to be tested twice by the age of three, many are missing these important screenings. Early detection of lead poisoning is critical to lowering potential lifelong health effects. This is particularly true in Rhode Island, where most housing was built before 1978. (Lead paint was commonly used before being banned in 1978.)

"Lead exposure causes irreversible damage to a child's development. Screening your child for lead is the most critical step you can take as a parent to protect children from lead. It's the only way to know if they have been exposed and the first step toward finding and eliminating the source," said Interim Director of Health Utpala Bandy, MD, MPH. "We are pleased to be working with our partners in the Attorney General's Office on this effort to offer free lead screenings to the community."

"Childhood lead poisoning is a solvable crisis, but only if we address the problem directly," said Rhode Island Attorney General Peter F. Neronha. "We can do better by our kids, be it through lead screening efforts like these or holding those accountable who put their own profits over the safety of our community members. I am grateful to the General Assembly for passing critical legislative tools during this year's session to further our mission to prevent lead-poisoning, and I am proud to partner with RIDOH, municipalities, and health centers to help mitigate this problem."

Lead is a toxic heavy metal that can be harmful if it gets into the body. Before 1978, lead was used to make paint. Most older housing is painted with lead-based paint. Rhode Island has a particularly old housing stock. Lead-based paint can peel, chip, or create dust that may be swallowed or breathed in. Lead is most dangerous to children younger than six years old and for people who are pregnant. Exposure to even a small amount of lead during childhood can have life-long consequences, impacting a child's ability to grow, think, learn, relax, and bond with others.

Blackstone Valley Community Health Care is a culturally diverse health center providing care to the patients in the community for more than 30 years. Providence Community Health Centers (PCHC) is a non-profit health care organization and the only Federally Qualified Health Center in Providence. PCHC provides quality primary health care services that are affordable, comprehensive, and culturally sensitive to more than 85,000 residents of Providence and its surrounding areas.

Boil Water Notice Issued for Partners in Auto Auction Water System

2023-06-19

Partners in Auto Auction Water System in Foster is required to issue a boil water notice to its customers because E. coli bacteria was found in the water system. For more information, customers should refer to the notice provided to them by their water supply officials.

Additional information can be found on the Center for Drinking Water Quality section of the Rhode Island Department of Health's (RIDOH) website.

Partners in Auto Auction Water System collected a sample in the water system on June 15, 2023, that had total coliform present, which required repeat samples to be collected within 24 hours. Repeat samples were collected on June 15, 2023. All three of the repeat samples were total coliform present and one of the repeat samples was also E. coli present. A boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water order can be rescinded.

Customers with questions should contact Luke Semmelrock at 860-428-8992.

Richin Trading Recalls Sun Wave Mini Fruit Jelly Cups Due to Potential Choking Hazard

2023-06-19

The Rhode Island Department of Health (RIDOH) is advising consumers that Richin Trading is recalling its Mini Fruit Jelly Cups (35.27 ounces and 52.90 ounces) that may be a choking hazard.

The recalled jelly cups were distributed to food stores across the country and are sold in large, clear jars. The products being recalled are:

• Sun Wave Mini Fruit Jelly Cup (Assorted Flavors); UPC 715685121437; Net Weight 52.91 ounces

• Sun Wave Mini Fruit Jelly Cup (Mango Flavor); UPC 715685121444; Net Weight 52.91ounces

• Sun Wave Mini Fruit Jelly Cup (Lychee Flavor); UPC 715685121451; Net Weight 52.91ounces

• Sun Wave Mini Fruit Jelly Cup (Assorted Flavors); UPC 715685121512; Net Weight 35.27ounces

• Sun Wave Mini Fruit Jelly Cup (Lychee Flavor); UPC 715685121529; Net Weight 35.27ounces

• Sun Wave Mini Fruit Jelly Cup (Mango Flavor); UPC 715685121536; Net Weight 35.27 ounces

There have been no reports of choking in connection to these products.

Anyone who has purchased any of these products should return it to the place of purchase for a full refund or throw it away in a sealed package inside a secure garbage can with a tight-fitting lid.

Rhode Island 2022 Fatal Drug Overdose Data Released

2023-06-14

With several new overdose prevention efforts now being managed or supported by the McKee Administration statewide, data released today by the Rhode Island Department of Health (RIDOH) indicate that drug overdose deaths remained at crisis levels in Rhode Island in 2022. However, after increasing for years, the number of fatal overdoses did not increase from 2021.

In 2022, 434 Rhode Islanders died of accidental overdose deaths, on par with data from 2021 (when 435 accidental overdose deaths occurred). The number of drug overdose deaths in Rhode Island had been increasing since 2019, largely because of a more lethal drug supply locally and nationally. This plateauing in 2022 was the result of a significant reduction in the rate of overdose deaths in the second half of the year. There was an 13% decrease in overdose deaths between the first six months of 2022 and the second six months of 2022.

"My heart breaks for each and every person who has lost a loved one to this epidemic. We owe it to the Rhode Islanders who have passed, and to their families, to do everything possible to prevent any additional overdose deaths," said Governor Dan McKee. "We have many new interventions in place to respond to the dynamic nature of this crisis. We have to keep innovating and collaborating with our partners in the community to do everything we can to prevent overdoses, save lives, and improve the quality of life for Rhode Islanders."

These new overdose data were discussed in more detail at today's hybrid meeting of Governor McKee's Overdose Task Force. Governor Dan McKee's Overdose Task Force is a coalition of professionals and community members who help guide drug overdose prevention and intervention activities in the state.

"The Task Force has a Strategic Plan to end the overdose crisis and ensure racial equity is embedded across all pillars of its work, including prevention, harm reduction and rescue, treatment, and recovery," said Interim Director of Health Utpala Bandy, MD, MPH. "We are working to change lives by uplifting community voices, using data to drive change, and building lasting connections to care."

"What underlies substance use disorder are the factors in our communities that affect people's abilities to be healthy and safe, such as housing, employment, and discrimination," said Cathy Schultz, the Director of the Governor's Overdose Task Force. "Getting prevention and treatment resources into the community to prevent overdoses immediately is crucial. To do this, we must meet people where they are at and continue working to address these larger structural issues. Every single fatal overdose is a family member and member of our community, and these deaths are preventable."

Data overview

Fatal drug overdose data in Rhode Island are generated using results from RIDOH's Office of the State Medical Examiner and RIDOH's State Health Laboratories. Because of the complex toxicology testing required for many cases, it can take several months to finalize the year's fatal overdose data.

- In 2022, fatal overdoses in Rhode Island remained essentially unchanged from 2021. One fewer fatal overdose occurred in 2022 (434 vs. 435).

- The rate of overdose deaths decreased substantially in the second half of 2022. In the first six months of 2022 there was a 13% increase in fatal overdoses compared to the same time period in 2021. Had this trend continued, Rhode Island's total for fatal overdose deaths would have been 492.

- Overdoses were disproportionately seen amongst men, Rhode Islanders from 25 to 54 years of age, and Black non-Hispanic Rhode Islanders.

- The rate of fatal overdoses among Hispanic/Latino Rhode Islanders increased by 50% from 2021 to 2022.

- Most overdoses continued to occur in private settings (84%).

- Fentanyl and cocaine continued to be involved in most fatal overdoses. Fentanyl was involved in 75% of fatal overdoses and cocaine was involved in 50% of fatal overdoses.

A more detailed data summary is available online (see link below).

Interventions

Several State-level interventions may have contributed to the decrease in overdose deaths in the second half of 2022. They include:

- Mobile outreach: The State has significantly increased its mobile outreach efforts. The State partners with four local harm reduction organizations (AIDS Care Ocean State, Community Care Alliance, Parent Support Network, and Project Weber/RENEW) to deploy outreach teams to overdose hotspots to connect people with harm reduction tools (safe injection kits, condoms, fentanyl test strips, naloxone, safer smoking kits, wound care kits, etc.), basic needs, and treatment and recovery services.

- Availability of naloxone and other harm reduction tools: RIDOH has established centralized naloxone supply hubs for community-based organizations to access naloxone for local distribution. In 2022, 36,590 naloxone kits were distributed, a 70% increase compared to 2021. In 2022, RIDOH also launched a Harm Reduction Vending Machine Program in collaboration with AIDS Care Ocean State. This Program provides 24/7 access to free harm reduction supplies.

- Mobile medical treatment: CODAC's Mobile Medical Treatment Unit has been going to high-risk statewide locations offering health assessments. Medication options and treatment inductions, along with a variety of other counseling services are also available. Since May of 2022, the unit has averaged 584 contacts per month and has had a total of 7,063 clients.

- Recovery centers: The Department of Behavioral Healthcare, Developmental Disabilities & Hospitals (BHDDH) continued to support six recovery community centers that provide peer-based recovery support services.

- Prevention education: Through partnerships with schools and Regional Prevention Coalitions, BHDDH continued to do education and primary prevention work.

Going forward, the State has several new interventions to prevent overdoses either planned or already in place. They include:

- Opioid settlement funds: The Executive Office of Health and Human Services (EOHHS) and its partner state agencies have allocated approximately $20 million Opioid Settlement and Stewardship funds for FY23 and FY24. This has happened through contracts, grants, or MOUs for interventions focused on prevention, harm reduction/rescue, treatment, recovery, social determinants of health (including basic needs and housing), communications, and other emerging issues.

- Overdose prevention center: EOHHS has contracted with Project Weber/RENEW to support the opening of one of the nation's first overdose prevention centers. The center will be a place for people to use pre-obtained drugs under the supervision of medical professionals and trained staff, as well as to get connected to harm reduction, treatment, and recovery support services.

- Targeted text messaging campaign: In February, RIDOH began sending targeted text message alerts to people in communities with increased overdose activity based on weekly data from RIDOH's Opioid Overdose Integrated Surveillance System.

- Increased outreach within the Hispanic/Latino community: In response to the increase within the Hispanic/Latino community, the State is doing increased messaging in Spanish (educational materials, paid media, social media) warning about the dangers of fentanyl, xylazine, and other substances. Additional educational materials are being created in Spanish on how to access naloxone.

For information on additional State interventions, see preventoverdoseRI.org.

Resources for people who need help

- Learn more about available resources at preventoverdoseri.org.

- BH Link operates Rhode Island's 24/7 behavioral health hotline. Calling or texting the 988 Suicide and Crisis Lifeline connects callers to trained professionals who can provide confidential counseling, referrals, and support services (Spanish-speaking callers are available). People can also stop by the 24/7 BH Link Walk-In Triage Center at 975 Waterman Avenue, East Providence, RI to get connected to support.

- The Buprenorphine 24/7 Hotline, 401-606-5456, provides telehealth services for experiencing opioid withdrawal. Callers can learn about Medication for Opioid Use Disorder (MOUD) options and make a plan for continued treatment and recovery support. Learn more about available resources at Get Help – Prevent Overdose RI.

- Fire stations in East Providence, Pawtucket, Providence, Smithfield, and Woonsocket (and the police stations in Bristol, Tiverton and Warren) are designated "Safe Stations." Staff are available 24/7 to help people in crisis get connected to a peer recovery support specialist and treatment and recovery support services.

How you can save a life

- Learn the signs of an overdose, such as slow, shallow breathing; gurgling noises; or breathing that has stopped; unconsciousness/unresponsiveness, or skin tone that appears grayish or ashen to bluish-purple.

- Call 911 first if someone is overdosing. The Rhode Island Good Samaritan Law provides certain legal protection when you call 911 when someone is overdosing, whether you have drugs on you or not.

- Carry the overdose reversal medicine naloxone (sometimes called Narcan) and know how to use it. Naloxone is available at pharmacies without a prescription (and will be available for purchase over-the-counter this fall). You can also get naloxone from a community-based organization. For more information, see preventoverdoseri.org.

RIDOH and DEM Recommend Avoiding Contact with Tiogue Lake

2023-06-13

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Tiogue Lake in Coventry due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals. Blue-green algae can produce toxins that can harm humans and animals. RIDOH's State Laboratories detected high concentrations of cyanobacteria toxins in the water collected by DEM.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Issue Reminder about Harmful Algae Blooms; Caution Against Contact with Almy Pond in Newport

2023-06-05

With recreational activities on the state's many lakes, ponds and rivers set to increase, the Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are reminding all Rhode Islanders to be on the lookout for harmful algae blooms.

In freshwaters, the blooms are caused by blue-green algae, also known as cyanobacteria, which are naturally present in bodies of water. Increased temperatures, slow moving water, and excessive amounts of nutrients cause the cyanobacteria to grow excessively and create potential for harmful blooms. These harmful algae blooms are capable of producing toxins, which have the potential to negatively impact humans and animals.

RIDOH and DEM work to collaboratively screen and respond to conditions indicating a harmful algae bloom is in progress and issue recreational advisories when thresholds are met. Initial site visits late last week indicated that Almy Pond in Newport is experiencing a harmful algae bloom. During an algae bloom, all recreation including swimming, fishing, boating, and kayaking should be avoided. People also should not ingest untreated water or eat fish from affected waterbodies. Pets can also be affected by harmful algae blooms, so owners should not allow pets to drink or swim in this water. State and local officials work to post warnings around bodies of water when harmful algae blooms are present. However, members of the public should be on the lookout for these harmful blooms and know to avoid affected waters, should they encounter a bloom before warnings have been posted.

Affected waters may be bright to dark green in color and have dense, floating algal mats on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. Should these conditions be observed, it is best to refrain from contact with the water and keep pets from entering the water.

Skin contact with water containing blue-green algae can cause irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing blue-green algae include stomachache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at particular risk for health effects associated with harmful algae blooms, because they are more likely to swallow water when in or around bodies of water.

If you come into contact with water affected by a harmful algae bloom, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. If your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People who have had contact with water with algae blooms and who experience the symptoms described above should contact a healthcare provider.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For a list of current advisories, visit: http://www.dem.ri.gov/bluegreen.

Rhode Island Launches Online Medical Marijuana Card Registration System

2023-06-01

The Rhode Island Department of Health (RIDOH)'s new, user-friendly online registration system is now available for medical marijuana patients and authorized purchasers in Rhode Island. The prior system was entirely paper-based.

The web-based portal will shorten processing time and eliminate the need to fill out and mail paper documents.

The new system, known as the Rhode Island Cannabis Licensing Portal (see link below), lets existing card holders renew registrations, update personal information, and make necessary changes to their existing registration cards. New patients applying for a medical marijuana registration card will now apply through the Cannabis Licensing Portal as well. The RIDOH Cannabis Licensing Portal User Guide has step-by-step directions on how to use the online portal (see link below).

RIDOH's Medical Marijuana Program accepts, reviews, and approves patients and authorized purchaser applications and renewals. The portal may also be used by caregivers who have been selected by a card holding patient and approved by the Rhode Island Department of Business Regulation (DBR) to obtain their own marijuana registration card. Caregivers should visit the DBR Office of Cannabis Regulation for further information regarding their registration.

RIDOH will stop mailing registration reminders and renewal forms in the coming months. It is very important that patients create an account in the portal to be sure they get important messages and updates from RIDOH, including renewal reminders 60 days before the expiration date.

Participants whose registrations will expire in the next 14 days should call RIDOH's Medical Marijuana Program at 401-222-3752. Other questions should be emailed to doh.mmp@health.ri.gov.

RIDOH approves or denies new applications and renewals within 35 days of receiving applications and all required documents. As a courtesy, RIDOH will email a renewal reminder 60 days prior to the expiration date on a patient's card if the patient has an email on file with RIDOH.

State Health and Environmental Officials Urge Prevention to Avoid Tick Bites; RIDOH Launches New Data Dashboard for Tick-Borne Diseases

2023-05-30

With warmer weather now here, and with Rhode Island still a high-incidence state for Lyme disease, the Rhode Island Department of Health (RIDOH) and the Department of Environmental Management (DEM) are urging people to take precautions to prevent tick bites when outdoors.

After a mild winter in which more ticks than usual have likely survived into the spring, 2023 may be a bad year for tick bites and the transmission of Lyme disease and other tick-borne diseases.

"While Rhode Islanders are enjoying the great outdoors, we need to make sure we're all taking these three key steps to preventing Lyme and other tick-borne diseases: Repel, Check, Remove," said Interim Director of Health Utpala Bandy, MD, MPH. "Repel and reduce your exposure to ticks, check your body for ticks in the spots that they like to crawl and hide, and be sure to promptly and properly remove ticks if you find one on yourself, your family members, or your pets. Ticks are tiny and you may not be able to feel them or spot them right away. The sooner you find and remove them, the better your chances are at preventing the serious health issues caused by Lyme and other diseases ticks carry."

Increasing numbers of ticks could be attributed to a variety of environmental factors that are symptomatic of climate change such as more moderate winters (allowing ticks that are alive in autumn to survive over the winter), hotter temperatures in the summer, and more rainfall.

"As the weather warms and Rhode Islanders begin returning to state parks, campgrounds, and management areas, so do ticks," said DEM Director Terry Gray. "DEM and the RIDOH cooperate on a wide array of programs and initiatives to protect public health. Public education is critical. Again this year, DEM welcomes the chance to make RIDOH's informative tick bite-prevention materials available for our park and campground visitors."

As a part of this year's tick prevention campaign, RIDOH has launched a new, interactive dashboard with data on several tick-borne disease, including Lyme disease, Anaplasmosis, Babesiosis, and Ehrlichiosis. The dashboard makes data available by case counts and case rates by year, sex, county, city, and town. The dashboard is available at https://health.ri.gov/data/tickborne

Rhode Island had 2,324 cases of Lyme disease in 2022. There were 980 cases of Lyme in Rhode Island in 2021. However, this significant increase is a result of a change in the case definition for Lyme. Historically, the national reporting standard for Lyme disease required healthcare providers to report specific clinical information on all potential cases of Lyme disease. In 2022, the national reporting standard changed. The national case definition for Lyme disease?no longer requires the reporting of clinical information for cases in high-incidence states, such as Rhode Island. However, it counts laboratory tests only and that results in many more cases being included in the count. The next few years of surveillance will allow us to trend data using this new methodology.

RIDOH's ongoing Tick Free Rhode Island campaign highlights the three keys to tick safety: repel, check, and remove.

Repel

Keep ticks off you, your children, and pets by:

--Avoiding wooded and brushy areas with high grass and leaves. If you are going to be in a wooded area, walk in the center of the trail to avoid contact with overgrown grass, brush, and leaves at the edges of the trail. You can also spray your clothes with permethrin to keep ticks away. Make sure to not spray this on your skin.

--Wearing long pants and long-sleeve shirts when outside.

--Tucking your pants into your socks so ticks do not crawl under your clothes.

--Wearing light-colored clothing so you can see ticks more easily.

Check

Check yourself, your children, and pets, for ticks by:

--Taking a shower as soon as you come inside if you have been in grassy or wooded areas.

--Doing a full-body tick check using a mirror; parents should check their kids for ticks and pay special attention to the area in and around the ears, in the belly button, behind the knees, between the legs, around the waist, and in their hair.

--Checking your pets for ticks as well because they can bring ticks into the home.

Remove

Remove ticks from your body, as well as from children and pets, if you find them.

--Use a set of tweezers to remove the tick. Grasp the tick as close to the skin as possible and pull straight up.

--If you don't have tweezers, use your fingers with a tissue or rubber gloves.

Most people who get Lyme disease get a rash anywhere on their body, though it may not appear until long after the tick bite. (70-80% of people with Lyme disease will develop a rash, according to the Centers for Disease Control and Prevention.) At first, the rash looks like a red circle, but as the circle gets bigger, the middle changes color and seems to clear, so the rash looks like a target bull's-eye.

Some people don't get a rash but feel sick, with headaches, fever, body aches, and fatigue. Over time, they could have swelling and pain in their joints and a stiff, sore neck; or they could develop shooting pains, numbness, or tingling in the hands or feet, or facial drooping from nerve palsy. A few people may even experience heart problems. Lyme disease can be treated with antibiotics.

The Tick Free Rhode Island campaign features three animated Tick Free Rhode Island videos. The videos show how to repel both ticks and mosquitoes, how to check for ticks, and how to properly remove a tick from the skin. RIDOH's Rhode Island Tick Detective Workbook for Kids is also available online. To view the videos and get more information on Lyme disease and other tick-borne diseases, visit http://health.ri.gov/ticks.

RIDOH Shares Tips for a Healthy Memorial Day Weekend

2023-05-26

As many Rhode Islanders plan to gather with family and friends this holiday weekend, the Rhode Island Department of Health (RIDOH) is issuing a reminder about the important steps people should take to stay healthy and safe.

Travel responsibly

Never drink and drive. Additionally, never drive after using other substances that impair your ability to drive safely. Substances that impair your ability to drive safely include marijuana, illicit drugs, many types of prescription medicines, and some over-the-counter medicines.

If you have been drinking alcohol and/or using drugs, get a ride home with a driver who has not been drinking or using drugs, use a rideshare service, or call a taxi.

Roughly 30% of all traffic-related deaths in the United States involve an alcohol-impaired driver.

Food safety

Proper handling, preparation, cooking, and storing is key to keeping food safe and preventing food-borne illness year-round. However, these precautions are particularly important as the weather gets warmer, and people start grilling outside.

When handling and grilling raw meat, chicken and other poultry, and seafood, people should:

- Separate the food to be grilled from other from other food.

- Refrigerate before grilling or cooking.

- Never thaw or marinate on the counter.

- Wash your hands before and after handling.

- Make sure its juices do not touch other food, utensils, and surfaces.

- Use a food thermometer to ensure it is cooked to a safe internal temperature.

Additional food safety tips include:

- Wash work surfaces and utensils with hot, soapy water before and after cooking.

- If you are grilling, use a moist cloth or paper towel to clean the grill surface before cooking. If you use a wire bristle brush, thoroughly inspect the grill's surface for loose bristles before cooking. Wire bristles can become loose and get stuck in food.

- Divide leftovers into small portions and place in covered, shallow containers. Put in the freezer or fridge within two hours of cooking (within one hour if above 90°F outside).

Sun safety and beaches

Rhode Islanders are also reminded to protect themselves from the sun's rays and enjoy the beach safely this summer. RIDOH will monitor beach water quality for bacteria this year from May 30th to Labor Day.

- Use a broad-spectrum sunscreen with a minimum SPF of 30 sunscreen whenever spending time outdoors, especially between the hours of 10 a.m. and 4 p.m. Reapply every two hours.

- Seek shade where possible, consider wearing UPF sun-protective clothing, and wear a hat with a brim that shades the face and ears, especially if spending an extended amount of time outdoors.

- After May 30th, look at the latest beach closures and advisories before going to the beach.

- Be aware and prepare for hot temperatures.

Prevent tick bites

After being outdoors, people should take three steps to prevent tick bites, which can lead to Lyme disease and other tick-borne diseases: Repel, Check, Remove.

Repel - keep ticks off you, your children, and pets by:

- Avoiding wooded and brushy areas with high grass and leaves. If you are going to be in a wooded area, walk in the center of the trail to avoid contact with overgrown grass, brush, and leaves at the edges of the trail. You can also spray your clothes with permethrin to keep ticks away. Make sure to not spray this on your skin.

- Wearing long pants and long-sleeve shirts when outside.

- Tucking your pants into your socks so ticks do not crawl under your clothes.

- Wearing light-colored clothing so you can see ticks more easily.

Check - check yourself, your children, and pets, for ticks by:

- Taking a shower as soon as you come inside if you have been in grassy or wooded areas.

- Doing a full-body tick check using a mirror; parents should check their kids for ticks and pay special attention to the area in and around the ears, in the belly button, behind the knees, between the legs, around the waist, and in their hair.

- Checking your pets for ticks as well because they can bring ticks into the home.

Remove - remove ticks from your body, as well as from children and pets, if you find them.

- Use a set of tweezers to remove the tick. Grasp the tick as close to the skin as possible and pull straight up.

- If you don't have tweezers, use your fingers with a tissue or rubber gloves.

For more information about tick bite prevention, see: http://health.ri.gov/ticks

New Campaign Urges Rhode Islanders to Get Checked for Hep C: Free, confidential testing events to be held on Friday and Saturday

2023-05-18

During Hepatitis Awareness Month, public health officials in Rhode Island are making all Rhode Islanders aware of updated testing guidance for the Hepatitis C Virus (HCV). According to updated national screening recommendations, all adults should be tested for HCV at least once in their lifetime. People with risk factors should be tested regularly.

Testing is critical because chronic hepatitis C is curable with antiviral medications.

The Rhode Island Hepatitis Action Coalition, which is led by the Executive Office of Health and Human Services (EOHHS) and the Rhode Island Department of Health (RIDOH), are doing public education on this testing recommendation for Hepatitis Awareness Month, which is recognized every May. These education efforts include a new public service announcement produced by the Rhode Island Broadcasters Association. The ad will air on Rhode Island television and radio stations, in addition to being shared on social media.

"Like many other states, we know that hepatitis C cases have been on the rise in Rhode Island in recent years," said EOHHS Acting Secretary Ana Novais. "The only way for someone to know if they have hepatitis C is for them to get tested. It's important that we work together across the health and human service agencies, and in collaboration with our trusted community partners, to increase awareness of and access to testing."

"Thousands of people in Rhode Island are living with hepatitis C without knowing it. Testing is so important to find out if you are infected and to get lifesaving treatment for chronic hepatitis C. Treatments are available that can cure people with chronic hepatitis C in 8 to 12 weeks, said Interim Director of Health Utpala Bandy, MD, MPH. "Many community level factors impact rates of hepatitis C, including access to care. Partnering with community organizations to promote no-cost testing events is one of many steps we are taking to get at these community level factors, and to advance our work on health equity throughout Rhode Island."

An estimated 2.4 million people are living with hepatitis C in the U.S. People can live with HCV without symptoms or feeling sick, but it is a leading cause of liver cancer and liver transplants. If untreated, chronic hepatitis C can cause significant liver disease which is why it's important to get tested. Getting tested for hepatitis C is important because treatments can cure most people with chronic hepatitis C in eight to 12 weeks.

Rhode Islanders can talk to their primary care providers about getting tested for HCV. In addition, RIDOH's TESTING 1-2-3 service now offers an opportunity for Rhode Islanders to be tested for HCV, in addition to HIV, and/or three sexually transmitted infections (chlamydia, gonorrhea, and syphilis), without a trip to the doctor's office. This service allows people without symptoms to fill out an online questionnaire, select the types of tests that they would like, and go to the lab of their choice for testing. Testing through this program is not free, but should be covered by most insurance plans. (People should check with their insurers about coverage.) People with symptoms or additional questions should check in with a medical provider.

Additionally, two of RIDOH's funded community-based organizations are offering HCV testing events this week.

• May 19 - Project Weber/RENEW will be holding free and confidential HIV and HCV testing events at its two drop-in centers (124 Broad St., Pawtucket, and 640 Broad St., Providence) from 11 a.m. to 3 p.m. Those getting tested will receive a $10 incentive.

• May 20 - Sojourner House will be offering free, confidential HIV and HCV testing at the Haus of Codec Marketplace at Dexter Park in Providence, from 10 a.m. to 1 p.m. A $5 incentive is being offered to people getting tested at that event.

All testing options, including free HCV rapid testing options through all RIDOH-funded community-based organizations, are listed on RIDOH's Hepatitis C testing services page.

In 2022, RIDOH, the Rhode Island Department of Corrections (RIDOC), and EOHHS's Medicaid Office, in collaboration with the Rhode Island Hepatitis Action Coalition, published a new multi-year strategic plan to eliminate hepatitis C virus in Rhode Island. According to data published in that plan, hepatitis C was a leading infectious disease cause of death in Rhode Island between 2015 and 2019. Rhode Island ranks tenth overall in prevalence of hepatitis C per capita and tenth in the prevalence of the disease among non-Hispanic Black/African Americans per capita. Of the more than three million people in the United States who are living with hepatitis C, 75% were born between 1945 and 1965. Baby boomers have a 1 in 30 chance of infection. Younger adults 20-39 years old now have the highest rates of new hepatitis C cases.

Hepatitis C is a liver infection caused by the hepatitis C virus, a blood-borne virus that is not spread through casual contact. It is not a classic sexually transmitted infection. Hepatitis C is only spread when blood from another person who has hepatitis C gets put into the bloodstream of another person. Some people acquired hepatitis C via a blood transfusion before 1992, or via hemodialysis. Others become infected with the hepatitis C virus by sharing needles or other equipment used to inject drugs.

Rhode Island has one of the most comprehensive statewide community-based programs in the nation to prevent hepatitis C transmission among people who use drugs. RIDOH works closely with ENCORE, the state's needle-exchange program, to provide brand new needles and other injecting equipment and harm-reduction counseling for people who use injection drugs. Additionally, RIDOH helps people access medical treatment and care for hepatitis C.

There is no vaccine for hepatitis C. However, hepatitis C can be prevented by avoiding behaviors that can spread the disease, such as avoiding injection and intranasal drug use.

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RIDOH and Attorney General Act to Safeguard Continuity of Care at Pawtucket Falls Nursing Home

2023-05-15

Today, Interim Director of the Rhode Island Department of Health (RIDOH) Utpala Bandy, MD, MPH and Attorney General Peter F. Neronha, announced that a Superior Court judge has ordered that a receiver assume control of Pawtucket Falls Healthcare Center, following the filing of a Petition for Court-Appointed Receiver by RIDOH and the Attorney General.

At a hearing on May 15, 2023, Superior Court Justice Brian Stern appointed attorney Mark Russo as receiver of the facility.

Today's legal action comes after months of regulatory action by RIDOH related to health and safety concerns at the nursing home. By petitioning the court to appoint a receiver, RIDOH and the Attorney General seek to safeguard residents by ensuring that they continue to receive skilled nursing facility level of care. Pawtucket Falls has assented to the Petition.

Under Rhode Island law, the State may petition a court for receivership of a nursing home under certain circumstances, such as when the management of a facility leads to financial or patient safety concerns. When a facility enters into receivership, its management is assumed by a court-appointed receiver, who assumes control of the operational and financial management of the facility, independent from its existing management.

The receivership will provide additional court oversight and control over the facility. The RIDOH has been working closely with a temporary manager at the nursing facility to see that services continue uninterrupted. At this time, there is no indication that Pawtucket Falls Healthcare Center intends to close.

"Over the past seven months, a pattern of health and safety issues has emerged at Pawtucket Falls. We have tried to help the facility stabilize and create a secure environment for the people who call Pawtucket Falls home. However, in the interest of resident safety, receivership is necessary at this time," Dr. Bandy said. "The residents, families, and employees of Pawtucket Falls deserve better. While it is unfortunate that we have arrived here, receivership is now a step in the right direction. It means more accountability from the licensee, and it means that the facility will have more structure and oversight to create a healthier and safer place for residents to live."

"Today's action follows a series of steps by RIDOH to address alleged operational and financial concerns at the facility that ultimately impact some of the most vulnerable among us. This Office's legal efforts in this situation support the important regulatory role that RIDOH plays in overseeing nursing home safety in Rhode Island. Moreover, in its role as the State's health care advocate, this Office also has a responsibility to bring action when necessary to ensure the health and safety of vulnerable Rhode Islanders." said Attorney General Peter F. Neronha. "Rhode Islanders should feel confident that my Office and RIDOH are working to ensure that the facility is kept safe for its residents and stable for its workers."

History

Pawtucket Falls Healthcare Center is a nursing home with roughly 80 residents and 154 beds. In October 2022, in response to a complaint, RIDOH conducted an unannounced inspection at Pawtucket Falls. Since that time, RIDOH conducted 11 surveys and inspections at the facility.

As a result of a number of deficiencies, RIDOH issued Compliance Orders to the facility in February 2023 and in April 2023. Among other measures, the Compliance Order issued by RIDOH on February 8, 2023, imposed a freeze on new admissions to the facility and required the facility to bring on an independent monitor to oversee the quality of care. An Amended Compliance Order on April 7, 2023, required the facility to bring on a RIDOH-approved temporary manager to direct operations, to ensure the facility was maintaining compliance with all regulatory requirements. These measures did result in some improvements in the quality of patient care at the facility, but concerns about the long-term stability of the nursing home's operations prompted the petition for receivership.

Receivership

When a facility enters into receivership, a court-appointed receiver assumes management, acting as an independent party who controls the operations and financial control of the facility This receiver will be directly accountable to the judge for the work being done to keep residents healthy and safe. The receiver will submit a receivership plan to a judge and report regularly to that judge. Receivership is funded by the existing owners of the nursing home.

RIDOH has been working with Rhode Island's Long-Term Care Ombudsman on this issue and families with questions about this matter are encouraged to contact their office at 401-785-3340. Rhode Island's Long-Term Care Ombudsman advocates on behalf of residents in care facilities, listening to their concerns and taking action to protect their rights.

Bean Sprouts and Soy Bean Sprouts Recall Expanded

2023-05-10

The Rhode Island Department of Health (RIDOH) is advising consumers that the Mung Bean Sprouts recall announced on May 8th has been expanded. Chang Farm is expanding their recall to include all Mung Bean Sprouts and Soy Bean Sprouts because of the possible presence of Listeria monocytogenes (L. Monocytogenes). The affected product is packaged in:

- Beans Sprouts 10lb bag and bag in box

- Nature's Wonder Premium Beans Sprouts 12oz bag (UPC: 815098001330)

- Nature's Wonder Premium Soybean Sprouts 12oz bag (UPC: 815098001347)

Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headaches, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The product has been distributed to retail stores and wholesalers throughout Massachusetts, Connecticut, New York, Rhode Island, and New Jersey.

No illnesses have been reported to date.

Consumers should contact their healthcare provider with any illness concerns. Consumers with questions about the warning may contact Chang Farm at 413-522-0234 or 413-222-5519.

Chang Farm Recalls Mung Bean Sprouts Because of Possible Health Risk

2023-05-08

The Rhode Island Department of Health (RIDOH) is advising consumers that Chang Farm (located in Whatley, Massachusetts) is recalling certain Mung Bean Sprouts because of possible Listeria monocytogenes (L. Monocytogenes) contamination. All 10-pound bulk bags are being recalled, as well as 12-ounce retail bags with the sell-by date of May 7th, 2023.

Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headaches, stiffness, nausea, abdominal pain, and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The products were distributed to retail stores and wholesalers throughout Massachusetts, Connecticut, New York, and New Jersey.

Sample analysis by New York State Department of Agriculture and Markets' Division of Food Safety and Inspection confirmed Listeria Monocytogenes.

Consumers should not consume the products and should discard them or return them to the place of purchase for a full refund.

Consumers should contact their healthcare provider with any illness concerns. Consumers with questions about the warning may contact Chang Farm at 413-522-0234 or 413-222-5519.

Rushdi Food Industries Recalls Tahini Due To Possible Contamination with Salmonella

2023-05-05

The Rhode Island Department of Health (RIDOH) is advising consumers that Rushdi Food Industries is recalling its Mighty Sesame 10.9 oz. Organic Tahini (squeezable) with an expiration date of 9/25/23 that may be contaminated with Salmonella.

Most of the recalled product was distributed to stores located in New York, New Jersey, and Connecticut during the weeks of February 23 through March 5. Some of the recalled product was distributed to stores nationwide.

The recalled product has an expiration date of 9/25/23 and a UPC of 858313006208. Only products with this expiration date and UPC are impacted by this recall. No other products are being recalled.

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severs illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Consumers should check any products they may have bought recently. Anyone who has purchased this product should not eat it. Consumers should throw it away or return it to the place of purchase.

There have been no reports of illness related to these products.

Anyone who has eaten these recalled products and has any of the symptoms described above should call their healthcare provider.

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lef Farms Recalls Packaged Salad Greens Due To Possible Contamination with E. coli

2023-05-05

The Rhode Island Department of Health (RIDOH) is advising consumers that lef Farms, is recalling a single lot of its "Spice" packaged salad greens that may be contaminated with E.coli bacteria.

The recalled product was distributed to Hannaford and Market Basket stores in Rhode Island, Massachusetts, New Hampshire, Vermont, Maine, and New York.

The recalled product comes in a four-ounce, clear, plastic, clam shell-shaped container with a "best by" date of 5/5/23, lot number SP10723- 1RGH1, UPC 8 50439 00709 1. Date, lot number, and UPC are on the bottom of the package.

lef Farms "Spice" is the only product impacted. No other products are being recalled.

E. coli causes a diarrheal illness often with bloody stools. Although most healthy adults can recover completely within a week, some people can develop a form of kidney failure called Hemolytic Uremic Syndrome (HUS). HUS is most likely to occur in young children and the elderly. The condition can lead to serious kidney damage and even death.

Consumers should check any products they may have bought recently. Anyone who has purchased this product should not eat it. Consumers should throw it away or return it to the place of purchase.

There have been no reports of illness related to these products.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

General Mills Recalls Certain All Purpose Flour Products

2023-05-01

The Rhode Island Department of Health (RIDOH) is advising consumers that General Mills is recalling two, five and 10-pound bags of its Gold Medal Unbleached and Bleached All Purpose Flour with "better if used by" dates of March 27, 2024 and March 28, 2024. The recall is being issued for the potential presence of Salmonella Infantis, which was discovered during sampling of the five-pound bag product.

Consumers should check their pantries and dispose of the products affected by this recall. Consumers who have had to discard products covered by this recall may contact General Mills Consumer Relations at 800-230-8103.

Healthy people infected with Salmonella Infantis, a bacteria, often experience nausea, diarrhea, fever, and abdominal pains. Typically, symptoms start within six hours to six days after infection and last four to seven days. Any consumers concerned about an illness should contact a physician.

Kawasho Foods Expands Recall of Canned GEISHA Shrimp

2023-04-24

The Rhode Island Department of Health (RIDOH) is advising consumers that Kawasho Foods USA Inc., is expanding its recall of canned GEISHA medium shrimp to include all lots of this product. The recall is being expanded because there is a concern that this product has been under-processed and could be contaminated with clostridium botulinum.

Clostridium botulinum may cause a severe form of food poisoning. It can begin from six hours to two weeks after eating food that contains the toxin. Symptoms may include double vision, blurred vision, drooping eyelids, slurred speech, difficulty swallowing, and muscle weakness. Botulism poisoning can cause respiratory paralysis, resulting in death, unless assistance with breathing (mechanical ventilation) is provided.

The recalled product was distributed to retailers nationwide from December 2022 through April 2023. The recalled product is packaged in a 4-ounce metal can with UPC 071140003909 on the back of the label. This is the only product affected by this recall.

Consumers should not eat this product even if it does not look or smell spoiled. Consumers should check any products they may have bought recently, and if they have any of the recalled product, they should throw it away or return it to the place of purchase.

There have been no reports of illness related to these products.

RIDOH and URI to Test School Drinking Water for Lead Contamination

2023-04-20

With the official launch last month of a voluntary, statewide program to test the drinking water in any Rhode Island K-12 school, program organizers are encouraging any school that has not yet signed up to take advantage of this no-cost testing opportunity. This effort is a collaboration between the Rhode Island Department of Health (RIDOH), the Rhode Island Department of Education (RIDE), and the University of Rhode Island (URI) Cooperative Extension Water Quality Program.

When schools sign up, program staff work with school leadership on the timing of sample collection and on the selection of 10 sample locations through each school. RIDOH and URI Cooperative Extension Water Quality Program will provide sampling materials and arrange sample pickup and testing. All analysis on water samples will be done at RIDOH's State Health Laboratories.

"Lead is a neurotoxin, so it affects how a child's brain develops. Lead exposure can make it difficult for a child to grow, think, and learn," said Interim Director of Health Utpala Bandy, MD, MPH. "Children spend much of their young lives in school. It is the responsibility of all of us to make sure schools are healthy environments, so that Rhode Island's kids thrive now and into the future. We encourage all schools to participate and test their drinking water for lead."

Lead is toxic. It is not naturally found in water. Most lead in water comes from metal wearing away in old pipes, lead-based solder, or brass fittings on faucets or water fountains. Lead in drinking water can cause lead exposure and lifelong health problems. The effects are most serious for babies, young children, and people who are pregnant.

The only way to know if there is lead in drinking water is to test for it. All drinking water testing results will be shared with the school and will be available on RIDOH's website. If the water testing shows levels of lead above the Environmental Protection Agency action level, RIDOH and URI Cooperative Extension Water Quality Program will support the schools and provide guidance on how to address the lead and protect children and staff.

RIDOH is pleased to provide this water testing project at no cost to schools with funding from the EPA Lead Testing in School and Child Care Program Drinking Water grant, established by the Water Infrastructure Improvements for the Nation (WIIN) Act.

Interested superintendents should contact Deborah LaMond (Deborah.LaMond@health.ri.gov) RIDOH's Lead and Copper Rule Manager.

RIDOH, CDC Highlight STI Data for STI Awareness Week

2023-04-13

In observance of National STI Awareness Week, the Rhode Island Department of Health (RIDOH) is raising awareness about rising sexually transmitted infection (STI) rates in Rhode Island and nationwide.

On Tuesday, the Centers for Disease Control and Prevention (CDC) released their 2021 Sexually Transmitted Disease (STD) Surveillance. The annual report shows STI rates continued to increase, with more than 2.5 million new cases of chlamydia, gonorrhea, and syphilis identified in the United States in 2021. RIDOH released its annual 2021 Rhode Island HIV, Sexually Transmitted Infections, Viral Hepatitis, and Tuberculosis Surveillance Report in February. (See links below for both reports.)

"While there is no one reason why rates of STIs are increasing, some factors may be sexual activity with larger networks of partners, substance abuse, and social and economic disparities that limit access to healthcare. In addition, biomedical interventions to prevent HIV and pregnancy may create the incorrect perception that condoms are not needed as much as they were in the past," said Utpala Bandy, MD, MPH, RIDOH Interim Director. "Long-acting injectable contraceptives and pre-exposure medications to reduce your chances of getting HIV (also known as pre-exposure prophylaxis, or PrEP) do not protect against STIs. Fortunately, Rhode Island is a national leader in launching innovative programs to increase access to condoms and testing. These programs can help Rhode Islanders stay health and safe during this time of rapidly increasing STI rates."

"If you are sexually active, make sure to have a discussion with your medical provider regarding the need to be tested periodically for STIs," said Dr. Philip Chan, Consultant Medical Director for RIDOH's Division of Emergency Preparedness and Infectious Disease. "This is especially true if you have multiple sexual partners or are contemplating pregnancy."

Testing and consistent, correct use of condoms are important parts of safer sex. RIDOH's free condoms by mail program and TESTING 1-2-3, which allows people to get tested for HIV and STIs at the lab of their choice without a trip to the doctor's office, are examples of RIDOH programs launched in these areas during the COVID-19 pandemic. Learn more about these programs at http://health.ri.gov/findcondoms and testing123ri.com [testing123ri.com]. RIDOH also offers the RIghtTime sexual health app (righttimeapp.com [righttimeapp.com]), which provides information on prevention, testing, and treatment resources.

The RIDOH and CDC STI surveillance reports indicate:

- From 2012-2021, there has been a 21% increase in chlamydia cases in Rhode Island, from 4,313 cases in 2012 to 5,199 cases in 2021. Nationwide, 1.6 million chlamydia infections were reported in 2021. Most chlamydia cases in the last 10 years have been diagnosed in females. In 2021, nearly twice as many cases were diagnosed in females than in males in Rhode Island. This difference is likely due to two factors. First, women generally access routine healthcare and subsequent screening more frequently than men and are screened for chlamydia more often. Second, men who have chlamydia often do not have symptoms and do not seek healthcare for screening and treatment. From 2017-2021, the highest rates of chlamydia were in people in their 20s, followed by people ages 30-39 and those age 19 or younger.

- From 2012-2021, there has been a 232% increase in gonorrhea cases in Rhode Island, from 507 cases in 2012 to 1681 cases in 2021. More than 700,000 gonorrhea cases were reported nationwide in 2021. In the last 10 years, more gonorrhea cases have been observed in males than in females. In the last five years, case rates for gonorrhea have been consistently highest among people in their 20s, followed by people in their 30s.

- From 2012-2021, there has been a 382% increase in infectious syphilis cases in Rhode Island, from 68 cases in 2012 to 328 cases in 2021. Reported cases of syphilis (all stages) totaled more than 176,000 cases nationwide in 2021. These data represent diagnosed cases based on positive test results and history. In 2021, more cases of infectious syphilis were observed among females compared to prior years; however, males still account for the majority of the reported cases reported. Gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by STIs, including infectious syphilis in Rhode Island, a trend that is also observed nationally.

- In the last two years, RIDOH received its first reports of congenital syphilis in over 10 years. Congenital syphilis continued to surge nationwide in 2021, increasing 203 percent since 2017. In 2021, 38 jurisdictions, including 37 states and the District of Columbia, reported an increase in congenital syphilis cases.

For more information on STIs in Rhode Island, download RIDOH's RIghtTime app or visit http://health.ri.gov/sti.

Scenic Fruit Company Recalls Frozen Organic Strawberries and Frozen Organic Tropical Blend

2023-03-20

The Rhode Island Department of Health (RIDOH) is advising consumes that the Scenic Fruit Company is recalling frozen organic strawberries sold to Costco, Aldi, KeHE, Vital Choice Seafood, PCC Community Markets, and frozen organic tropical blend sold to Trader Joe's due to an outbreak of Hepatitis A illnesses.

Hepatitis A is a contagious liver disease that results from exposure to the Hepatitis A virus, including from food. It can range from a mild illness lasting a few weeks to a serious illness lasting several months. In rare cases, particularly consumers who have a pre-existing severe illness or are immune compromised, Hepatitis A infection can progress to liver failure.

Illness occurs within 15 to 50 days of exposure and includes fatigue, abdominal pain, jaundice, abnormal liver tests, dark urine and pale stool. Hepatitis A vaccination can prevent illness if given within two weeks of exposure to a contaminated food. Persons who may have consumed affected product should consult with their health care professional or local health department to determine if a vaccination is appropriate, and consumers with symptoms of Hepatitis A should contact their health care professionals or the local health department immediately.

The products subject to this recall are listed online. The lot codes and best by dates are found on the back of each bag.

Although Hepatitis A has not been detected on this product, out of an abundance of caution, consumers should stop consuming the product and return it to their local store for a refund. The company has ceased the production and distribution of the product as FDA and the company continue their investigation as to what caused the problem.

All inventories of the affected lot should be removed from sale. Consumers who have purchased the products are urged to destroy or return it to the place of purchase for a full refund. Consumers with questions may contact the company at customer.service@scenicfruit.com

Powdered Infant Formula Recalled

2023-03-20

The Rhode Island Department of Health (RIDOH) is advising consumers that Perrigo Company is issuing a recall of certain lots of Gerber Good Start SootheProTM Powdered Infant Formula that were manufactured at the company's Gateway Eau Claire, Wisconsin facility from January 02, 2023 to January 18, 2023. This product is being recalled due to the potential presence of Cronobacter sakazakii.

Cronobacter sakazakii is a bacteria commonly found in the environment. In most people it causes no symptoms but in some, particularly premature infants, infants under 2 months of age, or infants with weakened immune systems fever, poor feeding, excessive crying, or low energy as well as other serious symptoms can occur.

This product is sold at retailers across the U.S. Consumers who purchased the product after March 5, 2023 should look for the following Lot Codes and "use by" dates, which can be found on the bottom of the package. No other lot codes are impacted by this recall. Any consumers who purchased product with matching codes should discontinue use and dispose of the product.

Gerber Good Start SootheProTM 12.4 oz:

300357651Z – USE BY 04JUL2024

300457651Z – USE BY 05JUL2024

300557651Z – USE BY 06JUL2024

300557652Z – USE BY 06JUL2024

300757651Z – USE BY 08JUL2024

300857651Z – USE BY 09JUL2024

301057651Z – USE BY 11JUL2024

301057652Z – USE BY 11JUL2024

301157651Z – USE BY 12JUL2024

Gerber Good Start SootheProTM 30.6 oz:

301357652Z – USE BY 14JUL2024

301457652Z – USE BY 15JUL2024

301557651Z – USE BY 16JUL2024

Gerber Good Start SootheProTM 19.4 oz:

301557652Z – USE BY 16JUL2024I

Consumers can request refunds for impacted products and find more information about Gerber Good Start by contacting the Gerber Parent Resource Center on behalf of Perrigo at 1-800-777-7690 anytime 24/7. Consumers with any health-related questions should contact their healthcare provider.

No distributed product has tested positive for the presence of this bacteria, no adverse events have been reported and no other products manufactured at this facility or any other of Perrigo's facilities are affected by this recall.

Clio Snacks Recalls Strawberry Granola & Greek Yogurt Bars Due To Possible Contamination with Listeria

2023-03-16

The Rhode Island Department of Health (RIDOH) is advising consumers that Clio Snacks, is recalling 581 cases of its Strawberry Granola & Greek Yogurt Parfait Bar that may be contaminated with Listeria monocytogenes.

The recalled product was distributed to certain Walmart stores between March 5 and March 8, including Walmart stores in Rhode Island.

The recalled product comes in a single-serving box with UPC Code 854021008152, Lot Number 048C2023 and an expiration date of 4/30/2023 stamped on the side of the box. Strawberry Granola & Greek Yogurt Parfait Bar is the only product impacted. No other products are being recalled.

Consumers should check any products they may have bought recently. Anyone who has purchased this product should not eat it. Consumers should throw it away or return it to the place of purchase.

There have been no reports of illness related to these products.

Anyone who eats food contaminated with L. monocytogenes can get listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns.

Symptoms of Listeriosis include fever, muscle aches, headache, stiff neck, confusion, loss of balance, convulsions, diarrhea, or other gastrointestinal symptoms. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery, or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who have flu-like symptoms within two months after eating contaminated food should seek medical care and tell the healthcare provider about eating the contaminated food.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

In Advance of Extreme Cold, McKee Administration Reminds Rhode Islanders to Take Health Precautions

2023-02-02

In advance of the extreme cold expected this weekend, the McKee Administration is reminding all Rhode Islanders about ways to stay healthy and safe.

According to the National Weather Service, Rhode Island will experience temperatures and wind chills below freezing Friday, February 3 into Saturday, February 4. Extreme cold can cause hypothermia, frostbite, and can contribute to events like household fires and carbon monoxide poisoning. The best way to protect your health against extreme cold is to prepare yourself, your home, and your car before extremely cold weather.

Prepare yourself:

--Dress in layers.

--Cover exposed skin. Wind chills this low may result in frostbite on exposed skin in as few as 15 minutes.

--Limit outdoor time.

--Add blankets to your home's emergency kit.

--Eat frequently. Food gives the body energy to produce heat.

--Do not drink a lot of alcohol or caffeine. Alcohol and caffeine cause your body to lose heat faster.

--Check on older family and friends; infants and older adults are more at risk for health problems related to extreme temperature.

--Your baby should wear the same layers adults would comfortably wear plus one additional layer. Avoid using one big, bulky blanket.

--Know the signs and symptoms of hypothermia and frostbite.

Prepare your car:

--Keep your gas tank near full to avoid ice in the tank and fuel lines.

--Make a winter emergency kit for your car. Add extra blankets and a windshield.

--Make sure your tires have enough air pressure and that your heater works.

--Check your car's antifreeze levels.

--Tell your friends and family if you are traveling somewhere. If you can, bring a mobile phone with you.

Prepare your pets:

--Limit outdoor time for your pets.

--Bring outdoor pets inside.

Prepare your house:

--Extreme cold can cause your water pipes to freeze and sometimes break. Leave your water tap open so they drip. Open the cabinets beneath the kitchen sink to let warm air near the pipes.

--Be careful with indoor heaters; keep space heaters three feet away from anything that may catch fire.

--Conserve heat. Don't open doors or windows unless necessary. Close off unneeded rooms.

--Do not use generators, grills, or camp stoves inside.

--Install a battery-operated carbon monoxide detector to protect yourself from carbon monoxide poisoning. Put a carbon monoxide detector near your bedroom so you can hear it if you are sleeping.

Watch for warning signs

When exposed to cold temperatures, your body can lose heat quickly and develop frostbite or hypothermia or both. Frostbite most often impacts noses, ears, cheeks, chins, fingers, and toes. Signs of frostbite include discolored (red, white, or greyish-yellow) skin and numbness. If you notice signs of frostbite, get into a warm area as soon as possible and call a healthcare provider. Warm the affected area with warm water or with body heat. Frostbitten areas can be easily burned because they are numb. Do not use hot water, heating pads, or the heat of a stove or radiator for warming.

Signs of hypothermia include shivering; exhaustion; confusion, memory loss, slurred speech; bright red, cold skin in infants, and very low energy in infants. If you notice signs of hypothermia, take the person's temperature. If their temperature is below 95°F, this is an emergency, and the person should get medical attention immediately.

More information:

--Some cities and towns have warming centers open to those who need shelter during periods of extreme cold. To find a warming center near you, call 2-1-1 or visit: https://riema.ri.gov/planning-mitigation/resources-businesses/warming-centers.

--For information about smoke and carbon monoxide alarms, see this resource from the Rhode Island Office of the State Fire Marshal: https://fire-marshal.ri.gov/sites/g/files/xkgbur726/files/documents/safety/alarms.pdf

--For more information, see RIDOH's page on Winter Health Tips https://health.ri.gov/seasonal/winter/ or the Centers for Disease Control and Prevention (CDC) page on Extreme Cold https://www.cdc.gov/disasters/winter/guide.html [cdc.gov].

Public Advised to Discontinue Use of Artificial Tears Product Linked to Multidrug Resistant Infections

2023-02-02

The Rhode Island Department of Health (RIDOH) is alerting consumers and healthcare providers that the Centers for Disease Control and Prevention (CDC) is advising people nationwide to discontinue the use of preservative-free EzriCare Artificial Tears. The product has been linked to cases nationwide of a strain of extensively drug-resistant Pseudomonas aeruginosa. The over-the-counter product, sold at Walmart, Amazon, and other retailers nationwide, is packaged in multidose bottles.

Although the product is not yet under an official recall, health officials and the product's manufacturer are advising patients and healthcare providers to immediately discontinue using EzriCare artificial tears pending additional guidance from CDC and the Food and Drug Administration (FDA).

While the majority of the cases reported use of EzriCare artificial tears, more than 10 brands of artificial tears were reported to be used by the patients involved, and some reported using multiple brands. CDC laboratory testing has identified this bacterium in opened EzriCare bottles with different lot numbers collected from two states.

Patients had a variety of presentations including eye infection, respiratory infection, urinary tract infection, and sepsis. Vision loss resulting from cornea infection, hospitalization, and one death due to systemic infection were reported. A CDC Health Alert Network Health Advisory distributed by CDC and RIDOH to healthcare providers on Wednesday advises the following guidance to members of the public:

--Discontinue using EzriCare Artificial Tears pending additional guidance from CDC and FDA.

--If patients were advised to use EzriCare Artificial Tears by their healthcare provider, they should follow up with their healthcare provider for an alternative artificial tears product to use.

--Patients who used EzriCare Artificial Tears and who have signs or symptoms of an eye infection, such as discharge from the eye, eye pain or discomfort, redness of the eye or eyelid, feeling of something in the eye, increased sensitivity to light, or blurry vision, should seek timely medical care and let your provider know that you have used this product. At this time, CDC does not recommend testing of patients who have used this product and who are not experiencing any signs or symptoms of infection.

Healthcare providers should review the clinical guidance in the Feb. 1 CDC Health Alert Network Health Advisory. For more information, please call CDC at 1-800-232-4636.

Daniele International Recalls Ready-To-Eat Sausage Due To Possible Contamination with Listeria (Ingles y Espanol)

2023-01-30

The Rhode Island Department of Health (RIDOH) is advising consumers that Daniele International, LLC, is recalling more than 50,000 pounds of ready-to-eat sausage that may be contaminated with Listeria monocytogenes.

The products were produced on various dates from May 23, 2022, through November 25, 2022, and shipped to retail locations nationwide on various dates from December 23, 2022, through January 17, 2023. The following products are included in this recall:

--6-ounce plastic tray of "FREDERIK'S by meijer SPANISH STYLE charcuterie sampler tray" with a sell-by date of 4/15/23;

--6-ounce plastic tray of "Boar's Head CHARCUTUERIE TRIO" with sell-by dates of 4/13/23, 4/14/23, and 4/15/23;

--7-ounce plastic tray of "COLAMECO'S PRIMO NATURALE GENOA UNCURED SALAMI" with sell-by date of 12/23/23;

--7-ounce plastic tray of "COLAMECO'S PRIMO NATURALE BLACK PEPPER UNCURED SALAMI" with use-by dates of 12/22/23, 12/30/23, and 1/17/24;

--1-pound plastic tray of "DEL DUCA SOPRESSATA, COPPA & GENOA SALAMI" with sell-by dates of 4/13/23 and 4/14/23;

--1-pound plastic tray of "DEL DUCA CALABRESE, PROSCIUTTO & COPPA" with sell-by date of 5/6/23;

--1-pound plastic tray of "DEL DUCA GENOA SALAMI, UNCURED PEPPERONI & HARD SALAMI" with use-by date of 5/4/23; and

--12-ounce plastic tray of "Gourmet Selection SOPRESSATA, CAPOCOLLO, HARD SALAME" with sell-by date of 4/14/23.

These products have EST. 54 inside the USDA mark of inspection.

Consumers should check any products they may have in their refrigerator. Anyone who has purchased this product should not eat it. Consumers should throw it away or return it to the place of purchase.

There have been no reports of illness related to these products.

Anyone who eats food contaminated with L. monocytogenes can get listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns.

Symptoms of Listeriosis include fever, muscle aches, headache, stiff neck, confusion, loss of balance, convulsions, diarrhea, or other gastrointestinal symptoms. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery, or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who have flu-like symptoms within two months after eating contaminated food should seek medical care and tell the healthcare provider about eating the contaminated food.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

***

El Departamento de Salud de Rhode Island (RIDOH) informa a los consumidores que la compañía "Daniele International, LLC" está retirando del mercado más de 50,000 libras de salchichas listas para comer que pueden estar contaminadas con Listeria "monocytogenes".

Los productos fueron fabricados entre el 23 de mayo de 2022 al 25 de noviembre de 2022 y se enviaron a tiendas minoristas en todo el país en entre el 23 de diciembre de 2022 al 17 de enero de 2023. Los siguientes productos están incluidos en este retiro:

- Bandeja de plástico de 6 onzas de "FREDERIK'S by meijer SPANISH STYLE charcuterie sampler tray" con fecha de vencimiento del 04/15/23;

- Bandeja de plástico de 6 onzas de "Boar's Head CHARCUTUERIE TRIO" con fecha de vencimiento del 13/04/23, 14/04/23 y 04/15/23;

- Bandeja de plástico de 7 onzas de "COLAMECO'S PRIMO NATURALE GENOA UNCURED SALAMI" con fecha de vencimiento del 12/23/23;

- Bandeja de plástico de 7 onzas de "COLAMECO'S PRIMO NATURALE BLACK PEPPER UNCURED SALAMI" con fechas de vencimiento del 12/22/23, 30/12/23 y 17/1/24;

- Bandeja de plástico de 1 libra de "DEL DUCA SOPRESSATA, COPPA & GENOVA SALAMI" con fechas de vencimiento del 04/13/23 y 04/14/23;

- Bandeja plástica de 1 libra de "DEL DUCA CALABRESE, PROSCIUTTO & COPPA" con fecha de vencimiento del 6/5/23;

- Bandeja de plástico de 1 libra de "DEL DUCA GENOVA SALAMI, PEPPERONI SIN CURAR Y SALAMI DURO" con fecha de vencimiento del 4/5/23; y

- Bandeja plástica de 12 onzas de "Selección Gourmet SOPRESSATA, CAPOCOLLO, SALAME DURO" con fecha de vencimiento del 04/14/23.

Estos productos tienen "EST. 54" dentro de la marca de inspección del USDA. Vea muestras de etiquetas de productos en línea. Vea ejemplos de los rótulos en View sample product labels online. [t.sidekickopen60.com [t.sidekickopen60.com]]

Los consumidores deben revisar cualquier producto que puedan tener en su refrigerador. Cualquier persona que haya comprado alguno de estos productos no debe comerlo. Los consumidores deben tirarlos o devolverlos al lugar donde se ha comprado.

No ha habido informes de enfermedades relacionadas con estos productos.

Cualquier persona que ingiera alimentos contaminados con listeria monocytogenes puede contraer listeriosis, una infección grave que afecta principalmente a adultos mayores, a personas con sistemas inmunes débiles y a mujeres embarazadas y a sus recién nacidos.

Los síntomas de la listeriosis incluyen fiebre, dolores musculares, dolor de cabeza, rigidez en el cuello, confusión, pérdida del equilibrio, convulsiones, diarrea u otros síntomas gastrointestinales. En las mujeres embarazadas, la infección puede causar abortos espontáneos, partos prematuros o infecciones potencialmente mortales del recién nacido. Además, se producen infecciones graves y, en ocasiones, mortales en adultos mayores y personas con sistemas inmunes débiles. La listeriosis se trata con antibióticos. Cualquier persona en las categorías de mayor riesgo que tenga síntomas similares a los de la gripe dentro de los dos meses posteriores a la ingestión de alimentos contaminados debe buscar atención médica e informar al proveedor de cuidado médico que ha consumido estos alimentos contaminados.

Cualquier persona que haya comido estos productos retirados y tenga síntomas de listeriosis debe llamar a su proveedor de atención médica.

CDC Updates COVID-19 Community Levels for Rhode Island Counties

2023-01-20

The Centers for Disease Control and Prevention (CDC) has updated the COVID-19 community levels for Rhode Island's counties. All five counties are now at the "medium" level. (Providence County had the "high" designation previously.)

Each week the CDC identifies the COVID-19 community level in every county in the country as "low," "medium," or "high" using case rates, data on hospital admissions, and percentage of hospital beds occupied by COVID-19 patients. Regardless of the designation of someone's county, everyone should take certain prevention measures.

- Stay up to date on COVID-19 vaccination, including booster doses. The Omicron booster doses currently being administered are providing good protection against the dominant variant circulating in Rhode Island.

- Ventilate indoor spaces as well as possible.

- Avoid contact with people who have suspected or confirmed COVID-19.

- Follow recommendations for isolation if you have suspected or confirmed COVID-19.

- Follow the recommendations for what to do if you are exposed to someone with COVID-19.

- If you are at high risk of getting very sick, talk with a healthcare provider about additional prevention actions.

Additionally, CDC recommends that people in "medium" counties consider self-testing and masking when around those who are at high risk for getting very sick. The full recommendations by community level from the CDC are available online.

CDC Updates COVID-19 Community Levels for Rhode Island Counties

2023-01-13

The Centers for Disease Control and Prevention (CDC) has updated the COVID-19 community levels for Rhode Island's counties. Four counties – Bristol County, Kent County, Newport County, and Washington County – are at the "medium" level. (Kent County and Newport County decreased from being "high" last week.) Providence County still has the "high" designation.

Each week the CDC identifies the COVID-19 community level in every county in the country as "low," "medium," or "high" using case rates, data on hospital admissions, and percentage of hospital beds occupied by COVID-19 patients. Regardless of the designation of someone's county, everyone should take certain prevention measures.

- Stay up to date on COVID-19 vaccination, including booster doses. The Omicron booster doses currently being administered are providing good protection against the dominant variant circulating in Rhode Island.

- Ventilate indoor spaces as well as possible.

- Avoid contact with people who have suspected or confirmed COVID-19.

- Follow recommendations for isolation if you have suspected or confirmed COVID-19.

- Follow the recommendations for what to do if you are exposed to someone with COVID-19.

- If you are at high risk of getting very sick, talk with a healthcare provider about additional prevention actions.

Additionally, CDC recommends that people in "medium" counties consider self-testing and masking when around those who are at high risk for getting very sick. CDC recommends that people in "high" counties wear high-quality masks while in crowded, indoor public settings. (This is a recommendation, not a requirement.) The full recommendations by community level from the CDC are available online. (See link below.)

2022 News

Preliminary List of Top Baby Names in 2022

2022-12-30

The Rhode Island Department of Health (RIDOH) is sharing a preliminary list of the most popular baby names in Rhode Island in 2022.

Female

1. Charlotte

2. Amelia

3. Isabella

4. Olivia

5. Emma

6. Luna

7. Sophia

8. Ava

9. Isla

10. Scarlett and Violet (tie)

Male

1. Liam

2. Noah

3. Owen

4. Theodore

5. Oliver

6. Benjamin

7. Julian

8. Luca

9. Henry

10. Lucas

In 2021, the three most popular female names were Olivia, Sophia, and Amelia. The three most popular male names were Liam, Noah, and Julian.

RIDOH's Center for Vital Records finalizes the prior year's birth data by the end of February.

CDC Updates COVID-19 Community Levels for Rhode Island Counties

2022-12-30

The Centers for Disease Control and Prevention (CDC) has updated the weekly COVID-19 community levels for Rhode Island's counties. Three Rhode Island counties are designated as "medium" - Bristol County, Washington County, and Newport County. Two Rhode Island counties are designated as "high" - Providence County and Kent County. The relatively small increase in COVID-19 activity that Rhode Island is currently seeing is not expected to last long.

COVID-19 is a respiratory virus. Respiratory viruses (such as the flu) spread more readily when people gather, and when those gatherings are indoors. Local and national health officials anticipated an increase in respiratory virus activity, including COVID-19 activity, around the holidays.

CDC's COVID-19 recommendations

Regardless of the designation of someone's county, everyone should take certain prevention measures to stay healthy and safe.

• Stay up to date on COVID-19 vaccination, including recommended booster doses.

• Ventilate indoor spaces as well as possible.

• Avoid contact with people who have suspected or confirmed COVID-19.

• Follow recommendations for isolation if you have suspected or confirmed COVID-19.

• Follow the recommendations for what to do if you are exposed to someone with COVID-19.

• If you are at high risk of getting very sick, talk with a healthcare provider about additional prevention actions.

Additionally, CDC recommends that people in "medium" counties consider self-testing and masking when around those who are at high risk for getting very sick. CDC recommends that people in "high" counties wear high-quality masks while in crowded, indoor public settings. (This is a recommendation, not a requirement.) The full recommendations by community level from the CDC are available online. (See link below.)

General measures to prevent the spread of respiratory viruses

COVID-19, the flu, and RSV are common examples of respiratory viruses.

• Get your flu shot. Everyone older than six months of age should be vaccinated every year. For information on where to get a flu shot, see http://health.ri.gov/flu.

• Cough or sneeze into your elbow.

• Wash your hands often with soap and water.

• Clean and disinfect frequently touched surfaces at home, work, and school.

• Stay home if you are sick.

• Keep children home from daycare or school who have fever, especially with a cough, difficulty breathing or shortness of breath, congestion, runny nose, or sore throat, until they are fever-free for 24 hours without medications that reduce fever.

• Contact your pediatrician or healthcare provider if you believe your child needs medical care. Your provider can offer advice on whether your child needs to be evaluated in person, tested for COVID or flu, and the best location (doctor's office, urgent care, emergency room) for care.

About COVID-19 community levels

Each week the CDC identifies the COVID-19 community level in every county in the country as "low," "medium," or "high" using case rates, data on hospital admissions, and percentage of hospital beds occupied by COVID-19 patients.

RIDOH and DEM Recommend Lifting Advisories for Blue-Green Algae

2022-12-29

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the recreational advisories at Upper J.L. Curran Reservoir in in Cranston, Wenscott Reservoir in North Providence, Mashapaug Pond in Providence, and three lakes in Roger Williams Park (Pleasure, Cunliff, and Elm) in Providence. The recreational advisories were associated with high levels of blue-green algae, also known as cyanobacteria. Three other water bodies in Roger Williams Park remain under advisories (Roosevelt, Polo, and Willow Lakes) due to continued visual evidence of blue-green algae.

Blue-green algae are generally less active as seasonal changes reduce light and temperature in the winter. However, the possibility of recurring blooms and/or toxins represent potential risks, even in iced-over conditions.

DEM monitoring has ended for the year. Regardless of season, the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating scum. Blue-green algae blooms may look like green paint or thick pea soup.

For more information and a list of historical advisories, visit http://www.dem.ri.gov/bluegreen. Send reports of suspected blue-green algae blooms, along with photographs if possible, to DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Upper and Lower Melville Ponds and Almy Pond

2022-12-14

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Lower Melville Pond and Upper Melville Pond (also known as Thurston Gray Pond) in Portsmouth and at Almy Pond in Newport. The advisories related to high levels of blue-green algae, also known as cyanobacteria, and associated toxins.

Recent consecutive visual surveys by DEM at these sites found blue-green algae reduced to acceptable levels. The findings meet State guidelines to support lifting the advisory.

Blue-green algae are generally less active as seasonal changes reduce light and temperature in the winter. As the blue-green algae monitoring season ends due to this naturally reduced activity and less recreational contact with waters, RIDEM is conducting visual surveys to determine if blue-green algae has diminished at all lakes and ponds with active advisories. Melville Ponds and Almy Pond met the visual threshold this week to lift the advisories. Advisories remain in effect for waters in Roger Williams Park, Wenscott Reservoir, and J.L. Curran Reservoir due to continued visual evidence of blue-green algae.

Regardless of season, the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating scum. Blue-green algae blooms may also look like green paint or thick pea soup.

For more information and a list of active and historical advisories, visit http://www.dem.ri.gov/bluegreen. Send reports of suspected blue-green algae blooms, along with photographs, if possible, to DEM.OWRCyano@dem.ri.gov.

Byheart Recalls Five Batches of Infant Formula

2022-12-12

The Rhode Island Department of Health (RIDOH) is advising consumers that Byheart is recalling five batches of ByHeart Whole Nutrition Infant Formula due to the potential for cross-contamination with Cronobacter sakazakii.

The product being recalled is ByHeart Whole Nutrition Infant Formula, Milk Based Powder with Iron for 0-12 Months in 24 oz containers (see image of label attached). The formula under recall was distributed directly to consumers and can be identified by the number on the bottom of the can. Recalled product batches are 22273 C1, 22276 C1, 22277 C1, 22278 C1, and 22280 C1 printed with use by 01 JAN 24 or 01JUL 24.

Cronobacter bacteria can cause severe, life-threatening infections (sepsis) or meningitis (an inflammation of the membranes that protect the brain and spine). Symptoms of sepsis and meningitis may include poor feeding, irritability, temperature changes, jaundice (yellow skin and whites of the eyes), grunting breaths, and abnormal movements. Cronobacter infection may also cause bowel damage and may spread through the blood to other parts of the body.

ByHeart owns its entire manufacturing supply chain with the exception of final canning, which is done by a third-party packager. ByHeart is taking this precautionary measure because one test sample collected from the third-party packaging facility tested positive for Cronobacter sakazakii. All product packaged that day, and the first production on the next day, was isolated for destruction and not distributed. Out of an abundance of caution, this recall is happening for all product produced during the entire production run.

To date, Byheart has not received any consumer complaints that would indicate any illnesses. (Illness complaints are an early detection of safety concerns.)

Customers who purchased ByHeart product should check the bottom of the can and dispose of product from batches 22273 C1, 22276 C1, 22277 C1, 22278 C1, and 22280 C1. ByHeart is setting up a webpage at https://byheart.com/noticesExternal [byheart.com] Link Disclaimer with additional information about its measures. Should customers have any other questions or want to find out if the product they have is included in the voluntary recall, they should email notices@byheart.com or text ByHeart at 1-909-506-2354. The company will also be reaching out directly to all customers via email who purchased orders from these identified batches.

RIDOH Advising the Public of Unintended Information Release

2022-12-07

The Rhode Island Department of Health (RIDOH) is advising the public of a recent data breach of protected health information.

Between July 28, 2022, and October 20, 2022, a link to a spreadsheet was accidentally included in emails sent by RIDOH staff. The file contained information about people receiving food box deliveries while in COVID-19 isolation or quarantine. This file contained information for approximately 8,800 people. The people listed in this spreadsheet are being notified directly of this breach through postal mail. Anyone who was impacted by this breach will receive a letter from RIDOH by December 20.

To RIDOH's knowledge, this file was inadvertently emailed to 46 people, all of whom were on the list to receive food box services. RIDOH is not aware, at this time, of any security concerns related to this breach. No medical information or financial information was included in the breach. (The spreadsheet is considered protected health information because it indicated that people were in COVID-19 isolation or quarantine.) The information in the spreadsheet included:

• Date of contact by RIDOH.

• First, middle, and last name.

• Phone number.

• Street address, apt., city, and ZIP code.

• The person's specific needs, such as food, cleaning supplies, and personal protective equipment.

• Household information, such as the number of children and adults in the household.

• Delivery information, such as whether contact was made and the delivery date.

• Additional notes (for example, if a person required gluten-free food).

RIDOH began investigating this breach as soon as it was discovered. The investigation has included:

• Immediately conducting extensive email searches to determine how widely the link to the file had been shared;

• Immediately restricting access to the file; and

• Identifying additional steps to prevent unintended release of information in the future, including additional trainings for staff and enhanced security measures for the handling of sensitive information.

RIDOH formed a Support Team to respond to inquiries about this issue. To inquire if your information was included in this breach, you can contact RIDOH's Support Team on or after December 12, 2022, at 844-930-1780, 8:30 a.m. - 4:30 p.m.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Georgiaville Pond, Blackamore Pond, and Larkin Pond

2022-12-06

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Georgiaville Pond in Smithfield, Blackamore Pond in Cranston, and Larkin Pond in South Kingstown. The advisory related to high levels of blue-green algae, also known as cyanobacteria, and associated toxins.

Recent consecutive surveys by DEM and sample analysis conducted by RIDOH's State Health Laboratories confirmed that blue-green algae has been at acceptably low levels and that cyanotoxins are not present in detectable concentrations at Georgiaville Pond. These findings meet state guidelines to support lifting the advisory.

Blue-green algae are generally less active as seasonal changes reduce light and temperature in the winter. As the blue-green algae monitoring season ends due to this naturally reduced activity and less recreational contact with waters, DEM is conducting visual surveys to determine if blue-green algae has diminished at all lakes/ponds with active advisories. Blackamore Pond and Larkin Pond met the visual threshold this week to lift the advisory. All other ponds with current advisories remain with visual evidence of blue-green algae.

Regardless of season, the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating scum. Blue-green algae blooms may also look like green paint or thick pea soup.

For more information and a list of active and historical advisories, visit http://www.dem.ri.gov/bluegreen. Send reports of suspected blue-green algae blooms, along with photographs, if possible, to DEM.OWRCyano@dem.ri.gov.

Exportadora Copramar Recalls Frozen Raspberries Due to Possible Contamination

2022-12-06

The Rhode Island Department of Health (RIDOH) is advising consumers that Exportadora Copramar is recalling 1,260 cases of James Farm frozen raspberries because of a potential contamination with Hepatitis A.

The recalled frozen raspberries are packaged in 10-pound cartons and were sold at Restaurant Depot/Jetro locations in Rhode Island, Connecticut, Massachusetts, New York, New Jersey, Pennsylvania, Maryland, Virginia, and Delaware. This recall is for the following product:

--James Farms Frozen Raspberries; two five-pound bags in each 10-pound carton;

--"Best if used by date" of June 14, 2024;

--"Product of Chile", UPC code 76069501010, lot code CO 22-165 The UPC code is on the top of the carton, and the lot code is on the bottom of the carton.

Consumers or food establishments who have purchased this recalled product should not eat them. Throw them away or return them to the store where you purchased them. To date, there have been no reported illnesses related to this product.

Hepatitis A is a contagious liver disease that results from exposure to the Hepatitis A virus, including from food. It can range from a mild illness lasting a few weeks to a serious illness lasting several months. Illness generally occurs within 15 to 50 days of exposure and includes fatigue, abdominal pain, jaundice, abnormal liver tests, dark urine, and pale stool. Hepatitis A vaccination can prevent illness if given within two weeks of exposure to a contaminated food. In rare cases, particularly consumers who have a pre-existing severe illness or who have a weakened immune system, Hepatitis A infection can progress to liver failure.

Anyone who may have eaten this recalled product should contact their healthcare provider to ask if a vaccination is appropriate. Anyone who has symptoms of Hepatitis A should contact their healthcare provider immediately.

Make Health a Part of Your Thanksgiving

2022-11-23

The Rhode Island Department of Health (RIDOH) is encouraging all Rhode Islanders to make health a part of their holiday this Thanksgiving.

"Thanksgiving is a wonderful day to gather with friends and family, and to reflect on the blessings in our lives. This year, we're asking everyone to take a few additional steps to help themselves stay safe," said Interim Director of Health Utpala Bandy, MD, MPH. "With several respiratory viruses circulating in Rhode Island - including flu, RSV, and COVID-19 - this is particularly important. A few basic prevention measures can go a long way in helping you and your family have a healthier holiday."

Prevent the spread of respiratory viruses

• Stay home if you are sick. Do not host others if you are sick.

• Wash your hands with soap and water regularly.

• Cough or sneeze into your elbow.

• Clean and disinfect frequently touched surfaces.

• Consider getting tested for COVID-19 if you plan to visit someone who is at higher risk for severe COVID-19 illness. Information about testing is available at covid.ri.gov.

• Get your flu shot. Everyone older than six months of age should be vaccinated every year. For information on where to get a flu shot, see http://health.ri.gov/flu.

• Be up to date on your COVID-19 vaccinations. For many people, that means getting a booster. For information on how to get vaccinated against COVID-19, see C19vaccineRI.org [c19vaccineri.org].?

Food safety

• Wash your hands before and after preparing or eating food. This is especially important if you have been handling raw meat.

• Thoroughly wash counters, cutting boards, and utensils with warm, soapy water after they touch raw turkey. Use a separate cutting board for raw turkey and other raw meats if possible.

• Washing your turkey before cooking is not recommended. Poultry juices can spread in the kitchen and contaminate other foods, utensils, and countertops.

• Raw poultry can contaminate anything it touches with harmful bacteria. Follow the four steps to food safety-clean, separate, cook, and chill-to prevent the spread of bacteria to your food, family, and friends.

• Thaw your turkey safely. Thaw turkey in the refrigerator, in a sink of cold water (change the water every 30 minutes), or in the microwave. Avoid thawing foods on the counter. A turkey must thaw at a safe temperature to prevent harmful germs from growing rapidly.

• Cook raw turkey thoroughly to kill harmful germs. Turkey breasts, whole turkeys, and ground poultry, including turkey burgers, casseroles, and sausage, should always be cooked to an internal temperature of 165F to kill harmful germs.

• Debone the turkey as soon as possible and refrigerate leftovers at 40F or colder as soon as possible and within two hours of preparation. Slice or divide big cuts of meat, such as a roast turkey, into small quantities for refrigeration so they can cool quickly. Reheat all leftovers to at least 165F before serving.

• Cooking stuffing separately from the turkey in a casserole dish makes it easy to be sure it is thoroughly cooked. If you cook stuffing in the turkey, put the stuffing in the turkey just before cooking. With either cooking method, use a food thermometer to make sure the stuffing's center reaches 165F. Learn more about how to prepare stuffing safely.

• If you plan to bake, do not eat raw dough or batter, and use pasteurized eggs in dishes that call for raw eggs.

Additional health tips

• If you are going to be drinking, consume alcohol in moderation.

• If you are going to be drinking and traveling, make sure that you have a designated driver.

• Put down your phones, get away from the television, and do something interactive with family and friends. Good examples are playing a board game, playing cards, or taking a walk.

RIDOH Issues Reminder About Proper Use of Antibiotics

2022-11-22

As a part of on-going efforts to prevent the proliferation of antibiotic resistant bacteria, the Rhode Island Department of Health (RIDOH) is reminding Rhode Islanders about the importance of using antibiotics properly. People should only use antibiotics when it is necessary, and antibiotics should be used exactly as they are prescribed.

Antibiotics save lives, but any time antibiotics are used, they can cause side effects and can lead to antibiotic resistance. Antibiotic resistance is one of the most urgent public health threats in the U.S. today. Antibiotic resistance does not mean the body is becoming resistant to antibiotics; it means bacteria develop the ability to defeat the antibiotics designed to kill them. When bacteria become resistant, antibiotics cannot fight them, and the bacteria multiply. Some resistant bacteria can be hard or impossible to treat and can spread to other people.

According to the Centers for Disease Control and Prevention (CDC), more than 2.8 million antibiotic-resistant infections occur in the U.S. each year, and more than 35,000 people die as a result.

"When someone takes the time out of their day to go to the doctor, they want to walk out with a prescription that is going to make them feel better. But antibiotics are not always the answer," said Interim Director of Health Utpala Bandy, MD, MPH. "In fact, they can sometimes make things even worse. By taking antibiotics when not appropriate, people put themselves at risk for serious side effects while also undermining our ability to use antibiotics as a life-saving tool for future generations."

Public health officials throughout the country and worldwide are taking similar measures to educate the public this week, during Antibiotic Awareness Week November 18-24.

CDC and RIDOH encourage patients and families to:

• Get the facts about antibiotics. Antibiotics do not work on viruses, such as those that cause COVID-19, RSV, colds, flu, bronchitis, or runny noses, even if the mucus is thick, yellow, or green.

• Ask your doctor, nurse, or pharmacist about alternatives to antibiotics.

• While your body fights off a virus, pain relievers, fever reducers, saline nasal spray or drops, warm compresses, liquids, and rest can help you feel better.

• If you need antibiotics, take them exactly as prescribed. Talk with your doctor if you have any questions about your antibiotics.

• Do your best to stay healthy and keep others healthy by washing hands, covering coughs, staying home when sick, and getting recommended vaccines, such as the flu vaccine.

• Do not share prescription medications.

In addition to these action steps, talk with your healthcare provider if you develop any side effects from an antibiotic. Common side effects of antibiotics can include rash, dizziness, nausea, diarrhea, or yeast infections. It particularly important to talk to a healthcare provider if you experience severe diarrhea after taking an antibiotic. Severe diarrhea could be an indication of Clostridioides difficile (C. difficile or C. diff) infection, which needs to be treated. November is also C. Diff Awareness Month.

In addition to the impact on patient health, C. diff rates have a financial impact on hospitals under Medicare's Healthcare-Acquired Condition (HAC) Reduction and Value-Based Purchasing Programs. To help reduce these healthcare-acquired infections, RIDOH's Antimicrobial Stewardship and Environmental Cleaning Task Force has developed the CDI Playbook for Rhode Island healthcare providers and facilities.

More information and videos can be found at https://health.ri.gov/antibiotics and cdc.gov/antibiotic-use [cdc.gov].

Health Advisory for Deli Meats and Cheeses

2022-11-18

The Rhode Island Department of Health (RIDOH) is advising people who are at higher risk for severe illness from Listeria to not eat meat or cheese from any deli counter unless it is reheated to an internal temperature of 165F or until steaming hot.

People are considered higher risk for severe Listeria illness if they are pregnant, are 65 or older, or have a weakened immune system due to certain medical conditions or treatments.

National health officials are investigation an outbreak of Listeria linked to deli meat and cheese. To date, 16 illnesses, 13 hospitalizations, and one fatality have been associated with this outbreak. Although no cases have been identified in Rhode Island, cases have been identified in Massachusetts and New York.

Listeria can cause severe illness (known as invasive listeriosis) when the bacteria spread beyond the gut to other parts of the body. Symptoms of severe illness usually start within two weeks of eating food contaminated with Listeria but may start as early as the same day or as late as 10 weeks after.

Deli meats (cold cuts, lunch meats, hot dogs, and pates sold at the deli) and cheeses are known sources of Listeria illness. This is because Listeria can easily spread among food on deli countertops, deli slicers, surfaces, and hands. Listeria is a hardy germ that can be difficult to fully remove once it is in the deli. It can survive and grow at cold temperatures in the refrigerator.

What People at Higher Risk Should Do

People who are pregnant, are 65 or older, or who have a weakened immune system due to certain medical conditions or treatments are at higher risk for severe Listeria illness. These individuals should take the following steps:

• Avoid meat or cheese from any deli counter, unless it is reheated to an internal temperature of 165F or until steaming hot. Listeria can grow on foods kept in the refrigerator, but it is easily killed by heating food to a high enough temperature.

• Clean your refrigerator, containers, and surfaces that may have touched deli meat or cheese from the deli.

• Call your healthcare provider right away if you have any symptoms of severe Listeria illness after eating meat or cheese from a deli. Symptoms can include fever, muscle ache, fatigue, headache, and stiff neck.

The Centers for Disease Control and Prevention (CDC) has information online about how the signs and symptoms of Listeria infection vary depending on the person infected (https://www.cdc.gov/listeria/symptoms.html [cdc.gov]).

What Businesses Should Do

• Follow USDA-FSIS best practices for controlling Listeria contamination in deli areas (https://www.fsis.usda.gov/guidelines/2015-0014 [fsis.usda.gov]).

Hospital and State Leaders Call on Rhode Islanders to Seek Medical Care in the Right Place

2022-11-17

With several respiratory viruses currently circulating in Rhode Island and with the holidays coming, State health officials and hospital leaders gathered today to again urge the public to only go to emergency departments for issues that require emergency care. Hospital emergency departments in Rhode Island are experiencing significant crowding and prolonged waiting times.

At a press event, leaders reminded Rhode Islanders that many health issues can be treated quickly and effectively by a primary care provider, in an urgent care facility, or at a health center. This includes less severe cases of the flu, back pain, minor cuts, sore throats, low-grade fevers, and most cases of norovirus (the "stomach flu"). Although many outpatient settings are also currently seeing a very significant number of patients, seeking care for less serious health issues in non-hospital settings will help ensure that emergency care is available to people who truly need it.

State leaders also announced at the press event that a new, temporary health regulation will allow emergency medical services (EMS) personnel to work under the supervision of an on-site healthcare provider in a hospital or other licensed healthcare facility in Rhode Island. This regulation is in response to the staffing shortage in emergency departments, which is contributing to the overcrowding challenges at facilities. Additional measures being taken at the State level to respond to the emergency department overcrowding issue are outlined below.

"Similar to last fall and winter, we are seeing longer waits at local emergency rooms. While COVID-19 and influenza are circulating again, there are also additional challenges at hospitals throughout the country this year due to RSV, behavioral health needs, and healthcare worker shortages," said Ana Novais, Acting Secretary of the Executive Office of Health & Human Services. "There are several steps the state is taking, in partnership with our local hospitals and providers, to ease the strain on our healthcare system but these issues are complex and require all of us to seek care in the most appropriate setting."

Rhode Island and states throughout the region are currently seeing high rates of RSV, a common virus that can be serious for some higher risk children and adults. Cases of RSV usually peak in Rhode Island in early January. Flu is starting to circulate in Rhode Island as well, and hospitals are still treating patients with COVID-19. The ongoing behavioral health crisis and the national healthcare workers shortage are creating additional challenges for the hospitals in Rhode Island, in addition to the circulation of these respiratory viruses.

"Emergency departments are perfect for?emergency situations. If someone is experiencing a serious health issue, they should absolutely call 911 or go to an emergency department right away. However, emergency departments treat patients with the most serious health issues first, which means that people with less severe conditions will experience long waits," said Interim Director of Health Utpala Bandy, MD, MPH. "Some simple prevention measures can help you stay healthy. Regular hand washing and staying home from school or work when sick are two other steps that everyone should be taking, especially kids and people who are in regular contact with school-age children, older adults, and people with underlying health conditions."

At the press event, State leaders highlighted http://health.ri.gov/rightplace. This page has links to lists of primary care providers, urgent care centers, and health centers in Rhode Island, and guidance on when and when not to go to the emergency department. RIDOH will continue directing Rhode Islanders to this page and other resources through a statewide communications campaign, to be launched in the coming weeks.

"These past months we have experienced a steady increase in young patients needing hospitalization due largely to the early peak of the respiratory viral season. This, combined with a national staffing shortage during an ongoing severe children's behavioral health crisis, has created an unprecedented 'perfect storm' for children's hospitals nationwide. We are doing our best to creatively use our resources and expand where we can to serve the region's most vulnerable children and support our community providers where most pediatric health care is delivered. For those patients using the ED, please understand there have been long wait times for non-urgent conditions and we know this can be frustrating. We ask for patience as limited staff triage the most critical patients while we devise alternative ways to improve emergency care access. Our valued staff are working tirelessly to provide the best care possible and ensure all patients receive the treatment they need," said Frank Overly, MD, medical director, Hasbro Children's Hospital emergency department.

"Emergency Department overcrowding is a serious threat to patients and staff and has intensified through the pandemic," said Laura Forman, MD, Chief of Emergency Medicine, Kent Hospital. "Hospital staff across the state are working to ensure that all patients have access to timely care during this crisis."

"The increase in the number of patients with respiratory illness is pushing our hospitals to capacity and in some instances over capacity. It is incredibly important for the public to have the information they need to protect their loved ones; protect those around them; and know where, when, and how to get the best care possible," says Teresa Paiva Weed, President of the Hospital Association of Rhode Island.

When to seek emergency care

If someone is showing any of these signs, seek emergency medical care immediately:

• Choking

• Stopped breathing or turning blue

• Head injury with passing out, throwing up, or not behaving normally

• Injury to neck or spine

• Seizure that lasted 3 to 5 minutes

• Bleeding that cannot be stopped

• Severe allergic reaction

• New weakness in an arm, leg, or face

• New difficulty speaking or confusion

• Inability to wake or stay awake

• Suddenly not able to speak, see, walk, or move

This is not a complete list of health issues that require emergency medical attention. For more information, see https://health.ri.gov/rightplace.

Measures being taken at the State level

An interagency team across the Executive Office of Health and Human Services (EOHHS) is working toward the development and implementation of strategies to address the challenges hospitals are facing. They include:

• Promulgating an emergency regulation allowing emergency medical services (EMS) professionals to work in hospitals and other healthcare facilities.

• Launching a broad public education campaign on seeking the right care in the right setting. Messaging is happening through social media, traditional media, schools, and other channels.

• Messaging to the primary care provider community about measures that can be taken in that setting to lessen emergency department overcrowding. Examples include making more same-day sick appointments available for patients and offering expanded and/or non-traditional office hours; and seeing patients who have non-urgent symptoms in the office or by telemedicine, instead of referring them to the emergency department.

• Expediting the licensure process to ensure that all new healthcare workers are able to join the workforce in Rhode Island as quickly as possible.

• DCYF is focusing on expediting discharges from Hasbro and Bradley Hospital, especially for children who can go home if supportive services can be made available.

• Daily, weekday meetings with BHDDH and all hospitals, BH Link and three Community Mental Health Centers with stabilization units to identify openings to place clients.

• Throughout this year, we are building the infrastructure for Certified Community Behavioral Health Clinics, which we expect to come online in FY24.

• RIDOH's PediPRN Program is available to pediatric providers to help diagnose, assess, and manage mild to moderate behavioral health issues in children

• Sharing a Family Behavioral Health Crisis Plan that is available multiple languages, to help all families plan for behavioral health emergencies.

• Launching Mobile Response Stabilization Services, which is a mobile crisis service that can help prevent youth from having to go to or stay at the Emergency Department.

Steps people should take to help stay healthy and out of the hospital

Non-behavioral health

• Get your flu shot. Everyone older than six months of age should be vaccinated every year. For information on where to get a flu shot, see http://health.ri.gov/flu.

• Be up to date on your COVID-19 vaccinations. For many people, that means getting a booster. For information on how to get vaccinated against COVID-19, see C19vaccineRI.org [c19vaccineri.org].

• Cough or sneeze into your elbow.

• Wash your hands often with soap and water.

• Consistent with recommendations from the Centers for Disease Control and Prevention (CDC), people who are at high risk for getting sick should wear masks when COVID-19 levels are "medium," and everyone should consider wearing masks in crowded indoor settings when COVID-19 levels are "high."

• Clean and disinfect frequently touched surfaces at home, work, and school.

• Stay home if you are sick.

• Keep children home from daycare or school who have fever, especially with a cough, difficulty breathing or shortness of breath, congestion, runny nose, or sore throat, until they are fever-free for 24 hours without medications that reduce fever.

• Contact your pediatrician or healthcare provider if you believe your child needs medical care. Your provider can offer advice on whether your child needs to be evaluated in person, tested for COVID or flu, and the best location (doctor's office, urgent care, emergency room) for care.

Behavioral health

• If you or someone you know is having thoughts of suicide or is experiencing a non-life-threatening mental health or substance use crisis, call 988.

• Contact Kids' Link RI if it is needed. Kids' Link RI is a behavioral health triage service and referral network. A program offered in collaboration with Gateway Healthcare, Lifespan, Hasbro Children's Hospital and Bradley Hospital, Kids' Link RI is available 24 hours a day, seven days a week to help triage children and youth in need of mental health services and refer them to treatment providers. To contact Kids' Link RI, call 1-855-543-5465.

• Contact BH Link if it is needed. BH Link's mission is to ensure all Rhode Islanders, 18 and over, experiencing mental health and substance use crises receive the appropriate services they need as quickly as possible in an environment that supports their recovery. To contact BH Link, call 401-414-LINK (5465)

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Slack Reservoir and Stafford Pond

2022-11-16

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Slack Reservoir in Smithfield/Johnston and at Stafford Pond in Tiverton. The advisories related to high levels of blue-green algae, also known as cyanobacteria, and associated toxins.

Recent consecutive surveys by DEM and sample analysis conducted by RIDOH's State Health Laboratories confirmed that blue-green algae has been at acceptably low levels and that cyanotoxins are not present in detectable concentrations. These findings meet State guidelines to support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect these waters again, as well as other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

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Rhode Islanders Reminded About Respiratory Virus Prevention Measures (ingles y espanol)

2022-11-03

With Rhode Island and states throughout the region currently seeing the circulation of several respiratory viruses, including RSV, flu, and COVID-19, all Rhode Islanders are reminded to take basic prevention measures to help themselves and their family members stay healthy and safe.

"While RSV is a common virus that we see every year in Rhode Island, we are seeing cases earlier than usual, and we are seeing more virus circulating in the community," said Interim Director of Health Utpala Bandy, MD, MPH. "The good news is that many of the prevention measures that help prevent the spread of the flu and COVID-19 also help prevent the spread of RSV. Regular hand washing and staying home from school or work when sick are two steps that everyone should be taking, especially kids and people who are in regular contact with school-age children, older adults, and people with underlying health conditions."

All Rhode Islanders should:

• Get your flu shot. Everyone older than six months of age should be vaccinated every year. For information on where to get a flu shot, see http://health.ri.gov/flu.

• Be up to date on your COVID-19 vaccinations. For many people, that means getting a booster. For information on how to get vaccinated against COVID-19, see C19vaccineRI.org.

• Cough or sneeze into your elbow.

• Wash your hands often with soap and water.

• Clean and disinfect frequently touched surfaces at home, work, and school.

• Stay home if you are sick.

• Keep children home from daycare or school who have fever, especially with a cough, difficulty breathing or shortness of breath, congestion, runny nose, or sore throat, until they are fever-free for 24 hours without medications that reduce fever.

• Contact your pediatrician or healthcare provider if you believe your child needs medical care. Your provider can offer advice on whether your child needs to be evaluated in person, tested for COVID or flu, and the best location (doctor's office, urgent care, emergency room) for care.

RSV usually causes mild, cold-like symptoms. Most people recover in one to two weeks. However, some infants and young children are at higher risk, such as premature infants, children younger than two years old with chronic lung disease or congenital (present from birth) heart disease, children with weakened immune systems, and children who have neuromuscular disorders. Additionally, some adults are at higher risk, including people older than 65, adults with chronic heart or lung disease, and adults with weakened immune systems.

The current increase in RSV cases may be due to lower levels of immunity in the community, resulting from the prevention measures that were taken during the COVID-19 pandemic, such as social distancing. Lower levels of immunity in the community may also result in a more severe flu season.

Cases of RSV usually peak in Rhode Island in early January. RSV cases are currently at roughly double what is seen during a typical January peak. The flu is starting to circulate in Rhode Island as well. The flu typically circulates in Rhode Island through the spring. Although rates of COVID-19 are lower than they have been previously, more than 100 people are currently hospitalized with COVID-19 and with people increasingly spending time indoors, health officials across the country are expecting case increases in the coming weeks and months.

In addition to the prevention messages listed above, Rhode Islanders should know about the right places to seek care. Hospital emergency departments in Rhode Island are currently very crowded. Children and adults in emergency departments with less serious health issues are experiencing long wait times. People who do not need emergency medical care should not go to the emergency department. Long waits in the emergency department are frustrating, and they expose people to new sicknesses.

Many health issues can be treated more quickly and effectively by a primary care provider, in an urgent care facility, or in a health center. The Rhode Island Department of Health (RIDOH) has lists of primary care providers, urgent care centers, and health centers posted at http://health.ri.gov/rightplace. The health issues best treated in these settings include back pain, sprains, minor cuts, colds, sore throat, low-grade fevers, and most cases of norovirus (sometimes called "the stomach flu").

Some health issues need emergency medical care (either by calling 911 or going to the emergency department). Examples include trouble breathing; persistent chest pain; new difficulty speaking or confusion; inability to wake or stay awake; heavy bleeding; deep wounds; serious burns; possible broken bones (especially if the bone is pushing through the skin); and severe allergic reactions.

This is not a complete list of health issues that require emergency medical care. For more information, see http://health.ri.gov/rightplace.

Recordatorio para los habitantes de Rhode Island acerca de las medidas para prevenir los virus respiratorios

Dado que Rhode Island y los estados de toda la región actualmente están experimentando la circulación de varios virus respiratorios, incluidos RSV, flu y COVID-19, se recuerda a todos los habitantes de Rhode Island que tomen medidas básicas de prevención para mantenerse y mantener a sus familiares saludables y seguros.

"Si bien el RSV es un virus común que vemos todos los años en Rhode Island, estamos viendo casos antes de lo habitual y estamos viendo más virus circulando en la comunidad", dijo la directora interina del Departamento de Salud, la doctora Utpala Bandy. "La buena noticia es que muchas de las medidas que ayudan a prevenir la propagación del flu y el COVID-19 también ayudan a prevenir la propagación del RSV. Lavarse las manos regularmente y no ir a la escuela o al trabajo cuando están enfermos son dos pasos que todos deberían seguir, especialmente los niños y las personas que están en contacto regular con niños en edad escolar, adultos mayores y personas con problemas de salud subyacentes".

Todos los habitantes de Rhode Island deben:

• Vacunarse contra el flu. Todas las personas mayores de seis meses de edad deben vacunarse todos los años. Para obtener información sobre dónde vacunarse contra la gripe, consulte http://health.ri.gov/flu.

• Estar al día con sus vacunas contra el COVID-19. Para muchas personas, eso significa recibir un refuerzo. Para obtener información sobre cómo vacunarse contra el COVID-19, consulte C19vaccineRI.org.

• Toser o estornudar en la parte interior del codo.

• Lávarse las manos frecuentemente con agua y jabón.

• Limpiar y desinfectar las superficies que se tocan con frecuencia en el hogar, el trabajo y la escuela.

• Quédarse en casa si está enfermo.

• Mantener en casa a los niños (no los lleve a la guardería o la escuela) si tienen fiebre, especialmente con tos, dificultad para respirar o falta de aire, congestión, secreción nasal o dolor de garganta, hasta que estén sin de fiebre durante 24 horas sin medicamentos para bajarla.

• Comunicarse con su pediatra o proveedor de atención médica si cree que su hijo necesita atención médica. Su proveedor puede ofrecer consejos sobre si su hijo necesita ser evaluado en persona, hacerse una prueba de COVID o del flu, y la mejor ubicación para recibir atención (consultorio médico, atención de urgencia, sala de emergencias).

El RSV por lo general causa síntomas leves parecidos a los de un resfriado. La mayoría de las personas se recuperan en una o dos semanas. Sin embargo, algunos bebés y niños pequeños corren un mayor riesgo, tales como los bebés prematuros, los niños menores de dos años con enfermedad pulmonar crónica o enfermedad cardíaca congénita (presente desde el nacimiento), los niños con sistemas inmunes débiles y los niños con trastornos neuromusculares. Además, algunos adultos corren un mayor riesgo, incluidas las personas mayores de 65 años, los adultos con enfermedades cardíacas o pulmonares crónicas y los adultos con sistemas inmunes débiles.

El aumento actual de casos de RSV puede deberse a niveles más bajos de inmunidad en la comunidad, como resultado de las medidas de prevención que se tomaron durante la pandemia de COVID-19, tales como el distanciamiento social. Los niveles más bajos de inmunidad en la comunidad también pueden resultar en una temporada de flu más severa.

Los casos de RSV generalmente alcanzan su punto máximo en Rhode Island a principios de enero. Los casos de RSV actualmente son aproximadamente el doble de lo que se observa durante un pico típico de enero. El flu también está comenzando a circular en Rhode Island. El flu normalmente circula en Rhode Island hasta la primavera. Aunque las tasas de COVID-19 son más bajas que antes, más de 100 personas están actualmente hospitalizadas con COVID-19. Los funcionarios de salud de todo el país esperan aumentos de casos en las próximas semanas y meses debido a que las personas cada vez incrementan más el tiempo que pasan en recintos cerrados.

Además de los mensajes de prevención enumerados anteriormente, los habitantes de Rhode Island deben conocer los lugares adecuados para buscar atención. Las salas de emergencia de los hospitales en Rhode Island están actualmente muy concurridas. Los niños y adultos en las salas de emergencia con problemas de salud menos graves experimentan largos tiempos de espera. Las personas que no necesitan atención médica de emergencia no deben acudir a las salas de emergencia. Las largas esperas en las salas de emergencias son frustrantes y exponen a las personas a nuevas enfermedades.

Muchos problemas de salud pueden ser tratados con mayor rapidez y eficacia por un proveedor de atención primaria, en un centro de atención de urgencia o en un centro de salud. El Departamento de Salud de Rhode Island (RIDOH) tiene publicadas en http://health.ri.gov/rightplace, listas de proveedores de atención primaria, centros de atención de urgencia y centros de salud. Los problemas de salud que se tratan mejor en estos entornos incluyen dolor de espalda, esguinces, cortes menores, resfriados, dolor de garganta, fiebre y la mayoría de los casos de norovirus (a veces llamado "virus estomacal").

Algunos problemas de salud necesitan atención médica de emergencia (ya sea llamando al 911 o yendo al departamento de emergencias). Los ejemplos incluyen dificultad para respirar; dolor de pecho persistente; nueva dificultad para hablar o confusión; incapacidad para despertar o permanecer despierto; sangrado abundante; heridas profundas; quemaduras graves; posibles huesos rotos (especialmente si el hueso está atravesando la piel); y reacciones alérgicas graves.

Esta no es una lista completa de problemas de salud que requieren atención médica de emergencia. Para obtener más información, consulte http://health.ri.gov/rightplace.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Flat River Reservoir

2022-10-31

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Flat River Reservoir (also known as Johnson's Pond) in Coventry. The advisory related to high levels of blue-green algae, also known as cyanobacteria, and associated toxins.

Recent consecutive surveys by DEM and sample analysis conducted by RIDOH's State Health Laboratories confirmed that blue-green algae has been at acceptably low levels and that cyanotoxins are not present in detectable concentrations. These findings meet state guidelines to support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Johnson's Pond again, as well as other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Health Officials Kick Off Flu Vaccination Campaign

2022-10-20

Leaders from the Rhode Island Department of Health (RIDOH) and Providence Community Health Centers (PCHC) gathered today at PCHC's Chafee Health Center to officially kick off Rhode Island's 2022-2023 flu vaccination campaign.

"Rhode Island is a national leader for COVID-19 vaccination. Now it's time for us to be national leaders with our flu vaccination rate," said Governor McKee. "Getting a flu shot is your best protection against serious illness from the flu, and it's also the best way to protect the people you love. If you're like me and plan to get together with family and friends for the holidays over the coming weeks and months, the time to get vaccinated is now."

The attendees at the event included Merrill Thomas, Chief Executive Officer for PCHC; Dr. Andrew Saal, Chief Medical Officer for PCHC; and Dr. Philip Chan, a Consultant Medical Director for RIDOH's Division of Preparedness, Response, Infectious Disease and Emergency Medical Services.

"Even if you are healthy, you can still spread the flu to someone older or with a chronic condition like asthma or diabetes," says Dr. Andrew Saal, Chief Medical Officer of the Providence Community Health Centers. "Flu vaccines are one of the easiest things we can do to interrupt the spread of the virus in our community. Take five minutes today to help protect your mom, your dad, your family, and everyone in our community."

"It's important to get your flu shot every year," said Acting EOHHS Secretary Ana Novais. "Local pharmacies, health centers, and primary care providers have plenty of vaccine on site. We are grateful for our partnerships in the community, including those with community-based providers, work-site clinics, and schools as we work to protect all Rhode Islanders. Vaccinations are an important part of disease prevention - please join us in protecting your family and loved ones, and get your flu shot scheduled today."

"For the past two flu seasons, our flu rates have been at historic lows because of masking, social distancing, and other measures related to COVID-19. As things get back to normal, we could see a severe flu season," said Dr. Chan. "This makes it that much more important to get your flu shot and to be fully vaccinated against COVID-19. You can get your flu shot and your COVID-19 booster at the same time. Both the flu shot and COVID-19 vaccine help decrease the severity and duration of illness if you do get sick, and they help keep you out of the hospital."

The flu is a serious virus. During typical flu seasons prior to COVID-19, the flu would result in more than 1,000 hospitalizations and many fatalities. For example, during the 2018-2019 flu season, the flu resulted in 1,032 hospitalizations and there were 39 flu-associated deaths.

RIDOH and the Centers for Disease Control and Prevention (CDC) recommend flu shots for everyone older than six months of age. Flu shots are especially important for certain people, including:

• Anyone 50 and older (CDC recommends the use of specific flu vaccines for adults 65 years and older, including higher dose and adjuvanted flu vaccines),

• Healthcare workers,

• Anyone who lives in a long-term care facility,

• Children younger than 5 years of age,

• People who are pregnant, and

• People with weakened immune systems or chronic medical conditions, such as diabetes, cancer, heart disease, and asthma.

There are many places in Rhode Island where flu shots are available at no out-of-pocket cost and are available to people without health insurance. Those locations include clinics at schools that are open to all Rhode Islanders, some pharmacies, and other vaccination venues that RIDOH partners with. Additionally, vaccine is available in the offices of many primary care providers and at community clinics, such as worksite clinics.

After getting a flu shot, some people may experience a slight ache at the injection site or a low-grade fever. That means the vaccine is working-your body is learning to fight the virus. These mild symptoms are much less significant than the actual flu, which causes most people to stay in bed for a week. You cannot get the flu from the flu shot.

In addition to flu vaccination, RIDOH and CDC also recommend that Rhode Islanders stay up to date on their COVID-19 vaccine. Newer COVID-19 boosters are bivalent, meaning that they help protect against two strains of COVID-19, the original strain of SARS-CoV-2 and the Omicron variant, which is causing most current cases. Everyone five or older who has received a primary series of COVID-19 vaccine should get a bivalent booster at least two months after their last dose. This recommendation applies no matter how many boosters a person has already received. For example, if a person received their primary series and two booster doses, they should still get a bivalent booster at least two months after their last booster dose.

In addition to getting vaccinated against the flu and COVID-19, Rhode Islanders can take other steps to stay healthy and safe over the coming months.

• Wash your hands often during the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

• Cough or sneeze into your elbow to prevent other people from getting sick.

• Stay home if you are sick.

• Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

Additional resources:

• List of vaccination clinics and general information about the flu: http://health.ri.gov/flu

• Information about the flu in Spanish: http://health.ri.gov/gripe

• People with additional questions, including questions about where to get vaccinated if you do not have insurance, can call the Health Information Line at 401-222-5960 / RI Relay 711.

RIDOH and DEM Recommend Avoiding Contact and Water Recreation with a Section of Stafford Pond

2022-10-18

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact Stafford Pond in Tiverton in the vicinity of the boat ramp located off Stafford Pond Road (aka Route 81) due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals. The RIDOH State Laboratory detected high concentrations of cyanobacteria cells in the water collected by DEM at the boat ramp.

People should be careful not to ingest untreated water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Stafford Pond is a drinking water source maintained by the Stonebridge Fire District. Even when a cyanobacteria bloom is present in a pond, the treated water that Stonebridge Fire District distributes to homes is safe. Stonebridge Fire District follows all state and federal drinking water testing and monitoring requirement to assure that treatment processes are working correctly and the water is safe to drink, including state regulations required for cyanobacteria. Drinking untreated water from any pond at any time is not recommended.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH, Community Partners, Businesses Organizing Additional Monkeypox Clinics

2022-10-17

In an effort to expand access to monkeypox vaccine to all eligible Rhode Islanders, the Rhode Island Department of Health (RIDOH) is partnering with community organizations and businesses to offer vaccination clinics for hospitality workers and others who may not have been able to attend previously scheduled clinics.

As has been the case at the previous 33 monkeypox virus (MPV) vaccination clinics organized by RIDOH, vaccine will be free of charge. People do not need health insurance to be vaccinated.

"While the risk of monkeypox for most Rhode Islanders continues to be low, we are doing everything we can to ensure that people who are eligible to be vaccinated can access vaccine," said Governor Dan McKee. "We have worked diligently to secure a significant amount of vaccine from our federal partners and will continue to monitor demand and bring more vaccine into Rhode Island if needed."

"Access to vaccine for all eligible Rhode Islanders is a priority in our response to the monkeypox outbreak," said Interim Director of Health Utpala Bandy, MD, MPH. "Unlike several months ago, we now have an ample supply of vaccine. People who are eligible are urged to get vaccinated. Vaccine is one of our most effective tools of prevention."

New clinics scheduled

These clinics in downtown Providence are being held on weekdays to best accommodate the schedules of many people, including hospitality industry staff (such as restaurant, bar, and hotel workers), who often work on weekends. However, these clinics are open to anyone who is eligible to be vaccinated (see eligibility criteria below). These clinics are being promoted in partnership with the Rhode Island Hospitality Association.

The Beneficent Church, 300 Weybosset Street, Providence

Tuesday, Oct. 18 from 5 p.m. to 7 p.m.

The Dark Lady, 19 Snow Street, Providence

Monday, Oct. 24 from 7 p.m. to 9 p.m.

Registration information: https://health.ri.gov/monkeypox

Beyond these two new clinics, RIDOH has organized additional MPV vaccination clinics.

Johnson and Wales University, 305 Shipyard Street, Providence

Tuesday, Oct. 25 from 11 a.m. to 1 p.m.

Rhodes on the Pawtuxet, 60 Rhodes Place, Cranston

Thursday, Oct. 27 from 4:30 p.m. to 7:30 p.m.

CCRI Warwick, 400 East Ave., Warwick

Saturday, Oct. 22 from 10 a.m. to 2 p.m.

AAA Offices, 70 Royal Little Drive, Providence

Saturday, October 29 from 10 a.m. to 2 p.m.

Registration information: https://health.ri.gov/monkeypox

Additional vaccination opportunities

There are currently several other vaccination clinics scheduled through the month of November where people can receive first or second doses. A full list of clinics scheduled for the next 30 days is available online at https://bit.ly/MPVvaccine [bit.ly]. In addition to these clinics, some healthcare facilities in Rhode Island are vaccinating patients against MPV. Those health centers are Open Door Health, the Miriam Hospital Infectious Disease Clinic, Tri-County Health Center, and Thundermist Health Center. RIDOH is coordinating with some Rhode Island-based independent pharmacies to make the vaccine available in their locations in the coming weeks.

In addition to those health centers, the Executive Office of Health and Human Services (EOHHS) and RIDOH are grateful for the partnership of many organizations, colleges and universities, and businesses statewide in supporting MPV vaccination clinics, including: Rhode Island College, Providence Public Schools, Providence Emergency Management Agency, Community College of Rhode Island, the Mega-Plex, AIDS Care Ocean State, AIDS Project RI, Project Weber/RENEW, Rhodes on the Pawtuxet, the Town of South Kingstown, Providence Gay Flag Football League, Johnson & Wales University, AAA Northeast, the Eagle's Nest, Brown University, Rhode Island School of Design, The Beneficent Church, The Dark Lady, and the Rhode Island Hospitality Association.

Eligibility for MPV vaccine

Rhode Island is vaccinating people who meet any of the following criteria:

• People who are identified through a case investigation as close contacts of an individual with a known case of MPV

• People who are age 18 or older AND are:

Any gay, bi, queer, or other man who has sex with men (or with people assigned male at birth) OR

Any person who has sex with a partner who is gay, bisexual, or a man who has sex with men (or with people assigned male at birth) OR

People of any gender who are commercial sex workers OR

People who work in or have sex in group or public sex venues OR

People who are currently on PrEP to prevent HIV* OR

Healthcare workers who are caring for individuals with confirmed or suspected MPV or are testing or vaccinating people who are at risk for MPV OR

Laboratory workers who handle MPV specimens

*PrEP, or pre-exposure prophylaxis, is medicine that reduces your chances of getting HIV from sex or injection drug use.

About MPV vaccine

In Rhode Island, like other states, the JYNNEOS MPV vaccine is being administered. This is a two-dose series, with the second dose coming roughly 28 days after the first dose. You are considered fully vaccinated and protected 14 days after your second dose.

Unvaccinated people were 14 times more likely to get infected with the MPV compared with those who had one dose of the MPV vaccine, according to data from 32 states, including Rhode Island, released recently by the Centers for Disease Control and Prevention (CDC). Two-doses are recommended for full protection.

General information about MPV

The U.S. and the world are currently responding to an outbreak of MPV. Rhode Island has identified 79 cases and more than 26,000 cases have been identified nationally. MPV is a virus that can be serious. It spreads through close physical contact with body fluids, MPV lesions, items that have been contaminated with fluids or lesion materials (clothing, bedding, etc.), or through respiratory droplets following prolonged face-to-face contact.

An individual becomes contagious when symptoms first appear. Symptoms include fever, headache, muscle aches and backache, swollen lymph nodes, chills, exhaustion, and a rash that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals, or anus.

Nationally, many gay, bisexual, and other men who have sex with other men have been diagnosed with MPV, especially those who have reported multiple or anonymous sexual partners. However, people of any sexual orientation or gender identity can become infected with MPV.

MPV prevention

In addition to getting vaccinated, people can take other prevention measures. Before having close, physical contact with others, talk to your partners about their health and any recent rashes or sores. Additionally, if you have symptoms, particularly a rash consistent with MPV (even if you do not think you were in contact with anyone with MPV), or if you have been in contact with someone who has been diagnosed with MPV:

• Stay home and isolate from household members

• Contact a healthcare provider as soon as possible for an evaluation

• Avoid skin-to-skin, or close contact with others, including sexual contact

• Inform sex partners about any symptoms you are experiencing

• Cover the rash with clean, dry, loose-fitting clothing

• If contacted by public health officials, answer their questions to help protect others who may have been exposed

For more information about MPV, please visit https://health.ri.gov/monkeypox. People can also call 401-222-5960.

Do Not Drink Notice Issued for Confreda Greenhouses and Farms Customers

2022-10-17

The Confreda Greenhouses and Farms public water system (2150 Scituate Avenue, Hope) is required to issue a do not drink notice for infants 6 months and younger to their customers and employees because nitrate was found in the well over the maximum contaminant level. Parents should not give the water to infants under 6 months old or use it to make formula or juice. Bottled water should be used for infants until the well has returned to safe nitrate levels and RIDOH approves the do not drink notice to be lifted. For more information, customers should refer to the notice provided to them by Confreda Greenhouses and Farms.

The Confreda Greenhouses and Farms water system collected a sample on October 4, 2022 that had a nitrate level of 12 mg/L. A confirmation sample collected on October 5, 2022 had a nitrate level of 12 mg/L. The average of these two samples exceeds the maximum contaminant level of 12 mg/L.

Infants below the age of six months who drink water containing nitrate in excess of the maximum contaminant level could become seriously ill and, if untreated, may die. Symptoms include shortness of breath and blue baby syndrome. Blue baby syndrome is indicated by blueness of the skin. Nitrate is a concern for infants because they can't process nitrates in the same way adults can.

Symptoms in infants can develop rapidly, with health deteriorating over a period of days. If symptoms occur in a child less than 6 months old, seek medical attention immediately. If you are pregnant or have specific health concerns, you may wish to consult your doctor.

The do not drink notice will remain in effect until the well has returned to consistent safe nitrate levels and RIDOH approves the do not drink notice to be lifted.

Customers with questions should contact Jonathan Confreda at 401-827-5000.

RIDOH and DEM Recommend Avoiding Contact and Water Recreation at Slack Reservoir and Georgiaville Pond

2022-10-14

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact and water recreation at Slack Reservoir in Smithfield/Johnston and Georgiaville Pond in Smithfield due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals. The State Laboratory identified high concentrations of cyanobacteria toxins that exceed safe levels in water samples collected by DEM from both sites.

People should be careful not to ingest water or eat fish from these waters. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Survey Results Spotlight Health and Well-being of Rhode Island High School Students

2022-10-12

While Rhode Island high school students report decreases in the use of some substances, mental health challenges persist for many adolescents in the state, according to new results from the Rhode Island Department of Health (RIDOH)'s Youth Risk Behavior Survey (YRBS).

The YRBS is an optional, anonymous survey conducted every two years in randomly selected Rhode Island high schools to provide a snapshot of how many students are engaging in behaviors or face challenges that may put their physical and mental health at risk. The survey also sheds light on student perceptions of their home and school environments. RIDOH uses these data to develop health programs that address the needs and challenges of Rhode Island youth.

"Supporting the healthy development of high school students requires us to have an accurate, comprehensive understanding of the issues they face. The Youth Risk Behavior Survey is an invaluable tool in our work to develop such an understanding, and to do all we can to help Rhode Island kids be healthy and safe," said Interim Director of Health Utpala Bandy, MD, MPH. "The YRBS also helps us understand how students are disproportionately affected by different health issues. Understanding these disparities allows us to address the community level factors that affect students' decisions and behaviors. All students in Rhode Island deserve an equal opportunity to be healthy."

According to responses collected in 2021, 32% of respondents had ever e-vaped (a decrease from 49% in 2019) and 18% reported currently using e-vape products (a decrease from 30% in 2019). While alcohol use remained the same as in the 2019 survey, students reported decreases in:

--Ever smoking cigarettes

--Using any type of tobacco product (including cigarettes, cigars, smokeless tobacco, or e-cigarettes) in the previous 30 days

--Ever using marijuana and using marijuana during the previous 30 days

Students who identified as gay, lesbian, or bisexual (27%) or other/questioning (20%) reported higher rates of e-vaping, alcohol, and marijuana use. Rates of e-vaping and other substance use were higher among female students than males. Almost a quarter of 12th grade students who responded to the survey (24%) reported current e-vaping use.

The 2021 survey results indicate that 38% of students experienced feelings of sadness or hopelessness (up from 32% in 2019). But 22% of students reported receiving the help they needed when feeling anxious or depressed, a decrease from 33% in 2019. Fewer students said they had a teacher or adult at school they could talk to if they had a problem. Survey respondents reported less fighting and bullying on school property, but electronic bullying levels remained the same as they did in 2019.

Feelings of sadness and hopelessness varied across student demographic groups. Females (52%) were twice as likely as males (25%) to report these feelings. Additionally, students who identified as gay, lesbian, or bisexual (66%) and other/questioning (62%) reported higher rates of sadness and hopelessness than students who identified as heterosexual (29%). Students who did not identify as heterosexual or cisgender also reported higher rates of bullying than students who did identify as heterosexual or cisgender.

The 2021 survey included two new measures related to adverse childhood experiences (ACEs):

--One in three students (32%) reported that they have lived with someone who was depressed or suicidal.

--One in four students (24%) reported that they have lived with someone who was having a problem with alcohol or drugs.

RIDOH collaborates on the YRBS with the Centers for Disease Control and Prevention (CDC), the Rhode Island Department of Education (RIDE), and the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH). Students in randomly selected Rhode Island high schools responded to the anonymous survey in the fall of 2021. All respondents were in school full time and were not using remote or hybrid learning.

"The survey results show once again that we, as providers, advocates, families, and peers, must be attuned to the needs and circumstances of our youth and be ready to provide help or direct them to get help, if needed," said BHDDH Director Richard Charest. "Substance use is always a concern, and when nearly one-third of our youth report living with someone who is depressed or suicidal, and nearly a quarter report living with someone who has a substance use condition, we know that this is going to create stress in their lives, and it is our charge to assist them in obtaining the services they need."

Students who responded to the 2021 YRBS reported a decrease in sexual activity. Twenty seven percent of students had ever been sexually active (down from 41% in 2019), while 21% of students said they were currently sexually active (a decrease from 32% in 2019). In 2021, fewer students also reported receiving education about sexual health. Of survey respondents, 49% reported being taught about sexually transmitted diseases (STDs) and 56% reported being taught about HIV (a decrease from 72% and 77% in 2019, respectively). Five percent of students reported being tested for STDs, a decrease from 15% in 2019.

"The YRBS survey is a valuable tool that allows us to hear directly from our youth so that we can determine how we can better support their social-emotional, health, and academic needs," said Education Commissioner Infante-Green. "We know the last few years have been especially challenging for youth not only here in Rhode Island, but across the nation. With this data and insight, we are better positioned to continue working closely with our State, education, and community partners to ensure our students have access to resources and tools that will allow them to grow and thrive."

To view data from the 2021 YRBS, visit RIDOH's website.

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Falafels From Aldi Recalled

2022-10-11

The Rhode Island Department of Health (RIDOH) is advising consumers that Cuisine Innovations Unlimited is recalling its Earth Grown Vegan Traditional Falafel and Garlic & Herb Falafel due to the possible presence of Shiga toxin-producing E. coli. These products were distributed and sold exclusively by Aldi.

Shiga-toxin-producing E. coli is an organism that can cause foodborne illness. Symptoms of infection may include stomach cramps, diarrhea, and vomiting. The illness primarily impacts older adults, children, and people with weakened immune systems. Most healthy adults and children rarely become seriously ill.

The recalled products were sold by Aldis in Rhode Island and several other states, including Connecticut, Massachusetts, New Hampshire, and New York.

The product comes in a bag in a box marked with any of the following lot numbers: 1472, 1481, 1531, 1532, 1541, 1552, 1561, 1581, 1601, 1611, 1612, 1661, 1682, 1732, 1752, 1762, 1782, 1802, and 1812. There products were shipped to stores after June 24, 2021. The lot number can be found in the "Best if used by" area on the outside flap of the box. An image of the product label is attached.

There have been 20 reported cases of Shiga-toxin-producing E. coli in six with onset dates reported between July 24, 2022 and September 19, 2022. There have been five hospitalizations and no deaths. None of these cases were in Rhode Island.

Consumers who have purchased Earth Grown Vegan Traditional Falafel and Garlic & Herb Falafel are urged to return them to the place of purchase for a full refund.

Old Europe Cheese, Inc., Expands Recall to Include Baked Brie Products

2022-10-06

The Rhode Island Department of Health (RIDOH) is advising consumers that Old Europe Cheese, Inc., is expanding its voluntarily recall of Brie cheeses to include additional products, specifically baked Brie cheeses, because of a potential contamination with Listeria monocytogenes.

Old Europe baked brie products with best-by dates through 12/14/2022 are being added to the recalled product list. All recalled products were distributed from August 1, 2022, through September 28, 2022, and were sold at supermarkets, wholesale, and retail stores nationwide and in Mexico. For a list of recalled baked brie products and pictures of product labels, visit FDA's website. Also on the FDA website is a list of products included in the original recall of Brie and Camembert cheeses.

If you have any of the recalled products, do not eat them. Throw them away or return them to the store where you purchased them. This recall has been linked to multiple illnesses nationwide.

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns. Less commonly, persons outside these risk groups are affected.

Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections in older adults and persons with weakened immune systems. Listeriosis is treated with antibiotics. Persons in the higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell the health care provider about eating the contaminated food.

Governor McKee Announces Major Life Sciences Development Project to Move Forward in the I-195 Innovation and Design District

2022-10-04

Governor Dan McKee today announced that a major life sciences development project is moving forward in the State's Innovation and Design District on the former I-195 land. The 212,000 square foot, seven-story building will house a new public health lab for the State of Rhode Island, while also providing additional lab space available for lease to organizations in the local life sciences community. Ancora L&G - a 50:50 partnership between the alternative asset origination arm of leading United Kingdom financial services group, Legal & General, Legal & General Capital, and North Carolina-based real estate developer, Ancora - has been selected as the developer for the State Health Laboratories following a competitive RFP process.

"Rhode Island has momentum - and this project is crucial to ensuring the momentum continues in the areas of public health and our economy," said Governor Dan McKee. "We're grateful for all the partners who came together to ensure Rhode Island maximizes this significant economic development opportunity while advancing the state's important public health goals."

The Rhode Island Department of Health (RIDOH) State Health Laboratories will anchor the facility, with the remaining floors available to academic and industry partners in the biotechnology field. The 80,000-square-foot state-of-the-art State Health Laboratories will provide updated and flexible space to accommodate biological and chemical testing for a variety of infectious disease, environmental, and forensic testing services.

To help attract additional tenants and encourage a thriving mix of public and private entities focused on health and medicine, Brown University has signed a letter of intent with Ancora to lease 20,000 square feet of laboratory space in the building.

Josh Parker, CEO of Ancora L&G, said, "We are delighted to have been selected as the developer for the RIDOH State Health Laboratories. The development will deliver much-needed infrastructure for Rhode Island, including state-of-the-art public health labs that will enhance the State's ability to test for and manage a broad range of infectious diseases and illnesses, together with private-sector lab space to support expansion of the area's growing bioscience ecosystem. We are excited to be working on this project, demonstrating our ability to deliver against the needs of our anchor institution partners."

This public/private partnership follows a condominium model with ownership of the State Health Laboratories unit conveyed to the State of Rhode Island on completion, and Ancora L&G retaining ownership of the private laboratory space. Funding for the $81.7 million state laboratory comes from an Epidemiology and Laboratory Capacity Grant from the Centers for Disease Control (CDC). The total project cost is expected to be $165 million.

"This new facility will not only make our state safer, but it will make our state more attractive for investment in the life sciences," said Lieutenant Governor Sabina Matos. "This is a smart, two-pronged investment in supporting both our economy and our health experts at RIDOH."

"The old lab space is past its prime and this new one will be a game changer. It will be better designed and equipped to enhance the State's ability to test for serious health threats. This federally-financed project will serve Rhode Island for generations. When it's completed, it will help guard against future public health emergencies and pandemics," said U.S. Senator Jack Reed, a senior member of the Appropriations Committee.

"I'm pleased that the state has selected the former 195 land for our new federally funded state-of-the-art public health lab," said U.S. Senator Sheldon Whitehouse. "The significant federal investment we secured will help keep Rhode Islanders safe from infectious diseases and add a landmark addition to the District's growing life sciences cluster."

"The COVID-19 pandemic made it clear that preparedness is key when public health emergencies strike," said U.S. Congressman Jim Langevin. "I'm thrilled that Governor McKee and his administration are partnering with Ancora L&G to expand our public health infrastructure by breaking ground on a new state health lab. This facility will help ensure that we have state-of-the-art technology at the ready if and when the next crisis arrives. In the meantime, it will deliver fast and reliable medical results to patients all across Rhode Island."

"This CDC grant and public-private partnership will create critically needed bioscience infrastructure in Rhode Island," said U.S. Congressman David Cicilline. "The new facility will provide a modern space for the state's Department of Health and other scientists to conduct cutting-edge research, helping to ensure we are prepared to identify and respond to new viruses and infectious diseases. I look forward to not only breaking ground on the new facility, but to the groundbreaking innovation that it will support."

The project is the result of a multi-partner collaboration, which alongside Ancora L&G and its development partner GRE, a regional development services company serving the Science and Technology sector, includes the Rhode Island Department of Administration, the I-195 Redevelopment District Commission, the Rhode Island Commerce Corporation, the Rhode Island Executive Office of Health and Human Services, and RIDOH.

Building on its long-standing commitment to supporting Jewelry District projects that contribute to the economic vitality of the city and the state, Brown University has signed a letter of intent with Ancora Partners to lease 20,000 square feet of laboratory space in the building for a period of 10 years. Brown has a substantial amount of academic activity relevant to the mission of RIDOH located nearby, including education and research at the Warren Alpert Medical School, Laboratories for Molecular Medicine and School of Public Health. This summer, Brown began work toward creating an integrated life sciences building in the district and simultaneously developed an expansive plan to significantly increase the impact of its research benefiting communities locally, nationally and globally.

Brown President Christina H. Paxson said the University will continue to prioritize investments related to life sciences research and economic activity in the Jewelry District, especially when Brown's participation can help to incentivize investments from new partners seeking a presence in Rhode Island.

"Often, the certainty that comes with tenancy from a Rhode Island anchor institution is an essential factor as private developers consider new investments in Providence," Paxson said. "We're pleased that Brown's role in this project will help drive other investment, much in the way we did for South Street Landing and the Innovation Center at 225 Dyer. We can act as a catalyst for further development while we also strengthen our infrastructure to enable even more high-impact research in health, medicine and other fields that makes a positive difference in the lives of people in Rhode Island and well beyond."

"The pandemic proved how critical it is to have a modern State Health Lab to meet such increased health demands," said Speaker K. Joseph Shekarchi and President of the Senate Dominick J. Ruggerio. "We strongly support this facility, and we are pleased the federal government provided funding to enable our state to make such an important investment."

The public design review process will begin at the I-195 Redevelopment District Commission meeting on October 19 where Ancora L&G will present their design. There will also be an opportunity for public comment and a presentation by the Commission's design consultant.

"This public-private partnership is exactly the catalyst needed to propel life science development in the District," said Robert Davis, Chairman of the I-195 Redevelopment District Commission. "The 130,000 square feet of private lab space could not have been built except through this kind of partnership and its presence will pave the way for more life science businesses to grow and energize Rhode Island's economy."

"The COVID-19 pandemic highlighted the need for public health laboratories to rapidly scale up testing and apply new technologies like pathogen genomic sequencing," said Glen R. Gallagher PhD, the Director of RIDOH's State Health Laboratories. "The commitment of this new laboratory space will allow our staff to work more efficiently and safely while positioning the laboratory to respond to emerging infectious disease and chemical public health concerns for decades to come."

With 50,000 square feet of direct usable space, the new lab will offer a larger, more modern and technologically advanced workspace than the current state health lab located at 50 Orms Street. Like the Orms Street location, the new lab will include a Biosafety Level 3 facility and will be able to provide critical services for a variety of infectious disease, environmental, and forensic testing needs. The updated space will allow the State Health Laboratory to be more flexible in response to emerging threats and applying new technologies including the expanding field of genome sequencing.

Old Europe Cheese, Inc., Recalls Brie and Camembert Cheeses Due to Possible Contamination

2022-10-03

The Rhode Island Department of Health (RIDOH) is advising consumers that Old Europe Cheese, Inc., is voluntarily recalling its Brie and Camembert cheeses because of a potential contamination with Listeria monocytogenes.

All Old Europe Cheese Brie and Camembert products with best-by dates through 12/14/2022 are impacted by this recall. The recalled products were distributed from August 1, 2022, through September 28, 2022, and were sold at supermarkets, wholesale, and retail stores nationwide, and may include Albertsons, Safeway, Meijer, Harding's, Shaw's, Price Chopper, Market Basket, Raley's, Save Mart, Giant Foods, Stop & Shop, Fresh Thyme, Lidl, Sprouts, Athenian Foods, and Whole Foods. For a complete list of recalled products and pictures of product labels, visit FDA's website.

If you have any of the recalled products, do not eat them. Throw them away or return them to the store where you purchased them. This recall has been linked to multiple illnesses nationwide.

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns. Less commonly, people not in one of the high-risk groups are affected.

Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance, and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell their healthcare provider about eating the contaminated food.

Chai Concentrate Mix Recalled

2022-09-30

The Rhode Island Department of Health (RIDOH) is advising consumers that the Chai Box is recalling certain glass and plastic bottles of chai concentrate mix due to potential under-processing, which may lead to Clostridium botulinum contamination.

Recalled products:

• 16 oz glass bottles of Chai Concentrate Mix - UPC 7 93611 81925 2

• 64 oz plastic bottles of Chai Concentrate Mix - UPC 7 93611 81926 9

• 16 oz glass bottles of Unsweetened Chai Concentrate Mix - UPC 793611819252

• 64 oz plastic bottles of Unsweetened Chai Concentrate Mix - UPC 793611819269

The products have Best By dates between 09/22/2022 and 03/16/2023. These products should not be consumed.

No other production codes or products are affected by this recall. There have been no reports of illness associated with these products to date.

These products were shipped nationwide to consumers, retailers, and wholesalers.

RIDOH and DEM Expand Recommendations to Avoid Contact with Wenscott Reservoir

2022-09-29

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Wenscott Reservoir in North Providence due to a blue-green algae (or cyanobacteria) bloom in the pond. A previous advisory this summer specified to avoid the area of Wenscott Reservoir near Douglas Pike, just past Cavalry Drive. This advisory is now expanded to include all of Wenscott Reservoir. Blue-green algae can produce toxins that can harm humans and animals. RIDOH's State Laboratory detected high concentrations of cyanobacteria toxins in water collected by DEM at Governor Notte Park.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For further information visit: http://www.dem.ri.gov/bluegreen

###

Update on Woonsocket Remains

2022-09-23

The Office of the State Medical Examiners at the Rhode Island Department of Health (RIDOH) has identified the second of two decedents recovered at a home in Woonsocket on September 19th as Daniel Grabowski. Earlier this week, RIDOH identified the other decedent recovered in the home as Susan Menard. The cause of death for Susan Menard was determined to be chronic obstructive pulmonary disease. The cause of death for Daniel Grabowski was determined to be type 2 diabetes.

RIDOH and DEM Recommend Avoiding Contact with J.L. Curran Upper Reservoir in Cranston

2022-09-21

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with J.L Curran Upper Reservoir in Cranston due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Woonsocket Remains Identified

2022-09-21

The Office of the State Medical Examiners at the Rhode Island Department of Health (RIDOH) has identified one of the two decedents recovered at a home in Woonsocket on September 19th as Susan Menard. The identity of the second decedent has not yet been finalized. The causes of death for these individuals are still pending.

RIDOH Reports First Human Case of West Nile Virus in 2022

2022-09-16

The Rhode Island Department of Health (RIDOH) is announcing Rhode Island's first human case of West Nile Virus in 2022. West Nile Virus is spread to humans by the bite of an infected mosquito.

The person who tested positive was a resident of Providence County in their 70s and is currently hospitalized after starting to experience symptoms of West Nile Virus almost three weeks ago.

Connecticut has confirmed one West Nile Virus cases in a human and Massachusetts has confirmed four human cases this year. The Rhode Island Department of Environmental Management (DEM) has confirmed two positive findings for West Nile Virus in mosquito traps this year.

Common symptoms of West Nile Virus include fever, headache, body aches, nausea, vomiting, and sometimes swollen lymph glands or a skin rash. Although many people who are infected with West Nile Virus show no symptoms, symptoms last for some people for several days or several weeks.

"The best way to prevent West Nile Virus and other mosquito-borne diseases is to prevent mosquitoes from breeding and to avoid mosquito bites," said Interim Director of Health Utpala Bandy, MD, MPH. "Mosquitoes breed in water, so you should get rid of anything around your house and yard that collects water, such as tires, planters, and old trash cans or recycling bins. You should use repellent, and also wear long-sleeved shirts and long pants when you are outside, especially at sunrise and sunset. A few simple precautions can help you stay healthy and safe when you are outdoors spending quality time with family and friends."

Protect yourself:

--Put screens on windows and doors. Fix screens that are loose or have holes.

--At sunrise and sundown (when mosquitoes are most active), consider rescheduling outdoor activities. If you must be outside, wear long-sleeved shirts and long pants and use bug spray.

--Use EPA-approved bug spray with one of the following active ingredients: DEET (20-30% strength); picaridin, IR3535; and oil of lemon eucalyptus or paramenthane. Do not use bug spray with DEET on infants under two months of age. Children should be careful not to rub their eyes after bug spray has been applied on their skin. Wash children's hands with soap and water to remove any bug spray when they return indoors.

Get rid of mosquito breeding grounds:

--Get rid of anything around your house and yard that collects water. Just one cup of water can produce hundreds of mosquitoes.

--Clean your gutters and downspouts so that they can drain properly.

--Remove any water from unused swimming pools, wading pools, boats, planters, trash and recycling bins, tires, and anything else that collects water, and cover them.

--Remove or treat any shallow water that can accumulate on top of a pool cover.

--Change the water in birdbaths at least once a week and rinse out birdbaths once a week.

Health Advisory Issued for Ground Beef in HelloFresh Meal Kits

2022-09-12

The Rhode Island Department of Health (RIDOH) is advising consumers that ground beef products in HelloFresh meal kits may be associated with Escherichia coli (E. coli) O157:H7 illness. The meal kits containing ground beef for this public health alert were shipped to consumers between July 2, 2022 and July 21, 2022.

The ground beef products came in 10-oz. plastic vacuum-packed packages with the label "GROUND BEEF 85% LEAN/15% FAT" and codes "EST#46481 L1 22 155" or "EST#46481 L5 22 155" on the side of the packaging. (See link below for product label.)

Federal health officials are investigating an outbreak of E. coli O157:H7 and raw ground beef is the probable source of the reported illnesses. Traceback information identified that multiple case-patients received these HelloFresh ground beef products.

Some product may still be in consumers' freezers. Consumers who have purchased these products are urged not to consume them. These products should be thrown away.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Spring Lake

2022-09-09

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Spring Lake in Burrillville. (Spring Lake is also known as Herring Pond.) The advisory was related to high levels of blue-green algae, also known as cyanobacteria, and associated toxins.

Recent consecutive surveys by DEM and sample analysis conducted by RIDOH's State Health Laboratories confirmed that blue-green algae has been at acceptably low levels and that cyanotoxins are not present in detectable concentrations. These findings meet state guidelines to support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Spring Lake again, as well as other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Updated COVID-19 Booster Doses to be Available in Rhode Island

2022-09-06

With a new, more comprehensive COVID-19 booster dose now authorized and recommended by federal health officials, these updated booster shots will start to become available in Rhode Island this week and next.

"This is a good reminder that one of the best ways to protect yourself and your family from COVID-19 is to stay up to date on vaccination," said Governor Dan McKee. "The Rhode Island Department of Health continues to monitor vaccine availability closely and will ensure that this new, more comprehensive booster dose is available for Rhode Islanders as soon as possible."

The more comprehensive booster doses are bivalent vaccine, meaning that they target two strains of COVID-19. The bivalent COVID-19 boosters from Pfizer and Moderna target the original strain of SARS-CoV-2 and the Omicron variant, which is the strain causing most current cases.

The Centers for Disease Control and Prevention (CDC) is now recommending that everyone age 12 or older who has received a primary series of COVID-19 vaccine get a bivalent booster at least two months after their last dose. (This bivalent booster dose is not available to children younger than 12.) This recommendation applies no matter how many boosters a person has already received. For example, if a person received their primary series and two booster doses, they should still get a bivalent booster at least two months after their last booster dose.

Rhode Island is working to ensure that bivalent booster doses are available to residents in long-term care facilities and assisted living facilities, as residents of these facilities are at higher risk for serious illness from COVID-19.

Some Rhode Island primary care providers have begun ordering bivalent COVID-19 booster doses. After receiving vaccine, primary care providers work with patients to schedule appointments. People should contact their primary care providers to learn about bivalent vaccine availability. Separately, some independent pharmacies and retail pharmacies (such as CVS and Walgreens) are beginning to schedule appointments for bivalent COVID-19 boosters for this week. Vaccines.Gov [vaccines.gov] is an additional tool people can use to learn about the availability of bivalent COVID-19 booster doses.

The Pfizer bivalent booster is recommended for people age 12 or older and the Moderna bivalent booster is recommended for people age 18 or older. The bivalent boosters will replace existing Pfizer and Moderna monovalent boosters. The Food and Drug Administration (FDA) and CDC have repealed their authorization and recommendation for the current Pfizer and Moderna monovalent boosters. This means that anyone age 12 or older who would like a COVID-19 booster will get a bivalent booster.

For more information about COVID-19, see covid.ri.gov.

RIDOH and DEM Recommend Avoiding Contact with Blackamore Pond

2022-09-02

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Blackamore Pond in Cranston due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins that can harm humans and animals. RIDOH's State Laboratory detected high concentrations of cyanobacteria cells and toxins in water collected by DEM at Blackamore Pond.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

RIDOH and DEM Recommend Avoiding Contact with Spring Lake (also known as Herring Pond)

2022-08-26

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Spring Lake (also known as Herring Pond) in Burrillville due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals. Toxins were present in recent samples.

People should be careful not to ingest water or eat fish from the lake. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest lake water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with lake waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Mighty Sesame Tahini Recalled

2022-08-24

The Rhode Island Department of Health (RIDOH) is advising consumers that Rushdi Food Industries is recalling their Mighty Sesame 10.9 Oz Organic Tahini (squeezable) with the specific expiration date of 3/28/23. This recall is due to potential Salmonella contamination.

The recalled product was sold in Walmarts in Rhode Island, and retailers in other states, including New York, New Jersey, and Connecticut. This recall was initiated when the company received a notification by the FDA and the West Virginia Department of Health of the potential presence of Salmonella in this specific lot. The company has received no reports of illness or injury to date.

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severs illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Consumers who may have purchased this product are advised to discontinue use immediately and discard or return the product for credit or refund. If a consumer experiences the symptoms listed above and believes they may have been exposed to Salmonella, they are urged to contact a healthcare provider.

Nutritional and Beverage Product Recall Expanded

2022-08-19

The Rhode Island Department of Health (RIDOH) is advising consumers that Lyons Magnus is expanding its recall of nutritional and beverage products to include many additional products. An initial Lyons Magnus recall of nutritional and beverage products was announced on August 1.

The recalled nutritional and beverage products were sold under the brand names: Lyons Barista Style, Lyons Ready Care, Cafe Grumpy, Tone It Up, Uproot, Organic Valley, Sated, Aloha, Rejuvenate, Optimum Nutrition, Sweetie Pie Organics, Intelligentsia, Ensure Harvest, PediaSure Harvest, Glucerna, Kate Farms, Pirq, Oatly, Premier Protein, Stumptown, and Imperial. Product details are listed in a table online.

This recall is being conducted due to the potential for microbial contamination, including from the organisms Cronobacter sakazakii and Clostridium botulinum. Although Clostridium botulinum has not been found in products, consumers are warned not to consume any of the recalled products even if they do not look or smell spoiled. The list of recalled products does not include products intended for infants (i.e., under the age of one).

While infection related to Cronobacter sakazakii is rare, the common symptoms of illness could include fever, vomiting and urinary tract infection. However, vulnerable and immunocompromised populations may be more susceptible to infection.

Clostridium botulinum may cause a severe form of food poisoning. It can begin from six hours to two weeks after eating food that contains the toxin. Symptoms may include double vision, blurred vision, drooping eyelids, slurred speech, difficulty swallowing, and muscle weakness. Botulism poisoning can cause respiratory paralysis, resulting in death, unless assistance with breathing (mechanical ventilation) is provided.

Root cause analysis indicates that the products did not meet commercial sterility specifications.

Anyone who has a recalled product in his or her possession should dispose of it immediately or return it to the place of purchase for a refund.

Eligible Rhode Islanders Reminded to Sign Up for Monkeypox Vaccine Interest Notification List

2022-08-18

As Rhode Island continues to expand its monkeypox vaccination campaign, eligible Rhode Islanders are reminded to add their names to the State's confidential Monkeypox Vaccine Interest Notification List. As additional doses of monkeypox vaccine become available in Rhode Island, eligible Rhode Islanders will be contacted directly about vaccination opportunities at community clinics.

"While the risk of monkeypox for most Rhode Islanders is low, people who are eligible to be vaccinated because they are at higher risk should get vaccinated. Through the Monkeypox Vaccine Interest Notification List, you will get a direct communication, either through email or text, about vaccine availability," said Interim Director of Health Utpala Bandy, MD, MPH. "Given the national shortage of monkeypox vaccine, this is the quickest way to access vaccine as soon as it comes into Rhode Island."

This reminder about signing up for the Vaccine Interest Notification List comes in advance of four additional community vaccination clinics that have been scheduled for August 19, August 20, September 2, and September 3. People who had already added their names to the Monkeypox Vaccine Interest Notification List when these clinics opened have been contacted directly about how to register. These clinics are nearing capacity. Additional clinics will be scheduled in the coming weeks. For more information about registration, see: http://health.ri.gov/monkeypox

RIDOH previously held two community vaccination clinics on August 5 and August 6. In addition to RIDOH-sponsored community vaccination clinics, health facilities such as Open Door Health, the Miriam Hospital Infectious Disease Clinic, and Thundermist Health Center have received limited amounts of monkeypox vaccine.

Eligibility for vaccination

--People who are identified through a case investigation as close contacts of an individual with confirmed monkeypox (these people will be contacted directly by RIDOH)

--Rhode Island residents who are 18 or older, AND

--Had multiple sex partners, or at least one anonymous sex partner, during the

past 30 days

AND is:

--Gay, bi, queer, or other man who has sex with men, OR

--Transgender, non-binary, or gender diverse individual who has sex with

any men who have sex with men.

Signing up for the Monkeypox Vaccine Interest Notification List

To sign up for the Monkeypox Vaccine Interest Notification List, visit http://health.ri.gov/monkeypox and scroll to the Vaccination section. The Monkeypox Vaccine Interest Notification List is only for notifications about community vaccination clinics.

General information about monkeypox

The US and the world are currently responding to an outbreak of monkeypox. Rhode Island has identified 33 cases and more than 12,600 cases have been identified nationally. Monkeypox is a virus that can be serious. It spreads through close physical contact with body fluids, monkeypox lesions, items that have been contaminated with fluids or lesion materials (clothing, bedding, etc.), or through respiratory droplets following prolonged face-to-face contact.

An individual becomes contagious when symptoms first appear. Symptoms include fever, headache, muscle aches and backache, swollen lymph nodes, chills, exhaustion, and a rash that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals, or anus.

Nationally, many gay, bisexual, and other men who have sex with other men have been diagnosed with monkeypox, especially those who have reported multiple or anonymous sexual partners. However, people of any sexual orientation or gender identity can become infected with monkeypox.

Monkeypox prevention

There are vaccines that help protect against monkeypox. In Rhode Island, the JYNNEOS monkeypox vaccine is being administered. This is a two-dose series, with the second dose coming roughly 28 days after the first dose. Full protection is achieved 14 days after the second dose.

In addition to getting vaccinated, people can take other prevention measures. Before having close, physical contact with others, talk to your partners about their health and any recent rashes or sores. Additionally, if you have symptoms, particularly a rash consistent with monkeypox (even if you do not think you were in contact with anyone with monkeypox), or if you have been in contact with someone who has been diagnosed with monkeypox:

--Stay home and isolate from household members.

--Contact a healthcare provider as soon as possible for an evaluation.

--Avoid skin-to-skin, or close contact with others, including sexual contact.

--Inform sex partners about any symptoms you are experiencing.

--Cover the rash with clean, dry, loose-fitting clothing.

--If contacted by public health officials, answer their questions to help protect others who may have been exposed

Wild Cherry Capri Suns Recalled

2022-08-17

The Rhode Island Department of Health (RIDOH) is advising consumers that Kraft Heinz is recalling approximately 5,760 cases of Capri Sun Wild Cherry Flavored Juice Drinks. This recall comes after diluted cleaning solution, which is used on food processing equipment, was inadvertently introduced into a production line at a Kraft Heinz factory.

The "Best When Used By" date on the products is June 25, 2023. The products came in 6.6 fluid ounce pouches. Additional product information, including UPCs for the recalled products, is available online.

The issue was discovered after Kraft Heinz received several consumer complaints about the taste of the affected product. The company is actively working with retail partners and distributors to remove potentially impacted product from circulation.

Consumers who purchased these items should not consume them. They can be returned to the stores where they were purchased.

Pretzel Buns and Bites Recalled

2022-08-16

The Rhode Island Department of Health (RIDOH) is advising consumers that King's Hawaiian is recalling its Pretzel Slider Buns, Pretzel Hamburger Buns, and Pretzel Bites following a recall of an ingredient used in these products from the supplier Lyons Magnus. Lyons Magnus is recalling this ingredient due to the potential for it to cause microbial contamination including from the organisms Cronobacter sakazakii and Clostridium botulinum. While no illnesses associated with King's Hawaiian pretzel bread have been reported, and no pathogens have been found in any King's Hawaiian products to date, the recall is being conducted to ensure consumer safety.

These products were sold at Walmart, Stop and Shop, and Target locations in Rhode Island. These products may have been sold by additional retailers in Rhode Island. Consumers in possession of any King's Hawaiian Pretzel Slider Buns, King's Hawaiian Pretzel Hamburger Buns, or King's Hawaiian Pretzel Bites should dispose of the product.

This recall does not impact any other King's Hawaiian products, as no other products use this ingredient from Lyons Magnus.

Company Expands Recall of Nutritional and Beverage Products

2022-08-11

The Rhode Island Department of Health (RIDOH) is advising consumers that the company Lyons Magnus is expanding its recall to include additional brands and code dates due to the potential for microbial contamination, including from the organism Cronobaster sakazakii.

A complete list of recalled products is available on FDA's website. To identify the Lot Code and Best By Date, refer to the top of the carton for individual cartons or the side of the case for multi-carton cases. The products were distributed nationally, including to Walmarts and BJ Wholesale Clubs in Rhode Island.

While infection related to Cronobacter sakazakii is rare, the common symptoms of illness could include fever, vomiting, and urinary tract infection. However, vulnerable and people with weakened immune systems may be more susceptible to infection. To date, no illnesses or complaints related to the recalled products have been reported.

The recalled products should not be consumed. Consumers who have any of the recalled products should throw it away or return it to the place of purchase for a refund. Consumers may also contact the 24/7 Lyons Recall Support Center at 800-627-0557 or visit the company's website.

RIDOH and DEM Recommend Avoiding Water Recreation at Camp Hoffman and a Section of Wenscott Reservoir; Lifting advisory for Slack Reservoir

2022-08-05

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid water recreation at Camp Hoffman on Larkin Pond in Kingston and the area of Wenscott Reservoir near Douglas Pike, just past Cavalry Drive in North Providence, due to a blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals.

For Slack Reservoir in Smithfield, recent consecutive surveys and sample analyses confirmed that blue-green algae has been at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet State guidelines to support lifting the advisory.

People should be careful not to ingest water or eat fish from waters that are under advisories. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice. Caution should be used when recreating in other areas of Larkin Pond and Wenscott Reservoir as conditions may change and extend the cyanobacteria bloom to other areas.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Ready-to-Eat Meat and Poultry Wraps Recalled

2022-08-01

The Rhode Island Department of Health (RIDOH) is advising consumers that Rachael's Food Corporation is recalling approximately 2,250 pounds of ready-to-eat meat and poultry wrap products that may be adulterated with Listeria monocytogenes. The ready-to-eat meat and poultry wraps were produced from July 15, 2022, through July 20, 2022. The following products are subject to recall:

• 7.5-oz. sealed plastic container packages containing "ATLANTIS FRESH MARKET Italian Style Wrap" with lot codes 22195, 22196, 22199 and 22200, and "Enjoy before" dates of 07/30/22. 07/31/22, 08/01/22, 08/02/22 and 08/03/22 represented on the label.

• 7.5-oz. sealed plastic container packages containing "RACHAEL'S FOOD CORPORATION Italian Style Wrap" with lot codes 22195, 22196, 22199 and 22200, and "Sell Through" dates of 07/30/22. 07/31/22, 08/01/22, 08/02/22 and 08/03/22 represented on the label.

• 7.5-oz. sealed plastic container packages containing "ATLANTIS FRESH MARKET Turkey Club Wrap" with lot codes 22195, 22196, 22199 and 22200, and "Enjoy before" dates of 07/30/22. 07/31/22, 08/01/22, 08/02/22 and 08/03/22 represented on the label.

• 7.5-oz. sealed plastic container packages containing "RACHAEL'S FOOD CORPORATION Turkey Club Wrap" with lot codes 22195, 22196, 22199 and 22200, and "Sell Through" dates of 07/30/22. 07/31/22, 08/01/22, 08/02/22 and 08/03/22 represented on the label.

• 7.5-oz. sealed plastic container packages containing "ATLANTIS FRESH MARKET Buffalo Style Chicken Wrap" with lot codes 22195, 22196, 22199 and 22200, and "Enjoy before" dates of 07/30/22. 07/31/22, 08/01/22, 08/02/22 and 08/03/22 represented on the label.

• 7.5-oz. sealed plastic container packages containing "RACHAEL'S FOOD CORPORATION Buffalo Style Chicken Wrap" and with lot codes 22195, 22196, 22199 and 22200, and "Sell Through" dates of 07/30/22. 07/31/22, 08/01/22, 08/02/22 and 08/03/22 represented on the label.

• 8-oz. sealed plastic container packages containing "ATLANTIS FRESH MARKET Chicken Caesar Wrap" with lot codes 22195, 22196, 22199 and 22200, and "Enjoy before" dates of 07/30/22. 07/31/22, 08/01/22, 08/02/22 and 08/03/22 represented on the label.

• 8-oz. sealed plastic container packages containing "RACHAEL'S FOOD CORPORATION Chicken Caesar Wrap" with lot codes 22195, 22196, 22199 and 22200, and "Sell Through" dates of 07/30/22. 07/31/22, 08/01/22, 08/02/22 and 08/03/22 represented on the label.

• 8-oz. sealed plastic container packages containing "ALL TOWN CHICKEN CAESAR WRAP" with lot codes 22195, 22196, 22199 and 22200, and "Sell Through" dates of 07/30/22. 07/31/22, 08/01/22, 08/02/22 and 08/03/22 represented on the label.

The products subject to recall bear establishment number "EST 34657" or "P34657" inside the USDA mark of inspection. These items were shipped to retail locations in Connecticut, Massachusetts, Rhode Island, and New York.

There have been no confirmed reports of adverse reactions due to consumption of these products. Anyone concerned about an injury or illness should contact a healthcare provider.

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns. Less commonly, persons outside these risk groups are affected.

Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections in older adults and persons with weakened immune systems. Listeriosis is treated with antibiotics. Persons in the higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell the health care provider about eating the contaminated food.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

Nutritional and Beverage Products Recalled

2022-08-01

The Rhode Island Department of Health (RIDOH) is advising consumers that the company Lyons Magnus is recalling nutritional and beverage products due to the potential for microbial contamination, including from the organism Cronobacter sakazakii.

The products are packed in various formats under many different brand names, including Lyons Ready Care, Lyons Barista Style, Pirq, Glucerna Original, Aloha, Intelligentsia, Kate Farms, Oatly, Premier Protein, MRE, Stumptown, and Imperial. Product details are listed in a table online (see link below). To identify the Lot Code and Best By Date refer to the top of the carton for individual cartons or the side of the case for multi-carton cases. The products were distributed nationally, including to Walmarts and BJ Wholesale Clubs in Rhode Island.

A preliminary analysis indicated that products did not meet commercial sterility specifications.

While infection related to Cronobacter sakazakii is rare, the common symptoms of illness could include fever, vomiting, and urinary tract infection. However, vulnerable and immunocompromised populations may be more susceptible to infection. To date, no illnesses or complaints related to these products have been reported. The recalled products should not be consumed.

Anyone who has a recalled product in his or her possession should dispose of it immediately or return it to the place of purchase for a refund. Consumers in all time zones with questions may contact the Lyons Recall Support Center at 1-800-627-0557, or visit its website at www.lyonsmagnus.com [lyonsmagnus.com]. This recall is being conducted in cooperation with the U.S. Food and Drug Administration.

RIDOH and DEM Recommend Avoiding Contact with the Bridge Area of Island Drive of Johnson's Pond

2022-07-29

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with the Bridge Area of Island Drive of Johnson's Pond in Coventry due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins that can harm humans and animals. Bloom conditions can change quickly, and other areas of the waterbody may be affected, so users in other areas should exercise caution.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest affected waters are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

RIDOH and DEM Recommend Avoiding Water Recreation at Roger Williams Ponds, Slack Reservoir, and Mashapaug Pond

2022-07-22

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid water recreation at Slack Reservoir in Smithfield/Johnston, Mashapaug Pond in Providence, and the Roger Williams Park ponds in Providence due to a blue-green algae (or cyanobacteria) blooms. At this time, blooms are known to be present in Roger Williams Park ponds at Cunliff and Elm Lakes, but they are likely to be present in other park water bodies (Roosevelt, Edgewood, Pleasure, Polo, and Willow Lakes). Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from these waters. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Rhode Islanders Reminded About Heat Precautions

2022-07-18

The Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders about safety tips to keep themselves healthy and safe during extreme heat.

Normally, when you get hot, your body cools itself by sweating. But when it is very hot and humid, sweating isn't enough, and your body temperature can rise very quickly. High temperatures can cause heat stroke, heat exhaustion, or heat cramps. Certain populations are at increased risk for heat-related illness during periods of extreme heat. These populations include babies and young children, older adults, and people who work outdoors.

When you are outside during extreme heat:

• Stay out of the direct sun. Try to stay in shaded areas.

• Wear a hat with a brim and wear sunscreen for protection.

• Drink plenty of water and avoid alcohol and caffeine.

• Pace yourself when you exercise.

• Schedule outdoor events early in the morning, when it is cooler and the air quality is better.

• Wear light-colored and light-weight clothing.

When you are inside during extreme heat:

• Use air conditioning or fans, windows, and shades or curtains to keep your house cool.

• Take cool showers or baths. Avoid cooking hot food indoors when the day is at its hottest.

• Drink plenty of water and avoid alcohol and caffeine.

• Never leave a child, pet, or older adults in an unattended car during periods of extreme heat.

Watch for warning signs:

Check on friends, family, and neighbors during periods of extreme heat. Signs of heat exhaustion include heavy sweating; cold, pale, and clammy skin; nausea or vomiting, tiredness; dizziness; or headache. If someone is showing signs of heat exhaustion, move them to a cool place; put a cool, wet cloth on their body; and have them sip water. Call medical help if symptoms get worse or last longer than one hour.

Cooling centers:

Some cities and towns have cooling centers open to those who need shelter during periods of extreme heat. To find a cooling center, call 2-1-1 or visit: https://riema.ri.gov/planning-mitigation/resources-businesses/cooling-centers

Dog Treats Recalled

2022-07-18

The Rhode Island Department of Health (RIDOH) is advising consumers that Stormberg Foods is recalling various sizes and batches of Beg & Barker Chicken Breast Strips Dog Treats, Billo's Best Friend Chicken Breast Strips Dog Treats, and Green Coast Pets Chicken Crisps Dog Treats due to a potential contamination of Salmonella.

The products were distributed between June 8, 2022 and June 22, 2022. They were packaged in branded plastic bags in carboard master cases and shipped primarily to warehouses in Rhode Island, California, Minnesota, and North Carolina. Products are then shipped nationwide to retail facilities and consumers via the internet.

Information about the UPCs and batches affected is available online. (See link below.)

Salmonella can affect pets eating the products and there is risk to humans from handling contaminated pet products, especially if they have not thoroughly washed their hands after having contact with the products or any surfaces exposed to these products.

Healthy people infected with Salmonella should monitor themselves for some or all of the following symptoms: nausea, vomiting, diarrhea or bloody diarrhea, abdominal cramping, and fever. Rarely, Salmonella can result in more serious ailments, including arterial infections, endocarditis, arthritis, muscle pain, eye irritation, and urinary tract symptoms. Consumers exhibiting these signs after having contact with these products should contact their healthcare providers.

Pets with Salmonella infections may be lethargic and have diarrhea or bloody diarrhea, fever, and vomiting. Some pets will have only decreased appetite, fever, and abdominal pain. Infected but otherwise healthy pets can be carriers and infect other animals or humans. If your pet has consumed the recalled products and has these symptoms, please contact your veterinarian.

Consumers who have purchased these products and/or have pets who have become ill are urged to notify stormbergship@gmail.com immediately with all product information for return or proper disposal information. Consumers with questions may contact the company's customer services department at 919-947-6011.

RIDOH and DEM Recommend Avoiding Contact with Cunliff Lake; Lifting Advisory for Roosevelt Pond, Turner Reservoir, and Lake Tiogue

2022-07-15

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Cunliff Lake (Roger Williams Park) in Providence due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

Recent consecutive surveys and sample analyses from Turner Reservoir in East Providence, Roosevelt Pond (Roger Williams Park) in Providence and at Tiogue Lake in Coventry confirmed that blue-green algae has been at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet state guidelines to support lifting the advisory.

People should be careful not to ingest water or eat fish from Cunliff Lake and Elm Lakes (also under advisory) at Roger Williams Park. All recreation, including swimming, wading, fishing, boating, and kayaking, should be avoided. Animals who may ingest the water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the lakes. The advisory will remain in effect until further notice. Caution should be used when recreating throughout Roger Williams Park as conditions may change and extend the cyanobacteria bloom to other areas.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be present in other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Free Skin Cancer Screenings to be Available at Rhode Island Beaches

2022-07-15

Between tomorrow and the end of August, the Rhode Island Department of Health (RIDOH), Brown Dermatology, and partners statewide will be making free skin cancer screenings available at select Rhode Island parks and beaches on six dates.

"Along with using broad-spectrum sunscreen with an SPF of 30 or more and seeking shade, getting a skin check is the most important thing you can do to protect against skin cancer this summer," said Interim Director of Health Utpala Bandy, MD, MPH. "Skin cancer can affect people of all skin tones and complexions, which is why all Rhode Islanders should take advantage of these free, convenient skin cancer checks. A cancer screening has the power to save a life."

"We are thrilled to be able to participate in Skin Check again after having to cancel it the last few years due to COVID-19," John C. Kawaoka, MD, Associate Professor of Dermatology, Warren Alpert Medical School. "Getting screened is incredibly important as one in five Americans will develop skin cancer in their lifetime. Every year at the beaches we find a number of skin cancers, including melanoma, many of which people had no idea that they had."

"After a pandemic pause, Lifespan is excited to resume free skin cancer screenings at local beaches and parks," said Carrie Bridges Feliz, MPH, Vice President of Lifespan's Community Health and Equity. "We are especially focused this year on reaching a more diverse audience and when needed, to provide the extensive follow-up to ensure that anyone with an abnormal result receives the care they need."

All screenings will be private and provided by dermatologists and dermatology residents affiliated with Brown Dermatology. The first 100 people at each event will be screened. People who require follow-up will be referred for dermatology consults. People are asked to wear bathing suits or clothing that can easily be removed.

WJAR is the primary sponsor of the screening events. Other partners include the Partnership to Reduce Cancer in Rhode Island, Lifespan Community Health Institute, the Rhode Island Department of Environmental Management (DEM), and the Roger Williams Park Conservancy.

Free Cancer Screenings Dates And locations

Narragansett - Scarborough North State Beach

Saturday, July 16th, 1:00 p.m. - 3:00 p.m.

970 Ocean Rd., Narragansett, RI 02882

*Spanish language interpreters available

Narragansett - Roger W. Wheeler State Beach

Friday, July 22nd, 1:00 p.m. - 3:00 p.m.

970 Ocean Rd., Narragansett, RI 02882

Lincoln - Lincoln Woods Freshwater Beach

Saturday, July 30th, 1:00 p.m. - 3:00 p.m.

101 Table Rock Rd., Lincoln, RI 02865 (At the beach)

*Spanish language interpreters available

Newport - Easton's Beach (First Beach)

Friday, August 12th, 1:00 p.m. - 3:00 p.m.

175 Memorial Blvd., Newport, RI 02840

South Kingstown - East Matunuck State Beach

Friday, August 19th, 1:00 p.m. - 3:00 p.m.

950 Succotash Rd., South Kingstown, RI 02881

Providence - Roger Williams Park

Friday, August 26th, 2:30 p.m. - 4:30 p.m.

1000 Elmwood Ave., Providence, RI 02907 (Broad St. entrance)

*parking available at baseball field lot

*Spanish language interpreters available

Prevention and Early Detection

The two ways to stay sun safe this summer are prevention (using sunscreen, wearing protective apparel, and staying out of the direct sun) and early detection (getting screened).

Prevention:

• Apply sunscreen with a Sun Protection Factor (SPF) of 30 or more with both UVA and UVB protection ("broad spectrum" sunscreen). Make sure to put it on all areas of skin exposed to the sun, including ears, neck, nose, eyelids, fingers and toes, and reapply every two hours.

• Use water-resistant sunscreen while swimming, boating or exercising;

• Seek shade, especially when the sun rays are the strongest between 10 AM and 2 PM;

• Wear protective clothing, such as UPF clothing (UV resistant);

• Wear a hat with a wide brim to shade the face, head, ears, and neck;

• Wear wrap-around sunglasses with UV protection where possible;

• Use caution near water, sand and snow because they reflect and intensify the rays of the sun and can increase your chances of sunburn;

• Avoid indoor tanning.

Early detection:

• Talk with your primary care provider about seeing a dermatologist and getting screened for skin cancer, especially if you have a family history of it.

• Watch your moles and skin spots over time. If you see changes in their size, color, number, or thickness, they need to be checked by a primary care provider or a dermatologist.

• Get your kids screened. Skin cancer is a growing concern for children, especially among adolescents. Talk with your child's pediatrician about skin cancer screening.

• If you work outdoors, you should be screened annually by a dermatologist.

RIDOH's Monkeypox Task Force Taking Prevention and Control Measures (ingles y espanol)

2022-07-14

As national health experts continue to track the ongoing global outbreak of monkeypox, the Rhode Island Department of Health (RIDOH)'s Monkeypox Task Force is coordinating with healthcare providers, healthcare facilities, and communities on monkeypox prevention and control measures.

Monkeypox is a rare disease caused by infection with the monkeypox virus. As part of this current outbreak, six monkeypox cases have been identified in Rhode Island. More than 1,000 cases have been identified nationally, including 49 cases in Massachusetts, and 159 cases in New York. Current evidence from around the country suggests that the virus is spreading mostly through close, intimate contact with someone who has monkeypox.

"At this time, the risk of monkeypox for most Rhode Islanders is low. However, we are taking this global outbreak very seriously," said Governor Dan McKee. "We are coordinating with our federal partners and are ensuring that healthcare providers throughout the state are prepared to identify any cases and get patients into the appropriate treatment and care."

"At RIDOH we are working to help the public understand how to prevent monkeypox now, with a focus on communities at higher risk," said Interim Director of Health Utpala Bandy, MD, MPH. "At the same time, we are laying out future plans to get more prevention tools and resources into the community as they are made available by the federal government."

There is ample testing capacity for monkeypox, anti-viral treatment (Tecovirimat), and an FDA-approved vaccine (JYNNEOS) available to prevent this infection. However, the vaccine is currently in short supply nationally.

The measures currently being taken by RIDOH's Monkeypox Task Force include:

• Performing case interviews and contact identification to collect the clinical and epidemiological information needed for isolation, contact monitoring, and post-exposure vaccination.

• In consultation with patients' healthcare providers and the Centers for Disease Control and Prevention (CDC), assessing cases to determine whether they are appropriate candidates for antiviral treatment (Tecovirimat).

• Coordinating the post-exposure preventive vaccination of close contacts. (All vaccination is being coordinated through RIDOH on a referral basis.)

• Coordinating with select healthcare facilities to serve as vaccination sites. These sites serve communities at the highest risk of exposure.

• Regularly communicating with healthcare providers on clinical recognition, specimen collection, and case reporting 24/7.

• Coordinating specimen collection, transport, and analysis at RIDOH's State Health Laboratories for clinically compatible cases 24/7.

• Partnering with community organizations and businesses that serve higher risk populations on prevention education.

RIDOH's Monkeypox Task Force includes staff from RIDOH's Division of Preparedness, Response, Infectious Disease, and Emergency Medical Services; the Office of Immunization; the State Health Laboratories; the Health Equity Institute; and RIDOH's Center for Public Health Communication.

Monkeypox Symptoms

Symptoms can include:

• Fever

• Headache

• Muscle aches and backache

• Swollen lymph nodes

• Chills

• Exhaustion

• A rash that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals, or anus

Sometimes people get a rash first, followed by other symptoms. Others only experience a rash. The rash goes through different stages before healing completely. Most infections last two to four weeks and resolve on their own, but some cases can become severe.

Monkeypox Transmission

An individual becomes contagious when symptoms first appear. Transmission occurs through close physical contact with body fluids, monkeypox lesions, items that have been contaminated with fluids or lesion materials (clothing, bedding, etc.), or through respiratory droplets following prolonged face-to-face contact. The infectious period ends when all skin sores have crusted over. This may take between two and four weeks. Deaths and hospitalizations from monkeypox are rare.

Monkeypox is much less transmissible than COVID-19, which spreads through the air. Nationally, many gay men, bisexual men, and other men who have sex with men have been diagnosed with monkeypox, especially those who have reported multiple or anonymous sexual partners. RIDOH has shared information about monkeypox and sexually transmitted infection prevention for this group on its "Sexual Health Information for Gay/Bisexual Men and Gender Diverse People" web page. However, people of any sexual orientation or gender identity can become infected and spread monkeypox. RIDOH urges everyone to avoid stigmatizing a particular group or person for monkeypox, but rather support those at highest risk and ensure that all communities remain vigilant.

Monkeypox Prevention

There is a vaccine to help prevent monkeypox virus infection. However, this vaccine is currently in short supply nationally. The CDC is using a very specific formula to allocate monkeypox vaccine to states, considering factors such as population size, current monkeypox case counts, and historical data on sexually transmitted infections. For this reason, Rhode Island has been allocated much less vaccine than other states (for example, Massachusetts). At this time, Rhode Island has only been allocated enough vaccine to vaccinate close contacts of cases. Vaccination of contacts within four days of exposure can prevent illness and if given within 14 days of exposure can significantly reduce severity of illness should the person develop illness.

If a person has symptoms, particularly a rash consistent with monkeypox (even if they do not think they were in contact with anyone with monkeypox), or if they have been in contact with someone who has been diagnosed with monkeypox, they should:

• Stay home and isolate from household members

• Contact a healthcare provider as soon as possible for an evaluation

• Avoid skin-to-skin, or close contact with others, including sexual contact, until a medical evaluation has been completed

• Inform sex partners about any symptoms you are experiencing

• Cover the rash with clean, dry, loose-fitting clothing

• If contacted by public health officials, answer their questions to help protect others who may have been exposed

More information about monkeypox is available at http://health.ri.gov/monkeypox.

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A medida que los expertos nacionales en salud continúan rastreando el brote mundial en curso de viruela del mono, el Equipo Especial sobre la Viruela del Mono del Departamento de Salud de Rhode Island (RIDOH) está coordinando con los proveedores de atención médica, los centros de atención médica y las comunidades las medidas de prevención y control de la viruela del mono.

La viruela del mono es una enfermedad rara causada por la infección con el virus de la viruela del mono. Como parte de este brote actual, se identificaron seis casos en Rhode Island. Se han identificado 1,814 casos a nivel nacional, incluidos 51 casos en Massachusetts y 489 casos en Nueva York. La evidencia actual de todo el país sugiere que el virus se está propagando principalmente a través del contacto cercano e íntimo con alguien que tiene viruela del mono.

"En este momento, el riesgo de viruela del mono para la mayoría de los habitantes de Rhode Island es bajo. Sin embargo, estamos tomando muy en serio este brote mundial", dijo el gobernador Dan McKee. "Nos estamos coordinando con nuestros socios federales y nos aseguramos de que los proveedores de atención médica en todo el estado estén preparados para identificar cualquier caso y hacer que los pacientes reciban el tratamiento y la atención adecuados".

"En RIDOH estamos trabajando para ayudar al público a comprender cómo prevenir la viruela del mono, con un enfoque en las comunidades con mayor riesgo", dijo la directora interina de salud Utpala Bandy, MD, MPH. "Al mismo tiempo, estamos diseñando planes futuros para obtener más herramientas y recursos de prevención en la comunidad a medida que el gobierno federal los ponga a disposición".

Existe una amplia capacidad de prueba para la viruela del mono, tratamiento antiviral (Tecovirimat) y una vacuna aprobada por la FDA (JYNNEOS) disponible para prevenir esta infección. Sin embargo, la vacuna actualmente escasea a nivel nacional.

Las medidas que está tomando actualmente el Equipo Especial contra la Viruela del Mono de RIDOH incluyen:

• Realización de entrevistas de casos e identificación de contactos para recopilar la información clínica y epidemiológica necesaria para el aislamiento, seguimiento de contactos y vacunación post-exposición.

• En consulta con los proveedores de atención médica de los pacientes y los Centros para el Control y la Prevención de Enfermedades (CDC), evaluar los casos para determinar si son candidatos apropiados para el tratamiento antiviral (Tecovirimat).

• Coordinar la vacunación preventiva post-exposición de los contactos estrechos. (Todas las vacunas se coordinan a través de RIDOH con referencia).

• Coordinar con centros de salud seleccionados para que sirvan como sitios de vacunación. Estos sitios sirven a las comunidades con mayor riesgo de exposición.

• Comunicarse regularmente con los proveedores de atención médica sobre el reconocimiento clínico, la recolección de muestras y la notificación de casos las 24 horas del día, los 7 días de la semana.

• Coordinar la recolección, el transporte y el análisis de muestras en los Laboratorios Estatales de Salud de RIDOH para casos clínicamente compatibles las 24 horas del día, los 7 días de la semana.

• Asociarse con organizaciones comunitarias y empresas que atienden a poblaciones de mayor riesgo en educación preventiva.

El Equipo Especial contra la Viruela del Mono de RIDOH incluye personal de la División de Preparación, Respuesta, Enfermedades Infecciosas y Servicios Médicos de Emergencia de RIDOH; la Oficina de Vacunación; los Laboratorios Estatales de Salud; el Instituto de Equidad en Salud; y el Centro de Comunicación de Salud Pública de RIDOH.

Síntomas de la Viruela del Mono

Los síntomas pueden incluir:

• Fiebre

• Dolor de cabeza

• Dolores musculares y de espalda

• Ganglios linfáticos inflamados

• Escalofríos

• Agotamiento

• Un sarpullido que puede parecerse a granos o ampollas que aparece en la cara, dentro de la boca y en otras partes del cuerpo, como las manos, los pies, el pecho, los genitales o el ano

• A veces, las personas tienen un sarpullido primero, seguido de otros síntomas. Otros solo experimentan una erupción. La erupción pasa por diferentes etapas antes de curarse por completo. La mayoría de las infecciones duran de dos a cuatro semanas y sanan por sí solas, pero algunos casos pueden volverse graves.

Transmisión de la Viruela del Mono

Un individuo se vuelve contagioso cuando aparecen los primeros síntomas. La transmisión ocurre a través del contacto físico cercano con fluidos corporales, lesiones de viruela del mono, artículos que han sido contaminados con fluidos o materiales lesionados (ropa, ropa de cama, etc.), o a través de gotitas respiratorias luego de un contacto cara a cara prolongado. El período infeccioso termina cuando todas las llagas en la piel han formado costras. Esto puede tomar entre dos y cuatro semanas. Las muertes y hospitalizaciones por viruela del mono son raras.

La viruela del mono es mucho menos transmisible que el COVID-19, que se propaga por el aire. A nivel nacional, muchos hombres homosexuales, hombres bisexuales y otros hombres que tienen sexo con hombres han sido diagnosticados con viruela del mono, especialmente aquellos que han reportado parejas sexuales múltiples o anónimas. RIDOH ha compartido información sobre la viruela del mono y la prevención de infecciones de transmisión sexual para este grupo en su página web "Información de salud sexual para hombres homosexuales/bisexuales y personas de género diverso". Sin embargo, las personas de cualquier orientación sexual o identidad de género pueden infectarse y propagar la viruela del mono. RIDOH insta a todos a evitar estigmatizar a un grupo o persona en particular por la viruela del mono, sino a apoyar a los que corren mayor riesgo y garantizar que todas las comunidades permanezcan vigilantes.

Prevención de la Viruela del Mono

Existe una vacuna para ayudar a prevenir la infección por el virus de la viruela del mono. Sin embargo, esta vacuna actualmente escasea a nivel nacional. El CDC está utilizando una fórmula muy específica para asignar la vacuna contra la viruela del mono a los estados, considerando factores como el tamaño de la población, el recuento actual de casos de viruela del mono y los datos históricos sobre las infecciones de transmisión sexual. Por esta razón, a Rhode Island se le ha asignado mucha menos vacuna que ha otros estados (por ejemplo, Massachusetts). En este momento, a Rhode Island solo se le ha asignado suficiente vacuna para vacunar a los contactos cercanos de los casos. La vacunación de los contactos dentro de los cuatro días posteriores a la exposición puede prevenir la enfermedad y, si se administra dentro de los 14 días posteriores a la exposición, puede reducir significativamente la gravedad de la enfermedad en caso de que la persona desarrolle la enfermedad.

Si una persona tiene síntomas, particularmente un sarpullido compatible con la viruela del mono (incluso si no cree que haya estado en contacto con alguien que tenga la viruela del mono), o si ha estado en contacto con alguien a quien le diagnosticaron la viruela del mono, debe:

• Quédese en casa y aíslese de los miembros del hogar

• Comuníquese con un proveedor de atención médica lo antes posible para una evaluación

• Evite el contacto piel con piel o el contacto cercano con otras personas, incluido el contacto sexual, hasta que se haya completado una evaluación médica.

• Informe a sus parejas sexuales sobre cualquier síntoma que esté experimentando

• Cubra la erupción con ropa limpia, seca y holgada

• Si los funcionarios de salud pública lo contactan, responda sus preguntas para ayudar a proteger a otras personas que puedan haber estado expuestas

Más información sobre la viruela del mono está disponible en http://health.ri.gov/monkeypox.

Blue-Green Algae Bloom in Elm Lake in Roger Williams Park

2022-07-08

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Elm Lake in Roger Williams Park, Providence, due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

People should also be careful not to ingest water or eat fish from these waters. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after a blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Recommend Avoiding Contact with Lower Melville Pond

2022-07-07

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Lower Melville Pond in Portsmouth due to blue-green algae (or cyanobacteria) blooms. An advisory associated with the bloom in Upper Melville Pond (as known as Thurston Gray Pond) remains in effect. Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Rhode Island Launches Participatory Budgeting Process for Health Investments

2022-06-30

As a part of work to advance health equity and strategically address social determinants of health, the Rhode Island Executive Office of Health and Human Services (EOHHS) and the Rhode Island Department of Health (RIDOH) are announcing today the launch of a Participatory Budgeting pilot project. This project is being undertaken in collaboration with two Health Equity Zone (HEZ) partners (http://health.ri.gov/hez).

Participatory budgeting is a democratic process that allows community members to directly decide how to spend part of a public budget. Following a structured process, residents in each community will have the opportunity to come together to identify community needs, generate ideas on how to meet them, and then vote directly on how to spend public funds to address upstream social determinants of health and racial inequities. Winning projects will then be announced and implemented.

Between July 1, 2022 and June 30, 2024, $900,000 will be allocated by two Health Equity Zones (HEZs) - Central Providence Opportunities HEZ (CPO-HEZ), supported by the backbone agency ONE Neighborhood Builders, and Pawtucket Central Falls HEZ, backed by Local Initiatives Support Corporation (LISC). Each HEZ will receive $450,000. Additionally, Central Providence Opportunities HEZ will deepen its impact by investing an additional $550,000 in private grant funding. The Central Providence community will, therefore, have a total of $1 million to invest through its Participatory Budgeting process.

"At EOHHS and the agencies under our umbrella, we are committed to active engagement opportunities for the communities we serve," said Rhode Island Executive Office of Health and Human Services' Acting Secretary Ana Novais. "What makes participatory budgeting different from traditional budgeting and decision-making processes is that it creates intentional space at the table for those who experience systemic racism and income inequality. It gives community members true decision-making power over real money."

"Health disparities result from underlying factors in our physical, social, political, and economic environments," said Interim Director of Health Utpala Bandy, MD, MPH. "It's exciting to see a project like this take root in Rhode Island. Not only do I look forward to seeing the innovative projects and solutions that come out of this work to promote health equity, but also how resident participation in the process itself enhances community cohesion, health, and wellbeing. Healthy communities are connected and collaborative communities."

Initiatives utilizing participatory budgeting have taken place in Rhode Island with great success.

"Participatory Budgeting has played such an important role in Central Falls for the past few years," said Central Falls Council President Jessica Vega. "Providing a space where residents are encouraged to think critically on how to improve the quality of life for their community. Rhode Island Executive Office of Health and Human Services' initiative of scaling up Participatory Budgeting through the Central Falls/Pawtucket and Central Providence HEZ is exciting, timely, and important to improve the health and promote equity in our communities."

New community leaders develop and emerge from the process, like Karen Figueroa, 2021 graduate of Central Falls High School and current first year student at Salve Regina University, who was a member of the first Participatory Budgeting Steering Committee in Central Falls and has been involved in participatory budgeting processes in Central Falls ever since. "Participatory budgeting grants underrepresented individuals the right to have their voices heard and allows them to be at the forefront of change in their communities," said Figueroa.

"Six years ago, Rhode Island took the transformational step toward a groundbreaking approach to address community health by creating the Health Equity Zone initiative as a mechanism to listen to residents who deeply understood the needs of their community. This place-based, community-led approach has led to important changes in service delivery and improvements in social determinants of health," said Jeanne Cola, Executive Director of Local Initiatives Support Corporation (LISC) of Rhode Island. LISC is the backbone agency for the Pawtucket Central Falls HEZ. "This participatory budgeting process -- where the community comes together to decide how funds are invested-- is the next logical step in the process of cultivating agency, transferring power, and promoting residents as agents of change."

"Community members will help shape the decision-making process, allocate resources, and build connections with each other. We believe the process of participatory budgeting is equally important as the financial investment," ONE Neighborhood Builders' Executive Director Jennifer Hawkins said. "We invite residents of 02908 and 02909 ZIP codes to contact us to learn more about how they can share the issues that impact them and work together to help fund equitable solutions."

The initial investment of $900,000 is in Health System Transformation Project (HSTP) funds. The Health System Transformation Project is Rhode Island Medicaid's signature value-based payment initiative which aims to reduce healthcare costs, improve quality of care and improve population health outcomes.

Originating in Brazil in 1989, participatory budgeting has since been implemented by governments and organizations in more than 7,000 cities worldwide and demonstrated impacts in increasing civic engagement resulting in more equitable and effective public spending.

For more information about how to get involved in the participatory processes in your city, contact:

Providence:

pb@onenb.org

Pawtucket, Central Falls:

Becki Marcus

Assistant Program Officer

Local Initiatives Support Corporation

rbmarcus2@lisc.org

RIDOH destaca eventos y servicios de pruebas en conmemoración del Día Nacional de Pruebas de VIH

2022-06-27

El 27 de junio de cada año, el Departamento de Salud de Rhode Island (RIDOH) y los Centros para el Control y la Prevención de Enfermedades (CDC) observan el Día Nacional de la Prueba del VIH (NHTD), un día para enfatizar y fomentar la prueba del VIH.

"Todas las personas entre las edades de 13 y 64 años deben hacerse la prueba del VIH al menos una vez como parte de la atención médica de rutina", dijo el director de salud interino James McDonald, MD, MPH. "Las personas con ciertos factores de riesgo continuos, como aquellos que tienen más de una pareja sexual desde su última prueba de VIH o que tienen relaciones sexuales con alguien cuyo historial sexual no conocen, deben hacerse la prueba anualmente. Y algunas personas sexualmente activas pueden beneficiarse de pruebas más frecuentes. Alentamos a los habitantes de Rhode Island a que se hagan la prueba para que conozcan su estado serológico".

El tema del Día Nacional de la Prueba del VIH de este año es "La prueba del VIH es autocuidado". La Organización Mundial de la Salud define el autocuidado como "la capacidad de las personas, familias y comunidades para promover la salud, prevenir enfermedades, mantener la salud y hacer frente a enfermedades y discapacidades con o sin el apoyo de un proveedor de atención médica".

Según los CDC, el 13 % de los aproximadamente 1,2 millones de personas que viven actualmente con el VIH en los EE. UU. no conocen su estado. El diagnóstico y tratamiento tempranos son vitales para preservar la salud y prevenir la transmisión.

Algunas de las agencias asociadas comunitarias financiadas por RIDOH están organizando eventos de prueba para el Día Nacional de la Prueba del VIH.

• 27 de junio: AIDS Care Ocean State estará en Walgreens en 533 Elmwood Ave., Providence, de 10 a. m. a 8 p. m. ofreciendo pruebas, distribución gratuita de condones y folletos informativos. Walgreens y Greater Than AIDS, una iniciativa de información pública de KFF (Kaiser Family Foundation), se están asociando con departamentos de salud y organizaciones comunitarias en más de 250 ciudades, incluida Providence, para organizar el evento coordinado más grande del Día Nacional de la Prueba del VIH (NHTD) en la Nación.

• 27 de junio: Project Weber/RENEW ofrecerá pruebas de VIH gratuitas en sus centros de acogida, ubicados en 124 Broad Street, Pawtucket y 640 Broad Street, Providence, así como en Amos House Block Party, 460 Pine Street, Providence de 11am a 3pm. Hay tarjetas de regalo de $10 disponibles para las personas que se hacen la prueba.

Por separado, RIDOH ha creado un programa Testing 1-2-3 para ayudar a los habitantes de Rhode Island a hacerse la prueba del VIH y otras infecciones de transmisión sexual (ITS) sin tener que ir al consultorio de un médico. Con el programa TESTING 1-2-3, RIDOH ha hecho que las pruebas de VIH e ITS sean lo más fáciles posible en tres pasos:

1. Complete el formulario en línea.

2. Diríjase al laboratorio clínico que haya elegido (nota: este no es un servicio gratuito).

3. Los resultados de las pruebas se le enviarán por correo electrónico.

La orden del médico se genera automáticamente y se envía al laboratorio clínico que la persona solicita en el formulario. Para obtener más información sobre las pruebas 1-2-3, visite https://www.testing123ri.com [testing123ri.com]. Los habitantes de Rhode Island interesados en la prueba del VIH en el hogar pueden solicitar un kit de prueba del VIH en el hogar en línea a través de AIDS Project Rhode Island en https://aidsprojectri.org/get-tested/at-home/ [aidsprojectri.org]

Según lo exige la Ley del Cuidado de Salud a Bajo Precio, la prueba de detección del VIH está cubierta por el seguro médico. Para las personas sin seguro, las pruebas gratuitas están disponibles en muchos centros de salud comunitarios y otros lugares. Visite http://health.ri.gov/hiv y http://health.ri.gov/sti para obtener más información. Para obtener información en español, visite http://health.ri.gov/vih y http://health.ri.gov/ets. Los horarios y lugares para los servicios de pruebas gratuitas y confidenciales de VIH y hepatitis C también se pueden encontrar en los sitios web de AIDS Care Ocean State, AIDS Project Rhode Island y Project Weber/RENEW para conocer los horarios de las pruebas gratuitas.

RIDOH para cualquier persona en Rhode Island. Para pedir condones gratis entregados por correo, visite http://health.ri.gov/findcondoms. También puede llamar al Departamento de Salud de Rhode Island para obtener más información y lugares de prueba al 401-222-5960.

RIDOH and DEM Recommend Avoiding Contact with Roosevelt Pond and Tiogue Lake

2022-06-27

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Roosevelt Pond in Roger Williams Park in Providence and Tiogue Lake in Coventry due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals and toxins were present in recent samples at both sites.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

Please send reports of suspected blue-green algae blooms, along with photographs, if possible, to DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Recommend Avoiding Contact with Upper Melville Pond and Turner Reservoir

2022-06-24

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Upper Melville Pond in Portsmouth and Turner Reservoir in East Providence due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals. While toxin production is variable during blooms, the sample from Turner Reservoir did have a potentially harmful level of a cyanotoxin.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH Highlights Testing Events and Services in Observance of National HIV Testing Day

2022-06-24

On June 27th each year, the Rhode Island Department of Health (RIDOH) and the Centers for Disease Control and Prevention (CDC) observe National HIV Testing Day (NHTD), a day to emphasize and encourage HIV testing.

"Everyone between the ages of 13 and 64 should get tested for HIV at least once as part of routine healthcare," said Interim Health Director James McDonald, MD, MPH. "People with certain ongoing risk factors - such as having more than one sex partner since their last HIV test or having sex with someone whose sexual history they don't know - should get tested annually. And some sexually active people may benefit from more frequent testing. Not knowing is not knowing. Get tested so you know your status."

This year's National HIV Testing Day theme is "HIV Testing is Self-care." Self-care is defined by the World Health Organization as "the ability of individuals, families, and communities to promote health, prevent disease, maintain health, and to cope with illness and disability with or without the support of a healthcare provider."

According to the CDC, 13% of the estimated 1.2 million people in the U.S. living with HIV today are not aware of their status. Early diagnosis and treatment are vital to preserving health and preventing transmission.

Some of RIDOH's funded community partner agencies are holding testing events for National HIV Testing Day.

• June 25th: AIDS Care Ocean State will be offering free, rapid HIV and Hepatitis C testing, free condom distribution and informational pamphlets at the first West Warwick Pride event at the West Warwick Civic Center from noon until 4 p.m.

• June 27th: AIDS Care Ocean State will be at Walgreens at 533 Elmwood Ave., Providence, from 10 a.m. until 8 p.m. offering testing, free condom distribution, and informational pamphlets. Walgreens and Greater Than AIDS, a public information initiative of KFF (Kaiser Family Foundation), are teaming up with health departments and community organizations in more than 250 cities, including Providence, to host the largest coordinated National HIV Testing Day (NHTD) event in the nation.

• June 27th: Project Weber/RENEW will be offering free HIV testing at its drop-in centers, located at 124 Broad Street, Pawtucket and 640 Broad Street, Providence, as well as at the Amos House Block Party, 460 Pine Street, Providence from 11 a.m. to 3 p.m. $10 gift cards are available for people getting tested.

Separately, RIDOH has created a Testing 1-2-3 program to help Rhode Islanders get tested for HIV and other sexually transmitted infections (STIs) without a trip to a doctor's office. With the TESTING 1-2-3 program, RIDOH has made HIV and STI testing as easy as possible in three steps:

1. Complete the online form.

2. Go to the clinical laboratory you have chosen (note: this is not a free service).

3. Results of the tests will be sent to you via e-mail.

The physician's order is automatically generated and sent to the clinical lab that the person requests on the form. For more information about Testing 1-2-3, visit https://www.testing123ri.com [testing123ri.com]. For information in Spanish, visit https://bit.ly/pruebas123RI [bit.ly]. Rhode Islanders interested in at-home HIV testing may request an in-home HIV test kit online through AIDS Project Rhode Island at https://aidsprojectri.org/get-tested/at-home/ [aidsprojectri.org]

As required under the Affordable Care Act, HIV screening is covered by health insurance. For uninsured people, free testing is available at many community health centers and other locations. Visit http://health.ri.gov/hiv and http://health.ri.gov/sti to learn more. For information in Spanish, visit http://health.ri.gov/vih and http://health.ri.gov/ets. Hours and locations for free, confidential HIV and Hepatitis C testing services can also be found on the websites of AIDS Care Ocean State, AIDS Project Rhode Island, and Project Weber/RENEW to learn about free testing hours.

Free condoms are available from RIDOH to anyone in Rhode Island. To order free condoms delivered by mail, visit http://health.ri.gov/findcondoms. You may also call the Rhode Island Department of Health for more information and testing locations at 401-222-5960.

Daily Harvest Recalls French Lentil + Leek Crumbles

2022-06-24

The Rhode Island Department of Health (RIDOH) is advising consumers that Daily Harvest is recalling all French Lentil + Leek Crumbles due to consumer reports of gastrointestinal illness and potential liver function issues.

From April 28 to June 17, 2022, approximately 28,000 units of the recalled product were distributed to consumers in the United States through online sales and direct delivery, as well as through retail sales in Illinois and California. Daily Harvest directly notified by email those consumers who were shipped the affected product. Consumers who may still have the recalled product in their freezers should immediately dispose of it.

French Lentil + Leek Crumbles is a frozen product packaged in a 12 oz. white pouch with the words "Daily Harvest" at the top, a large "CRUMBLES" immediately below the top and the words "French Lentil + Leek" in bold (see attached). All lot codes of the French Lentil + Leek Crumbles are affected. No other Daily Harvest products are affected or part of this recall.

To date, the company has received approximately 470 reports of illness or adverse reactions. A root cause investigation is ongoing.

This recall is being made in cooperation with the U.S. Food and Drug Administration.

Consumers who have questions or would like to report adverse reactions should contact Daily Harvest by email at crumbles-recall@daily-harvest.com by calling 1-888-302-0305 from 9 a.m. to 9 p.m., seven days a week.

CDC Updates COVID-19 Community Levels for Rhode Island Counties

2022-06-24

The Centers for Disease Control and Prevention (CDC) has updated the COVID-19 community levels for Rhode Island's counties. Case and hospitalization metrics for all Rhode Island counties are now designated as "low." All five Rhode Island counties previously had the "medium" designation.

Each week the CDC identifies the COVID-19 community level in every county in the country as "low," "medium," or "high" using case rates and data on hospital admissions and percentage of hospital beds occupied by COVID-19 patients. (There can be a lag in updating the map by county on CDC's website.) The CDC has recommendations by community level available online. Regardless of the designation of someone's county, everyone should get tested if they have symptoms of COVID-19 and stay up to date with their COVID-19 vaccines. (This means getting the recommended booster dose when you are eligible.)

Governor McKee Statement on Interim Director of Health

2022-06-23

Governor Dan McKee today announced the appointment of Utpala Bandy, MD, MPH as Interim Director of the Rhode Island Department of Health (RIDOH).

"Dr. Bandy has vast experience as a public health leader and infectious disease epidemiologist in Rhode Island. She has been at the center of our state's COVID-19 response and dozens of other major public health initiatives over the last three decades," said Governor McKee. "In addition to her work in infectious disease, she has extensive knowledge of preventive services and health promotion. Her steady hand will be critical as we continue getting as many Rhode Islanders vaccinated against COVID-19 as possible, and as we try to make Rhode Island the healthiest place in the country to live, work, and play."

Dr. Bandy currently serves as the Director of RIDOH's Division of Preparedness, Response, Infectious Disease, and Emergency Medical Services. She has led RIDOH's infectious disease division since 2012. In that time, she has helped steer the State's response to the COVID-19 and H1N1 global pandemics, and she has led efforts to prevent or control outbreaks of diseases of significant concern, including tuberculosis, measles, rabies, and meningococcal disease. She has helped guide efforts to dramatically reduce rates of new HIV infections over the last 30 years in Rhode Island, and manages the federal grants received by RIDOH to do routine infectious disease surveillance and response work.

"Rhode Island has one of the best public health workforces in the country, thanks to the talented professionals at RIDOH and the community partnerships that we have developed over the years," said Dr. Bandy. "I look forward to partnering with Governor McKee and his team to support the crucial work happening throughout the Department to promote healthy living in every community throughout the state."

Dr. Bandy completed a pediatric residency at the University of Texas Medical Branch at Galveston. She holds a Master of Public Health degree from the Harvard University School of Public Health. She joined RIDOH in 1993 as Rhode Island's State Epidemiologist and the Medical Director for the division that oversaw RIDOH's infectious disease prevention and control work. She became the Director of RIDOH's Division of Infectious Disease Epidemiology in 2012.

Dr. Bandy will assume the role of Interim Director on Sunday, June 26. Dr. McDonald's last day of state service will be July 29.

Governor McKee and Dr. Bandy will be available for a media availability next week.

Freshpet Recalls One Lot of Dog Food

2022-06-20

The Rhode Island Department of Health (RIDOH) is advising pet owners that Freshpet is recalling one lot of Freshpet Select Fresh From the Kitchen Home Cooked Chicken Recipe (4.5 lb. bag), with the sell by date of 10/29/22, due to potential contamination with Salmonella.

This product was sold in several states, including Rhode Island, Connecticut, Massachusetts, Maine, New Hampshire, New Jersey, New York, Pennsylvania, Puerto Rico, Vermont, West Virginia, Alabama, and Georgia.

Salmonella can affect animals eating the product and there is risk to humans when handling contaminated products, notably children, older adults, and people who are immunocompromised.

This is especially true if they have not thoroughly washed their hands after having contact with the products or surfaces exposed to these products.

Healthy people infected with Salmonella should monitor themselves for some or all of the following symptoms: nausea, vomiting, diarrhea or bloody diarrhea, abdominal cramping, and fever. Salmonella can result in more serious ailments, including arterial infections, endocarditis, arthritis, muscle pain, eye irritation, and urinary tract symptoms. Consumers exhibiting these signs after having contact with this product should contact their healthcare provider.

Dogs with Salmonella infections may be lethargic and have diarrhea or bloody diarrhea, fever, and vomiting. Some dogs will have only decreased appetite, fever, and abdominal pain. Infected but otherwise healthy dogs can be carriers and infect other animals or humans. If your dog has consumed the recalled product and has these symptoms, please contact your veterinarian.

If pet parents have products matching the following description and sell by date in their possession, they should stop feeding it to their dogs and dispose of it immediately.

RIDOH Recommends Reopening Gooseberry Beach for Swimming

2022-06-12

The Rhode Island Department of Health (RIDOH) recommends reopening Gooseberry Beach in Newport for swimming because bacteria counts have returned to safe levels.

RIDOH will continue to monitor and review beach water quality regularly to ensure safe bathing throughout the summer season. The status of a beach may change as new data become available. The most up-to-date beach information is available through a recorded message on RIDOH's beaches telephone line (401-222-2751).

RIDOH and DEM Recommend Avoiding Contact with Almy Pond

2022-06-09

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Almy Pond in Newport due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Pets can also be affected by exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with Almy Pond and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

RIDOH Announces Probable Case of Monkeypox; Risk to Rhode Islanders Remains Low

2022-06-09

The Rhode Island Department of Health (RIDOH) today announced the first probable monkeypox case in a male in his thirties and a resident of Providence County. The person has tested positive for an orthopox virus, and confirmation for monkeypox is pending testing at the Centers for Disease Control and Prevention (CDC). This case is believed to be related to travel to Massachusetts.

RIDOH is conducting contact tracing to identify individuals who may have been exposed to the patient while he was infectious. Contacts will be monitored by RIDOH for three weeks after their last day of exposure. This contact tracing approach is the most appropriate given the nature and transmission of the virus. The individual is hospitalized and in good condition.

To protect patient privacy, no further information will be provided. RIDOH is identifying and monitoring the patient's close contacts. No additional positive cases have been detected in Rhode Island.

"While monkeypox is certainly a concern, the risk to Rhode Islanders remains low - even with this finding. Monkeypox is a known - and remains an exceedingly uncommon - disease in the United States. Fortunately, there is a vaccine for monkeypox that can be given before or after exposure to help prevent infection," said Interim Health Director James McDonald, MD, MPH. "RIDOH continues to engage in active case finding and we have been communicating the latest information with healthcare providers so that they have the information they need to help us 'identify, isolate, and inform'."

Monkeypox is not known to spread easily among humans; transmission generally does not occur through casual contact. Human-to-human transmission occurs primarily through direct contact with body fluids, including the rash caused by monkeypox. Transmission might also occur through prolonged, close, face-to-face contact. The time from someone becoming infected to showing symptoms for monkeypox is usually 7?14 days but can range from 5?21 days. Infected people are not contagious before they show symptoms.

Symptoms of monkeypox include fever, headache, muscle aches, exhaustion, and swollen lymph nodes. Infected people develop a rash, often beginning on the face then spreading to other parts of the body, that turns into fluid-filled bumps (pox). These pox lesions eventually dry up, scab over, and fall off. The illness typically lasts 2?4 weeks. Currently, there is no proven, safe treatment for monkeypox, though the limited evidence available indicates that smallpox treatments may be useful. Most people recover with no treatment.

Anyone who has symptoms of monkeypox should call their healthcare provider before going to the office for an appointment. Let them know you are concerned about possible monkeypox infection so they can take precautions to ensure that others are not exposed.

CDC is also tracking multiple clusters of monkeypox that have been reported in recent weeks in several countries that don't normally report monkeypox, including Portugal, Spain, and the United Kingdom. While anyone who has been in close contact with a confirmed or suspected monkeypox case can acquire monkeypox, people who have recently traveled to a country where monkeypox has been reported or men who have sex with other men are currently at a higher risk for monkeypox exposure. It is important to avoid stigmatizing any groups that may be considered at higher risk of exposure to the disease.

Anyone, regardless of sexual orientation, can spread monkeypox through contact with body fluids, monkeypox sores, or shared items (such as clothing and bedding) that have been contaminated with fluids or sores of a person with monkeypox. Monkeypox virus can also spread between people through respiratory droplets typically in a close setting, such as the same household or a healthcare setting. Common household disinfectants can kill the monkeypox virus.

RIDOH Recommends Closing Gooseberry Beach for Swimming

2022-06-08

The Rhode Island Department of Health (RIDOH) recommends closing Gooseberry Beach in Newport for swimming because of high bacteria levels.

RIDOH will continue to monitor and review beach water quality regularly to ensure safe bathing throughout the summer season. The status of a beach may change as new data become available. The most up-to-date beach information is available through a recorded message on RIDOH's beaches telephone line (401-222-2751).

Rhode Island Department of Health Announces Endemic Strategy for COVID-19 Vaccination, Testing

2022-06-07

As part of its strategy to address COVID-19 as a manageable endemic disease, the Rhode Island Department of Health (RIDOH) is announcing its plan for the transition of State-supported testing and vaccination to traditional partners and settings for providing COVID-19 services. COVID-19 services, like testing and vaccination, are now widely available through multiple accessible channels, similar to how services for other endemic diseases are made available to the public.

"Shifting these resources into our existing public health infrastructure means that COVID-19 is causing fewer disruptions to everyday life, and that ongoing COVID-19 vaccination and testing efforts can be managed by our provider partners who traditionally offer these services to Rhode Islanders," said Interim Director of Health James McDonald MD, MPH. "While this is an important step toward managing COVID-19 as an endemic disease, it is still important to stay up to date with your COVID-19 vaccines for the best protection. Now, you can easily do that at your doctor's office or a pharmacy, just like you would for the flu."

Vaccination Resources

The COVID-19 vaccine will continue to be widely available at no out-of-pocket cost across Rhode Island through various channels. State-run COVID-19 community vaccination clinics and at-home vaccination services will be available through June 30, 2022. You can find a clinic near you at C19VaccineRI.org [c19vaccineri.org] by clicking on Upcoming Community Vaccination Clinics. Beginning July 1, people who want to get vaccinated or boosted can call their healthcare providers or use other options available at C19VaccineRI.org [c19vaccineri.org], such as retail pharmacies and Vaccines.gov [vaccines.gov].

If there is an increase in demand for COVID-19 vaccine that Rhode Island's long-standing, traditional health care infrastructure cannot support, the State is fully prepared to re-engage State-supported vaccination sites.

Community partners who want to hold vaccination clinics can email RIDOH's Office of Immunization at RIDOH.C19VaxClinics@health.ri.gov. RIDOH will provide a list of mass immunizers that can best meet your community's needs. This is similar to how RIDOH supports flu clinics. In addition, community partners who want to facilitate at-home vaccination services for their patients or community members can also use this list to identify immunizers who can provide at-home vaccination.

For more information about COVID-19 vaccine in Rhode Island, visit C19VaccineRI.org [c19vaccineri.org].

Testing Resources

Pending a final evaluation of public health conditions later this month, testing will transition from State-run COVID-19 test sites to multiple traditional health care channels and self-testing options on July 1, 2022. The State is fully prepared to reopen certain mass testing sites for symptomatic individuals if COVID-19 Community Levels are high. If most of the State moves to the "high" Community Level at the end of the month, sites will remain open until Community Levels return to medium.

COVID-19 testing will continue to be widely available across the state. There are many places where Rhode Islanders are able to access free COVID-19 testing. Federal programs are available to support access to free COVID-19 testing for people without health insurance. If you have symptoms or have been exposed to someone who tested positive, call your primary care provider or your child's pediatrician. Ask if they offer COVID-19 testing in their office or if they can order a test through a laboratory. Other testing options include:

• Increasing Community Access to Testing (ICATT) for COVID-19: The Centers for Disease Control and Prevention's ICATT program can help you find where to get a free COVID-19 laboratory test whether or not you have insurance.

• Test To Treat Program: Through this program, people can get tested and - if they're positive and treatments are appropriate for them - get a prescription from a healthcare provider, and have their prescription filled all at one location. A?Test to Treat locator?is available to help find participating sites. A call center is also available at?1-800-232-0233?to get help in multiple languages.

• Self-test distribution program: You can order free COVID-19 tests through the mail by visiting covidtests.gov [covidtests.gov]. You won't be asked for insurance or payment information when you order your free tests. If you have health insurance, you can also purchase self-test kits online or at local pharmacies and get reimbursed for up to eight tests per month. Contact your insurance carrier for more information.

• Some local pharmacies and clinics offer free COVID-19 testing to people who don't have health insurance. These locations may only test you if have symptoms or are a close contact of someone who tested positive. If you don't have insurance, the pharmacy or clinic will submit the cost of your test to a federal program for the uninsured.

For more information on COVID-19 testing in Rhode Island, visit http://covid.ri.gov/testing.

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McKee Administration Provides Update on Baby Formula from the UK and Australia

2022-06-07

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) was notified by the Food and Drug Administration (FDA) and the US Department of Agriculture (USDA) that the baby formula from the United Kingdom and Australia is approved and determined to be a healthy alternate formula for use in the United States. (This shipment is expected to help mitigate the impacts of the ongoing, national formula shortage.) The first batch of formula includes Kendamil Classic, Kendamil organic formula, and seven types of Bubs brand formula, and is expected to be in Target stores in Rhode Island this week.

"We are grateful that the United Kingdom and Australia's formula manufacturers were able to make these products available to families here in Rhode Island and the United States, through the President's Operation Fly Formula," said Governor Dan McKee.

"Although the labels look a little different, this formula has been approved by the federal government and is safe for parents to use," said Interim Director of Health James McDonald, MD, MPH. "This is just the first batch of formula that will be available soon in retail stores. More is coming. Please buy just what you need, as we want to assure that everyone has the chance to buy some."

Anyone with questions about which formula to use should call RIDOH's Health Information Line at 401-222-5960 or their child's pediatrician.

Just like formula that is made in the US, parents should follow the manufacturer's directions on how to prepare it. Directions on these cans of formula use metric measurements. The conversion from milliliters (mL) to fluid ounces is:

1 fluid ounce = 30 mL

2 fluid ounces = 60 mL

3 fluid ounces = 90 mL

4 fluid ounces = 120 mL

5 fluid ounces = 150 mL

6 fluid ounces = 180 mL

7 fluid ounces = 210 mL

8 fluid ounces = 240 mL

Details on products

--Kendamil EU Classic First Infant Milk Stage 1; 900 g/31.75 oz.; Similar to US standard infant formulas like Similac Advance or Enfamil Neuro PRO;

Kendamil Stage 1 is only for infants up to six months

--Kendamil EU Organic First Milk Infant Milk Stage 1; 800 g/28.22 oz.; Similar to US standard infant organic formulas like Similac Organic; Kendamil Stage 1 is only used for infants up to six months

--Kendamil EU Goat First Milk Infant Milk Stage 1; 800 g/28.22 oz.; No US equivalent

--Bubs Organic Grass Fed Infant Formula Stage 1; 800 g/28.19 oz.; Similar to US standard infant organic formulas like Similac Organic; Bubs Stage 1 is only used for infants up to six months

--Bubs Organic Grass Fed Follow-On Formula Stage 2; 800 g/28.19 oz.; Similar to US standard infant organic formulas like Similac Organic; Bubs Stage 2 is only used for infants age six to 12 months

--Bubs Supreme A2 Beta-Casein Protein Infant Formula Stage 1; 800 g/28.19 oz.; Similar to US Similac Organic because both Bubs and Similac contain A2 beta casein milk protein. Stage 1 formula is only used for infants up to six months

--Bubs Supreme A2 Beta-Casein Protein Follow-On Formula Stage 2; 800 g/28.19 oz; Similar to US Similac Organic because both Bubs and Similac contain A2 beta casein milk protein. Stage 2 formula is only used for infants age six to 12 months.

--Bubs Easy-digest Goat Milk Infant Formula Stage 1; 800 g/28.19 oz.; No US equivalent

--Bubs Easy-digest Goat Milk Infant Formula Stage 2; 800 g/28.19 oz.; No US equivalent

CDC Updates COVID-19 Community Levels for Rhode Island Counties

2022-06-03

The Centers for Disease Control and Prevention (CDC) has updated the COVID-19 community levels for Rhode Island's counties. The one area that had been designated as "high" - Newport County is now considered "medium." All other areas in Rhode Island - Bristol County, Kent County, Providence County, and Washington County remain at "medium".

Each week the CDC identifies the COVID-19 community level in every county in the country as "low," "medium," or "high" using case rates and data on hospital admissions and percentage of hospital beds occupied by COVID-19 patients. In counties designated as "high," the CDC recommends people wear high-quality masks while in indoor public settings. Regardless of the designation of someone's county, everyone should get tested if they have symptoms of COVID-19 and stay up to date with their COVID-19 vaccines. (This means getting the recommended booster dose when you are eligible.)

The full recommendations by community level from the CDC are available online.

COVID-19 Booster Dose Availability and Recommendations

The Rhode Island Department of Health (RIDOH) is reminding families that booster doses of COVID-19 vaccine are now available for children 5 through 11 years of age in Rhode Island. National and local health experts are now recommending booster doses for everyone age 5 or older. (Previously, boosters were only recommended for people age 12 and older.)

The CDC recommends that children ages 5 through 11 get a booster dose of Pfizer vaccine at least five months after their primary series. Children age 5 through 11 with moderately to severely compromised immune systems should get a booster dose at least three months after their additional dose.

To find a Pfizer booster dose near you, talk to your child's pediatrician or visit C19VaccineRI.org.

The CDC has also strengthened their recommendations for second boosters, stating that people age 50 or older and people age 12 or older who have moderately to severely compromised immune systems should get a second booster at least four months after their first booster. (Previously, CDC stated that people in these groups had the option to get a second booster.)

Only mRNA vaccines (Pfizer and Moderna) are authorized for us as second boosters. Currently, only Pfizer has COVID-19 vaccines authorized for use by people younger than 16.

FDA Announces Outbreak Investigation of Hepatitis A Potentially Linked to Fresh, Organic Strawberries

2022-05-31

The Rhode Island Department of Health (RIDOH) is advising consumers that the FDA, along with the Centers for Disease Control and Prevention (CDC), Canadian and local public health officials are investigating a multi-state outbreak of hepatitis A in the United States and Canada potentially linked to fresh, organic strawberries.

The strawberries were sold under the brand name FreshKampo and HEB and were sold between March 5, 2022, and April 25, 2022. The strawberries were sold at retail locations, including, but not limited to, Aldi, HEB, Kroger, Safeway, Sprouts Farmers Market, Trader Joe's, Walmart, Weis Markets, and WinCo Foods.

The potentially impacted strawberries are past their shelf life; however, consumers may have purchased the strawberries and frozen them for later use. Consumers should check their freezer to see if they have any strawberries from FreshKampo and/or HEB.

• If you have these strawberries in your freezer, do not eat them. Throw them away.

• If you do not know what brand of strawberries you bought or where you bought them, you should throw the strawberries away.

• In the last two weeks, if you have eaten fresh, organic strawberries branded as FreshKampo or HEB purchased between March 5 and April 25 and are not vaccinated against hepatitis A, call your healthcare provider immediately and ask if you need post-exposure prophylaxis (PEP). PEP can prevent hepatitis A if given within 14 days of exposure. Anyone who has already had the hepatitis A vaccination or has had hepatitis A before does not need PEP.

To date, there have been no reported illnesses in Rhode Island associated with this investigation.

Symptoms of hepatitis A infection include fatigue, nausea, vomiting, abdominal pain, jaundice, dark urine, and pale stool. Sometimes, especially in children younger than six, the individual has no symptoms. People with hepatitis A infections usually completely recover within one to two weeks; however, in rare cases, hepatitis A may become chronic. Chronic hepatitis A infection can lead to more severe health problems, including liver failure, and death.

If you have symptoms of hepatitis A and have eaten fresh, organic strawberries in the last two weeks, contact your healthcare provider.

Additional Peanut Butter Products Recalled

2022-05-27

In connection with the J. M. Smucker Co. Jif peanut butter recall announced earlier this week, additional products containing this peanut better are being recalled.

• Fudgeamentals is recalling fudge made with Jif peanut butter, packaged in 8 oz. plastic containers and 16 oz. plastic trays. These products were shipped to Walmart locations nationwide. More information about this recall is available online. (See link below)

• Fresh Del Monte is recalling fresh-cut fruit and vegetable products containing ready-to-eat Jif peanut butter dip. The specific products being recalled are Del Monte Apples with Peanut Butter (5 oz.), Peanut Butter Snack Pack (4.25 oz.), Apples and Peanut Butter (6 oz. and 5.5 oz.), and Sandwich with Peanut Butter Cup. These products were shipped to Walmart, Stop & Shop, and Dave's Marketplace locations. More information about this recall is available online. (See link below.)

Consumers who purchased these items are urged to not consume them and to dispose of them or return them to their local store.

The initial Jif recall was related to possible Salmonella contamination. Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Rhode Islanders Reminded to be Prepared for Harmful Algae Blooms this Summer

2022-05-27

With the weather turning warmer and recreational activities on lakes, ponds, and rivers set to increase, the Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are reminding all Rhode Islanders to be on the lookout for harmful algae blooms.

In freshwaters, blooms are caused by blue-green algae, also known as cyanobacteria, which are naturally present in bodies of water. Increased temperatures, slow moving water, and excessive amounts of nutrients cause the cyanobacteria to grow excessively and create potential for harmful blooms. These algae blooms are capable of producing toxins, which can be harmful to humans and animals.

RIDOH and DEM work to collaboratively screen and respond to conditions indicating a harmful algae bloom is developing and issue recreational advisories when thresholds are met. Initial site visits this week indicated that Almy Pond in Newport is experiencing an algae bloom. Confirmation sampling for laboratory analysis is planned. During an algae bloom, all recreation including swimming, fishing, boating, and kayaking should be avoided. People also should not ingest untreated water or eat fish from affected waterbodies. Pets owners should not allow pets to drink or swim in this water. State and local officials post warnings around bodies of water when harmful algae blooms are present. However, members of the public should be on the lookout for these harmful blooms and know to avoid affected waters, should they encounter a bloom before warnings have been posted.

Affected waters may be bright to dark green in color and have dense, floating algal mats on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. Should these conditions be observed, it is best to refrain from contact with the water and keep pets from entering the water.

Skin contact with water containing blue-green algae can cause irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing blue-green algae include stomachache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at particular risk for health effects associated with harmful algae blooms (because they are more likely to swallow water when in or around bodies of water).

If you come into contact with water affected by a harmful algae bloom, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. If your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People who have had contact with water with algae blooms and who experience the symptoms described above should contact a healthcare provider.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom. For a list of current advisories, visit: http://www.dem.ri.gov/bluegreen

CDC Updates COVID-19 Community Levels for Rhode Island Counties

2022-05-26

Updates provided on COVID-19 booster dose availability and recommendations

CDC Community Levels

The Centers for Disease Control and Prevention (CDC) has updated the COVID-19 community levels for Rhode Island's counties. The areas that had been designated as "high" - Bristol County, Kent County, Providence County, and Washington County - are now considered "medium." Newport County, which was "medium," is now designated as "high."

Each week the CDC identifies the COVID-19 community level in every county in the country as "low," "medium," or "high" using case rates and data on hospital admissions and percentage of hospital beds occupied by COVID-19 patients. In counties designated as "high," the CDC recommends people wear high-quality masks while in indoor public settings. Regardless of the designation of someone's county, everyone should get tested if they have symptoms of COVID-19 and stay up to date with their COVID-19 vaccines. (This means getting the recommended booster dose when you are eligible.)

The full recommendations by community level from the CDC are available online (https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html [cdc.gov]).

COVID-19 Booster Dose Availability and Recommendations

The Rhode Island Department of Health (RIDOH) is reminding families that booster doses of COVID-19 vaccine are now available for children 5 through 11 years of age in Rhode Island. National and local health experts are now recommending booster doses for everyone 5 years of age and older. (Previously, boosters were only recommended for people age 12 and older.)

The CDC recommends that children ages 5 through 11 get a booster dose of Pfizer vaccine at least five months after their primary series. Children ages 5 through 11 with moderately to severely compromised immune systems should get a booster dose at least three months after their additional dose.

To find a Pfizer booster dose near you, talk to your child's pediatrician or visit C19VaccineRI.org.

The CDC has also strengthened their recommendations for second boosters, stating that people age 50 or older and people age 12 or older who have moderately to severely compromised immune systems should get a second booster at least four months after their first booster. (Previously, CDC stated that people in these groups had the option to get a second booster.)

Only mRNA vaccines (Pfizer and Moderna) are authorized for us as second boosters. Currently, only Pfizer has COVID-19 vaccines authorized for use by people younger than 16.

More information about COVID-19 is available at https://covid.ri.gov/.

Additional Peanut Butter Products Recalled

2022-05-25

In connection with the J. M. Smucker Co. Jif peanut butter recall announced earlier this week, 11 store-prepared items are being recalled due to possible Salmonella contamination

These products include Readymeals PB & Trail Mix Snacks, which were sold at Shaw's and Star Market locations in Rhode Island, Massachusetts, Maine, New Hampshire, and Vermont. A list with descriptions of the 11 store-prepared products in available online. (See link below.)

Consumers who have purchased these items are urged not to consume these products and to dispose of them or return the items to their local store for a full refund.

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

J. M. Smucker Recalling Certain Jif Peanut Butter Products

2022-05-23

The Rhode Island Department of Health (RIDOH) is advising consumers that J. M. Smucker Co. is recalling select Jif peanut butter products due to potential Salmonella contamination.

The recalled peanut butter was distributed nationwide in retail stores and other outlets. The recalled products have lot codes 1274425 - 2140425. Lot codes are printed alongside the products' best-if-used-by date. More information about these products is available online. (See link below.)

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

If consumers have these products, they should dispose of them immediately. Consumers who have questions should visit www.jif.com/contact-usExternal [jif.com] or call 800-828-9980 Monday through Friday, 8 AM to 5 PM ET.

Rhode Islanders Reminded About Heat Precautions

2022-05-20

In advance of the heat expected this weekend, the Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders about safety tips to keep themselves healthy and safe.

Normally, when you get hot, your body cools itself by sweating. But when it is very hot and humid, sweating isn't enough, and your body temperature can rise very quickly. High temperatures can cause heat stroke, heat exhaustion, or heat cramps. Certain populations are at increased risk for heat-related illness during periods of extreme heat. These populations include babies and young children, older adults, and people who work outdoors.

When you are outside during extreme heat:

• Stay out of the direct sun.

• Try to stay in shaded areas.

• Pace yourself when you exercise.

• Schedule outdoor events early in the morning, when it is cooler and the air quality is better.

• Wear light-colored and light-weight clothing.

• Wear a hat with a brim and wear sunscreen for protection. Drink plenty of water and avoid alcohol and caffeine.

When you are inside during extreme heat:

• Use air conditioning or fans, windows, and shades or curtains to keep your house cool.

• Take cool showers or baths. Avoid cooking hot food indoors when the day is at its hottest.

• Drink plenty of water and avoid alcohol and caffeine.

• Never leave a child, pet, or older adults in an unattended car during periods of extreme heat.

Watch for warning signs:

Check on friends, family, and neighbors during periods of extreme heat. Signs of heat exhaustion include heavy sweating; cold, pale, and clammy skin; nausea or vomiting, tiredness; dizziness; headache. If someone is showing signs of heat exhaustion, move them to a cool place; put a cool, wet cloth on their body; have them sip water. Call medical help if symptoms get worse or last longer than one hour.

More information:

Some cities and towns have cooling centers open to those who need shelter during periods of extreme heat. To find a cooling center near you, call 2-1-1 or visit: https://riema.ri.gov/planning-mitigation/resources-businesses/cooling-centers

For more information, see RIDOH's page on Extreme Heat https://health.ri.gov/healthrisks/extremeheat/ or the Centers for Disease Control and Prevention (CDC) page on Extreme Heat https://www.cdc.gov/disasters/extremeheat/index.html [cdc.gov]

CDC Updates COVID-19 Community Levels for Rhode Island Counties

2022-05-19

RIDOH continues to promote "7 Tools for Protection Against COVID-19"

Mirroring increases being seen throughout the region and country, the COVID-19 community levels in four Rhode Island counties are now designated by the Centers for Disease Control and Prevention (CDC) as "high" - Bristol County, Kent County, Providence County, and Washington County.

Each week the CDC identifies the COVID-19 community level in every county in the country as "low," "medium," or "high" using case rates and data on hospital admissions and percentage of hospital beds occupied by COVID-19 patients. In counties designated as "high," the CDC recommends people wear high-quality masks while in indoor public settings. The full recommendations by community level from the CDC are available online (https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html [cdc.gov]).

Rhode Island has seen increases in cases and hospitalizations over the last several weeks. However, these data are still considerably lower than they have been at prior points in the pandemic. Given the availability of COVID-19 tools and resources in Rhode Island, such as vaccines and treatment, these numbers are not expected to reach the levels of Rhode Island's January surge.

"With COVID-19 now an endemic disease in Rhode Island, we should expect moderate increases and decreases in our COVID-19 levels over the coming months. However, serious illness from COVID-19 is now largely a preventable, treatable disease because of the tools and resources we have," said James McDonald, MD, MPH, the Interim Director of the Rhode Island Department of Health (RIDOH). "Taking a few simple prevention steps when more COVID-19 is circulating, such as wearing a mask in public indoor settings and getting a booster dose, can help keep you and your loved ones safe."

When you wear a mask you protect the people around you, and a high-quality mask also provides the wearer with protection. Booster doses significantly increase your protection against COVID-19. If you are boosted, you are 55 times less likely to be hospitalized because of COVID-19.

In addition to these recommendations from CDC by community level, RIDOH has unveiled "7 Tools for Protection Against COVID-19" (see image at: https://health.ri.gov/publications/toolkits/Seven-tools-protection-against-covid-19.pdf). Using a Prevent, Detect, Treat framework, this simple guide will help all Rhode Islanders limit or prevent the spread of COVID-19 at home and in the community.

7 Tools for Protection Against COVID-19

Prevent

• Vaccination - Stay up to date with your vaccines and recommended boosters.

• Ventilation - Outdoor or well-ventilated areas are safest.

• Masking - Wear a high-quality mask in crowded indoor se¬ttings.

Detect

• Symptom screening - Watch for symptoms after travel or large gatherings.

• Testing - Get tested if you have symptoms or were exposed.

Treat

• Isolation - Stay away from others if you test positive.

• Treatment - Ask a healthcare provider about treatment if you test positive.

Detailed data about COVID-19 in Rhode Island is available online (https://ri-department-of-health-covid-19-data-rihealth.hub.arcgis.com/ [ri-department-of-health-covid-19-data-rihealth.hub.arcgis.com]). Additional information about booster doses, treatment, and other COVID-19 tools and resources are also available online at https://covid.ri.gov.

RIDOH Announces 2023-2027 Hepatitis C Elimination Plan: Cases Increasing, Rhode Islanders advised of new Hep C screening guidelines

2022-05-18

During Hepatitis Awareness Month, the Rhode Island Department of Health (RIDOH) and partners statewide are rolling out plans to raise awareness about hepatitis A, hepatitis B, and hepatitis C as major public health threats and are encouraging all Rhode Island adults and pregnant women to get tested for hepatitis C at least once.

RIDOH is sharing the CDC's new hepatitis C testing recommendations in advance of Hepatitis Testing Day, which is May 19th. People with risk factors should be tested regularly. An estimated 2.4 million people are living with hepatitis C in the U.S. People can live with hepatitis C without symptoms or feeling sick, but it is a leading cause of liver cancer and liver transplants. If untreated, hepatitis C can cause significant liver disease which is why it's important to get tested. Getting tested for hepatitis C is important, because treatments can cure most people with hepatitis C in eight to 12 weeks.

Rhode Islanders can talk to their primary care providers about getting tested for hepatitis C. Additionally, Project Weber/RENEW will be holding free and confidential testing events at its two drop-in centers (124 Broad St., Pawtucket, and 640 Broad St., Providence) from 11 a.m.-2 p.m. on Thursday, May 19th.

RIDOH, the Rhode Island Department of Corrections (RIDOC), and the Executive Office of Health and Human Services' (EOHHS) Medicaid Office, in collaboration with the Rhode Island Hepatitis Action Coalition (RIHAC), this month published a new multi-year strategic plan to eliminate hepatitis C virus in Rhode Island.

According to data published in the new Rhode Island Hepatitis C Elimination Plan: 2023-2027, hepatitis C was a leading infectious disease case of death in Rhode Island between 2015 and 2019. The state ranks 10th overall in prevalence of hepatitis C per capita and 10th in the prevalence of the disease among non-Hispanic Black/African Americans per capita. Of the more than three million people in the United States who are living with hepatitis C, 75% were born between 1945 and 1965. Baby boomers have a 1 in 30 chance of infection.

"We have a bold, five year-plan to eliminate hepatitis C in Rhode Island," said Acting EOHHS Secretary, Ana Novais. "Our collective actions have already made a big impact on this State. By working with our stakeholders, including those with lived experience and policy makers, we have identified all the building blocks needed for this robust public health intervention."

"Thousands of people in Rhode Island are living with hepatitis C without knowing it, and hepatitis C cases are on the rise nationally. We strongly recommend that every adult Rhode Islander follow the CDC's recommendation and get checked for hepatitis C," said Interim Director of Health James McDonald, MD, MPH. "RIDOH is pleased to partner with the State's Executive Office of Health and Human Services, the Department of Corrections, and advocates from the Rhode Island Hepatitis C Action Coalition on our State's ambitious plan to make Rhode Island a national leader in hepatitis C elimination."

This plan is being developed to strengthen cross-sector partnerships to improve current systems and address gaps related to the prevention, screening, diagnosis, and treatment of hepatitis C. Several developments in the field of hepatitis C have emerged in recent years that will play important roles in the roll-out of this strategic plan.

These developments include:

• Increased funding to RIDOH from the Centers for Disease Control and Prevention (CDC) to invest in HCV surveillance and prevention activities.

• Increased federal funding and focus on overdose prevention among people who use drugs, creating opportunities to expand harm reduction and hepatitis C testing for this high priority population.

• Passage of State legislation to create harm reduction centers and to ensure privacy and confidentiality of health services.

• Elimination of Medicaid restrictions related to access to antiviral therapies.

• Updated clinical guidelines and recommendations for routine opt-out screening in clinical settings, including hepatitis C screening at least once in a lifetime for all adults 18 years and older.

• Expansion of access to hepatitis C clinical care for high-priority populations, e.g., in correctional settings, opioid treatment provider sites, and high-risk neighborhoods.

Hepatitis C is a liver infection caused by the hepatitis C virus, a blood-borne virus that is not spread through casual contact. It is not a classic sexually transmitted infection. Hepatitis C is only spread when blood from another person who has hepatitis C gets put into the bloodstream of another person. Some people acquired hepatitis C via a blood transfusion before 1992, or via hemodialysis. Others become infected with the hepatitis C virus by sharing needles or other equipment used to inject drugs.

RIDOH continues to work to end the hepatitis C epidemic in Rhode Island by funding community partners to provide free and confidential rapid hepatitis C screening to anyone who thinks they may have been exposed to hepatitis C. As highlighted in the Hepatitis C Elimination Plan, Rhode Island has one of the most comprehensive statewide community-based programs in the nation to prevent hepatitis C transmission among people who use drugs. RIDOH works closely with ENCORE, the state's needle-exchange program, to provide brand new needles and other injecting equipment and harm-reduction counseling for people who use injection drugs.

There is no vaccine for hepatitis C. However, hepatitis C can be prevented by avoiding behaviors that can spread the disease, such as avoiding injection and intranasal drug use.

For more information, visit https://health.ri.gov/hepc.

Quick Facts: The ABCs of Viral Hepatitis

Viral Hepatitis

• Millions of Americans are living with chronic hepatitis; many do not know they are infected.

• Viral hepatitis is a leading cause of liver cancer and liver transplants.

• People with hepatitis B and hepatitis C have the greatest risk of liver cancer. In fact, more than 60 percent of liver cancer cases are caused by hepatitis B or C.

Hepatitis A

• Hepatitis A can be prevented with a safe, effective vaccine.

• Unfortunately, in recent years the number of people infected with hepatitis A has been increasing because there have been multiple outbreaks across the United States.

• Recent outbreaks of hepatitis A have primarily been from person-to-person contact, especially among people who use drugs, people experiencing homelessness, and men who have sex with men.

Hepatitis B

• An estimated 862,000 people are living with hepatitis B in the U.S.

• Nearly 2 in 3 people with hepatitis B do not know they are infected.

• People with Hepatitis B often have no symptoms.

• Left untreated, 1 in 4 people with hepatitis B develop serious liver problems, including liver disease and liver cancer.

• CDC recommends all people born in regions of the world where hepatitis B is common and other adults at risk get tested for Hepatitis B.

• Hepatitis B can be prevented with a safe, effective vaccine. In addition to groups for whom hepatitis B vaccination is already recommended, the Advisory Committee on Immunization Practices recommends that all adults aged 19-59 years should receive hepatitis B vaccines.

Hepatitis C

• An estimated 2.4 million people are living with hepatitis C in the U.S.

• About 4 in 10 people living with hepatitis C do not know they are infected.

• People can live with hepatitis C without symptoms or feeling sick.

• Left untreated, hepatitis C can cause serious liver damage, liver cancer, and even death.

• Hepatitis C is a leading cause of liver cancer and liver transplants.

• CDC now recommends all adults and pregnant women get tested for hepatitis C. People with risk factors should be tested regularly.

• Treatments are available that can cure hepatitis C.

Boil Water Notice Issued for The Apartments at 970 Victory Highway Complex Public Water System

2022-04-27

The Apartments at 970 Victory Highway Complex in Burillville are required to issue a boil water notice to its consumers because E. coli bacteria was found in the water system. For more information, customers should refer to the notice provided to them by their water supply officials.

The Apartments at 970 Victory Highway Complex collected two samples in the water system on April 22, 2022, that had E. coli present, which were confirmed by additional samples collected on April 25, 2022. A boil water order will remain in effect until the water system investigates the source of the bacteria; completes corrective actions, including disinfection of the water system; collects three consecutive days of absent bacteria samples; and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact Thomas Tzeremes at 508-208-7926.

Lakeside Refrigerated Services Announces Voluntary Recall of Ground Beef Products

2022-04-27

The Rhode Island Department of Health (RIDOH) is advising consumers that Lakeside Refrigerated Services is recalling more than 120,000 pounds of ground beef products that may be contaminated with E. coli 0103.

The recalled ground beef was produced from February 1, 2022, through April 8, 2022, and have the establishment number EST. 46841 inside the USDA mark of inspection.

Recalled items were distributed to retail locations nationwide.

There have been no reported illnesses associated with consumption of the ground beef.

Anyone who has purchased these products should not eat them. Consumers who may have ground beef in their refrigerators or freezers should check to see if they have recalled product. Any recalled products should be thrown away or returned to the place of purchase. Do not eat recalled product.

Many clinical laboratories do not test for this strain of E. coli (STEC) because it is harder to identify than the more common strain STEC O157:H7. People can become ill from STECs two to eight days after eating contaminated product.

Symptoms can include diarrhea (often bloody) and vomiting. Some illnesses last longer and can be more severe. Most people recover within a week, but, rarely, some develop a more severe infection, Hemolytic uremic syndrome (HUS). HUS is a type of kidney failure and is not usually associated with this strain of E. coli. HUS can occur in people of any age but is most common in children younger than five, older adults, and persons with weakened immune systems. It is marked by easy bruising, pallor, and decreased urine output. Persons who experience these symptoms should seek emergency medical care immediately.

Anyone who has eaten these recalled products and has any symptoms of E.coli infection should call their healthcare provider.

Department of Health's Office of Vital Records Closes Three Days for Office Move

2022-04-26

The Rhode Island Department of Health's (RIDOH) Center for Vital Records is moving its office from the Cannon Building in Providence to Simpson Hall on the Pastore Campus (6 Harrington Rd., Cranston, RI 02920).

The office will be closed for business on April 27, 28, and 29 for the move. The Cannon Building location will close for business on April 26 at 3:30 p.m., and the Cranston office will be open for business on May 2 at 8:30 a.m. Any emergency vital records business requests that cannot be fulfilled by a city or town hall during the office closure can be directed to 401-602-7156 or doh.riversassistance@health.ri.gov.

Vital Records (birth, death, and marriage records) can also be requested at:

• City or town halls

o Certificates for births after 1960: any city/town hall

o Certificates for deaths in 2022: any city/town hall

o Certificates for deaths before 2022: city/town hall where death occurred

o Marriage certificates: city/town hall where ceremony occurred

• Online: http://health.ri.gov/records/about/copies

• By US mail: 6 Harrington Rd., Cranston 02920

• Drop box at Cranston or Providence office (Cranston drop box available May 2)

• By appointment (Call 401-222-2813).

The only thing that will change is that the office will have a new mailing address. All staff phone numbers and emails will stay the same.

The new office has ample free parking, is accessible by RIPTA bus route 21, and is located near other State agencies who provide critical services to the public (DMV, Office of the Attorney General).

There will be customer drop boxes in Cranston and, for three months after the move, in Providence. All of Vital Records' forms will be updated with the new mailing address. (An incorrect mailing address on a Vital Records form does not affect the validity or legality of the document.)

Bakkavor USA Announces Voluntary Recall of Whole Foods Market Red Lentil Dal

2022-04-22

The Rhode Island Department of Health (RIDOH) is advising consumers that Bakkavor USA is voluntarily recalling Whole Foods Market Red Lentil Dal that includes pickled curry cauliflower, an ingredient produced by Doux South Specialties, that may be contaminated with Listeria monocytogenes.

The recalled Whole Foods Market Red Lentil Dal is sold in 12-ounce plastic trays, UPC 1 95515 02394 8, with the following codes:

• USE BY 4/15/2022;

• USE BY 4/17/2022;

• USE BY 4/18/2022;

• USE BY 4/19/2022;

• USE BY 4/22/2022;

• USE BY 4/24/2022;

• USE BY 4/25/2022; and

• USE BY 4/26/2022.

Recalled items were distributed to Whole Foods Market stores in all states except Hawaii.

There have been no reported illnesses associated with this recall to date.

Anyone who has purchased these products should not eat them. Consumers who still have any of these products in their refrigerators should throw them away.

Anyone who eats food contaminated with L. monocytogenes can get listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns.

Symptoms of Listeriosis include fever, muscle aches, headache, stiff neck, confusion, loss of balance, convulsions, diarrhea, or other gastrointestinal symptoms. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery, or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who have flu-like symptoms within two months after eating contaminated food should seek medical care and tell the healthcare provider about eating the contaminated food.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

Kinder Chocolate Products Recalled

2022-04-08

The Rhode Island Department of Health (RIDOH) is advising consumers of a recall of Kinder Happy Moments Chocolate Assortment and Kinder Mix Chocolate Treats baskets because these product may be contaminated with Salmonella Typhimurium. These products were sold in BJ's Wholesale Club stores and Big Y Supermarkets.

Product details:

Kinder Happy Moments Milk Chocolate and Crispy Wafers Assortment

• Size and Package Type - 14.1 OZ (400g) square box with lid

• Best By Date and location - July 18, 2022 (back panel)

• Lot Codes and location - 48RUP334; 48RUP335; 48RUP 336; 48RUP337 (back panel)

• UPC Code and location - 09800 52025 (right side panel)

Kinder Mix Chocolate Treats Basket

• Size and Package Type - 5.3 OZ (152g) cardboard basket

• Best By Date and location - July 30, 2022 (bottom of package)

• Lot Codes and location - 03L 018AR - 306 (bottom of package)

• UPC Code and location - 09800 60209 (bottom of package)

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

The products are being recalled because they were manufactured in a facility where Salmonella typhimurium was detected. Consumers who have purchased the affected product should not eat the product.

Twa Mushrooms Recalled

2022-03-23

The Rhode Island Department of Health (RIDOH) is advising consumers that Farm Fresh Produce is recalling certain packages of Twa Agriculture Mixed Mushrooms because they have the potential to be contaminated with Listeria monocytogenes.

These products were distributed nationwide in retail stores. The recalled products come in a 14.11 ounce, clear plastic packages marked with UPC6957937481850.

Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea. However, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The potential for contamination was noted after routine testing by the California Department of Public Health revealed the presence of Listeria monocytogenes in 14.11 ounce packages of Twa Agriculture Mixed Mushrooms. The production of the product has been suspended while FDA and the company continue to investigate the source of the problem. No illnesses have been reported to date.

Recall Expanded for Powder Infant Formulas

2022-03-09

The Rhode Island Department of Health (RIDOH) is advising consumers that an additional lot of Similac powder infant formula is being added to the recall announced on February 17th. Abbott is recalling a lot of Similac PM 60/40 (Lot #?27032K80 [can] / Lot # 27032K800 [case] manufactured in Sturgis, Michigan). This is in addition to lots of Similac Alimentum and EleCare powder formula that were already recalled.

This action comes after learning of the death of an infant who tested positive for Cronobacter sakazakii and who had consumed Similac PM 60/40 from this lot. (This child was not a Rhode Island resident.) This case is under investigation, and at this time the cause of the infant's Cronobacter sakazakii infection has not been determined.

No distributed product has tested positive for the presence of Cronobacter sakazakii. Additionally, recently tested retained product samples of Similac PM 60/40 Lot # 27032K80 (can) / Lot #27032K800 (case) were negative for Cronobacter.

On February 17th, Abbott initiated a recall of lots of Similac Alimentum?and EleCare powder formulas manufactured in Sturgis, Michigan at one of the company's manufacturing facilities. This action came after reports of four infant illnesses related to products from the facility. There were reports of three Cronobacter sakazakii infections and one Salmonella Newport infection. During testing in the facility, evidence of?Cronobacter sakazakii?was found in the plant in non-product contact areas. No evidence of?Salmonella?Newport was found.?

No distributed product has tested positive for the presence of either of these bacteria. Abbott conducts quality checks on each completed batch of infant formula, including microbiological analysis prior to release. All finished?infant formula powder products are tested for?Cronobacter,?Salmonella,?and other pathogens, and they must test negative before the product is released.

Contact a healthcare provider if an infant is experiencing symptoms?related to?Cronobacter?or Salmonella?infection. These include poor feeding, irritability, temperature changes, jaundice, grunting breaths, abnormal movements, lethargy, rash, or blood in the urine or stool.

COVID-19 Testing and Vaccination Updates

2022-02-25

As part of Rhode Island's, comprehensive plan to transition the management of COVID-19 from a pandemic into an endemic strategy focused on more traditional models of prevention, treatment, and healthcare delivery, updates to the State's vaccination and testing sites are being planned.

These updates are aimed at making vaccination accessible and ensuring that the State's testing program is helping people at highest risk for serious illness get into treatment. Ensuring access to prevention tools and ensuring treatment for those at higher risk is a traditional public health model for responding to an endemic disease, which is a more predictable, manageable disease.

Rhode Island's COVID-19 cases have decreased by more than 95% since early January, and the state's new hospital admissions have decreased by 83% from mid-January to the end of February.

Testing

In alignment with the latest recommendations from the Centers for Disease Control and Prevention (CDC), Rhode Island will shift the testing strategy at State-run COVID-19 testing sites on March 7th to focus on people who have symptoms of COVID-19 and people who are close contacts of someone who tested positive.

There is now an abundance of testing available in the community. People who are asymptomatic and aren't a close contact but want to be tested for COVID-19 can access testing through most pharmacies, clinics, and primary care providers throughout the state. (These same testing options should be used by people who need to be tested before travel.) Kits that you can use to test yourself for COVID-19 are also available through community organizations, local pharmacies, and online retailers.

Focusing testing efforts at Rhode Island's State-run testing sites on people who are symptomatic and people who are close contacts will ensure that people who are positive and eligible for treatment can be quickly connected to treatment. Treatment is one of the many reasons why we have seen such a drop in COVID-19 hospitalizations.

Vaccination

As part of a renewed effort to increase primary series and booster dose vaccination rates in communities where they are lower, the State is also coordinating a faith-based vaccination program. This effort involves a community of worship welcoming a physician to speak and answer questions during a service, and then hosting a vaccination clinic after that service.

Additionally, the State is planning an on-site vaccination clinic at schools in several communities where the student vaccination rate is below 20%. More than 40 clinics are currently scheduled. These clinics are follow-ups to the vaccination clinics the State organized at schools during the spring and fall of 2021.

Part of this renewed focus on community vaccination settings entails shifting away from larger, centralized vaccination venues. On Feb. 26, the Rhode Island Convention Center will cease offering vaccination appointments. Current conditions and the prevalence of vaccination sites across the State have reduced the need for mass vaccination sites.

The State has the capacity to quickly stand-up large vaccination sites and events, should the data on COVID-19 transmission indicate they are warranted.

COVID-19 Testing and Vaccination Sites: Opening Delays and Closures

2022-02-24

Due to the winter storm, State-run COVID-19 testing and vaccination sites will delay their opening until 10 a.m. on Friday, February 25th. Additionally, the community-run COVID-19 testing sites at Thundermist Health Center in Woonsocket, and East Bay Health Care in East Providence, Newport, and Warren will be closed all day on Friday.

People with vaccination appointments between 9 a.m. and 10 a.m. at Rhode Island Convention Center have been contacted by email. These people can walk in and be vaccinated later in the day. These people can also reschedule by visiting http://portal.ri.gov. (The other State-run vaccination site, at Sockanosset Cross Road, does not normally open until 11 a.m.)

People with testing appointments at State-run sites have been contacted by email and text message. These people can walk in and be tested later in the day. These people can also reschedule by visiting http://portal.ri.gov.

Health Advisory Issued for Similac Alimentum and EleCare Powered Infant Formulas

2022-02-17

The Rhode Island Department of Health (RIDOH) is advising consumers that federal health officials are investigating four infant illnesses related to products from an Abbott Nutrition facility in Sturgis, Michigan. All of the cases are reported to have consumed powdered infant formula from this facility. These illnesses include three Cronobacter sakazakii infections and one Salmonella Newport infection. All four cases related to these complaints were hospitalized and Cronobacter may have contributed to a death in one case.

The U.S. Food and Drug Administration (FDA) is advising consumers not to use Similac Alimentum or EleCare powdered infant formulas if:

• The first two digits of the code are 22 through 37 and

• The code on the container contains K8, SH, or Z2, and

• The expiration date is 4-1-2022 (APR 2022) or later.

The code is printed on the product packaging near the expiration date (see image of product label attached). Additional information on products made by Abbott Nutrition is available on their website.

These powdered infant formulas have the potential to be contaminated with Cronobacter, a bacterium that can cause severe foodborne illness primarily in infants. Cronobacter infections are rare but are especially high risk for newborn infants.

FDA has done an onsite inspection at the Michigan facility. Findings to date include several positive Cronobacter results from environmental samples taken by FDA, and adverse inspectional observations by FDA investigators. A review of the firm's internal records also indicate environmental contamination with Cronobacter sakazakii and the firm's destruction of product due to the presence of Cronobacter.

Products that do not contain the information listed above are not impacted by this advisory. This advisory does not include liquid formula products or any metabolic deficiency nutrition formulas.

More information on Cronobacter and infant formula is available on the website of the Centers for Disease Control and Prevention (CDC). Cronobacter bacteria can cause severe, life-threatening infections (sepsis) or meningitis (an inflammation of the membranes that protect the brain and spine). Symptoms of sepsis and meningitis may include poor feeding, irritability, temperature changes, jaundice (yellow skin and whites of the eyes), grunting breaths, and abnormal movements. Cronobacter infection may also cause bowel damage and may spread through the blood to other parts of the body.

If your child is experiencing any of these symptoms, you should notify your child's healthcare provider and seek medical care for your child immediately.

Royal Ice Cream Company, Inc. Expands Recall of Ice Cream Products

2022-02-14

The Rhode Island Department of Health (RIDOH) is advising consumers that The Royal Ice Cream Company, Inc. is expanding its recent recall to include all products manufactured at its Manchester Connecticut facility and are within their expiration date due to possible contamination with Listeria monocytogenes.

All recalled products have the manufacturing plant number CT121 or CT#121 and are not past their expiration date. The effected brands manufactured at Royal Ice Cream Company, Inc in Manchester, CT with the above plant number are:

• Batch brand: pints, all flavors

• Royal Ice Cream Brand: half gallons, pints, cakes, all specialties

• Ronny Brook Ice Cream: all flavors, pints and three-gallon tubs

• New Orleans Ice Cream: all flavors, pints and 2.5-gallon tubs

• Maple Valley Ice Cream: all flavors, pints

• Art Cream: all flavors, pints

• Sweet Scoops Yogurt: all flavors, pints

• Gelato Fiasco: all flavors, pints

• Biggy Iggy's Ice Cream Sandwiches

• Munson Chip Wich ice cream sandwiches

• Giffords Ice Cream: all flavors of ice cream sandwiches

• Chewy Louie Ice Cream: ice cream sandwiches

• Snow Wich Ice Cream Sandwich

• Newport Creamery: Crazy Vanilla, Vanilla and Chocolate , Vanilla and Coffee, half gallons only

The recalled products were distributed in retail stores in Rhode Island, Massachusetts, Connecticut, Vermont, New York, Louisiana, Florida, Texas, and New Hampshire and are packaged in pints, half gallons, sandwiches, and portion-control slices.

There have been no reports of illness related to these products.

Anyone who has purchased any of these products should not eat it. Consumers should throw it away or return it to the place of purchase.

Anyone who eats food contaminated with L. monocytogenes can get listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns.

Symptoms of Listeriosis include fever, muscle aches, headache, stiff neck, confusion, loss of balance, convulsions, diarrhea, or other gastrointestinal symptoms. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery, or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who have flu-like symptoms within two months after eating contaminated food should seek medical care and tell the healthcare provider about eating the contaminated food.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

Enoki Mushrooms Recalled Due to Possible Listeria Contamination

2022-02-11

The Rhode Island Department of Health (RIDOH) is advising consumers that Jan Fruits Inc. and Concord Farms are both recalling packages of enoki mushrooms that may be contaminated with Listeria monocytogenes.

• The Jan Fruits Enoki Mushrooms come in a 200g/7.05oz clear plastic package with the following description "Taiwan Best Quality Enoki Natural Mushroom***Manufacturer: Changhua County Mushrooms Production Cooperative" and "Distributor Jan Fruits Inc." There is a green lettered "Premium" printed with two QR scan codes and the UPC 8 51084 00835 8 on the back side of the package.

• The Concord Farms recalled product is Lot #045633 and is packaged in a bright blue and transparent plastic packaging, with the words "fresh enoki mushrooms". The weight of the product is 5.25 oz (150g). The UPC barcode numbers are 001958939091, with no other codes. There is no lot code or dates on the package.

There have been no reports of illness related to these products.

The recalled product was distributed in California to produce distributors or wholesalers for further distribution to retail stores. Anyone who has purchased this product should not eat it. Consumers should throw it away or return it to the place of purchase.

Anyone who eats food contaminated with L. monocytogenes can get listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns.

Symptoms of Listeriosis include fever, muscle aches, headache, stiff neck, confusion, loss of balance, convulsions, diarrhea, or other gastrointestinal symptoms. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery, or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who have flu-like symptoms within two months after eating contaminated food should seek medical care and tell the healthcare provider about eating the contaminated food.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

Batch Ice Cream Recalled

2022-02-07

The Rhode Island Department of Health (RIDOH) is advising consumers that Royal Ice Cream Company is recalling specific lots of Batch Ice Cream because they have the potential to be contaminated with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Lots of vanilla, ginger, and mocha chip ice cream from Batch are being recalled.

The effected ice cream was distributed to Market Baskets in Massachusetts, Big Y stores in Massachusetts and Connecticut, and Roche Brothers Markets in Massachusetts.

The products are packaged in paper 16-ounce pints with the Batch Ice Cream brand name and flavors on the front. Products are coded with the Date of Manufacture as 1/19/22 and Best By: 7/19/23, found on the bottom of the cup. UPC Vanilla - 837654968505; Ginger - 83765496856; Mocha chip - 83765496853.

No illnesses have been reported to date. The recall was initiated by Royal Ice Cream after FDA sampling revealed the presence of Listeria monocytogenes on processing equipment.

Consumers who have purchased Batch Ice Cream with the effected dates and flavors are urged to return it to the place of purchase for a full refund. Consumers with questions may contact the company at 860-649-5358, Monday thru Friday 7:30 to 5:00 EST.

In Advance of Winter Storm, Rhode Islanders Reminded to Take Health Precautions

2022-01-28

The Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders about tips related to shoveling, heating, and food safety to keep themselves healthy and safe during and after winter storms.

Shoveling

Snow shoveling can cause sudden increases in blood pressure and heart rate, increasing the risk of heart attacks. Shoveling can also cause shoulder and back injuries.

Before shoveling:

• Talk to your doctor if you have a history of heart trouble to make sure it is safe for you to shovel snow.

• Drink plenty of water. You can get dehydrated in cold weather, too.

• Dress warmly, and dress in several layers.

• Avoid alcohol, caffeine, and nicotine.

• Warm up the muscles in your arms and legs. Walk around for a few minutes and stretch your arms and legs.

While shoveling:

• Take it slow, pace yourself, and take breaks.

• Don't pick up too much snow at once. Use a smaller shovel, or only fill the shovel part way if you use a large shovel.

• Protect your back. Bend from the knees and lift with your legs bent. Stand with your feet about hip width apart for good balance and keep the shovel close to your body.

• Try not to twist. If you need to move snow to one side, move your feet to face the direction you are throwing the snow.

• Listen to your body. Stop if you feel tired or feel tightness in your chest.

• Call 911 if you or someone you are with is experiencing the symptoms of a heart attack (chest pain or pressure; sweating; shortness of breath; nausea or vomiting; pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms; lightheadedness or sudden weakness; a fast or irregular heartbeat).

Heating

Carbon monoxide is invisible and odorless. It can cause loss of consciousness or death. The most common symptoms of carbon monoxide poisoning are headache, dizziness, weakness, nausea, vomiting, chest pain, and confusion.

• Never use a gas range or oven to heat your house. Do not use a charcoal grill, hibachi, lantern, or portable camping stove inside your house.

• If you need to use a generator, make sure it is properly installed and vented.

• If you lose power and it is too cold inside your house, go to a friend or family's home or go to a warming center. Call 211 for a list of warming centers.

Babies should always sleep alone in their own sleep environment, even if the heat is lost in a home. Bedsharing is extremely dangerous. A parent can roll over and prevent the baby from breathing, or the baby can get trapped between the wall and the bed.

Babies typically need one more layer of clothing than adults. If your baby seems cold, the baby should be swaddled in a blanket, or dressed in an additional outfit.

Food safety during and after any power outages

During power outages, the food items that are of greatest concern are moist, perishable foods. Bacteria can easily grow on this food.

If you believe that you could lose power, turn the refrigerator and freezer to the coldest setting. If you lose power, keep refrigerator and freezer doors closed as much as possible.

Power outages of more than four hours may be hazardous to food. If the food temperature is greater than 41 degrees Fahrenheit, or you do not know the food temperature, it is best to throw it out. In other words, when in doubt, throw it out.

For more winter health tips, see https://health.ri.gov/seasonal/winter.

For help preparing for winter storms and extreme cold, see https://health.ri.gov/publications/guidelines/preparing-for-winter.pdf.

COVID-19 Testing and Vaccination Site Closures

2022-01-28

Due to the winter storm, all state-run COVID-19 testing and vaccination sites will be closed on Saturday, January 29th. This includes the vaccination sites at Sockanosset Cross Road and the Rhode Island Convention Center, and all testing sites scheduled through http://portal.ri.gov. Additionally, the testing site at CCRI Warwick that normally operates 24 hours a day will close at 6 p.m. today, and reopen at 8 a.m. Sunday morning.

People with vaccination appointments at Sockanosset Cross Road and the Rhode Island Convention Center will be notified directly by email that their appointments have been cancelled. To reschedule, people should visit C19VaccineRI.org.

People with testing appointments at State-run sites will be notified by email and/or text message that their appointments have been cancelled. To reschedule, people should visit http://portal.ri.gov.

Dole Fresh Vegetables Announces Voluntary Recall of Certain Salads

2022-01-10

The Rhode Island Department of Health (RIDOH) is advising consumers that Dole Fresh Vegetables is voluntarily recalling certain varieties of its salad products that may be contaminated with Listeria monocytogenes.

The voluntary recall includes all Dole-branded and private label packaged salads that were processed at its Ohio and California production facilities and contain iceberg lettuce.

Products subject to the voluntary recall are identified by a product lot code beginning with the letter W and a Best if Used By date between December 22, 2021 and January 9, 2022, OR products with a product lot code beginning with the letter B and a Best if Used By date between December 23, 2021 and January 8, 2022. The product lot codes are located in the upper-right-hand corner of the package.

A complete list of the recalled products is available on FDA's website.

Recalled items were distributed widely, including in Rhode Island, Massachusetts, and Connecticut.

Anyone who has purchased these products should not eat them. Consumers who still have any of these products in their refrigerators should throw them away.

Anyone who eats food contaminated with L. monocytogenes can get listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns.

Symptoms of Listeriosis include fever, muscle aches, headache, stiff neck, confusion, loss of balance, convulsions, diarrhea, or other gastrointestinal symptoms. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery, or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who have flu-like symptoms within two months after eating contaminated food should seek medical care and tell the healthcare provider about eating the contaminated food.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

COVID-19 Testing and Vaccination Updates In Advance of Adverse Weather

2022-01-06

In response to the adverse weather expected on Friday, operations will be adjusted at some COVID-19 vaccination and testing sites.

Testing

Rhode Island's outdoor testing sites usually operate from 8 a.m. to 6 p.m. The hours of operation at the following sites will be adjusted on January 7th to 12 p.m. to 8 p.m.

• Cumberland Stop & Shop

• CCRI Warwick Parking Lot (new location)

• McCoy Stadium

• Pawtucket Stop & Shop

• Woonsocket State-run Test Site

People who had morning appointments at these sites will have those appointments honored at any point later in the day.

The Wickford Train Station parking garage testing site and the outdoor Pre K-12 Pine Street testing site in Pawtucket will operate tomorrow during normal hours (8 a.m. to 6 p.m.).

The test site at the Rhode Island Convention Center ticket booth will move indoors to the Dunkin Donuts Center concourse for Friday.

Vaccination

The vaccination clinic that had been planned for the Providence Public Library downtown will not be held tomorrow. People who had appointments for Providence Public Library clinic are being rescheduled at the Rhode Island Convention Center.

Tomorrow will be the first day vaccinating at the Rhode Island Convention Center. There will be limited availability tomorrow, but additional availability next week. Appointments can be made at VaccinateRI.org.

Pfizer Booster Doses Now Available at 5 Months After Primary Series, Additional Primary Dose for Certain Immunocompromised Children

2022-01-05

In alignment with the Centers for Disease Control and Prevention (CDC), Rhode Island is now making Pfizer booster doses available to people who completed a primary series of Pfizer vaccine five months ago. Previously, people who completed a primary series of Pfizer vaccine needed to wait at least six months. The booster interval recommendations for people who received the Johnson & Johnson vaccine (two months) or the Moderna vaccine (six months) have not changed.

Additionally, Rhode Island is aligning with CDC guidance and is recommending that children age 5 to 11 who are moderately to severely immunocompromised receive an additional (third) dose of vaccine 28 days after their second dose. This third dose is considered part of the primary series. This is consistent with the guidance for moderately or severely immunocompromised adults. Because Pfizer is the only COVID-19 vaccine authorized for use by people age 5 or older, moderately or severely immunocompromised children age 5 to 11 must get the Pfizer vaccine for this third dose.

"Our goal is to ensure that all Rhode Islanders receive a booster as soon as they are eligible to provide the added protection we need to keep ourselves and those around us safe," said Governor Dan McKee. "It's time for a boost, Rhode Island - if you haven't already, I encourage you to make an appointment to get vaccinated or boosted today."

"Throughout this pandemic, we have updated our recommendations using the latest science to ensure that Rhode Islanders are getting the best protection," said Director of Health Nicole Alexander-Scott, MD, MPH. "This is particularly important now, with the more contagious Omicron variant spreading in Rhode Island. If you or someone in your family is eligible for a third dose, make an appointment or head to a walk-up vaccination clinic today."

People are considered moderately or severely immunocompromised if they have:

• Been receiving active cancer treatment for tumors or cancers of the blood

• Received an organ transplant and are taking medicine to suppress the immune system

• Received a stem cell transplant within the last two years or are taking medicine to suppress the immune system

• Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)

• Advanced or untreated HIV infection

• Active treatment with high-dose corticosteroids or other drugs that may suppress your immune response

More information about what constituents moderately or severely immunocompromised is available online. At this time, only the Pfizer vaccine is authorized and recommended for children aged 5 to 11.

General information about COVID-19 vaccination and vaccination sites is available at C19vaccineri.org [c19vaccineri.org].

2021 News

Rhode Island Department of Health Shares 'Celebrate Safely' Reminders for Christmas

2021-12-24

The Rhode Island Department of Health (RIDOH) is sharing reminders on how to stay healthy this holiday season. Don't forget the three "V"s: Vaccinate. Ventilate. Visit Safely. Rhode Island continues to respond to the ongoing COVID-19 pandemic and recommends extra caution to protect your loved ones, especially those 65 and older, this holiday season. The Omicron variant is in Rhode Island and is more contagious than previous variants. People age 65 or older and people who have weakened immune systems are at particularly high risk.

Vaccinate. Getting vaccinated and getting a booster dose helps protect you from serious illness and hospitalization. Booster doses are critical to protect against variants like Omicron. To find a vaccination site, visit C19VaccineRI.org.

To help Rhode Islanders access COVID-19 vaccines and boosters this holiday season, State-supported vaccination sites like 100 Sockanosset Cross Road in Cranston and 585 Taunton Avenue in East Providence have re-opened and are offering vaccinations through next week. Sockanosset is offering vaccine appointments Monday, December 27 through Thursday, December 30. East Providence is offering vaccine appointments on Monday, December 27 and Wednesday, December 29. Make an appointment at VaccinateRI.org.

Vaccination sites are available across the State. To find a site that is convenient for you, a full list of providers is available at C19VaccineRI.org.

Ventilate. If you'll be spending time indoors with others, try to keep your gatherings small and keep windows open at least two inches for good ventilation.

Visit safely. To provide you and your loved ones with further protection against COVID-19 over the holidays, wear masks in crowded public places and consider wearing masks around people who live outside of your household. The quality of your mask does matter. Wear a high-quality mask. This could be a KN-95 mask or another mask that has two or more layers of fabric. To be effective, the mask must completely cover your nose and mouth and fit snugly against the sides of your face. For help selecting the right mask, visit https://covid.ri.gov/masks.

Fresh Express Announces Recall of Fresh Salad Products

2021-12-22

The Rhode Island Department of Health (RIDOH) is advising consumers that Fresh Express is recalling certain varieties of its salad products that may be contaminated with Listeria monocytogenes.

The recall includes all use-by dates of fresh salad items with product codes Z324 through Z350. Product codes are located on the front of the packages below the use-by date. A complete list of recalled products is posted on the FDA's website. Recalled items were distributed through retailers in the Northeast (including Rhode Island, Massachusetts, and Connecticut) and Midwest and through distributors and retailers in Canada.

Anyone who has purchased these products should not eat them. Consumers should throw them away or return them to the place of purchase.

Anyone who eats food contaminated with L. monocytogenes can get listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns.

Symptoms of Listeriosis include fever, muscle aches, headache, stiff neck, confusion, loss of balance, convulsions, diarrhea, or other gastrointestinal symptoms. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery, or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who have flu-like symptoms within two months after eating contaminated food should seek medical care and tell the healthcare provider about eating the contaminated food.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

RIDOH and DEM Recommend Lifting Advisories for Blue-green Algae

2021-12-21

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the recreational advisories at Spectacle Pond in Cranston, Roger Williams Ponds in Providence, and Melville Upper and Lower Ponds in Portsmouth. Two recent surveys conducted at these sites found no evidence of cyanobacteria blooms. The recreational advisories were related to high levels of blue-green algae, also known as cyanobacteria.

While conditions at Blackamore Pond in Cranston have improved, some evidence of blue green algae persists. A significant bloom is still present at Almy Pond in Newport. Blue-green algae are generally less active as seasonal changes reduce light and temperature in the winter. However, the possibility of recurring blooms and/or toxins represent potential risks, even in iced-over conditions.

DEM monitoring has ended for the year and will resume next June. Regardless of season, the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating scum. Blue-green algae blooms may look like green paint or thick pea soup.

For more information and a list of historical advisories, visit http://www.dem.ri.gov/bluegreen. Send reports of suspected blue-green algae blooms, along with photographs if possible, to DEM.OWRCyano@dem.ri.gov.

Rapid Testing and Access to COVID-19 Vaccine Expanded in Advance of the Holidays

2021-12-20

In advance of holiday gatherings over the next two weeks, Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are expanding access to rapid testing and to COVID-19 booster doses and primary series vaccine.

Testing

A test site will open today at the Chapel View Shopping Center in Cranston. This site will be open seven days a week for rapid testing by appointment only. To make an appointment, visit http://portal.ri.gov. Additional new rapid testing sites will open in the coming weeks. Details on those new sites will be posted online.

For those Rhode Islanders who are asymptomatic but are looking for a test before the holidays, the state is expanding access to rapid testing at six existing testing sites. (Previously, people who were asymptomatic received PCR tests at these sites.) Testing is also available for symptomatic people at these locations. Appointments are still needed for these rapid tests. These six sites are:

- Barrington Shopping Center

- Blackstone Valley Community Health

- Cranston Parkade Storefront

- Rhode Island Convention Center Ticket Booth

- Smithfield VFW

- Warwick Shopping Plaza

People must make appointments to be tested at these sites at http://portal.ri.gov. PCR tests will still be used for asymptomatic K-12 tests at these sites. To help the testing sites run smoothly, people are asked to arrive on time for their appointments.

In addition to making this change at these sites, RIDOH has allocated 100,000 COVID-19 self-tests to community partners located in Rhode Island's hardest-hit communities. RIDOH is working to obtain one million additional self-test kits for broader distribution.

While expanding access to rapid tests in advance of the holidays, these measures will also help reduce turnaround times for PCR tests at State-run sites. Additionally, the State is currently onboarding additional private laboratories to expand PCR testing capacity.

Aside from State-run test sites, COVID-19 testing is also available at some respiratory clinics and local pharmacies like CVS or Walgreens. For more information about when and where to get tested for COVID-19 in Rhode Island, visit http://covid.ri.gov/testing.

Vaccination

The Sockanosset Cross Road and East Providence vaccination sites will continue operating at least through the end of December. It was previously announced that the last day of vaccinating at Sockanosset Cross Road (100 Sockanosset Cross Road, Cranston) would be December 18th, and that the last day for regular operations at the East Providence vaccination site (585 Taunton Avenue, East Providence) would be December 29th.

Early indications are that the protection someone gets against the Omicron variant of COVID-19 more than doubles with a booster dose (compared to what they received from the primary series of the vaccine).

Everyone who is 16 and older is eligible to get a booster dose in Rhode Island. (Someone who received a Pfizer or Moderna primary series can get a booster dose six months later. Someone who received a Johnson & Johnson vaccination can get a booster dose two months later.) Primary series COVID-19 vaccine is available for children 5 years of age and older.

To make a vaccination appointment and to get additional information about COVID-19 vaccine, go to C19vaccineRI.org. People can also call the State's COVID-19 Vaccine Appointment line at 844-930-1779.

COVID-19 Booster Dose Eligibility Expanded in Rhode Island

2021-12-10

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are now encouraging 16- and 17-year-olds who have completed the primary COVID-19 vaccine series to get booster doses in Rhode Island. This announcement comes after the Centers for Disease Control and Prevention (CDC) announced yesterday their updated recommendation for booster doses for everyone 16 and older.

"I'm proud that Rhode Island led the nation in getting our population vaccinated - as of today, over 96% of adults have at least one shot. To fully protects ourselves and our loved ones against Delta, Omicron and other variants, it's time to double down and get a boost," Governor McKee said. "As eligibility continues to expand, we're making accessibility a priority for Rhode Island's booster campaign. If you are eligible, get that booster and encourage friends and family to sign up today."

"We are seeing very high levels of COVID-19 transmission right now in Rhode Island. Booster doses for everyone who is eligible is critical to strengthen protection against Omicron and other variants, and to keeping individuals and communities as safe as possible," said Director of Health Nicole Alexander-Scott, MD, MPH. "COVID-19 vaccines are safe, effective, and accessible all throughout Rhode Island. I'm urging parents and families to get their 16- and 17-year-olds boosted as soon as possible."

Prior to this announcement booster doses were only available for people 18 and older. A 16- or 17-year-old who received a Pfizer or Moderna primary series can now get a Pfizer booster six months later. A 16- or 17-year-old who received a Johnson & Johnson vaccination can now get a Pfizer booster dose two months later. (Only Pfizer booster doses are being administered to 16- and 17-year-olds. However, a 16- or 17-year-old can receive a Pfizer booster regardless of the vaccine type they received for their primary series.)

Rhode Island has been experiencing high levels of COVID-19 community transmission since August 2021 and we have seen the transmission rate increase significantly during the last several weeks. With expected new variants, people spending more time indoors, and the high rate of community transmission, hospitalizations in Rhode Island are predicted to increase over the coming weeks and into early 2022. Although the dominant strain of COVID-19 is the Delta variant, the Omicron variant has been identified in neighboring states and is expected to cause a significant number of COVID-19 infections in Rhode Island within the coming weeks and months. Booster doses are a critical tool to help limit spread and prevent serious illness.

For more information on COVID-19 vaccine, including information on where to get vaccinated, see: C19vaccineRI.org.

Rhode Island Transitioning to Community Located COVID-19 Vaccination Sites

2021-12-08

Responding to the public request for COVID-19 vaccination sites that are closer to home, Rhode Island will be running approximately 100 COVID-19 vaccination clinics in settings such as schools, churches, senior centers, and many other community sites over the next month. These clinics are in addition to the vaccination opportunities in pharmacies and the offices of many primary care providers.

A list of community clinics can be found at: http://covid.ri.gov/vaccination. COVID-19 booster doses are available at many of these clinics. All Rhode Islanders who are 18 and older and who completed a primary COVID-19 vaccination series should get a booster dose. (If you got Pfizer or Moderna for your primary series, you can get a booster dose at least six months later. If you got Johnson & Johnson for your primary series, you can get a booster dose at least two months later.)

As a part of this shift to community located vaccination opportunities, operations at Rhode Island's remaining State-run and municipal-run vaccination sites will wind down. The last day of vaccinating at Sockanosset Cross Road (100 Sockanosset Cross Road, Cranston) will be December 18th, and the last day for regular operations at the East Providence vaccination site (585 Taunton Avenue, East Providence) will be December 29th. The vaccination site at Sockanosset has administered approximately 211,000 doses of COVID-19 vaccine since opening in January 2021, and the East Providence site has administered approximately 21,000 doses since opening in May 2021.

Vaccination provides protection against serious COVID-19 illness. Pairing vaccination with other prevention measures, such as testing, masking, ventilation, and physical distancing, is key to preventing COVID-19 transmission in Rhode Island.

State-run and municipal-run vaccination sites, like those in East Providence, Cranston, Middletown, and in Providence at the Dunkin Donuts Center, were established early in the COVID-19 vaccine roll-out to support a surge in demand and to help vaccinate as many Rhode Islanders as possible as quickly as possible. Similar to planned shifts in testing strategy, Governor Dan McKee and the Rhode Island Department of Health (RIDOH)'s vaccination strategy is focused on supporting vaccination at the local level and returning some of these activities to pre-pandemic providers. Since October 1st, retail pharmacies like CVS, Walgreens, and Stop & Shop have administered approximately 65% of COVID-19 vaccine doses to Rhode Islanders. Pharmacies continue to be extremely important partners in vaccine administration and will play a significant role moving forward.

All COVID-19 vaccination options will continue to be available at C19VaccineRI.org. Schedules and appointments for these vaccination sites will continue to be available at vaccinateRI.org. Rhode Islanders can continue to call the COVID-19 information line (401-222-8022) or 2-1-1 for information about COVID-19 and COVID-19 vaccines.

RIDOH and DEM Recommend Lifting Advisories for Blue-Green Algae

2021-12-07

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the recreational advisories at Mashapaug Pond in Providence, Warwick Pond in Warwick, Wenscott Reservoir in North Providence, and Flat River Reservoir (Johnson's Pond) in Coventry. The recreational advisories were related to high levels of blue-green algae, also known as cyanobacteria.

The surveys conducted at the sites found no evidence of a cyanobacteria bloom and no measurable toxins, meeting criteria to lift the advisory. Blue-green algae are generally less active as seasonal changes reduce light and temperature in the winter. However, the possibility of blooms and/or toxin persisting after the bloom is gone represent potential risks, even in iced-over conditions.

Regardless of season, the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating scum. Blue-green algae blooms may look like green paint or thick pea soup.

For more information and a list of historical advisories, visit http://www.dem.ri.gov/bluegreen. Send reports of suspected blue-green algae blooms, along with photographs if possible, to DEM.OWRCyano@dem.ri.gov.

Alexander & Hornung Recalls Cooked Ham and Pepperoni Products

2021-12-06

The Rhode Island Department of Health (RIDOH) is advising consumers that Alexander & Hornung is recalling approximately 234,391 pounds of fully cooked ham and pepperoni products that may be contaminated with Listeria monocytogenes.

The products that are recalled bear the establishment number EST. M10125 inside the USDA mark of inspection. These items were shipped to retail locations nationwide. The products were produced on various dates. The products subject to recall with associated dates are listed at https://www.fsis.usda.gov/sites/default/files/media_file/2021-12/recall-046-2021-product-list.pdf. There have been no reports of illness related to these products.

Consumers are urged to check food they have already bought that may be in their refrigerator or freezer. Anyone who has purchased these products should not eat them. Consumers should throw them away or return them to the place of purchase.

Anyone who eats food contaminated with L. monocytogenes can get listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns.

Symptoms of Listeriosis include fever, muscle aches, headache, stiff neck, confusion, loss of balance, convulsions, diarrhea, or other gastrointestinal symptoms. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery, or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections occur in older adults and people with weakened immune systems. Listeriosis is treated with antibiotics. Anyone in the higher-risk categories who have flu-like symptoms within two months after eating contaminated food should seek medical care and tell the healthcare provider about eating the contaminated food.

Anyone who has eaten these recalled products and has symptoms of listeriosis should call their healthcare provider.

Media Release: RIDOH Reports First Human Case of Jamestown Canyon Virus and Second Human Case of West Nile Virus in 2021

2021-12-06

The Rhode Island Department of Health (RIDOH) is announcing Rhode Island's first human case of Jamestown Canyon Virus (JCV) and the State's second human case of West Nile Virus (WNV) in 2021. Both are spread to humans by the bite of an infected mosquito.

"Although we are no longer in mosquito season in Rhode Island, these recently confirmed cases of JCV and WNV are a reminder that a few simple precautions can help you stay healthy and safe when you are outdoors spending quality time with family and friends," said Nicole Alexander-Scott, MD, MPH, Director of the Rhode Island Department of Health. "And while mosquitoes may no longer be biting after the first hard frost, Rhode Islanders are reminded that we are not 'out of the woods' with ticks, which can continue to bite and spread diseases like Lyme Disease, even in winter."

The person who tested positive for Jamestown Canyon Virus is a resident of Kent County in their 50s. This person started experiencing symptoms in mid-September and was subsequently hospitalized. Due to the progression of symptoms, tests were submitted to the Centers for Disease Control and Prevention (CDC) in mid-October and Jamestown Canyon Virus was confirmed. This person has been discharged from the hospital and is recovering.

Jamestown Canyon Virus (JCV) is a mosquito-borne pathogen that circulates widely in North America, primarily between deer and mosquitoes, but can also infect humans. Human cases can occur from late spring through mid-fall. People can be infected and not develop any symptoms, or only develop very mild symptoms. Early symptoms can include fever, muscle aches, headaches, and fatigue. Rarely, more serious central nervous system disease, including meningitis or encephalitis, can occur.

This is Rhode Island's first human case of Jamestown Canyon Virus since 2013.

The person who tested positive for West Nile Virus is a resident of Washington County in their 60s. This person started experiencing symptoms in the first week of September and tests were submitted to CDC in mid-October as symptoms progressed. This person was not hospitalized.

Common symptoms of West Nile Virus include fever, headache, body aches, nausea, vomiting, and sometimes swollen lymph glands or a skin rash. Although many people who are infected with West Nile Virus show no symptoms, symptoms last for some people for several days or several weeks.

This was Rhode Island's second human case of West Nile Virus in 2021. Connecticut has confirmed six West Nile Virus cases in humans and Massachusetts has confirmed 10 human cases this year. The Rhode Island Department of Environmental Management (DEM) has confirmed six positive findings for West Nile Virus in mosquito traps this year. (No mosquito samples in Rhode Island have tested positive for Eastern Equine Encephalitis - or EEE - which is another mosquito-borne illness.)

For more information on mosquito-borne diseases, please see http://health.ri.gov/mosquito. Information on Jamestown Canyon Virus may be found at https://www.cdc.gov/jamestown-canyon/index.html and West Nile Virus information may be found at https://www.cdc.gov/westnile/.

New Data Analysis Shows Impact of Childhood Experiences on Health

2021-12-02

A new study published by the Rhode Island Department of Health (RIDOH) underscores the effects of adverse childhood experiences on health outcomes in adulthood among Rhode Islanders.

"Health does not start in the doctor's office. Health starts in the places where we live, learn, work, and play. For this reason, our approach to public health at RIDOH focuses on the conditions and structures in our communities that have the greatest impact on the health of children and adults," said Director of Health Nicole Alexander-Scott, MD, MPH. "Adverse childhood experiences, and ultimately their impacts on health outcomes among adults, are entirely preventable. Through our Health Equity Zone initiative and numerous other community partnerships, we are working to address these underlying factors and give all Rhode Islanders in all ZIP codes throughout the state an equal opportunity to be healthy and thrive."

Adverse childhood experiences are stressful or traumatic events that can undermine a child's sense of safety and well-being. They can include emotional abuse, exposure to substance use, sexual abuse, having a member of the household be incarcerated, and having separated or divorced parents. The prevalence of adverse childhood experiences among Rhode Island adults is similar to the national prevalence.

Researchers scored the number of adverse childhood experiences reported by a group of adult survey respondents, then reviewed the health data they self-reported. Respondents with higher numbers of adverse childhood experiences had negative health outcomes at significantly higher rates in a range of areas. For example, 45% of respondents with a high score for adverse childhood experiences reported a history of depression, compared to 9% of those with no adverse childhood experiences. Nearly 30% of those with higher adverse childhood experience scores were cigarette smokers, compared to 7% of those with no adverse childhood experiences. Similar patterns were seen in the areas of arthritis, chronic obstructive pulmonary disease (COPD), frequent mental distress, and heavy drinking.

This new analysis was conducted on data collected through RIDOH's 2020 Behavioral Risk Factor Surveillance System (BRFSS). BRFSS is a self-report survey of adults conducted by RIDOH with assistance from the Centers for Disease Control and Prevention (CDC). Data collected include information on health, health risk behaviors, preventive practices, and healthcare access. The data allow RIDOH to understand patterns in health risks, identify emerging problems, prevent disease, and improve treatment.

The new analysis of BRFSS data, titled "Adverse Childhood Experiences and Long-Term Health among Adults in Rhode Island," was published in the Rhode Island Medical Journal. (See link below.) The authors of the study were Tracy Jackson, PhD, MPH and Karine Monteiro, MPH, from RIDOH's Center for Health Data and Analysis.

According to the BRFSS data, most Rhode Island adults (63%) have experienced at least one adverse childhood experience, and 16% experienced four or more types of adverse events during childhood. 61% of U.S. adults reporting at least one adverse event and 16% reporting four or more types of adverse childhood experiences.

RIDOH has a variety of programs and partnerships that are aimed at preventing adverse childhood experiences through support for communities, parents, and families and improving health outcomes in adults.

- Rhode Island's Health Equity Zone (HEZ) initiative is a health equity-centered approach to prevention that leverages place-based, community-led solutions to address the social determinants of health. The initiative is grounded in research that shows up to 85% of health outcomes are determined by factors outside clinical settings, such as access to affordable, healthy foods; high-quality education; employment opportunities; and safe neighborhoods. Each HEZ is led by a community-based collaborative that conducts an assessment to identify, describe, and prioritize inequities of importance to the community and develops and implements an action plan informed by the assessment to address root causes of health inequities. There are currently 15 Health Equity Zones in Rhode Island.

- Families with a child under four years old or who are pregnant can enroll in the voluntary, no-cost Family Visiting program that offers support and resources to thousands of families in Rhode Island each year.

- People who currently smoke cigarettes, vape, or use other tobacco products can access free, confidential, safe, and effective quit support for nicotine addiction through the Rhode Island Nicotine Helpline at 1-800-QUIT-NOW (1-800-784-8669). Learn more about quit journey resources at www.QuitNowRI.org. Teens can also get free help to quit vaping by phone, text, and online chat by visiting www.mylifemyquit.com or simply texting "Start my quit" to 36072.

- People feeling overwhelmed by issues related to mental health or struggling with alcohol or drug use should know help is available. BH Link (www.bhlink.org) provides immediate assistance to a person in crisis by providing intervention services and connecting people to ongoing treatment and care.

More information about BRFSS is available online. (See link below.) People can also view BRFSS data online directly.

RIDOH Issues Reminder About Proper Use of Antibiotics

2021-11-24

As a part of on-going efforts to prevent the proliferation of antibiotic resistant bacteria, the Rhode Island Department of Health (RIDOH) is reminding Rhode Islanders about the importance of using antibiotics properly. People should only use antibiotics when it is necessary, and antibiotics should be used exactly as they are prescribed.

Antibiotics save lives, but any time antibiotics are used, they can cause side effects and can lead to antibiotic resistance. Antibiotic resistance is one of the most urgent public health threats in the U.S. today. Antibiotic resistance does not mean the body is becoming resistant to antibiotics; it means bacteria develop the ability to defeat the antibiotics designed to kill them. When bacteria become resistant, antibiotics cannot fight them, and the bacteria multiply. Some resistant bacteria can be hard or impossible to treat and can spread to other people.

According to the Centers for Disease Control and Prevention (CDC), more than 2.8 million antibiotic-resistant infections occur in the U.S. each year, and more than 35,000 people die as a result.

"When someone takes the time out of their day to go to the doctor, they want to walk out with a prescription that is going to make them feel better. But antibiotics are not always the answer," said Director of Health Nicole Alexander-Scott, MD, MPH. "In fact, they can sometimes make things even worse. By taking antibiotics when not appropriate, people put themselves at risk for serious side effects while also undermining our ability to use antibiotics as a life-saving tool for future generations."

Public health officials throughout the country are taking similar measures to educate the public this week, during Antibiotic Awareness Week. RIDOH will continue to do patient and healthcare provider education in partnership with the Rhode Island Antimicrobial Stewardship and Environmental Cleaning Task Force.

CDC and RIDOH encourage patients and families to:

- Get the facts about antibiotics. Antibiotics do not work on viruses, such as those that cause colds, flu, bronchitis, or runny noses, even if the mucus is thick, yellow, or green. When antibiotics aren't needed, they won't help you, and the side effects could still hurt you.

- Ask your doctor, nurse, or pharmacist about alternatives to antibiotics.

- While your body fights off a virus, pain relievers, fever reducers, saline nasal spray or drops, warm compresses, liquids, and rest can help you feel better.

- If you need antibiotics, take them exactly as prescribed. Talk with your doctor if you have any questions about your antibiotics.

- Talk with your doctor if you develop any side effects, especially severe diarrhea, since that could be a Clostridioides difficile (C. difficile or C. diff) infection, which needs to be treated.

- Do your best to stay healthy and keep others healthy by washing hands, covering coughs, staying home when sick, and getting recommended vaccines, such as the flu vaccine.

- Do not share prescription medications.

More information and videos can be found at https://health.ri.gov/antibiotics and cdc.gov/antibiotic-use.

Make Health A Part of Your Thanksgiving

2021-11-24

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are encouraging all Rhode Islanders to make health a part of their holiday this Thanksgiving.

"I'd like to wish all Rhode Islanders and their families a happy and healthy Thanksgiving," said Governor Dan McKee. "I'm so grateful that due to vaccinations and mitigation strategies that it's safer this year to gather with family and friends. That doesn't mean we can let our guards down. That might even include helping a loved one sign up for a booster shot during dessert. Please do what you need to keep one another healthy and safe this Thursday and throughout the holiday season."

"Thanksgiving is a wonderful holiday to gather with friends and family, and to reflect on the blessings in our lives. This year, we're asking everyone to take a few additional steps to gather as safely as possible," said Director of Health Nicole Alexander-Scott, MD, MPH. "The three Vs - vaccinate, ventilate, and visit safety - will be critical, as will handling and preparing food properly. Making health a part of your holiday can help keep you and your loved ones safe."

COVID-19: Practice the Three Vs

- Vaccinate - The best way to celebrate Thanksgiving safely is to be fully vaccinated against COVID-19, and to ensure that everyone around you (who is eligible) is also vaccinated. Everyone 5 years of age and older should get vaccinated, and all people 18 and older are now also eligible for booster doses. Booster doses are especially important for older adults and people with underlying health conditions. For more information, see C19vaccineRI.org.

- Ventilate - Having good ventilation is an important COVID-19 prevention strategy on Thanksgiving. Bringing fresh, outdoor air into your home helps keep virus particles from accumulating inside. Having multiple windows open allows more fresh air to move inside. Even having windows cracked open slightly (roughly two inches) can help.

- Visit Safely - If you are feeling any symptoms of COVID-19, you should not see people outside your household on Thanksgiving. If you are planning to host and someone in your household is experiencing any symptoms of COVID-19, you should not host this year. Testing is available at sites throughout Rhode Island. For more information, see: http://covid.ri.gov/testing.

Food safety: Handle and prepare your food properly.

- Wash your hands before and after preparing or eating food. This is especially important if you have been handling raw meat.

- Thoroughly wash counters, cutting boards, and utensils with warm, soapy water after they touch raw turkey. Use a separate cutting board for raw turkey and other raw meats if possible.

- Washing your turkey before cooking is not recommended. Poultry juices can spread in the kitchen and contaminate other foods, utensils, and countertops.

- Raw poultry can contaminate anything it touches with harmful bacteria. Follow the four steps to food safety-clean, separate, cook, and chill-to prevent the spread of bacteria to your food, family, and friends.

- Thaw your turkey safely. Thaw turkey in the refrigerator, in a sink of cold water (change the water every 30 minutes), or in the microwave. Avoid thawing foods on the counter. A turkey must thaw at a safe temperature to prevent harmful germs from growing rapidly.

- Cook raw turkey thoroughly to kill harmful germs. Turkey breasts, whole turkeys, and ground poultry, including turkey burgers, casseroles, and sausage, should always be cooked to an internal temperature of 165°F to kill harmful germs.

- Debone the turkey as soon as possible and refrigerate leftovers at 40°F or colder as soon as possible and within two hours of preparation. Slice or divide big cuts of meat, such as a roast turkey, into small quantities for refrigeration so they can cool quickly. Reheat all leftovers to at least 165°F before serving.

- Cooking stuffing separately from the turkey in a casserole dish makes it easy to be sure it is thoroughly cooked. If you cook stuffing in the turkey, put the stuffing in the turkey just before cooking. With either cooking method, use a food thermometer to make sure the stuffing's center reaches 165°F. Learn more about how to prepare stuffing safely.

- If you plan to bake, do not eat raw dough or batter, and use pasteurized eggs in dishes that call for raw eggs.

Additional health tips

- If you are going to be drinking, consume alcohol in moderation.

- If you are going to be drinking and traveling, make sure that you have a designated driver.

- Put down your phones, get away from the television, and do something interactive with family and friends. Good examples are playing a board game, playing cards, or taking a walk.

- Focus conversation on the positive aspects of your life and what makes you thankful.

Governor McKee and RIDOH Urge COVID-19 Boosters for Adults in Advance of Thanksgiving Gatherings

2021-11-19

Reiterating their encouragement from earlier this week for all eligible adults to get COVID-19 vaccine booster doses, and following the announcement from federal health officials today formally expanding eligibility to all fully vaccinated adults, Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are urging all fully vaccinated adults who plan to gather with family and friends on Thanksgiving to get booster doses as soon as possible.

"COVID-19 booster shots were made available to adults today nationwide," said Governor Dan McKee. "Get your third dose as soon as possible. A shot today can help our community members protect each other as we head indoors for the colder months. Vaccinations are now available for almost all Rhode Islanders. A short appointment can save lives and prevent empty seats around the table this holiday season."

"Booster doses are a critical tool in our fight to limit serious illness from COVID-19, and to limit transmission of COVID-19," said Director of Health Nicole Alexander-Scott, MD, MPH. "When you get a booster dose, you start to build some additional immunity almost right away. Everyone who is 18 and older, who is already fully vaccinated, and who plans to see family and friends on Thanksgiving should get a booster dose as soon as possible to help protect themselves and the people they love."

Rhode Islanders 18 and older who received two doses of Pfizer vaccine, two doses of Moderna vaccine, or one dose of Johnson & Johnson vaccine are now eligible for a COVID-19 vaccibe booster dose. People are eligible for booster doses at least six months after their second dose of Pfizer or Moderna vaccine, or at least two months after receiving a dose of Johnson & Johnson vaccine.

Today's announcement from the Centers for Disease Control and Prevention (CDC) came after the CDC and the U.S. Food and Drug Administration (FDA) reviewed immune response data and determined that booster doses provide additional protection against serious COVID-19 illness in adults 18 to 64 years old.

Prior to today, a booster dose of Moderna or Pfizer vaccine was available for people 65 and older, people 18 to 64 at higher risk for severe COVID-19 illness, and people 18 through 64 with higher risk for exposure to COVID-19. However, earlier this week Rhode Island took the first step toward expanding booster dose eligibility. State health officials had announced that given the elevated rate of COVID-19 transmission and given that Rhode Islanders will be heading indoors for the winter months, most Rhode Islanders 18 to 64 years of age were at greater exposure and were eligible to receive a booster dose. With today's authorization from the FDA and recommendation from the CDC, booster doses are now available to everyone age 18 or older who is fully vaccinated, regardless of their risk for exposure.

There is ample supply of COVID-19 vaccine booster doses in Rhode Island. With the exception of clinics at schools for children 5 to 11 years old, booster doses are available at all locations where first and second doses of vaccine are available. More information about COVID-19 vaccine and COVID-19 vaccine boosters is available at c19vaccineRI.org.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Slack Reservoir, and Sachem and Worden Ponds

2021-11-19

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the recreational advisories at Slack Reservoir in Smithfield/Johnston, Sachem Pond in New Shoreham (Block Island), and Worden Pond in South Kingstown. The recreational advisories were related to high levels of blue-green algae, also known as cyanobacteria.

The surveys conducted at the sites found no evidence of cyanobacteria blooms. Blue-green algae are generally less active as seasonal changes reduce light and temperature. However, the possibility of blooms and/or toxin persisting after the bloom is gone represent potential risks, even in iced-over conditions.

Regardless of season, the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating scum. Blue-green algae blooms may look like green paint or thick pea soup.

For more information and a list of historical advisories, visit http://www.dem.ri.gov/bluegreen. Send reports of suspected blue-green algae blooms, along with photographs if possible, to DEM.OWRCyano@dem.ri.gov.

Hospital and State Leaders Call on Rhode Islanders to Seek Medical Care in the Right Setting

2021-11-17

In advance of holiday gatherings and the height of flu season in Rhode Island, State health and hospital officials gathered today to again urge the public to only go to emergency departments for health issues that require emergency care. Hospital emergency departments in Rhode Island continue to experience significant crowding and prolonged waiting times.

At a press event outside Rhode Island Hospital's emergency department, leaders reminded Rhode Islanders that many health issues can be treated quickly and effectively by a primary care provider or in an urgent care facility. This includes less severe cases of the flu, back pain, minor cuts, sore throats, low-grade fevers, and most cases of norovirus (the "stomach flu"). Patients will experience long wait times in the emergency department for non-urgent symptoms or may board there for a significant period before hospital admission.

"Emergency departments are perfect for emergency situations. If someone is experiencing a serious health issue, they should absolutely call 911 or go to an emergency department right away. However, emergency departments treat patients with the most serious health issues first, which means that people with less severe conditions will experience long waits," said Director of Health Nicole Alexander-Scott, MD, MPH. "Keep the phone number for your primary care provider handy and know where your nearest urgent care facility is. An urgent care facility, or other type of express care facility is often a more convenient, less expensive option."

At the press event, Dr. Alexander-Scott highlighted https://health.ri.gov/rightplacerightcare. This new page has links to lists of primary care providers, urgent care centers, and health centers in Rhode Island, and guidance on when and when not to go to the emergency department. RIDOH will continue directing Rhode Islanders to this page and other resources through a statewide communications campaign, to be launched in the coming weeks.

"In working with our health systems in Rhode Island, it has become abundantly clear that hospital overcrowding has emerged as a priority concern for the state," said Executive Office of Health & Human Services Assistant Secretary Ana Novais. "I am thankful for our interagency team that is reviewing these challenges, implementing some immediate relief, and planning strategies to address these issues long-term."

"The healthcare of all Rhode Islanders is Care New England's top priority, so we want to make sure that patients understand where they are able to receive the most appropriate care, in the quickest time possible. With wait times at EDs at an all-time high, people statewide are waiting many, many hours to be seen. While Emergency Departments are appropriate for life-threatening injuries and symptoms, they are currently not ideal for less-severe conditions. That's why we encourage people who have ailments that are non-life-threatening to schedule an appointment with their primary care provider or arrange for a telehealth visit, which saves time and money," said James E. Fanale, MD, President and CEO, Care New England Health System.

"It's important for the public to understand that the pandemic-related health care crisis is not over for our emergency departments. Adult and pediatric EDs in Rhode Island and across the country are experiencing staffing shortages, more patients seeking care for behavioral health, and patients boarding for days or weeks waiting for appropriate placement. We urge patients to keep up with their regular medical appointments so that minor issues do not become major ones, notify their family physician if they have medical concerns, and to get their COVID and flu vaccines. These important steps will help reduce or prevent health issues and promote the delivery of appropriate and efficient treatment to patients," said Lifespan Physician-in-Chief of Emergency Medicine Jeremiah Schuur, MD. "For patients coming into the ED, please understand that there are currently long wait times for non-urgent conditions. We know that this can be frustrating and we ask for patience as our care teams triage the most critical patient needs with limited staff. Our amazing staff are working tirelessly to provide the best care possible and ensure that all patients receive the treatment they need."

Also present at the event were Jeffrey Liebman, the CEO of Charter Care Health Partners; Dr. Matthew Sarasin, the Medical Director of Landmark Medical Center, and Teresa Paiva Weed, President of the Hospital Association of Rhode Island.

Hospitals across the country are experiencing a shortage of clinical staff, requiring many to reduce the number of available beds, and to use the emergency department to board admitted patients. This limits the capacity of emergency departments to serve new patients and makes it difficult to manage standard emergency department care and to respond to the behavioral health crisis that Rhode Island and other states are facing.

When to seek emergency care

If someone is showing any of these signs, seek emergency medical care immediately:

- Trouble breathing

- Persistent chest pain or chest pressure

- New weakness in an arm, leg, or face

- New difficulty speaking or confusion

- Inability to wake or stay awake

- Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone

If you are going to an emergency department for COVID-19-like illness, notify the facility that you (or the person you are accompanying) is seeking care for COVID-19. Masks are required in all healthcare facilities.

Measures being taken at the State level

An interagency team across the Executive Office of Health and Human Services (EOHHS) is working toward the development and implementation of strategies to address the challenges facing hospitals. They include:

- Emergency regulations to assist increase the workforce and pre-hospital transportation availability.

- Partnerships with urgent care centers to explore developing capacity to expand emergency treatment options.

- Development of step-down capacity for behavioral healthcare and increased treatment initiation within emergency room settings.

- Provision of staffing supports, including direct care workforce recruitment and retention initiatives for home and community-based services.

- Planning for mobile crisis response for behavioral health and increased behavioral health system capacity through Certified Community Behavioral Health Clinics.

Steps people can take to help stay healthy and out of the hospital

- Get a COVID-19 vaccine. COVID-19 vaccine is available to Rhode Islanders ages 5 years old and up. For more information, see c19vaccineRI.org.

- Get a flu shot. Everyone older than 6 months of age should get a flu shot every year.

- Cough or sneeze into your elbow.

- Wash your hands carefully with soap and water throughout the day.

- Stay home if you are sick and keep children home from school if they are sick.

Attorney General and Director of RIDOH deem Lifespan CNE merger application complete under the Hospital Conversions Act

2021-11-17

Attorney General Peter F. Neronha and Director of Health Nicole Alexander-Scott, MD, MPH announced today that the Lifespan/Care New England Hospital Conversions Act (HCA) application has been deemed complete and accepted for review. The review period under the HCA will commence November 17, 2021.

What does "complete" mean?

An HCA application is deemed complete when enough information has been provided by the transacting parties to begin the review. It is a procedural milestone in the review process of this transaction. "Completeness' does not mean that regulators have resolved all of their questions or that new questions will not arise as the review moves forward. During the review period, the Attorney General and the Rhode Island Department of Health (RIDOH) will gather the information necessary to evaluate the transaction described in the application, as required under the HCA, which includes taking testimony, requesting and reviewing more documents, and conducting public meetings.

"As a regulator with the immense responsibility of evaluating hospital transactions in our state, our goal is clear. We need to determine whether the transaction is legal and understand how, if approved, it will impact cost, quality and access to care for the people of Rhode Island," said Attorney General Neronha. "While the goal is clear, the path toward accomplishing that goal is complex and requires a thorough and careful vetting of an enormous amount of information. We need to sift through all that information, with the help of our experts, to ensure compliance with the law. A determination of completeness is the first step toward conducting a thorough review that will, importantly, include input from the public."

"RIDOH will conduct a thorough review of this application to ensure that quality, access, and affordability of healthcare is maintained throughout Rhode Island, with a focus on communities that have historically experienced health disparities," said Director of Health Nicole Alexander-Scott, MD, MPH. "This review process will be rigorous and thorough and will involve the gathering of feedback from people throughout Rhode Island in public comment sessions."

Next Steps:

- Now that the application has been deemed complete, consistent with the standard process set forth in the HCA, the Attorney General's Office will perform confidentiality determinations, which will be complete on or before December 30, 2021.

- At that point, the application will be made public, and public meetings will be scheduled within two months of that date.

- Under the HCA, the deadline for a decision approving, approving with conditions, or denying the transaction falls 120 days from the date of completeness. In this case, the deadline falls on March 16, 2022.

Rhode Island to Recognize World Diabetes Day with Virtual Event on November 13th

2021-11-09

This year, Rhode Island will recognize World Diabetes Day on Saturday, November 13th with a virtual event starting at 9 a.m. that aims to raise awareness about diabetes and help Rhode Islanders reduce their risk of diabetes or manage its impact on their lives.

The event is free. However, registration is required.

Rhode Island World Diabetes Day 2021 will be a full morning of presentations, discussions, questions-and-answer sessions, and more. The program is for anyone impacted by diabetes-people living with or at risk of developing diabetes, family members, caregivers, providers, and other allied members of the healthcare team are welcome to attend.

In Rhode Island, one in 10 individuals is living with diabetes and one in three is at risk of developing diabetes. Up to 90% of these Rhode Islanders don't know they are at risk.

"With the COVID-19 pandemic still underway, Rhode Island World Diabetes Day carries the added significance of spreading information about a condition that puts people at greater risk for developing severe illness from COVID-19," said Megan Fallon-Sheridan, the Program Administrator of RIDOH's Diabetes, Heart Disease, and Stroke Program. "We're excited to share this year's thoughtful and dynamic program. The day will feature tips and conversations to help Rhode Islanders take small steps toward better health-ranging from healthy eating to mind, movement, and healthy self."

Attendees can join for the entire event or choose the topics that most interest them. To learn more and register, visit www.riwdd.org.

Schedule of Virtual Events:

- 9 a.m. - 9:15 a.m. - Kickoff: Diabetes 2021, RIDOH leadership

- 9:15 a.m. - 9:45 a.m. - Addressing Living with Diabetes, JC Aragone, Professional Tennis Player (in partnership with Novo Nordisk)

- 9:50 a.m. - 10:20 a.m. - Know Your Diabetes by Heart, Lupe Barraza (in partnership with the American Diabetes Association)

- 10:25 a.m. - 10:55 a.m. - Trivia Contest, hosted by Al Lewis; Quizzify

- 11 a.m. - 11:20 a.m. - Cooking Demo, Jeanette Nessett, RDN, LDN; Lifespan Community Health Institute

- 11:20 a.m. - 11:35 a.m. - Diabetes Prevention and Management Testimonials and Tips Video, Lifespan Community Health Institute

- 11:35 a.m. - 11:45 a.m. - 2021 Rhode to Wellness Challenge Results, Jennifer Fine, RD, LDN, CDOE

- 11:45 a.m. - 11:55 a.m. - Grace Diaz Blue Light Award Presentation, Representative Grace Diaz

- 11:55 a.m. - Noon - Closing Remarks, Deborah Newell, RPh, CDOE, CVDOE and Megan Fallon-Sheridan, MS, RD; RIWDD Co-Chairs

Rhode Island World Diabetes Day is planned in partnership with Diabetes Education Partners of Rhode Island, the Rhode Island Parent Information Network, and several other sponsors.

Boil Water Notice Issued for Canonchet Cliffs Water Association Inc.

2021-11-04

The Canonchet Cliffs Water Association Inc. public water system in Hope Valley, Rhode Island is required to issue a boil water notice to its customers because E. coli bacteria was found in the water system. For more information, customers should refer to the notice provided to them by their water supply officials.

Additional information can be found on the RIDOH Center for Drinking Water Quality website at http://www.health.ri.gov/water/for/consumersduringemergency/ (see link below).

Canonchet Cliffs Water Association collected a sample in the water system on October 27, 2021 that had total coliform bacteria present, which required additional samples to be collected. These samples were collected on November 1, 2021 and one of these samples had total coliform and E. coli bacteria present.

A boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact Carolyn D. Izzi at 401-539-2223.

Angelicae Sinensis Recalled

2021-11-03

The Rhode Island Department of Health (RIDOH) is advising consumers that Murray Int'l Trading is recalling the Herbal Doctor Brand Angelicae Sinensis because it may contain elevated levels of lead and cadmium. Angelicae Sinensis is often used to make soup.

Lead and cadmium are toxic substances present in our environment in small amounts and everyone is exposed to some of these heavy metals from daily actions such as inhaling dust, eating food, or drinking water. In general, the small exposure to lead does not pose a significant public health concern. However, exposure to larger amounts of lead and cadmium can cause poisoning. While these heavy metals can affect nearly every bodily system, its effects depend upon the amount and duration of lead exposure and age. Symptoms can include abdominal pain, vomiting, lethargy, irritability, weakness, behavior or mood changes, delirium, seizures, and coma. However, infants, young children and the developing fetus can be affected by chronic exposure to amounts of heavy metals that may not result in obvious symptoms of lead poisoning. A child with heavy metal poisoning may not look or act sick. Heavy metal poisoning in children can cause: learning disabilities, developmental delays, and lower IQ scores.

Angelicae Sinensis was distributed in retail stores in New York, New Jersey, Pennsylvania, Massachusetts, Connecticut, Washington D.C., Virginia, Delaware, Rhode Island, Florida, Georgia, Michigan, Illinois, Ohio, and Texas through retail stores.

The Herbal Doctor Brand Angelicae Sinensis is packed in a green plastic bags weighing 16oz (454g) and 12oz (340g).

The recall was initiated after FDA routine sampling revealed elevated levels of lead and cadmium in the product. Subsequent investigation is underway.

Consumers who have purchased Herbal Doctor Brand Angelicae Sinensis are urged to return it to the place of purchase for a full refund. Consumers with questions may contact the company at 1-718-230-7888. The Call Center will be open from Monday to Friday 9:00am to 5:00pm EST.

COVID-19 Vaccine Eligibility Expanded to Children 5 to 11 in Rhode Island

2021-11-03

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that Rhode Island is expanding eligibility for COVID-19 vaccination today to children 5 to 11 years of age. Last night, the Centers for Disease Control and Prevention (CDC) recommended vaccination for children in this age group with the Pfizer-BioNTech COVID-19 Vaccine.

COVID-19 vaccine is effective and safe. Pfizer COVID-19 vaccines have been administered to hundreds of millions of people worldwide. The formulation of the vaccine for younger children was studied and reviewed extensively before federal health officials authorized its use. It was determined to be 90.7% effective against symptomatic COVID-19 disease in children 5 to 11, and no significant safety issues were identified.

"The approval of the Pfizer vaccine for 5 to 11 year olds is the next big step towards protecting all Rhode Islanders from COVID-19," said Governor Dan McKee. "With more than 90% of adult Rhode Islanders at least partially vaccinated, Rhode Island is second in the nation in vaccinations. Now, it's time for our youngest Rhode Islanders to get vaccinated too. Together, we'll be able to vaccinate even more of the Ocean State."

"The best way to keep your family safe when it comes to COVID-19 is to get everyone who is eligible vaccinated. That now includes children 5 to 11 years of age. There will be vaccination opportunities for children 5 to 11 in every community throughout the state," said Director of Health Nicole Alexander-Scott, MD, MPH. "This vaccine has been studied and monitored very carefully. It is safe, and it works. If there is a child who is between 5 and 11 years old in your household, get that child vaccinated as soon as possible."

When children 5 to 11 can get vaccinated

To date, 900 doses of vaccine for children 5 to 11 years old have arrived in Rhode Island. 9,900 additional doses are expected today. Thousands more doses are expected in the coming days. Because much of Rhode Island's vaccine for this population is still in transit, vaccine may not be available in some of the settings listed below for several days.

Where will children 5 to 11 be able to get vaccinated

Please be certain that the appointment you make is for a slot for a child 5 to 11. Children 5 to 11 cannot receive the vaccine that older children and adults receive.

- Clinics at schools - School districts are partnering with municipalities to offer more than 130 vaccination clinics for first and second doses for children 5 to 11 years old. These clinics will be held during the evening starting the week of November 7th. These clinics are open to all children 5 to 11 years old (not just the children who attend the host schools). Unless otherwise noted, vaccine will not be available for older children and adults at school clinics. A list of clinics is available at https://covid.ri.gov/5to11vaccine.

- The offices of some primary care providers - Many pediatrician and family medicine practices are enrolled as providers of COVID-19 vaccine. Contact your child's healthcare provider to learn if they are vaccinating younger children.

- The State-run site at Sockanosset Cross Road - Appointments for children 5 to 11 at the Sockanosset Cross Road site in Cranston will start to become available today at 2 p.m. on VaccinateRI.org. People can also call 844-930-1779 if they need assistance scheduling an appointment.

- Pharmacies - Vaccine for children 5 to 11 years old will be available at many CVS, Walgreens, Walmart, and Stop and Shop sites. Availability at these chain pharmacies is expected this weekend. Visit the websites of these pharmacies for more information. Appointment slots for independent pharmacies will be listed on VaccinateRI.org.

- Health centers - Many health centers are doing direct outreach to their patients about vaccine availability.

- Community clinics - Additional community clinics for children 5 to 11 will be scheduled in the coming weeks.

More detail on the vaccine for children 5 to 11 years old

The Pfizer vaccine for children 5 to 11 years of age is administered as a two-dose series, three weeks apart. Children in this age groups will receive a lower dose (10 micrograms) than the dose used for older children and adults (30 micrograms). There currently are no Moderna or Johnson & Johnson vaccines for children 5 to 11 years old.

Ongoing safety monitoring

Pfizer has updated its safety monitoring plan to ensure that monitoring happens for health issues more common in children 5 to 11. In addition, the CDC and the U.S. Food and Drug Administration (FDA) have several systems in place to continually monitor COVID-19 vaccine safety and allow for the rapid detection and investigation of potential safety problems. It is mandatory for Pfizer and healthcare providers to report to any serious health issues in people who were vaccinated.

COVID-19 and children

Children of all ages can become ill with COVID-19. Most children do not become as sick as adults. However, some children become severely ill with COVID-19. Children with underlying conditions, such as obesity, diabetes, and asthma, may be at higher risk of serious illness with COVID-19. Since the start of the pandemic, 194 children 14 and younger have been hospitalized in Rhode Island with COVID-19. Additionally, children can spread COVID-19 to the other people in their lives (who may be more vulnerable).

Facebook Live sessions

RIDOH will be hosting two Facebook Live sessions on November 8th (one in English and one in Spanish) with community pediatricians to help answer parents' questions about COVID-19 vaccine. The English session will start at 6 p.m. The Spanish session will start at 7 p.m. More information will be shared in the coming days.

General information about COVID-19 vaccine

General information about COVID-19 vaccine is available in multiple languages at c19vaccineRI.org.

Potter Pond Reopens for Shellfish Harvesting

2021-11-02

The Rhode Island Department of Health (RIDOH), the Rhode Island Coastal Resources Management Council (CRMC), and Rhode Island of Environmental Management (DEM) are announcing that the Potter Pond shellfish growing area (Growing Area 10PP [GA10PP]) is reopened for shellfish harvesting. Potter Pond is located in South Kingstown.

Potter Pond had been closed to shellfish harvesting due to bacterial contamination that was detected in early September 2021. A RIDOH investigation indicated that eight people became ill after consuming raw shellfish harvested from Potter Pond and that the illnesses were due to Campylobacter bacterial contamination. The Campylobacter contamination has been linked to the presence of flocks of birds aggregating near shellfish growing areas.

RIDOH, CRMC, and DEM have worked with Potter Pond shellfish growers to mitigate the presence of birds near shellfish growing areas in Potter Pond. Over the past several weeks regular analysis of shellfish meats and water samples have verified that the bacteria levels in shellfish harvested from Potter Pond have returned to levels that are safe for harvest and consumption of shellfish.

Rhode Island shellfish are much sought-after seafood because of a long history of delivering a high-quality product. This is achieved by diligent monitoring of shellfish harvesting waters and reported illnesses; protecting public health with a high level of oversight when conditions indicate a change in water quality either from natural sources such as algae blooms; or by the quick response to emergency conditions. DEM, RIDOH, and CRMC, along with industry partners, collaborate to ensure that shellfish grown and harvested from Rhode Island waters continues to be a quality, safe seafood product to be enjoyed by all consumers.

For more information on the shellfish harvest closures and related information, see http://www.dem.ri.gov/programs/water/shellfish/. For information on emergency and conditional area water quality related shellfish closures, call DEM's 24-hour shell fishing hotline at 401-222-2900, visit http://www.dem.ri.gov/shellfish, or sign up for the Office of Water Resources' listserv here: RishellfishOWR-subscribe@listserve.ri.gov. For information on the RIDOH Shellfish Program, please see https://health.ri.gov/programs/detail.php?pgm_id=164. For more information on CMRC Aquaculture resources, please visit http://www.crmc.ri.gov/aboutcrmc.html.

Public Health Alert Issued Regarding Salame Sticks

2021-11-01

The Rhode Island Department of Health (RIDOH) is advising consumers that a public health alert is being issued for Citterio Italian-style salame sticks because they may be contaminated with Salmonella. These products were sold nationwide at Trader Joe's locations and by other retailers.

The Italian-style salame sticks were produced prior to October 25, 2021. The 2-oz packages had "best by" dates up to January 23, 2022 located next to the barcode. The products subject to the public health alert bear establishment number "EST. 4010" inside the USDA mark of inspection.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 6 hours to 6 days after eating the contaminated product. The illness usually lasts 4 to 7 days. Most people recover without treatment. In some people, however, the diarrhea may be so severe that the patient needs to be hospitalized. Older adults, infants, and persons with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their health care provider.

Some product may be in consumers' refrigerators or freezers. Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

Do Not Drink Notice Issued for Confreda Greenhouses & Farms Customers

2021-10-27

The Confreda Greenhouses and Farms public water system (2150 Scituate Avenue in Hope) is required to issue a do not drink notice for infants 6 months and younger to their customers and employees because nitrate was found in the well over the maximum contaminant level. Parents should not give the water to infants under 6 months old or use it to make formula or juice. Bottled water should be used for infants until the well has returned to safe nitrate levels and the Rhode Island Department of Health (RIDOH) approves the do not drink notice to be lifted. For more information, customers should refer to the notice provided to them by Confreda Greenhouses and Farms.

The Confreda Greenhouses and Farms water system collected a sample on October 21, 2021 that had a nitrate level of 12 mg/L. A confirmation sample collected on October 26, 2021 had a nitrate level of 12 mg/L. The average of these two samples exceeds the maximum contaminant level of 12 mg/L.

Infants below the age of six months who drink water containing nitrate in excess of the maximum contaminant level could become seriously ill and, if untreated, may die. Symptoms include shortness of breath and blue baby syndrome. Blue baby syndrome is indicated by blueness of the skin. Nitrate is a concern for infants because they can't process nitrates in the same way adults can.

Symptoms in infants can develop rapidly, with health deteriorating over a period of days. If symptoms occur in a child less than 6 months old, seek medical attention immediately. If you are pregnant or have specific health concerns, you may wish to consult your doctor.

The do not drink notice will remain in effect until the well has returned to consistent safe nitrate levels and RIDOH approves the do not drink notice to be lifted.

Customers with questions should contact Jonathan Confreda at 401-827-5000.

Governor Declares October 22 as Family Visitor Appreciation Day

2021-10-22

Governor Daniel McKee has established October 22, 2021, as Family Visitor Appreciation Day to recognize and celebrate family visiting professionals in Rhode Island. The passion and drive of these public health professionals have supported that well-being of pregnant people, young children, and families across the state.

"I am pleased to recognize October 22, 2021 as Family Visitor Appreciation Day," said Governor Dan McKee. "Rhode Island is lucky to have so many dedicated family visitor professionals. They are an asset to our kids and to our communities."

The Rhode Island Department of Health, Executive Office of Health and Human Services, and the Department of Children, Youth, and Families collaborate and oversee statewide efforts to mitigate or prevent poor health and developmental outcomes. Family visitors support the well-being of pregnant persons, young children and families to build protective factors, reduce child harm, and improve child and family trajectories help ensure Rhode Island remains a wonderful place to live and grow. The efforts of family visitors promote a healthier and diverse society where every individual is treated equitable and feels safe.

"We have an amazing team of people across multiple State agencies and at partner agencies who work tirelessly, every day, to help Rhode Island families thrive," said RIDOH Family Visiting Program Acting Manager Sara Remington. "Our variety of no-cost programs offers supports and resources to families so that babies can grow and develop into healthy, happy children."

More than 500 family visiting professionals work to serve families throughout the state with programs such as Early Intervention (EI), First Connections (FC), Healthy Families America (HFA), Parents as Teachers (PAT), Nurse-Family Partnership (NFP), home-based Early Head Start (EHS), Family Care Community Partnerships (FCCP), Positive Parenting Program, Project Connect and SafeCare.

For more information about the Office of Family Visiting, including programs specifically operating under RIDOH (FC, HFA, NFP and PAT), please visit RIDOH's website.

Moderna, Johnson & Johnson COVID-19 Vaccine Boosters Now Available; Recommendations Allow Individuals to Choose Type of Vaccine for Booster Dose

2021-10-22

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) announced today that Moderna and Johnson & Johnson (Janssen) COVID-19 vaccine boosters are now available and recommended as follows:

Moderna

A single booster dose of Moderna COVID-19 vaccine may be administered at six months or more after the completion of the primary series to:

• Anyone age 65 or older;

• Anyone age 18 or older who lives in a long-term care setting;

• Anyone age 18 or older who has an underlying medical condition; and

• Anyone age 18 or older who lives or works in high-risk settings.

Johnson & Johnson (Janssen)

A single booster dose of the Johnson & Johnson (Janssen) COVID-19 vaccine may be administered two months or more after completion of the single-dose primary regimen to:

• Anyone age 18 or older.

"This is an important step in our efforts to beat COVID-19 and keep Rhode Islanders healthy," said Governor Dan McKee. "Rhode Island's vaccination team has done the work to ensure we're prepared to get these booster shots in arms as soon as possible. I received my booster shot a few weeks ago, and I encourage eligible Rhode Islanders to do the same. Vaccination is key to our recovery."

This announcement comes after the Food and Drug Administration (FDA) granted an additional emergency use authorization for the administration of booster doses of the Moderna vaccine and for the Janssen (Johnson & Johnson) vaccine on October 20, 2021. The Centers for Disease Control and Prevention (CDC) provided final guidance and endorsement on October 21 after the Advisory Committee on Immunization Practices (ACIP) met to vote on guidance and clinical recommendations. Rhode Island's practice is to wait for both of these decisions prior to opening availability of vaccine to those who are eligible.

There are now recommendations for booster doses for all three available COVID-19 vaccines in the United States. Eligible individuals may choose which type (manufacturer) of vaccine they receive as a booster dose. Some people may want to get the same vaccine type that they originally got. Others may choose to get a different type of vaccine for their booster. CDC's recommendations now allow this "mix and match" for booster shots. (All doses in the primary vaccination series must still be the same type of vaccine.)

"We know that vaccination is the best protection against COVID-19 and the Delta variant," said Director of Health Nicole Alexander-Scott, MD, MPH. "Anyone who is eligible for a booster dose should make an appointment to get one. If you have a question about what type of vaccine to get for a booster dose, talk to your primary care provider about the choice that is best for you."

Moderna and J&J booster doses are available to eligible Rhode Islanders as of October 22. Booster doses of Pfizer vaccine have been available since September 24 and will continue to be available. Eligibility for a booster dose of Pfizer COVID-19 vaccine is as follows:

A single booster dose of Pfizer COVID-19 vaccine may be administered at least six months after the completion of the primary series to:

• Anyone age 65 or older;

• Anyone age 18 or older who lives in a long-term care setting;

• Anyone age 18 or older who has an underlying medical condition; and

• Anyone age 18 or older who lives or works in high-risk settings.

Eligible Rhode Islanders can now make appointments for all three types of booster doses by visiting VaccinateRI.org or calling 844-930-1779. You can also learn more about COVID-19 vaccines and where to find appointments at C19vaccineRI.org.We expect small changes in the online systems for registration in the coming days to reflect new eligibility and thank Rhode Islanders in advance for their patience. Individuals will be asked to self-attest that they are eligible to receive booster doses.

RIDOH continues to work directly with nursing homes, assisted living communities, and other congregate care settings to ensure access to booster doses.

If you are unable to leave your home, you can request services for in-home booster doses. Please visit this link for more information.

ProSource Onions Recalled

2021-10-21

The Rhode Island Department of Health (RIDOH) is advising consumers that ProSource Produce is recalling whole raw onions (red, yellow, and white) shipped from Chihuahua, Mexico, between July 1, 2021 and August 31, 2021 because they may be contaminated with Salmonella. These products were shipped to a number of states, including Rhode Island and Massachusetts.

The onions were distributed to wholesalers, broadline foodservice customers, and retail stores in 50 lb., 25 lb., 10 lb., 5 lb., 3 lb., and 2 lb. mesh sacks; and 50 lb., 40 lb., 25 lb., 10 lb., and 5 lb. cartons, by the following distributors and/or under the following brands: Big Bull, Peak Fresh Produce, Sierra Madre, Markon First Crop., Markon Essentials, Rio Blue, ProSource, Rio Valley, and Sysco Imperial.

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Consumers who have purchased these onions are urged to return them to the place of purchase for a full refund or throw them out.

Rhode Island Kicks Off Flu Vaccination Campaign

2021-10-13

Governor Dan McKee kicked off Rhode Island's annual flu vaccination campaign today by urging all eligible Rhode Islanders to get vaccinated to keep themselves and their loves ones as healthy and safe as possible this flu season.

Lieutenant Governor Matos was vaccinated at the event, which was held at Anthony's Pharmacy in Providence. Governor McKee and Director of Health Nicole Alexander-Scott, MD, MPH, were vaccinated earlier in the flu season.

"I got my flu shot a few weeks back. It was quick, painless, and I didn't have any side effects," said Governor Dan McKee. "I encourage all Rhode Islanders to get their flu shot and their COVID-19 vaccine. Both shots are important to building a healthy, resilient Rhode Island."

People can get flu shots and COVID-19 shots during the same visit to a pharmacy or other site where both vaccines are available.

"Getting your flu shot is one of the best ways to avoid getting sick during flu season," said Lieutenant Governor Matos. "I get mine every year. With school-aged children and working in a public building, it's important to me that I do everything I can to keep myself, my family, and my coworkers as healthy as can be. Flu season is approaching, so I hope you will get yours today - like me."

Everyone six months of age and older should get a flu shot every year. Vaccination is especially important for certain people, including:

- Pregnant women

- People 65 and older

- Younger children

- People with chronic medical conditions, such as diabetes, cancer, heart disease, and asthma

- Healthcare workers, and

- People who live with or care for those at high risk of flu-related complications

There are hundreds of places throughout Rhode Island to get vaccinated, including pharmacies and the offices of many primary care providers. Additionally, school-located flu vaccination clinics are running throughout Rhode Island. These clinics are open to students and staff, and many of them function as community clinics as well. (For more information http://health.ri.gov/flu.)

"Flu shots are fast, easy, and free. You don't need health insurance to get your flu shot, and they are available in every community in Rhode Island," said Dr. Alexander-Scott. "The best way to protect yourself and your loved ones this flu season is to get your flu shot."

The flu results in hospitalizations and fatalities every year in Rhode Island. During the 2019-2020 flu season in Rhode Island, there were 950 hospitalizations due to the flu and 20 flu-associated deaths. (The 2020-2021 flu season was atypical in Rhode Island, given the community mitigation measures in place to prevent the spread of COVID-19.)

Rhode Island has some of the highest flu vaccination rates in the nation. In the 2019-2020 flu season, 57% of Rhode Islanders age 18 or older got the flu shot, and 61% of Rhode Islanders six months or older got the flu shot.

This year's flu vaccine protects against two influenza A strains (including the H1N1 strain) and two influenza B strains, based on what experts believe will be circulating. For adults age 65 or older, two enhanced flu vaccines will be available. These enhanced vaccines help older adults get a higher immune response from their body and gives them better protection from the flu and flu-related illnesses.

After getting a flu shot, a person might feel achy or have a low-grade fever. This is a sign that the person's body is building an immune response to the flu virus. This response is much milder than the average case of the flu.

Other ways to stay healthy this flu season

- Cough or sneeze into your elbow. Flu virus is spread to other people when you cough or sneeze into your hands and then touch other things.

- Clean and sanitize places that are touched regularly, such as tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.

- Wash your hands frequently with warm water and soap. If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

- Get plenty of sleep, exercise, manage your stress, drink plenty of fluids, and eat healthy food.

Additional resources:

- List of vaccination clinics and general information about the flu: https://www.health.ri.gov/flu

(Evening school clinics are open to the entire community. Registration for school clinics is strongly encouraged but walk-ins are welcome.)

- Information about the flu in Spanish: http://health.ri.gov/gripe

- People with additional questions can call RIDOH's Health Information Line at 401-222-5960 / RI Relay 711.

Parent's Choice Rice Baby Cereal Recalled

2021-10-12

The Rhode Island Department of Health (RIDOH) is advising consumers that Maple Island Inc. is recalling three lots of the Parent's Choice Rice Baby Cereal that it manufactures for Walmart. This baby cereal was sold online and at Walmart locations nationwide, including Walmart locations in Rhode Island.

The three Parent's Choice Rice Baby Cereal 8 oz lots being recalled were sold after April 5, 2021.

- Lot 21083 with UPC Code #00681131082907 with a best if used by date of JUN 24 2022.

- Lot 21084 with UPC Code #00681131082907 with a best if used by date of JUN 25 2022

- Lot 21242 with UPC Code #00681131082907 with a best if used by date of NOV 30 2022

The best if used by date and product numbers can be found in the bottom left corner on the back of the Parent's Choice Rice Baby Cereal packaging.

The recall is a result of a routine sampling program by the U.S. Food and Drug Administration (FDA) which found that a sample from three production lots of Parent's Choice Rice Baby Cereal tested above the guidance for naturally occurring inorganic arsenic.

No illnesses related to the product lots have been reported to date and no other production lots or Parent's Choice products are affected by this recall.

RIDOH and DEM Recommend Avoiding Water Recreation at Roger Williams Ponds

2021-10-08

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid water recreation at Roger Williams Park ponds in Providence due to a blue-green algae (or cyanobacteria) blooms. At this time, blooms are known to be present in Pleasure, Cunliff, Elm and Edgewood Lakes, but they are likely to be present in other park water bodies. Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from these waters. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Recommend Avoiding Contact with Warwick Pond

2021-10-07

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Warwick Pond in Warwick due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH Reports First Human Case of West Nile Virus in 2021

2021-10-07

The Rhode Island Department of Health (RIDOH) is announcing Rhode Island's first human case of West Nile Virus in 2021. West Nile Virus is spread to humans by the bite of an infected mosquito.

The person who tested positive was a resident of Providence County in their 50s who reported regular trips between Rhode Island and Massachusetts. This person is currently hospitalized after starting to experience symptoms of West Nile Virus approximately four weeks ago. Confirmatory testing was performed by the Centers for Disease Control and Prevention (CDC).

Common symptoms of West Nile Virus include fever, headache, body aches, nausea, vomiting, and sometimes swollen lymph glands or a skin rash. Although many people who are infected with West Nile Virus show no symptoms, symptoms last for some people for several days or several weeks.

This is Rhode Island's first human case of West Nile Virus since 2018. Connecticut has confirmed three West Nile Virus cases in humans and Massachusetts has confirmed seven human cases this year. The Rhode Island Department of Environmental Management (DEM) has confirmed five positive findings for West Nile Virus in mosquito traps this year. (No mosquito samples in Rhode Island have tested positive for Eastern Equine Encephalitis - or EEE - which is another mosquito-borne illness.)

"Although we're nearing the end of mosquito season in Rhode Island, the risk is still high because mosquito-borne diseases have had the opportunity to become more prevalent in the mosquito population throughout the summer," said Director of Health Nicole Alexander-Scott, MD, MPH. "Mosquitoes breed in water, so you should get rid of anything around your house and yard that collects water, such as tires, planters, and old trash cans or recycling bins. You should also wear long-sleeved shirts and long pants when you are outside, especially at sunrise and sunset. A few simple precautions can help you stay healthy and safe when you are outdoors spending quality time with family and friends."

Rhode Islanders should reduce their exposure to mosquitoes until the first hard frost. (A hard frost is when the air and the ground freeze below 32 degrees F for three hours or below 28 degrees F for two hours.)

Protect yourself:

- Put screens on windows and doors. Fix screens that are loose or have holes.

- At sunrise and sundown (when mosquitoes are most active), consider rescheduling outdoor activities. If you must be outside, wear long-sleeved shirts and long pants and use bug spray.

- Use EPA-approved bug spray with one of the following active ingredients: DEET (20-30% strength); picaridin, IR3535; and oil of lemon eucalyptus or paramenthane. Do not use bug spray with DEET on infants under two months of age. Children should be careful not to rub their eyes after bug spray has been applied on their skin. Wash children's hands with soap and water to remove any bug spray when they return indoors.

Get rid of mosquito breeding grounds:

- Get rid of anything around your house and yard that collects water. Just one cup of water can produce hundreds of mosquitoes.

- Clean your gutters and downspouts so that they can drain properly.

- Remove any water from unused swimming pools, wading pools, boats, planters, trash and recycling bins, tires, and anything else that collects water, and cover them.

- Remove or treat any shallow water that can accumulate on top of a pool cover.

- Change the water in birdbaths at least once a week and rinse out birdbaths once a week.

More information about mosquito prevention is available online: https://health.ri.gov/disease/carriers/mosquitoes/

RIDOH and DEM Recommend Avoiding Contact with Worden Pond; Lifting Advisory for Brickyard Pond

2021-09-30

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Worden Pond in South Kingstown due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals. A very high level of a toxin called microcystin was detected in a water sample taken from the shoreline on Woodsia Trail.

Recent consecutive surveys and sample analyses at Brickyard Pond in Barrington confirmed that blue-green algae has been at acceptably low levels, and that cyanotoxin is not present in detectable concentrations. These findings meet state guidelines to support lifting the advisory.

People should be careful not to ingest water or eat fish from Worden Pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest the water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the lake. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may be affecting other waterbodies in Rhode Island and may return to sites that have previously had blooms. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Pfizer COVID-19 Vaccine Boosters Available for 65+, High-Risk Individuals At Least Six Months After Second Vaccination

2021-09-24

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) announced today that Pfizer-BioNTech COVID-19 vaccine boosters are now available and recommended as follows:

• People 65 years and older and residents in long-term care settings (regardless of age) should receive a booster shot of Pfizer-BioNTech's COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series,

• People aged 50-64 years with underlying medical conditions should receive a booster shot of Pfizer-BioNTech's COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series,

• People aged 18-49 years with underlying medical conditions may receive a booster shot of Pfizer-BioNTech's COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks,

• People aged 18-64 years who are at increased risk for COVID-19 exposure and transmission because of occupational or institutional setting may receive a booster shot of Pfizer-BioNTech's COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks.

"Rhode Island was well prepared for COVID-19 booster shot administration. I am pleased to see that eligible Rhode Islanders are already stepping up to get their booster shots," said Governor Dan McKee. "We had the infrastructure and strategy in place to respond swiftly to the approval from CDC, FDA, and ACIP and ensured boosters could be administered as soon as possible. Rhode Island continues to lead the nation in vaccinations and testing and we will continue to lead as we begin administering booster shots."

This announcement comes after the Food and Drug Administration (FDA) granted an additional emergency use authorization for the administration of booster doses of the Pfizer vaccine for specific populations on September 23, 2021, and the Centers for Disease Control and Prevention (CDC) provided final guidance today after the Advisory Committee on Immunization Practices (ACIP) met yesterday to vote on guidance and clinical recommendations. Rhode Island's practice is to wait for both of these decisions prior to opening availability to those eligible.

Booster doses are available to eligible Rhode Islanders as of Friday, September 24. Eligible Rhode Islanders can now make appointments for booster doses. We expect small changes in online systems for registration over the coming days to reflect new eligibility and thank Rhode Islanders in advance for their patience.

Demand is expected to be higher for the next six weeks than it has been for the past several months, given the state's very high vaccination rates. For all Rhode Islanders, 74.8% have received at least one dose and 67.4% are fully vaccinated. For those 12 or older, 85.2% have received one dose, while 76.6% are fully vaccinated. People are strongly encouraged to make an appointment to get vaccinated, when possible, to ensure that enough vaccine is available at the site and to reduce wait times. You can make an appointment at C19vaccineRI.org. If you need assistance making an appointment, please call 844-930-1779, 401-222-8022, or 211.

At this time only the Pfizer booster has received FDA Emergency Use Authorization. Pfizer's COVID-19 booster dose is the same dose given for first and second shots of Pfizer COVID-19 vaccine. The FDA is expected to review Moderna's data on COVID-19 booster doses in the coming weeks. Data are still being collected on the Johnson & Johnson (Janssen) COVID-19 vaccine before they can be presented to the FDA for possible booster consideration.

Individuals are asked to review this new guidance and self-attest that they are eligible to receive booster doses. Approximately 130,000 may be eligible under the approved guidelines.

RIDOH is also working directly with nursing homes, assisted living communities, and other congregate care settings to ensure access to the Pfizer booster. Specific to the homebound population, additional information is available at https://covid.ri.gov/vaccination.

Governor, RIDOH Announce Enforcement Strategy for October 1 Healthcare Worker and Healthcare Facility COVID-19 Vaccination Requirements

2021-09-21

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing today an enforcement strategy for Rhode Island's COVID-19 vaccination requirement for healthcare workers. The enforcement strategy will help safeguard patients, residents, and staff by holding health professionals and facilities accountable to the October 1 vaccination requirement, while also preventing disruptions to care in Rhode Island as healthcare facilities work toward full compliance.

"Healthcare workers have been the heroes of Rhode Island's COVID-19 pandemic by consistently putting the health and safety of their patients first. The vast majority of healthcare workers have continued to do that by already getting vaccinated against COVID-19," said Governor Dan McKee. "The enforcement strategy for our COVID-19 vaccination requirement for healthcare workers provides clear structure and guidance to facilities that are working to get the remaining few who are not vaccinated yet, while ensuring that all Rhode Islanders still have access to high quality care in facilities throughout the state."

"This enforcement strategy is not intended to be an extension or exemption of the original vaccination requirement," said Director of Health Nicole Alexander-Scott, MD, MPH. "On October 1, anyone that is non-compliant is subject to enforcement. If there is a risk to quality of care and an unvaccinated worker must continue to work beyond October 1 to mitigate that risk, the employer has 30 days to ensure that role is fulfilled by a fully vaccinated healthcare worker."

The COVID-19 vaccine is one of many vaccines that healthcare providers are required to receive. Rhode Island regulations require healthcare workers to be vaccinated against COVID-19 by October 1. Similar to other vaccines, healthcare facilities will be asked to report on their COVID-19 vaccination rates for their healthcare workers. Facilities may also be required to develop COVID-19 Vaccination Corrective Action Plans to ensure full compliance if they have not met the provisions of the regulation. These plans will:

• Specify the healthcare facility's plan to ensure that all remaining healthcare workers will become vaccinated against COVID-19 within 30 days.

• Demonstrate that any unvaccinated staff who are still working after October 1 are doing so to mitigate a risk to quality of patient care.

• Specify the temporary infection prevention measures that the facility will implement for unvaccinated staff who are critically necessary to the facility's operation.

• Outline the facility's procedure to ensure that any new hires are vaccinated against COVID-19.

More information about these plans, including information on deadlines for the submission of data and COVID-19 Vaccination Corrective Action Plans, will be shared directly with healthcare leadership across Rhode Island in the coming days. Plans will be due on October 1.

"Similar to the approach that we take with other vaccinations that are required for healthcare workers, we are outlining and providing clear action steps to facilities to ensure full compliance by October 1," said Dr. Alexander-Scott. "Rhode Island's effective enforcement strategy, requiring COVID-19 vaccination for healthcare workers, will limit exposure to COVID-19 for vulnerable patients and will help ensure the stability of our healthcare system statewide."

Rhode Island's healthcare worker vaccination regulations apply to approximately 57,600 workers. Rhode Island currently has an overall healthcare facility vaccination rate of approximately 87%, up 10 percentage points from 77% in early September.

Rhode Island's healthcare worker vaccination regulations overlap purposefully with organizational and federal vaccination requirements. For example, hospital systems in Rhode Island have required employees to be vaccinated, and President Biden announced last week vaccination requirements for workers at organizations with more than 100 employees, federal workers, and workers at many facilities that receive funding from the Centers for Medicare and Medicaid Services (CMS).

RIDOH and DEM Recommend Avoiding Contact with Flat River Reservoir (Johnson's Pond)

2021-09-20

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Flat River Reservoir (Johnson's Pond) in Coventry due to a blue-green algae (or cyanobacteria) bloom and associated toxins. The toxins can harm humans and animals.

People should be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae at Briar Point Beach

2021-09-18

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Briar Point Beach on Tiogue Lake in Coventry. The advisory was related to high levels of blue-green algae, also known as cyanobacteria, and associated toxins.

Recent consecutive surveys and sample analysis confirmed that blue-green algae has been at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet State guidelines to support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect this waterbody again, as well as other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Aldi Poppy Seed Dressing Recalled

2021-09-17

The Rhode Island Department of Health (RIDOH) is advising consumers that one lot of Aldi Simply Nature Organic Poppy Seed Dressing is being recalled due to a processing issue that could allow for microbial growth. The recalled product comes in a 12 fl. oz. glass bottle with the Best if Used By date of February 15, 2023, and UPC #4099100023169. The lot code is printed on the bottle above the label.

This product was distributed to Aldi stores between August 20th and September 10th. It was distributed to stores in Rhode Island and many other states, including Connecticut, Delaware, Massachusetts, New Hampshire, New Jersey, and New York.

To date, no illnesses related to this product have been reported. No other Aldi products are affected by this recall. The recall was initiated after an investigation revealed the potential for the growth of Clostridium botulinum, making it unsafe for consumption.

Consumers should discontinue use of this product and can return it to their place of purchase for a full refund.

RIDOH's Center for Drinking Water Quality Honored Among 2021 EPA Environmental Merit Award Winners

2021-09-16

The Rhode Island Department of Health's (RIDOH) Center for Drinking Water Quality was honored for its efforts to protect the Rhode Island drinking water supply during the COVID-19 pandemic response.

All of the State drinking water systems in New England, State water and wastewater response networks, and other water sector associations were awarded a 2021 Environmental Protection Agency (EPA) Environmental Merit Award for their collective efforts. Environmental Merit Awards are awarded by EPA for outstanding efforts in preserving New England's environment.

During the COVID-19 pandemic, the water supply for the 15 million people in New England that are served by 2,700 community systems was threatened. Water systems, which are responsible for maintaining and providing safe drinking water, faced reduced availability of staff, shortages of chemicals used for treatment purposes, and worker health and safety challenges.

"The continued diligence and expertise in RIDOH's Center for Drinking Water Quality and Rhode Island's many water systems keep drinking water in Rhode Island healthy and safe," said Director of Health Nicole Alexander-Scott, MD, MPH. "Protecting our drinking water is one of the core functions of RIDOH and of public health. I am grateful to our dedicated staff and partners who worked tirelessly to provide this critical service despite the challenges presented by the COVID-19 pandemic."

RIDOH's Center for Drinking Water Quality and other New England drinking water programs developed creative solutions to address the regulatory, policy, and technical assistance challenges of the pandemic, including developing new guidance. To protect worker health and safety, RIDOH's Center for Drinking Water Quality focused on transitioning certain responsibilities and activities to virtual platforms, including designing new protocols that enabled State staff to perform some critical duties remotely, hosting virtual meetings, developing virtual training opportunities, and offering professional trainings to keep certified operators up to date.

During this challenging time, RIDOH's Center for Drinking Water Quality strived to conduct essential in-person field inspections in a safe manner, with the health conditions of customers and our staff members safeguarded, including appropriate PPE protections. As a result of such efforts, RIDOH has fulfilled all the required Rhode Island Drinking Water public water systems sanitary surveys in 2020, and RIDOH anticipates to fully accomplish all the required surveys in 2021 again.

Many Rhode Islanders may be surprised and interested to learn how their drinking water gets to them, how it is monitored, and where to find monitoring results. The Drinking Water Watch web portal allows citizens and water suppliers to see drinking water monitoring data and other information for public water systems in Rhode Island: https://dwq.health.ri.gov/DWW.

Potters Pond Closed to Shellfish Harvesting

2021-09-11

The Rhode Island Department of Health (RIDOH) and the Rhode Island of Environmental

Management (DEM) are announcing the immediate closure of the Potters Pond (GA10PP), located in South Kingstown, to all shellfish harvesting. The pond will remain closed until further notice.

The closure is the result of an investigation that linked human illnesses to shellfish harvested in the area. A shellfish sample that was collected by RIDOH tested positive for Campylobacter lari. The sample was collected because of an ongoing investigation into seven instances in which people became ill after consuming raw shellfish between August 11th and August 19th. Two of these individuals tested positive for Campylobacter Jejuni, which is a different type of Campylobacter. The positive shellfish sample does not match the illnesses from the investigation. However, the detection of Campylobacter lari indicates the presence of Campylobacter. RIDOH is collecting additional shellfish samples for further testing.

RIDOH has contacted all commercial harvesters in this area to ensure that any product harvested during this time frame is not sold at restaurants and markets. RIDOH is urging recreational harvesters who harvested shellfish in Potters Pond between September 9th through September 11th to either discard the shellfish or avoid consuming them raw or undercooked. (The pond had been closed for a period of time before September 9th because of heavy rain.) Cooking the shellfish until it reaches an internal temperature of at least 145°F can reduce the risk of infection. Quick steaming is not sufficient to prevent gastrointestinal illness from these pathogens. Raw oysters and shellfish that contain harmful bacteria or viruses may look, smell, and taste normal.

People with Campylobacter infection usually have diarrhea (often bloody), fever, and stomach cramps. Nausea and vomiting may accompany the diarrhea. These symptoms usually start two to five days after the person ingests Campylobacter and last about one week. In some cases, individuals can develop more serious complications. If you consumed shellfish from this area and are ill and concerned about your health you should seek medical attention. If you believe you became ill after consuming raw shellfish, you can report to RIDOH by calling 401-222-2749 during business hours and 401-276-8046 after hours.

RIDOH will update this announcement once additional samples are collected and tested.

Rhode Island shellfish are much sought-after seafood because of a long history of delivering a high-quality product. This is achieved by diligent monitoring of shellfish harvesting waters and reported illnesses, protecting public health with a high level of oversight when conditions indicate a change in water quality either from natural sources such as algae blooms or by the quick response to emergency conditions. DEM, RIDOH, and the Rhode Island Coastal Resources Management Council, along with industry partners, collaborate to ensure that shellfish grown and harvested from Rhode Island waters continues to be a quality safe seafood product to be enjoyed by all consumers.

For more information on the shellfish harvesting classifications, review the annual notice available at RIDEM - Shellfish. An interactive shellfishing map is also available.

For information on emergency and conditional area water quality related shellfish closures, call DEM's 24-hour shell fishing hotline at 401-222-2900, visit http://www.dem.ri.gov/shellfish, or sign up for the Office of Water Resources' listserv here: RishellfishOWR-subscribe@listserve.ri.gov.

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RIDOH and DEM Recommend Avoiding Contact with Brickyard Pond; Lifting Advisories for Warwick Pond and Camp Hoffman at Larkin Pond

2021-09-03

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Brickyard Pond in Barrington due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

Recent consecutive surveys at Camp Hoffman at Larkin Pond in Kingston and Warwick Pond, and associated sample analyses, confirmed that blue-green algae cell counts and toxin levels have been at acceptably low levels. These levels meet state guidelines to support lifting the advisory.

People should be careful not to ingest water or eat fish from areas near Brickyard Pond. All recreation, including swimming, wading, fishing, boating, and kayaking, should be avoided. Animals who may ingest the water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the lake. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms can re-occur in affected waterbodies. People are advised to check the appearance of the water before deciding where to recreate. Please avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. Other potentially harmful blooms may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible, to DEM.OWRCyano@dem.ri.gov.

Fratelli Beretta Recalls Ready-to-Eat Uncured Antipasto Meat Products

2021-08-30

The Rhode Island Department of Health (RIDOH) is advising consumers that Fratelli Beretta is recalling approximately 862,000 pounds of uncured antipasto products that may be contaminated with Salmonella Infantis and/or Salmonella Typhimurium. The ready-to-eat uncured antipasto meat trays were produced on February 28, 2021 through August 15, 2021. The following products are subject to recall:

24-oz. trays containing two 12-oz packages of "Fratelli Beretta UNCURED ANTIPASTO PROSCIUTTO, SOPPRESSATA, MILANO SALAMI & COPPA" with best by dates of AUG 27 21 through FEB 11 22 and UPC code 073541305316.

The products subject to recall bear establishment number "EST. 7543B" printed on the packaging next to the best by date. These items were shipped to retail locations nationwide.

Federal health officials are investigating multistate outbreak of 36 Salmonella Typhimurium and Infantis illnesses in 17 states, with onset dates ranging from May 9, 2021 through July 27, 2021. Some ill people reported eating Fratelli Beretta brand uncured antipasto before they got sick and the traceback investigation confirmed that some of the ill people purchased uncured antipasto trays produced by Fratelli Beretta.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 6 hours to 6 days after eating the contaminated product. The illness usually lasts four to seven days. Most people recover without treatment. In some people, however, the diarrhea may be so severe that the patient needs to be hospitalized. Older adults, infants, and persons with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their health care provider.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

Consumers with food safety questions can call the toll-free USDA Meat and Poultry Hotline at 1-888-MPHotline (1-888-674-6854) or live chat via Ask USDA from 10 a.m. to 6 p.m. (Eastern Time) Monday through Friday.

Rhode Islanders Reminded to Seek Medical Care in the Right Setting

2021-08-30

With hospital emergency departments in Rhode Island experiencing significant crowding and prolonged waiting times, the Rhode Island Department of Health (RIDOH) is reminding people to seek medical care in settings where they will be most appropriately treated. People who do not need emergency care should not go to emergency departments.

Hospital patient volume continues to be high and has been exacerbated by a shortage of clinical staff, especially nurses. These shortages are due to a variety of factors, including health professionals working less or exiting the health sector after working through multiple waves of the COVID-19 pandemic. Patients may experience long wait times in the emergency department for non-urgent symptoms or may board there for a significant period before hospital admission. To prevent this, people should not go to emergency departments for health issues that can be treated more quickly and effectively by a primary care provider or in an urgent care facility. This includes less severe cases of the flu, back pain, minor cuts, sore throats, low-grade fevers, and most cases of norovirus (the "stomach flu").

People should also not go to the emergency department for COVID-19 testing or COVID-19-like illness that does not require emergency care. Most people with COVID-19 have mild illness and are able to recover at home. People with any concerns should check in with their primary care provider (See below for when to seek emergency care for COVID-19).

"Emergency departments are perfect for emergency situations. If someone is experiencing a serious health issue, they should absolutely call 911 or go to an emergency department right away. However, emergency departments treat patients with the most serious health issues first, which means that people with less severe conditions may experience long waits," said Director of Health Nicole Alexander-Scott, MD, MPH. "Keep the phone number for your primary care provider handy and know where your nearest urgent care facility is. An urgent care facility, or other type of express care facility is often a more convenient, less expensive option."

"Our hospitals stand ready to safely treat anyone who needs care regardless of the day or time. If you have a health emergency, call 911. But, if you are not sure whether your health issue is an emergency, call your primary care physician," said Teresa Paiva Weed, President of the Hospital Association of Rhode Island. "If you haven't seen your primary care physician in a while, make an appointment because primary care is the best way to manage existing health conditions and prevent an emergency."

"Hospitals locally and around the country are facing shortages of certain clinical staff, such as nurses, since many front line staff have decided to work less and some have left healthcare after the stresses of over a year of providing care during a global pandemic," said Lifespan Physician-in-Chief of Emergency Medicine Jeremiah Schuur, MD. "As patients return to hospitals for care, we are seeing backups in Emergency Departments, particularly at the busiest times of patient arrival. We remain prepared to care for patients with time-sensitive emergencies such as trauma, heart attack, and stroke, and we urge patients to not delay seeking care for serious illnesses or injuries or concerning symptoms. At the same time, it's important that people who do not need emergency level care be treated by their primary care provider or at an urgent care facility, so that our emergency departments can focus on the critically ill and injured, and all patients can receive the care they need in the most appropriate setting."

"Outside of a perceived medical emergency, a patient should first call their primary care provider, who will assess their need for medical attention at the appropriate level. Primary care providers already understand their patient's unique medical history, and may be able to see them quickly, helping them avoid an unnecessary and costly ED visit. However, if a patient is experiencing an emergency, and feels it is serious, they should immediately call 911," said James E. Fanale, MD, President and CEO, Care New England Health System.

How to know if you should go the emergency department

If someone is not sure if they should go to the emergency department, they should contact their primary care provider or visit an urgent care or community health center. A primary care provider can give you guidance about the next best step, and most offices have a provider on-call after hours. RIDOH has a list of primary care providers online. For people who do not have a primary care provider, RIDOH has information and lists online for urgent care facilities, community health centers, and other express care facilities in the state.

What to do if you have COVID-19

- Stay home (except if emergency care is needed - see below). Do not visit public areas.

- Get rest and stay hydrated. Take over-the-counter medicines, such as acetaminophen, for symptom relief.

- Avoid public transportation, ridesharing, or taxis.

- Separate yourself from other people. As much as possible, stay in a designated room and away from other people. If possible, you should use a separate bathroom.

- Tell your close contacts that they may have been exposed to COVID-19. An infected person can spread COVID-19 starting 48 hours before the person has any symptoms or tests positive.

- See RIDOH's full guidance on how to isolate safely.

When to seek emergency care for COVID-19 or another health issues

If someone is showing any of these signs, seek emergency medical care immediately:

- Trouble breathing

- Persistent chest pain or chest pressure

- New weakness in an arm, leg, or face

- New difficulty speaking or confusion

- Inability to wake or stay awake

- Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone

If you are going to an emergency department for COVID-19-like illness, notify the facility that you (or the person you are accompanying) is seeking care for COVID-19. Masks are required in all healthcare facilities.

Steps people can take to help stay healthy and out of the hospital

- Get a COVID-19 vaccine.

- Talk to a healthcare provider about treatment for COVID-19, if you test positive.

- Get a flu shot when it is available.

- Cough or sneeze into your elbow.

- Wash your hands carefully with soap and water, especially after using the toilet and changing diapers, and always before eating or preparing food.

- Stay home if you are sick and keep children home from school if they are sick.

- After an episode of illness that involves vomiting or diarrhea, immediately clean and disinfect contaminated surfaces by using a bleach-based household cleaner.

Rhode Islanders Reminded About Treatment for COVID-19

2021-08-27

The Rhode Island Department of Health (RIDOH) is reminding the public that fast, easy, highly effective treatment is available for people 12 years of age and older who become sick with COVID-19.

This treatment helps prevent people from developing severe illness and getting hospitalized. After completing this infusion treatment, many people with COVID-19 start feeling better as early as the next day. This treatment does not require hospitalization.

"Along with vaccination and testing, treatment is one of the main tools we have to manage the COVID-19 pandemic and keep people out of the hospital," said Director of Health Nicole Alexander-Scott, MD, MPH. "As soon as you have COVID-19 symptoms and test positive, talk to a healthcare provider about whether you should get treatment and where you can get it."

If you don't have a regular healthcare provider, visit http://health.ri.gov/find/urgentcare or schedule treatment directly with Atmed Urgent Care at www.atmedurgentcare.net. Additionally, treatment at home may be

available through Alert Ambulance.

The earlier someone starts treatment after symptoms the more effective it is, so people should get tested as soon as they have symptoms.

Learn more about treatment at http://COVID.ri.gov/treatment.

For partially or fully vaccinated people who get COVID-19, being vaccinated should not affect COVID-19 treatment decisions or timing. People who are 12 years of age and older who are not vaccinated against COVID-19 should get vaccinated as soon as possible. More information about vaccination is available at C19vaccineRI.org

Boil Water Notice Issued for Charlestown Commons

2021-08-26

The Charlestown Commons property in Charlestown is issuing a boil water notice to its customers and residents because E. coli bacteria was found in the water system, the Rhode Island Department of Health (RIDOH) is announcing. The system consists of commercial space and a residential duplex. It serves approximately 150 people a day.

All water used for consumption should be boiled vigorously for at least one minute. This recommendation pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Alternatively, customers can use bottled water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. For more information, customers should refer to the notice provided to them by their water supply officials.

Additional information can be found on the RIDOH's Center for Drinking Water Quality webpage: http://www.health.ri.gov/water/for/consumersduringemergency/

A boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, and collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact Chris Randall at 401-364-5021.

COVID-19 Testing and Vaccination Site Closures

2021-08-21

Testing sites

In anticipation of inclement weather, all State-run COVID-19 test sites will be closed on Sunday, August 22nd. The State will continue to monitor Hurricane Henri and assess whether sites will reopen or remain closed on Monday, August 23rd.

When test sites reopen, people who had appointments cancelled due to weather will not need to make new appointments. They can go to the site where their appointment was scheduled with a print or screenshot of their confirmation notice, and they will be tested.

Vaccination Sites

All State-run vaccination sites will be closed on Sunday. People who had appointments for Sunday are being contacted directly with information about new appointments.

RIDOH and DEM Recommend Avoiding Contact with Briar Point Beach on Tiogue Lake; Lifting Advisory for Upper Curran Reservoir

2021-08-19

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Briar Point Beach on Tiogue Lake in Coventry due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

Recent consecutive surveys at Upper Curran Reservoir in Cranston, and sample analysis confirmed that blue-green algae has been at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet state guidelines to support lifting the advisory.

People should be careful not to ingest water or eat fish from Briar Point Beach on Tiogue Lake. All recreation, including swimming, wading, fishing, boating, and kayaking, should be avoided. Animals who may ingest the water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the lake. The advisory on Briar Point Beach will remain in effect until further notice. Caution should be used when recreating throughout Tiogue Lake as conditions may change and extend the cyanobacteria bloom to other areas beyond Briar Point Beach.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins.

People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be present in other areas of Tiogue Lake and other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

State to Require Immunization Against COVID-19 for All Licensed Healthcare Workers

2021-08-18

The Rhode Island Department of Health (RIDOH) is announcing today that all employees, interns, and volunteers in RIDOH-licensed healthcare facilities and all RIDOH-licensed healthcare providers must receive their final dose of COVID-19 vaccine by October 1, 2021, effective August 18th.

"The most effective way to prevent the spread of COVID-19, including the Delta variant, is vaccination," said Director of Health Nicole Alexander-Scott, MD, MPH. "For the safety of our healthcare workers, patients, and for our healthcare system overall, today's announcement is a very important step."

The regulation applies to staff at RIDOH-licensed health care facilities, including those with direct patient contact and those who may not be involved in patient care. It also applies to individually licensed providers who utilize their license as part of their position in a healthcare facility. Prior to October 1st, any worker in a RIDOH-licensed healthcare facility who is not vaccinated is required to wear a face mask and be tested at least twice weekly.

RIDOH-licensed facilities

Workers in RIDOH-licensed facilities must be vaccinated before October 1st. Workers in RIDOH-licensed facilities who are not vaccinated by October 1st will not be allowed to enter a healthcare facility unless they provide proof of a medical exemption. Employees in violation of this regulation may face financial penalties and/or suspension/revocation of the facility's license, in addition to disciplinary action by the affected employer against individual employees who do not comply.

RIDOH-licensed healthcare providers

All RIDOH-licensed healthcare providers who work in a healthcare setting must be vaccinated as of October 1st. Those who are not vaccinated by October 1st may be subject to financial penalties and/or suspension/revocation of their license (unless they provide proof of a medical exemption).

The COVID-19 healthcare worker vaccination regulations and additional resources are available online: http://covid.ri.gov/healthcare-professionals

Third Doses of COVID-19 Vaccine Available for Some Immunocompromised Rhode Islanders Beginning Saturday

2021-08-13

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that certain immunocompromised Rhode Islanders can begin receiving third doses of COVID-19 vaccine tomorrow, August 14th.

Rhode Islanders who are moderately to severely immunocompromised are eligible for third doses. People are considered moderately to severely immunocompromised if they are/have:

• Active treatment for solid tumor and hematologic malignancies

• Receipt of solid-organ transplant and taking immunosuppressive therapy

• Receipt of CAR-T-cell or hematopoietic stem cell transplant (within 2 years of transplantation or taking immunosuppression therapy)

• Moderate or severe primary immunodeficiency (e.g., DiGeorge syndrome, Wiskott-Aldrich syndrome)

• Advanced or untreated HIV infection

• Active treatment with high-dose corticosteroids (i.e., ?20mg prednisone or equivalent per day), alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents classified as severely immunosuppressive, tumor-necrosis (TNF) blockers, and other biologic agents that are immunosuppressive or immunomodulatory.

This definition of moderate to severe immunosuppression is in alignment with the definition developed by federal health officials.

Beginning tomorrow, people can get third doses at the Sockanosset Crossroads vaccination site and at hospital vaccination sites. To schedule an appointment for Sockanosset Crossroads, visit VaccinateRI.org or call 844-930-1779. RIDOH expects third doses to be available at retail pharmacies in the coming days.

Rhode Island will use a self-attestation model for people who are moderately to severely immunocompromised. People will not be required to provide documentation of their health status. People can get third doses at all venues where first and second doses are available.

Third doses will be available to moderately to severely immunocompromised Rhode Islanders who received two doses of Pfizer or Moderna vaccine. (This announcement does not pertain to people who received Johnson & Johnson vaccine.) Whenever possible, people who received two doses of Pfizer vaccine will receive a third dose of Pfizer vaccine, and people who received two doses of Moderna vaccine will receive a third dose of Moderna vaccine. However, interchangeability of the two vaccines is acceptable. People should wait at least 28 days between their second and third doses.

There are approximately 35,000 people in Rhode Island who are considered moderately to severely immunocompromised. Ample vaccine supply exists in Rhode Island to meet this new demand.

On Thursday, the U.S. Food and Drug Administration (FDA) authorized third doses of vaccine for people with moderate to severe immunosuppression. Earlier today, the CDC's Advisory Committee on Immunization Practices (ACIP) met and voted to support the FDA's action. Federal health officials were acting on studies demonstrating that immunosuppressed people are more likely to get severely ill from COVID-19, are at higher risk for prolonged infection, are more likely to transmit the virus, and experience lower vaccine effectiveness.

More information about how and where to get vaccinated is available online at C19vaccineri.org, or by call 401-222-8022.

RIDOH Launches New Drug Overdose Surveillance Data Hub

2021-08-13

With drug overdose deaths increasing both nationally and in Rhode Island, the Rhode Island Department of Health (RIDOH) has launched a new Rhode Island Drug Overdose Surveillance Data Hub to increase access to information about the overdose epidemic.

The Rhode Island Drug Overdose Data Hub was formally released this week during a meeting of Governor Dan McKee's Overdose Prevention and Intervention Task Force. The hub can be accessed at: http://Health.ri.gov/od-datahub.

The hub has expanded public access to five overdose surveillance systems, and offers a closer look at detailed, municipal, county, and statewide trends. Featured surveillance systems include emergency department visits, emergency medical service runs, overdose fatalities from the RIDOH's Office of the State Medical Examiners and the State Unintentional Drug Overdose Reporting System, and prescribing data for the Rhode Island Prescription Drug Monitoring Program.

Community partners, researchers, students, and others can compare municipal-level data, such as age, sex, race, ethnicity, and incident/resident location, to county and statewide trends. People can also find municipal data reports, research publications, and request or download data.

"As the drug overdose epidemic evolves, this new tool empowers Rhode Island's Health Equity Zones (HEZ), Community Overdose Engagement (CODE) partners, and other community partners to use municipal drug overdose data to prevent overdose deaths and save lives," said Nicole Alexander-Scott, MD, MPH, Director of RIDOH and co-chair of Governor McKee's Overdose Prevention and Intervention Task Force. "Community partnership are more important now than ever."

"Rhode Island has long been a national leader in making drug overdose data accessible and available to the public. This new data hub provides an even more comprehensive resource and will be a critically important tool for harm reduction organizations, policy makers, researchers, and municipalities across the state," said Dr. Brandon Marshall, Development Team Lead for PreventOverdoseRI.org and Associate Professor of Epidemiology at Brown University School of Public Health.

The Rhode Island Drug Overdose Data Hub works together with PreventOverdoseRI.org to create a holistic view of how opioids and drug overdose are impacting the state. PreventOverdoseRI.org offers historical overdose data trends, interactive data stories, local resources, educational materials, and campaigns. The dashboard also provides resources for people who may be at risk of overdose, healthcare providers who would like to learn more about treatment, as well as concerned loved ones. Since 2015, PreventOverdoseRI.org has been an online platform for real-time data to track the progress of the Governor's Overdose Prevention Action Plan.

RIDOH's new Data Hub links directly to PreventOverdoseRI.org to ensure data visualizations on both sites are updated automatically. Improvements in the data request process have been enhanced on the website, making it easier for the public to request data directly from RIDOH's Drug Overdose Surveillance Program.

"Data is knowledge, and knowledge is power. By providing accessible data and public resources, RIDOH is putting vital tools into the hands of outreach workers and community members to do life-saving work. We are grateful for the Department of Health's commitment to supporting overdose prevention and harm reduction efforts, including the Overdose Data Hub and PORI," said Annajane Yolken, Director of Programs at Project Weber/RENEW.

Increasing public access to timely, accurate data has been a focus of the Rhode Island Executive Office of Health and Human Services (EOHHS) 2020 Evidence Update for the Governor's Overdose Prevention and Intervention Task Force.

Accidental drug overdose deaths increased by 25% from 2019 to 2020 (from 308 to 384). Preliminary 2021 fatal overdose data suggest that Rhode Island remains on a similar trajectory.

Rhode Islanders experiencing a substance use or mental health crisis can get connected to immediate care by calling the 24/7 BH Link Hotline, 401-414-LINK (5465) or visiting BH Link Walk-In Triage Center at 975 Waterman Avenue in East Providence.

The Data Hub adheres to RIDOH's Small Numbers Reporting Policy to ensure confidentiality. A tutorial about the Rhode Island Drug Overdose Data Hub is available online: https://youtu.be/BPl7yk9mu58

RIDOH and DEM Recommend Avoiding Water Recreation at Camp Hoffman and Sachem Pond

2021-08-11

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid water recreation at Camp Hoffman in Kingston and Sachem Pond on Block Island due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from these waters. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Most Fixed, State-Run COVID-19 Testing Sites Now Requiring Appointments

2021-08-11

To make the COVID-19 testing process as streamlined and efficient as possible, most fixed, State-run testing sites are now requiring appointments. Rhode Islanders can schedule a free test online at http://portal.ri.gov or by calling 401-222-8022. Insurance is accepted but not required.

Making an appointment ahead of time reduces long lines and crowding at testing sites and ensures easy access to results. If you arrive at a State-run testing site without an appointment, site staff will help you schedule a same-day test.

While most of Rhode Island's 17 fixed testing sites are now appointment only, the Block Island Fire and Rescue Barn and the testing site for travelers at T.F. Green Airport will continue to accept walk-ups. In addition, the State has mobile pop-up testing opportunities that do not require appointments. A schedule of mobile testing sites is available online (see link below).

Over the last several weeks, Rhode Island has seen an increase in demand for COVID-19 testing. From the week of July 26th to the week of August 2nd, there was a 69% increase in the number of tests scheduled at State sites. When demand for COVID-19 testing was lower, State-sites would accommodate people without appointments. With demand now higher, State test sites are returning to an appointment-only model.

Rhode Island's COVID-19 testing program currently approximately 4,600 appointments on average per weekday. The State is planning to expand appointment availability and may open additional test sites if the demand for testing continues to increase.

With the Delta variant now the dominant variant of COVID-19 in Rhode Island, it is more important than ever to get vaccinated and get tested.

If you're not yet vaccinated, get tested for COVID-19 every week. Whether or not you're fully vaccinated, get tested right away if you get symptoms of COVID-19, even if you think it's just a cold or allergies. RIDOH also recommends testing if you are a close contact of someone who has tested positive for COVID-19 or if you have recently traveled out of state.

For more information about COVID-19 testing options and the latest guidance, visit https://covid.ri.gov/testing.

RIDOH and DEM Recommend Lifting Restrictions for Blue-Green Algae in Georgiaville Pond

2021-08-06

The Rhode Island Department of Health (RI DOH) and the Rhode Island Department of Environmental Management (RIDEM) recommend lifting the advisory restricting recreational activities at Barney Pond in Smithfield. The advisory related to high levels of blue-green algae, also known as cyanobacteria, and associated toxins.

Recent consecutive surveys and sample analysis confirmed that blue-green algae has been at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet state guidelines to support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Barney Pond again, as well as other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Recommend Avoiding Contact with Slack Reservoir in Greenville, Wenscott Reservoir in North Providence, and Sachem Pond on Block Island

2021-08-06

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Slack Reservoir in Greenville (spans Smithfield and Johnston town line), Wenscott Reservoir in North Providence, and Sachem Pond on Block Island due to a blue-green algae (cyanobacteria) blooms. Blue-green algae can produce toxins, that can harm humans and animals. Very high levels of microcystin toxins were detected in the most recent water sample from Slack Reservoir.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People also should not ingest water or eat fish from these waters. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

McCormick Recalling Seasonings

2021-07-28

The Rhode Island Department of Health (RIDOH) is advising consumers that McCormick & Company is recalling McCormick Perfect Pinch Italian Seasoning, McCormick Culinary Italian Seasoning, and Frank's RedHot Buffalo Ranch Seasoning due to possible contamination with Salmonella.

Salmonella is an organism that can cause serious and sometimes fatal infections in young children, elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea, nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses.

No illnesses have been reported to date in connection with these products.

The four products subject to this recall include:

McCormick Perfect Pinch Italian Seasoning 1.31 oz bottle

UPC NUMBER: 052100049731

MCCORMICK ITEM NUMBER: 901582629

AFFECTED DATE CODES: BEST BY MAY 26 24 K, BEST BY MAY 27 24 K, BEST BY JUN 04 24 K, BEST BY JUN 05 24 K

McCormick Perfect Pinch Italian Seasoning 2.25 oz bottle

UPC NUMBER: 052100038254

MCCORMICK ITEM NUMBER: 901455463

AFFECTED DATE CODES: BEST BY JUN 30 24 H, BEST BY JUL 01 24 H

McCormick Culinary Italian Seasoning 1.75 lbs. bottle

UPC NUMBER: 52100325743

MCCORMICK ITEM NUMBER: 932574

AFFECTED DATE CODES: BEST BY Jun 12 24 H

Frank's RedHot Buffalo Ranch Seasoning 153g bottle

UPC NUMBER: 066200021047

MCCORMICK ITEM NUMBER: 901543520

AFFECTED DATE CODES: BB / MA 2022 SEP 06

The four products were shipped from June 20, 2021 through July 21, 2021 to states throughout the country, including Connecticut and Massachusetts.

Consumers are urged to dispose of the recalled product and its container. Please contact McCormick Consumer Affairs at 1-800-635-2867, weekdays from 9:30 AM to 8:00 PM (Eastern Time), for a replacement or full refund, and with general inquires.

Rhode Island Seeing Increased Number of Reported Cases of Legionnaire's Disease

2021-07-26

The Rhode Island Department of Health (RIDOH) is notifying the public that it has observed an increase in the number of reported cases of Legionnaires' disease (LD). Between 2014 and 2020, there was an average of 10 cases during the months of June and July each year, ranging from 0-11 cases in a single month. From June 2, 2021 to July 26, 2021 there have been 30 cases of Legionnaire's disease, 29 of which have illness onset dates between June 17 and July 21. Twenty eight of the 30 people have been hospitalized. No common source of exposure has been identified, although an investigation is ongoing.

"This is another example that underscores the value of RIDOH's routine monitoring for communicable diseases," said Director of Health Nicole Alexander-Scott, MD, MPH. "We know that Legionella bacteria grow best in complex water systems that are not well maintained. When this water becomes aerosolized in small droplets, such as in a cooling tower, shower, or decorative fountain, people can accidentally breathe in the contaminated water. This is of particular concern now as some buildings' water systems have been offline for a prolonged period due to the COVID-19 pandemic and are just now returning to service."

Symptoms of LD start two to 10 days after breathing in the bacteria, Symptoms can include cough, shortness of breath, fever, muscle aches, and headaches. It is spread from a contaminated water source through the air. LD cannot spread from person to person.

Anyone who is diagnosed with LD is treated with antibiotics. Most people who get LD need to be admitted to the hospital, but they make a full recovery. However, approximately one in 10 people who get LD will die. If a person with Legionnaire's disease is diagnosed and starts taking antibiotics early on in their illness, it is less likely they will have serious complications like lung failure or death.

Legionella is especially a concern in buildings that primarily house people older than 65, buildings with multiple housing units and a centralized hot water system (like hotels or high-rise apartment complexes), and buildings higher than 10 stories.

Things Rhode Islanders can do to prevent the spread of LD include:

• If you live in a building that primarily houses people older than 65, a building with multiple housing units and a centralized hot water system (like hotels or high-rise apartment complexes), or a building higher than 10 stories, ask if there is a Legionella Water Management Program in place.

• In homes or other types of buildings, follow the manufacturer's directions about how to clean and disinfect hot tubs, whirlpools, showerheads, and breathing equipment like CPAP machines, to help stop bacteria from growing.

RIDOH and DEM Recommend Avoiding Contact with Warwick Pond

2021-07-23

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Warwick Pond in Warwick due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Give and Go Muffins Recalled

2021-07-21

The Rhode Island Department of Health (RIDOH) is advising consumers that Give and Go Prepared Foods is recalling certain muffin products due to the potential for the products to be contaminated with Listeria monocytogenes.

The products were sold under a variety of brand names, including Uncle Wally's, The Worth Crumb, 7-Eleven Selects, Great Value, and Marketside. These products were sold in retail stores nationwide. A full list of products and best-by dates is available online.

Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy people may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

To date, there have been no reports of illness related to this issue.

Consumers who have these products should immediately dispose of the products and not eat them.

RIDOH and DEM Recommend Avoiding Contact with Upper and Lower Melville Ponds

2021-07-16

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Upper and Lower Melville Ponds in Portsmouth due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Six School and Child Care COVID-19 Testing Sites to Close

2021-07-15

With on-site COVID-19 testing to be available to schools in the fall, and with COVID-19 testing now more accessible in traditional healthcare settings, six State-run testing sites for school and child care communities will wind down operations at the end of July, Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing.

Last month, the State released a plan to support full in-person learning for the fall. School-based testing is a crucial component of that plan. Local Education Agencies (LEAs) and schools will have opt-in choices for how to design and resource their testing plans. Options will include symptomatic testing, outbreak testing, and asymptomatic testing. RIDOH and the Rhode Island Department of Education (RIDE) will support LEAs and schools as administrators develop their COVID-19 testing programs.

In September 2020, the State opened a network of testing sites exclusively for school and child care communities to support the return to in-person learning and child care. While six of these sites are closing, five school and child care testing sites will remain open. Rhode Island has 14 additional fixed testing locations, and Rhode Islanders can also get tested in retail pharmacies, respiratory clinics, the offices of primary care providers, and at mobile and pop-up testing opportunities. To be responsive to potential increases in the demand for testing, Rhode Island will maintain significantly more testing capacity than is currently being utilized.

Saturday, July 31st, will be the last day for COVID-19 testing at the following locations:

- Bristol Stop & Shop Parking Lot: 605 Metacom Ave.; Bristol, RI 02809

- Cranston Stop & Shop Parking Lot: 275 Warwick Ave.; Cranston, RI 02905

- Lincoln YMCA Parking Lot: 32 Breakneck Hill Rd.; Lincoln, RI 02865

- Providence Stop & Shop Parking Lot: 850 Manton Ave.; Providence, RI 02909

- Smithfield Fidelity Investment Headquarters Parking Lot: 100 Salem St.; Smithfield, RI 02917

- Westerly Walmart Parking Lot: 258 Post Rd.; Westerly, RI 02891.

For more information about COVID-19 testing in Rhode Island, visit http://covid.ri.gov/testing.

RIDOH and DEM Recommend Avoiding Contact with Four Water Bodies

2021-07-13

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Blackamore Pond, Spectacle Pond, and Upper J.L. Curran Reservoir in Cranston, and Mashapaug Pond in Providence, due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals.

People should be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach-ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with pond waters and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Issue Advisory About Atlantic Sea Nettle Jellyfish

2021-07-07

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising the public that Atlantic Sea Nettle Jellyfish have been identified in high numbers by DEM's Division of Marine Fisheries in Ninigret and Green Hill Ponds. These ponds are in Charlestown.

Sea nettles are often present during high summer in Rhode Island. They are most common in the salt ponds in South County. People planning to recreate in ponds in this area should bring a first aid kit and add a bottle of vinegar and sting spray.

Images of Atlantic Sea Nettle Jellyfish are attached. Their stings typically cause moderate discomfort and itchy welts. If stung:

- Remove visible tentacles with a gloved hand or a plastic bag

- Rinse the affected area in vinegar or a commercially available sting spray (or saltwater)

- Do NOT rinse with freshwater, as this can worsen the sting

- Apply heat pack or rinse under hot water

- Use an ice pack and/or hydrocortisone cream to reduce discomfort

- If symptoms worsen, seek medical attention

"There has been a high abundance of Atlantic sea nettle jellyfish in Ninigret and Green Hill Ponds lately," said Katie Rodrigue, Principal Marine Biologist in DEM's Division of Marine Fisheries. "Their population in the ponds has been exploding over the last month or so, probably as water temperatures have increased, and last week we observed thousands of them in the western section of Ninigret Pond along the East Beach side. DEM joins RIDOH in urging the public to be vigilant while recreating in coastal ponds this summer and to carry a first-aid kit including vinegar in case of a jellyfish encounter."

While the reason for the increase in Atlantic Sea Nettle Jellyfish this summer is not yet fully understood, their numbers are expected to decline over the course over the summer. Other species of jellyfish are less of a concern, like moon jellyfish (flat disc-shape with very short tentacles), and comb jellyfish, which have no stingers at all.

Tyson Foods Recalls Ready-To-Eat Chicken Products

2021-07-06

The Rhode Island Department of Health (RIDOH) is advising consumers that Tyson Foods is recalling 8,492,832 pounds of ready-to-eat chicken products that may be contaminated with Listeria monocytogenes.

The frozen, fully cooked chicken products were produced between December 26, 2020 and April 13, 2021. The products subject to recall have establishment number "EST. P-7089" on the product bag or inside the U.S. Department of Agriculture (USDA) mark of inspection. These items were shipped nationwide to retailers and institutions, including hospitals, nursing facilities, and restaurants. The products that are subject to the recall are listed online. (See link below)

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns. Less commonly, people outside these risk groups are affected. Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. People in the higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell their healthcare provider about eating the contaminated food.

On June 9, 2021, the USDA was notified of two people ill with listeriosis. Working in conjunction with the Centers for Disease Control and Prevention (CDC) and local public health partners, the USDA determined there is evidence linking the Listeria monocytogenes illnesses to precooked chicken produced at Tyson Foods. The epidemiologic investigation identified three listeriosis illnesses, including one death, between April 6, 2021 and June 5, 2021.

USDA is concerned that some product may be in consumer and institutional freezers. Consumers should not eat these products. Institutions should not serve these products. These products should be thrown away or returned to the place of purchase.

RIDOH Announces New Health Equity Zones

2021-07-01

The Rhode Island Department of Health (RIDOH) today announced that it is expanding support and funding to establish four new Health Equity Zones (HEZs). Warwick, Warren, Blackstone Valley (including Cumberland, North Smithfield, and Lincoln), and the 02905 ZIP code (including lower South Providence and nearby neighborhoods) were chosen through a competitive process that drew applicants from communities across the State.

The ongoing expansion of RIDOH's HEZ initiative has been made possible in part through support from a pilot investment in place-based transformation in Rhode Island by Blue Meridian Partners and in partnership with ONE Neighborhood Builders (ONE|NB). Blue Meridian Partners is a national philanthropic organization that finds and funds scalable solutions to the problems that limit economic mobility and trap America's young people and families in poverty. ONE|NB is the backbone, or convening entity, of the pilot initiative, known as Central Providence Opportunities. The goal of Central Providence Opportunities is to improve economic opportunity in the 02908 and 02909 ZIP codes of Providence through affordable housing development, wage growth, local business development, and early education supports. The aim is to scale this pilot effort to other communities in Rhode Island by working with residents, community partners, and State agencies.

"Rhode Island's Health Equity Zones are a transformative element of the State's health and wellness infrastructure," said Governor Dan McKee. "Thank you to Blue Meridian Partners, One Neighborhood Builders, and the Rhode Island Department of Health for making HEZ expansion possible to ensure more of our neighbors in more of our communities can benefit from these important collaborations."

"Recognizing the power and promise of the HEZ initiative, it only made sense to invest in its expansion," said Jennifer Hawkins, executive director of ONE|NB. "The entire Central Providence Opportunities team looks forward to sharing the lessons we have learned about the connections between comprehensive community development and improved economic mobility-and, consequently, improved health outcomes."

The investment to expand Rhode Island's HEZ initiative will be managed by the Rhode Island Foundation in partnership with the Rhode Island Executive Office of Health and Human Services (EOHHS) and RIDOH, and the funding will be leveraged to expand the impact of the HEZ model into additional communities.

"We're inspired by the many local communities that are deeply investing in health equity initiatives," said Assistant Secretary of EOHHS Ana Novais. "Expanding our Health Equity Zones makes it possible for more Rhode Islanders to live their healthiest lives. Thanks to our funding partners, we're honored to engage more communities through this latest coordinated and aligned investment in health equity."

"As the State's community foundation, and as investors in the existing Health Equity Zones, we are pleased to be a partner in this work," said Neil D. Steinberg, president and CEO of the Rhode Island Foundation. "Our hope is that the new sites will follow the model of successful HEZs around the state, providing opportunity for even more Rhode Islanders to work together to use their voices, and collective power, to improve their own health and the health of their communities."

Like the 11 existing HEZs, the four new HEZs will annually receive $150,000 in core funding and support to ensure that these communities ground their work in public health principles and best practices, so that measurable outcomes are reached and evaluated.

"Every Rhode Islander, in every ZIP code, should have the opportunity to live the healthiest life possible, in the healthiest community possible," said Director of Health Nicole Alexander-Scott, MD, MPH. "A key feature of our Health Equity Zone initiative is that it puts the community's voice front and center, since residents understand the challenges facing their communities the best. Congratulations to the new Warwick, Warren, Blackstone Valley, and 02905 Health Equity Zones. We are thrilled to expand this opportunity to additional communities here in Rhode Island and look forward to seeing what you accomplish to improve the health and lives of Rhode Islanders."

RIDOH's HEZ initiative uses a health equity-centered approach to prevention that leverages place-based, community-led solutions to address the social determinants of health. The initiative is grounded in research that shows up to 85% of health outcomes are determined by factors outside clinical settings, such as access to affordable, healthy foods; high-quality education; employment opportunities; and safe neighborhoods. The HEZ model encourages and equips community members and partners to collaboratively address these factors to create healthy places for people to live, learn, work, and play.

Each successful application was submitted by a municipal or nonprofit, community-based organization that will serve as the backbone agency for the local HEZ. These agencies-East Bay Community Action Program, Blackstone Valley Advocacy Center, Family Service of Rhode Island, and Comprehensive Community Action Program-will facilitate a community-led process to organize a collaborative of community partners, conduct a needs and asset assessment, identify priorities based on community input, and implement a data-driven plan of action to address the obstacles to health and well-being in local neighborhoods. A comprehensive description of the HEZ approach, model, and process is detailed in the guide that RIDOH recently launched with support and funding from the Robert Wood Johnson Foundation and the Association of State and Territorial Health Officials (ASTHO), Health Equity Zones: A Toolkit for Building Healthy and Resilient Communities.

Existing Rhode Island HEZ collaboratives include residents, diverse community-based organizations, youth-serving organizations, educators, business leaders, health professionals, transportation experts, and people in many other fields who are coming together to take action to address the most pressing concerns impacting the health of their neighborhoods.

The initial year-long contract period will begin in July 2021 and may be renewed for up to four additional 12-month periods based on HEZ performance outcomes evaluated and based on the availability of funds.

To learn more about the HEZ model in Rhode Island, visit http://www.health.ri.gov/hez.

RIDOH Reports Case of Rare Tick-Borne Disease Powassan

2021-06-29

The Rhode Island Department of Health (RIDOH) is reporting a confirmed case of the tick-borne Powassan virus disease (Powassan) detected in a Rhode Island resident. Laboratory testing confirming the diagnosis was conducted by the Centers for Disease Control and Prevention (CDC). The case involves a previously healthy male over the age of 70 from Providence County, who developed neurological symptoms and is now recovering.

Powassan is a tick-borne disease that is found mostly in the Northeast and the Great Lakes regions of the U.S. and in eastern Canada. Over 166 cases of Powassan have been reported in the United States in the past 10 years. Powassan cases are rare, but the reported number of cases has increased in recent years. Between 2010 and 2019, there were 56 cases of Powassan reported in New England - 31 cases in Massachusetts, eight cases in Connecticut, eight cases in Maine, five cases in New Hampshire, and four cases in Rhode Island.

Initial symptoms of Powassan include fever, headache, vomiting, and generalized weakness. The disease usually progresses to meningoencephalitis, which may include meningeal signs, altered mental status, seizures, aphasia (difficulty understanding or speaking), paresis (muscular weakness or paralysis), movement disorders, or cranial nerve palsies. People with severe Powassan disease often need to be hospitalized. There is no vaccine or treatment for Powassan, so preventing exposure to ticks is the best strategy to avoid this disease.

RIDOH and the Rhode Island Department of Environmental Management (DEM) remind Rhode Islanders to take steps to prevent tick-borne diseases, including Powassan and Lyme Disease, when spending time outdoors. RIDOH has launched its annual summer tick safety campaign with prevention messages featured on television, radio, and social media. The Tick Free Rhode Island campaign highlights the three keys to tick safety: repel, check, and remove.

Repel - Keep ticks off you, your children, and pets by:

- Avoiding wooded and brushy areas with high grass and leaves. If you are going to be in a wooded area, walk in the center of the trail to avoid contact with overgrown grass, brush, and leaves at the edges of the trail. You can also spray your clothes with permethrin to keep ticks away. Make sure to not spray this on your skin.

- Wearing long pants and long-sleeve shirts when outside. o Tucking your pants into your socks so ticks do not crawl under your clothes. o Wearing light-colored clothing so you can see ticks more easily.

Check - Check yourself, your children, and pets, for ticks by:

- Taking a shower as soon as you come inside if you have been in grassy or wooded areas.

- Doing a full-body tick check using a mirror; parents should check their kids for ticks and pay special attention to the area in and around the ears, in the belly button, behind the knees, between the legs, around the waist, and in their hair.

- Checking your pets for ticks as well because they can bring ticks into the home.

Remove - Remove ticks from your body, as well as from children and pets, if you find them.

- Use a set of tweezers to remove the tick. Grasp the tick as close to the skin as possible and pull straight up.

- If you don't have tweezers, use your fingers with a tissue or rubber gloves.

For more information on Powassan, Lyme disease, and other tick-borne diseases, visit https://health.ri.gov/ticks.

Blue-Green Algae Bloom in Georgiaville Pond in Smithfield

2021-06-28

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Georgiaville Pond in Smithfield due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from Georgiaville Pond. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Avanti Frozen Foods Recalling Certain Shrimp Products

2021-06-28

The Rhode Island Department of Health (RIDOH) is advising consumers that Avanti Frozen Foods is recalling certain shrimp products because they could have been contaminated with Salmonella. These shrimp products were sold under the brand names Censea, Hannaford, Open Acres, Waterfront Bistro, Honest Catch, Chicken of the Sea, 365, and Meijer.

The frozen shrimp products were distributed nationwide from December 2020 to February 2021. These products were sold in various unit sizes and some were packaged with cocktail sauce. Additional information about the specific products being recalled, including container descriptions and expiration dates, is available online (see link below).

Salmonella is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting, and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis, and arthritis.

Consumers who have purchased the products being recalled should return them to the place of purchase for a full refund.

Governor McKee, Rhode Island Department of Health Lift COVID-19 Restrictions on Remaining "Higher Risk" Activities

2021-06-18

"Higher Risk" Activities Include Live Performances, Indoor Hookah, Saunas & Whirlpools, Nightclubs

PROVIDENCE, RI- The Governor's Office and Rhode Island Department of Health today announced that certain restrictions on what have been categorized as higher risk activities and settings will be lifted effective June 18, 2021. The activities and settings include: live indoor performances, indoor hookah, saunas and whirlpools, and nightclubs. These settings and activities continue to be higher risk for people who are not fully vaccinated. Anyone who is not fully vaccinated, including children who are too young to be vaccinated, should continue to wear a mask when indoors.

Live performances

The following restrictions on live indoor performances have been lifted: previously, if masks were not worn, there had to be at least six feet of physical distance between performers and any other person including other performers. If masks were worn, there had be at least three feet of physical distance between all performers. If all performers were fully vaccinated, no spacing or masking restrictions were recommended.

Indoor hookah

The following restrictions on indoor hookah establishments have been lifted: previously, the use of hookahs or waterpipes indoors at establishments was prohibited, unless the establishment restricted access to the area to fully vaccinated people. Additional COVID-19-specific guidelines have been lifted, but general safety and health maintenance best practice guidelines remain in place.

Saunas & Whirlpools

The following restrictions on saunas and whirlpools have been lifted: previously, these establishments were only open to fully vaccinated people as verified by the establishment. Unvaccinated people are advised to continue to wear masks indoors, when possible. Sauna and whirlpool occupancy levels may return to pre-COVID-19 levels. All other health maintenance best practices and guidelines remain in place.

Nightclubs

The following restrictions on nightclubs have been lifted: previously, nightclubs were to operate at 50% of regular operating capacity. Nightclubs could increase capacity to 100% if the establishment limited access to only vaccinated people. Nightclubs may return to pre-COVID-19 capacity. Unvaccinated people are encouraged to wear masks indoors.

For a complete list of COVID-19 reopening guidance, best practices and other information, visit reopeningri.com.

Governor McKee, RIDOH Announce COVID-19 Test Site Consolidation Plan

2021-06-14

Due to a shift in strategy and focus in the State's COVID-19 response, Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing their plan to consolidate State-run COVID-19 test sites.

As the pandemic evolves, the State's testing strategy has become more targeted. Rhode Island is focused on bringing COVID-19 testing to the most vulnerable groups of people in the State. Mobile and pop-up testing has been implemented in places where it is needed the most, like schools, communities with low vaccination rates, travel destinations, and in places where outbreaks have occurred.

By the end of the month, State-run, larger-volume test sites will be consolidated. The State will maintain 25 fixed test sites throughout Rhode Island to ensure all residents have access to free and convenient COVID-19 testing. Rhode Islanders also have the option to get tested at retail pharmacies and medical offices.

"The Department of Health and all of our local partners made testing a priority early into the pandemic, which made a world of difference," said Governor Dan McKee. "Please continue to get tested even if you are vaccinated and have symptoms. Testing will continue to be an important way to keep Rhode Islanders safe as more and more Rhode Islanders across age bands get vaccinated and will help RIDOH identify emerging variants in our communities."

Throughout the pandemic, the State has led the nation in COVID-19 testing rates per capita and maintained capacity for large-scale asymptomatic testing. As vaccination rates have increased, demand for COVID-19 testing has decreased. At the height of its testing volume in April, the State was testing 125,000 people per week. The State is now testing approximately 50,000 per week. Even with these decreases, the State maintains the ability to ramp up capacity if needed.

"The COVID-19 positivity rate in Rhode Island has gone down and vaccination rates are among the highest in the nation," said Director of Health Nicole Alexander-Scott, MD, MPH. "But the pandemic is not over, and Rhode Islanders need to remain vigilant. COVID-19 testing will continue to be a critical tool in identifying disease and preventing outbreaks."

Saturday, June 26, will be the last day of testing at the following sites:

• Barrington Shopping Center: 180 County Rd. Barrington, RI 02806

• Dorrance Street: 79 Dorrance St. Providence, RI 02903

• Park Holm Senior Center: 1 Eisenhower St. Newport, RI 02840

• Stop & Shop Newport: 199 JT Connell Hwy Newport, RI 02840

• K12 CCRI- Newport: 1 John H. Chafee Blvd. Newport, RI 02840

• K12 Pastore Campus: 19 Foster Rd. Cranston, RI 02920

Sunday, June 27, will be the last day of testing at the following sites:

• New England Tech-East Greenwich: 1560 Division Rd. East Greenwich, RI 02818

• New England Tech-Warwick: 2480 Post Road Warwick, RI 02886

• North Providence Mineral Spring: 1967 Mineral Spring Ave. North Providence, RI 02904

• Rhode Island Convention Center Parking Garage: 114 West Exchange St. Providence, RI 02903 (walk-up PCR location at the ticket booth on Sabin Street will remain open)

• Smithfield VFW: 47 Farnum Pike Smithfield, RI 02917

• Stop & Shop Cottage Street-Pawtucket: 368 - 398 Cottage St. Pawtucket, RI 02860

• Walnut Hill Plaza: 1500 Diamond Hill Rd. Woonsocket, RI 02895

If you are not fully vaccinated, you should get tested weekly. If you are fully vaccinated, you should get tested if you develop symptoms of COVID-19 or you are returning from out-of-state travel. Vaccinated travelers are still encouraged to get a COVID-19 test between five and 10 days after out-of-state travel. For a full list of COVID-19 test sites, visit http://covid.ri.gov/testing.

Beech-Nut Nutrition Issues Voluntary Recall of Infant Rice Cereal

2021-06-09

The Rhode Island Department of Health (RIDOH) is alerting consumers that Beech-Nut Nutrition issued a voluntary recall of one lot of Beech-Nut Stage 1, Single Grain Rice Cereal. This recall is a result of a routine sampling which showed test results that were above the guidance level for naturally occurring inorganic arsenic set by the FDA in August 2020. The rice flour used had been tested and confirmed as being below the FDA guidance level for inorganic arsenic.

The specific Beech-Nut Single Grain Rice item (UPC Code# 52200034705) being recalled has an expiration date of 01MAY2022 and product codes: 103470XXXX and 093470XXXX. The expiration date and product numbers can be found at the bottom of the Beech-Nut Single Rice Cereal canister. These specific product codes were distributed nationally through retail and online.

No illnesses related to these product codes have been reported to date, and no other production dates or Beech-Nut products are affected by this recall.

FDA has recognized that trace elements such as these are widely present in the environment, including water, soil and food; and has also stated that exposure to elevated levels of naturally occurring inorganic arsenic can pose a health hazard to young children.

Consumers who may have purchased recalled product should discard it. They can also go to www.beechnut.com/ricecereal, or call 866-272-9417, Monday-Friday, 8 a.m. to 8 p.m. for further information on obtaining an exchange or refund.

Rhode Island Sends 200,000 COVID-19 Test Kits to India

2021-06-07

In collaboration with Kent Hospital and Care New England's COVID-19 Crisis Relief Effort, the Rhode Island Department of Health (RIDOH) sent 200,000 COVID-19 tests to India last week. The tests, along with other medical supplies like personal protective equipment, ventilators, medications, and pulse oximeters, will be distributed to hospitals around Delhi.

"I'm proud that Rhode Island is able to make the contribution of tests to support our global partners," said Governor Dan McKee. "It's going to take a local and global approach to slow the spread of COVID-19 and I'm glad that Rhode Island could step up in this way for the international community."

Each kit includes everything needed to administer and process the test like nasal swabs, resulting cards, and a bottle of reagent solution.

"India's hospitals and laboratories have been stretched to their limit as case counts in the nation reach an all-time high," said Director of Health Nicole Alexander-Scott, MD, MPH. "RIDOH is sending BinaxNOW rapid antigen tests to help healthcare professionals quickly identify positive COVID-19 cases and put them into isolation. We know that getting COVID-19 positive patients into isolation significantly reduces the continued spread of disease. This type of test does not need to be sent to a lab and provides results in 15 minutes."

RIDOH received these BinaxNOW rapid antigen tests for free from the federal government. This supply allowed RIDOH to expand its testing footprint throughout the State, bringing fast and easy testing to schools, medical offices, and workplaces. RIDOH currently has enough rapid antigen tests to sustain current testing volume.

Boil Water Notice Issued for Westwood YMCA

2021-06-03

The Rhode Island Department of Health (RIDOH) is alerting customers of the Westwood YMCA in Coventry that they should boil their water before consuming it.

Westwood YMCA collected a sample in the water system on May 27, 2021, and the sample had E. coli present. Westwood YMCA failed to collect a complete set of required repeat samples within the required timeframe following the notification of a E. Coli present sample. Failing to do so requires that a boil water order notice be issued.

All water used for consumption should be boiled vigorously for at least one minute. This recommendation pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Alternatively, customers can use bottled water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water.

A boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact Jeff Smith at 401-741-1252.

RIDOH Announces Approval, With Conditions, of Chamber Prospect CharterCARE's Applications

2021-06-01

The Rhode Island Department of Health (RIDOH) announces that it has given conditional approval to Chamber Prospect CharterCARE's Change in Effective Control (CEC) and Hospital Conversion Act (HCA) applications. This transaction allows investors to end their relationship with the parent company, Ivy Holdings, Inc., with extensive conditions in place.

The approval of the HCA application is in alignment with, and includes, the financial conditions the Office of the Attorney General announced earlier today.

"This conditional approval is the result of extensive and thoughtful review and deliberation of hours of testimony under oath, analysis of our consultant's findings, public comments, transcripts, and the information and data submitted by the applicants," said Director of Health Dr. Nicole Alexander-Scott. "Our continued priority is to assure quality, equitable, and accessible healthcare for Rhode Islanders served by Roger Williams Medical Center, Our Lady of Fatima Hospital, and other Prospect CharterCARE (PCC) facilities. The specific and strategic conditions we have included in RIDOH's approval allow us to closely monitor the hospitals and their future viability. Most notably, we are not allowing any layoffs for a period of one year."

Other key elements of the conditional approval require:

• Both hospitals to remain open and operational, providing access to quality healthcare services, for at least five years;

• Submission of quarterly reports to RIDOH on quality improvement initiatives;

• No material reduction or elimination of healthcare services without RIDOH approval;

• Participation in RIDOH and community statewide health equity initiatives, including support for local Health Equity Zone (HEZ) initiatives;

• Participation in statewide health information technology initiatives;

• Contributions to primary care and the State health planning initiatives;

• Elimination of management fees paid by both hospitals; and

• Strong and timely financial reporting and notification, including fiscal and public health monitoring for a period of no less than five years.

PYA, P.C. (PYA) served as RIDOH's expert financial consultant for the HCA review. RIDOH met with PYA staff on an ongoing basis as part of the review and analysis of documents submitted by the applicants.

As an expert in the hospital and healthcare accounting industry, PYA provided key financial observations and assisted in RIDOH's review of the HCA application. PYA acknowledged that both hospitals face long-term financial viability risks and have operated at a financial loss since their acquisition in 2014. Since 2014, Prospect Medical Holdings (PMH) has funded operational shortfalls and capital investments while also reporting limited liquidity and a highly leveraged position in recent fiscal years. However, PYA concluded that "Despite these general observations, utilizing the information made available to us by the Transacting Parties, we did not observe impacts from the Proposed Transaction which directly affect the financial condition of PCC. We do note that PCC may be impacted indirectly as a result of any potential material effects to PMH caused by the Proposed Transaction."

"Including these conditions for the applicants allows RIDOH a more focused and distinct ability to monitor these facilities while achieving important public health goals," said Alexander-Scott. "The basis for this decision is in close alignment with the RIDOH's long-standing strategic priorities to ensure quality and accessible health services, including healthcare, for all Rhode Islanders, regardless of their ZIP code."

Rhode Island to Eliminate Residency Requirement for COVID-19 Vaccination

2021-05-13

In advance of the summer tourism season, Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that any clinically eligible person in Rhode Island will be eligible to get vaccinated against COVID-19, regardless of where they live. This policy change will take effect next Monday.

Rhode Island's current policy is that people must either live, work, or study in Rhode Island to be vaccinated in Rhode Island against COVID-19. With vaccine now more available in Rhode Island and nationally, this updated policy will allow people who travel to Rhode Island to get vaccinated here.

"This is a win-win for Rhode Island. We're making sure that travelers who are in Rhode Island are getting protection from COVID-19, which keeps us all safer, and we're marketing Rhode Island to travelers as a state that is doing everything possible to make vacationing safe," said Governor Dan McKee. "To Rhode Islanders 16 and older who have not been vaccinated yet, go out and get your shot today."

People can make an appointment www.vaccianteRI.org or by calling 844-930-1779. Making an appointment is the way to guarantee that you will get a shot. However, people do not need appointments to get vaccinated at the sites at Sockanosset Cross Road (100 Sockanosset Cross Road, Cranston), the Dunkin' Donuts Center, and in Middletown (1400 West Main Road, Middletown). Vaccine is also available at pharmacies throughout Rhode Island.

For more information about COVID-19 vaccine, visit: http://covid.ri.gov/vaccination.

Registration For COVID-19 Vaccination Open for Children 12 to 15 Years of Age

2021-05-11

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that parents and guardians can now register children 12 to 15 years of age to get vaccinated against COVID-19. This follows the announcement from the U.S. Food and Drug Administration (FDA) yesterday granting an Emergency Use Authorization to Pfizer's COVID-19 vaccine for children in this age group.

"COVID-19 vaccine is safe and effective," said Governor Dan McKee. "I'm urging all parents to get their 12- to 15-year-olds vaccinated. This vaccine will help keep kids, families, and our community safe."

"The Pfizer vaccine was rigorously studied before it was made available to children 12 to 15 years of age, and we are doing on-going monitoring after administering more than 100 million doses to adults in the U.S. over the last five months," said Director of Health Nicole Alexander-Scott, MD, MPH. "Getting the child in your life vaccinated against COVID-19 is one of the most important things you can do to make sure their summer is healthy and safe."

Parents and guardians can give consent and make appointments for Pfizer vaccine for children on VaccinateRI.org. (Johnson & Johnson and Moderna vaccine are still only available to be people 18 years of age and older.) It is recommended that children be accompanied by an adult for appointments at the State's mass vaccination sites. Walk-up vaccination opportunities are also available at the sites at Sockanosset Cross Road (100 Sockanosset Cross Road, Cranston), the Dunkin' Donuts Center (1 La Salle Square, Providence), and in Middletown (1400 West Main Road, Middletown).

RIDOH will also be working with cities, towns, and school departments to offer clinics in schools. (Schools have already been offering vaccine to students 16 and older.) Additionally, it is anticipated that the large pharmacy chains will start offering vaccine to children in this age group later this week.

Largely because children cannot be vaccinated, and because more contagious variants of COVID-19 are now circulating in Rhode Island, an increased proportion of Rhode Island's COVID-19 cases are now among children. In clinical trials, the Pfizer vaccine was extremely effective at preventing COVID-19 in children 12 to 15 years of age. The vaccine was 100% effective at preventing COVID-19 infection with symptoms and led to a strong antibody response.

Additional information about COVID-19 vaccine in Rhode Island is available online: https://covid.ri.gov/vaccination.

Rhode Island to Resume Johnson and Johnson Vaccine Administration

2021-04-26

Rhode Island Department of Health (RIDOH) is announcing that Rhode Island will resume the administration of Johnson & Johnson COVID-19 vaccine this week. This decision was made following the recommendation last week by the U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) that the temporary pause on the administration of Johnson & Johnson vaccine should be lifted. The agencies are confident in the safety and effectiveness of the vaccine in preventing COVID-19.

"This pause in the administration of Johnson & Johnson vaccine demonstrates that we have rigorous safety systems in place, and those systems work," said Director of Health Nicole Alexander-Scott, MD, MPH. "We will continue to monitor both the safety and the effectiveness of COVID-19 vaccine. We continue to see that COVID-19 vaccine is preventing cases, hospitalizations, and fatalities in Rhode Island. Everyone older than 16 years of age is now eligible to get vaccinated. Getting vaccinated is the best way to keep yourself and your loved ones safe when it comes to COVID-19."

The pause was announced on April 13th after reports of six people experiencing adverse reactions involving a rare and severe type of blood clot called cerebral venous sinus thrombosis (CVST). The problems were found up to two weeks after vaccination. During the pause, the issue was reviewed by the Advisory Committee on Immunization Practices (ACIP), which is a group that advises the CDC. The risk of CVST was also reviewed by medical and scientific teams at the FDA and CDC. Following this review, the CDC and the FDA determined that the vaccine's benefits outweigh any potential risks, and that it is safe and effective in preventing COVID-19.

Roughly 7 million doses of the Johnson & Johnson vaccine have been administered in the U.S. More than 31,000 doses of Johnson & Johnson vaccine have been administered in Rhode Island. There have been no reported cases of CVST among people vaccinated with Johnson & Johnson vaccine in Rhode Island.

Appointments for Johnson & Johnson vaccine will again be available on VaccinateRI.org this week, as well as through other channels. (People can also make appointments by calling 211.) Johnson & Johnson vaccine is a single dose COVID-19 vaccine available to people who are 18 years of age and older.

Rhode Island healthcare providers have been provided with information and guidance about CVST and appropriate medical treatment. Updated clinician guidance will continue to be provided. Healthcare providers should ensure patients understand the risk of any vaccine and have all of their questions answered prior to any vaccine administration. Patients do have a choice of which COVID-19 vaccine they receive. State vaccine sites will do their best to have as many vaccine options as possible.

Although the side effects of concern are extremely rare, the FDA and CDC recommend that people who develop severe headache, abdominal pain, leg pain or shortness of breath within three weeks of receiving the Johnson & Johnson vaccine should immediately contact their health care provider.

Jule's Foods Issues Recall of Brie and Other Products

2021-04-23

The Rhode Island Department of Health (RIDOH) is advising consumers that Jule's Foods is recalling all Jule's Foods products because they were potentially contaminated with Salmonella. These products include:

- Jule's Cashew Brie (Classic) - UPC: 860388001507 - all expiration dates

- Jule's Truffle Cashew Brie - UPC: 860388001514 - all expiration dates

- Jule's Black Garlic Cashew Brie - UPC: 860388001552 - all expiration dates

- Jule's Artichoke Spinach Dip - UPC: 860388001569 - all expiration dates

- Jule's Vegan Ranch Dressing - UPC: 860388001521 - all expiration dates

These products were distributed to grocery stores in Rhode Island, as well as Arkansas, California, Colorado, Connecticut, Florida, Louisiana, Maryland, Minnesota, Nevada New York, New Jersey, Ohio, Oregon, Pennsylvania, Tennessee, and Texas. Jule's Foods Brie products are 6 ounces and wrapped in white cheese paper.

Consumption of food contaminated with Salmonella can cause salmonellosis. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours after eating a contaminated product. Most people recover without treatment. In rare circumstances, infection can produce more severe illness and require hospitalization. Older adults, infants, and persons with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their health care provider.

Production of these products has been suspended while the FDA and the company continue their investigation as to the source of the problem. Please do not consume the product and immediately dispose of the product or return to the place of purchase for a full refund. Consumers with questions may contact the company via email at jules@julesveganfoods.com or telephone at (310) 980-4697 between 9 a.m. - 5 p.m. PDT.

Governor McKee, RIDOH Announce 3,200 COVID-19 Vaccination Appointments to be Posted on Thursday Morning

2021-04-14

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that 3,200 additional COVID-19 vaccination appointments will be posted on VaccinateRI.org on Thursday at 9 a.m. These appointments will be for the State-run site at Sockanosset Cross Road.

These appointments are being released tomorrow, instead of on a Tuesday or a Friday, because many are for this Friday. These appointments for Pfizer and Moderna vaccine had originally been scheduled for release on Tuesday morning, but were held back as the State was still planning the coverage of appointments that had been made for Johnson & Johnson doses.

People age 40 and older who live, work, or go to school in Rhode Island are now eligible to schedule a COVID-19 vaccination appointment. Information about additional eligible populations is available online: https://covid.ri.gov/vaccination

Johnson and Johnson Vaccine Pause

2021-04-13

The Rhode Island Department of Health (RIDOH) is announcing that Rhode Island is pausing administration of Johnson & Johnson vaccine as federal partners continue gathering more information. No Johnson & Johnson appointments had been scheduled for release today. RIDOH is directing vaccinators that had made Johnson & Johnson vaccination appointments to not administer those doses. Additional information will be shared shortly regarding people who had already made appointments for Johnson & Johnson vaccine.

No information reported to RIDOH has indicated that Johnson & Johnson vaccine represents a health or safety concern. However, RIDOH is taking this step in alignment with federal partners.

Governor McKee, RIDOH Announce 7,600 COVID-19 Vaccination Appointments to be Posted Tomorrow

2021-04-12

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that 7,600 additional COVID-19 vaccination appointments will be posted on VaccinateRI.org on Tuesday at 9 a.m. These appointments will be for the Dunkin' Donuts Center, the State-run mass vaccination sites in Woonsocket, South County, and at Sockanosset Cross Road, and at the regional clinics in Johnston, Westerly, and East Providence.

"It is my top priority to get as many Rhode Islanders vaccinated as quickly and equitably as possible," said Governor Dan McKee. "We know that transportation can be a barrier to vaccine access. Many vaccine and testing sites have been purposefully located near RIPTA transportation routes to increase accessibility. We hope RIPTA service options will make it easier for Rhode Islanders to access vaccine clinics that are convenient for them."

In addition to the age groups previously eligible, people who are 40 to 49 years of age are now eligible to register. Additionally, eligibility has been expanded to everyone 16 years of age and older in several harder hit ZIP codes. Those ZIP codes are 02895 (Woonsocket), 02893 (West Warwick), 02906 (Providence), 02910 and 02920 (Cranston), 02911 (North Providence), 02914 (East Providence), and 02919 (Johnston). These ZIP codes are in addition to the ZIP codes in Providence, Cranston, North Providence, Pawtucket, and Central Falls where eligibility has already been expanded (02860, 02861, 02863, 02904, 02905, 02907, 02908, and 02909).

People who need help scheduling an appointment should call 844-930-1779.

COVID-19 Vaccine Eligibility Expansion Announced for Today and Monday

2021-04-09

As a part of ongoing efforts to get vaccine into communities hardest hit by COVID-19, Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that residents of Woonsocket who are 16 years of age and older are eligible to register to get vaccinated today.

As outlined by Governor McKee at yesterday's press conference, eligibility will further expand on Monday. On Monday, any Rhode Islander 40 to 49 years of age will be eligible to register to get vaccinated. Additionally, on Monday, residents of 02893 (West Warwick), 02906 (Providence), 02910 and 02920 (Cranston), 02911 (North Providence), 02914 (East Providence), and 02919 (Johnston), age 16 and older will be eligible.

"We continue to vaccinate as many people as our vaccine allocation allows," said Governor McKee. "Our increased capacity to get shots in arms puts us on track to meet the President's recommendation that all adults are eligible for vaccination by April 19."

"Equity is a major focus for us in responding to the COVID-19 crisis. This means distributing vaccine in a way that is responsive to the reality that COVID-19 has had a disproportionate effect on certain communities," said Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health. "This approach is reflective of our larger vision at the Rhode Island Department of Health that all Rhode Islanders in every ZIP code should have an equal opportunity to be healthy."

In addition to expanding age eligibility in communities most impacted by COVID-19, Rhode Island is running equity-focused COVID-19 vaccination clinics this weekend and next weekend at the Dunkin' Donuts Center in Providence and at the State-run vaccination site in Woonsocket.

Eligibility is opening to Woonsocket residents today, not Monday, because that community has been harder hit. For the week of March 28th to April 3rd, Woonsocket had 128 new cases of COVID-19, an increase of 21% from the previous week. In addition, Woonsocket has the lowest vaccination coverage rate of any community where age eligibility has not yet been expanded.

Roughly 20,000 slots will open today at 5 p.m. on VaccinateRI.org for people who are currently eligible to register. (Roughly 1,000 of those appointments will be at the Woonsocket site.) People who cannot register online for an appointment at a State-run vaccination site can get help by calling 844-930-1779 or 2-1-1. In addition to appointments at State-run sites, people can get vaccinated at retail pharmacies and at local/regional vaccination sites.

People who are not eligible yet to get vaccinated against COVID-19 can pre-register by signing up for the Vaccine Interest Notification List at http://www.portal.ri.gov. People will be notified by email, text, or phone call when they are eligible and there is an available appointment.

There is no insurance requirement to get vaccinated in Rhode Island, and no one has to pay to get vaccinated. For general information about COVID-19 vaccination in Rhode Island, visit C19vaccineRI.org.

Governor McKee, RIDOH Announce 7,300 Additional COVID-19 Vaccination Appointments to be Posted Tuesday

2021-04-05

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that approximately 7,300 additional COVID-19 vaccination appointments will be posted on VaccinateRI.org on Tuesday at 9 a.m. These appointments will be for the Dunkin' Donuts Center, Sockanosset Cross Road, and the regional sites in Westerly, Johnston, and East Providence. These appointments will be available to people in all groups currently eligible, including people 50 to 59 years of age, who became eligible to register for vaccination today.

"I am glad to be starting off the new week by expanding vaccine eligibility to Rhode Islanders 50 years and older," said Governor Dan McKee. "We're moving quickly to build out our capacity and make vaccines accessible to all Rhode Island adults when our supply increases. I encourage Rhode Islanders to sign up for an appointment as soon as they are able to - getting shots in arms quickly is the fastest way through this pandemic."

This week will also mark the start of the use of Rhode Island's vaccine pre-registration system. Rhode Islanders can pre-register to get vaccinated at a State-run vaccination site through the Vaccine Interest Notification List. To pre-register, visit http://portal.ri.gov or call 844-930-1779. When an appointment opens up for someone who has pre-registered and who is age-eligible, a notification will be sent to that person with a one-time use link. People will be contacted either through email, text message, or phone call, depending on their preference. For most people, there will be some flexibility in the time of the appointment, but it will be for a set date at a set location. People will have 24 hours to make an appointment once they receive a one-time use link. Notifications will be sent starting this Wednesday.

In addition to the State-run vaccination sites and the regional sites, people can make appointments to get vaccinated at a pharmacy. Vaccine is available at CVS, Walgreens, Walmart, Stop & Shop, and a number of independent pharmacies. (While people make appointments at chain pharmacies through those chain pharmacies directly, people can make appointments at independent pharmacies through VaccinateRI.org.)

Along with people who are 50 years of age and older, people who are 16 to 64 with certain underlying health conditions are eligible to get vaccinated, as well as people who were previously eligible in Phase 1 (such as healthcare workers and public safety workers).

Sabra Issues Limited Recall of Certain Classic Hummus Products

2021-04-01

The Rhode Island Department of Health (RIDOH) is advising consumers that Sabra Dipping Company is voluntarily recalling approximately 2,100 cases of 10 oz. Classic Hummus because they were potentially contaminated with Salmonella. The recall is limited to products produced on Friday, February 10, 2021 with a "Best Before" date of April 26th. This product has a UPC of 300067.

This product was distributed to 16 states, including Rhode Island. No illnesses or consumer complaints have been reported to date in connection with this recall. This issue was discovered by a routine screen of a single tub by the U.S. Food and Drug Administration (FDA).

Consumers can contact Sabra Consumer Relations at 1-866-265-6761 for additional information Monday - Friday from 8 AM to 8 PM Eastern Standard Time. Additionally, consumers who have purchased the specific recalled product are urged to return it to the place of purchase or visit www.sabrahummusrecall.com for product reimbursement.

Consumption of food contaminated with Salmonella can cause salmonellosis. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours after eating a contaminated product. Most people recover without treatment. In rare circumstances, infection can produce more severe illness and require hospitalization. Older adults, infants, and persons with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their health care provider.

Governor McKee, RIDOH Announce 12,000 Additional COVID-19 Vaccination Appointments to be Posted Tomorrow

2021-04-01

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that approximately 12,000 additional COVID-19 vaccination appointments will be posted on VaccinateRI.org on Friday at 5 p.m.

"Tomorrow, we'll be releasing the largest batch of vaccine appointments in Rhode Island to date," said Governor Dan McKee. "This is great news for our efforts to get as many shots in arms as quickly as possible. I encourage Rhode Islanders to make a plan to get vaccinated when they become eligible."

Vaccine is currently available statewide for people who are 60 to 64, people who are 16 to 64 with certain underlying health conditions, and people who were previously eligible in Phase 1. On Monday, people 50 to 59 years of age will be eligibility to register to get vaccinated at vaccination sites in Rhode Island. More information about eligibility is available online.

Fentanyl-Contaminated Drugs Continue to Accelerate Rhode Island's Overdose Crisis

2021-03-30

As data from the Rhode Island Department of Health (RIDOH)'s Office of the State Medical Examiners (OSME) indicate a continued increase in overdose deaths involving fentanyl, the State is working to expand community-level access to resources and supports to prevent overdoses and save lives.

During the first 11 months of 2020, 256 Rhode Islanders lost their lives to a fentanyl-involved overdose, accounting for 73% of all overdose deaths during this time. These data compare to 69% in 2019. (It can take up to 90 days for the OSME to confirm a decedent's cause and manner of death. For this reason, Rhode Island's 2020 overdose death data is not yet final.)

This increase in fentanyl-related overdose deaths has contributed to an increase in overall drug overdose deaths. There were 356 accidental drug overdose deaths between January 2020 to November 2020 in Rhode Island, more than any year on record to date. In addition to the increased presence of fentanyl and fentanyl analogs, other contributing factors could include COVID-19-related social isolation and people using drugs alone.

"We know that the COVID-19 pandemic has had a devastating impact on Rhode Island's overdose crisis," said Governor Dan McKee. "It's more important now than ever that we strengthen our efforts to ensure Rhode Islanders who are struggling with substance use and their families receive the support and resources they need. I thank our Overdose Prevention Task Force Co-Chairs for their continued work to address this important public health issue in our communities."

"Illegal drugs have always been dangerous, but right now they are more deadly than ever," said Director of Health Nicole Alexander-Scott, MD, MPH. "If you do use drugs, do not use alone, and make sure that your friends and family have naloxone available. Steps like these can save a life and give someone an opportunity to take the first step on their own personal journey of recovery."

"The drug overdose epidemic has been profoundly impacted by the COVID-19 pandemic which makes it even more important to reach out to members of your community during this unprecedented time," said A. Kathryn Power, Director of the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities & Hospitals. "If you know someone who is struggling, we implore you to call BH Link at 401-414-LINK (5465). Remember that addiction is a disease, treatment is available, and recovery is possible for everyone."

Dr. Alexander-Scott and Director Power are the co-chairs of Governor Dan McKee's Overdose Prevention and Intervention Task Force. The Task Force has four focus areas led by work groups: rescue, treatment, prevention, and recovery. Additional Task Force work groups have since been activated and include efforts related to harm reduction, families, first responders, pregnant and parenting families with substance-exposed newborns, and racial equity. Addressing the drug overdose crisis through the lens of structural racism and equity is front and center to all Task Force-related work.

Fentanyl is a lethal opioid that is usually colorless, tasteless, and odorless. Even a very small amount can cause an overdose. It is often found in counterfeit pills. Pills are pressed to look identical to prescription medications, particularly counterfeit oxycodone pills (sometimes called "Perk 30s," "Perks," "Vikes," or "Oxys"), benzodiazepines (sedating drugs), and Adderall (a stimulant). Fake pills containing fentanyl are even more lethal when crushed and snorted.

Fentanyl is also often found in heroin, methamphetamine, and cocaine. From January 2020 to November 2020, 72% of accidental drug overdose deaths involving cocaine also involved fentanyl.

In addition to fentanyl, methamphetamine is becoming an emerging drug threat in New England. Methamphetamine is a highly-addictive stimulant available as a powdery substance and as a pill. Another version of the drug is called "crystal meth." This type of methamphetamine is often smoked and looks like chunky fragments or shiny blue-white "rocks."

Last week, the Drug Enforcement Agency (DEA)'s New England Branch issued a warning to the public to beware of methamphetamine pills that are being pressed to look like prescription Adderall. Adderall is a medicine usually prescribed to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. Counterfeit Adderall pills are pressed with lethal methamphetamine and made to look like prescription pills.

Resources for People Who Use Drugs and Their Loved Ones

People who use drugs and their loved ones are strongly encouraged to:

- Learn the signs of an overdose and how to respond with a brief online overdose prevention training developed by The University of Rhode Island's Community First Responder Program. The free training is available at PreventOverdoseRI.org in English and Spanish.

- Carry naloxone (overdose reversal medicine) and request a free naloxone kit shipped to your address at no cost. Visit PreventOverdoseRI.org to request a kit today. You can also get naloxone from any Rhode Island pharmacy without a prescription from a healthcare provider.

- Call a local community-based organization for free and anonymous delivery of safer drug use supplies (naloxone, sterile needles, fentanyl test strips) to your location, or to arrange a pickup. People can visit preventoverdoseri.org safer-drug-use-practices/ to learn more.

- Always call 9-1-1 first if someone might be experiencing an overdose. People are protected by the Rhode Island Good Samaritan Law and cannot be arrested if giving naloxone to someone who is experiencing an overdose.

- Call Rhode Island's 24/7 Buprenorphine Hotline, 401-606-5456, for help if you or someone you care about is experiencing opioid withdrawal. Callers can speak with a healthcare provider, learn about Medication Assisted Treatment (MAT) options, and make a plan for treatment and recovery support.

- Call BH Link, 401-414-LINK (5465), for immediate assistance with a mental health or substance use crisis. People can also visit BH Link's drop-in center at 975 Waterman Ave. in East Providence. English and Spanish-speaking counselors are available 24 hours a day, seven days a week to offer support and connect callers to local resources.

State-level initiatives

A number of efforts are currently underway to address the drug overdose crisis in Rhode Island.

- Community-based organizations have increased street outreach presence in overdose hotspots across the state. Certified peer recovery support specialists (CPRSs) distribute naloxone, sterile syringes, and fentanyl test strips, and provide wrap-around services and basic needs to people who use drugs. Project Weber/RENEW conducts outreach in Providence's Kennedy Plaza in partnership with the Downtown Providence Community Overdose Engagement (CODE) Collaborative.

- Rhode Island's 10,000 Chances Project has distributed more than 10,000 free kits of intranasal naloxone to Rhode Islanders who are at risk of overdose and families and friends of people who are at risk.

- Increased housing supports have been made available for people in Woonsocket and Providence through the West Elmwood 02907 and Woonsocket CODE Collaborative projects, key initiatives of the West Elmwood and Woonsocket Health Equity Zones (HEZ).

- Strategic placement of Substance Abuse and Misuse Teams (SMART) at Rhode Island and Landmark Hospital Emergency Departments. Trained ED staff are ready to connect patients who have recently experienced an overdose to local treatment and recovery support services.

Governor McKee, RIDOH Announce Additional Vaccination Appointments; Expanded Efforts to Vaccinate Residents in Hardest Hit Communities

2021-03-29

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) today announced that approximately 5,500 new COVID vaccination appointments will be made available tomorrow at 9 a.m. Additionally, the Governor announced that beginning tomorrow, people who are 16 years of age and older, who live in one of eight hardest hit ZIP codes covering parts of Providence, Cranston, North Providence and all of Pawtucket and Central Falls, will be able to register for vaccination appointments at State-run vaccination sites and participating pharmacy locations.

These additional appointments are being made available as the State is expanding efforts to ensure that residents of communities hardest hit by COVID-19 have access to vaccine. The eight specific ZIP codes are: 02860, 02861, 02863, 02904, 02905, 02907, 02908, and 02909.

"From the day I took office my top priority has been building our vaccination capacity and getting shots in arms in as many Rhode Islanders as quickly as possible," said Rhode Island Governor Dan McKee. "I'm pleased that our supply from the Federal government continues to increase and I encourage all Rhode Islanders to sign up for their shot as soon as they are eligible."

People can register online at VaccinateRI.org. People who can't register online can call 844-930-1779. The appointments that open tomorrow will be for the State-run sites at Sockanosset Cross Road, the Dunkin' Donuts Center in Providence, and the site in Middletown.

After adjusting for age differences, the hospitalization rates in Rhode Island's hardest hit communities is roughly 3.5 times higher than in the rest of the state. Starting at age 50 and older, residents of these communities have higher hospitalization rates than residents who are age 70 and older statewide. Within these communities, COVID-19 has disproportionately impacted Rhode Islanders of color. The age-adjusted hospitalization rate among Hispanic or Latino Rhode Islanders is 4.6 times higher than the rate among white non-Hispanic Rhode Islanders. Similarly, the age-adjusted rate among Black or African American Rhode Islanders is 2.6 times higher.

RIDOH continues to work with the McKee Administration's Equity Council and other partners on strategies to narrow these disparities and expand access to vaccine among communities of color.

Outside of these eight communities, the groups currently eligible for vaccination are people who are age 60 and older, people who are age 16 to 64 with certain underlying health conditions, and people who are part of previously eligible groups (such as healthcare workers, public safety workers, and teachers and child care providers). More information about eligibility is available online.

Governor McKee, RIDOH Announce Additional COVID-19 Vaccination Appointments to be Posted Today

2021-03-27

Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing that additional COVID-19 vaccination appointments will be posted on VaccinateRI.org today at 5 p.m. Approximately 1,000 slots will be made available for the State-run clinic in South County (132 Fairgrounds Road, West Kingston). These appointments will be for slots on Monday.

Vaccine is currently available statewide for people who are 60 to 64, people who are 16 to 64 with certain underlying health conditions, and people who were previously eligible in Phase 1. More information about eligibility is available online.

Governor McKee, RIDOH Announce COVID-19 Vaccine Eligibility to Open for Next Groups on Friday

2021-03-11

COVID-19 vaccination eligibility will open on Friday for Rhode Islanders who are 60 to 64 years of age and who are 16 to 64 with specific underlying health conditions, Governor Dan McKee and the Rhode Island Department of Health (RIDOH) are announcing today.

"Our goal is to get as many people vaccinated as quickly as possible, and opening eligibility to this next group of Rhode Islanders is an important and encouraging step toward that goal," said Governor McKee. "We will continue to build out and increase our state's vaccination capacity to ensure we are prepared to get shots in arms when the vaccine supply increases."

New appointments at Rhode Island's State-run vaccination sites will be added to VaccinateRI.org beginning at 5 p.m. on Friday. (New appointments are regularly added on Tuesdays beginning at 9 a.m. and Fridays beginning at 5 p.m.) Walgreens and CVS expect to adjust their eligibility criteria to take appointments for people in these two groups at 11 a.m. on Friday.

People age 16 to 64 are eligible to be vaccinated if they have one of the following conditions: diabetes (type 1 or type 2); lung disease (such as COPD, emphysema, or cystic fibrosis); heart disease; or kidney disease. People age 16 to 64 are also eligible if they have a weakened immune system. That includes people who have cancer, people who get chemotherapy or radiation, people who have HIV/AIDS, people who have sickle cell disease, people who take medicine that weakens the immune system, and people who are pregnant. A full list of qualifying conditions is available online.

Rhode Island currently has three State-run vaccination sites, located in Providence (at the Dunkin' Donuts Center), Cranston (at Sockanosset Cross Road), and Middletown (1400 West Main Road). People who cannot register online for an appointment at a State-run site through VaccinateRI.org can get help by calling 844-930-1779.

To make an appointment through CVS, go to CVS.com, use CVS Pharmacy phone app or call 800-746-7287. To make an appointment through Walgreens, go to Walgreens.com/ScheduleVaccine or call your local Walgreens.

In addition to retail pharmacies and the three State-run vaccination sites, Rhode Islanders are also getting vaccinated at city- and town-run clinics and through hospital systems, community health centers, and other targeted locations. City- and town-run sites are currently focused on administering second doses to people who are 75 and older and on vaccinating teachers, school staff, and child care workers. On Tuesday Governor Dan McKee announced a plan to get first doses to all teachers, school staff, and child care workers at these sites by the end of March.

People who are not yet eligible to get vaccinated against COVID-19 can sign up for the COVID-19 Vaccine Interest Notification List by visiting http://portal.ri.gov. Rhode Island is using this list to let people know when they are eligible to make a vaccination appointment. The State-run vaccination sites are also using this list to identify and contact Rhode Islanders if they anticipate having any unused doses in open vials as they near the end of the day, beginning with currently eligible groups. People who need help being added to the Vaccine Interest Notification List can call 844-930-1779.

People who live, work, or go to school in Rhode Island can now get additional support when scheduling a COVID-19 vaccine appointment. People can call 2-1-1 to talk to a live, trained person, who can offer help in multiple languages when scheduling appointments on VaccinateRI.org or signing up for the COVID-19 Vaccine Interest Notification List. RIDOH is working with the United Way to provide this free support for all Rhode Islanders, including those with technical challenges and barriers, the deaf and hard of hearing community, those who speak a language other than English, and people with speech disabilities. This help is available 24 hours a day, seven days a week. For more information about COVID-19 vaccination in Rhode Island, visit RIDOH's COVID-19 Vaccine page.

People who are 16 and 17 are only eligible to receive Pfizer vaccine. This may mean that it may be more challenging for these people to make appointments initially.

There is no insurance requirement to get vaccinated in Rhode Island, and no one has to pay to get vaccinated. For general information about COVID-19 vaccination in Rhode Island, visit C19vaccineRI.org.

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RIDOH Calls for Proposals to Expand Health Equity Zone Initiative

2021-03-05

The Rhode Island Department of Health (RIDOH) is soliciting proposals from qualified municipalities and non-profit community-based organizations to expand Rhode Island's Health Equity Zone (HEZ) initiative to additional communities. RIDOH will distribute approximately $1 million through this funding opportunity. Existing Health Equity Zones seeking to expand their geographical boundary, and new communities seeking to create Health Equity Zones, can both apply for funding.

Rhode Island's HEZ initiative takes a health equity-centered approach to public health that leverages place-based, community-led solutions to address the social determinants of health - the surrounding physical, social, and economic environment, such as access to affordable, healthy foods; high-quality education; employment opportunities; and safe neighborhoods - that impact up to 80% of health outcomes and create health disparities.

"Every Rhode Islander, in every ZIP code, should have the opportunity to live the healthiest life possible, in the healthiest community possible," said Director of Health Nicole Alexander-Scott, MD, MPH. "A key feature of our Health Equity Zone initiative is that it puts the community's voice front and center, since residents understand the challenges facing their communities the best. For example, throughout the COVID-19 crisis, our Health Equity Zones have been integral partners in assessing unique needs and identifying equitable solutions for some of our most at-risk Rhode Islanders. We are thrilled to expand this opportunity to additional communities here in Rhode Island."

Funded communities will build a diverse collaborative to conduct a needs assessment to inform a data-driven action plan for addressing the factors that keep people in their neighborhoods from achieving their full potential. RIDOH will provide seed funding and support to ensure communities implement the HEZ model in line with core public health principles.

Rhode Island currently has 11 Health Equity Zones in communities across the State, with at least one in every county. Existing Health Equity Zone collaboratives include residents, diverse community-based organizations, business owners, municipal and State elected officials, transportation and planning experts, youth-serving organizations, educators, health professionals, peer recovery specialists, behavioral health community outreach coordinators, and people in many other fields who are coming together in their distinct communities to address the most pressing concerns in their neighborhoods.

Proposals from communities seeking to create new or expand current Health Equity Zones are due to the State by March 19, 2021. The initial contract period will begin in approximately July 2021 and continue for one year. Contracts may be renewed for up to four additional 12-month periods, similar to previous years, based on vendor performance and the availability of funds.

To learn more about Rhode Island's HEZ initiative, visit http://health.ri.gov/hez.

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COVID-19 Testing Program for Businesses Opens Contact Center

2021-03-03

Rhode Island is expanding its COVID-19 Testing Program for Businesses by launching a new COVID-19 Business Testing Contact Center, the Rhode Island Department of Health (RIDOH) is announcing today.

Through Rhode Island's COVID-19 Testing Program for Businesses, organizations receive regular supplies of BinaxNOW rapid test kits. The new contact center will be staffed with people who are able to provide support to businesses about the testing program over the phone or by email Monday to Friday, 7:30 a.m. to 7 p.m. and from 8:30 a.m. to 4:30 p.m. on Saturdays and Sundays. In addition to addressing questions from businesses currently in the program, the COVID-19 Business Testing Contact Center can be used by businesses that are looking to sign up. The Contact Center can be reached at 888-662-4354 or RIDOH.COVID19BizTesting@health.ri.gov.

"Signing up for Rhode Island's COVID-19 Testing Program for Businesses is a great way for employers to reduce the spread of COVID-19 in the workplace, minimize disruptions to productivity and staffing, and bring some peace of mind to employees," said Director of Health Nicole Alexander-Scott, MD, MPH. "By launching this new COVID-19 Business Testing Contact Center, we're making the experience even easier and more customer friendly."

"We are pleased to offer this testing program to our business community," said Rhode Island Commerce Secretary Stefan Pryor. "This program enables participating businesses to add an important new element to their COVID safety protocols. We are grateful to our government partners as well as to the businesses that are stepping up and taking part."

All Rhode Islanders should consider regular testing for COVID-19, even if they do not have symptoms. Regular testing is particularly important with Rhode Island having identified a more contagious variant of COVID-19 in the state. Even people who have been vaccinated should get tested regularly.

BinaxNOW rapid test kits include everything needed to test someone for COVID-19 and get results within 15 minutes. BinaxNOW tests are point of care tests, meaning that results are available on site using the simple supplies in a kit, rather than through a laboratory.

Since Rhode Island launched its COVID-19 Testing Program for Businesses in January, nearly 500 employers across the state have signed up to conduct regular testing of their employees, including businesses in real estate, manufacturing, legal services, hospitality, and healthcare.

In addition to getting test kits, businesses that sign up will get training on reporting results to RIDOH.

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Recalled El Abuelito Products due to Potential Listeria Contamination

2021-03-02

This update to Thursday's press release specifies the names and sell by dates of recalled El Abuelito products.

The Rhode Island Department of Health (RIDOH) is advising consumers that El Abuelito Cheese of Paterson, NJ is recalling all Queso Fresco (Fresh, soft cheese), Quesillo (Oaxaca, string cheese), and Requeson (Ricotta) products, because they have the potential to be contaminated with Listeria monocytogenes.

As of February 27, 2021, CDC reports ten people infected with the outbreak strain of Listeria monocytogenes from four states.

No cases of Listeria infection have been found in Rhode Island to date. However, recalled products have been identified at a distribution warehouse and retailers in Rhode Island.

All Queso Fresco products with sell by dates through March 28, 2021; all Quesillo (Oaxaca, string cheese) products with sell by dates through April 16, 2021; and all Requeson (Ricotta) products with sell by dates through March 14, 2021 have been recalled. The products are sold as El Abuelito Cheese brand, distributed in CT, NJ, PA, NY; Rio Grande Food Products brand, distributed in VA, NC, MD; Rio Lindo distributed in NC and MD and Viejito, El Paisano, El Sabrosito, La Cima, Quesos Finos, San Carlos, and Ideal Brands.

In addition, the following products are being recalled. These products were produced at Plant #34-12179 in the following forms. It is possible that retailers repackaged Quesillo into smaller containers and then sold this product to consumers. This repackaged product may not bear the original labeling and product information as described below.

El Abuelito Cheese:

Quesillo Abuelito 12oz, vacuum pack, 673130200000

Quesillo Abuelito, 5lbs, vacuum bag, loose bag, 673130500001

Quesillo Abuelito, 10lbs, vacuum bag, loose bag, 673130600008

El Abuelito Requeson Ricotta, 12oz, clam shell container, 673130300014

El Abuelito Requeson Ricotta (promocion $3.99), 12oz, clam shell container, 673130300014

El Viejito Cheese:

El Viejito Quesillo, 10lbs, vacuum bag, loose bag, 718122180950

El Viejito Requeson/Ricotta, 12oz, clam shell container, 718122180912

El Paisano Cheese:

El Paisano Quesillo, 5lbs, vacuum bag, 799456415468

El Paisano Quesillo, 10lbs, vacuum bag, 799456415482

El Sabrosito Cheese:

El Sabrosito Quesillo, 10lbs vacuum bag, 749390337586

La Sima Cheese:

La Sima Quesillo, 5lbs, vacuum bag, 072632891653

Quesos Finos Cheese:

Quesos Finos Quesillo, 5lbs, vacuum bag, 851800004145

San Carlos Cheese:

San Carlos Quesillo, 14lbs, loose bag, 814920000039

Ideal Cheese:

Ideal Quesillo, 5lbs, vacuum bag, 610563082674

Ideal Quesillo, 10lbs, vacuum bag, 897930001951

Listeria Monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

Call your healthcare provider if you have any symptoms (high fever, headache, stiffness, nausea, abdominal pain, and diarrhea) of infection with Listeria after eating Hispanic-style fresh and soft cheeses.

Consumers who have purchased the stated Queso Fresco, Quesillo (Oaxaca, string cheese), and Requeson (Ricotta) products are urged not to consume and to return product to the place of purchase for a full refund. FDA recommends that anyone who purchased or received any El Abuelito brand Quesillo, Requeson, or recalled Queso Fresco cheeses carefully clean and sanitize any surfaces and containers that may have come in contact with these products to reduce the risk of cross-contamination. Listeria can survive in refrigerated temperatures and can easily spread to other foods and surfaces. Consumers with questions may contact El Abuelito Monday to Friday from 8 a.m. to 5 p.m. EST and Saturday from 8 a.m. to 12 p.m. EST at (973) 345-3503.

El Abuelito Recall Expanded to Include All Cheese Products

2021-02-25

The Rhode Island Department of Health (RIDOH) is advising consumers that the FDA is working with El Abuelito Cheese, Inc. to recall all of its cheese products (queso fresco, Oaxaca cheese, cotija cheese, and crema).

The Connecticut State Laboratory has confirmed that the Listeria monocytogenes found in samples of El Abuelito Cheese products is a match for the Listeria monocytogenes that has caused illness in 10 people in MD, CT, NY, and VA.

Earlier this week, the FDA and El Abuelito announced a recall of Queso Fresco products with "sell by" dates through 03/28/21. Today, the FDA has expanded its warning to include all El Abuelito-brand cheeses until more information is known.

This step was taken out of an abundance of caution and due to the severity of Listeria infection.

Consumers, restaurants, and retailers should not eat, sell, or serve any El Abuelito brand cheeses, including, but not limited to, the recalled El Abuelito cheeses listed below. Additionally they should not eat, sell, or serve any recalled Rio Grande and Rio Lindo brand queso fresco cheeses.

El Abuelito Cheese:

• Queso Fresco Regular, 12 oz., Plastic Container, 673130100003

• Queso Fresco Promoción, 10 oz., Plastic Container, 673130100078

• Queso Fresco de Hoja, 12 oz., Plastic Container, 673130100065

• Queso Fresco, 5 Lb., Vaccuum Packed, 673130100058

• Queso Fresco Guatemala, 12 oz., Plastic Container, 673130100027

Rio Grande Food Products, Inc.:

• Chirilagua Queso de Hacienda, 12 oz., Plastic Container, 738529005571

• Queso Fresco Campestre con Hoja, 14 oz., Plastic Container, 812324031161

• Queso Fresco Campestre Artesanal, 14 oz., Plastic Container, 738529002518

• Queso Fresco con Hoja, 14 oz., Plastic Container, 738529004581

• Queso Fresco Yorito, 12 oz., Plastic Container, 738529005564

• Queso Fresco Olancho, 14 oz., Plastic Container, 812324031222

• Cuajada Fresca Guatemalteca, 12 oz., Plastic Container, 738529001276

• Cuajada Fresca Hondureña, 12 oz., Plastic Container, 738529001269

• Cuajada Fresca Salvadoreña, 12 oz., Plastic Container, 738529001252

Rio Lindo:

• Queso Fresco Mexicano, 12 oz., Plastic Container, 718122088587

• Queso Fresco Hondureño, 12 oz., Plastic Container, 718122088591

• Queso Fresco Salvadoreño, 12 oz., Plastic Container, 718122088607

FDA recommends that anyone who purchased or received any El Abuelito brand cheeses or recalled products use extra vigilance in cleaning and sanitizing any surfaces and containers that may have come in contact with these products to reduce the risk of cross-contamination. Listeria can survive in refrigerated temperatures and can easily spread to other foods and surfaces.

Listeria Monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

Call your healthcare provider if you have any symptoms (high fever, headache, stiffness, nausea, abdominal pain, and diarrhea) of infection with Listeria after eating Hispanic-style fresh and soft cheeses.

El Abuelito Recalls Queso Fresco Products Because of Possible Health Risk

2021-02-23

The Rhode Island Department of Health (RIDOH) is advising consumers that El Abuelito Cheese of Paterson, NJ is recalling all Queso Fresco (fresh, soft cheese) products, because of potential Listeria monocytogenes contamination.

As of February 11, 2021, the CDC reports seven people infected with the outbreak strain of Listeria monocytogenes from four states. To date, no cases have been identified in Rhode Island.

All Queso Fresco products with sell by dates through March 28, 2021 have been recalled. The products are sold as El Abuelito Cheese brand, distributed in CT, NJ, PA, NY; Rio Grande Food Products brand, distributed in VA, NC, MD; and Rio Lindo distributed in NC and MD. The products were distributed through Feb 16, 2021 and were available in supermarkets, wholesale, and retails stores.

The following products being recalled were produced at Plant #34-12179 in the following forms:

El Abuelito Cheese:

• Queso Fresco Regular, 12 oz., Plastic Container, 673130100003

• Queso Fresco Promoción, 10 oz., Plastic Container, 673130100078

• Queso Fresco de Hoja, 12 oz., Plastic Container, 673130100065

• Queso Fresco, 5 Lb., Vacuum Packed, 673130100058

• Queso Fresco Guatemala, 12 oz., Plastic Container, 673130100027

Rio Grande Food Products, Inc.:

• Chirilagua Queso de Hacienda, 12 oz., Plastic Container, 738529005571

• Queso Fresco Campestre con Hoja, 14 oz., Plastic Container, 812324031161

• Queso Fresco Campestre Artesanal, 14 oz., Plastic Container, 738529002518

• Queso Fresco con Hoja, 14 oz., Plastic Container, 738529004581

• Queso Fresco Yorito, 12 oz., Plastic Container, 738529005564

• Queso Fresco Olancho, 14 oz., Plastic Container, 812324031222

• Cuajada Fresca Guatemalteca, 12 oz., Plastic Container, 738529001276

• Cuajada Fresca Hondureña, 12 oz., Plastic Container, 738529001269

• Cuajada Fresca Salvadoreña, 12 oz., Plastic Container, 738529001252

Rio Lindo:

• Queso Fresco Mexicano, 12 oz., Plastic Container, 718122088587

• Queso Fresco Hondureño, 12 oz., Plastic Container, 718122088591

• Queso Fresco Salvadoreño, 12 oz., Plastic Container, 718122088607

El Abuelito has stopped the production and distribution of the product as FDA and El Abuelito continue to investigate what caused the problem. Samples of El Abuelito Queso Fresco are being analyzed for the presence of the same Listeria monocytogenes that caused illness in people. These analyses are still ongoing. There is not enough evidence to determine if this outbreak is linked to El Abuelito Queso Fresco.

Listeria Monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

Call your healthcare provider if you have any symptoms (high fever, headache, stiffness, nausea, abdominal pain, and diarrhea) of infection with Listeria after eating Hispanic-style fresh and soft cheeses.

Consumers who have purchased the stated Queso Fresco products are urged not to consume and to return product to the place of purchase for a full refund. Consumers with questions may contact directly El Abuelito Monday to Friday from 8 a.m. to 5 p.m. EST and Saturday from 8 a.m. to 12 p.m. EST at (973) 345-3503.

This press release is an update to the February 18 announcement listed in the link below regarding the FDA outbreak investigation.

Federal Shipping Delays Impacting COVID-19 Vaccination Clinics in Rhode Island

2021-02-22

As a result of severe weather that has affected distribution nationwide, certain COVID-19 vaccination appointments scheduled for 2/23 are getting rescheduled. A shipment of approximately 12,400 doses of Moderna vaccine to Rhode Island did not arrive today. The community clinics scheduled for tomorrow at the Cranston Senior Center, the Swift Community Center (in East Greenwich), and the West Warwick Civic Center are affected by this delay and are being rescheduled. People who had appointments will be contacted directly by clinic organizers.

This shipping delay could have additional impacts on some clinics currently scheduled for Wednesday. The Rhode Island Department of Health (RIDOH) will make an announcement on Tuesday about any impacts on Wednesday clinics.

COVID-19 Vaccine Eligibility Opens to Rhode Islanders 65 and older

2021-02-22

COVID-19 vaccination efforts in Rhode Island continue to accelerate rapidly with eligibility now open to all Rhode Islanders 65 years of age and older, the Rhode Island Department of Health (RIDOH) is announcing.

People who are 65 and older can register to be vaccinated at one of two State-run vaccination sites in Rhode Island, located in Providence at the Dunkin' Donuts Center and in Cranston at Sockanosset Cross Road. To register to be vaccinated at a State-run site, visit VaccinateRI.org. People who cannot register online can get help by calling the automated line at 844-930-1779. People who are 65 and older can also register to be vaccinated at select CVS or Walgreens retail pharmacies, or through their city and town. (However, appointments may not be immediately available for all eligible Rhode Islanders. For example, many cities and towns are continuing to vaccinate their oldest residents first, and supply of vaccine remains limited at all sites.) Instructions on how to register at all three types of locations are available online.

Approximately 9,900 Rhode Islanders were vaccinated at the two-State run sites over their first three days of operation, on Thursday, Friday, and Saturday. More than 10,000 new appointments will be made available today. Rhode Island's vaccine administration rate has increased by 89% over the last 6 weeks. In December, an average of 1,300 doses were administered per day. That figure was 2,700 doses per day in January and climbed to 5,100 doses per day in February. More than 203,000 doses of COVID-19 vaccine have been administered to date in Rhode Island.

There is no insurance requirement to get vaccinated, and no one has to pay to get vaccinated. For general information about COVID-19 vaccination in Rhode Island, visit C19vaccineRI.org.

As the state's vaccine administration rate continues to increase, Rhode Island has seen significant declines in cases and hospitalizations. Rhode Island's percent positivity was at or below 2% several days last week, and there was a decline in cases and percent positive in all age groups. Rhode Island has seen even greater decreases among healthcare workers and residents of long-term care facilities - the focus groups for the first portion of the state's strategic, targeted vaccination campaign. Overall, Rhode Island's daily hospital admissions are down 47% since the last month.

This improving data situation allows Rhode Island to plan the suspension of patient care at its two alternate hospital sites. Envisioned as sites that could absorb low-acuity COVID-19 patients, should the state's existing hospital infrastructure be overwhelmed, Lifespan is operating an alternate hospital site at the Rhode Island Convention Center and Care New England is operating an alternate hospital site at Sockanosset Cross Road (near the current State-run vaccine site). The last day for patient care at the Rhode Island Convention Center hospital will be February 26th. The last day for patient care at Sockanosset will likely be in the next two to three weeks.

After all patients are discharged, each facility will be cleaned and sanitized. The equipment and supplies will remain at the two alternate hospital sites, should a surge in hospitalizations require them to be reactivated.

Since the alternate hospital sites opened for patient care, they have treated 633 patients: 444 patients at the Rhode Island Convention Center alternate hospital site and 208 patients at Sockanosset Cross Road.

FDA Investigates Outbreak of Listeria Infections Potentially Linked with Hispanic-Style Fresh and Soft Cheeses

2021-02-18

The Rhode Island Department of Health (RIDOH) is advising consumers that the FDA, CDC, and state and local partners are investigating a multistate outbreak of Listeria monocytogenes potentially linked to Hispanic-style fresh and soft cheeses.

The CDC has reported that seven infections with Listeria monocytogenes have been identified in Connecticut, Maryland, New York, and Virginia. To date, no cases have been identified in Rhode Island.

Consumers, restaurants, and retailers should not eat, sell, or serve El Abuelito Queso Fresco cheese until more information is known.

As part of this outbreak investigation, the Connecticut Department of Health collected samples of El Abuelito-brand Hispanic-style fresh and soft cheeses from a store where a sick person bought cheeses. Sample analysis showed the presence of Listeria monocytogenes in El Abuelito-brand Hispanic-style fresh and soft cheeses sold in 10-ounce packages, marked as Lot A027 with an expiration date of 2/26/21.

Samples are currently undergoing analysis to determine if the Listeria monocytogenes found in these samples matches the Listeria monocytogenes causing illness in people. These analyses are still ongoing. There is not enough evidence to determine if this outbreak is linked to El Abuelito Queso Fresco.

Listeria Monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

Call your healthcare provider if you have any symptoms (high fever, headache, stiffness, nausea, abdominal pain, and diarrhea) of infection with Listeria after eating Hispanic-style fresh and soft cheeses.

COVID-19 Vaccine Registration Now Open to All Rhode Islanders 75+

2021-02-17

Governor Gina M. Raimondo and the Rhode Island Department of Health (RIDOH) today announced that all Rhode Islanders 75 and older can now register for an appointment at one of the two State-run vaccination sites. Appointments will begin tomorrow, February 18. Beginning Monday, February 22, scheduling will open to any Rhode Islander 65 and older.

Phase 1 of Rhode Island's vaccination campaign has been focused on preserving the health care system and reaching groups most likely to be hospitalized - nursing home and other congregate residents, people in high-density communities, and older Rhode Islanders. While targeting these high-risk groups took more time than opening appointments to the general population from the outset, it also had the intended effect of preventing more severe cases of COVID-19, more significantly decreasing hospitalizations, and speeding up the reopening of our economy. Over the past month, Rhode Island saw a 46% decrease in hospitalizations, compared to 32% nationally and 22% in our neighboring states. And the decrease is even more significant among those in targeted groups.

Because of this positive impact from Phase 1, Rhode Island can now move into Phase 2 and begin vaccinating every Rhode Islander by age group. This will allow for a significantly faster pace of vaccination. In addition to opening appointments to anyone 65 and older on Monday, the State is taking several steps to ensure the speed and efficacy of this next phase. We will continue to work in partnership with all cities and towns, with a particular emphasis on high-density communities most impacted by COVID-19, to ensure the vaccine is efficiently and equitably distributed. The State will be working with municipalities to ensure those unable to get near-term local appointments can be redirected to open appointments at the State-run sites. In addition, we will be dramatically scaling up capacity in these State-run sites, with more sites to come online in the northern and southern regions of Rhode Island and a goal of doubling the daily capacity at State-run sites from 1,400 to 2,800 over the coming weeks.

"With the success of Phase 1 in shoring up our health care system, and the ability for speed and scale in Phase 2, Rhode Island is well-positioned to stay ahead of COVID-19," said Governor Gina M. Raimondo. "Now, with a single website and phone number to sign up for appointments at any of our State-run sites, we're taking our successful testing model and bringing it to this final frontier in our fight to end this pandemic."

The two State-run vaccination sites opening tomorrow for anyone 75+ are the Dunkin' Donuts Center in Providence and Sockanosset Cross Road in Cranston. Other options for vaccination still include going to a select retail pharmacy or a local or regional clinic. Please only schedule an appointment in one place so that all eligible people can get vaccinated as quickly as possible. Once an appointment is made, people are guaranteed a vaccine for their time slot. Due to limited supply of the vaccine, appointments are expected to fill up quickly. RIDOH urges patience. If supply increases, additional appointment will be added accordingly.

Registering for Vaccination at a State-run Site

To register to be vaccinated at one of the State-run sites, visit VaccinateRI.org. People who cannot register online can get help by calling the automated line at 844-930-1779. Going forward, the call center will be open on weekdays from 7:30 a.m. - 7:00 p.m. and weekends from 8:00 a.m. - 4:30 p.m. Through both systems, an individual can either make a personal appointment or an appointment for someone else who is in the eligible age category.

Appointments are currently open through February 27. Additional appointments may be added through the week as slots open. Appointments are expected to fill up quickly.

Registering for Vaccination at a Pharmacy

People who are 75 and older can contact CVS or Walgreens about appointments at a retail pharmacy location. To register, people can go to CVS.com, use the CVS Pharmacy phone app, or call 800-746-7287. For Walgreens, go to Walgreens.com/ScheduleVaccine or call your local Walgreens.

Registering for Vaccination at a Local or Regional Clinic

Cities and towns are managing the registration process for local and regional clinics. Most cities and towns have been vaccinating their oldest residents first and will continue to do so. People can contact their city or town directly to learn more.

Vaccine Interest Notification List

While people who are younger than 65 years of age cannot yet register to be vaccinated, they can add their contact information to a Vaccine Information Notification List to get updates as eligibility opens to new groups. Enrolling in this list does not guarantee an appointment for vaccination. To enroll in the Vaccine Information Notification List, visit portal.ri.gov.

There is no insurance requirement to get vaccinated, and no one has to pay to get vaccinated. For more information about vaccination in Rhode Island, visit C19vaccineRI.org.

U.K. COVID-19 Variant Identified in Rhode Island

2021-02-16

The Rhode Island Department of Health (RIDOH) is announcing that the B.1.1.7 variant of COVID-19 has been identified in samples from three Rhode Island patients. The variant was identified in these samples yesterday evening. One patient was in their 60s, one patient was in their 50s, and one patient was in their 20s.

These samples underwent sequencing as part of RIDOH's COVID-19 genomic surveillance plan. These cases are still under investigation. The sequencing was performed by the Broad Institute, in collaboration with RIDOH's State Health Laboratories. This sequencing work is supported by funding from the Centers for Disease Control and Prevention (CDC).

The B.1.1.7 variant was originally identified in the United Kingdom. This variant of COVID-19 is considered more contagious than the strain that has been predominant in Rhode Island through the pandemic. All Rhode Islanders are urged to continue wearing masks, practicing social distancing, and washing their hands regularly.

Precautionary Boil Water Notice Lifted for a Portion of the City of Newport Water System

2021-02-11

The Rhode Island Department of Health (RIDOH) notified the City of Newport Water System today that the precautionary boil water notice issued to its customers can be lifted for all customers except 12 customers on Warner Street between Gould Street and Bay View Avenue. This is the immediate area where a water main break occurred. The water system is contacting these customers directly.

The City of Newport repaired the water main break, temporarily increased chlorine in the system (within safe levels), flushed the water mains, and collected bacteria samples that showed the absence of bacteria.

For more information, customers should refer to the notice provided to them by their water supply officials. Additional information can be found at the instruction links below. Information is also linked below for food establishments, businesses, schools, and healthcare facilities.

Customers with questions should contact Newport Water Division at 401-845-5600.

Precautionary Boil Water Advisory Issued for a Portion of the City of Newport Water System

2021-02-10

The Rhode Island Department of Health (RIDOH) is alerting certain customers of the City of Newport Water System that they should boil their water before consuming it because of loss of water pressure in multiple areas of the water system. This was because of a water main break. This Boil Water Advisory applies to most Newport customers, and to customers in an area of Middletown. An interactive map of the affected area is available at the map link below.

All water used for consumption should be boiled vigorously for at least one minute. This recommendation pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Alternatively, customers can use bottled water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water.

Boiling kills bacteria and other organisms in the water. A link to additional guidance is available at the guidance link below. RIDOH is communicating guidance to restaurants and other food establishments in the area. (Guidance for food establishments is also available online.)

Low or no pressure increases the risk of contamination that can enter through cracks in the pipes or in areas without proper backflow preventers. Affected customers should continue to boil their water until the City of Newport repairs the water main break, increases the chlorine in the system (within safe levels), flushes the pipes, and collects one day of bacteria samples at each routine sampling location and finds that the samples are absent of bacteria. An announcement will be made when there is a change in the advisory and when it is lifted. Water system administrators will communicate this information to their customers.

If the water becomes contaminated with human or animal waste, microbes in this waste can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. A health care provider should be contacted if someone is on this water system and has diarrhea and any of the following symptoms:

• Fever over 101.5° F, measured orally

• Blood in the stool

• Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)

• Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up

• Diarrheal illness that lasts more than 3 days.

Customers with questions can call the Newport Water Division at 401-845-5600.

COVID-19 Testing and Vaccinating Update

2021-01-31

Because of the inclement weather expected, all State-operated COVID-19 testing sites will be closed on Monday, February 1st. State sites are any of the locations scheduled through http://portal.ri.gov or the K-12 test scheduling service.

Additionally, COVID-19 vaccinations will not be happening on Monday at Rhode Island's regional clinics in Bristol, Providence, and East Greenwich. (Two other regional clinics are in Smithfield and Narragansett, but they were not scheduled to operate on Monday.) These clinics are all operating on an appointment only basis. People who had appointments for Monday for the Bristol, Providence, and East Greenwich sites will be contacted directly about rescheduling. Most of the appointments for tomorrow were for first responders and healthcare providers. Some limited vaccinating of people 75 years of age and older had been scheduled for the clinics in Bristol and East Greenwich.

Plan Announced for Next Phase of COVID-19 Vaccine Administration

2021-01-28

The Rhode Island Department of Health (RIDOH) announced a plan today for the next phase of the State's COVID-19 vaccination campaign. The plan incorporates national public health guidance and local advisory committee input, making vaccine available to Rhode Islanders over the coming months based on age, geography, and health status.

"The approach we are taking for the next phase of the vaccination campaign is firmly grounded in the science and the data on how to use our currently limited vaccine supply to prevent the most hospitalizations, to prevent the most deaths, and to get the economy fully open again as quickly as possible," said Nicole Alexander-Scott, MD, MPH. "We want to get as many people as possible vaccinated as quickly as possible. But without enough vaccine to vaccinate all eligible people right away, we have to be extremely targeted and strategic in our approach."

This next phase of the vaccination campaign will likely begin in mid-February, depending on general vaccine availability. At that point, access to vaccine will depend on three factors:

- Age: When the next phase of the vaccination campaign begins, Rhode Islanders who are 65 to 74 years of age will be able to begin making appointments to get vaccinated. (Older adults in congregate settings and people who are 75 years of age and older will have already had access to vaccine.) It will take some time for everyone in this group to schedule appointments and get vaccinated. Age will continue to be the primary consideration as more people become eligible for vaccine. As more vaccine becomes available, people will become eligible for vaccine in the following order: 60 to 64 years old, 50 to 59 years old, 40 to 49 years old, 39 to 16 years old. There will be some overlap in the vaccination of each age group as additional vaccine becomes available. (A link to a tentative timeline based on current vaccine allocations is available below.)

- High-risk conditions: People who are 16 to 64 years of age who have certain underlying health conditions that put them at increased risk for severe illness from COVID-19 will have access to vaccine. These conditions fall into the general categories of kidney disease, heart disease, diabetes, lung disease, and those who are immunocompromised. People with underlying health conditions in one of these five categories will be able to be vaccinated at the same time that vaccinating starts for 60 to 64-year-olds. Additional information, including definitions of these underlying health conditions, is available below.

- Geography: The residents of certain communities are at elevated risk for COVID-19-associated hospitalizations and deaths. Due to this disparity and given that minimizing COVID-19-associated hospitalizations is critical to Rhode Island's ability to manage the pandemic and reopen the economy, vaccine distribution will continue in these communities. They include Central Falls and parts of Pawtucket, Providence, North Providence, and Cranston.

This approach to the next phase of the vaccination campaign was developed in consultation with Rhode Island's COVID-19 Vaccine Subcommittee and was informed by national recommendations, community input, and a careful review of Rhode Island data on hospitalizations, deaths, case rates, and chronic conditions.

For the next portion of the vaccination campaign, vaccine will likely be available in a variety of locations, including community clinics, housing sites, and pharmacies. More information about where vaccine will be available will be announced in the coming weeks, as will information about how to register to be vaccinated. Accessibility will be a priority, both in the venues where vaccine is available and in how people will be able to register to be vaccinated.

"We wish we could vaccinate many more people, but for now, we must put out the fire where it is burning the most intensely," said Pablo Rodriguez, MD, physician and COVID-19 Vaccine Subcommittee member. "Our problem is not one of prioritization, it is one of supply. Science and data are guiding the COVID-19 Vaccine Subcommittee and the State."

"Given the nationally limited COVID-19 vaccine supply, I appreciate the State's commitment to using science and Rhode Island's specific COVID-19 infection experience to develop a vaccine delivery system," said Elizabeth Lange, MD, Rhode Island pediatrician and COVID-19 Vaccine Subcommittee member. "We all want the pandemic to end, so no program is fast enough for everyone's liking. I appreciate Rhode Island's thoughtful approach given the multitude of challenges at this time."

Focusing on age, geography, and high-risk conditions rather than occupation for this next phase of the vaccination campaign will allow the State and its partners to move quickly to vaccinate more Rhode Islanders as we receive more vaccine. This updated approach for Phase 2 will reach significant proportions of critical workers in Rhode Island. For example, approximately 58% of K-12 teachers and staff will be included in the population at increased risk of hospitalization or death due to age, health risk and geography.

While vaccination will prevent most people from developing severe illness, research is still needed to determine whether it will prevent a person from getting infected entirely and spreading COVID-19 to others. For this reason, people in critical infrastructure occupations and all Rhode Islanders will need to continue following all quarantine and isolation protocols if they are exposed to or are positive for COVID-19, and they must continue to wear masks.

The aims of the first phase of Rhode Island's vaccination campaign were to ensure the stability of the healthcare system and to protect the residents of nursing homes and other congregate settings. The people currently being vaccinated are primarily residents in congregate settings (such as nursing homes and assisted living facilities), healthcare workers, and people in public safety. Vaccination will start for people 75 years of age and older who have not already been vaccinated in Phase 1 in early February. Adults 65 years of age and older will follow after that. To date, 86,315 doses of vaccine have been administered.

Data

- Of Rhode Island's COVID-19 hospitalizations, 27% have been among people who are age 70 or older. Fourteen percent of hospitalizations have been among 60 to 69-year-olds.

- Rhode Islanders age 60 and older are at the highest risk of COVID-19-associated death. Of Rhode Island's COVID-19 associated fatalities, 59% have been among people 80 or older, 23% have been among people 70 to 79, and 12% have been among people 60 to 69.

- Rhode Islanders with kidney disease, heart disease, lung disease, and diabetes, and who are immunocompromised are more likely to be hospitalized if they have COVID-19. For example, while 10% of Rhode Islanders have diabetes, 30% of people who are hospitalized with COVID-19 have diabetes; while 4% of Rhode Islanders have heart disease, 30% of people who are hospitalized with COVID-19 have heart disease.

- Throughout the pandemic, the rates of COVID-19 hospitalizations have been consistently higher in certain Rhode Island ZIP codes compared to communities outside those ZIP codes. For example, in seven ZIP codes across Central Falls, Pawtucket, Providence, North Providence, and Cranston, the hospitalization rate in April 2020 was 201 hospitalizations per capita, compared to 34 outside those communities. In November 2020 the difference was 194 hospitalizations per capita compared to 93 hospitalizations per capita. Disparities also exist by race/ethnicity, highlighting the importance of a targeted approach that considers underlying factors in communities, such as population density, income, and healthcare access, that create higher risks for exposure, hospitalization, and death. For example, African American/Black and Latino Rhode Islanders age 35 to 44 years old have hospitalization rates that are three times higher than the rate of White Rhode Islanders age 75 to 84 years old.

Lancaster Foods Recalls Processed Butternut Squash Items

2021-01-25

The Rhode Island Department of Health is advising people of a voluntary recall by Lancaster Foods LLC of its processed butternut squash items due to potential for Listeria Monocytogenes contamination.

The recalled items were distributed in retail stores in several states, including Rhode Island, Massachusetts, and Connecticut. Lancaster Foods has temporarily halted production of these items while it investigates the source of the issue. Consumers who have purchased the products listed below are urged to return them to the place of purchase for a full refund.

Recalled items include:

16 oz Autumn Medley - UPC 8 13055 01115 6; with the expiration dates of 01/05/21, 01/07/21, and 01/09/21 noted on the bottom scan label. The brand name is Lancaster Foods and the package is a clear plastic tamper-evident clamshell.

12 oz Butternut Squash Noodles - UPC 8 13055 01749 3; with the expiration date of 01/10/21 noted on the bottom scan label. The brand name is Lancaster Foods and the package is a clear plastic tamper-evident clamshell.

12 oz Butternut Squash Noodles - UPC 8 13055 01864 3; with the expiration dates of 01/05/21, 01/08/21, 01/10/21, 01/11/21, 01/12/21, 01/15/21, and 01/17/21 noted on the bottom scan label. The brand name is Lancaster Foods and the package is a clear plastic tamper-evident clamshell.

12 oz Butternut Squash Noodles - UPC 6 88267 17259 5; with the expiration dates of 01/08/21, 01/10/21, 01/12/21, 01/13/21, 01/14/21, 01/15/21, and 01/17/21 noted on the bottom scan label. The brand name is Store Brand and the package is a clear plastic tamper-evident clamshell.

21 oz Butternut Squash Planks - UPC 8 13055 01272 6; with the expiration dates of 01/02/21, 01/08/21, 01/12/21, 01/15/21, and 01/17/21 noted on the bottom scan label. The brand name is Lancaster Foods and the package is a clear plastic tamper-evident clamshell.

20 oz Squash Noodle Medley - UPC 8 13055 01836 0; with the expiration dates of 01/05/21, 01/08/21, 01/13/21, 01/14/21, and 01/16/21 noted on the bottom scan label. The brand name is Lancaster Foods and the package is a clear plastic tamper-evident clamshell.

20 oz Squash Noodle Medley - UPC 6 88267 18585 4; with the expiration dates of 01/03/21, 01/08/21, 01/11/21, 01/17/21, 01/18/21, and 01/19/21 noted on the bottom scan label. The brand name is Store Brand and the package is a clear plastic tamper-evident clamshell.

2.5# Butternut Squash Chunks - UPC 8 13055 01596 3; with the expiration dates of 01/04/21, 01/12/21, 01/15/21, and 01/18/21 noted on the bottom scan label. The brand name is Lancaster Foods and the package is a clear plastic tamper-evident clamshell.

20 oz Butternut Squash Chunks - UPC 8 13055 01150 7; with the expiration dates of 01/05/21, 01/08/21, 01/09/21, 01/13/21, and 01/16/21 noted on the bottom scan label. The brand name is Lancaster Foods and the package is a clear plastic tamper-evident clamshell.

24 oz Butternut Squash Chunks - UPC 8 13055 01300 6; with the expiration dates of 01/12/21, 01/13/21, 01/15/21 noted on the bottom scan label. The brand name is Lancaster Foods and the package is a clear plastic tamper-evident clamshell.

12 oz Butternut Squash Chunks - UPC 8 13055 01391 4; with the expiration dates of 01/04/21, 01/05/21, 01/07/21, 01/11/21, 01/12/21, 01/15/21, 01/17/21, and 01/20/21 noted on the bottom scan labels. The brand name is Lancaster Foods and the package is a clear plastic tamper-evident clamshell.

15 oz Veggie Rice Blend - UPC 8 13055 01014 2; with the expiration dates of 01/07/21 and 01/09/21 noted on the bottom scan labels. The brand name is Lancaster Foods and the package is a stand-up steam pouch with 'grab & steam' printed on the header.

Listeria Monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

No illnesses have been reported to date in connection with this problem.

Consumers with questions may contact the company at 1-410-799-0010, extension 1530. The hours are from 8 a.m. to 5 p.m. in the Eastern time zone on the days of Monday through Sunday. Voicemails received after hours will be returned the next day.

RIDOH and DEM End Blue-Green Algae Monitoring Season

2021-01-14

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) have completed their final 2020 monitoring and evaluation of blue-green algae conditions in affected freshwater sites. Blue-green algae, also known as cyanobacteria, can produce toxins that can harm humans and animals.

A visual survey conducted over the last week of December 2020 found that cyanobacteria blooms had largely dissipated at most sites. Blue-green algae are generally less active in the lower light and temperature conditions of winter. However, the possibility of blooms below the surface and/or toxin persisting after the bloom is gone represent, even in iced-over conditions, a potential risk. With limited resources, efforts focus on seasons when recreational use is high, and when blooms are prevalent. The monitoring program is expected to resume in June 2021, dependent upon resources.

Regardless of season, the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup.

Contact with water containing blue-green algae toxins can cause irritation of the skin, nose, eyes, and/or throat. Ingestion of untreated water containing blue-green algal toxins can cause stomach ache, diarrhea, vomiting, and nausea. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water.

People who experience the symptoms associated with blue-green algae exposure and who have been swimming or fishing in water or drinking untreated water from a waterbody with a confirmed or suspected cyanobacteria bloom, should contact their healthcare providers. People who come into contact with potentially affected waters should rinse their skin and wash their clothes with clean water as soon as possible. People observing pets exhibiting adverse health symptoms after contact with potentially affected waters should contact their veterinarians. Pets who encounter potentially affected waters should not be allowed to lick water off their fur and should be rinsed with clean water as soon as possible.

For more information and a list of historical advisories, visit http://www.dem.ri.gov/bluegreen. Send reports of suspected blue-green algae blooms, along with photographs if possible, to DEM.OWRCyano@dem.ri.gov.

2020 News

Boil Water Notice Removed for Rocky Mountain Spring Water Company Kiosk Customers

2020-12-23

The Rocky Mountain Spring Water Company (Armistice, Rocky Mountain Spring Water Company; Front Street, Rocky Mountain Spring Water Company, North Providence, and Rocky Mountain Spring Water Company, Pawtucket) was notified by the Rhode Island Department of Health (RIDOH) on December 22 that the boil water notice issued to its customers can be removed. RIDOH required this boil water notice on December 17 because E. coli bacteria was found in raw and treated water samples collected at one of the springs that serves the water supply and two kiosks.

RIDOH received and reviewed absent coliform and E. coli sample results from Rocky Mountain Spring Water Co collected on December 18, December 20, and December 21, and approved the notice to be lifted.

For more information, customers should refer to the notice provided to them by their water supply officials. General information about drinking water safety is posted on RIDOH's Center for Drinking Water Quality web pages. Customers with questions should contact Edward Rose at 781-749-4849.

###

Boil Water Notice Issued for Rocky Mountain Water Co Kiosk Customers

2020-12-17

The Rhode Island Department of Health (RIDOH) is advising consumers to discard or boil water from the Rocky Mountain Water Co. that was sold at four kiosks in North Providence and Pawtucket.

Four public water systems, Rocky Mountain Spring Water Co – Armistice, Rocky Mountain Spring Water Co – Front Street, Rocky Mountain Spring Water Co – North Providence, and Rocky Mountain Spring Water Co – Pawtucket, are required to issue a boil water notice to their customers because E. coli bacteria was found in raw and treated samples collected on December 14 at one of the springs that serves the water supply and two of the kiosks. Total coliform bacteria were found in the other two kiosks.

The four kiosks are located at:

• 295 Armistice Boulevard, Pawtucket;

• 271 Mineral Spring Ave., Pawtucket;

• 172 Front St., Lincoln; and

• 1655 Mineral Spring Ave., North Providence.

These are kiosks that dispense water where customers can fill up their own personal containers. Water received from these kiosks between Friday, December 11, 2020, and Thursday, December 17, 2020, should be discarded or boiled before consumption.

RIDOH is also advising all customers of the Rocky Mountain Water Co kiosks to discard their personal water collection containers and replace with new ones from an alternate source. Water should not be collected from these kiosks until RIDOH approves the boil water order to be lifted at these locations. Additional information can be found on the RIDOH Center for Drinking Water Quality website at https://www.health.ri.gov/water/for/consumersduringemergency/.

The boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system and spring, collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact Edward Rose at 781-749-4849.

All State COVID-19 Testing Sites Closed on Thursday

2020-12-16

In anticipation of Winter Storm Gail, all State-run COVID-19 testing sites will be closed tomorrow, December 17. State-run testing sites are the sites that people schedule through http://portal.ri.gov, as well as all K-12 testing sites. Both indoor and outdoor sites are closing tomorrow.

When testing sites open again, people who had appointments for Thursday will not need to make new appointments. They can go to the site where their appointment was scheduled at any time with a print or screenshot of their confirmation notice, and they will be tested.

The Rhode Island Department of Health (RIDOH) will post information on social media and make additional announcements on when testing will resume.

RI Hospitals Authorized to Begin Vaccinating Frontline Workers Against COVID-19

2020-12-14

The Rhode Island Department of Health (RIDOH) has received a recommendation from the Rhode Island COVID-19 Vaccine Subcommittee for hospitals to begin vaccinating frontline hospital workers against COVID-19. This recommendation was made at an emergency meeting of the Subcommittee this morning. RIDOH has accepted this recommendation and has communicated to hospitals that they may begin vaccinating these workers, as soon as vaccine arrives.

Initial shipments from vaccine manufacturers directly to hospitals will be arriving on Monday and Tuesday. Vaccine is first going to five hospitals: Kent Hospital, Newport Hospital, Rhode Island Hospital (and Hasbro Children's Hospital), Women & Infants Hospital, and The Miriam Hospital. Approximately 1,000 first doses are going to each facility.

"After a rigorous scientific review, we know that COVID-19 vaccine is safe. We also know that it is one of the most effective vaccines ever developed," said Director of Health Nicole Alexander-Scott, MD, MPH. "In the coming weeks and months, as vaccine becomes more available, getting vaccinated will be one of the most powerful things you can do to keep yourself and the people you love safe from COVID-19. We are going to work to ensure that every person in every community in Rhode Island has access to the vaccine, especially those communities hardest hit by this virus."

"We have never had a vaccine that has been – or will be – more closely monitored than the COVID-19 vaccine," said Philip Chan, MD, MS, Consultant Medical Director for RIDOH's Division of Preparedness, Response, Infectious Disease, and Emergency Medical Services. "Teams of scientists at the national level have been scrutinizing thousands of pages of technical data for weeks, focusing on vaccine effectiveness, safety, and the manufacturing process, and our own local review has happened here in Rhode Island. I absolutely plan on getting vaccinated when it is my turn."

The U.S. Food and Drug Administration (FDA) granted an Emergency Use Authorization (EUA) for a COVID-19 vaccine developed by Pfizer last week after determining that the vaccine was safe and effective. Following the FDA vote, the Advisory Committee on Immunization Practices (ACIP), a group that provides guidance to the Centers for Disease Control and Prevention (CDC), issued recommendations on its use. A second vaccine, made by Moderna, will start the same process this week.

Rhode Island's COVID-19 Vaccine Subcommittee is comprised of epidemiologists, primary care providers, pharmacists, pediatricians, long-term care advocates, ethicists, nonprofit leaders, school leaders, faith leaders, and others. It was responsible for doing an independent review of the process for evaluating the safety and efficacy of the vaccine. The Subcommittee is advising on how to prioritize distribution of the vaccine to ensure that it is done equitably, and in a way that best protects the State as a whole.

"The review process for the COVID-19 vaccine was extremely rigorous, and did not skip any steps" said Kerry LaPlante, Pharm.D., a Subcommittee member and Professor of Pharmacy at the University of Rhode Island. "COVID-19 vaccines were held to the same high safety standards as every other vaccine. This may be the most important vaccine I received in my lifetime. In getting immunized, I can help save lives and protect the health of my community, my friends, and my family. It's all of our responsibility to protect our community and the persons we love."

"Rhode Island's COVID-19 Vaccine Subcommittee was watching the process every step of the way," said Larry Warner, Subcommittee member and Director of Grants and Strategic Initiatives for United Way. "Every Rhode Islander should know that local experts and community leaders reviewed all available information about the safety and effectiveness of this vaccine, in addition to the thorough review at the national level. Getting vaccinated is going to be an important step to keep ourselves and our communities safe."

The vaccine trials for the COVID-19 vaccine involved tens of thousands of people to make sure they meet safety standards and people of different ages, races, and ethnicities. There were no serious safety concerns. (When vaccinated against COVID-19, people do sometimes develop post-vaccination symptoms such as soreness at the spot of the shot and headaches. This is normal, healthy, and expected. It means your immune system is working to develop protection.) Several systems are in place to do ongoing safety monitoring of the vaccine.

In line with the recommendations at the national level, Rhode Island hospitals have been given authorization to vaccinate frontline workers who are 16 years of age and older who do not have a history of anaphylactic reaction to any of the components of the Pfizer-BioNTech vaccine. Pregnant and breastfeeding women in high-risk groups should be offered the vaccine and may choose to be vaccinated. A discussion with her health care provider can help her make an informed decision.

Over the coming days, the Rhode Island COVID-19 Vaccine Subcommittee will continue to work to solidify Rhode Island's COVID-19 vaccination schedule. People in higher-risk settings and professions, such as nursing home workers and residents and first responders, will be prioritized. RIDOH will provide regular updates to the public, including information on when and where specific groups can get vaccinated, as more vaccine becomes available. Vaccine is likely to eventually be available at community clinics, and in doctors' offices and pharmacies.

Two doses will be needed for someone to be fully immunized. Second doses will start arriving in Rhode Island in roughly three weeks. Rhode Island expects to receive approximately 10,000 doses of Pfizer vaccine the first week it is available, and approximately 19,000 doses of Moderna vaccine the first week it is available. Vaccine will come to Rhode Island in weekly allotments over the coming months.

The COVID-19 vaccine is among the most effective ever developed. In the Pfizer and Moderna clinical trials, these vaccines were shown to be about 95% effective. By comparison, flu vaccines typically reduce the risk of flu illness by between 40% and 60% each flu season.

RIDOH and DEM Lift Most Blue-Green Algae Advisories

2020-12-07

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are lifting most of the blue-green algae advisories that have been in place for bodies of water in Rhode Island this fall.

Advisories are lifted for the following waterbodies:

• North Providence: Wenscott Reservoir

• Providence (Roger Williams Park): Polo Lake, Pleasure Lake, Elm Lake, Willow Lake, and Edgewood Lake

• Cranston: Blackamore Pond, Spectacle Pond, and J.L. Curran Reservoir

These improvements were expected due to seasonal cooling and declining sunlight. They signal a great reduction in risk. However, there is no guarantee that toxins are absent, or that a warm spell might not trigger a bloom during the winter or spring. Advisories remain in place for Melville Ponds in Portsmouth, Roosevelt Lake in Roger Williams Park in Providence, Mashapaug Pond in Providence, and Almy Pond in Newport.

Blue-green algae, also known as cyanobacteria, can produce toxins that harm humans and animals. The public is reminded to avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

Contact with water containing blue-green algae toxins can cause irritation of the skin, nose, eyes, and/or throat. Ingestion of water containing blue-green algal toxins can cause stomach ache, diarrhea, vomiting, and nausea. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water.

People who experience the symptoms associated with blue-green algae exposure and who have been swimming or fishing in water or drinking untreated water from a waterbody with a confirmed or suspected cyanobacteria bloom, should contact their healthcare providers. People who come into contact with potentially affected waters should rinse their skin and wash their clothes with clean water as soon as possible. People observing pets exhibiting adverse health symptoms after contact with potentially affected waters should contact their veterinarians. Pets who encounter potentially affected waters should not be allowed to lick water off their fur and should be rinsed with clean water as soon as possible.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Barber's Pond

2020-11-25

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Barber's Pond in South Kingstown. The advisory related to high levels of blue-green algae, also known as cyanobacteria, and associated toxins.

Recent consecutive surveys and sample analysis confirmed that blue-green algae has been at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet state guidelines to support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Barber's Pond again, as well as other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Rhode Island Department of Health Launches Public Health Out Loud Podcast

2020-11-20

The Rhode Island Department of Health (RIDOH) is launching a podcast this week – Public Health Out Loud – as a new platform to help Rhode Islanders stay informed about an array of local and national public health issues.

Envisioned as a continuation of the Facebook Live series done over the summer on COVID-19 and schools, the weekly podcast is co-hosted by James McDonald, MD, MPH and Philip Chan, MD, MS.

Dr. McDonald is a Medical Director at RIDOH, where he has helped lead the Department's response to the overdose crisis, COVID-19, and many other issues. Dr. Chan is a Consultant Medical Director with RIDOH's Division of Preparedness, Response, Infectious Disease, and Emergency Medical Services. He has also been a leader in the State's response to COVID-19, HIV, and a range of other infectious diseases.

"Public health involves every issue, including COVID-19 and much more that affects everyone. Join us as we talk about public health for the public," said Dr. McDonald. "Our goal is to provide people with information that is accessible, engaging, and informative, and helps people live healthier and safer lives."

"We're excited to use this new medium to try to reach a broader audience and talk to people about emerging public health trends," said Dr. Chan. "This is one of the ways that we at RIDOH are trying to spark a conversation about how to build a healthier Rhode Island."

In addition to Dr. McDonald and Dr. Chan, Public Health Out Loud will feature other experts from within RIDOH and the Rhode Island public health community.

Currently, the podcast has four episodes available. Topics have included COVID-19, vaccinations, and the socioeconomic and environmental determinants of health. New episodes will be published every Friday at 5 p.m. To listen to the available episodes, visit: http://publichealthri.buzzsprout.com/ [publichealthri.buzzsprout.com]

New Virtual Workshops for Caregivers

2020-11-16

The Rhode Island Department of Health (RIDOH) and the Rhode Island Parent Information Network are opening up a series of new virtual workshops to support Rhode Islanders who serve as caregivers for older adults and people with chronic conditions, such as Alzheimer's Disease, dementia, and complications from other conditions, such as cancer, hypertension, or physical disabilities.

The COVID-19 pandemic has diminished access to caregiver resources and support systems, while placing additional burdens on caregivers to keep themselves and the people in their care safe from COVID-19. Support for caregivers to cope and address these factors is critical.

Powerful Tools for Caregivers workshops are six-week, group workshops that provide participants with tools and strategies to better handle and cope with the unique challenges caregivers typically face when caring for a loved one. Groups will meet virtually via Zoom once per week for an hour and a half over the six-weeks. The workshop is led by two trained and certified Powerful Tools for Caregivers peer leaders. Topics will range from identifying and reducing personal stress to communicating in challenging situations to mastering caregiver decisions.

People who have completed this program have shown improvements in self-care behaviors, management of emotions, self-efficacy, and use of community resources. The workshops will provide participants with ongoing access to resources that can increase a caregiver's confidence and allow older adults and individuals with disabilities not only to age in place, but to thrive.

Six-week sessions are starting on November 17th, November 21st, November 24th, and November 25th. To learn more about Powerful Tools for Caregivers and how to join, call the Community Health Network at 401-432-7217 or visit www.ripin.org/chn [ripin.org].

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Barney Pond

2020-11-10

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Barney Pond in Lincoln. The advisory related to high levels of blue-green algae, also known as cyanobacteria, and associated toxins.

Recent consecutive surveys and sample analysis confirmed that blue-green algae has been at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet State guidelines to support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Barney Pond again, as well as other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Health Advisory Issued for Tanimura and Antle Romaine Lettuce

2020-11-06

The Rhode Island Department of Health (RIDOH) is advising consumers to not eat Tanimura and Antle brand romaine lettuce packed as single heads due to food safety concerns.

A routine sample of the lettuce collected in Michigan was confirmed positive for E. coli 0157:H7. Further analysis conducted by the Michigan Department of Health and Human Services determined that the strain of E. coli recovered from the product sample is highly related genetically to E. coli causing two recent illnesses in Michigan.

The lettuce was sold in a zip-top clear plastic bag with a blue label and white lettering. It has the UPC number 0-27918-20314-9 and a white sticker indicating it was packed in Salinas, California on October 15, 2020.

This product was sold at Walmart stores and other stores in Rhode Island.

Consumers should discard this product or return it to the place of purchase. If you think you or a family member have become ill from consuming any of these products, please seek immediate medical attention.

E. coli can cause serious or life-threatening illness in some individuals. Symptoms of Shiga toxin-producing E. coli (STEC) infection vary for each person, but often include severe stomach cramps, diarrhea (often bloody), and vomiting. Some people may have a fever, which usually is not very high (less than 101?F/38.5?C). Most people get better within 5 to 7 days. Some infections are very mild, but others are severe or even life-threatening.

Precautionary Boil Water Notice Lifted for Westerly Water Department Customers

2020-11-04

The precautionary boil water notice issued to customers of the Westerly Water Department is lifted. The Rhode Island Department of Health (RIDOH) and the Westerly Water Department alerted customers to this precautionary boil water notice on November 2nd because of a water main break that had the potential to cause the loss of water pressure to multiple areas of the water system. Westerly Water Department repaired the water main break, temporarily increased chlorine in the system (within safe levels), flushed the water mains, and collected bacteria samples that showed the absence of bacteria.

For more information, customers should refer to the notice provided to them by their water supply officials. Additional information can be found on the RIDOH Center for Drinking Water Quality website at https://www.health.ri.gov/water/for/consumersduringemergency/ (scroll down to "What You Should Do Following Boil Water Advisories and Precautionary Boil Water Advisories").

Customers with questions should contact Bill Beauregard, Assistant Director of Public Works at 401-741-7589.

Precautionary Boil Water Advisory Issued for Customers of the Westerly Water System

2020-11-02

Precautionary Boil Water Advisory Issued for Customers of the Westerly Water System

The Rhode Island Department of Health (RIDOH) is alerting customers of the Westerly Water System that they should boil their water before consuming it because of a water main break that could cause loss of water pressure in multiple areas of the water system. (This announcement is unrelated to Coronavirus Disease 2019, COVID-19.)

All water used for consumption should be boiled vigorously for at least one minute. This recommendation pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Alternatively, customers can use bottled water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water.

Boiling kills bacteria and other organisms in the water. Additional guidance is available online. RIDOH is communicating guidance to restaurants and other food establishments in the area. (Guidance for food establishments is also available online.)

Water main breaks can cause low, or no, water pressure, especially at buildings in higher elevations. Low or no pressure increases the risk of contamination that can enter through cracks in the pipes or in areas without proper backflow preventers. Customers should continue to boil their water until the Westerly Water Department repairs the water main break, increases the chlorine in the system (within safe levels), flushes the pipes, and collects one day of bacteria samples at each routine sampling location, as long as the samples are absent of bacteria. An announcement will be made when the advisory is lifted. Water system administrators are currently alerting customers about this advisory and will alert customers when it is lifted.

If the water becomes contaminated with human or animal waste, microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

A health care provider should be contacted if someone is on this water systems and has diarrhea and any of the following symptoms:

• Fever over 101.5° F, measured orally

• Blood in the stool

• Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)

• Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up

• Diarrheal illness that lasts more than 3 days.

Customers with questions can call Bill Beauregard, Assistant Director of Public Works, at 401-741-7589.

COVID-19 Updates: Visitation, Testing, and Key Messages for the Public

2020-11-02

With cases of COVID-19 continuing to increase in Rhode Island, the Rhode Island Department of Health (RIDOH) is recommending that all hospitals, nursing homes, and assisted living communities restrict visitation for the next two weeks.

These recommendations are being made for two weeks as RIDOH continues to work with facilities to develop plans and other measures to ensure safe visitation for more vulnerable populations during this period with increased community spread of COVID-19.

In hospitals, RIDOH recommends no visitation, except for people who are essential to a patient's care. Examples of visitors who are essential to a patient's care are a support partner for someone in labor, and a family caregiver for someone with dementia or a developmental disability. Visitors who are essential to a patient's care must be free of symptoms of COVID-19. Visits should only happen during specified blocks of time. A full guidance document is posted online.

In nursing homes and assisted living communities, RIDOH recommends only allowing compassionate care visits for the next two weeks. Examples of compassionate care visits are an end-of-life visit, a visit with a loved one who is experiencing emotional distress, or who is experiencing weight loss or dehydration. A full guidance document is posted online.

The guidance documents provide recommendations for alternatives to in-person visits, such as remote visits using phones, tablets, and computers. If facilities have technology available, they should make it available to patients and residents.

The nursing home and assisted living recommendations are effective as of tomorrow. The hospital recommendations are effective as of today.

Testing

State-run COVID-19 testing sites will be open tomorrow, Election Day. These sites are the 15 K-12 sites throughout the state, Rhode Island Convention Center site, the Stop & Shop locations in Newport and Cumberland, and the Block Island Fire and Rescue. However, these sites will be closed on Veterans Day (November 11th).

Key messages for the public about test results

If you are positive for COVID-19, RIDOH will call you within a few days. However, if you learn that you are positive for COVID-19 before RIDOH calls you, you should take action right away. Do not wait for RIDOH to call you to start making changes in your life.

What you need to do if you test positive:

- Stay home for at least 10 days from the day you were tested.

- Do not go to work or school for at least 10 days after testing positive.

- Call your employer or school to inform them that you have tested positive and will be out for at least 10 days.

- Call your primary care provider (if you have one) and inform them that you have tested positive.

- Get help if you feel sick. Call your primary care provider or an urgent care to get medical advice. Call 911 or the nearest hospital if you think you are having a medical emergency (e.g., trouble breathing, persistent pain or pressure in the chest, new confusion, inability to wake or stay awake, or bluish lips or face.) Tell them you have COVID-19.

- Do your best to keep your distance from those you live with. If you can, use a separate bathroom and bedroom from others. Stay out of the kitchen and rooms where people in the house gather.

- Protect the people you live with from catching COVID-19 from you. Try to stay in a different room and wear a mask if you must be in the same room with others.

- Have things you need delivered. Ask friends and family to drop off items at your door that you need, like food and other necessities.

- Write a list of people you have been in close contact with. Make a list of everyone you were around starting 2 days before you got tested or started having COVID-19 symptoms until the time you got your test result and started isolating at home.

- Let your close contacts know you have COVID-19.

- Answer the phone when RIDOH calls.

What people you live with need to do if you test positive:

- Everyone you live with needs to stay home too. People you live with cannot go to work or school while you are infected (10 days) and for an additional 14 days.

- Call the employers and schools of everyone in the house to let them know people will not be at work or school. Plan on 24 days home for everyone living in the house. (This is because symptoms can develop up to 14 days after your last exposure.) RIDOH will give you the exact dates when they call.

- Watch for symptoms of COVID-19 in everyone living with you. Watch for all the symptoms of COVID-19. Check a temperature twice a day (fever is greater than 100.4 degrees F).

- Get tested if any symptoms of COVID-19 are present. Call your healthcare provider for help getting tested or look online for a testing site (see link below).

- Help you stay in a separate room. If you are able to stay in your own room without help, people in the house can bring you your food and check on you so that you do not need to be hanging around in the same room with others in the house.

- Remind you to wear a mask if you have to be close to them or are in the same room in the house.

What your close contacts who don't live with you need to do if you test positive:

- Stay home for 14 days from the day they were last with you.

- Call their employer or school to let them know they are a close contact of a person with COVID-19 and are staying at home awaiting a call from RIDOH with quarantine instructions. RIDOH can provide an absence note from work or school for people in quarantine.

- Watch for symptoms of COVID-19 Watch for all the symptoms of COVID-19 (list them). Check a temperature twice a day (fever is greater than 100.4 degrees F).

- Get tested if any symptoms of COVID-19 are present. Call your health care provider for help getting tested online (see link below).

- Answer the phone when RIDOH calls.

Fatal Overdoses in Rhode Island Continue to Rise

2020-10-28

New data from the Rhode Island Department of Health (RIDOH)'s Office of the State Medical Examiners (OSME) indicate a sharp increase in accidental drug overdose deaths during the first seven months of 2020. (It can take up to 90 days for the OSME to confirm a decedent's cause and manner of death.)

There have been 233 accidental drug overdose deaths between January and July 2020, compared to 185 during the same period last year. Between these two periods, all drug fatal overdoses increased by 26% and opioid-involved fatal overdoses increased by 33%. During July, more Rhode Islanders died of drug overdoses than any month since the State started tracking fatal overdose data. Similar trends are being seen nationally.

The stressors and isolation of the COVID-19 pandemic are believed to be factors in this increase, resulting in what researchers call a syndemic, which is the amplified result of two or more diseases that exist simultaneously in a community. However, Rhode Island's increase in overdose deaths started before the state's first COVID-19 case. Other factors that are likely contributing to the increase are polysubstance use (the use of more than one drug at the same time), counterfeit pills, and the presence of illegally made fentanyl in drugs like cocaine, counterfeit pills, methamphetamine, and other substances.

Counterfeit pills, which often look like prescription medications, are in greater supply throughout the United States, particularly oxycodone (an opioid) and benzodiazepines (a sedating drug). These pills vary in purity and potency and can contain unknown amounts of fentanyl. It is impossible for an end user to know what drugs might be present in counterfeit pills. These counterfeit pills are even more lethal when crushed and snorted. One pill can cause a fatal overdose.

"What underlies the diseases of substance use disorder and COVID-19 are factors in our communities that affect people's abilities to be healthy and safe, such as housing, employment, education, and discrimination," said Director of Health Nicole Alexander-Scott, MD, MPH. "While getting prevention and treatment resources into the community to prevent overdoses immediately, we need to continue working to address these larger structural issues. Every single overdose is preventable. There is help and there is hope for everyone who is living with the disease of substance use disorder."

"The increased potency of drugs combined with the challenges of COVID-19 have stressed an already fragile system," said Kathryn Power, M.Ed., Director of the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities & Hospitals (BHDDH). "These challenges might have led people who were in recovery to relapse. In other cases, people who use drugs occasionally, like cocaine, might have succumbed to an overdose by not knowing fentanyl was present."

Director Power and Dr. Alexander-Scott are the co-chairs of Governor Gina M. Raimondo's Overdose Prevention and Intervention Task Force.

"The collision between the COVID-19 and opioid epidemic has really highlighted how crucial social determinants of health- safe housing, good employment, access to mental health support- are to sustaining long-term recovery," said Dr. Jon Soske of Rhode Island Communities for Addiction Recovery (RICARES). "So many people have relapsed after evictions, layoffs, and traumatic losses- and these have hit racialized communities hardest. Addressing these issues at a systemic level is crucial going forward."?

Additional data points

- Accidental drug overdose deaths decreased by 8.3% between 2016 and 2019, dropping from 336 to 308.

- Rhode Island is on track to exceed 2016's total by at least 25%.

- During the first seven months of 2020, non-fatal overdoses fluctuated by month. During April and May, the numbers of non-fatal overdoses that EMS responded to in Rhode Island were lower.

- All Rhode Island cities and towns are being affected. Particular overdose hotspots include Providence, Pawtucket, Warwick, and Woonsocket. Fatal overdoses doubled among Warwick and Providence residents during the first six months of 2020. In North Kingstown and Scituate, the total number of fatal overdoses during the first six months of 2020 exceeded the towns' total numbers for all of 2019.

- While the rate of fatal overdoses among White Rhode Islanders declined between 2016 and 2019, that rate increased in the first seven months of 2020. Overdose rates generally increased among African American and Hispanic Rhode Islanders from 2016 to 2019 and continued to increase during the first seven months of 2020.

- Overdose death data by month and year are available online.

Current action steps

In response to these trends, RIDOH and BHDDH hosted an emergency, online Community Overdose Engagement (CODE) meeting in July with more than 150 state and community stakeholders. Actions steps coming out of that meeting that are either in the implementation or planning phase are:

- Increased street outreach activities in overdose hotspots across the state. Certified peer recovery support specialists from community-based organizations like AIDS Care Ocean State, Community Care Alliance, East Bay Recovery Center, Parent Support Network, and Project Weber/RENEW distribute naloxone, sterile syringes, and fentanyl test strips and provide wrap-around services and basic needs to individuals who use drugs.

- Increased housing support for vulnerable populations in Woonsocket and Providence. Through the West Elmwood 02907 CODE project, Amos House maintains additional beds within its temporary housing assistance program. Project Weber/RENEW in Providence offers recovery housing grants for clients, and Sojourner House in Woonsocket will provide a drop-in housing clinic for emergency services.

- Strategic placement of Substance Abuse and Misuse Teams (SMART) at Rhode Island Hospital's and Landmark Hospital's emergency departments. Trained staff are ready to connect patients who have recently experienced an overdose to local treatment and recovery support services.

- Collaboration with a community-led work group and expert advisors across state agencies to explore the development of an overdose prevention center. Health services such as STI testing, addiction treatment, housing supports, and basic services (i.e., showers, food, and clothing) would be available at such a center. This would also be a place where people could use pre-obtained substances while being peer or medically supervised. Sterile equipment and immediate overdose response resources would be available to reduce overdose and infectious disease risk.

Next steps

- On October 30, the City of Providence Healthy Communities Office, West Elmwood Housing Development Corporation, Amos House, Rhode Island Public Health Institute, Systems Change Strategies, and Project Weber/RENEW will host a virtual event. They will release key findings from a community needs assessment and identify action steps. Members of the public can sign up at bit.ly/PVDCODE [bit.ly]

- The Rhode Island Executive Office of Health and Human Services (EOHHS) is conducting an Evidence Update and Strategic Programmatic Review of Governor Raimondo's Overdose Prevention and Intervention Task Force 2019-2021 Strategic Plan.

Resources for people who need help

If you or someone you care about is living with a substance use disorder, there is 24/7 treatment and mental health support available over the phone or in-person.

- BH Link, Rhode Island's 24/7 behavioral health hotline, 401-414-LINK (5465), connects callers to trained professionals who can provide confidential counseling, referrals, and support services. People can go to BH Link's drop-in center in-person to get connected to support at 975 Waterman Ave. in East Providence.

- The Buprenorphine Hotline, 401-606-5456, provides telehealth services for experiencing opioid withdrawal. Callers can learn about Medication Assisted Treatment (MAT) options and make a plan for continued treatment and recovery support through a Rhode Island Center of Excellence. Rhode Island Centers of Excellences are specialty centers that use evidence-based practices and provide treatment and the coordination of care to individuals with moderate to severe opioid use disorder.

- Fire stations in Providence, Newport, and Woonsocket are "Safe Stations." They are open every day to help people in crisis get connected to a peer recovery support specialist and treatment and recovery support services.

How you can save a life

- Learn the signs of an overdose, such as slow, shallow breaths; gurgling noises; breathing that has stopped; very pale skin; and, blue-gray lips and fingernails.

- Call 9-1-1 first if someone is overdosing. The Rhode Island Good Samaritan Law protects people who call for help when a person is experiencing an overdose.

- Carry the overdose reversal medicine naloxone (sometimes called Narcan) and know how to use it. Naloxone is available at pharmacies without a prescription. You can also get naloxone from a community-based organization like AIDS Care Ocean State, East Bay Recovery Center, Parent Support Network, Project Weber/RENEW, URI Community First Responders and RICARES.

Four Bars Receive Compliance Orders and Fines for COVID-19 Violations

2020-10-23

After inspections by Rhode Island's COVID-19 Enforcement Task Force four bars have been fined and temporarily closed because of violations of Rhode Island's COVID-19 health regulations. The fines ranged from $1,050 to $2,450.

The COVID-19 Enforcement Task Force is a collaboration between the Rhode Island Department of Health (RIDOH) and Rhode Island Department of Business Regulation (DBR). Inspectors with the Task Force noted various violations at these businesses, including bars being accessible after 11 p.m., mingling customers being served at bars, failure to maintain separation at bars, and employees not wearing masks. Although restaurants can operate bars, they must close by 11 p.m., and patrons must be seated at bars with barriers between seated parties. Nightclubs cannot operate in Rhode Island at this time.

The four establishments that received orders and fines are:

- Levels Lounge, 1137 Broad Street, Providence

- LoVera V.I.P, 1266 Broad Street, Providence

- Vibe Lounge and Hookah Bar, 25 Broad Street, Pawtucket

- MamaJuana Restaurant, 905 Main Street, Pawtucket

These four establishments are currently closed.

Thorough environmental cleaning will be required of all establishments, in addition to the ongoing requirements for all businesses offering dining on premises. These include requirements to keep contact information for guests, screen employees and guests for symptoms of COVID-19, ensure mask wearing, and ensure social distancing.

These compliance orders and all other COVID-19 related compliance orders are posted online on the website of DBR at http://dbr.ri.gov.

To file a complaint about a business, call 401-889-5550 or visit http://taskforce.dbr.ri.gov.

Key public health guidance:

- Anyone who has symptoms of COVID-19 should stay at home until they get tested and receive all their test results. You should also let the people in your life know that you have symptoms and are being tested, and encourage them to stay at home as well (and monitor for symptoms).

- If a person has symptoms of COVID-19 – especially a new cough, shortness of breath or difficulty breathing, or recent loss of taste or smell – everyone in the household should stay home until that person has been tested (and has a negative result).

- Practice the three Ws:

Wear your mask whenever you are around people you don't live with.

Wash your hands with soap and water throughout the day (or use hand sanitizer).

Watch your distance. Try to stay at least six feet away from others whenever possible.

- Keep your groups consistent and small. The social gathering maximum in Rhode Island is 15 people. The smaller the group the better.

Rhode Island Runs One Millionth COVID-19 Test

2020-10-22

As Rhode Island runs its one millionth COVID-19 test, State officials are urging Rhode Islanders to recommit to measures to prevent the spread of COVID-19, including getting tested whenever you are experiencing symptoms and getting tested regularly if you are eligible to participate in Rhode Island's asymptomatic testing program.

"While Rhode Island's COVID-19 numbers are not moving in the right direction, we absolutely have the power to change our trajectory. We all need to be wearing our masks when we're around people we don't live with, limiting our groups, and avoiding non-essential activities with people outside our households as the holidays approach," said Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH). "Testing is also critical. By getting tested, you are helping to keep the people around you safe by limiting the spread of infection, and you are helping the entire state's fight against COVID-19. In particular, testing in our hardest hit communities is key to our work of narrowing health disparities and ensuring that people in certain ZIP codes and people of color do not continue to suffer the impacts of COVID-19 disproportionately."

Starting with the work happening at RIDOH's State Health Laboratories, Rhode Island has emerged as a national testing leader during the COVID-19 pandemic. To date, Rhode Island has run 1,015,720 tests. 408,302 unique people have been tested. 29,594 cases have been identified.

People who have symptoms of COVID-19 should call their healthcare provider to schedule a test. The symptoms of COVID-19 are a new cough, shortness of breath or difficulty breathing, recent loss of taste or smell, fever or chills, muscle or body aches, sore throat, headache, nausea or vomiting, diarrhea, runny nose or stuffy nose, and fatigue.

Anyone who has symptoms of COVID-19 should stay at home until they get tested and receive all their test results. You should also let the people in your life know that you have symptoms and are being tested, and encourage them to stay at home as well (and monitor for symptoms). If a person has symptoms of COVID-19 – especially a new cough, shortness of breath or difficulty breathing, or recent loss of taste or smell – everyone in the household should stay home until that person has been tested (and has a negative result).

People can get tested if they are asymptomatic if they are in one of the following groups:

- People who work in high-contact occupations. This includes, but is not limited to, barbers, child care workers, clergy, cosmetologists, first responders, gym and exercise trainers, healthcare professionals, personal care services (nail technicians, massage therapists, tattoo artists, estheticians, cosmeticians, manicurists, body piercers, and tanning facility staff), public transit drivers, and restaurant workers.

- Rhode Islanders between the ages of 18 and 39.

- People who recently attended a large protest or demonstration.

- Rhode Islanders planning to travel to a state that requires a COVID-19 test to avoid extended quarantine.

- People who are coming to Rhode Island from a place with elevated cases.

To schedule a test, asymptomatic people should visit http://portal.ri.gov. Tests are run at the Rhode Island Convention Center in Providence, at the Stop & Shop sites in Cumberland and Newport, and at the Block Island Fire and Rescue station. Appointments are required at these State-run sites.

There are many other sites throughout Rhode Island where asymptomatic people can get tested that are not operated by the State, including urgent care centers, healthcare facilities, and community health centers. A list of those sites is available online.

Rhode Island has implemented a targeted testing strategy to limit the spread of COVID-19 statewide, with an emphasis on more vulnerable populations. The three facets to Rhode Island's COVID-19 testing strategy are:

- Symptomatic testing – All people with symptoms of COVID-19 should get tested. This allows Rhode Island to quickly identify cases and get people into isolation and quarantine.

- Outbreak rapid response – Rhode Island uses testing as a guide to implementing infection prevention measures in higher risk and higher density settings where outbreaks are occurring, such as nursing homes and other congregate living settings.

- Sentinel Early Warning System – Rhode Island is doing broad, population-level testing and testing in high-risk groups to monitors incidence of COVID-19. This enables quick, targeted responses to potential clusters. (Asymptomatic testing is a part of Rhode Island's Sentinel Early Warning System.)

Resources:

- More information about testing is available online (http://health.ri.gov/covid).

- For general questions about COVID-19, call 401-222-8022.

- To report a concern about a business and COVID-19 non-compliance, call 401-889-5550 or write to taskforce.dbr.ri.gov.

- To report a concern about a large gathering, call 401-764-5554.

Reminders for the public:

- Practice the three Ws:

Wear your mask whenever you are around people you don't live with.

Wash your hands with soap and water throughout the day (or use hand sanitizer).

Watch your distance. Try to stay at least six feet away from others when possible.

- Keep your groups consistent and small. The social gathering maximum in Rhode Island is 15 people. The smaller the group the better.

- Resources are available for people who need to stay home because of COVID-19. Please do not go into work if you are sick. (https://health.ri.gov/publications/resourceguides/COVID-19-Relief-for-Workers.pdf)

RIDOH and DEM Recommend Avoiding Contact with Lower Melville Pond

2020-10-22

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Lower Melville Pond in Portsmouth due to a blue-green algae (or cyanobacteria) bloom. An advisory for Upper Melville (also known as Thurston Gray) Pond has been in place since August 20 and remains in effect. Blue-green algae can produce toxins that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the ponds. Neither pond will be stocked with trout this Fall. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisories will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Blue-green algae blooms may also be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Blue-Green Algae Bloom in Wenscott Reservoir in North Providence

2020-10-19

The Rhode Island Department of Health (RIDOH) and the Department of Environmental Management (DEM) are advising people to avoid contact with Wenscott Reservoir in North Providence, due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

People should also be careful not to ingest water or eat fish from this water body. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after a blue-green algae bloom is no longer visible.

Blue-green algae blooms are also affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Red Monkey Foods, Inc. Recalls Organic Parsley and Herbes de Provence

2020-10-14

The Rhode Island Department of Health (RIDOH) is advising consumers that Red Monkey Foods, Inc. is recalling select organic parsley and Herbes de Provence products due to possible Salmonella contamination.

The potentially affected products were distributed to all fifty states and to Puerto Rico with the following product names, product codes, and "best by" dates:

Cost Plus World Market Herbes de Provence, 0.6 oz

UPC: 25333107

Best by 13 MAR 2023

Cost Plus World Market Organic Parsley, 0.3 oz

UPC: 25333251

Best by 4 MAR 2023

Great Value Herbes De Provence Organic, 0.6 oz

UPC: 078742154510

Best by 14 MAR 2023

Great Value Organic Parsley Flakes, 0.3 oz

UPC: 078742154602

Best if used by 14 MAR 2023

O Organics Herbes De Provence Organic, 0.65 oz

UPC: 079893411316

Best if used by 24 MAR 2023

O Organics Parsley Organic, 0.3 oz

UPC: 079893411095

Best if used by 25 MAR 2023

Full Circle Parsley Organic, 0.3 oz

UPC: 036800328310

Best if used by 11 MAR 2023

To date, there have been no consumer complaints or reported cases of Salmonellosis in connection with these products.

Salmonella is a microorganism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting, and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis, and arthritis.?

Consumers who have purchased the product with the listed "Best By" dates are urged not to consume the product, but to discard it or return it to the place of purchase for a full refund. Consumers or Media with questions may call Red Monkey Foods, Inc. Customer Service Center at (417) 319-7300 or by e-mail at customerservice@redmonkeyfoods.com for more information. Customer Service will be available in person from 8 a.m. to 5 p.m. CST Monday to Friday.

###

Four Bars Receive COVID-19 Compliance Orders

2020-10-12

Rhode Island's COVID-19 Enforcement Task Force has taken immediate action against four bars for failing to comply with a range of public health directives related to COVID-19. The COVID-19 Enforcement Task Force is a collaboration between the Rhode Island Department of Health (RIDOH) and Rhode Island Department of Business Regulation (DBR).

Inspectors noted various violations at these businesses, including bars being accessible after 11 p.m., mingling customers being served at bars, failure to maintain separation at bars, and employees and patrons not wearing masks. Although restaurants can operate bars, they must close by 11 p.m., and patrons must be seated at bars with barriers between seated parties. Nightclubs cannot operate in Rhode Island at this time.

"We are taking a zero-tolerance approach when it comes to bars that, by blatantly flaunting Rhode Island's COVID-19 requirements, are hurting the entire industry, are jeopardizing the safety of customers and communities, and are setting the whole state back in our work to prevent the spread of this virus," said Director of Health Nicole Alexander-Scott, MD, MPH. "To the businesses throughout Rhode Island that are serving customers in a way that is responsible, healthy, and safe, thank you. To the businesses that are not, serious consequences can be expected."

The four establishments that have received Immediate Compliance Orders are:

- 7 Sisters La Cachimba Hookah Lounge, in Providence

- Tres Letras Hookah Lounge, in Providence

- Fish Co. Bar & Grill, in Providence

- Pregame Lounge, in Cranston

7 Sisters La Cachimba Hookah Lounge, Tres Letras Hookah Lounge, Fish Co. Bar & Grill, and Pregame Lounge are currently closed, pending meetings with RIDOH and DBR. Additionally, all employees of these four businesses must be tested.

Thorough environmental cleaning will be required of all four establishments, in addition to the ongoing requirements for all businesses offering dining on premises. These include requirements to keep contact information for guests, screen employees and guests for symptoms of COVID-19, ensure mask wearing, and ensure social distancing.

These compliance orders and all other COVID-19 related compliance orders are posted online on the website of DBR - http://dbr.ri.gov.

To file a complaint about a business, call 401-889-5550 or visit taskforce.dbr.ri.gov.

Blue-Green Algae Bloom in Polo and Roosevelt Lakes in Roger Williams Park

2020-10-09

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Polo and Roosevelt Lakes in Roger Williams Park, Providence, due to blue-green algae (or cyanobacteria) blooms. Edgewood and Pleasure Lakes in Roger Williams Park remain under blue-green algae advisories. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

People should also be careful not to ingest water or eat fish from these waters. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after a blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

COVID-19 Testing Site and Data Updates

2020-10-09

All State-run COVID-19 testing sites in Rhode Island will be closed on Monday, October 12th. These testing sites include all locations for Rhode Island's dedicated K-12 testing program, the Rhode Island Convention Center, the Cumberland and Newport Stop & Shop testing sites, and the Block Island Fire and Rescue Barn. Normal operations will resume on Tuesday.

Additionally, the Beat COVID/K-12 Dexter Street testing site in Pawtucket is moving to 354 Pine Street in Pawtucket. The site will be open at its current location at 71 Dexter Street on Saturday, and then moved on Sunday and Monday. It will reopen on Tuesday morning at 354 Pine Street. This site will continue to be reserved for Central Falls and Pawtucket residents and people getting tested through the K-12 testing program.

Finally, updated COVID-19 data will not be posted on Columbus Day. Rhode Island's COVID-19 data will next be updated on Tuesday, October 13th.

Seneca Snack Company Recalls Cinnamon Apple Chips

2020-10-06

The Rhode Island Department of Health (RIDOH) is advising consumers that Seneca Snack Company is recalling Seneca Cinnamon Apple Chips and Clancy's Cinnamon Apple Chips due to possible Salmonella contamination.

This recall affects Clancy's products sold by ALDI and Seneca products sold nationwide through Amazon and Gemline. The recall extends to the following labels and package sizes:

Seneca Cinnamon Apple Chips 0.7 ounce Package

UPC: 0 18195-70140 4

Individual Package Codes: 26JUN2021

Seneca Cinnamon Apple Chips 2.5 ounce Package

UPC: 0 18195-70100 8

Individual Package Codes: 28JUN2021

Clancy's Cinnamon Apple Chips 2.5 ounce Package

Individual Package Codes: 26JUN2021, 27JUN2021

Seneca is not aware of any reports of consumer illness related to this product.

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Consumers with this product should return it for a full refund to the retail outlet where it was purchased. Consumers who want more information may call Seneca Foods Consumer Affairs at 1-800-872-1110.

COVID-19 Business Compliance Update

2020-10-01

Between September 21 and September 27, more than 200 Rhode Island businesses received perfect scores on their compliance inspections, according to Rhode Island's COVID-19 Enforcement Task Force. The COVID-19 Enforcement Task Force is a collaboration between the Rhode Island Department of Health (RIDOH) and Rhode Island Department of Business Regulation (DBR). These inspections are intended to measure compliance with industry specific COVID-19 requirements. A list of these businesses is available online (https://dbr.ri.gov/documents/Weekly_Inspections.pdf).

Additionally, Between September 21 and October 1, ten businesses received immediate compliance, partial immediate compliance, and compliance orders for failing to comply with a range of public health directives related to COVID-19. These businesses are listed below. Seven additional business received a notice of compliance.

Businesses are required to take steps such as ensure that employees and customers are wearing masks and practicing social distancing and designate a point of contact who will work with RIDOH on case investigations, should the need arise.

Businesses that have received immediate compliance, partial compliance, and compliance orders:

- Milano's Pizza, Providence – Immediate compliance order

- Centro de Nutricion Familiar, Providence – Compliance order

- Zona Lounge, Cranston – Compliance order

- La Casa Restaurant, Cranston – Compliance order

- Kennedy Fried Chicken, Providence – Compliance order

- Copperfield's Burger and Beer, Smithfield– Partial immediate compliance order

- Jalapeno's Kitchen, Providence – Compliance order

- Davo's Calzones and Wraps, South Kingstown – Compliance order

- 3 Flags Bakery, Central Falls – Compliance Order

- Honey Dew Donuts, Providence – Compliance order

Businesses that have since received notices of compliance:

- Countryside Liquors, Pawtucket – Compliance order (now in compliance)

- Knights of Columbus, Lincoln - Combination compliance order, Immediate compliance order (now in compliance)

- EP Weiners, East Providence – Immediate compliance order (now in compliance)

- Tres Letras Hookah Lounge, Providence – Combination compliance order,

Immediate compliance order (now in compliance)

- Ichigo Ichie Restaurant, East Providence - Combination compliance order, Immediate compliance order (now in compliance)

- La Tijera De Oro Barber Shop, Providence – Compliance order (now in compliance)

These compliance orders and all other COVID-19 related compliance orders are posted online on the website of DBR - https://dbr.ri.gov/.

To file a complaint about a business, call 401-889-5550 or visit http://taskforce.dbr.ri.gov.

Consumers Urged To Avoid Health is Wealth Products

2020-09-30

The Rhode Island Department of Health (RIDOH) Is advising consumers to avoid juices, smoothies, and sea moss gel purchased from Health is Wealth Nutrition Center located at 1674 Cranston Street in Cranston because of the potential for processing, storage, and control issues with these products. Product images are attached.

The products under investigation include:

- Health is Wealth Sea Moss Drink. This juice is sold in a variety of flavors including but not limited to Blackberry, Fruit Punch, Soursop Guanabana, Strawberry, Passion Fruit, Pineapple, Mango, Guava Guayaba, and Tamarind. These products are sold in 12oz and 16oz containers.

- Health is Wealth Sea Moss Smoothie. This smoothie is sold in a variety of flavors including but not limited to Pina Coloda, Peanut Punch, Soursop/Guanabana, Cinnamon Vanilla, and Mango. These products are sold in 12oz and 16oz containers.

- Health is Wealth Sea Moss Gel. This gel is sold in a variety of flavors including Sea Moss Bladderwrack Aloe Vera Gel, Sea Moss Bladderwrack Gel, and Sea Moss Gel. These products are sold in 16 oz containers.

- Health is Wealth Sea Moss Protein Shakes. These shakes are sold in a variety of flavors including but not limited to Peanut and Cinnamon. These products are sold in 12oz and 16oz containers.

Inadequate processing allows for the survival of the toxin that can cause Botulism. Botulism can cause weakness, dizziness, double vision and trouble speaking, swallowing, or breathing. People experiencing these symptoms should seek medical attention.

These products should be discarded.

No illnesses have been associated with these products.

Rhode Island Kicks Off Flu Vaccination Campaign

2020-09-29

At an outdoor, socially distanced media event today the Rhode Island Department of Health (RIDOH) launched a wide-ranging, months-long campaign to get 90% of Rhode Islanders vaccinated against the flu.

As Rhode Island continues to respond to COVID-19, flu shots will become available at hundreds of community clinics, schools, COVID-19 testing sites (for asymptomatic people), pharmacies, nursing homes, doctors' offices, and other sites throughout the state. Flu vaccine will lessen the chances that someone will have to deal with the serious health consequences of the flu, and it will lessen the chances that Rhode Island's healthcare system will be overburdened with both flu and COVID-19 patients in the coming months.

"While a flu vaccination rate of 90% is an ambitious goal, flu vaccination will be more important than ever this year. The simple choice to get a flu shot and make sure that your loved ones get their flu shots is a powerful step to help keep all of Rhode Island healthy and safe," said Director of Health Nicole Alexander-Scott, MD, MPH. "Our Health Equity Zones and other community partners throughout the state are working to make flu shots as easy and convenient as possible. This is especially true in our communities that have been hit harder by COVID-19. With the flu vaccine, we have the ability to give ourselves and our family members an extra layer of protection."

"With the current COVID-19 pandemic, getting a flu vaccine is more important than ever this year – to protect ourselves, our families and our communities," said Executive Office of Health & Human Services Secretary Womazetta Jones. "If we all do our part to get vaccinated for the flu, we can help save lives and reduce the burden on our healthcare system – where staff are working tirelessly to respond to COVID-19."

Most years, Rhode Island is one of the best vaccinated states in the country. During the 2018-2019 flu season, 60% of Rhode Islanders were vaccinated against the flu: 78% of children and 56% of adults. (A statewide vaccination rate is not yet complete for the 2019-2020 season.)

During the 2018-2019 flu season, the flu resulted in 1,032 hospitalizations and there were 39 flu-associated deaths. During the 2019-2020 flu season, when strict community mitigation measures were in place to prevent the spread of COVID-19 and when patterns of healthcare utilization were atypical, Rhode Island saw 950 hospitalizations and 20 flu-associated deaths. Many symptoms of the flu mirror symptoms of COVID-19. Both viruses can cause fever, cough, shortness of breath, nasal congestion, muscle aches, and fatigue.

Rhode Island has brought 150,000 more doses of flu vaccine into the state than during years past and is prepared to purchase additional vaccine. This year's vaccine protects against two influenza A strains (including the H1N1 strain) and two influenza B strains, based on what strains experts expect to be circulating in the community. Two enhanced flu vaccines will be available for seniors, both of which help create a higher immune response.

While flu shots are important for everyone older than six months of age, they are especially important for certain people, including older adults, younger children, healthcare workers, pregnant women, and people with chronic medical conditions. Examples of chronic medical conditions include diabetes, cancer, heart disease, and asthma.

After getting a flu shot, some people experience a slight ache or a low-grade fever. This means that the body is developing an immune response to the flu virus. These mild side effects are much less significant than the actual flu, which causes most people to stay in bed for a week. You cannot get the flu from the flu shot.

In addition to getting vaccinated against the flu, Rhode Islanders can take other steps to stay healthy and safe this flu season.

Practice the three Ws:

- Wear your mask. A mask helps prevent the spread of respiratory illnesses like the flu and COVID-19.

- Wash your hands. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

- Watch your distance. Whenever possible, stay six feet away from other people who are not your household contacts.

Additional steps that people can take include:

- Cough or sneeze into your elbow. Flu is spread through coughing or sneezing on other people or into your hands. Cover your coughs and sneezes to prevent others from getting sick.

- Disinfect high-touch surfaces regularly, such as tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

- Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

Additional resources:

- List of vaccination clinics and general information about the flu: https://www.health.ri.gov/flu. (Evening school clinics are open to the entire community.)

- Information about the flu in Spanish: http://health.ri.gov/gripe

- People with additional questions can call RIDOH's Health Information Line at 401-222-5960 / RI Relay 711.

RIDOH and DEM Recommend Avoiding Contact with Mashapaug Pond

2020-09-28

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Mashapaug Pond in Providence due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after a blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

Blue-Green Algae Bloom in Edgewood and Pleasure Lakes in Roger Williams Park

2020-09-25

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Edgewood and Pleasure Lakes in Roger Williams Park, Providence, due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

People should also be careful not to ingest water or eat fish from these waters. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after a blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH Responding to COVID-19 Outbreak Near Providence College

2020-09-18

The Rhode Island Department of Health (RIDOH) and Providence College are responding to an outbreak of COVID-19 among off-campus students near the school. Approximately 120 cases have been identified in the last three days. RIDOH is reminding people who live in the area around Providence College (and all Rhode Islanders) to monitor themselves for symptoms of COVID-19. Anyone who develops symptoms should contact their healthcare provider.

Additionally, all people in Rhode Island between 18 and 39 years of age who do not have symptoms of COVID-19 can get tested. People who do not have symptoms and who work in high-contact workplaces, such as bars, restaurants, clubs, gyms, and hair salons and barbershops, are also eligible to be tested. College students in the area who do not attend Providence College and employees of area businesses who regularly interact with Providence College students are strongly encouraged to be tested. (All Providence College students are already being tested.) Testing of asymptomatic people is done at the Rhode Island Convention Center. Appointments are required. To schedule an appointment, go to http://portal.ri.gov. (More information is available at the link below.)

RIDOH is taking several measures to limit or prevent the spread of COVID-19 in the area. RIDOH is doing thorough case investigations for each case, and is doing aggressive contact tracing. RIDOH is also partnering with Providence College in its work to support students in quarantine and isolation. In addition, RIDOH has been advising the college on broader mitigation steps, such as the implementation of a temporary 'stay-at-home' directive for students.

Symptoms of COVID-19

People with COVID-19 have had a wide range of symptoms. Symptoms may appear from 2 to 14 days after exposure to the virus. People with these symptoms may have COVID-19:

- Cough

- Shortness of breath or difficulty breathing

- Fever or chills

- Muscle or body aches

- Sore throat

- Headache

- Nausea or vomiting

- Diarrhea

- Runny nose or stuffy nose

- Fatigue

- Recent loss of taste or smell

Which asymptomatic people can schedule a test for COVID-19

- High-contact workers, including but not limited to, barbers, child care workers, clergy, cosmetologists, first responders, gym and exercise trainers, healthcare professionals, personal care services (nail technicians, massage therapists, tattoo artists, estheticians, cosmeticians, manicurists, body piercers, and tanning facility staff), public transit drivers, and restaurant workers.

- Rhode Islanders between the ages of 18 and 39.

- People who recently attended a large protest or demonstration.

- Additional groups: https://health.ri.gov/covid/testing/asymptomatic/

How to schedule a test for COVID-19

- People without symptoms can schedule a test by going to http://portal.ri.gov. For information about testing for people who do not have symptoms is available online. (https://health.ri.gov/covid/testing/asymptomatic/)

- Testing information for people who do have symptoms is also available online (https://health.ri.gov/covid/testing/).

More information about COVID-19

https://www.health.ri.gov/covid

401-222-8022

RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Slack Reservoir

2020-09-18

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Slack Reservoir in Smithfield and Johnston. The advisory was related to high levels of blue-green algae, also known as cyanobacteria.

Recent consecutive surveys and sample analysis confirmed that blue-green algae has been present but at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet the advisory guidelines and support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Slack Reservoir again, or other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

COVID-19 Testing Program for Pre-K - 12 Now Open

2020-09-14

Rhode Island's comprehensive school testing program is now open and able to provide prompt results to any student, teacher, or staff member at any public or private Pre-K – 12 school throughout the state who needs to be tested for COVID-19.

A test can be scheduled seven days a week from 7:30 a.m. to 9:30 p.m. by calling 844-857-1814. This scheduling line is only for PreK – 12 students, teachers, and staff who have symptoms, or who have been directed to get a test because they were a close contact of someone who is positive. Services are available in multiple languages.

"Consistent with the strategic, aggressive approach we have taken to COVID-19 testing over the last several months, Rhode Island has developed one of the broadest, most comprehensive school testing programs in the country," said Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH). "We have the infrastructure to run 5,000 tests a day for students, teachers, and staff, which will allow us to rapidly identify cases of COVID-19 and get people into quarantine and isolation right away. This will be key to minimizing disruptions to school communities and making this academic year a success for all students and schools throughout Rhode Island."

"Getting our students back to school sends a powerful message about how important education is to Rhode Island," said Angélica Infante-Green, Commissioner of the Rhode Island Department of Elementary and Secondary Education. "The work our colleagues have done to organize and implement school-focused COVID testing is a powerful tool in our efforts to return students safely to their classrooms. Efforts like this allow educators to do what they do best -- teach our students."

Anyone who has symptoms of COVID-19 will get two tests. The results of the first test, which is a rapid test, will be available the same day. A second, more definitive test (a PCR test) will also be done. The results of this second test will be available within an average of 48 hours. A person who does not have symptoms but who is being tested because they were a close contact of someone with COVID-19 will only get the more definitive PCR test.

People will be able to schedule a test at one of 14 sites throughout Rhode Island. A full list of the testing sites is available online. People can either make drive-up appointments or walk-up appointments. Appointments can be scheduled by parents, guardians, teachers, staff members, and students older than 16 years old. A parent or guardian must go to the test site with any child who is younger than 16. Instructions on how to get test results is available online in English, Spanish, and Portuguese.

If a student, teacher, or staff member tests positive

Anyone who tests positive for COVID-19 will not be allowed to return to school and will need to isolate for at least 10 days after the first day they developed symptoms. That person can return to school after 10 days if they have been fever-free for 24 hours without taking fever-reducing medicine and if their symptoms have improved. If someone tests positive but does not have symptoms of COVID-19, they must isolate for 10 days after receiving their PCR test result.

People who test positive will receive these instructions directly from RIDOH. A RIDOH staff member will also do an interview over the phone as part of a case investigation. This interview will include questions about the travel history and close contacts of the person who tested positive. The case investigation will involve close coordination between RIDOH and school officials.

If a student, teacher, or staff member tests negative

Anyone who gets tested for COVID-19 should expect to be out of school or work for a period of time, even if their result is negative. If someone tests negative but was a close contact of a positive case, the person who tested negative still needs to complete their 14-day quarantine period. If the person who tested negative was not a close contact (for example, someone who was tested only because they had COVID-19 like symptoms) they can go back to school after symptoms have improved and they have been fever-free for 24 hours without using a fever-reducing medication.

Additional Resources

- More information about testing for Pre-K – 12 students, teachers, and staff is available online:

English: https://health.ri.gov/covid/testing/k-12/#sites

Spanish: https://health.ri.gov/otherlanguages/spanish/diseases/ncov/testing/k-12/

Portuguese: https://health.ri.gov/otherlanguages/portuguese/covid/testing/k-12/

- More information about reopening Rhode Island's schools, district learning plans, and Pre-K-12 outbreak response protocols is available at back2schoolri.com.

- General information about testing (non Pre-K – 12) is available online:

https://health.ri.gov/covid/testing/children/

- General information about COVID-19 is available online: http://health.ri.gov/COVID

Blue-Green Algae Bloom in Spectacle Pond in Cranston and Elm Lake in Providence

2020-09-10

The Rhode Island Department of Health (RIDOH) and the Department of Environmental Management (DEM) are advising people to avoid contact with Spectacle Pond in Cranston and Elm Lake in Roger Williams Park, Providence, due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

People should also be careful not to ingest water or eat fish from these waters. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after a blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

COVID-19 Business Compliance Update

2020-09-04

Nearly 300 businesses in sectors such as hospitality, personal services, banking, fitness, and retail received perfect scores on their COVID-19 compliance inspections, according to Rhode Island's COVID-19 Enforcement Task Force. The COVID-19 Enforcement Task Force is a collaboration between the Rhode Island Department of Health (RIDOH) and Rhode Island Department of Business Regulation (DBR).

These inspections are intended to measure compliance with industry specific COVID-19 requirements. A list of these businesses is available online (https://dbr.ri.gov/).

Additionally, in the past week, five businesses received compliance orders, three businesses received combination compliance orders and immediate compliance orders, and one business received a partial immediate compliance order for failing to comply with a range of public health directives related to COVID-19. These businesses are listed below.

Businesses are required to take steps such as ensure that employees and customers are wearing masks and practicing social distancing and designate a point of contact who will work with RIDOH on case investigations, should the need arise.

- TVLRI Vaporizer Store, Providence – Compliance order

- Sophie's Salon, Providence – Compliance order

- Blendz Barber Shop, East Providence – Compliance order

- A to Z Liquors, Providence – Compliance order

- Omar's Barbershop, Cranston – Compliance order

- Debbie's Breakfast Place, Woonsocket – Combination compliance order and immediate compliance order

- Restaurante Montecristo, Central Falls – Combination compliance order and immediate compliance order

- Danny's Bar, Westerly – Combination compliance order and immediate compliance order

- Portside Tavern, Bristol – Partial immediate compliance order

These compliance orders and all other COVID-19 related compliance orders are posted online on the website of DBR - https://dbr.ri.gov/

To file a complaint about a business, call 401-889-5550 or visit taskforce.dbr.ri.gov.

Blue-Green Algae Blooms in Barber Pond in South Kingstown and Blackamore Pond in Cranston

2020-09-03

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Barber Pond in South Kingstown and Blackamore Pond in Cranston due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Trout will not be stocked in Barber Pond this fall until the advisory is lifted. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisories will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH and RIDEM Recommend Lifting Restrictions for Blue-green Algae in Georgiaville Pond

2020-09-02

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (RIDEM) recommend lifting the advisory restricting recreational activities at Georgiaville Pond in Smithfield. The advisory related to high levels of blue-green algae, also known as cyanobacteria.

Recent consecutive surveys and sample analysis confirmed that blue-green algae has been present but at acceptably low levels and that cyanotoxin is not present in detectable concentrations. These findings meet the advisory guidelines and support lifting the advisory.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Georgiaville Pond again, or other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen. Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

COVID-19 Business Compliance Update

2020-08-27

More than 200 businesses in sectors such as retail, fitness, and hospitality received perfect scores on their COVID-19 compliance inspections, according to Rhode Island's COVID-19 Enforcement Task Force. The COVID-19 Enforcement Task Force is a collaboration between the Rhode Island Department of Health (RIDOH) and Rhode Island Department of Business Regulation (DBR).

These inspections are intended to measure compliance with industry specific COVID-19 requirements. A list of these businesses is available online.

Additionally, in the last week, five business received compliance orders for failing to comply with a range of public health directives related to COVID-19. (These businesses are listed below.) Businesses are required to take steps such as ensure that employees and guests are wearing masks and practicing social distancing, and designate a point of contact who will work with RIDOH on case investigations, should the need arise.

Businesses can either receive a compliance order or an immediate compliance order. An establishment that receives a compliance order can remain open but will be re-inspected in 10 days to ensure that the establishment is meeting all health and safety requirements. An establishment that receives an immediate compliance order must close immediately because the violations documented represent an imminent threat to public health. When a business is generally compliant with safety regulations it can receive combination orders, which allow them to remain open but require that specific areas be closed until the establishment can comply with all safety regulations.

Compliance orders:

- Ju Sushi, Westerly

- Ocean State Body Builders, Johnston

- Crown Fried Chicken, Middletown

- Ray's Service, West Greenwich

- Broadway Express Mart, Providence

- Merrill Lounge, East Providence (combined order)

These compliance orders and all other COVID-19 related compliance orders are posted online on the website of DBR - https://dbr.ri.gov/

To file a complaint about a business, call 401-889-5550 or visit taskforce.dbr.ri.gov.

Prima Wawona and Aldi Recalling Peaches

2020-08-25

The Rhode Island Department of Health (RIDOH) is advising consumers that Prima Wawona and Aldi are recalling bagged and loose Wawona and Wawona Organic peaches distributed and sold between June 1 through August 19, 2020 due to possible Salmonella contamination.

Aldi has removed the affected peaches from select ALDI stores in Rhode Island and many other states, including Connecticut and Massachusetts. The items were also available for purchase through the company's partnership with Instacart, a grocery delivery service. The affected products and UPC codes can be found online.

Wawona is recalling peaches sold in the following supermarkets with the following product codes:

• Wawona Peaches – 033383322001

• Wawona Organic Peaches – 849315000400

• Prima Peaches – 766342325903

• Organic Marketside Peaches – 849315000400

• Kroger Peaches – 011110181749

• Wegmans Peaches – 077890490488

Prima Wawona is recalling the peaches as a precaution in connection with a Salmonella outbreak under investigation by the U.S. Food and Drug Administration and the U.S. Centers for Disease Control and Prevention that is suspected to have caused the illness of more than 60 people in nine states.

Salmonella is a microorganism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Aldi customers with products affected by this voluntary recall should discard those products immediately or return them to their local store for a full refund. Customers with additional questions can contact Wawona Packing Company LLC Customer Service at 1-877-722-7554.

Blue-Green Algae Bloom in Barney Pond in Lincoln

2020-08-21

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Barney Pond in Lincoln due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

COVID-19 Business Compliance Update (English/Spanish)

2020-08-20

More than 250 businesses in sectors such as retail, fitness, and hospitality received perfect scores on their COVID-19 compliance inspections, according to Rhode Island's COVID-19 Enforcement Task Force. The COVID-19 Enforcement Task Force is a collaboration between the Rhode Island Department of Health (RIDOH) and Rhode Island Department of Business Regulation (DBR).

These inspections are intended to measure compliance with industry specific COVID-19 requirements. A list of these businesses is available online (see link below).

"The business owners and employees throughout Rhode Island who are proactively implementing systems and practices to prevent the spread of COVID-19 absolutely should be applauded," said Director of Health Nicole Alexander-Scott, MD, MPH. "The business community has a major role to play in helping keep our communities healthy and safe. These business owners are setting examples that should be followed throughout the state."

"The Department of Business Regulation thanks the vast majority of businesses who are following the rules and implementing the necessary protocols to keep our citizens safe," said DBR Director Liz Tanner. "We will continue to inspect businesses throughout the state and work with those who are not fully in compliance. It is only through your cooperation that our state can continue to safely reopen its economy and emerge from this crisis together."

Additionally, in the last week, ten business received compliance orders for failing to comply with a range of public health directives related to COVID-19. These businesses—ranging from retail to services to hospitality—are listed below. Three of these businesses were re-inspected on August 18th, and all were found to be in compliance.

Businesses are required to take steps such as ensure that employees and guests are wearing masks and practicing social distancing, and designate a point of contact who will work with RIDOH on case investigations, should the need arise.

Compliance orders:

- 114 Express, Warren

- Migz Wireless, Central Falls

- Super 8 Motel, West Greenwich

- Oaklawn Mobile, Cranston

- Warren Super Mart, Warren

- Lenox Convenience Store, Providence

- Mahogany Shoals, New Shoreham (this business is now in compliance)

- Saver's Mart, Providence (this business is now in compliance)

- Sandy Shore Motel, Westerly (this business is now in compliance)

- Milano's Pizza, Providence (this business is now in compliance)

These compliance orders and all other COVID-19 related compliance orders are posted online on the website of DBR - https://dbr.ri.gov/ [linkprotect.cudasvc.com [linkprotect.cudasvc.com]]

To file a complaint about a business, call 401-889-5550 or visit taskforce.dbr.ri.gov.

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Actualizaciones del cumplimiento de regulaciones del COVID-19

Algunos negocios reciben puntajes perfectos; otros reciben órdenes de cumplimiento

De acuerdo con el grupo encargado de hacer cumplir las regulaciones del COVID-19, más de 250 negocios s en sectores de salud, hospedaje y minoristas, recibieron puntuaciones perfectas en sus inspecciones. El grupo es parte de una colaboración entre el Departamento de Salud de Rhode Island (RIDOH) y el Departamento de Regulación de Negocios de Rhode Island (DBR).

Estas inspecciones están encargadas de medir el cumplimiento de los requisitos COVID-19 para negocios en industrias específicas. Una lista de estas empresas se puede encontrar en nuestra página de internet.

"Los dueños de negocios y empleados en todo Rhode Island que están implementando los sistemas y prácticas para prevenir el contagio del COVID-19 deben ser aplaudidos," dijo la directora del Departamento de Salud, la doctora Nicole Alexander-Scott. "Los negocios tiene una parte importante para ayudar a mantener nuestras comunidades saludables y seguras. Estos dueños de negocios están dando ejemplos positivos que deben seguirse en todo el estado."

"El Departamento de Regulación de Negocios de Rhode Island, da sus gracias a la mayoría de los negocios que están siguiendo las reglas e implementando los protocolos necesarios para cuidar nuestros ciudadanos," dijo la directora del Departamento de Regulación de Negocios, Liz Tanner. "Continuaremos inspeccionando negocios a través del estado y trabajando con los que no están cumpliendo totalmente con las regulaciones del COVID-19. Solamente con la cooperación de todos, el estado de Rhode Island podrá reabrir su economía y juntos salir de esta crisis."

Además, en la última semana, diez negocios recibieron órdenes por no cumplir con una serie de directivas de salud pública relacionadas con el COVID-19. Estos incluyen negocios minoristas, de servicios y de hospedaje (vea la lista más abajo). Tres de estos negocios fueron inspeccionados de nuevo el 18 de agosto y todos estaban en cumplimiento de las órdenes.

Las empresas deben tomar medidas para asegurar que los empleados y clientes usen mascarillas o tapa boca y practiquen el distanciamiento social. Además, los negocios deben designar una persona de contacto que estará en comunicación con el Departamento de Salud en las investigaciones de casos, si es necesario.

Los negocios que recibieron órdenes de cumplimiento son:

- 114 Express, Warren

- Migz Wireless, Central Falls

- Super 8 Motel, West Greenwich

- Oaklawn Mobile, Cranston

- Warren Super Mart, Warren

- Lenox Convenience Store, Providence

- Mahogany Shoals, New Shoreham (Este negocio ahora está en cumplimiento de las órdenes)

- Saver's Mart, Providence (Este negocio ahora está en cumplimiento de las órdenes

- Sandy Shore Motel, Westerly (Este negocio ahora está en cumplimiento de las órdenes)

Estas órdenes de cumplimiento y todos las otras ordenes de cumplimiento están publicadas en la página de internet de DBR: https://dbr.ri.gov/

RIDOH and DEM Recommend Avoiding Contact with Upper Melville Pond

2020-08-19

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Upper Melville (also known as Thurston) Pond in Portsmouth due to a blue-green algae (or cyanobacteria) bloom. Signs were posted at the pond earlier this summer due to elevated cyanobacteria levels and the potential for the presence of toxins. Cyanotoxins that can harm humans and animals, along with high levels of the cyanobacteria that produce these toxins, have been detected in the most recent water sample from the pond.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Animals who may ingest pond water are especially at risk from exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with Melville Pond and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

For more information and a list of current and historical advisories, go to http://www.dem.ri.gov/bluegreen Please send reports of suspected blue-green algae blooms, along with photographs, if possible to DEM.OWRCyano@dem.ri.gov.

RIDOH and DEM Recommend Avoiding Contact with Slack Reservoir in Greenville

2020-08-14

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Slack Reservoir in Greenville (it spans Smithfield and Johnston town line) due to a blue-green algae (cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals. Very high levels of microcystins were detected in the most recent water sample.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People also should not ingest water or eat fish from Slack Reservoir. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

The email address above and other current and historical advisories can be accessed at this website: http://www.dem.ri.gov/bluegreen.

Kader Exports Recalling Bags of Shrimp

2020-08-13

The Rhode Island Department of Health (RIDOH) is advising consumers that Kader Exports is recalling frozen cooked, peeled, and deveined shrimp because it has the potential to be contaminated with Salmonella. The shrimp was sold in 1 pound, 1.5 pound, and 2 pound retail bags. The products were distributed nationwide from late February 2020 to mid-May 2020.

The brand names of the products are Aqua Star Reserve, Censea, Fresh Market, Kirkland, Tops, Unistar, and Wellsley Farms. Additional product details are available online.

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

COVID-19 Compliance Orders Issued

2020-08-13

Rhode Island's COVID-19 Enforcement Task Force has issued compliance orders to ten businesses in the last two weeks for failing to comply with a range of public health directives related to COVID-19. The COVID-19 Enforcement Task Force is a collaboration between the Rhode Island Department of Health (RIDOH) and Rhode Island Department of Business Regulation (DBR). Eight of these establishments were food businesses and two were barbershops.

In many instances, inspectors observed staff and patrons not wearing masks, and staff and patrons not practicing social distancing. Other violations included serving drinks at a bar without a physical barrier and not maintaining an employee work log (which would be used for contact tracing, in the event of a case).

Businesses can either receive a compliance order or an immediate compliance order. An establishment that receives a compliance order can remain open but will be re-inspected in 10 days to ensure that the establishment is meeting all health and safety requirements. An establishment that receives an immediate compliance order must close immediately because the violations documented represent an imminent threat to public health. When a business is generally compliant with safety regulations it can receive combination orders, which allow them to remain open but require that specific areas be closed until the establishment can comply with all safety regulations.

Compliance Orders

- Asian Bakery, in Providence

- Subway Restaurant, in Woonsocket

- Sam's Food Store, in Providence

- Grab and Go Convenience Store, in East Providence

- John's Meat Market, in Providence

- China Star III, in Providence

Immediate Compliance Order

- Rios Barber Shop, in Westerly

- Matt's on Mendon Barber Shop, in Cumberland

- Andrea Hotel, in Westerly (the business is now in compliance)

Combination Compliance Order and Immediate Compliance Orders

- Liberty Lunch, in Pawtucket

These compliance orders and all other COVID-19 related compliance orders are posted online on the website of DBR - https://dbr.ri.gov/

To file a complaint about a business, call 401-889-5550 or visit taskforce.dbr.ri.gov.

COVID-19 Outbreak Response Playbook Released for Schools

2020-08-07

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Education (RIDE) have released an Outbreak Response Playbook: Pre K - 12 guide today, providing district and school leaders with guidance on how to respond to various scenarios involving COVID-19 and their students, teachers, and staff. (See link below.)

"This Playbook provides clear guidance and structure to schools in their work to keep students, teachers, and staff as healthy and safe as possible this year when it comes to COVID-19," said Director of Health Nicole Alexander-Scott, MD, MPH. "The Playbook was developed using the best science and data we have on COVID-19 infection control. We will continue to put public health first and rely on the facts in making decisions that are in best interest of students, parents, and educators."

"The health and safety of our students, staff, and communities are top priorities for us, even as we work to ensure our schools get back to their core educational mission," said Commissioner of Education Angélica Infante-Green. "This Playbook provides easy-to-use guidance that school leaders can rely on as they prepare to make school happen this year. We will continue to work with our district, charter and state-run schools to ensure they implement this guidance at the school level."

While the Playbook provides guidance for general scenarios that could arise, RIDOH and RIDE will consult closely with schools on all COVID-19-related health issues that surface to help manage those specific situations.

The Playbook outlines the symptoms of COVID-19, clarifies what should be considered a probable case of COVID-19, and defines "close contact" in a school setting. The Playbook details isolation and quarantine protocols for various scenarios, outlines testing recommendations, and includes clearance protocols for children and staff to later return to school. For example, the Playbook calls for people who meet the definition of a probable case to be sent home, isolate, and be allowed to return to school only after getting a negative COVID-19 test or completing the required isolation period after testing positive. As another example of guidance in the Playbook, schools are given recommendations on how to deal with a student or staff member who has symptoms of illness, but is not a probable case of COVID-19.

Decisions about reopening schools for in-person instruction in Rhode Island will be made considering five factors: statewide data, municipal data, testing capacity, the availability of supplies, and operational readiness. Schools will only be opened for full in-person learning if benchmarks in all of these areas are met.

More information about school reopening in Rhode Island can be found at www.back2schoolri.com [back2schoolri.com], including district, charter and state-run school reopening plans, important updates from RIDE, and answers to Frequently Asked Questions.

COVID-19 Testing Site on Block Island to Close for Today

2020-08-04

Due to the severe weather anticipated because of Tropical Storm Isaias, the COVID-19 testing site at the Block Island Fire and Rescue Barn will be closed today, Tuesday, August 4th. All appointments have been rescheduled for Thursday, August 6th. Other Rhode Island testing sites will continue on their regular schedules. This includes the site at the Rhode Island Convention Center, which is in the Convention Center's parking garage.

For more information on COVID-19 testing, visit http://health.ri.gov/covid/testing.

Thomson International Inc. Recalls of Red, Yellow, White, and Sweet Yellow Onions

2020-08-03

The Rhode Island Department of Health (RIDOH) is advising consumers that Thomson International Inc. is recalling red, yellow, white, and sweet yellow onions shipped from May 1, 2020 through the present. The onions are being recalled because they have the potential to be contaminated with Salmonella, an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Onions were distributed to wholesalers, restaurants, and retail stores in all 50 states, the District of Columbia, and Canada. The onions were distributed in 5 lbs. cartons, 10 lbs. cartons, 25 lbs. cartons, 40 lbs. cartons, 50 lbs. cartons, 2 lbs. mesh sacks, 3 lbs. mesh sacks, 5 lbs. mesh sacks, 10 lbs. mesh sacks, 25 lbs. mesh sacks, and 50 lbs. mesh sacks. They were sold under the brand names Thomson Premium, TLC Thomson International, Tender Loving Care, El Competitor, Hartley's Best, Onions 52, Majestic, Imperial Fresh, Kroger, Utah Onions and Food Lion.

Consumers, restaurants, and retailers should not eat, sell, or serve red, white, yellow, or sweet onions from Thomson International, Inc. or products containing such onions. If you cannot tell if your onion is from Thomson International Inc., you should not eat, sell, or serve it, and you should throw it out.

The U.S. Food and Drug Administration (FDA), along with the U.S. Centers for Disease Control and Prevention (CDC), is investigating a multistate outbreak of Salmonella Newport infections that may be linked to these onions. As of now no specific source of contamination or contaminated shipment has been identified, and FDA is also investigating other potential sources of contamination and has not yet reached a final conclusion. 396 total illnesses have been reported to date including 59 hospitalizations. (There have been no cases identified in Rhode Island.)

RIDOH Issues COVID-19 Compliance Orders

2020-07-29

The Rhode Island Department of Health (RIDOH) has issued compliance orders to ten restaurants and bars so far this week for failing to comply with a range of public health directives related to COVID-19. Additional compliance orders may be issued.

In many instances, inspectors observed staff and patrons not wearing masks, staff and patrons not practicing social distancing, and establishments not screening patrons for symptoms of COVID-19. Many of the establishments that were issued orders did not meet the requirements for separation at their bar areas. (Customers were seated at bar areas and were being served from behind the bar without the necessary physical barriers in place.) A full list of requirements for restaurants is available online.

"There are restaurants throughout Rhode Island that are doing a great job welcoming and serving customers in a way that is healthy and safe," said Nicole Alexander-Scott, MD, MPH. "The few that are not are hurting the entire industry, jeopardizing the safety of their customers, and setting Rhode Island back in our work to prevent the spread of COVID-19. As residents, business owners, and a state, we need to be more vigilant now than ever."

Restaurants and bars can either receive a compliance order or an immediate compliance order. An establishment that receives a compliance order can remain open but will be re-inspected in 10 days to ensure that the establishment is meeting all health and safety requirements. An establishment that receives an immediate compliance order must close immediately because the violations documented represent an imminent threat to public health. In some situations, restaurants and bars that were generally compliant with safety regulations received partial immediate compliance orders or combination orders which allow them to remain open but require that bar areas be closed until the establishment can comply with all safety regulations.

Compliance Orders

- Theater Tap Bar, in Pawtucket

- Pasha Hookah Lounge and Bar, in Providence

- Boulevard Grille and Cigar Lounge, in Pawtucket

Immediate Compliance Order

- Tafino Restaurant and Lounge, in Providence

Partial Immediate Compliance Orders

- PJs Pub, in Narragansett

- Morse Tavern, in Coventry

Combination Compliance Order and Immediate Compliance Orders

- Buffalo Wild Wings, in Warwick

- Fairlawn Golf Course, in Lincoln

- O'Rourke's Bar and Gill, in Warwick

- Lifestyle Nutrition, in Providence

These compliance orders and all other COVID-19 related compliance orders are posted online on the website of the Rhode Island Department of Business Regulation (https://dbr.ri.gov/decisions/decisions_task_force.php).

RIDOH, DEM, and American Forests Launch Heat Mapping Effort

2020-07-28

As a part of ongoing efforts to better understand how extreme heat disproportionately impacts communities in Rhode Island, the Rhode Island Department of Health (RIDOH), the Rhode Island Department of Environmental Management (DEM), and American Forests have launched the Rhode Island Heat Watch Program, a community health mapping project.

The Rhode Island Heat Watch Program will organize community volunteers to measure heat and humidity in four Rhode Island municipalities—Central Falls, East Providence, Pawtucket, and Providence—during four one-hour blocks between 6 a.m. and midnight on July 29th. Fourteen cities across the country are participating in similar data collection efforts. Rhode Island is the first state to collect heat distribution data during the night to reveal which areas aren't cooling off enough overnight.

"The issues of heat, health, and equity are closely intertwined," said Director of Health Nicole Alexander-Scott, MD, MPH. "Putting interventions into place to help communities be as healthy and resilient as possible first requires us to understand how issues like extreme heat and climate change affect areas of Rhode Island differently. The Rhode Island Heat Watch Program will build on the work our Health Equity Zones and be an important part of Rhode Island's efforts to promote equity and health at the community level."

"In urban areas nationwide, trees can help prevent heat-related deaths and illnesses by lowering temperatures and counteracting the urban heat island effect, in which darkly colored surface materials such as roads and rooftops, absorb heat and make their urban surroundings warmer," said Ian Leahy, Vice President of Urban Forestry at American Forests. "Knowing which neighborhoods are experiencing higher temperatures and which populations are being impacted disproportionately can help cities determine where trees are needed the most. Given that a 10-fold increase in heat-related deaths is expected in the eastern U.S. by 2050, the Rhode Island Heat Watch Program serves as a model for how other urban areas can prepare for and respond to extreme heat."

Over 600 people in the United States die from extreme heat each year. Heat-related illnesses happen when the body is not able to cool itself and the heat causes damage to the brain and other vital organs. Communities that are particularly vulnerable to the effects of extreme heat include older adults, children, and places where median incomes are lower. Rising temperatures are exacerbated in urban areas with man-made materials that absorb sunlight and reduce green space. As a result, urban areas tend to have higher average temperatures than surrounding towns.

Volunteers will use specially designed thermal sensors mounted on cars to collect ambient air temperature and humidity data. Once data are collected, sensors are shipped to CAPA Heat Watch, an external partner who combines these data with satellite imagery to create high-resolution maps for use by Rhode Island communities and state agencies. This effort will allow data-driven heat mitigation efforts, such as urban forestry, to ensure that all Rhode Island communities have the systems and infrastructure in place to be more resilient in the face of climate change.

RIDOH Urges Precautions to Prevent Heat-related Illness

2020-07-24

The Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders to protect themselves against the elevated heat indexes forecast for this weekend and the coming week with a few simple health precautions. Extreme heat can be dangerous, particularly for children, older adults, and some people with underlying medical conditions.

To protect yourself and your family from heat-related illness, take the following precautions:

- Drink more fluids than usual, and don't wait until you're thirsty to drink more fluids. Water is your best option. Limit alcohol, drinks with caffeine, and drinks with high amounts of sugar.

- Check on friends and neighbors, particularly those who are caring for young children and older adults.

- Stay out of the sun. Find a shaded area where you can sit and relax, particularly during the hottest parts of the day.

- Wear lightweight, light-colored clothing. Wear a hat if you are outside.

- Limit outdoor activities, especially at mid-day. If you exercise outdoors, move your workout to a morning or evening time, take it indoors to an air-conditioned environment, or try swimming, which is a great summer exercise. If you work outside, wear sunscreen (re-apply frequently), pace your activity, stay hydrated, and check on co-workers.

- Take cool showers or baths to cool down, particularly if you're unable to be in an air-conditioned location.

- Avoid turning on your oven, if possible. It will make your house hotter.

- Never leave young children or pets in parked cars, even with the windows down.

People should also try to stay in air-conditioned spaces when it gets very hot. If you don't have air conditioning at home, consider going to the home of a friend or loved one who does. There are also cooling centers in Rhode Island. If you go to a cooling center or congregate in an air-conditioned space, bring a mask or cloth face-covering, maintain six feet of distance between yourself and others, and wash or sanitize your hands frequently. This can help prevent the spread of Coronavirus Disease 2019 (COVID-19).

Heat-related illness, including heat exhaustion and heat stroke, are of particular concern during periods of extreme heat.

- Heat exhaustion symptoms include heavy sweating; weakness; cold, pale or clammy skin; a fast or weak pulse; nausea or vomiting; and fainting. Individuals who have symptoms of heat exhaustion should move to a cooler location, lie down, loosen clothing, sip water, and apply cool, wet cloths to help cool the body down. Seek medical attention if vomiting begins, or if symptoms get worse or last longer than one hour.

- Heat stroke symptoms include high body temperature (above 103 degrees Fahrenheit), combined with hot, red, dry or moist skin; rapid and strong pulse; confusion; and losing consciousness (passing out). Individuals experiencing heat stroke symptoms should also be moved to a cooler environment. Apply cool cloths or place the person into a cool bath to lower body temperature. Heat stroke is a medical emergency and 911 should be called immediately.

For more information about symptoms of heat stroke and heat exhaustion, see www.cdc.gov/disasters/extremeheat/warning [cdc.gov]. For more information about summer safety, visit https://www.health.ri.gov/seasonal/summer.

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RIDOH and DEM Recommend Avoiding Contact with Upper J.L. Curran Reservoir in Cranston

2020-07-24

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Upper J.L. Curran Reservoir in Cranston due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Pets can also be affected by exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with Upper J.L. Curran Reservoir and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

To report a bloom and view current and historical advisories, DEM's website has more information at: http://www.dem.ri.gov/bluegreen.

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CCRI COVID-19 Testing Site to Close on Sunday

2020-07-24

Coronavirus Disease 2019 (COVID-19) testing at the Community College of Rhode Island (Knight Campus) will cease at the end of the day on Sunday, July 26th. This testing site is shifting to the Rhode Island Convention Center, as the Rhode Island College testing site did earlier this week.

Testing at the Rhode Island Convention Center (114 West Exchange Street in Providence) is happening in the parking garage. This will allow testing to happen even during inclement weather. The testing site is a drive-up site. The access road connecting West Exchange and Sabin Streets is restricted to test site traffic and emergency vehicles only. Because of the low clearance in the garage, trailers, RVs, and other oversized vehicles cannot be accommodated at this time. The site operates Monday through Friday from 8:00 a.m. to 5:00 p.m., and Saturday through Sunday from 9:00 a.m. to 3:00 p.m. Tests are available by appointment only.

Like the college testing sites, the Rhode Island Convention Center testing site is for symptomatic people and certain asymptomatic people. People who are symptomatic can get a test scheduled for them by a healthcare provider. People who are asymptomatic can schedule a test if they work in a high-contact profession. Examples of people who work in high-contact professions include barbers, child care workers, clergy, cosmetologists, first responders, gym and exercise trainers, healthcare professionals, personal care services (nail technicians, massage therapists, tattoo artists, estheticians, cosmeticians, manicurists, body piercers, and tanning facility staff), public transit drivers, and restaurant workers. Asymptomatic Rhode Islanders who have recently traveled to a place with an elevated positivity rate can also be tested. To schedule a test, visit portal.ri.gov.

COVID-19 Testing Site to Open at the Rhode Island Convention Center

2020-07-20

The Rhode Island Department of Health (RIDOH) is announcing that a new Coronavirus Disease 2019 (COVID-19) testing site will open tomorrow, July 21st, at the Rhode Island Convention Center, located at 114 West Exchange Street in Providence. This site will replace the current testing site at Rhode Island College (RIC). Today is the last day of testing at RIC. The testing site at the Community College of Rhode Island (CCRI) will also be phased out in the near future.

Testing at the Rhode Island Convention Center will happen in the parking garage. This will allow testing to happen even during inclement weather. The testing site will be a drive-up site. Signage will direct people to the site. The access road connecting West Exchange and Sabin Streets will be restricted to test site traffic and emergency vehicles only. Because of the low clearance in the garage, trailers, RVs, and other oversized vehicles cannot be accommodated at this time. The site will operate Monday through Friday from 8:00 a.m. to 5:00 p.m., and Saturday through Sunday from 9:00 a.m. to 3:00 p.m. Tests are available by appointment only.

This location change will increase Rhode Island's testing capacity. The Rhode Island Convention Center site will have capacity to do 1,500 tests a day. The RIC and CCRI sites were equipped to handle 600 tests a day each.

Like the RIC and CCRI testing sites, the Rhode Island Convention Center testing site will be for symptomatic people and certain asymptomatic people. People who are symptomatic can get a test scheduled for them by a healthcare provider. People who are asymptomatic can schedule a test if they work in a high-contact profession. Examples of people who work in high-contact professions include barbers, child care workers, clergy, cosmetologists, first responders, gym and exercise trainers, healthcare professionals, personal care services (nail technicians, massage therapists, tattoo artists, estheticians, cosmeticians, manicurists, body piercers, and tanning facility staff), public transit drivers, and restaurant workers. Asymptomatic Rhode Islanders who have recently traveled to a place with an elevated positivity rate can also be tested. To schedule a test, visit http://portal.ri.gov. People can make appointments as of noon today.

Governor Gina M. Raimondo and Director of Health Nicole Alexander-Scott, MD, MPH will provide a broader update on testing at Wednesday's press conference.

More information about COVID-19 testing, including information on all the different places people can get tested, is available online (https://health.ri.gov/covid/testing/).

RIDOH Licenses State's First Marijuana Sampling and Testing Laboratory

2020-07-20

As a part of the on-going process in Rhode Island to improve medical marijuana product safety and transparency, the Rhode Island Department of Health (RIDOH) has licensed Green Peaks Analytical as the State's first licensed marijuana sampling and testing laboratory.

To date, products sold at compassion centers in Rhode Island have been tested by cultivators or compassion centers with their own laboratory facilities, or by private, unlicensed laboratories. While some laboratories across the country are only licensed to test, Green Peaks Analytical will also collect samples directly from licensed cultivators and licensed compassion centers, to ensure that the sample's chain of custody is not broken.

"Like all other patients in Rhode Island, people who use medical marijuana deserve to have access to safe medication, and they deserve to have accurate information about that medication," said Director of Health Nicole Alexander-Scott, MD, MPH. "The increased oversight that RIDOH and DBR will be providing will help ensure that critical product safeguards are in place for medical marijuana patients."

Cannabinoids (e.g.,tetrahydrocannabinol [THC], cannabidiol [CBD], tetrahydrocannabinolic acid [THCA], and cannabidiolic acid [CBDA]) are chemicals found within the cannabis plant. Cannabinoids affect users by binding to specific receptors in the central nervous system. Different cannabinoids produce different effects. For example, THC is associated with psychoactive effects while CBD is associated with anti-psychoactive or THC-moderating effects. This information helps users determine which products to use and how to use them safely.

Over a six-week period, the Rhode Island Department of Business Regulations' (DBR) Office of Cannabis Regulation will gather feedback from Green Peaks Analytical, cultivators, compassion centers, and the patient community about this process. With this information, DBR will establish a time frame by which all medical marijuana products will be required to have potency totals that have been verified by a licensed laboratory on their product labels.

RIDOH and DBR will worktogether with licensed laboratories, using a phased approach,to build capacity so that future certification can include testing for contaminants such as pesticides, metals, or solvents.

113 Rhode Islanders Receiving Updated COVID-19 Test Results

2020-07-17

The Rhode Island Department of Health (RIDOH) has been made aware by a private laboratory of 113 false positive COVID-19 test results for Rhode Islanders. This means that these 113 people were told that their results were positive when they were actually negative.

Located in New York, this private laboratory is a partner laboratory of East Side Clinical Laboratory. These 113 tests were not run at RIDOH's State Health Laboratories.

RIDOH and East Side Clinical Laboratory have been working to contact these individuals and their contacts. All Rhode Islanders who have been tested for COVID-19 should assume that their test result is accurate unless they have been contacted and directly told otherwise.

The original (false positive) results for these people were reported between July 9th and July 14th. The 113 samples were part of a larger batch with samples from other states. In doing quality control the laboratory identified issues with the accuracy of the results in this batch. The laboratory performed an internal investigation and concluded that initial sample handling in the lab was the reason for the false positives. Also included in this batch were samples for 82 Rhode Islanders whose positive results were confirmed upon retesting. Eight Rhode Islanders are being re-swabbed so new tests can be rerun.

The historical numbers on RIDOH's data webpage will be updated to reflect these changes. (Rhode Island's count of total positive cases will only be adjusted down for the number of people of these 113 who had received a positive result for the first time. If someone had received an initial positive result before receiving this second, false positive result, that person is still considered a case.)

Blue-Green Algae Bloom in Stafford Pond in Tiverton

2020-07-16

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising the public to avoid contact with the water in Stafford Pond in Tiverton. This advisory is being issued because high levels of blue-green algae, also known as cyanobacteria, have been detected in the pond.

Contact with water containing blue-green algae can cause irritation of the skin, nose, eyes, and/or throat. If water containing algal toxins is ingested, health effects can include stomach ache, diarrhea, vomiting, and nausea. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. People who have been swimming in, or have otherwise been in contact with these ponds, who experience symptoms, should contact their healthcare providers.

Anyone who comes into contact with water that is under an advisory should rinse their skin with clean water as soon as possible, bathe, and wash their clothes. If a pet comes in contact with this water, the pet should be washed with clean water. Do not let the animal lick algae off of its fur. Call a veterinarian if the pet shows any symptoms of blue-green algae poisoning, which include loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a few days of contact with the water.

Stafford Pond is a source of public water for the Stone Bridge Fire District in northern Tiverton as well as parts of the North Tiverton Fire District. Before being delivered to customers, the water is treated to remove harmful bacteria, including cyanobacteria. The Stone Bridge and North Tiverton Fire Districts follow all state and federal drinking water testing and monitoring requirements to assure that treatment processes are working correctly and the water is safe to drink. Drinking untreated water from any pond at any time is not recommended.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report a bloom and view current and historical advisories, DEM's website has more information at: http://www.dem.ri.gov/bluegreen

Rhode Island to Launch Expanded Serology Testing Effort

2020-07-15

The Rhode Island Department of Health (RIDOH) will be coordinating a second, expanded round of serology testing in the coming weeks to better understand the prevalence of coronavirus disease 2019 (COVID-19) among people in certain high-contact professions in Rhode Island. This effort is in collaboration with the Centers for Disease Control and Prevention (CDC) and the U.S. Department of Health and Human Services. Rhode Island was one of three sites selected across the United States for participation in this serology testing effort, along with Detroit and New York City.

Starting July 17th, first responders (police, fire, and emergency medical services), Rhode Island National Guard members, RIDOH staff, correctional facility workers, and hospital and nursing home staff will be able to schedule a test online. Testing will be voluntary. Results will be made available to participants approximately four days after they are tested.

Serology testing looks for proteins in the blood called antibodies, which are produced in response to the presence of a virus. Serology testing tells us whether someone was previously exposed to a virus and helps us understand the prevalence of a virus in a community and the state. RIDOH will be looking for antibodies against SARS-CoV-2, the virus that causes COVID-19.

"Serology testing is one part of a strategic, comprehensive approach to measuring the impact of COVID-19 in Rhode Island, and is critical to inform our efforts to prevent the spread of the virus," said Philip Chan, MD, MS, the Consultant Medical Director of the RIDOH's Division of Preparedness, Response, Infectious Disease, and Emergency Medical Services. "Rhode Island is already a national leader in PCR-based diagnostic testing for COVID-19. Supplementing what we learn from diagnostic testing with antibody testing is important to understand how COVID-19 is spreading in the state and to support people and communities that are most vulnerable to COVID-19."

Most testing sites will be located at or near hospitals, nursing homes, correctional facilities, first responder facilities, and public safety agencies. People will get information about their testing site when they schedule a test.

In May, in an initial round of serology testing, 5,000 randomly selected Rhode Island households received invitations to be tested. A seroprevalence of 2.2% was found, meaning that 2.2% of people who were tested had been exposed to the virus that causes COVID-19. Higher seroprevalences were seen among Hispanic Rhode Islanders and African American Rhode Islanders.

To participate in this serology testing effort, someone must:

- Be currently working as a first responder (police, fire, or emergency medical services), Rhode Island National Guard member, RIDOH employee, correctional facility worker, or a hospital and nursing home staff member in Rhode Island. (Employee ID will be required to participate).

- Not have COVID-19 symptoms or a positive COVID-19 test within the last two weeks, and

- Have a valid mobile phone number or email address to receive test results.

To schedule a test, visit FirstSeroSurveyRI.com [firstserosurveyri.com]. For more information about this serology testing effort, people can see the Frequently Asked Questions document that RIDOH has developed, or they can call Quest Diagnostics at 833-670-0253. Quest Diagnostics is the laboratory that will be analyzing the samples collected.

Serology testing does not indicate whether someone is immune to COVID-19. We are still learning whether the presence of antibodies protects someone from future infection, and if so, for how long. Therefore, it is important that people who have antibodies continue to take measures to prevent the spread of illness.

- When people are in public, wear a cloth face covering.

- Keep your groups consistent and small.

- Practice social distancing (whenever possible, maintain a six-foot distance from other people in public)

- Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

- If you are sick, stay home and self-isolate (unless going out for testing or healthcare).

General information about COVID-19 is available at http://health.ri.gov/covid

Boil Water Notice Issued for Phil and Ann's Sunset Motel Water System Customers

2020-07-09

Phil and Ann's Sunset Motel in Charleston, RI is required to issue a boil water notice to its customers because E. coli bacteria was found in the water supply. For more information, customers should refer to the notice provided to them by their water supply officials.

Additional information can be found on the RIDOH Center for Drinking Water Quality website at https://www.health.ri.gov/water/for/consumersduringemergency/ (see link below).

Phil & Ann's Sunset Motel collected a sample in the water system on July 6, 2020 that showed a presence of coliform bacteria, which was confirmed by additional samples collected June 8, 2020. One of those additional samples showed the presence of E. Coli bacteria. A boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact Gilbert Barnes at 401-364-3321 and glbbar6@aol.com.

Blue-Green Algae Bloom in Georgiaville Pond in Smithfield

2020-07-08

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Georgiaville Pond in Smithfield due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from Georgiaville Pond. Pets can also be affected by exposure to the algal toxins. Owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

The email address above and other current and historical advisories can be accessed at this website: http://www.dem.ri.gov/bluegreen.

FDA Issues Warning About Hand Sanitizer Products

2020-07-07

The Rhode Island Department of Health (RIDOH) is advising consumers not to use hand sanitizers manufactured by Eskbiochem SA de CV because of the potential presence of methanol (wood alcohol).

The US Food and Drug Association (FDA) has recommended that Eskbiochem remove its hand sanitizer products from the market because of the potential contamination. Following the FDA recommendation, two distributors of Eskbiochem products, Saniderm Products and UVT Inc., are issuing a voluntary recall of Saniderm Advanced Hand Sanitizer. These products are packaged in 1-liter plastic bottles and labeled with "Made in Mexico" and "Produced by: Eskbiochem SA de CV."

The UVT hand sanitizer is labeled with lot number 0530 and an expiration date of 04/2020.

The Saniderm Products hand sanitizer is labeled with lot number 53131626 and "Manufactured on April/1/22."

Some products are sold under different names, such as All-Clean Hand Sanitizer, CleanCare NoGerm Advanced Hand Sanitizer 75% Alcohol, and Lavar 70 Gel Hand Sanitizer. A full list of products manufactured by Eskbiochem is available online. (See link below)

Substantial methanol exposure can result in nausea, vomiting, headache, blurred vision, permanent blindness, seizures, coma, permanent damage to the nervous system or death. Persons who use these products on their hands are at risk for negative outcomes. However, young children who accidentally ingest these products and adolescents and adults who drink these products as an alcohol (ethanol) substitute are most at risk for methanol poisoning.

Methanol is not an acceptable active ingredient for hand sanitizers and must not be used due to its toxic effects. The FDA is currently investigating contamination of hand sanitizer products.

Consumers who have been exposed to hand sanitizer containing methanol should seek immediate treatment for potential reversal of toxic effects of methanol poisoning.

Consumers should continue to wash their hands often with soap and water for at least 20 seconds. If soap and water are not available, the Centers for Disease Control and Prevention (CDC) recommend consumers use an alcohol-based hand sanitizer that contains at least 60 percent ethanol (also referred to as ethyl alcohol).

The FDA has seen an increase in hand sanitizer products that have tested positive for methanol contamination. A full list of hand sanitizer labels for products that have either been found to contain methanol, are being recalled by the manufacturer or distributor, are made at the same facility as products in which the FDA has tested and confirmed methanol contamination is available online.

FDA encourages health care professionals, consumers, and patients to report adverse events or quality problems experienced with the use of hand sanitizers to FDA's MedWatch Adverse Event Reporting program (please provide the agency with as much information as possible to identify the product):

- Complete and submit the report online (see link below); or

- Download and complete the form, then submit it via fax at 1-800-FDA-0178.

Updates to Long-term Care and Assisted Living Facility Visitation Policy

2020-07-03

Long-term care and assisted living facilities will be allowed to welcome visitors again next Wednesday, July 8th, provided that they abide by strict infection control measures to keep residents, staff, and family members safe, the Rhode Island Department of Health (RIDOH) is announcing today.

Last month, RIDOH provided guidance to facilities on how to develop safe visitation plans. Roughly two weeks ago, as facilities continued to work on their plans, RIDOH allowed facilities to start communal dining and communal activities again. Facilities that do not have visitation plans completed and approved by July 8th will be required to implement a standard Visitation Plan for Nursing Homes and Assisted Living Residences developed by RIDOH. Among other things, the standard plan states that:

- Visits will be limited to only those essential to the resident's physical and emotional well-being and care.

- All visits must be scheduled in advance. Visits will be allowed for 30-minute increments.

- Facilities must actively screen everyone for fever and symptoms of COVID-19 before they enter.

- Facilities must keep a daily log with names and contact information for all visitors.

- Outdoor visits are preferred. If a visit must occur inside the facility, the visit shall be restricted to the resident's room or other area specifically designated for visits. If a resident's room is used for visitation, only one visitor per resident at a time is allowed in the resident's room.

- Regardless of the location of the visit, visitors must maintain a six-foot distance from staff and residents.

- All visitors must wear a cloth face covering.

- All visitors shall perform hand hygiene upon entry to the facility or to the outside visitation area or before entering the resident's room.

While RIDOH has provided general guidance to facilities, and has developed a standard visitation plan for facilities without their own plans, all facilities are different. Some facilities may take different approaches, based on the uniqueness of their layout or resident community.

COVID-19 Data Update

RIDOH announced 59 new cases of COVID-19 today. This brings Rhode Island's case count to 16,991. RIDOH also announced one additional COVID-19 associated fatality. Rhode Island's number of COVID-19 associated fatalities is now 960. A full data summary for Rhode Island is posted online. (See below.)

Key messages for the public

- More information about the reopening process is available at www.reopeningri.com [reopeningri.com].

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- Close contacts of someone who has symptoms of COVID-19, even if they haven't been tested, should quarantine for 14 days following contact. Close contact means being within approximately six feet of a person for a prolonged period.

- When people are in public, they should wear a cloth face covering.

- Keep your groups consistent and small.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

- Everyone can help stop the spread of viruses in Rhode Island.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Fresh Express Recalls Salad Products

2020-06-30

The Rhode Island Department of Health (RIDOH) is advising consumers that Fresh Express is recalling salad products that contain iceberg lettuce, red cabbage, and/or carrot ingredients due to a possible health risk from Cyclospora.

The recalled items were distributed to select retail stores in many states, including Rhode Island and Massachusetts, between June 6th and June 26th.

The recalled items are clearly marked with the letter "Z" at the beginning of the product code (located in the upper right-hand corner of the front of the package). Products containing the ingredients iceberg lettuce, red cabbage and/or carrots and displaying the Product Code Z178, or a lower number, are recalled.

Some Fresh Express salad products are sold under different brand names, such as Giant Eagle, Hy-Vee, Little Salad Bar, Marketside, Signature Farms, and Wholesome Pantry. A full product list is available online. (See link below.)

Cyclosporiasis is an illness that affects the intestines and is caused by the Cyclospora parasite. People can become infected by consuming food or water contaminated with the parasite. Symptoms include watery diarrhea, loss of appetite, weight loss, stomach cramps, nausea, and fatigue. If you think you may be infected with Cyclospora, please contact your healthcare provider.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase. Consumers and members of the media with questions about the recall or requests for refunds may contact the Fresh Express Consumer Response Center at (800) 242-5472, Monday through Saturday from 8 a.m. to 7 p.m. Eastern time and on Sunday from 11 a.m. to 7 p.m. Eastern Time.

Rhode Island to Move to Phase 3 Tuesday, Governor Extends Executive Orders

2020-06-29

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided details today on the state's response to COVID-19.

After announcing that Rhode Island will move into Phase 3 on Tuesday, June 30th, Governor Raimondo laid out the following guidance for Phase 3:

- Social gatherings: Social gatherings can be no larger than 25 people indoors or 50 people outdoors. For social gatherings like weddings where there is a licensed caterer involved (which makes the setting more like a restaurant) gatherings can be as large as 50 people indoors or up to 100 people outdoors.

- Public events: Public events can be up to 125 people indoors or up to 250 people outdoors. Any organizers planning to host a group of more than 100 people will need to submit plans to Commerce RI.

- Indoor settings: All indoor settings operating at a square footage capacity can increase up to one person per 100 square feet, provided that everyone maintains six feet of social distance. All indoor settings currently operating at a percent capacity cap can still increase up to 66% capacity provided that everyone maintains six feet of social distance. This includes places like offices and restaurants. Seated venues can open at up to 66% capacity, and free-flowing venues can open at 100 square feet per person, provided that everyone maintains six feet of social distance.

- Travel: Rhode Island will implement a mandatory 14-day quarantine for anyone coming to Rhode Island from any state with 5% or greater positivity rate. (Positivity rates are calculated using the average daily positivity rate for the last seven days.) As an exception, people will not have to quarantine if they have had a negative COVID-19 test within the past 72 hours. (If someone is tested after arriving in Rhode Island and gets a negative result, that person can stop quarantining.) The list of states with a percent positive rate of 5% or higher will be published today on RIDOH's website and will be updated weekly.

The following executive orders will be extended to August 3rd:

- Face coverings: Face coverings must be worn in public—both indoors and outdoors—whenever six feet of social distance cannot be maintained. Exceptions are made for children under two years of age and anyone whose health would be negatively impacted by wearing a face covering.

- Telemedicine: Health insurers must cover telemedicine for primary care, specialty care, and mental and behavioral health care conducted over the phone or by videoconference. Reimbursement rates for providers must be the same as reimbursement rates for in-office visits.

- Disaster declaration: The state of emergency declaration ensures that Rhode Island has access to all the necessary resources to support our response to this pandemic.

- Firearms: In keeping with a request from the Rhode Island Police Chiefs' Association, the Governor has extended the time period that law enforcement has to complete a background for a gun permit from seven days to 30 days.

- Quarantine: People must follow the State's quarantine and isolation guidance.

COVID-19 Data Update

RIDOH announced 16 new cases of COVID-19 today. This brings Rhode Island's case count to 16,764. RIDOH also announced six additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 946. A full data summary for Rhode Island is posted online.

Key messages for the public

- More information about the reopening process is available at www.reopeningri.com [reopeningri.com].

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- Close contacts of someone who has symptoms of COVID-19, even if they haven't been tested, should quarantine for 14 days following contact. Close contact means being within approximately six feet of a person for a prolonged period.

- When people are in public, they should wear a cloth face covering.

- Keep your groups consistent and small.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

- Everyone can help stop the spread of viruses in Rhode Island.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

RIDOH and DEM Recommend Avoiding Contact with Willow Lake in Roger William Park

2020-06-26

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Willow Lake in Roger Williams Park in Providence due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Pets can also be affected by exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with Willow Lake and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island, including other ponds in the Roger Williams Park. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

RIDOH and DEM Recommend Avoiding Contact with Almy Pond

2020-06-24

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Almy Pond in Newport due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Pets can also be affected by exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with Almy Pond and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 401-222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Increase in Overdose Deaths Identified in the Early Months of 2020

2020-06-23

Preliminary data indicate that Rhode Island saw a significant increase in accidental drug overdose deaths in the first quarter of 2020, compared to the same period in years past, State officials are announcing today.

Although data for January, February, and March of 2020 are still considered provisional, the Rhode Island Department of Health (RIDOH) anticipates that between 93 and 95 people will have died of accidental drug overdoses during this period. This represents roughly a 22% increase in accidental drug overdose deaths compared to the same time period in 2019. (See data below.) This number of accidental overdose deaths would be the most for a quarter on record in Rhode Island.

Although the factors driving this increase are still being investigated, one factor is the presence of extremely lethal synthetic opioids, such as carfentanil, in Rhode Island. The number of overdoses involving more than one substance has also increased.

"Illicit drugs have always been dangerous, but right now they are more deadly than ever," said Director of Health Nicole Alexander-Scott, MD, MPH. "If you do use drugs, do not use alone, and make sure that your friends and family have naloxone available. Steps like these can save a life and give someone an opportunity to take the first step on their own personal journey of recovery. There is hope for everyone because recovery is absolutely possible for everyone."

Dr. Alexander-Scott and Kathryn Power, the Director of the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), are the co-chairs of Governor Gina M. Raimondo's Overdose Prevention and Intervention Task Force.

"The COVID-19 crisis has made it more challenging for people with substance use disorder to stay connected to life-saving resources and support," said Kathryn Power, Director of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH). "Polysubstance use, including the use of stimulants like methamphetamine, cocaine, and crack-cocaine, are also on the rise. It is even more critical to leverage the collaborative efforts of Governor Raimondo's Overdose Prevention and Intervention Task Force to address this emerging trend."

After peaking in 2016, Rhode Island's annual fatal drug overdose numbers have been trending downward modestly. In 2016, 336 people died of accidental drug overdoses. In 2019, 308 people died of accidental drug overdoses.

The Overdose Prevention and Intervention Task Force's 2019-2021 Strategic Plan Update focuses on the core strategies of prevention, rescue, treatment, and recovery, as well as cross-cutting areas of harm reduction and racial equity. The Task Force continues to meet monthly on the second Wednesday of each month and Zoom meetings are open to the public. Task Force Work Groups meet virtually on a monthly basis and always welcome new volunteers.

How can people get help?

Rhode Island's treatment and recovery resources are still available online, over the phone, or in-person to support people with substance use disorder.

- BH Link, Rhode Island's 24/7 behavioral health hotline, 401-414-LINK, connects callers to trained professionals who can provide confidential counseling, referrals, and support services.

- People can go to BH Link's drop-in center in-person to get connected to support at 975 Waterman Avenue in East Providence.

- People who are experiencing opioid withdrawal can connect with a healthcare provider over the phone by calling Rhode Island's Buprenorphine Hotline,401-606-5456. Callers can learn about Medication Assisted Treatment (MAT) options and make a plan for continued treatment and recovery support through a Rhode Island Center of Excellence. Rhode Island Centers of Excellences are specialty centers that use evidence-based practices and provide treatment and the coordination of care to individuals with moderate to severe opioid use disorder.

- Fire stations in Providence, Newport, and Woonsocket are "Safe Stations." This means that they are open every day to help people in crisis get connected to a peer recovery support specialist and treatment and recovery support services.

- More information about drug overdose prevention is available at preventoverdoseri.org [preventoverdoseri.org]. This includes information about naloxone (sometimes called Narcan). This is a medicine that can reverse an opioid overdose. In Rhode Island, you can get naloxone at your local pharmacy without a prescription from a doctor. When you buy naloxone at a pharmacy, the pharmacist can show you how to use it.

Data

Rhode Island's accidental drug overdose death data from January 1, 2020 to March 31, 2020 should be finalized in the coming weeks, as toxicology results are still pending for some March cases.

Accidental Overdose Deaths in Quarter One

2020 – 93 to 95 (provisional)

2019 – 77

2018 – 66

2017 – 89

2016 – 87

2015 – 81

2014 – 79

Total Accidental Overdose Deaths

2020 – 129 *

2019 – 308

2018 – 314

2017 – 324

2016 – 336

2015 – 290

2014 – 240

* Because of the time lag in confirming drug overdose deaths, this number should not be used to do to-date comparisons.

COVID-19 Data Update

2020-06-17

The Rhode Island Department of Health (RIDOH) announced 49 new cases of COVID-19 today. This brings Rhode Island's case count to 16,213. RIDOH also announced 11 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 876. A full data summary for Rhode Island is posted online.

Key messages for the public

- Rhode Island is now in Phase 2 of the reopening process. More information about Phase 2 is available at www.reopeningri.com [reopeningri.com].

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- Close contacts of someone who has symptoms of COVID-19, even if they haven't been tested, should quarantine for 14 days following contact. Close contact means being within approximately six feet of a person for a prolonged period.

- When people are in public, they should wear a cloth face covering.

- Keep your groups consistent and small.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

- Everyone can help stop the spread of viruses in Rhode Island.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Ground Beef Products Recalled

2020-06-15

The Rhode Island Department of Health (RIDOH) is advising consumers that Lakeside Refrigerated Services is recalling 42,922 pounds of ground beef products that may be contaminated with E. coli O157:H7. The raw ground beef items were produced on June 1, 2020. The following products are subject to recall:

- 1-lb. vacuum packages containing "MARKETSIDE BUTCHER ORGANIC GRASS-FED GROUND BEEF" and a use or freeze by date of 07/01/20 and lot code P-53298-82.

- 1-lb. vacuum packages containing four ¼ lb. pieces of "MARKETSIDE BUTCHER ORGANIC GRASS-FED GROUND BEEF PATTIES" and a use or freeze by date of June 27, 2020 and lot code P-53934-28.

- 3-lb. vacuum packages containing three 1 lb. pieces of "MARKETSIDE BUTCHER ORGANIC GRASS-FED GROUND BEEF 93% LEAN / 7% FAT" and a use or freeze by date of 07/01/20 and lot code P53929-70.

- 1-lb. tray packages containing four ¼ lb. pieces of "THOMAS FARMS GRASS-FED GROUND BEEF PATTIES 85% LEAN / 15% FAT" and a use or freeze by date of 06/25/20 and lot code P53944-10.

- 4-lb. tray packages containing 10 ¼ lb. pieces of "THOMAS FARMS GRASS-FED GROUND BEEF PATTIES 80% LEAN / 20% FAT" and a use or freeze by date of 06/25/20 and lot code P53937-45.

- 1-lb. vacuum packages containing four ¼ lb. pieces of "THOMAS FARMS GRASS-FED GROUND BEEF PATTIES 85% LEAN / 15% FAT" and a use or freeze by date of 06/27/20 and lot code P53935-25.

- 1-lb. vacuum packages containing "VALUE PACK FRESH GROUND BEEF 76% LEAN / 24% FAT" and a use or freeze by date of 07/01/20 and lot code P53930-18.

The products subject to recall bear establishment number "EST. 46841" inside the USDA mark of inspection. These items were shipped to retail locations nationwide.

Anyone concerned about an injury or illness should contact a healthcare provider. E. coli O157:H7 is a potentially deadly bacterium that can cause dehydration, bloody diarrhea and abdominal cramps 2–8 days (3–4 days, on average) after exposure the organism. While most people recover within a week, some develop a type of kidney failure called hemolytic uremic syndrome (HUS). This condition can occur among persons of any age but is most common in children under 5-years old and older adults. It is marked by easy bruising, pallor, and decreased urine output. Persons who experience these symptoms should seek emergency medical care immediately.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase. Consumers and members of the media with questions about the recall can contact the Lakeside Processing Center Call Center at (856) 832-3881.

Governor Expands Early Warning Testing System, Announces Landlord Challenge

2020-06-12

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided details today on the state's response to COVID-19.

- Testing: As part of Rhode Island's Early Warning Testing System, asymptomatic restaurant workers and bus drivers can now receive free testing. This represents an expansion of Rhode Island's Early Warning Testing System. Earlier this week, testing had been opened for asymptomatic people in the following high-contact occupations: hair professionals, nail artists, gym employees, tattoo artists, massage therapists, and child care workers. In addition, any Rhode Islander who attended a large protest or demonstration last weekend can (and should) get tested, even if they do not have symptoms. Eligible Rhode Islanders should sign up for a test at http://Portal.RI.Gov or call RIDOH Monday to Friday from 8:30 a.m. to 4:30 p.m. at 401-222-8022.

- Landlord Challenge: The state is allocating $500,000 to provide financial incentives for landlords to rent to housing-insecure or homeless Rhode Islanders. Landlords will receive a $2,000 signing bonus for the first unit that they make available to serve a household experiencing homelessness, and an additional $500 for every additional unit. They will also be eligible for as much as $2,000 per unit to support move-in upgrades like minor renovations and repairs. Interested landlords should call the United Way at 211.

- Transparency Portal: The state launched a new website dedicated to tracking coronavirus spending (http://www.transparency.ri.gov/covid-19/)

COVID-19 Data Update

RIDOH announced 84 new cases of COVID-19 today. This brings Rhode Island's case count to 15,947. RIDOH also announced 10 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 833. A full data summary for Rhode Island is posted online.

Additionally, RIDOH announced the results of a serology testing effort today. Serology testing tells us whether someone has antibodies for a particular virus. This means that serology testing can tell us whether someone was previously exposed to a virus. As a part of this effort, 5,000 households in Rhode Island were randomly selected to participate. Households were mailed an invitation to be tested at Stop and Shop stores around the state. Testing was done between May 5th and May 22nd.

The seroprevalence—or presence of antibodies—was approximately 2.2%. This means that approximately 2.2% of those tested had been exposed to the COVID-19. There were wide variations in the presence of antibodies between different races and ethnicities. The seroprevalence among those tested who identified as Caucasian was .9%, compared to 8.2% among Hispanic Rhode Islanders and 5.2% among African American Rhode Islanders.

Serology testing does not tell us whether someone is immune to future illness with COVID-19. We do not yet know if the presence of antibodies protects someone from future infection. This is still being researched. Therefore, it is important that people who were found to have antibodies continue to protect themselves and others by wearing masks, washing their hands, social distancing, and cleaning and disinfecting frequently touched surfaces.

Key messages for the public

- Rhode Island is now in Phase 2 of the reopening process. More information about Phase 2 is available at www.reopeningri.com [reopeningri.com].

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- Close contacts of someone who has symptoms of COVID-19, even if they haven't been tested, should quarantine for 14 days following contact. Close contact means being within approximately six feet of a person for a prolonged period.

- When people are in public, they should wear a cloth face covering.

- Keep your groups consistent and small.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

- Everyone can help stop the spread of viruses in Rhode Island.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Announces Goal for In-Person Learning This Fall, Updates for SNAP and Rhode Island Works Recipients

2020-06-10

Governor Gina M. Raimondo, Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), and Angélica Infante-Green, the Commissioner of the Rhode Island Department of Education (RIDE) provided details today on the state's response to COVID-19.

The Governor announced that all school districts are aiming to return to in-person learning on August 31st. The state's approach includes the adoption of a statewide calendar for all public school districts to use during the 2020-2021 academic year. RIDE is working with RIDOH to develop a continuum of school-reopening scenarios, which balance prioritizing the health and safety of school communities with providing in-person instruction as soon as possible. RIDE will be providing guidance to districts, charter schools, and state-run schools next week to help them develop their own individual back-to-school plans. Those plans will be submitted to RIDE for review and implementation support.

Schools will be ready to conduct distance learning throughout the school year if students become sick, are quarantined, or are otherwise unable to attend school for an extended period of time. RIDE will continue to work with local education agencies (LEAs, which include districts, charters, and state-run schools) to review statewide plans and coordinate with local education leaders on implementation.

The state is planning to provide financial support to districts as they implement their individual reopening plans. There will be a focus on equity, including a prioritization of resources for communities with higher rates of COVID-19. Support will include additional funding from the CARES Act to offset increased costs LEAs will incur, such as increased transportation and cleaning costs. For more information, visit RIDE's COVID-19 web page.

The Governor also announced that, for the first time, Supplemental Nutrition Assistance Program (SNAP) participants are now able to select and pay for their groceries online using their EBT card at Amazon and participating Walmart stores. For more details, visit http://dhs.ri.gov.

DHS also recently received approval to issue a Rhode Island Works emergency payment to families currently receiving these RI Works benefits. This payment is to help offset expenses that may have occurred during this pandemic. The $1.6M through the CARES Act will help 3,700 Rhode Island Works families and is a one-time payment for families who were eligible in either April or May and are receiving benefits in June. The funds will be put on parents' EBT cards on June 19th. For more details, visit http://dhs.ri.gov.

COVID-19 Data Update

RIDOH announced 66 new cases of COVID-19 today. This brings Rhode Island's case count to 15,756. RIDOH also announced four additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 812. A full data summary for Rhode Island is posted online.

Key messages for the public

- Rhode Island is now in Phase 2 of the reopening process. More information about Phase 2 is available at www.reopeningri.com [reopeningri.com].

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- Close contacts of someone who has symptoms of COVID-19, even if they haven't been tested, should quarantine for 14 days following contact. Close contact means being within approximately six feet of a person for a prolonged period.

- When people are in public, they should wear a cloth face covering.

Keep your groups consistent and small.

People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

Everyone can help stop the spread of viruses in Rhode Island.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo, Dr. Alexander-Scott Detail Plans for Early Warning Testing System

2020-06-08

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided details today on Rhode Island's Early Warning Testing System, which will inform the state's immediate response efforts and inform data modeling and forecasting for the weeks and months to come.

As part of the Early Warning Testing System, specific groups of high-contact workers who are asymptomatic can now be tested at no cost at a Rhode Island National Guard testing site (located at Community College of Rhode Island or Rhode Island College). To schedule a test, someone who is in one of these groups can go to http://portal.ri.gov. Alternatively, people can call RIDOH at 401-222-8022 to schedule a test. The asymptomatic workers who can schedule tests are:

- Hair professionals

- Nail artists

- Gym employees

- Tattoo artists

- Massage therapists

- Child care workers

In addition to people in these groups, any Rhode Islander who attended a large protest or demonstration this weekend can (and should) get tested, even if they do not have symptoms. People who attended a large protest or demonstration can schedule a test by going to http://portal.ri.gov or calling 401-222-8022.

The Early Warning Testing System is the third of three facets to Rhode Island's approach to testing. The first facet is Symptomatic Testing. Anyone with symptoms in Rhode Island can get tested, regardless of their profession or work situation. The second facet of Rhode Island's approach to testing is Outbreak Rapid Response. This entails using testing as a tool to respond within hours of multiple cases discovered in places like congregate care settings, workplaces, and other high-density areas.

COVID-19 Data Update

RIDOH announced 51 new cases of COVID-19 today. This brings Rhode Island's case count to 15,642. RIDOH also announced 10 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 799. A full data summary for Rhode Island is posted online.

Key messages for the public

- Rhode Island is now in Phase 2 of the reopening process. More information about Phase 2 is available at www.reopeningri.com [reopeningri.com].

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- Close contacts of someone who has symptoms of COVID-19, even if they haven't been tested, should quarantine for 14 days following contact. Close contact means being within approximately six feet of a person for a prolonged period.

- When people are in public, they should wear a cloth face covering.

- Keep your groups consistent and small.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

- Everyone can help stop the spread of viruses in Rhode Island.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Data Update

2020-06-05

The Rhode Island Department of Health (RIDOH) announced 113 new cases of COVID-19 today. This brings Rhode Island's case count to 15,441. RIDOH also announced 16 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 772. A full data summary for Rhode Island is posted online.

As Governor Raimondo shifts from doing COVID-19 press briefings five days a week to three days a week, RIDOH will move from posting COVID-19 data online seven days a week to five days a week. RIDOH will continue to process and monitor data trends over the weekend. On Mondays, a comprehensive data update will include numbers from over the weekend.

Key messages for the public

- Rhode Island is now in Phase 2 of the reopening process. More information about Phase 2 is available at www.reopeningri.com [reopeningri.com].

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- Close contacts of someone who has symptoms of COVID-19, even if they haven't been tested, should quarantine for 14 days following contact. Close contact means being within approximately six feet of a person for a prolonged period.

- When people are in public, they should wear a cloth face covering.

Keep your groups consistent and small.

People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

Everyone can help stop the spread of viruses in Rhode Island.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Data Update

2020-06-03

The Rhode Island Department of Health (RIDOH) announced 107 new cases of COVID-19 today. This brings Rhode Island's case count to 15,236. RIDOH also announced 10 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 742. A full data summary for Rhode Island is posted online.

Key messages for the public

- Rhode Island is now in Phase 2 of the reopening process. More information about Phase 2 is available at www.reopeningri.com [reopeningri.com].

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately six feet of a person for a prolonged period.

- When people are in public, they should wear a cloth face covering.

- Keep your groups consistent and small.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

- Everyone can help stop the spread of viruses in Rhode Island.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Data Update

2020-06-02

The Rhode Island Department of Health (RIDOH) announced 101 new cases of COVID-19 today. This brings Rhode Island's case count to 15,112. RIDOH also announced 12 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 732. A full data summary for Rhode Island is posted online.

Key messages for the public

- Rhode Island is now in Phase 2 of the reopening process. More information about Phase 2 is available at www.reopeningri.com [reopeningri.com].

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- When people are in public, they should wear a cloth face covering.

- Keep your groups consistent and small.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

- Everyone can help stop the spread of viruses in Rhode Island.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Data Update

2020-06-01

The Rhode Island Department of Health (RIDOH) announced 67 new cases of COVID-19 today. This brings Rhode Island's case count to 14,991. RIDOH also announced two additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 720. A full data summary for Rhode Island is posted online. (See link below)

Key messages for the public

• Rhode Island is now in Phase 2 of the reopening process. More information about Phase 2 is available at www.reopeningri.com [reopeningri.com].

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• When people are in public, they should wear a cloth face covering.

• Keep your groups consistent and small.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Rhode Island to Begin Phase 2 Monday, June 1st

2020-05-29

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

Today the Governor announced that Rhode Island will officially move into Phase 2 on Monday, June 1st. This decision was guided by the four key metrics the Governor had previously said would guide decisions about further reopening: hospital capacity, new hospitalizations, rate of spread, and doubling rate of hospitalizations (see attached).

Businesses that are prepared to reopen Monday should:

• Visit ReopeningRI.com [reopeningri.com] and review both the Phase 2 general business guidelines and the guidance documents specific to their individual sector.

• Complete their Covid-19 control plan. Templates are available on the ReopeningRI.com [reopeningri.com] website.

The Governor also announced that in-person nursing home and assisted living visitation will continue to be suspended in Phase 2.

COVID-19 Data Update

RIDOH announced 122 new cases of COVID-19 today. This brings Rhode Island's case count to 14,635. RIDOH also announced 16 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 693. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Governor Raimondo Announces New Plans for Phase 2, New Funding for Housing Relief Program

2020-05-28

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

Guidance for personal services, restaurants, and youth sports reopenings in Phase 2 will be available today on ReopeningRI.com [reopeningri.com].

The Governor also announced that the state will be making available an additional $5 million in funding for the Housing Help RI emergency rental assistance fund. This money is available to lower income renters who have been impacted by the COVID-19 emergency and are at immediate risk of homelessness. Those who qualify can receive a grant of up to $5,000 to support past due rent payments and other fees. For information, go to HousingHelpRI.com [housinghelpri.com] or call 211.

COVID-19 Data Update

RIDOH announced 124 new cases of COVID-19 today. This brings Rhode Island's case count to 14,494. RIDOH also announced 22 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 677. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo Announces Virtual Forums for Businesses

2020-05-26

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

Rhode Island Commerce and RIDOH will be holding virtual forums for businesses this week. Following the discussion, there will be an opportunity to ask questions. The sessions are as follows:

• Gyms and fitness studios: Wednesday, 10 a.m.

• General businesses: Wednesday, 4:30 p.m.

• Personal services (Hair, Nails, Massage Therapists, Etc.): Thursday, 10:30 a.m.

• Restaurants: Thursday, 4:30 p.m.

The Dairy Farmers of America, a national dairy cooperative, and its New England farm family members are donating 4,300 gallons of milk to families in need in a milk drive-up event at McCoy Stadium in Pawtucket tomorrow, Wednesday, May 27th, starting at 9 a.m. The Farmers Feeding Families event is co-sponsored by Vanguard Renewables with participation from Guida's Dairy, the State of Rhode Island, City of Pawtucket, the PawSox, Station Row Apartments, Performance Physical Therapy, Ocean State Job Lot, the Guild Pawtucket, and Schroder's Deli and Catering. The limit will be two gallons of milk per car or walk up participant.

COVID-19 Data Update

RIDOH announced 73 new cases of COVID-19 today. This brings Rhode Island's case count to 14,210. RIDOH also announced 13 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 634. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Governor Raimondo Extends Travel Restrictions and Gathering Size Limits Through Phase 1, Unveils Plans for Phase 2 of Reopening

2020-05-22

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

The Governor signed an executive order extending all current directives – including the five-person limit on social gatherings, the mandatory 14-day quarantine for anyone coming to Rhode Island from another state, and all of the current business and restaurant restrictions – until June 1st.

The Governor also announced new guidance for Phase 2:

• Social gatherings: The social gathering size will be 15 people.

• Travel: Domestic restrictions will largely lift. The 14-day quarantine will only be in place for people returning to Rhode Island from an area still under stay-at-home order or another similar type of restriction.

• Restaurants and Retail: Indoor dining will be allowed at up to 50% capacity. Capacity restrictions for non-critical retail will be relaxed and malls will be allowed to reopen.

• Offices: Those who can work from home should continue to do so. Businesses will be allowed to bring one third of their workforce back to the office.

• Haircare and Personal Services: Hair services including barbershops, salons, and hair braiders will all be able to reopen with capacity restrictions. In addition, many other close-contact services – nailcare, waxing, tanning, massage, and tattooing – will also be able to reopen under new restrictions.

• Gyms and Fitness Studios: Gyms and fitness studios will be able to reopen with restrictions. Group fitness classes will also be allowed to resume.

• Outdoor entertainment and recreation: Some outdoor activities will be allowed to resume. This includes things like the zoo and outdoor areas like public gardens and parts of historical sites.

For more information on what to expect in Phase 2, visit reopeningRI.com [reopeningri.com].

COVID-19 Data Update

RIDOH announced 170 new cases of COVID-19 today. This brings Rhode Island's case count to 13,736. RIDOH also announced 23 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 579. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Governor Raimondo, Dr. Alexander-Scott Provide Update on the State's Response to COVID-19

2020-05-21

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

• Summer camps and youth programs: Today the Governor announced new regulations and guidelines for summer camp and summer youth programs. These programs will allowed to begin in-person operations starting June 29. For a full list of regulations and guidance, visit reopeningRI.com [reopeningri.com].

• Congregate Setting Support Team: At the end of April, the state launched a new Congregate Setting Support Team to support nursing homes, assisted living facilities, and group homes in their response to COVID-19. The team includes personnel from the Executive Office of Health and Human Services (EOHHS), RIDOH, the Department of Children, Youth, and Families (DCYF), the Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), the Department of Labor and Training (DLT), the Rhode Island Disaster Medical Assistance Team (DMAT) and the Rhode Island National Guard. In the past three weeks, they have been contacted by 44 different homes representing more than 3,000 Rhode Islanders. In each of these requests for assistance, a Rapid Needs Assessment was performed by a clinical team member. In addition, the team has helped congregate care facilities implement a number of COVID-19 safeguards.

COVID-19 Data Update

RIDOH announced 189 new cases of COVID-19 today. This brings Rhode Island's case count to 13,571. RIDOH also announced 18 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 556. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo, Dr. Alexander-Scott Provide Update on the State's Response to COVID-19

2020-05-20

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

• Houses of worship: Today the Governor announced that houses of worship, when they begin reopening the weekend of May 30th, will be limited to 25% of their overall capacity. This decision was made in consultation with faith leaders across Rhode Island.

COVID-19 Data Update

RIDOH announced 209 new cases of COVID-19 today. This brings Rhode Island's case count to 13,356. RIDOH also announced six additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 538. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Raimondo Unveils CRUSH COVID RI, State's One-Stop Pandemic Response App

2020-05-19

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

• CRUSH COVID RI: Today the Governor announced the first version of CRUSH COVID RI, the state's pandemic response mobile app with a privacy-first focus. CRUSH COVID RI provides Rhode Islanders with easy access to all of the resources required during the public health crisis, including a location diary that helps users identify the people and places they are in contact with and a symptom checking survey. All Rhode Islanders are encouraged to use the CRUSH COVID RI app and take an active role in slowing the spread of COVID-19 in Rhode Island. CRUSH COVID RI app is available for download in the Apple App Store and Google Play. Visit http://health.ri.gov/crushcovid to learn more.

COVID-19 Data Update

RIDOH announced 134 new cases of COVID-19 today. This brings Rhode Island's case count to 12,951. RIDOH also announced 26 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 532. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Raimondo Announces Limited Beach Reopening on Memorial Day, Updated Guidance for Churches and Hair Salons

2020-05-18

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

• State Beaches: East Matunuck State Beach and Scarborough State Beach will reopen on Memorial Day, May 25th, in a limited capacity. Bathrooms and concessions will be closed, and reduced parking will be enforced. The reopening of all beaches, including bathrooms and concessions, is planned for the beginning of Phase 2.

• Churches: The state is targeting allowing in-person faith services the weekend of May 30th. Guidelines will be available on ReopeningRI.com [reopeningri.com] later this week.

• Hairdressers: The state is in the process of developing guidelines for hair salons and barbershops to begin reopening in Phase 2. Today the Governor announced that Rhode Island and Connecticut are coordinating timelines for reopening these businesses in early June.

COVID-19 Data Update

RIDOH announced 121 new cases of COVID-19 today. This brings Rhode Island's case count to 12,795. RIDOH also announced seven new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 506. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Raimondo Details Metrics for Moving Between Phases of Reopening

2020-05-15

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

The Governor laid out four different metrics, in addition to the state's operational response, that officials are tracking as they consider moving between phases of reopening.

• Hospital capacity: If the state continues to see less than 70% of ICU and non-ICU beds filled by COVID-19 patients, that is an indicator that it is safe to continue moving forward. However, if 85% or more of these beds are filled, either in overall hospital capacity or specifically in the ICU, it may be time to scale back.

• Hospitalizations: Right now, Rhode Island is consistently seeing fewer than 30 new COVID-19 related hospitalizations per day. If that trend continues, that is an indicator that reopening can move forward. But if that number is consistently above 50, it may signal a need to go back.

• Rate of spread: This is measured using the "R value," or the "effective reproduction rate." This is how many people are infected by each infected person. If the R value continues to be around 1.1 or lower, then it will be safe to think about moving into the next phase. If the R value gets to 1.3 or higher Rhode Island may have to move back a phase.

• Doubling rate of current hospitalizations: Currently, hospitalizations are stable or declining. If the state starts seeing a doubling within twenty days or less, that will be an indicator that it may be time to put restrictions back in place.

The Governor also announced that she will be holding an Older Adults Facebook Town Hall on Thursday, May 21, at 11 a.m. with Secretary Robertson, the U.S. assistant secretary for Aging; Secretary Womazetta Jones of the Executive Office of Health and Human Services; Office of Healthy Aging Director Rose Jones; and several community advocates. Older adults and caregivers can submit questions through the Governor's Facebook and Twitter pages or by writing to communications@governor.ri.gov.

COVID-19 Data Update

RIDOH announced 203 new cases of COVID-19 today. This brings Rhode Island's case count to 12,219. RIDOH also announced 11 new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 479. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Raimondo Provides Update About Summer Programs, Public Libraries

2020-05-14

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

• Summer programs: The state plans to allow summer camps and other youth summer programs to operate in person—under new, strict regulations—starting June 29th. A full list of regulations and guidance will be available on reopeningRI.com [reopeningri.com] next week.

• Libraries: During Phase 1, many Rhode Island libraries are offering curbside pickup of preordered library books. Services at local public libraries may vary. In Phase 2, many libraries will start offering limited, touchless browsing in designated areas of the library, while curbside pickup will continue. Some libraries will start offering limited access to public computers. All-in-library services will be provided in accordance with state regulations for social distancing, mask-wearing, and cleaning. More information is available on OLIS.ri.gov.

COVID-19 Data Update

RIDOH announced 181 new cases of COVID-19 today. This brings Rhode Island's case count to 12,016. RIDOH also announced six new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 468. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Raimondo Announces Support for Small Businesses, New Testing Sites

2020-05-13

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

• Small business support: The state will be distributing 500,000 masks and disinfectant solution to Rhode Island businesses through chambers of commerce and industry associations. These supplies will be available to small businesses with 50 or fewer employees, including retailers, restaurants, grocery stores, manufacturers, and others. Starting next week, businesses will be able to pick up a month's supply of face coverings as well as a voucher for a gallon of disinfectant that can be purchased from any Rhode Island Ocean State Job Lot store. To obtain these supplies, businesses must show they've completed their COVID-19 Control Plan. Templates are available on ReopeningRI.com [reopeningri.com]. For more information about supplies and to find a list of participating chambers and business associations, visit CommerceRI.com [commerceri.com].

• Laptops: Thanks to a generous donation from the Microsoft Corporation, Commerce RI will be distributing 500 laptops to Rhode Island small businesses with fewer than 25 employees. The state will prioritize small businesses that are owned by people of color, women, veterans, or lower/moderate income individuals. Applications are available on CommerceRI.com [commerceri.com] in both English and Spanish and are due on May 26th. Additionally, Microsoft has donated another 500 new laptops to support the state's education needs. These laptops will go to schools and districts with an identified need for devices, as well as to Rhode Island College, and to support adult learners.

• New testing sites: This week, the state launched a new testing site at the Rhode Island Free Clinic in Providence and tripled the testing capacity in Woonsocket. The Governor also announced that the state has added two more locations to do diagnostic testing and serology testing on randomly selected Rhode Islanders to help gauge the prevalence of COVID-19 in Rhode Island. Both of these locations are in Providence (on Manton Ave and West River Street). They are in addition to the four original locations in North Providence, Pawtucket, Cranston, and Newport. These sites are only open to Rhode Islanders who have received a written invitation from RIDOH.

COVID-19 Data Update

RIDOH announced 221 new cases of COVID-19 today. This brings Rhode Island's case count to 11,835. RIDOH also announced 18 new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 462. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Raimondo Provides Update on Workforce Stabilization Fund, Extension of Free Mobile Hotspot Service

2020-05-12

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

• Workforce Stabilization Fund: A few weeks ago, the Governor announced a Congregate Care Workforce Stabilization Fund that would make available $8.2 million to provide temporary bonuses to low-wage frontline workers. Employers have applied to be a part of this program through the Executive Office of Health and Human Services. As of today, more than $6 million in payments have already been made to providers, which will then be passed on to employees. This funding is expected to benefit more than 10,300 workers at more than 160 facilities who all make less than $20 an hour.

• Mobile Hotspots: In March, Governor Raimondo announced that all households that have a Smart Phone with a WiFi hot spot feature and have cell phone service from the four most common providers in Rhode Island – Verizon, AT&T, T-Mobile, and Sprint – would be able to activate the hot spot feature for free with no activation fees, usage fees, or overage fees. That policy was originally only in effect until May 13th. As of today, all four carriers have extended the service to June 30th – through the end of the school year.

COVID-19 Data Update

RIDOH announced 164 new cases of COVID-19 today. This brings Rhode Island's case count to 11,614. RIDOH also announced 14 new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 444. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Raimondo Announces Plan to Reopen Restaurants for Outdoor Dining Only on May 18th

2020-05-11

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

Starting Monday, May 18th, restaurants will be able to begin limited outdoor dining in addition to their take-out, delivery, and drive-through operations. Restaurants will be required to operate under the following new regulations, among others:

• Dining will be by reservation only and groups may not exceed five people, in accordance with guidance on social gathering.

• Tables must be at least eight feet apart or separated by barriers, and no more than 20 tables will be allowed in any outdoor space.

• One-time-use paper menus, digital menus, or chalkboard menus will be recommended.

• Condiments and utensils will either be single-use or sanitized between uses.

• All high-traffic areas will have to be frequently cleaned. Tables and chairs will be sanitized in between parties.

• All employees must wear face coverings, and all customers must wear face coverings when they are not eating.

• Self-service food stations like buffets and salad bars will be prohibited.

• Cashless and contactless payment methods will be encouraged. Pens and payment stations will be frequently cleaned.

• For now, no valet services will be allowed. Customers will be asked to park their own cars.

The complete guidance will be available tonight on ReopeningRI.com [reopeningri.com].

COVID-19 Data Update

RIDOH announced 176 new cases of COVID-19 today. This brings Rhode Island's case count to 11,450. RIDOH also announced eight new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 430. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Raimondo Announces Partnership with Summer, Temporary Utility Relief

2020-05-09

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis.

• Summer: Governor Raimondo announced today that Summer, a social enterprise that assists student loan borrowers, is partnering with Rhode Island to provide free student loan assistance for all residents financially impacted by the COVID-19 crisis. As a certified B Corp, Summer is the leading resource for borrowers to simplify and save on their student debt––offering cutting-edge tools and a dedicated team of student loan experts to find, compare, and enroll in dozens of loan assistance and forgiveness programs. Rhode Island residents can now access Summer's digital platform free of charge to receive customized loan savings recommendations here. Summer and Rhode Island's partnership is directed at borrowers who have been financially impacted by COVID-19.

• Utility: Earlier this week, the Public Utilities Commission voted to extend an order that all regulated utilities--electric, gas, water, sewer--cannot be shut off or sent to a collection agency through May 31. This applies to both residential and non-residential customers.

COVID-19 Data Update

RIDOH announced 210 new cases of COVID-19 today. This brings Rhode Island's case count to 10,989. RIDOH also announced 19 new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 418. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Raimondo Signs Executive Order Officially Lifting Stay-At-Home Order, Gives RIDOH Authority to Enforce Public Health Directives

2020-05-08

Governor Gina M. Raimondo today signed an executive order officially lifting Rhode Island's stay-at-home order. The order gives the Rhode Island Department of Health (RIDOH) the ability to enforce public health guidelines and business regulations, including by levying fines against individuals or businesses.

COVID-19 Data Update

RIDOH announced 249 new cases of COVID-19 today. This brings Rhode Island's case count to 10,779. RIDOH also announced 11 new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 399. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Raimondo Announces Stay-at-home Order will Lift Saturday, Extends Executive Orders

2020-05-07

Governor Gina M. Raimondo today announced that Rhode Island's stay-at-home order will lift this Saturday, May 9th.

Phase 1 will begin with the following restrictions:

• Non-critical retail stores will reopen with capacity limits.

• Elective medical procedures resume under safety guidelines.

• Everyone who can work from home, should work from home. Offices will be permitted to start allowing people to come and go on a very limited basis.

• Some state parks will reopen with limited parking.

Tomorrow, the Governor will issue a new executive order extending the ban on social gatherings of five people until May 22nd. In addition, the following orders will extend through May 22nd:

• Domestic Travel: Anyone coming to Rhode Island from any other state for a non-work-related purpose by any mode of transportation must self-quarantine for 14 days. This restriction will not apply to anyone traveling for medical treatment or to obtain necessities like groceries, gas, or medication.

• Restaurant dine-in: Restaurants, bars, and cafes will remain closed to dine-in service. Wine and beer can still be sold with take-out orders. In addition, starting Saturday, restaurants and bars will be allowed to sell mixed drinks in sealed containers.

• Businesses closures: Recreation and entertainment businesses will remain closed. This includes theaters, cinemas, bowling alleys, concert venues, museums, and zoos. Close-contact businesses will also remain closed. This includes gyms, fitness centers, yoga studios, hair salons, nail salons, barber shops, and tattoo parlors.

In addition, the following executive orders will be extended to June 5th:

• International Travel: Anyone coming to Rhode Island from outside of the country must self-quarantine for 14 days.

• Quarantining: Anyone who has been diagnosed with coronavirus by a lab test or by a doctor who has assessed symptoms must isolate until cleared based on guidance from the Rhode Island Department of Health (RIDOH).

• Gun Permits: In keeping with a request from the Rhode Island Police Chiefs' Association, the state has extended the time period that law enforcement has to complete a background for a gun permit from seven days to 30 days.

• Telehealth: Health insurers must cover telemedicine for primary care, specialty care and mental and behavioral health care.

In Phase 1, places of worship will be allowed to reopen for groups of five only. Drive-in services are allowed as long as people remain in their cars. Funerals will be allowed to have a maximum of 10 people, as long as they are appropriately socially distanced. More guidance for religious settings will be available on ReopeningRI.com [reopeningri.com] tomorrow.

COVID-19 Data Update

RIDOH announced 325 new cases of COVID-19 today. This brings Rhode Island's case count to 10,530. RIDOH also announced 18 new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 388. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Raimondo Provides Testing Update, New Guidance for Businesses

2020-05-06

Governor Gina M. Raimondo today provided an update on the state of COVID-19 testing in Rhode Island and announced an ambitious goal to test 10,000 Rhode Islanders a day by July.

She also outlined the state's comprehensive testing strategy:

• Ensure rapid testing of all symptomatic people. This will involve expanding the number of testing sites in Rhode Island as well as the state's mobile testing capacity.

• React quickly to outbreaks. The plan calls for an outbreak response team on the ground within four hours of multiple cases discovered in places like congregate care settings, workplaces, and other high-density areas. This team will also conduct rapid testing of any contacts who may have been exposed.

• Create an early warning system by testing groups of asymptomatic individuals. The state needs to be able to test comprehensively in high-risk settings like nursing homes or group homes. The state will also perform cyclical testing for other high-risk populations, such as healthcare workers and first responders. Early warning testing sites will be set up at high-contact workplaces and other community settings. The state will work with schools, universities, and private sector partners to set up early warning testing for their own populations. And representative sampling will allow the state to better understand community spread.

Regulations for businesses in Phase 1 are now available on www.ReopeningRI.com [reopeningri.com]. Businesses will be required to certify that they've met a checklist of requirements. That includes developing a COVID-19 plan explaining how the requirements will be met and how potential cases or outbreaks would be handled in coordination with the Department of Health. Visit Visit www.ReopeningRI.com [reopeningri.com] to learn more.

COVID-19 Data Update

The Rhode Island Department of Health (RIDOH) announced 272 new cases of COVID-19 today. This brings Rhode Island's case count to 10,205. Rhode RIDOH also announced 15 new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 370. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Raimondo Details Plan for Phase 1 of Reopening: New Face Coverings Guidance, DMV to Reopen Some In-Person Operations

2020-05-05

Governor Gina M. Raimondo today provided more details on Phase 1 of the Rhode Island's plan to reopen the economy today.

• Executive order: The Governor signed an executive order directing everyone in a public place – whether indoors or outdoors – to wear a cloth face covering. The only exceptions are for children younger than two years of age and anyone whose health would be negatively affected by wearing a face covering. The order goes into effect Friday.

• State government: In the first phase of reopening, state customer services—including HealthSourceRI, the Rhode Island Department of Human Services (DHS), and the Rhode Island Department of Labor and Training (DLT)—will continue to serve the public through call centers and online services. However, the state is planning to open more in-person services at the Rhode Island Division of Motor Vehicles (DMV) by appointment only in Phase 1.

More details on the plan to safely reopen Rhode Island's economy can be found here.

COVID-19 Data Update

The Rhode Island Department of Health (RIDOH) announced 281 new cases of COVID-19 today. This brings Rhode Island's case count to 9,933. Rhode RIDOH also announced 14 new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 355. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Raimondo Details Plans for Phase 1: Retail, Restaurants to Operate Under New Regulations

2020-05-04

Governor Gina M. Raimondo today provided more details on Phase 1 of the state's plan to reopen the economy.

• Retail: Non-critical retail stores that have been closed will be allowed to reopen in-person operations, including for limited in-person browsing. Pre-ordering and in-store pick-up will still be encouraged as the safest option. Retailers will be able to have one person browsing for every 300 square feet of space. Every staff member and customer will need to wear a mask at all times.

• Offices: Everyone who can work from home should continue to work from home. In the meantime, employers should begin taking steps immediately to prepare for eventually bringing more employees back into the office.

• Restaurants: Later in phase 1, limited outdoor in-person seating options at restaurants will be allowed.

• Healthcare: In phase 1, anyone who has deferred healthcare needs, including well-visits and specialty care should call their primary care provider. Telehealth is still the best option if possible.

• Congregate Care: Visitation restrictions for nursing homes, hospitals, and assisted living centers will continue.

More details can be found here: https://www.reopeningri.com/resource_pdfs/REOPENINGRI_Phase-I_Testing_the_Water-05.04.20.pdf [reopeningri.com]

COVID-19 Data Update

The Rhode Island Department of Health (RIDOH) announced 175 new cases of COVID-19 today. This brings Rhode Island's case count to 9,652. Rhode RIDOH also announced 21 new COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 341. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

State Unveils New Models, Rental Assistance Available for Lower Income Rhode Islanders

2020-05-02

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

• Modeling: Today the state released two new models that show COVID-19's trajectory in Rhode Island over the past month and potential scenarios for the next two weeks regarding hospitalizations. (See link below.)

The models indicate two significant shifts in the hospitalization rate in Rhode Island. The growth curve shifted around April 2nd, two weeks after the state's first business closures (for restaurants and bars) were announced. The growth curve shifted again around April 14th from more linear growth to growth that is closer to a plateau. This second shift happened roughly two weeks after a stay-at-home order was issued for Rhode Island. The Governor and Dr. Alexander-Scott spoke about two possible scenarios for the next two weeks: one a gradually decreasing plateau, the other a more traditional bell curve.

• Rental assistance: Rhode Island has made $1.5 million in emergency rental assistance available to low-income renters who have been impacted by the COVID-19 emergency and are at immediate risk of homelessness. Those who qualify can receive a grant of up to $5,000 to support past due rent payments and other fees. Requirement information and details are available at HousingHelpRI.com [housinghelpri.com] or by calling 211.

COVID-19 Data Update

Rhode Island has 327 new cases of COVID-19. This brings Rhode Island's count to 9,289. Rhode Island also has 17 new fatalities to announce. Rhode Island's number of COVID-19 associated fatalities is now 296. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Plan Announced for Phased Reopening of Parks; RIDOH Updates COVID-19 Data

2020-05-01

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

Those updates included the announcement that the Rhode Island Department of Environmental Management (DEM) will be reopening state parks in a graduated manner during the first phase of reopening Rhode Island's economy. While DEM will be staggering park openings, reducing the size of parking areas and restricting hours of operation and activities to prevent crowds, many diverse and varied outdoor spaces will be open for Rhode Islanders to safely enjoy while adhering to public health guidance on gathering and social distancing. DEM hopes to reopen all parks by the end of May. A second phase will involve the saltwater beaches. DEM's announcement is available online (see link below).

COVID-19 Data Update

Rhode Island has 341 new cases of COVID-19. This brings Rhode Island's count to 8,962. Rhode Island also has 13 new fatalities to announce. Rhode Island's number of COVID-19 associated fatalities is now 279. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Rhode Island Releases COVID-19 Crisis Standards of Care Guidelines for Hospitals

2020-04-30

The Rhode Island Department of Health (RIDOH) issued Crisis Standards of Care Guidelines for acute care hospitals today, which are intended to ensure an equitable and just allocation of patient-care resources, should a scarcity arise. (See link below.)

These Guidelines, which could be implemented during any public health emergency, are not currently in effect. Rhode Island hospitals are currently below capacity and are not experiencing any shortages that would trigger the implementation of these Guidelines. These Guidelines would only be implemented when all other surge strategies are exhausted and no other regional resources are available. The swift construction of temporary surge or "alternate hospital sites" in Rhode Island as a part of the State's coronavirus disease 2019 (COVID-19) response provide another buffer from the need to implement these plans, should Rhode Island experience a surge in the near future. The Crisis Standards of Care Guidelines would only be implemented in a hospital in Rhode Island at the direction of RIDOH.

The Crisis Standards of Care Guidelines are supported by several key medical ethical principles, including duty to care, duty to steward resources, and distributive justice. Using these principles, clinical judgment, clinical information, and objective triage tools, facilities would be empowered to make patient care decisions based on medical status and likely outcome.

These Crisis Standards of Care Guidelines were developed in partnership with the acute care hospitals throughout the state, the Hospital Association of Rhode Island, and many other partners throughout the state and the region.

COVID-19 Data Update

Rhode Island has 374 new cases of COVID-19. This brings Rhode Island's count to 8,621. Rhode Island also has 15 new fatalities to announce. Rhode Island's number of COVID-19 associated fatalities is now 266. A full data summary for Rhode Island is posted online.

RIDOH and hospitals are now using an updated COVID-19 reporting tool. This allows for more streamlined, systematic, electronic submissions. The prior reporting system was developed in the first days of the pandemic in Rhode Island was very labor intensive. It focused on reports and reviews of medical records for patients who are hospitalized because of COVID-19 like illness. The new reporting system will bring consistency to hospitals' reports. Rhode Island is continuing to develop its systems for tracking and responding to COVID-19, including its data systems, as the scope of the public health emergency has broadened.

Using this new system, there are 339 patients with COVID-19 currently hospitalized in Rhode Island. The historical numbers will be adjusted to fit this new system.

In addition to the data shift resulting from the reporting change, RIDOH is looking closely at hospitalization data to determine whether activity from around the holidays or enhanced screening at hospitals are impacting the numbers.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Provide Updates on State's Response to COVID-19

2020-04-29

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

• Large events: While public health guidance around the exact number of people allowed to gather will change in the coming months, the Governor today made clear that it is highly unlikely that groups of more than 50 people will be able to gather at any point this summer. She recommended that anyone planning an event with more than 50 people through the summer cancel, postpone, or find a way to celebrate virtually instead.

• HealthSourceRI: Tomorrow is the last day to sign up for coverage as part of HealthSourceRI's special enrollment period. However, anyone who has recently gone through a "qualifying life event," including losing a job, will always have a 60 day window from the date of the qualifying event in which they can seek new coverage. To learn more, go to HealthSourceRI.com [healthsourceri.com].

COVID-19 Data Update

Rhode Island has 321 new cases of COVID-19. This brings Rhode Island's count to 8,247. RIDOH also announced 12 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 251. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Provide Updates on State's Response to COVID-19

2020-04-28

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

• Healthcare: Yesterday the Governor signed an executive order to relax onerous regulations and eliminate barriers to care during this crisis. The order includes the following protections through May 27th:

o Medications: Insurers cannot make changes to what drugs are covered unless the changes benefit patients.

o Provider Referrals: Insurers are required to relax the referral process to allow for more time and leniency. No referrals are necessary for telehealth.

o Prior Authorization: In-patient hospital and rehabilitation, long-term care and telemedicine in-network services cannot be suspended because an individual doesn't have prior authorization. In addition, no prior authorization is needed for testing or treatment of COVID-19.

o Behavioral Healthcare: No referrals or other benefit review approvals are required for a patient to access needed mental and behavioral health care.

• DMV: The state is now giving 90-day extensions on expirations set for May. Expiration dates in May are now extended to August. This applies to all licenses, registrations, inspections, permits, and temporary plates.

COVID-19 Data Update

Rhode Island has 218 new cases of COVID-19. This brings Rhode Island's count to 7,926. RIDOH also announced six additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 239. A full data summary for Rhode Island is posted online (see link below).

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Unveils "Reopen RI" Framework for Reopening Economy

2020-04-27

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

The Governor unveiled her framework for safely reopening Rhode Island's economy. The plan consists of three phases:

• Phase 1 - Testing the waters: In the first phase, Rhode Islanders can look forward to seeing friends and family again. The stay at home order will be lifted, but social gatherings will be limited to 10 people. Older adults (people 65 and older) and those with underlying health conditions will be able to go to work and to get food or medicine. But in accordance with federal public health guidance, vulnerable individuals will be strongly encouraged to otherwise stay home. Masks, vigilant hand-washing, and increased cleaning must remain in place. And everyone who can work from home should still work from home. All activities must account for strong social distancing guidelines of remaining 6-feet apart.

• Phase 2 - Navigating our way: In the second phase, Rhode Islanders can look forward to more businesses reopening and restrictions being further relaxed. Expanded childcare options will be available under strict public health guidelines. More restaurants, retail and close-contact businesses like hair and nail salons may open. Additional recreational options will likely return, but restrictions will remain. Social gathering limits will increase to 15 people. Guidance for older adults (people 65 and older) and those with underlying health conditions will remain unchanged from phase one. Masks, vigilant hand-washing and increased cleaning must remain in place. Offices will ease capacity restrictions allowing more people to come in, but many people will still work from home. All activities must account for strong social distancing guidelines of remaining 6-feet apart.

• Phase 3 - Picking up speed: In the third phase, Rhode Islanders can look forward to seeing more of their families and friends. Social gatherings will be limited to 50 people. Offices, restaurants, retail and other businesses will lift some of the tightest restrictions to allow more people in at one time but will need to operate under long-term safety guidelines. Older adults (people 65 and older) and those with underlying health conditions will no longer be strongly encouraged to stay home. These individuals will be reminded to exercise significant caution in public. Masks, vigilant hand-washing and increased cleaning must remain in place. Working from home will still be encouraged where possible but more people will return to the workplace. All activities must account for strong social distancing guidelines of remaining 6-feet apart.

For more details, visit ReopeningRI.com [reopeningri.com].

COVID-19 Data Update

Rhode Island has 269 new cases of COVID-19. This brings Rhode Island's count to 7,708. RIDOH also announced seven additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 233. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Data Update

2020-04-26

The Rhode Island Department of Health (RIDOH) posted updated coronavirus disease 2019 (COVID-19) data online today. Rhode Island has 310 new cases of COVID-19. This brings Rhode Island's count to 7,439. RIDOH also announced 11 additional COVID-19 associated fatalities. Of these 11 people, one person was in their 50s, four people were in their 70s, one person was in their 80s, and five people were in their 90s. Rhode Island's number of COVID-19 associated fatalities is now 226. A full data summary for Rhode Island is posted online (see link below).

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Provide Updates on State Response to COVID-19

2020-04-25

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

• Arts: Today the state launched a new website, RIArts.org [riarts.org], to connect artists with available resources and provide Rhode Islanders with an up-to-date list of virtual performances happening in the state. The Governor also unveiled an inspirational image called the "R.I. Angel of Hope and Strength" created by Shepard Fairey, RISD graduate, renowned artist and founder of the Obey brand. The image is available for free download on RIArts.org [riarts.org].

• Spanish translation: As of this week, the full video of the daily press briefings will be available in Spanish on the Governor's Facebook page every evening.

COVID-19 Data Update

Rhode Island has 430 new cases of COVID-19. This brings Rhode Island's count to 7,129. RIDOH also announced 13 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 215. A full data summary for Rhode Island is posted online (see link below).

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Governor, Dr. Alexander-Scott Provide Updates on State Response to COVID-19

2020-04-24

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

• Serology testing: Earlier this week, the state received a shipment of 20,000 antibody tests that are now going through the validation process. In the coming weeks, the state will work with experts at Brown University and the Rhode Island Blood Center to test a random population sample and collect information about the prevalence of the virus in Rhode Island. In the meantime, RIDOH is creating a Rhode Island COVID-19 Testing and Validation Task Force to help analyze and draw conclusions from this data when it is available. The Task Force will be co-chaired by Dr. Angela Caliendo and Dr. Jonathan Kurtis, two Lifespan physicians.

• Workforce stabilization: Today, the Governor announced a new Congregate Care Workforce Stabilization Fund for private providers. For the next month, this fund will provide temporary pay increases for low-wage frontline workers at eligible Medicaid-funded residential facilities. Employers can apply to the Office of Health and Human Services starting next week.

• Banking pledge: More than 20 financial institutions in RI have pledged the following relief to their residential borrowers:

o A 90-day grace period for all residential mortgage payments for individuals impacted by COVID-19, with the opportunity to request additional relief

o An agreement to not report late payments to credit reporting agencies for residential borrowers who take advantage of this relief

o A 60-day moratorium on initiating residential foreclosures and evictions; and

o An agreement to waive mortgage-related late fees. More information can be found here. https://dbr.ri.gov/documents/Financial_Institution_Pledge.pdf

• Rental assistance: Starting next Thursday, the state will be making available $1.5M in rental assistance for low income Rhode Islanders across the state. Details and information on how to apply will be announced in the coming days.

• Violence Prevention: Next Thursday at 11 a.m., Governor Raimondo will be joined by Senator Reed, Senator Whitehouse, Congressman Langevin, Congressman Cicilline, Attorney General Neronha, members of the Cabinet and representatives from the advocate community for a Violence Prevention Facebook Town Hall. Rhode Islanders can submit their questions on Facebook or anonymously by emailing communications@governor.ri.gov.

COVID-19 Data Update

Rhode Island has 437 new cases of COVID-19. This brings Rhode Island's count to 6,699. RIDOH also announced 13 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 202. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Governor Announces Extension of Distance Learning

2020-04-23

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

• Distance learning: Today, the Governor announced that school buildings will remain closed and distance learning will continue through the end of the school year in June.

• Helpline: Parents looking for support as their students engage with distance learning can access a new helpline through the Rhode Island Department of Education and Highlander Institute at 904-414-4927. More information can be found here [highlanderinstitute.org [highlanderinstitute.org]].

• Kids Press Conference: Next Thursday, April 30 at 1PM, Governor Raimondo will hold a second Kids Press Conference. Students can submit questions for the Governor here. [https://docs.google.com/forms/d/e/1FAIpQLSebN3b7fdFPKu5MmdXawyeG2Cj-Q7SngXzcdZY0Bn0o5B4Rug/viewform [docs.google.com]]

COVID-19 Data Update

Rhode Island has 412 new cases of COVID-19. This brings Rhode Island's count to 6,256. RIDOH also announced 8 additional COVID-19 associated fatalities. Of these eight people, four were nursing home residents. Rhode Island's number of COVID-19 associated fatalities is now 189. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] [ridelivers.com [ridelivers.com]] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Announces Self-Checker Tool, New Walk-Up Testing Site

2020-04-22

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

• Self-checker tool: Today, the state launched the Rhode Island COVID-19 Self-Checker: a web-based, mobile friendly tool that will help Rhode Islanders make decisions about seeking appropriate medical care and testing. Rhode Island is the first state in the nation to partner with Diagnostic Robotics to adopt this proven system for the coronavirus crisis. The Rhode Island COVID-19 Self-Checker is available in English, Spanish, and Portuguese. The tool asks a series of questions related to symptoms, potential exposures, and other risk factors and will help users make decisions about when to seek care and testing. It also offers tips related to prevention, testing, quarantine, and isolation. The guidance offered through the Self-Checker is based on CDC guidelines and has been customized to connect Rhode Islanders with local information and resources.

• Memorial Hospital testing site: The state is opening a new walk-up site at the location of the former Memorial Hospital in Pawtucket. This site will serve in conjunction with the drive-up respiratory clinic that's already operational at the former Memorial site. Appointments for testing are required. Anyone in Pawtucket experiencing COVID symptoms – fever, cough, shortness of breath – who is looking to be tested at this walk-up site should call 401-CARE-NOW.

COVID-19 Data Update

Rhode Island has 365 new cases of COVID-19. This brings Rhode Island's count to 5,841. RIDOH also announced 10 additional COVID-19 associated fatalities. Of these 10 people, eight were nursing home residents. Rhode Island's number of COVID-19 associated fatalities is now 181. A full data summary for Rhode Island is posted online (see below).

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Governor Provides Updates on PPE, Field Hospitals, and Frontline Housing

2020-04-21

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

• Personal Protective Equipment (PPE): In the past two weeks alone, Rhode Island has received shipments totaling more than 1.5 million surgical masks, 90% of which have come from the private market. That brings the state's total on hand to nearly 2 million surgical masks. This will allow healthcare workers in hospitals, nursing homes, urgent care centers, and sites that are serving as Respiratory Clinics to change out surgical masks on a daily basis.

• Field hospitals: Over the weekend, work on the field hospitals at the Rhode Island Convention Center and the former Citizens building in Cranston was completed, adding almost 1,000 beds to the state's capacity.

• Frontline housing: The state has partnered with Brown University to provide free single-occupancy dormitory housing to frontline workers. Brown has made more than 700 rooms available to the state for free. This program is specifically for medical personnel, first responders, members of public safety and congregate care and home care workers. This is not for people who have tested positive for coronavirus or have related symptoms. Workers who are interested in accessing the free housing option should contact their employer.

COVID-19 Data Update

RIDOH posted updated COVID-19 data online today. Rhode Island has 394 new cases of COVID-19. This brings Rhode Island's count to 5,500. RIDOH also announced 16 additional COVID-19 associated fatalities. Rhode Island's number of COVID-19 associated fatalities is now 171. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Provide Updates on State's Response to COVID-19

2020-04-20

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided updates on Rhode Island's response to coronavirus disease 2019 (COVID-19) today.

The Governor began outlining her vision for safely reopening Rhode Island's economy. For weeks, a team of experts on the Governor's "New Normal" workstream have been exploring how and when this process can begin. To guide these decisions, the Governor announced today a series of indicators that measure the state's readiness to reopen. The six key indicators are as follows:

• Has the rate of spread continued to decrease?

• Does the state have the capacity to quickly identify community spread on an ongoing basis before a major outbreak occurs?

• Does the state have necessary supports in place for vulnerable populations, and for anyone in quarantine?

• Does Rhode Island's healthcare system have the capacity and the PPE to handle future surges?

• Do businesses, schools, child care facilities, faith leaders, and recreational spaces have plans for long-term social distancing?

• Is the state prepared to reimpose measures, or reclose certain sectors of the economy, if it becomes necessary?

The Governor also announced that the USDA Food and Nutrition Service (FNS) recently granted Rhode Island the authority to issue Pandemic-EBT benefits (P-EBT) to Supplemental Nutrition Assistance Program (SNAP) and non-SNAP households with one or more children who have temporarily lost access to free or reduced price meals at school due to COVID-19 school closures. For households receiving SNAP benefits, the additional benefits will be added to their existing EBT cards. Households not currently receiving SNAP benefits will receive a new P-EBT card in the mail with benefits automatically added and a personal identification number (PIN) and setup instructions. More information can be found here.

COVID-19 Data Update

RIDOH posted updated COVID-19 data online today. Rhode Island has 339 new cases of COVID-19. This brings Rhode Island's count to 5,090. RIDOH also announced five additional COVID-19 associated fatalities. Of these people, one person was in their 60s, one person was in their 80s, and three people were in their 90s. All five of these people lived in congregate living settings. Rhode Island's number of COVID-19 associated fatalities is now 155. A full data summary for Rhode Island is posted online (see link below).

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Data Update

2020-04-19

The Rhode Island Department of Health (RIDOH) posted updated coronavirus disease 2019 (COVID-19) data online today. Rhode Island has 230 new cases of COVID-19. This brings Rhode Island's count to 4,706. RIDOH also announced 13 additional COVID-19 associated fatalities. Of these 13 people, two people were in their 60s, four people were in their 70s, four people were in their 80s, and three people were in their 90s. Of these 13 people, 11 people lived in congregate living settings. Rhode Island's number of COVID-19 associated fatalities is now 150. A full data summary for Rhode Island is posted online (see link below).

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo, Dr. Alexander-Scott Provide Updates on State Response to COVID-19

2020-04-18

Date: April 18, 2020

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), made several announcements today about the state's response to coronavirus disease 2019 (COVID-19).

• Garden centers: Starting tomorrow, big box stores that include garden centers are required to close open browsing and shopping options within their garden centers. Garden center sales will be temporarily limited to pickup, delivery, and appointment options – as is the case for free-standing garden centers.

• Masks: Earlier this week, the Governor signed an executive order issuing clear direction about face coverings. The following directives take effect today:

o All employees of customer-facing businesses, office-based businesses, manufacturers, nonprofits and construction workers must wear cloth face coverings when they are at work.

o Additionally, all customer-facing businesses must take steps to remind customers to wear face coverings.

o The only exceptions are for anyone whose health would be in jeopardy because of wearing a face covering or any children under 2 years old.

• The RI Artist Relief Fund: The Rhode Island State Council on the Arts (RISCA), in cooperation with the Rhode Island Foundation and the City of Providence Department of Art, Culture + Tourism, announced the Rhode Island Artist Relief Fund today. Created to provide grants to RI artists who are in financial distress as a result of the COVID-19 crisis, the fund has awarded $126,030 in grants to support 253 Rhode Island artists. The Governor encouraged anyone in a position to donate to the fund to visit https://www.artistcommunities.org/arf [artistcommunities.org]. For more information, visit https://risca.online/grants/artistrelieffund/ [risca.online].

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 317 new cases of COVID-19. This brings Rhode Island's count to 4,491. RIDOH also announced 19 additional COVID-19 associated fatalities. One person was in their 30s, 2 people were in their 50s, 3 people were in their 60s, 4 people were in their 70s, 7 people was in their 80s, and 2 people were in their 90s. Rhode Island's number of COVID-19 associated fatalities is now 137. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Wearing a cloth face covering does not negate the need to observe social distancing requirements. We must do both to help reduce the spread of COVID-19: as of today, wear cloth face coverings and continue to respect and follow the 6-foot distancing standard.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo, Dr. Alexander-Scott Provide Updates on State Response to COVID-19

2020-04-17

Date: April 17, 2020

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), made several announcements today about the state's response to coronavirus disease 2019 (COVID-19).

• Workers Compensation: Beacon Mutual Insurance Company, which insures 12,000 Rhode Island businesses, will be allowing frontline healthcare workers to file for workers compensation under the presumption that they contracted the virus in the course of doing their jobs – and will expedite those claims. This includes doctors, nurses, EMTs, home health aides and others.

• Testing for vulnerable populations: The state is implementing a cyclical testing program for all nursing homes to be tested every 7-10 days. This involves delivering swabs to nursing homes and picking up samples the next day. Mobile testing for outbreaks will be deployed to hot spots.

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 372 new cases of COVID-19. This brings Rhode Island's count to 4,177. There were 13 additional fatalities. One person was in their 50s, 2 people were in their 60s, 7 people were in their 70s, one person was in their 80s, one person was in their 90s and one was more than 100 years old. Rhode Island's total number of COVID-19 associated fatalities is now 118. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo Unveils Rhode Island Modeling Projection, EmployRI Job Site

2020-04-17

Date: April 16, 2020

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), made several announcements today about the state's response to coronavirus disease 2019 (COVID-19).

• Modeling: The Governor unveiled the state's modeling projection for coronavirus hospitalizations through mid-May. The model can be found on RIDOH's website.

• EmployRI: The Rhode Island Department of Labor and Training, Skills for Rhode Island's Future and Commerce have re-launched a state job-seeking platform to help connect Rhode Islanders with nearly 2,000 open jobs. Many of the jobs posted are frontline positions in the fight against COVID-19. Jobseekers can visit www.EmployRI.org [employri.org] to find jobs as well as other important resources including information on unemployment insurance, resume tips and other COVID-19 updates. Employers looking to hire quickly can post jobs on EmployRI for free and dedicated specialists at SkillsRI will facilitate matches with qualified candidates.

• COVID-19 Specialty Nursing Home: To support Rhode Island's response to the COVID-19 pandemic, Oak Hill Center in Pawtucket is being established as a COVID-19 Specialty Nursing Home. Oak Hill Center will be a central facility to accept patients who are being discharged from the hospital and who are COVID-19 positive but no longer require acute-level care. This strategy allows COVID-19 positive patients leaving the hospital to receive specialized rehabilitation and step-down, post-acute care while reserving hospital beds for patients who need acute-level care. Current Oak Hill Center residents who do not have COVID-19 symptoms will be located in a separate unit of the facility. Residents at other nursing homes who have COVID-19 will remain at their current nursing homes.

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 309 new cases of COVID-19. This brings Rhode Island's count to 3,838. RIDOH also announced 18 additional COVID-19 associated fatalities. Seven people were in their 70s, seven people were in their 80s, and four people were in their 90s. Rhode Island's number of COVID-19 associated fatalities is now 105. A full data summary for Rhode Island is posted online.

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo Unveils New Data Dashboard, RI Havens Resource

2020-04-15

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), made several announcements today about the state's response to coronavirus disease 2019 (COVID-19).

• Data dashboard: The Governor unveiled a new data dashboard on RIDOH's website (http://health.ri.gov/data/covid-19). The dashboard will be updated daily at noon.

• RI Havens: RIHavens.com [rihavens.com] is a new website that connects those in need of a safe space to quarantine with hotel rooms across the state offered at significantly discounted rates – some as low as $25 a night. The website is part of a wider effort to meet the basic needs of all Rhode Islanders in quarantine and isolation during this pandemic.

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 278 new cases of COVID-19. This brings Rhode Island's count to 3,529. RIDOH also announced seven additional COVID-19 associated fatalities. Four of these people were in their 80s; two of these people were in their 90s; and one of these people was older than 100. Of these seven people, six were nursing home residents. Rhode Island's number of COVID-19 associated fatalities is now 87. A full data summary for Rhode Island is posted online (http://health.ri.gov/data/covid-19).

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo Provides Updates on Cloth Masks, Health Insurance Enrollment

2020-04-14

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), made several announcements today about the state's response to coronavirus disease 2019 (COVID-19).

- Face coverings: The Governor signed an executive order clarifying the state's directives around cloth face coverings. Beginning Saturday:

All employees of customer-facing businesses, office-based businesses, manufacturers and nonprofits, must wear cloth face coverings when they are at work.

Business must provide face coverings for their employees. Face coverings can include scarves, bandanas, and other homemade and non-factory-made masks.

Additionally, all customer-facing businesses must take steps to remind customers to wear face coverings. That means they should be putting up signs at the door reminding customers to wear a face covering inside.

The only exceptions from these rules are for anyone whose health would be in jeopardy because of wearing a face covering or any children under 2 years old.

- Health insurance: The Governor announced that HealthSourceRI is extending their special open enrollment period through April 30. Rhode Islanders looking to purchase coverage should visit www.healthsourceri.com [healthsourceri.com].

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 275 new cases of COVID-19. This brings Rhode Island's count to 3,251. RIDOH also announced seven additional COVID-19 associated fatalities. Of these people, two were in their 60s, two were in their 70s, and three were in their 80s. Of these seven people, three people were residents at nursing homes and one person was a resident at a group home. Rhode Island's number of COVID-19 associated fatalities is now 80. A full data summary for Rhode Island is posted online: http://health.ri.gov/data/covid-19

Key messages for the public

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow.

o Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Data Update

2020-04-13

The Rhode Island Department of Health (RIDOH) announced today that Rhode Island has 311 new cases of coronavirus disease 2019 (COVID-19). This brings Rhode Island's count to 2,976. RIDOH also announced 10 additional COVID-19 associated fatalities. Of these 10 people, eight were nursing home residents. The age breakdown for these 10 people was as follows:

- 2 of these people were in their 50s.

- 1 of these people was in their 70s.

- 6 of these people were in their 80s, and

- 1 of these people was in their 90s.

A full data summary for Rhode Island is posted online.

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days after the last day that that person was in isolation. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Testing and Data Updates

2020-04-12

Because of the wind and heavy rain forecast for Monday, April 13th, all outdoor coronavirus disease 2019 (COVID-19) testing sites in Rhode Island will be closed tomorrow. This includes testing sites at:

• URI in South Kingstown;

• CCRI in Warwick;

• Rhode Island College in Providence;

• Rhode Island Hospital in Providence;

• Kent Hospital in Warwick;

• Newport Hospital in Newport;

• Westerly Hospital in Westerly

• CVS Rapid Testing Site in Lincoln; and

• Respiratory Clinics with outdoor tents.

Healthcare providers should not make any additional appointments for Monday, April 13th. Any patient with an existing appointment for Monday, April 13th, will be automatically rescheduled to Tuesday, April 14th, at the same time.

COVID-19 Data Update:

The Rhode Island Department of Health (RIDOH) is announcing 316 new cases of COVID-19. This brings Rhode Island's count to 2,665. RIDOH is also announcing seven additional COVID-19 associated fatalities. These people were in their 60s (two people), 70s (two people), 80s (two people), and 90s (one person). Rhode Island's number of COVID-19 associated fatalities is now 63. Currently, 201 COVID-19 patients are hospitalized in Rhode Island. A full data summary for Rhode Island is posted online at https://health.ri.gov/data/covid-19

Key messages for the public:

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

• Everyone can help stop the spread of viruses in Rhode Island.

- Get your flu shot, and make sure the people around you do the same.

- Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

- Cough or sneeze into your elbow.

- Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Data Update for April 11th

2020-04-11

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), provided an update today on Rhode Island's coronavirus disease 2019 (COVID-19) data. Rhode Island has 334 new cases of COVID-19. This brings Rhode Island's count to 2,349. RIDOH also announced seven additional COVID-19 associated fatalities. One of the people who passed away was in their 50s. One person was in their 60s. The other five people were in their 80s. Rhode Island's number of COVID-19 associated fatalities is now 56. Currently, 183 COVID-19 patients are hospitalized in Rhode Island. A full data summary for Rhode Island is posted online: https://health.ri.gov/data/covid-19/

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo Provides Updates on Unemployment Insurance and Other Elements of COVID-19 Response

2020-04-10

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), made several announcements today about the state's response to coronavirus disease 2019 (COVID-19).

• Unemployment Insurance: The Governor signed an executive order yesterday ensuring that individual businesses that have closed as a result of COVID-19 will not be penalized for their workers accessing unemployment insurance. This order also allows for data sharing between state agencies. Rather than seeking individual tax records on a case-by-case basis, the Rhode Island Department of Labor and Training (DLT) will have access to the records of every person that has applied, speeding up their ability to process claims. It also allows for recent DLT retirees to rejoin state service and help process claims, without having to sacrifice their pensions. This will allow experienced workers to immediately help speed up processing.

• Domestic Violence: The Rhode Island Coalition Against Domestic Violence and all of its member agencies are open, as are domestic violence shelters. Rhode Islanders seeking help can call the 24/7 confidential hotline at 1-800-494-8100. Services are provided in English and in Spanish. While courts are closed for non-essential business including evictions, they are open for all domestic violence matters.

• RIPTA: As of today, RIPTA will be limiting capacity on all busses to no more than 15 passengers to allow for more space. They're also asking all passengers to use cloth face coverings when out in public. Starting next week, RIPTA will be filling gaps on delivery routes for Meals on Wheels.

The Governor also clarified eligibility requirements for unemployment insurance. As a general rule, Rhode Islanders can collect unemployment insurance only if they have been laid off or have had their hours reduced. In the CARES Act, the federal government expanded eligibility for unemployment insurance benefits – called Pandemic Unemployment Assistance (PUA) – for two specific groups of individuals:

• The self-employed and those who are sole proprietors, like hairdressers and gig economy workers, and

• Individuals who have COVID-19, have been quarantined or have been told by a doctor to self-quarantine because they are high risk, or are the only person available to care for a child or loved one who cannot stay home alone because the place they received care is closed due to COVID-19.

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 288 new cases of COVID-19. This brings Rhode Island's count to 2,015. RIDOH also announced six additional COVID-19 associated fatalities. One of these people was in their 60s, four were in their 90s, and one was in their 100s. Rhode Island's number of COVID-19 associated fatalities is now 49. A full data summary for Rhode Island is posted online at http://health.ri.gov/data/covid-19

Key messages for the public:

• Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

• The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

• Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

• When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

• Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

• Healthcare workers should not be going to work if they are sick (even with mild symptoms).

• People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

Everyone can help stop the spread of viruses in Rhode Island.

- Get your flu shot, and make sure the people around you do the same.

- Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

- Cough or sneeze into your elbow.

- Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo, Dr. Alexander-Scott Provide Update on State's Response to COVID-19

2020-04-09

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), made several announcements today about the state's response to coronavirus disease 2019 (COVID-19).

The Governor signed an executive order today that clarifies Rhode Island's requirements around quarantine and isolation:

- Anyone diagnosed with COVID-19 – either by a laboratory test or through symptom assessment by a healthcare provider – must self-isolate. People in isolation must stay at home and stay in isolation for at least seven days. Additionally, someone needs to be fever free for 72 hours without the use of fever reducing medication, and all their symptoms need to have resolved completely before they can come out of isolation.

- People in quarantine must distance themselves from others, including at home. These people should monitor themselves for symptoms.

- Anyone who has been in close contact with an individual who has been diagnosed with COVID-19 must quarantine for 14 days, regardless of whether they present symptoms or not.

RIDOH is developing regulations including a series of fines to ensure compliance with quarantine and isolation requirements. The state is also working to issue guidance for local law enforcement to ensure that quarantine and isolation directives are followed.

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 277 new cases of COVID-19. This brings Rhode Island's count to 1,727. RIDOH also announced eight additional COVID-19 associated fatalities. These people ranged in age from their 20s to their 90s. Rhode Island's number of COVID-19 associated fatalities is now 43. A full data summary for Rhode Island is posted online. https://health.ri.gov/data/covid-19/

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo, Dr. Alexander-Scott Provide Update on State's Response to COVID-19

2020-04-08

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), made several announcements today about the state's response to coronavirus disease 2019 (COVID-19).

- Courts: The courts have extended their closure for all non-essential business--including residential and commercial evictions--through May 17th.

- Contact tracing: The state has partnered with SalesForce, a global software company, to make the contact tracing process more efficient. SalesForce is creating a secure database that will allow RIDOH and the National Guard to do contact tracing more efficiently and effectively. SalesForce is also creating a platform for physicians to order tests for patients at the National Guard testing sites.

- Job Lot: Starting today, Job Lot is making free fabric available to all Rhode Island residents to make our own fabric face coverings. Every Job Lot has a display set up and they have enough free fabric for 1 million masks.

The Governor reiterated that everyone should wear a cloth face covering when in public. (These are different than medical grade masks, such as N95s, which should be reserved for healthcare workers.) A cloth face covering is a material that covers the nose and mouth. A cloth face cover could be sewn by hand or improvised from household items such as scarves or T-shirts. Cloth face covers are not substitutes for physical distancing, washing your hands, and staying home when ill.

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 220 new cases of COVID-19. This brings Rhode Island's count to 1,450. RIDOH also announced five additional COVID-19 associated fatalities. Three of these people were in their 70s. One person was in their 80s and one person was in their 90s. Rhode Island's number of COVID-19 associated fatalities is now 35. A full data summary for Rhode Island is posted online: https://health.ri.gov/data/covid-19/

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- When people are in public, they should wear a cloth face covering. A cloth face covering is a material that covers the nose and mouth. It could be sewn by hand or improvised from household items such as scarves, T-shirts, or bandanas.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo Extends Restrictions to May 8th

2020-04-07

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), made several announcements today about the state's response to coronavirus disease 2019 (COVID-19). Today the Governor announced that she plans to extend the following executive orders until May 8th:

- Gatherings: All gatherings of more than five people are prohibited.

- Restaurant dine-in: Restaurants, bars and cafes will be closed to dine-in service. They will be allowed to sell wine and beer with take-out orders.

- Business closures: Public recreation and entertainment businesses (e.g., theaters, cinemas, bowling alleys, museums, zoos, etc.) as well as all close-contact businesses (e.g., hair salons, nail salons, barber shops, tattoo parlors, gyms, yoga studios, etc.) will remain closed.

- Travel: Anyone returning to Rhode Island from domestic or international travel by any mode of transportation must self-quarantine for 14 days.

- Open Meetings Act: The Governor has suspended the provision of the Open Meetings Act that prohibits meetings taking place by phone or video conferencing. All meetings must still allow for public access.

- Telehealth: Health insurers must cover telemedicine for primary care, specialty care and mental and behavioral health care.

- Gun Permits: In keeping with a request from the Rhode Island Police Chiefs' Association, the Governor has extended the time period that law enforcement has to complete a background for a gun permit from seven days to 30 days.

Several other closures will extend indefinitely:

- The Rhode Island State House is closed to visitors.

- Nursing homes, hospitals, and the ACI are not allowing visitors.

- State parks and beaches are closed.

- All state-based customer services (for example, services from the Rhode Island Department of Human Services, the Rhode Island Department of Labor and Training, and Health Source RI) – will remain online only.

- The DMV is open by appointment only. All road tests are suspended indefinitely.

- Casinos are closed.

In addition, the Governor signed an executive order ensuring that hospitals provide data to the state regarding supplies, patients being treated for COVID-19, and testing. This order ensures the state will have the most accurate information available as it seeks to procure additional supplies to respond to this crisis. The Governor noted that hospitals have been great partners throughout this response and have already been providing data to RIDOH regularly.

Finally, the Governor also urged Rhode Islanders to sign up for a free account on www.NextDoor.com [nextdoor.com]. On their platform, Rhode Islanders can offer help to their neighbors or request help for things like grocery shopping and dog walking.

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 147 new cases of COVID-19. This brings Rhode Island's count to 1,229. RIDOH also announced three additional COVID-19 associated fatalities. Two people were in their 70s and one person was in their 90s. All three were nursing home residents. Rhode Island's number of COVID-19 associated fatalities is now 30. A full data summary for Rhode Island is posted online: https://health.ri.gov/data/covid-19/

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

- Get your flu shot, and make sure the people around you do the same.

- Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

- Cough or sneeze into your elbow.

- Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo Announces COVID-19 Testing Partnership with CVS Health

2020-04-06

Governor Gina M. Raimondo announced today that Rhode Island has entered into a partnership with CVS Health to make free, rapid COVID-19 tests available to Rhode Islanders, doubling the state's testing capacity. Tests using the new Abbott ID NOW system will be provided by-appointment at a new drive-through testing site at Twin River Casino in Lincoln. This testing site will be able to perform approximately 1,000 tests per day.

Rhode Island and Georgia are the only two states in the country to be launching this new partnership today. Healthcare providers from MinuteClinic, CVS's retail medical clinic, are overseeing the testing. Rhode Islanders who have symptoms of COVID-19 can sign up for a test at www.cvs.com [cvs.com].

The symptoms of COVID-19 include any of the following: fever, cough, shortness of breath, muscle aches (myalgias), chills, runny nose or stuffy nose, sore throat, headache, or diarrhea.

As Rhode Island has ramped up its testing capacity, Governor Raimondo announced last week that tests are now available for all Rhode Islanders who are experiencing symptoms. COVID-19 testing had previously been limited to certain populations who are more vulnerable to complications from COVID-19 and to Rhode Island's critical infrastructure workforce.

Separate from testing through CVS Health at Twin River Casino, Rhode Islanders who have symptoms can still call their healthcare providers to coordinate testing for COVID-19. People can also call urgent care centers. A number of urgent care centers and primary care providers in Rhode Island have set up separate areas that serve as Respiratory Clinics, meaning they are specifically evaluating patients suspected of having COVID-19. While these Respiratory Clinics are in specific areas just for those patients, urgent care centers are still open to see patients who need other services in their usual locations. Additional information about testing in Rhode Island is available at: https://www.health.ri.gov/covid/testing

COVID-19 Data Update

The Rhode Island Department of Health (RIDOH) announced today that Rhode Island has 160 new cases of COVID-19. This brings Rhode Island's count to 1,082. RIDOH also announced two additional COVID-19 associated fatalities. These people were in their 80s and their 90s. Both people were nursing home residents. Rhode Island's number of COVID-19 associated fatalities is now 27. A full data summary for Rhode Island is posted online.

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Provides Update on State's Response to COVID-19

2020-04-05

Governor Gina M. Raimondo provided an update today on Rhode Island's response to the coronavirus disease 2019 (COVID-19) crisis. While reiterating the importance of social distancing in big box retail stores, she asked that Rhode Islanders who see individuals or businesses failing to comply report their concerns to the Rhode Island Department of Business Regulation.

COVID-19 Data Update

The Rhode Island Department of Health (RIDOH) announced today that Rhode Island has 116 new cases of COVID-19. This brings Rhode Island's count to 922. RIDOH also announced eight additional COVID-19 associated fatalities. These people ranged in age from their 60s to their 90s. Of these eight people, seven were nursing home residents. Rhode Island's number of COVID-19 associated fatalities is now 25. A full data summary for Rhode Island is posted online.

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Provide Updates on COVID-19 Data, Testing

2020-04-04

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) provided an update today on the state's response to the coronavirus disease 2019 (COVID-19) crisis.

All Rhode Islanders who have symptoms of COVID-19 are urged to call a healthcare provider to coordinate a test. The symptoms of COVID-19 include any of these symptoms: fever, cough, shortness of breath, muscle aches (myalgias), chills, runny nose or stuffy nose, sore throat, headache, or diarrhea. COVID-19 testing in Rhode Island had previously been limited to the members of certain priority populations who are more vulnerable to complications from COVID-19 or who are members of Rhode Island's critical infrastructure workforce.

The Governor also announced that starting tonight the State House will be lit red for the next week to honor the first responders on the frontlines of this crisis.

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 97 new cases of COVID-19. This brings Rhode Island's count to 806. Dr. Alexander-Scott also announced three additional COVID-19 associated fatalities. Two individuals were in their 80s, and one was in their 90s. One of these individuals was a nursing home resident. That brings Rhode Island's number of fatalities to 17. A full data summary for Rhode Island is posted online: https://health.ri.gov/data/covid-19/

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Announcements Made on Surge Locations, Face Covers, and Other Topics

2020-04-03

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) made several coronavirus disease 2019 (COVID-19) announcements today.

- Surge locations: Rhode Island is setting up surge sites to provide hospital-level care at the Rhode Island Convention Center, the former Citizens Bank building on Sockanosset Cross Road in Cranston, and the former Lowe's building at Quonset. Once complete, these sites will be staffed and equipped with the medical resources needed to treat more than 1,000 people.

- Cloth Face Covers: Dr. Alexander-Scott encouraged Rhode Islanders to consider wearing cloth face covers when in public. A cloth face cover is a material that covers the nose and mouth. It can be secured to the head with ties or straps, or wrapped around the lower face. A cloth face cover could be sewn by hand or improvised from household items such as scarves or T-shirts. (Face covers are different than N95 facemasks. People in the general public should not be purchasing or hording medical grade masks, such as N95s.) The primary role of a cloth face cover is to reduce the release of infectious particles into the air when someone speaks, coughs, or sneezes. Cloth face covers are not substitutes for physical distancing, washing your hands, and staying home when ill.

- Childcare: The state will continue to suspend childcare licenses through the month of April.

- Mental Health: The Governor announced the establishment of a $5 million COVID-19 Behavioral Health Fund at the Rhode Island Foundation. The funding is made available by local insurance companies as a result of a state compliance review and will be dedicated to fund nonprofit organizations working to address Rhode Islanders' behavioral health needs resulting from the COVID-19 crisis. Nonprofits who think they can help with these services can apply for funding through the Rhode Island Foundation beginning April 6. Adults seeking mental or behavioral health support should call BH Link at 414-LINK. For services for children, call Kids Link 855-543-5465.

- Testing: All Rhode Islanders who have symptoms of COVID-19 are urged to call a healthcare provider to get scheduled for a test. The symptoms of COVID-19 include any of these symptoms: fever, cough, shortness of breath, muscle aches (myalgias), chills, runny nose or stuffy nose, sore throat, headache, or diarrhea. COVID-19 testing in Rhode Island had previously been limited to the members of certain priority populations who are more vulnerable to complications from COVID-19 or who are members of Rhode Island's critical infrastructure workforce.

COVID-19 Data Update

Dr. Alexander-Scott announced today that Rhode Island has 54 new cases of COVID-19. This brings Rhode Island's count to 711. Dr. Alexander-Scott also announced two additional COVID-19 associated fatalities. One of these individuals was a nursing home resident. That brings Rhode Island's number of fatalities to 14. A full data summary for Rhode Island is posted online: https://health.ri.gov/data/covid-19/

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

COVID-19 Testing Expanded to All Symptomatic Rhode Islanders

2020-04-02

With Rhode Island's coronavirus disease 2019 (COVID-19) testing capacity now expanded, all Rhode Islanders who have symptoms of COVID-19 are encouraged to call a healthcare provider to get scheduled for a test. It is critical that people who are experiencing symptoms also self-isolate and have as little contact with others as possible.

The symptoms of COVID-19 include any of these symptoms: fever, cough, shortness of breath, muscle aches (myalgias), chills, runny nose or stuffy nose, sore throat, headache, or diarrhea. People with COVID-19 have experienced a range of different symptoms. As we learn more about the virus, we know that some people with COVID-19 have only experienced one or two mild symptoms.

Currently, a person can only be tested for COVID-19 in Rhode Island if testing is ordered by a healthcare provider. If you do not have a primary care provider, call an urgent care center. Call first before going to a healthcare facility (unless it is an emergency).

The expanded approach of testing all people with symptoms represents a significant change. COVID-19 testing in Rhode Island had previously been limited to the members of certain priority populations who are more vulnerable to complications from COVID-19 (such as nursing home residents), or who are members of Rhode Island's critical infrastructure workforce (such as healthcare workers). This increase in testing capacity gives Rhode Island the opportunity to test more people with symptoms and to get a better idea of how much virus is circulating in Rhode Island.

The expanded number of tests that Rhode Island can now process are being run at RIDOH's State Health Laboratories and at several hospital and private laboratories.

COVID-19 Data Update

An additional 91 Rhode Islanders have tested positive for COVID-19. This brings Rhode Island's total to 657. Rhode Island also has two additional COVID-19 associated fatalities, bringing Rhode Island's fatality total to 12. Both individuals were females, one in her 80s and one in her 90s. A full data summary for Rhode Island is available online: https://health.ri.gov

Key messages for the public

- Anyone who is sick should stay home and self-isolate (unless going out for testing or healthcare).

- The people who live with that person and who have been in direct close contact with that person should self-quarantine for 14 days. Direct close contact means being within approximately 6 feet of a person for a prolonged period.

- Help is available for people living in quarantine or isolation due to COVID-19. Visit www.RIDelivers.com [ridelivers.com] for connections to groceries, home supplies, restaurants, and mutual aid groups. People can also call 2-1-1.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be going to work if they are sick (even with mild symptoms).

- Through April 13th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

- People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness.

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Raimondo Provides Several COVID-19 Updates

2020-04-01

Governor Gina M. Raimondo today made several announcements today about the state's response to COVID-19.

- RI Delivers: Today the state launched RI Delivers, Rhode Island's connection to help for those living in quarantine or isolation due to COVID-19. This service will ensure that Rhode Islanders in quarantine will have what they need to safely remain home and monitor their symptoms. Connections to groceries, home supplies, restaurants, and mutual aid groups are featured at www.RIDelivers.com [ridelivers.com]. For additional information, residents can call 2-1-1.

- Small Business Loan: The Governor announced that the state launching a short-term bridge loan program for restaurants and small businesses (up to 10 employees). This program was developed in partnership with the Local Initiative Support Corporation and the Rhode Island Hospitality Association. It's funded by $1M from Commerce's Small Business Loan Fund and $1M from Bank Newport. To be eligible, the business must have first applied for the federal SBA emergency disaster loan. Businesses can apply starting Friday through the LISC website. You can also call 521-HELP.

- Family Court: The Governor also clarified guidance regarding visitation for parents who have joint custody of their children. In all cases, Family Court order are to be followed. If either parent feels a modification to visitation is warranted, they must discuss the issue and come to a resolution together. If a resolution cannot be reached, Family Court is open to deal with emergencies only. Anyone with questions should contact a family law attorney or RI Legal Services.

Data

The Rhode Island Department of Health (RIDOH) announced 77 new cases of COVID-19. Rhode Island now has 566 COVID-19 cases. Two additional COVID-19-associated fatalities were also announced, bringing Rhode Island's total to 10. One person was a female in her 50s. The other person was a male in his 70s. Both individuals had underlying medical conditions. A full data summary is available online: https://health.ri.gov/data/covid-19/.

Key messages for the public

- Anyone who is sick should stay home and self-isolate. The people who live with that person should self-quarantine for 14 days. If you need to get food or pick up medicine, call a loved one or neighbor who can run that errand for you.

- Groups of more than five people should not be gathering. Always avoid close personal contact with other people in public.

- Healthcare workers should not be doing to work if they are sick (even with mild symptoms).

- Through April 13th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

- People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness.

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Provide Several COVID-19 Updates

2020-03-31

Governor Gina M. Raimondo and Nicole, Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) made several announcements about the state's response to COVID-19.

- State parks and beaches: As of this Friday, April 3rd, state beaches and parks in Rhode Island will be closed. Campground openings will be postponed until at least May 1st. More information about this announcement is available online.

- Masking of healthcare workers: All healthcare workers in all hospitals and nursing homes (as well as home health workers) should be wearing masks at all times when engaged in direct patient care. RIDOH has been working, and will continue to work, with facilities on strategies to conserve personal protective equipment (PPE).

- Expanded testing: Testing had previously focused on healthcare workers (including EMS), hospitalized patients, and people who live in congregate living settings (such as nursing homes). With three additional remote swabbing sites ("drive-through testing sites") now operational Rhode Island is expanding testing to three additional populations: people who are older than 65, people with underlying medical conditions, and critical infrastructure workers (such as police officers and firefighters). To be tested someone must have symptoms. If someone in one of these groups has symptoms that they think need medical care, they should call their doctor. Someone cannot be tested in Rhode Island without being directed to a testing site by their doctor.

- Business help: The Rhode Island Superior Court is rolling out a new program to assist businesses that have been significantly disrupted by this virus. Normally, businesses that can't pay their bills are sold and their assets are divided by creditors. This new program will enable attorneys and accountants to work with business owners so that they can continue to operate, access capital like disaster assistance, and pay their debts incrementally – all under Court-supervised protection from lawsuits. This program will give qualifying businesses vital protection so that they can get back on their feet after this crisis is over. More information can be found on the Court's website.

The Governor also repeated her call for trained medical and behavioral health professionals not currently working full time to sign up as volunteers at www.RIresponds.org.

Data

Additionally, Dr. Alexander-Scott announced today that Rhode Island has 86 new cases of COVID-19. This brings Rhode Island's count to 488. Dr. Alexander-Scott also announced four additional COVID-19 associated fatalities. One of these individuals was a male in his 60s, and one person was a female in her 80s. The two other people were a male and a female, both in their 70s.This brings Rhode Island's total for COVID-19 associated fatalities to eight. A full data summary for Rhode Island is posted online.

Key messages for the public

- Anyone who is sick should stay home and self-isolate. The people who live with that person should self-quarantine for 14 days. If you need to get food or pick up medicine, call a loved one or neighbor who can run that errand for you.

- Groups of more than five people should not be gathering. Avoid close personal contact with other people in public at all times.

- Healthcare workers should not be doing to work if they are sick (even with mild symptoms).

- Through April 13th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

- People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency).

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness.

- People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

*Get your flu shot, and make sure the people around you do the same.

*Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

*Cough or sneeze into your elbow.

*Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

*Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Director Dr. Alexander-Scott Make Education Announcements

2020-03-30

Governor Gina M. Raimondo and Nicole, Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH) made several announcements today relating to education.

- Distance learning: Citing the success of the first week of distance learning across the state and the necessity of continuing to implement social distancing measures, Governor Raimondo announced that Rhode Island will continue distance learning through the month of April.

- WiFi: To ensure that all Rhode Island students have access to WiFi necessary for distance learning at home, the Governor today announced that all households that have a smart phone with a WiFi hot spot feature and have cell phone service from the four most common providers in our state – Verizon, AT&T, T-Mobile, and Sprint – will be able to activate the hot spot feature for free. There will be no activation fee, no usage fee, and no overage fee. This policy will last until at least May 13.

- April Reading Challenge: The Governor is asking Rhode Island students to read every single day in the month of April – all 30 days. The state will work with nonprofits, public libraries and some generous companies to distribute books to students who need them. More information is available online. (See link below)

- Kids Press Conference: This Thursday, the Governor will be joined by Education Commissioner Angelica Infante-Green and Dr. Alexander Scott for a special press conference for kids. Students can fill out a google form to submit their questions or leave a voicemail with their questions. Information is being distributed to teachers and will also be available on the Governor's social media channels this afternoon. (See link below)

Data

Additionally, Dr. Alexander-Scott announced today that Rhode Island has 114 new cases of COVID-19. This brings Rhode Island's count to 408. Dr. Alexander-Scott also announced Rhode Island's fourth COVID-19 associated fatality. This most recent fatality was a male in his 70s. A full data summary for Rhode Island is posted online.

Key messages for the public

- If you have traveled in the last 14 days, self-quarantine for 14 days. If you need to get food or pick up medicine, you need to call a loved one or neighbor who can run that errand for you. Respecting and following quarantine rules will help Rhode Island try to ensure that there are enough hospital beds when there is a surge of patients who are ill with COVID-19.

- Avoid all crowded places, large events, and mass gatherings. This is social distancing.

- Through April 13th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

- Avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

- People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider and should not go out. If you have any symptoms at all, you should isolate at home. Do not go directly to a healthcare facility without first calling a healthcare provider (unless you are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

- Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home and do not leave your house if you are sick, unless it is for emergency medical care.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Announces New Travel Restrictions, DMV Extension

2020-03-29

Governor Gina M. Raimondo today made several announcements about the state's response to the COVID-19 crisis.

• Domestic Travel: Starting today, Rhode Island will have highway signs directing all out-of-state drivers to pull over at information stations on the southern border with Connecticut. State police will ensure that anyone planning to stay in Rhode Island knows that they're required to quarantine for 14 days. National Guard members will ask drivers to provide their contact information to be passed on to the Department of Health.

• Child Care: Effective tomorrow, the state is suspending all childcare licenses until April 4. Rhode Island has partnered with Care.com [care.com] to increase childcare access to Rhode Islanders. In addition to providing 90 days of free, premium access to their website, Care.com [care.com] has created portals specifically for frontline workers and caregivers in Rhode Island. Starting today, frontline workers looking for child care can visit www.care.com/rineed [care.com] to find a local caregiver. Rhode Island residents interested in becoming caregivers can visit www.care.com/rigive [care.com] to register. Potential caregivers are subject to Care.com [care.com]'s extensive background and safety checks. While child care services are not typically free of charge, the Rhode Island portal gives residents the ability to waive their fees and volunteer as caregivers, providing additional support to frontline workers.

• Medicaid: Rhode Island Medicaid will be suspending all terminations and quarterly income verifications for the duration of this emergency.

• DMV: Rhode Islanders will have a 90-day extension on expirations for March or April. This goes beyond the original 30-day extension announced weeks ago and will apply to all licenses, registrations, inspections, permits, and temporary plates.

The Governor announced today that Rhode Island has 55 additional cases of COVID-19. This brings Rhode Island's case count to 294.

Data

Rhode Island COVID-19 data is available online.

• Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 294

• Number of Rhode Islanders who had negative test results: 2,840

• Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 1,000.

Distribution of Rhode Island COVID-19 patients by city/town of residence:

• Barrington – 6

• Bristol – 5

• Burrillville – 7

• Central Falls – fewer than 5

• Charlestown – fewer than 5

• Coventry – 6

• Cranston – 31

• Cumberland – 8

• East Greenwich – fewer than 5

• East Providence – 13

• Exeter – fewer than 5

• Foster – fewer than 5

• Glocester – fewer than 5

• Hopkinton – fewer than 5

• Jamestown – fewer than 5

• Johnston – 7

• Lincoln – fewer than 5

• Little Compton – fewer than 5

• Middletown – 6

• Narragansett – fewer than 5

• New Shoreham – 0

• Newport – 6

• North Kingstown – 8

• North Providence – fewer than 5

• North Smithfield – fewer than 5

• Pawtucket – 14

• Portsmouth – fewer than 5

• Providence – 63

• Richmond – 0

• Scituate – fewer than 5

• Smithfield – 5

• South Kingstown – 8

• Tiverton – 5

• Warren – fewer than 5

• Warwick – 16

• West Greenwich – 0

• West Warwick – 6

• Westerly – 6

• Woonsocket – fewer than 5

Please note that determination of some places of residence are still pending.

Number of Rhode Island COVID-19 patients who are currently hospitalized: 35

Governor, Dr. Alexander-Scott Announce Stay-At-Home Order and New Travel Restrictions, Limit Gatherings to Groups of Five; Mandatory quarantine extended to anyone who has traveled to Rhode Island from another state

2020-03-28

Governor Gina M. Raimondo and Dr. Alexander-Scott today made several announcements about the State's response to the COVID-19 crisis.

* Stay At Home: The Governor has issued a stay-at-home order until April 13. This means that all Rhode Islanders should stay home unless getting food, medicine, gas, or going to work.

* Domestic travel: Earlier this week, the Governor ordered anyone coming to Rhode Island from New York by any mode of transportation to quarantine for 14 days. Today, the Governor expanded upon that order. Executive Order 20-12 entitled "Tenth Supplemental Emergency Declaration – Quarantine Restrictions on Travelers from New York State" is hereby repealed in its entirety.

* Starting immediately, any person coming to Rhode Island by any mode of transportation after visiting another state for a non-work-related purpose must self-quarantine for 14 days. This restriction will not apply to public health, public safety or healthcare workers.

* Realtors and hotel operators are directed to include quarantine requirements for any out-of-state renters in their rental agreements.

* Commuters: Those who are able to work from home should do so, and anyone commuting in and out of the state for work should remain in their home when not at work.

* Gatherings: Starting immediately, all gatherings of more than 5 people are banned. Individuals should be interacting with the same people every day to minimize the risk of spread. This order does not apply to healthcare workers in a workplace setting, public transportation or office buildings. However, people must practice social distancing at all times.

* Businesses: Starting Monday, all non-critical retail businesses must shut down their stores. This includes clothing stores and gift shops. A full list of businesses that must close their in-person operations can be found here. This does not impact restaurants or bars, which are still allowed to open for takeout or delivery only.

Dr. Alexander-Scott also clarified that Rhode Islanders under quarantine should not leave their homes for any reason.

Dr. Alexander-Scott announced today that Rhode Island has 36 additional cases of COVID-19. This brings Rhode Island's case count to 239.

Data

Rhode Island COVID-19 data is available online.

* Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 239

* Number of Rhode Islanders who had negative test results: 2,541

* Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,500.

Distribution of Rhode Island COVID-19 patients by city/town of residence:

* Barrington – 6

* Bristol – fewer than 5

* Burrillville – 7

* Central Falls – fewer than 5

* Charlestown – fewer than 5

* Coventry – 5

* Cranston – 27

* Cumberland – 7

* East Greenwich – fewer than 5

* East Providence – 10

* Exeter – 0

* Foster – fewer than 5

* Glocester – fewer than 5

* Hopkinton – fewer than 5

* Jamestown – fewer than 5

* Johnston – 5

* Lincoln – fewer than 5

* Little Compton – 0

* Middletown – 6

* Narragansett – fewer than 5

* New Shoreham – 0

* Newport – 5

* North Kingstown – 8

* North Providence – fewer than 5

* North Smithfield – fewer than 5

* Pawtucket – 11

* Portsmouth – fewer than 5

* Providence – 59

* Richmond – 0

* Scituate – fewer than 5

* Smithfield – 5

* South Kingstown – 8

* Tiverton – 5

* Warren – fewer than 5

* Warwick – 14

* West Greenwich – 0

* West Warwick – 5

* Westerly – 5

* Woonsocket – fewer than 5

Number of Rhode Island COVID-19 patients who are currently hospitalized:

* 29

Data notes:

* As the volume of cases increases, RIDOH may move to providing abbreviated data updates daily and more detailed data updates weekly.

* The number of COVID-19 patients in a city or town should not be used to draw any conclusions about relative risk in different cities and towns. All Rhode Islanders should continue to take all the COVID-19 precautions that have been shared by RIDOH.

Key messages for the public

* If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

* If you are ordered to quarantine, that means you are ordered to stay inside. If you need to get food or pick up medicine, you need to call a loved one or neighbor who can run that errand for you. Respecting and following quarantine rules will help Rhode Island try to ensure that there are enough hospital beds when there is a surge of patients who are ill with COVID-19.

* Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

* Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

* Due to the closure of schools, free "Grab and Go" meals are available for children throughout Rhode Island. More information is available online at https://health.ri.gov/diseases/ncov2019/about/foodsites/index.php.

* Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CD at https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/index.html [cdc.gov] .

* People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

* People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

* Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

* Avoid close contact with people who are sick.

** When greeting people avoid handshakes and hugs.

** Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

** Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

** More information is available from CDC at https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fspecific-groups%2Fhigh-risk-complications.html [cdc.gov].

** People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

* Everyone can help stop the spread of viruses in Rhode Island.

** Get your flu shot, and make sure the people around you do the same.

** Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

** Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

** Stay home from work or school if you are sick.

** Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Rhode Island Department of Health Reports State's First Deaths from COVID-19

2020-03-28

PROVIDENCE – Two persons with underlying medical conditions are the first Rhode Islanders to die from COVID-related illness, the Rhode Island Department of Health (RIDOH) confirmed today. One individual in their 80s died Friday, March 27, at night and the other individual in their 70s died today.

Governor Gina M. Raimondo and Health Director Nicole Alexander-Scott, MD, MPH, will comment on the deaths at today's media briefing at 1 PM. RIDOH will not be releasing any additional information about the deaths.

Governor, Dr. Alexander-Scott Extend Regulations, Announce New SNAP Benefits

2020-03-27

Governor Gina M. Raimondo and Dr. Alexander-Scott today made several announcements about the state's response to the COVID-19 crisis.

The following orders are extended until April 13:

- Gatherings: All gatherings of more than 10 people are prohibited everywhere.

- Work from home: Anyone who can work from home is required to do so.

- Restaurant dine-in: Restaurants, bars and cafes will be closed to dine-in service. They will be allowed to sell wine and beer with take-out orders.

- Business closures: Public recreation and entertainment businesses (theaters, cinemas, bowling alleys, museums, zoos) as well as all close-contact businesses (hair salons, nail salons, barber shops, tattoo parlors, gyms, yoga studios) will remain closed.

The following orders are extended until April 25:

- Domestic and international air travel: Anyone returning to Rhode Island from domestic or international travel by plane must self-quarantine for 14 days.

- New York travel: Anyone returning to Rhode Island after traveling to New York state by any mode of transportation must self-quarantine for 14 days.

- Contact tracing: Members of the National Guard will be present at TF Green, train stations and bus stops collecting contact information to be shared ONLY with the Department of Health so they can keep track of who you may have been in contact with.

The following orders are extended until May 8:

- Open Meetings Act: We have suspended the provision of the Open Meetings Act that prohibits meetings taking place by phone or video conferencing.

- Telehealth: Health insurers must cover telemedicine for primary care, specialty care and mental and behavioral health care.

- Gun Permits: In keeping with a request from the RI Police Chiefs' Association we have extended the time period that law enforcement has to complete a background for a gun permit from 7 days to 30 days.

The Governor also made the following updates:

- Casinos are closed indefinitely;

- The State House is closed to visitors indefinitely;

- Nursing homes and hospitals are not allowing visitors until further notice; and

- All state-based customer services will remain online only until further notice. The DMV is open by appointment only.

The Governor also made several announcements about the SNAP program in Rhode Island. The federal government has given Rhode Island the authority to distribute additional emergency benefits to many SNAP-eligible Rhode Islanders for as long as the state is in a declared state of emergency. Approximately half of all SNAP recipients will receive additional funds, which will be first administered on April 1. The state is also delaying the recertification deadline for families who receive SNAP or cash assistance. Rhode Islanders who were due to reapply in March or April will be given a six-month extension to ensure continuation of their benefits during this crisis.

Dr. Alexander-Scott announced today that Rhode Island has 38 additional cases of COVID-19. This brings Rhode Island's case count to 203.

Data

Rhode Island COVID-19 data is available online.

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 203

- Number of Rhode Islanders who had negative test results: 2,306

- Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,500

Distribution of Rhode Island COVID-19 patients by city/town of residence:

Barrington – 5

Bristol – fewer than 5

Burrillville – fewer than 5

Central Falls – fewer than 5

Charlestown – fewer than 5

Coventry – 5

Cranston – 21

Cumberland – 7

East Greenwich – 0

East Providence – 9

Exeter – 0

Foster – fewer than 5

Glocester – 0

Hopkinton – fewer than 5

Jamestown – fewer than 5

Johnston – 5

Lincoln – fewer than 5

Little Compton – 0

Middletown – 6

Narragansett – fewer than 5

New Shoreham – 0

Newport – 5

North Kingstown – 8

North Providence – fewer than 5

North Smithfield – fewer than 5

Pawtucket – 9

Portsmouth – fewer than 5

Providence – 57

Richmond – 0

Scituate – fewer than 5

Smithfield – fewer than 5

South Kingstown – 8

Tiverton – fewer than 5

Warren – fewer than 5

Warwick – 11

West Greenwich – 0

West Warwick – fewer than 5

Westerly – 5

Woonsocket – fewer than 5

Number of Rhode Island COVID-19 patients who are currently hospitalized:

- 28

Data notes:

The number of negative test results increased significantly between yesterday and today because RIDOH is now counting the negative test results at RIDOH's State Health Laboratories and at private and hospital laboratories. Outside laboratories do not normally report negative test results to RIDOH. The previous negative totals were only for the State Health Laboratories. The positive and negative totals are now cumulative numbers for all laboratories testing for Rhode Islanders.

As the volume of cases increases, RIDOH may move to providing abbreviated data updates daily and more detailed data updates weekly.

The number of COVID-19 patients in a city or town should not be used to draw any conclusions about relative risk in different cities and towns. All Rhode Islanders should continue to take all the COVID-19 precautions that have been shared by RIDOH.

Key messages for the public

- If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

- Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

- Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

- Due to the closure of schools, free "Grab and Go" meals are available for children throughout Rhode Island. More information is available online.

- Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

- People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

People who think they have COVID-19 should call their healthcare provider.

- These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Announce New Travel Restrictions, Help for Small Businesses

2020-03-26

Governor Gina M. Raimondo and Dr. Alexander-Scott today made several announcements about the state's response to the COVID-19 crisis.

- Travel from New York: Today the Governor signed an executive order mandating that anyone who has traveled to New York by any form of transportation must self-quarantine for 14 days upon arrival in Rhode Island. This applies to anyone who has been in New York in the past 14 days and going forward.

- Small business support: Rhode Island small business owners can now receive 45 minutes of free tech support via teleconference or over the phone. This service has been coordinated by Rhode Island Commerce and is being staffed by volunteers from some of Rhode Island's leading tech companies. Starting tomorrow, these experts will be available to help small business owners set up equipment to work from home, shift to online meetings and help with document management and security. Rhode Islanders can visit Commerce's website or call 521-HELP to get started.

The Governor also reassured Rhode Islanders that contact information collected from travelers in order to monitor quarantining will not be used for any purpose or be shared with any state or federal agency other than the Department of Health.

Dr. Alexander-Scott announced today that Rhode Island has 33 additional cases of COVID-19. This brings Rhode Island's case count to 165.

Data

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 165

- Updated number of people who had negative test results at RIDOH's State Health Laboratories as of 3/25 (this is an amendment to yesterday's press release): 1,262

- Number of people who had negative test results at RIDOH's State Health Laboratories as of 3/26: 1,366

- Number of people for whom tests are pending at RIDOH's State Health Laboratories: 138

- Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,250

Distribution of Rhode Island COVID-19 patients by sex:

- Females: 78

- Males: 87

Distribution of Rhode Island COVID-19 patients by age:

- 0-19: 6

- 20-29: 28

- 30-39: 30

- 40-49: 30

- 50-59: 38

- 60-69: 19

- 70-79: 12

- 80-89: 0

- 90 and older: 2

Distribution of Rhode Island COVID-19 patients by city/town of residence:

- Barrington – fewer than 5

- Bristol – fewer than 5

- Burrillville – fewer than 5

- Central Falls – fewer than 5

- Charlestown – 0

- Coventry – fewer than 5

- Cranston – 18

- Cumberland – 5

- East Greenwich – 0

- East Providence – 9

- Exeter – 0

- Foster – fewer than 5

- Glocester – 0

- Hopkinton – fewer than 5

- Jamestown – fewer than 5

- Johnston – 6

- Lincoln – fewer than 5

- Little Compton – 0

- Middletown – 6

- Narragansett – fewer than 5

- New Shoreham – 0

- Newport – 5

- North Kingstown – fewer than 5

- North Providence – fewer than 5

- North Smithfield – fewer than 5

- Pawtucket – 7

- Portsmouth – fewer than 5

- Providence – 51

- Richmond – 0

- Scituate – fewer than 5

- Smithfield – fewer than 5

- South Kingstown – 7

- Tiverton – 0

- Warren – fewer than 5

- Warwick – 8

- West Greenwich – 0

- West Warwick – fewer than 5

- Westerly – fewer than 5

- Woonsocket – fewer than 5

Number of Rhode Island COVID-19 patients who are currently hospitalized:

- 23

Data notes:

- As the volume of cases increases, RIDOH may move to providing abbreviated data updates daily and more detailed data updates weekly.

- The number of people in quarantine has decreased because the quarantine periods for two large groups ended.

- City and town numbers between 1 and 4 are listed as "fewer than five" for patient privacy reasons.

- The number of COVID-19 patients in a city or town should not be used to draw any conclusions about relative risk in different cities and towns. All Rhode Islanders should continue to take all the COVID-19 precautions that have been shared by RIDOH.

- Hospital laboratories and private laboratories are now testing for COVID-19. The number of positives reported above includes all positives from all laboratories for Rhode Islanders. However, the number of negative and pending test results are only for RIDOH's State Health Laboratories. A unified data collection process for negative and pending test results is being developed. (Individual patients are being notified directly by their healthcare providers of negative test results.)

 

Key messages for the public

- If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

- Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

- Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

- Due to the closure of schools, free "Grab and Go" meals are available for children throughout Rhode Island. More information is available online.

- Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

- People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

- Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed from 8:30 a.m. to 4:30 p.m. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

###

Governor, Dr. Alexander-Scott Announce New Guidelines for Large Retailers

2020-03-25

Governor Gina M. Raimondo and Dr. Alexander-Scott today announced new guidelines issued by the Department of Business Regulation for retailers and grocers as part of the state's response to the COVID-19 public health crisis.

As of 5PM tomorrow, all retailers and grocers must:

- Allow no more than 20% of stated fire capacity in the store at a time;

- Require staff to count the number of customers entering and exiting the store and enforce limits;

- Clearly mark 6' spacing in lines and other high-traffic areas. Stores should consider posting signage or using ropes to direct customers and to limit bottlenecks/encourage flow in high-density areas of stores;

- Designate employees to monitor social distancing and assist customers;

- Maximize space between customers and employees at checkout;

- Designate employee(s) to ensure the cleaning guidelines set by the CDC are followed;

- Discontinue self-serve foods and product sampling; and

- Offer exclusive hours for those in high-risk populations, including seniors, where stores will restrict entrance to maintain 10% of fire capacity.

Larger grocery stores and retailers with more than 25,000 square feet are encouraged to offer pickup and/or delivery options.

Dr. Alexander-Scott announced today that Rhode Island has eight additional cases of COVID-19. Five of these individuals are males, and three are females. They range in age from their 30s to their 60s. This brings Rhode Island's case count to 132.

Data

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 132

- Number of people who had negative test results at RIDOH's State Health Laboratories: 1,339

- Number of people for whom tests are pending at RIDOH's State Health Laboratories: 181

- Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 3,000

Distribution of Rhode Island COVID-19 patients by sex:

- Females: 66

- Males: 66

Distribution of Rhode Island COVID-19 patients by age:

- 0-19: 6

- 20-29: 22

- 30-39: 24

- 40-49: 24

- 50-59: 28

- 60-69: 15

- 70-79: 11

- 80-89: 0

- 90 and older: 2

Distribution of Rhode Island COVID-19 patients by city/town of residence:

- Barrington – fewer than 5

- Bristol – fewer than 5

- Burrillville – fewer than 5

- Central Falls – fewer than 5

- Charlestown – 0

- Coventry – fewer than 5

- Cranston – 11

- Cumberland – fewer than 5

- East Greenwich – 0

- East Providence – 8

- Exeter – 0

- Foster – fewer than 5

- Glocester – 0

- Hopkinton – 0

- Jamestown – fewer than 5

- Johnston – fewer than 5

- Lincoln – fewer than 5

- Little Compton – 0

- Middletown – 5

- Narragansett – fewer than 5

- New Shoreham – 0

- Newport – fewer than 5

- North Kingstown – fewer than 5

- North Providence – fewer than 5

- North Smithfield – fewer than 5

- Pawtucket – 5

- Portsmouth – fewer than 5

- Providence – 42

- Richmond – 0

- Scituate – fewer than 5

- Smithfield – fewer than 5

- South Kingstown – 7

- Tiverton – 0

- Warren – fewer than 5

- Warwick – 7

- West Greenwich – 0

- West Warwick – 0

- Westerly – fewer than 5

- Woonsocket – fewer than 5

Number of Rhode Island COVID-19 patients who are currently hospitalized:

- 15

Data notes:

- City and town numbers between 1 and 4 are listed as "fewer than five" for patient privacy reasons.

- The number of COVID-19 patients in a city or town should not be used to draw any conclusions about relative risk in different cities and towns. All Rhode Islanders should continue to take all the COVID-19 precautions that have been shared by RIDOH.

- Hospital laboratories and private laboratories are now testing for COVID-19. The number of positives reported above includes all positives from all laboratories for Rhode Islanders. However, the number of negative and pending test results are only for RIDOH's State Health Laboratories. A unified data collection process for negative and pending test results is being developed. (Individual patients are being notified directly by their healthcare providers of negative test results.)

Key messages for the public

If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

Due to the closure of schools, free "Grab and Go" meals are available for children throughout Rhode Island. More information is available online.

Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Make Child Care Announcements

2020-03-24

Governor Gina M. Raimondo and Dr. Alexander-Scott today made announcements about the state's response to the COVID-19 public health crisis.

- Care.com [care.com]: Rhode Island has partnered with Care.com [care.com] to increase child care access for frontline workers responding to the COVID-19 crisis. In addition to providing 90 days of free, premium access to their website, Care.com [care.com] has created portals specifically for frontline workers and caregivers in Rhode Island. Starting today, frontline workers looking for child care can visit www.care.com/rineed [care.com] to find a local caregiver. Rhode Island residents interested in becoming caregivers can visit www.care.com/rigive [care.com] to register. Potential caregivers are subject to Care.com [care.com]'s extensive background and safety checks. While child care services are not typically free of charge, the Rhode Island portal gives residents the ability to waive their fees and volunteer as caregivers, providing additional support to frontline workers.

- Regulations for child care facilities: The Governor also announced that DHS has promulgated emergency regulations for Rhode Island child care providers that choose to remain open during this crisis. To the extent possible, child care facilities must operate under new mandatory conditions.

Dr. Alexander-Scott announced today that Rhode Island has 18 additional cases of COVID-19. Among these 18 people, individuals reported travel to a number of domestic locations, including Colorado and Oregon. This brings Rhode Island's case count to 124.

Data

Rhode Island COVID-19 data is available online.

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 124

- Number of people who had negative test results at RIDOH's State Health Laboratories: 1,143

- Number of people for whom tests are pending at RIDOH's State Health Laboratories: 196

- Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 3,000

Data notes:

- Gender, age, and county breakdowns are not included in today's update. Because some results came in later than usual, RIDOH needs additional time to do follow-up with patients.

- Hospital laboratories and private laboratories are now testing for COVID-19. The number of positives reported above includes all positives from all laboratories for Rhode Islanders. However, the number of negative and pending test results are only for RIDOH's State Health Laboratories. A unified data collection process for negative and pending test results is being developed. (Individual patients are being notified directly by their healthcare providers of negative test results.)

Key messages for the public

- If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

- Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

- Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

- Due to the closure of schools, free "Grab and Go" meals are available for children throughout Rhode Island. More information is available online.

- Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

- People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

- Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Announce Domestic Travel Restrictions, New Primary Date

2020-03-23

Governor Gina M. Raimondo and Dr. Alexander-Scott today made announcements about the state's response to the COVID-19 public health crisis.

- Domestic travel: Beginning 7 a.m. Tuesday, anyone returning to Rhode Island by plane (with the exception of public safety, health care professionals and pilots) must immediately self-quarantine for 14 days. The Governor also reiterated that Rhode Island residents who work in another state must work from home if possible. Rhode Island businesses with employees who are residents of another state must make every attempt to let those employees work from home.

- Primary: Today the Governor will sign an executive order moving the date of the Rhode Island primary to June 2 for what will likely be a primarily mail ballot election.

The Governor also reiterated that all recreation and entertainment facilities as well as close-contact businesses must close their in-person operations by 5 p.m. today. This includes theaters, cinemas, sporting events, bowling alleys, gyms, fitness centers, hair salons and barbershops, nail salons, spas and tattoo parlors.

The Governor announced today that Rhode Island has 23 additional cases of COVID-19. These people range in age from their 20s to their 90s. Among these 23 people, individuals reported travel to a number of domestic locations, including New York, New Jersey, and Utah. This brings Rhode Island's case count to 106. Of Rhode Island's 106 cases, 47 cases involved recent travel (33 domestic, 14 international). The travel histories of 15 additional people are being investigated. (These 15 people are a part of the 106 total.)

Data

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 106

Distribution by county:

Bristol County: 4

Kent County: 7

Newport County: 10

Providence County: 75

Washington County: 10

Distribution by age:

0-9: 2

10-19: 4

20-29: 17

30-39: 18

40-49: 19

50-59: 21

60-69: 12

70-79: 11

80-89: 0

90 and older: 2

Number of people who had negative test results at RIDOH's State Health Laboratories: 1,120

Number of people for whom tests are pending at RIDOH's State Health Laboratories: 77

Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 3,000

Data notes:

- Hospital laboratories and private laboratories are now testing for COVID-19. The number of positives reported above includes all positives from all laboratories for Rhode Islanders. However, the number of negative and pending test results are only for RIDOH's State Health Laboratories. A unified data collection process for negative and pending test results is being developed. (Individual patients are being notified directly by their healthcare providers of negative test results.)

- The county level data has been adjusted slightly from previous days based on updated address information received from patients.

Key messages for the public

- If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

- Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

- Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

- Due to the closure of schools, free "Grab and Go" meals are available for children throughout Rhode Island. More information is available online.

- Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

- People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Community Meetings Postponed

2020-03-23

The Rhode Island Department of Health (RIDOH) is postponing the two community meetings that had been scheduled for this week (3/24 and 3/25) to gather input on access to healthcare services in the areas around the site of the former Memorial Hospital. The meetings are being postponed in accordance with current health guidance in Rhode Island on gatherings and coronavirus disease 2019 (COVID-19). RIDOH will send an announcement about updated plans for gathering feedback on this issue from the community.

Governor, RIDOH Provide Updates on State Actions During COVID-19 Crisis

2020-03-22

Governor Gina M. Raimondo today made several announcements about the state's response to the COVID-19 public health crisis.

• Groups: Today the Governor reiterated that Rhode Islanders should avoid any non-essential gathering, and no gatherings should have more than 10 people. This is more than a guideline – it is a public health directive that is critical to keep Rhode Islanders safe.

• Businesses: The Governor signed an Executive Order today directing all recreation and entertainment facilities to close their in-person operations. This includes theaters, cinemas, sporting events, bowling alleys and others. The Executive Order will also order the closure of any close-contact businesses like gyms, fitness centers, hair salons and barbershops, nail salons, spas and tattoo parlors. These businesses must be closed by 5PM tomorrow.

• Army Corps of Engineers: The Governor announced today that the U.S. Army Corps of Engineers is sending a team to Rhode Island tomorrow to evaluate existing facilities for their potential as alternate care locations. She emphasized that she is working to ensure this does not become necessary, but is continuing to plan for all possibilities.

The Governor also reiterated on her call today for any business with medical supplies to visit this link bit.ly/covid19-msd [bit.ly] and see how they can help provide assistance to the State's efforts, and she reminded all Rhode Islanders that tomorrow is the first day of distance learning in all Rhode Island schools.

The Governor announced today that Rhode Island has 17 additional cases of COVID-19. These people range in age from their 20s to their 70s. Of these 17 people, two are hospitalized. RIDOH is investigating each case. This brings Rhode Island's case count to 83.

Data Updates

• Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 83

o Bristol County: 6

o Kent County: 7

o Newport County: 9

o Providence County: 52

o Washington County: 9

• Number of people who had negative test results: 932

• Number of people for whom tests are pending: 216

• Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,750

Key messages for the public

• If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

• Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

• Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

• Due to the closure of schools, free "Grab and Go" meals are available for children throughout Rhode Island. More information is available online (https://health.ri.gov/diseases/ncov2019/about/foodsites/index.php).

• Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC (https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/index.html [cdc.gov]).

• People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

• People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

• Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

o Avoid close contact with people who are sick.

o When greeting people avoid handshakes and hugs.

o Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

o Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

o More information is available from CDC.

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

o Stay home from work or school if you are sick.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor, Dr. Alexander-Scott Provide Updates on State Regulations During COVID-19 Crisis

2020-03-21

Governor Gina M. Raimondo and Director of Health Nicole Alexander-Scott, MD, MPH today made several announcements about the state's response to the COVID-19 public health crisis.

Health insurance: HealthSource RI has opened a special enrollment period to allow Rhode Islanders to purchase coverage through April 15. In addition, HealthSource RI always offers a special enrollment period of 60 days for anyone who loses a job or changes jobs for any reason. Rhode Islanders with questions or those looking to enroll should visit here.

Takeaway wine and beer: Last night, the Governor signed an Executive Order allowing restaurants and bars in Rhode Island to include wine and beer with their to-go orders.

Gun permits: Responding to feedback from the Rhode Island Police Chiefs' Association regarding the current strain on their resources, the Governor yesterday signed an Executive Order extending from seven to thirty days the time period in which police departments can conduct background checks for firearm purchases.

Governor Raimondo also reiterated that gatherings are restricted to 10 people or fewer. All gatherings that are non-essential, even if they are below the 10-person limit, should be cancelled or postponed.

Dr. Alexander-Scott announced today that Rhode Island has 12 additional cases of COVID-19. These people range in age from their 20s to their 70s. Of these 12 people, three are hospitalized. RIDOH is investigating each case. This brings Rhode Island's case count to 66.

Data updates

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 66

Bristol County: 5

Kent County: 7

Newport County: 8

Providence County: 37

Washington County: 9

Number of people who had negative test results: 862

Number of people for whom tests are pending: 290

Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,500

Key messages for the public

If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

Due to the closure of schools, free "Grab and Go" meals are available (March 16th - March 20th) for children throughout Rhode Island. More information is available online.

Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

People without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Governor Activates National Guard, Extends Rhode Island Tax Filing Deadline Ten additional cases of COVID-19 in Rhode Island

2020-03-20

Governor Gina M. Raimondo and Director of Health Nicole Alexander-Scott, MD, MPH today made several important announcements about the state's response to the COVID-19 public health crisis.

National Guard: This morning, the Governor activated the Rhode Island National Guard. This action will allow 1,000 Guardsmen and Guardswomen to train civilian medical personnel, staff call enters, distribute food and necessities to the most vulnerable and perform a number of other critical functions.

Tax filing deadline: Rhode Island is moving the 2019 state tax filing and payment deadlines back to July 15. This is consistent with changes made at the federal level and affects both the personal income tax and the business corporation tax.

Governor Raimondo also reiterated the importance of seeking appropriate mental and behavioral health care during this time. Rhode Islanders in recovery or those currently struggling with substance use disorders should visit https://preventoverdoseri.org/covid-19/ [preventoverdoseri.org] for helpful resources. Any Rhode Islander experiencing a mental or behavioral health crisis should call BH Link 401-414-LINK (5465) or visit their 24-HOUR/7-DAY triage center located at: 975 Waterman Avenue East Providence, RI 02914.

Dr. Alexander-Scott announced today that Rhode Island has ten additional cases of COVID-19. These people range in age from a pediatric case to a person in their 70s. All ten of these people are recovering at home. RIDOH is investigating their illness sources. This brings Rhode Island's case count to 54.

The Governor and Dr. Alexander-Scott will provide another update to reporters tomorrow (Saturday) at 1 p.m. This will be a remote press conference, meaning that the Governor and Dr. Alexander-Scott will respond to questions that reporters submit electronically. This is being done in accordance with RIDOH's guidance on limiting gatherings. The press conference will be streamed live on the Governor's Facebook page.

Data updates

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 54

Bristol County: Fewer than 5

Kent County: Fewer than 5

Newport County: 8

Providence County: 30

Washington County: 8

Number of people who had negative test results: 800

Number of people for whom tests are pending: 247

Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,500

Key messages for the public

If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

Due to the closure of schools, free "Grab and Go" meals are available (March 16th - March 20th) for children throughout Rhode Island. More information is available online.

Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Eviction Processing Suspended During Crisis, Rhode Islanders Encouraged to Report Price Gouging

2020-03-19

Governor Gina M. Raimondo and Director of Health Nicole Alexander-Scott, MD, MPH today made several important announcements about the state's response to the COVID-19 public health crisis.

- Evictions: State courts will not process any residential or commercial evictions for the next thirty days. Payment and filing deadlines have also been extended past April 17. Public housing residents with questions can contact Rhode Island Legal Services at 274.2652 x123. Tenants in private rental housing can call the Rhode Island Center for Justice at 401-491-1101.

- Price Gouging: Rhode Islanders who suspect price gouging or COVID-19 scams should contact the Attorney General's Office. Price gouging is illegal in Rhode Island. Businesses are prohibited from increasing the price of any essential commodity to an "unconscionably high price" immediately before or during a declared state of emergency. Rhode Islanders who notice price gouging or scams should contact the Attorney General's consumer protection team at (401) 274-4400 or fill out an online complaint. (https://riag.wufoo.com/forms/q1851amb1bdd4d5 [riag.wufoo.com])

- Donations of Supplies: Over the last several days, organizations have contacted the State about laboratory supplies and personal protective equipment (PPE) that they would like to donate. Rhode Island has set up an online form to get information about these donations. People who have already contacted the State about donations are still encouraged to use this form: bit.ly/covid19-msd [bit.ly]

Dr. Alexander-Scott announced today that Rhode Island has eleven additional cases of COVID-19. These people range in age from their 20s to their 60s. RIDOH is investigating their illness sources. This brings Rhode Island's case count to 44.

Data updates

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 44

Bristol County: Fewer than 5

Kent County: Fewer than 5

Newport County: 6

Providence County: 23

Washington County: 7

Number of people who had negative test results: 654

Number of people for whom tests are pending: 140

Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,500

Key messages for the public

If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

Due to the closure of schools, free "Grab and Go" meals are available (March 16th - March 20th) for children throughout Rhode Island. More information is available online.

Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Public Schools to Transition to Distance Learning for Two Weeks, Governor Announces New Directives Regarding Telehealth and Utility Services

2020-03-18

Governor Gina M. Raimondo and Director of Health Nicole Alexander-Scott, MD, MPH today made several important announcements about the state's response to the COVID-19 public health crisis.

- Schools: The next two weeks - from Monday, March 23rd through Friday April 3 - will be distance learning weeks for all public schools in Rhode Island. During this time, school buildings will be closed to students, but school will be taking place remotely in homes across the state. After two weeks, the Governor and Dr. Alexander-Scott will reevaluate the situation and make a new determination.

- Telehealth: Today the Governor signed an executive order directing health insurers to follow previously announced instructions to cover visits conducted over the phone and online during this crisis. This order for an expansion of Telemedicine coverage will apply to primary and specialty care, as well as mental and behavioral health care.

- Utilities: The PUC has issued an emergency order mandating that all regulated utilities not terminate services at this time. The state has also directed utilities to stop sending past due accounts to collection agencies and is encouraging non-regulated utilities to do the same. If service is terminated, Rhode Islanders should call their utility provider. If the provider is unable to help, customers should call the Division of Public Utilities and Carriers at 401-780-9700.

Dr. Alexander-Scott announced today that Rhode Island has ten additional cases of COVID-19. These people range in age from their 20s to their 70s. RIDOH is investigating their illness sources. This brings Rhode Island's case count to 33.

Additionally, Dr. Alexander-Scott made announcements that pertain to healthcare provider licensing practices in Rhode Island. If someone holds a valid license in good standing in another state, that person will be able to get a 90-day temporary license to practice in Rhode Island. This is applicable for physicians, APRNs, mental health counselors, pharmacists, and many other health professions. This temporary license can be renewed one time. There will be no cost to obtain the license or for the one-time renewal. RIDOH is also extending the expiration dates for any of these professionals whose license is set to expire in the next 90 days.

Data updates

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 33

Number of people who had negative test results at RIDOH's State Health Laboratories: 540

Number of people for whom tests are pending: 334

Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,500

Key messages for the public

If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

Due to the closure of schools, free "Grab and Go" meals are available (March 16th - March 20th) for children throughout Rhode Island. More information is available online.

Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Rhode Island Foundation and United Way, Microsoft Providing Support to Rhode Islanders

2020-03-17

Governor Gina M. Raimondo and Director of Health Nicole Alexander-Scott, MD, MPH today announced that several local and national organizations are offering free services to Rhode Islanders during the coronavirus public health crisis.

The Rhode Island Foundation and United Way of Rhode Island have launched a fund to support local nonprofit organizations on the front line of COVID-19 response efforts. The two organizations jointly established the COVID-19 Response Fund, quickly raising more than $1.5 million in initial contributions from individual and corporate donors. Gifts to the fund, in any amount, can be made with Rhode Island Foundation or United Way of Rhode Island. The two organizations will work jointly to provide financial support for organizations on the front lines of the COVID-19 response who are working to serve vulnerable Rhode Islanders.

Microsoft has agreed to provide their Office 365 E1 program for free for six months to all employers. The Office 365 E1 program includes web-based Microsoft Office applications, resources to support telecommuting such as meetings and instant messaging, as well as remote file sharing. Microsoft is offering this service nationally only to businesses managed by a Microsoft account rep that haven't activated other Microsoft Office 365 trials in the past. But for Rhode Island, Microsoft has agreed to lift all restrictions on this offering. Microsoft is also offering a free online version of Office with email, video conferencing, customized hub for class teamwork with Microsoft Teams, compliance tools, and information protection to schools and students. Learn more here.

In addition, Governor Raimondo announced that the SBA has approved Rhode Island's request for disaster declaration. Rhode Island businesses will now be able to access funds up to $2 million per business to help them meet their operating expenses. Applicants may apply online, receive additional disaster assistance information and download applications at https://disasterloan.sba.gov/ela [disasterloan.sba.gov]. Applicants may also call SBA's Customer Service Center at (800) 659-2955 or email disastercustomerservice@sba.gov for more information on SBA disaster assistance. Individuals who are deaf or hard-of-hearing may call (800) 877-8339. Businesses can also call Commerce's small business hotline 521-HELP with any questions.

Dr. Alexander-Scott announced today that Rhode Island has two additional cases of COVID-19. One individual is a man in his 50s. He has a recent travel history to many different locations, including Germany and the United Kingdom. The second case is a woman in her 40s. RIDOH is working to determine the origin of her illness. These individuals are both at home and are recovering. Rhode Island's case count is now 23.

Additionally, Dr. Alexander-Scott announced today that all oral healthcare providers should suspend nonessential, non-urgent dental care for the next 21 days. This is in line with guidance from the American Dental Association. RIDOH will revisit this guidance in three weeks.

Data updates

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 23

Number of people who had negative test results at RIDOH's State Health Laboratories: 403

Number of people for whom tests are pending: 305

Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,500

Key messages for the public

If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

Through March 30th, there will be no on-site food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. (Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only.)

Due to the closure of schools, free "Grab and Go" meals are available (March 16th - March 20th) for children throughout Rhode Island. More information is available online.

Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

State Services, Public Meetings Moving to Online and Phone Only; Rhode Islanders Encouraged to Avoid DMV

2020-03-16

Governor Gina M. Raimondo and Director of Health Nicole Alexander-Scott, MD, MPH today announced that customer-facing services at the Rhode Island Department of Human Services (DHS), Department of Labor and Training (DLT), and HealthSource RI will be moving to online and telephone-only services until further notice. This includes all new applications, renewals, or changes in benefits. Individuals who need to drop off paper applications will be able to do so without speaking with a customer service representative.

The Department of Motor Vehicles (DMV) announced earlier today that licensing road tests will be cancelled through the end of the week. In addition, beginning tomorrow, all DMV satellite offices will be closed. (Closures of the satellite locations in Westerly and Warren has previously been announced).

The Cranston DMV will also be suspending personal driver license and registration services through the end of the week. To ensure customers are not penalized for the actions we are taking to further protect health and safety, the DMV will be extending any driver licenses and registrations scheduled to expire by 30 days. Through the end of this week, the Cranston DMV will be providing only the following limited services: dealer appointments, adjudications, and commercial drivers licenses. Rhode Islanders are encouraged not to go to the DMV this week unless absolutely necessary.

Beginning next Monday, March 23, the DMV will begin taking clients for all services by appointment only. Please check the DMV website to confirm an appointment before visiting the DMV next week.

Finally, this afternoon the Governor will sign an Executive Order allowing all Rhode Island public entities to conduct meetings online or over the phone and extending the timeline for public records requests. The Attorney General's Office worked with the Governor's team and other stakeholders on identifying these appropriate temporary measures for both the Open Meetings Act and the Access to Public Records Act to ensure that government can continue to operate as openly and transparently as possible. The Attorney General's Office will continue to serve as a resource for guidance and advice regarding these statutes going forward.

Data updates

These numbers are also available online.

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 21

- Number of people who had negative test results at RIDOH's State Health Laboratories: 308

- Number of people for whom tests are pending: 149

- Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,300. (This number includes approximately 1,700 people from Cranston High School West.)

Testing, including confirmatory testing, in Rhode Island is being done at RIDOH's State Health Laboratories.

Key messages for the public

- Most people who may get COVID-19 will have mild symptoms and can recover at home.

- If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

- Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

- Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

- Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Restaurants and Bars to Offer Delivery and Take-Out Only, Gatherings Limited to 25 People

2020-03-16

Governor Gina M. Raimondo and Director of Health Nicole Alexander-Scott, MD, MPH today announced that, effective tomorrow and continuing through March 30th, there will be no on-premise food consumption for restaurants, bars, coffee shops, or other food establishments in Rhode Island. Establishments with a food license can continue to conduct pick-up, drive-thru and delivery only. The Governor and Dr. Alexander-Scott also directed all Rhode Islanders not to host or attend gatherings of 25 people or more.

"This is a critical time in the state's response, and I know this decision is difficult for small business owners across the state," said Governor Raimondo. "We know that this action will slow the spread of the virus and help save lives. I appreciate the sacrifices everyone is continuing to make, and I want to assure you that we are doing everything we can to protect public health while also protecting businesses and workers throughout Rhode Island."

The Governor and Dr. Alexander-Scott were joined today by Providence Mayor Jorge Elorza, who echoed these recommendations for the City of Providence.

"I ask that everyone stay home, follow the recommendations the City and the State have issued and do their part to protect our community," said Mayor Jorge Elorza. "Unfortunately, that means no bars on St. Patrick's Day and no group outings to some amazing restaurants. I want to thank the members of our businesses community who have adapted during trying times and express how sensitive we are to the impact these circumstances have on our city. Our number one priority right now is limiting the spread of this virus."

Businesses looking for resources or information should visit Commerce RI's COVID-19 webpage (see link below). The Department of Labor and Training (DLT) has worked to increase the flexibility of the Temporary Disability Insurance (TDI) and unemployment Insurance (UI) programs, including waiving the seven-day minimum amount of time and previously required medical certification. Affected businesses with questions on Unemployment Insurance, Paid Sick and Safe Leave, or other work-related programs should contact DLT by emailing dlt.covid19@dlt.ri.gov or calling (401) 462-2020.

The announcement of these measures is coming as Rhode Island today announced one additional case of COVID-19 involving a woman in her 40s. This woman has been hospitalized but is in stable condition.

RIDOH is currently investigating the source of her illness.

As a reminder, beginning today, free "grab and go" meals will be available for Rhode Island kids. These meal sites will be open throughout the next week as schools across the state are closed. All sites are open and free for anyone age 18 or younger. There are no ID or residency requirements, but the child must be present. Schools cannot give a meal to an adult on behalf of a child. Visit the Food Sites for Schoolchildren page for an updated list of meal sites. New sites are still being added, so please check back or contact your school district or charter school for more options.

The Governor and Dr. Alexander-Scott will provide additional updates to reporters about Rhode Island's coronavirus disease 2019 (COVID-19) response this afternoon at 4 p.m. in Conference Room 2A at the Department of Administration.

Data updates

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 21

- Number of people who had negative test results at RIDOH's State Health Laboratories: 308

- Number of people for whom tests are pending: 149

- Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,300. (This number includes approximately 1,700 people from Cranston High School West.)

Testing, including confirmatory testing, in Rhode Island is being done at RIDOH's State Health Laboratories.

Key messages for the public

- Most people who may get COVID-19 will have mild symptoms and can recover at home.

- If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

- Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

- Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

- Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Child Care Centers Directed to Be Closed, State Working with Communities to Provide Student Meals During School Break; No new additional cases of COVID-19 in Rhode Island since yesterday

2020-03-15

Governor Gina M. Raimondo today announced new guidance directing all child care centers in Rhode Island to close, effective tomorrow. She also announced that the Rhode Island Department of Education (RIDE) has been working with local school districts to make "grab and go" meals available to students who need them while schools are closed this week.

"We need everyone to continue following the 'gold standard' for protection from coronavirus," Governor Raimondo said. "Stay home if you are sick. Wash your hands often. If you don't feel well, call your healthcare provider rather than going to their office. If your workplace has closed and you're now home, avoid all nonessential crowds."

At a noon press conference at the Rhode Island Emergency Management Agency, the Governor announced that there are no new positive COVID-19 cases since yesterday. "This is a welcome pause, but we expect that it is just a pause. These coming weeks are critical," she said.

Data updates

These numbers are also available online.

• Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 20

• Number of people who had negative test results at RIDOH's State Health Laboratories: 271

• Number of people for whom tests are pending: 117

• Number of people who are currently instructed to self-quarantine in Rhode Island: approximately 2,300. This number includes approximately 1,700 people from the Cranston High School West who have been instructed to self-quarantine.

Testing, including confirmatory testing, in Rhode Island is being done at RIDOH's State Health Laboratories.

Any day care employee or other Rhode Island worker impacted by a business closure can apply for Temporary Disability Insurance (TDI), Temporary Caregiver Insurance (TCI), or Unemployment Insurance (UI). DLT is waiving the seven-day minimum amount of time that claimants must be out of work to qualify for these benefits as a result of COVID-19. Visit the DLT website for information.

Additionally, beginning tomorrow, free "grab and go" meals will be available for Rhode Island kids. These meal sites will be open throughout the next week as schools across the state are closed. All sites are open and free for anyone age 18 or younger. There are no ID or residency requirements, but the child must be present. Schools cannot give a meal to an adult on behalf of a child. Visit the Food Sites for Schoolchildren page for an updated list of meal sites. New sites are still being added, so please check back or contact your school district or charter school for more options.

Key messages for the public

• Most people who may get COVID-19 will have mild symptoms and can recover at home.

• If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

• Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

• Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

• Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

• People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

• Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

o Avoid close contact with people who are sick.

o When greeting people avoid handshakes and hugs.

o Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

o Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

o More information is available from CDC.

• People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

• Everyone can help stop the spread of viruses in Rhode Island.

o Get your flu shot, and make sure the people around you do the same.

o Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

o Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

o Stay home from work or school if you are sick.

o Avoid touching your eyes, nose, or mouth. Germs spread this way.

New Insurance Initiatives Announced as Part of COVID-19 Response

2020-03-14

Governor Gina M. Raimondo announced today that new guidance has been issued to health insurers related to coronavirus disease 2019 (COVID-19), and that HealthSource RI is opening a special enrollment period to allow Rhode Islanders to purchase coverage. Both of these measures are intended to ensure access and continuity of care during the COVID-19 State of Emergency.

"As we continue to respond to COVID-19, we are doing everything possible to make sure people can access the care they need, while doing it in a way that minimizes exposure for the healthcare workers who are critical to our response," said Governor Raimondo. "While these measures are being taken at the state level, it is critical that people continue taking personal health measures such as staying home when sick and avoiding large crowds."

These announcements are being made as the Rhode Island Department of Health (RIDOH) is announcing six additional presumptive positive COVID-19 cases. Four of those individuals are males. Two of them are females. Their age range is from someone in their 30s to someone in their 70s. Because these results came in late last night, RIDOH is still investigating each case. However, it is known that at least three of these individuals reported recent travel: two separate domestic trips, and one trip to Lisbon. All six people are recovering at home.

Governor Raimondo and Rhode Island Health Commissioner Marie Ganim announced today new guidance for health insurers, which includes instructions to:

- Update telemedicine policies to include telephone-only services for primary care and behavioral health providers.

- Ensure testing and screening for COVID-19 can be done without prior authorization and without any cost to the patient.

- Cover prescription refills even if the prescription has yet to run out, provided that the prescription itself would remain valid beyond the refill date. This will allow people to shelter in place, while ensuring that they have adequate supplies on hand for continuity of care and medication compliance.

- Work to remove barriers to access to services related to COVID-19 that may delay necessary care, including requirements for specialist referrals and prior authorizations.

- In the event a federally-approved vaccine becomes available for COVID-19, cover the cost of the immunization for all enrollees.

As the COVID-19 situation continues to evolve, health insurers should continually assess their readiness, plan for network adequacy challenges, make any necessary adjustments, and keep their providers and subscribers informed. The complete list of instructions for health insurers is attached.

Additionally, HealthSource RI is opening a special enrollment period to allow Rhode Islanders to purchase coverage. The special enrollment period will be open from this coming Monday through April 15.

On Friday, Governor Raimondo announced that school vacation week in Rhode Island is being moved from April to the week of March 16th. During this time, teachers and other school staff are urged to remain local. The change in school vacation week is to limit spread of COVID-19 while allowing schools and districts to work with the Rhode Island Department of Education on their distance learning plans. It will also allow schools and districts to prepare to make meals available to at-risk students where possible, in the event we need to move to distance learning. Schools should also use next week to clean and disinfect all surfaces in their buildings. A decision will be made at the end of next week about what to do the following week.

Data updates

These numbers are also available online.

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 20

- Number of people who had negative test results at RIDOH's State Health Laboratories: 198

- Number of people for whom tests are pending: 57

- Number of people who are currently instructed to self-quarantine in Rhode Island because they had direct contact with a person with COVID-19: approximately 600

Testing in Rhode Island is being done at RIDOH's State Health Laboratories. Confirmatory testing is being done by the Centers for Disease Control and Prevention (CDC). Positive results are considered 'presumptive' if they still need to be confirmed by the CDC.

Key messages for the public

- If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

- Avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

- Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

- Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Broad Measures Announced to Prevent COVID-19 Transmission in Rhode Island

2020-03-13

As Rhode Island continues to respond to coronavirus disease 2019 (COVID-19), Governor Gina M. Raimondo announced a set of broad measures today intended to limit or prevent the spread of COVID-19 in Rhode Island. These measures pertain to schools, nursing homes, and anyone who has traveled internationally in the last 14 days.

The announcement of these measures is coming as Rhode Island is announcing an additional nine cases of COVID-19. These people include four males and five females. There are three pediatric cases and six adult cases. While the Rhode Island Department of Health (RIDOH) is still investigating each of these cases, we know that four unrelated trips were involved: travel to Europe, travel to the Bahamas, travel to Jamaica, and regional travel (to Massachusetts).

All of these people are recovering at home, except for one person who is recovering in their nursing home. This person is in isolation there. Staff are using appropriate personal protective measures and strict infection control measures.

"Preventing the spread of COVID-19 is Rhode Island's highest priority right now and we are all coming together to put all of our resources toward reaching that goal," said Governor Gina M. Raimondo. "I have to thank my entire Cabinet for working around the clock on this to ensure that the measures we are putting in place will help prevent further spread of the disease and protect all Rhode Islanders. We have been preparing for this, and our extensive planning efforts are serving us well. We all have a role to play in this, and I thank everyone for doing their part."

Governor Raimondo announced today that:

School vacation week in Rhode Island is being moved from April to the week of March 16th. During this time, teachers and other school staff are urged to remain local. The change in school vacation week is to limit spread of COVID-19 while allowing schools and districts to work with the Rhode Island Department of Education on their distance learning plans. It will also allow schools and districts to prepare to make meals available to at-risk students where possible, in the event we need to move to distance learning. Schools should also use next week to clean and disinfect all surfaces in their buildings. A decision will be made at the end of next week about what to do the following week.

All people who have traveled anywhere internationally in the last 14 days (and going forward) are being urged to self-quarantine. That means not going to work, not going to school, and staying home.

All Rhode Islanders are being urged to avoid all crowded places, large events, and mass gatherings. This is social distancing. However, people should continue doing essential errands (such as going to the grocery store).

Nursing home administrators have been directed to not allow any visitors (unless they are essential to the care of a resident). Additionally, nursing home administrators have been directed to continue actively screening staff, vendors, and all other people who enter facilities for illness and COVID-19 risks (for example, travel history or exposure to someone under investigation for COVID-19).

Childcare facilities are urged to remain open at this time.

"As I said earlier in the week, now is the time for us to use all of the strategies we have available to us to curb the spread of disease," said Director of Health Nicole Alexander-Scott, MD, MPH. "We realize that for this to work, we are all going to have to sacrifice, and we must do it consistently, together. We understand fully that social distancing and following these measures creates challenges for us all, yet these are the best methods we have to contain the spread of disease. By following this guidance, which is based on proven science, we can help protect our whole community, and especially our older adults and our most vulnerable populations."

Data updates

These numbers are also available online. (See link below)

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 14

Number of people who had negative test results at RIDOH's State Health Laboratories: 142

Number of people for whom tests are pending: 29

Number of people who are currently instructed to self-quarantine in Rhode Island because they had direct contact with a person with COVID-19: approximately 500

Testing in Rhode Island is being done at RIDOH's State Health Laboratories. Confirmatory testing is being done by the Centers for Disease Control and Prevention (CDC). Positive results are considered 'presumptive' if they still need to be confirmed by the CDC.

Key messages for the public

If you have traveled anywhere internationally in the last 14 days, self-quarantine for 14 days. That means do not go to work or school and stay at home.

Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

When greeting people avoid handshakes and hugs.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general, non-medical questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. The Hotline will be staffed this weekend from 8:00 am to 8:00 pm both Saturday and Sunday. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use hand sanitizer with at least 60% alcohol.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

2020 Census Kicks Off in Rhode Island

2020-03-12

Beginning this week, every household in Rhode Island will receive a notice by mail to complete the 2020 Census. Rhode Island receives $3.8 billion in federal funding each year based on census results. These funds support healthcare, schools, roads, housing, the environment, and many services and programs in communities across the state.

"We have one chance to make sure that everyone in Rhode Island is counted in 2020, and we must get it right," said Director of Health and Rhode Island Complete Count Committee Co-Chair Nicole Alexander-Scott, MD, MPH. "The information collected during the census assigns billions of dollars in federal funding for critical public services that make up one-third of our state budget. Rhode Island is counting on every household to fill out the census and help us support healthy communities across our state."

"We are going to great lengths to ensure that everyone is counted in the 2020 census," said Central Falls Mayor and Rhode Island Complete Count Committee Co-Chair James Diossa. "A complete count helps ensure fair representation in Congress, enforcement of civil rights, and planning for Rhode Island's future. Filling out the census is easy, confidential, and helps our community in so many ways. This is our chance—let's make it count."

Filling out the census takes only a few minutes and can be done online (my2020Census.gov [my2020census.gov]), by phone, or by mail. One person in each household must complete the census questionnaire form and provide information about everyone who lives there. If a household has not yet received their notice, it will be coming in the next few weeks. Census participation is safe, secure, and private. Federal law prohibits the US Census Bureau from sharing personal information with anyone for any reason.

Governor Gina M. Raimondo established the Rhode Island Complete Count Committee through Executive Order to help ensure that the 2020 US Census does not undercount important populations in Rhode Island. Rhode Island outreach efforts include community outreach grants supported by the Rhode Island Census 2020 Fund (a program administered by the Rhode Island Foundation), and a multilingual, multimedia media campaign that includes broad communication intended for the general public and targeted communication focused on hard-to-count populations.

Every 10 years, the US Census Bureau counts every person living in the United States. The last US Census was conducted in 2010. A "test census" was previously conducted in Providence County in 2018. That was not the actual 2020 Census. Anybody who participated in the test census in Providence County in 2018 must respond again when they receive their notice for the 2020 Census.

To learn more about the 2020 Rhode Island census, visit RICensus2020.com.

New Guidance Issued for Large Events in Rhode Island

2020-03-11

As a part of on-going efforts to limit or prevent the spread of coronavirus disease 2019 (COVID-19) in Rhode Island, Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), issued updated guidance today regarding large events.

This guidance is in line with the latest guidance from the Centers for Disease Control and Prevention (CDC). This guidance is intended to slow the transmission of COVID-19 and to protect people at increased risk for severe illness, including older adults and people with underlying health conditions. Steps to limit large events are most effective at preventing the spread of disease when implemented before a community is seeing widespread transmission. This guidance will be revisited in two weeks.

"I am asking for the partnership and support of people who are organizing large events," said Governor Raimondo. "In accordance with the best science from CDC, I am asking that certain events be cancelled or postponed. I know that this is an inconvenience. I am enormously appreciative of everyone's patience as all of us – government, the business community, and all Rhode Islanders – work together to keep Rhode Island healthy and safe."

Updated guidance (see link below)

Do not organize or attend events that will be attended by 250 people or more. This recommendation is specific to organized events at which people will be concentrated for sustained periods of time, such as parties, sporting events, and parades. This recommendation does not pertain to the normal school day for students and to workplaces, as long as 250 or more people are not closely concentrated (within six feet of each other) for sustained periods of time.

Do not organize events that will be attended by large numbers of older adults. (CDC's current guidance is for organizations that serve high-risk populations to consider canceling events of more than 10 people. Older adults are a high-risk population.) At any event that older adults will attend, verbally screen people for illness, provide hand sanitizer, ensure that people are washing their hands regularly, and ensure that people are not closely concentrated for sustained periods of time.

Promote messages that discourage people who are sick from attending events, regardless of the number of people at the event. Additionally, those messages should urge older adults to not attend events.

Provide COVID-19 prevention supplies, including soap in restrooms, hand sanitizer, and tissues.

Develop flexible refund policies for participants. Create refund policies that permit participants the flexibility to stay home when they are sick, need to care for sick household members, or are at high risk for complications from COVID-19.

These recommendations are posted online. While these recommendations are important, all communities are unique and will need to weigh all the factors involved in making decisions about whether to cancel events.

The Rhode Island Department of Education (RIDE) is issuing additional guidance for school leadership. This guidance includes recommendations on school assemblies, cleaning schedules, ways to ensure social distancing in schools, and visitation policies. No broad school closures are envisioned at this time.

Data updates

These numbers are also available online.

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 5

Number of people who had negative test results at RIDOH's State Health Laboratories: 94

Number of people for whom tests are pending: 8

Number of people who are currently instructed to self-quarantine in Rhode Island because they had direct contact with a person with COVID-19: approximately 270

Testing in Rhode Island is being done at RIDOH's State Health Laboratories. Confirmatory testing is being done by CDC. Positive results are considered 'presumptive' if they still need to be confirmed by the CDC.

Key messages for the public

If you have traveled anywhere internationally (or anywhere overnight in the U.S.) in the last 14 days, monitor yourself for symptoms of COVID-19. These symptoms include fever, cough, or shortness of breath.

For people who have traveled to China, Iran, Italy, South Korea, or Japan, in addition to monitoring yourself for symptoms, self-quarantine for 14 days. That means do not go to work or school and stay at home.

Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

RIDOH's State Health Laboratories Identifies Two Additional Cases of COVID-19

2020-03-10

Two additional cases of coronavirus disease 2019 (COVID-19) have been identified through testing at the Rhode Island Department of Health (RIDOH)'s State Health Laboratories. These are Rhode Island's fourth and fifth cases. These results are considered presumptive positive cases until they are confirmed by the Centers for Disease Control and Prevention (CDC).

The first individual is a female in her 50s. Her recent travel history includes travel to Egypt. The second individual is a female in her 30s. The source of this person's infection is currently unknown. That is being investigated. This second individual is a healthcare worker at a Rhode Island hospital. Both individuals are recovering at home.

As with all COVID-19 cases in Rhode Island, extensive contact tracing is being done for these cases. All people who have had direct, face-to-face contact with these people are being instructed to self-quarantine.

Data updates

These numbers are also available online (see link below).

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 5

- Number of people who had negative test results at RIDOH's State Health Laboratories: 58

- Number of people for whom tests are pending: 24

- Number of people who are currently instructed to self-quarantine in Rhode Island because they had direct contact with a person with COVID-19: approximately 270 (RIDOH is sharing an approximate number because this number is subject to change regularly)

Testing in Rhode Island is being done at RIDOH's State Health Laboratories. Confirmatory testing is being done by CDC. Positive results are considered 'presumptive' if they still need to be confirmed by the CDC.

Key messages for the public

- If you have traveled anywhere internationally (or anywhere overnight in the U.S.) in the last 14 days, monitor yourself for symptoms of COVID-19. These symptoms include fever, cough, or shortness of breath.

- For people who have traveled to China, Iran, Italy, South Korea, or Japan, in addition to monitoring yourself for symptoms, self-quarantine for 14 days. That means do not go to work or school and stay at home.

- Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. Additional guidance is available from CDC.

- Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency). Healthcare providers have a dedicated number that they are then using to consult with RIDOH on potential COVID-19 cases.

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC.

People with general questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

All Rhode Islanders Urged to Take COVID-19 Prevention Measures

2020-03-07

As the Rhode Island Department of Health (RIDOH) continues to prepare for and respond to the international outbreak of coronavirus disease 2019 (COVID-19), Rhode Islanders are being strongly urged to take a number of measures to prevent the spread of viruses. These personal prevention measures are critical complements to the efforts being taken at the state level to limit the spread of COVID-19 in Rhode Island.

"We know we will have community transmission of COVID-19 in Rhode Island at some point. It is critical that people stay home if they are sick or have been directed to stay home, and it is critical that we all do things like wash our hands regularly and avoid close personal contact, like handshakes, in public," said Nicole Alexander-Scott, MD, MPH. "This is a situation that is evolving rapidly at the international and national levels. We have been preparing for weeks at the Rhode Island Department of Health, but we need the partnership of all Rhode Islanders to help keep our state healthy and safe."

Key Guidance and New Efforts

- If you have traveled anywhere internationally (or anywhere overnight in the U.S.) in the last 14 days, monitor yourself for symptoms of COVID-19. These symptoms include fever, cough, or shortness of breath.

- For people who have traveled to China, Iran, Italy, South Korea, or Japan, in addition to monitoring yourself for symptoms, self-quarantine for 14 days. That means do not go to work or school and stay at home. On March 5th Governor Gina M. Raimondo issued a directive for State employees to not come to work if they traveled to China, Iran, Italy, South Korea, or Japan in the last 14 days.

- The Rhode Island Department of Labor and Training has set up a COVID-19 Assistance Line and email address (401-462-2020; dlt.covid19@dlt.ri.gov). They are intended to provide support to people regarding COVID-19 and employment issues. The phone line is staffed Monday to Friday during business hours.

- Whenever possible, avoid close personal contact with people in public. When greeting people avoid handshakes and hugs. This message is important for faith communities, among other groups, that will be gathering this weekend and going forward. Additional guidance is available from the Centers for Disease Control and Prevention (CDC).

- Early data suggest that older adults are twice as likely to experience serious COVID-19 illness. RIDOH is reiterating CDC's guidance for people older than 60 years of age:

Avoid close contact with people who are sick.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

Pay attention for potential COVID-19 symptoms including, fever, cough, and shortness of breath. If you feel like you are developing symptoms, call your doctor.

More information is available from CDC (see link below).

- On Friday RIDOH officials held a call with the leadership of nursing homes throughout Rhode Island to discuss enhanced measures to protect residents. Facilities have been instructed to:

Restrict visitor hours.

Not allow people to visit if they are younger than 18 years of age or are feeling sick or experiencing any of the following symptoms: cough, fever, chills, runny nose, stuffy nose, sore throat, or shortness of breath.

Actively screen staff, visitors, vendors, and all other people who enter facilities for illness and COVID-19 risks (i.e., travel history, or exposure to someone under investigation for COVID-19). People who have traveled internationally in the last 14 days will be asked to not enter facilities.

Only allow residents to leave for medical appointments (as opposed to nonessential appointments, such as an appointment with a hairdresser or a visit to a family member). This policy is to keep residents safe by preventing a person from getting ill and bringing an illness back into the facility. In special circumstances, exceptions can be made from this policy, given the importance of mental and emotional health to the overall wellness of older adults. Families should work with nursing home administrators regarding special circumstances.

- On Friday Governor Raimondo sent a letter to school leadership and higher education leadership reiterating her strong recommendation to cancel upcoming organized international trips.

Data updates

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 3

Number of people who had negative test results at RIDOH's State Health Laboratories: 30

Number of people for whom tests are pending: 12

Number of people who are currently instructed to self-quarantine in Rhode Island because they had direct contact with a person with COVID-19: approximately 250

Testing in Rhode Island is being done at RIDOH's State Health Laboratories. Confirmatory testing is being done by the Centers for Disease Control and Prevention (CDC). Positive results are considered 'presumptive' if they still need to be confirmed by the CDC.

General messages for the public

Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

If you were with someone who does not have symptoms, the risk of transmission is very low.

There are many respiratory illnesses circulating in Rhode Island, such as the flu and the common cold. Having respiratory symptoms does not mean that you have COVID-19.

People are at higher risk for COVID-19 if they have symptoms of the virus (cough, fever, shortness of breath) AND if they were a contact of a positive case of COVID-19 (or have traveled to country with community transmission, such as China, Italy, South Korea, Iran, and Japan).

Someone is considered a contact if they have had direct, face-to-face contact with a person with COVID-19.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency).

People with general questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. (After hours people are being directed to call 211.)

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

RIDOH's State Health Laboratories Identifies Third Case of COVID-19

2020-03-06

The Rhode Island Department of Health (RIDOH)'s State Health Laboratories has confirmed an additional presumptive positive case of coronavirus disease 2019 (COVID-19). This person is a female in her 60s. She is at home with mild symptoms. This person was tested because she was symptomatic and had direct, face-to-face contact with a person with confirmed COVID-19 in New York in late February.

This case is considered a presumptive positive case until it is confirmed by the Centers for Disease Control and Prevention (CDC). Extensive contact tracing is being done on this case. All people who have had direct, face-to-face contact with this person are being instructed to self-quarantine. People who had contact with an asymptomatic person who is now self-quarantining (but does not have COVID-19) are considered low risk. (In other words, a contact of a contact is considered low risk.)

Contact tracing includes children and adults associated with Smithfield Avenue Nursery in Pawtucket, where this person works. Initial studies of COVID-19 indicate that the virus does not affect children as severely as adults.

This case is Rhode Island's third confirmed positive or presumptive positive case of COVID-19. A man in his 40s and a teenage girl who both went on a trip to Italy in mid-February as part of a Saint Raphael Academy group tested positive. (This count of two does not include another adult who went on the trip and who tested positive but is considered a Massachusetts case because she is a Massachusetts resident. Additionally, a staff member from Achievement First Academy in Providence who went on the trip was tested, but her results were negative.)

Additional updates

- RIDOH officials held a call with the leadership of nursing homes throughout Rhode Island today to discuss enhanced measures to protect residents. RIDOH asked all facilities to, as of tomorrow morning or sooner:

Restrict visitor hours.

Not allow people to visit if they are younger than 18 years of age or are feeling sick or experiencing any of the following symptoms: cough, fever, chills, runny nose, stuffy nose, sore throat, or shortness of breath.

Actively screen staff, visitors, vendors, and all other people who enter facilities for illness and COVID-19 risks (i.e., travel history, or exposure to someone under investigation for COVID-19). People who have traveled internationally in the last 14 days will be asked to not enter facilities.

Only allow residents to leave for medical appointments (as opposed to nonessential appointments, such as an appointment with a hairdresser or a visit to a family member). This is a way to limit the possibility that a resident will get ill and bring that illness back into the facility.

As a state with COVID-19 cases, Rhode Island has received an immediate $500,000 dollars in federal funds to support public health response actions such as epidemiological work, laboratory work and supplies, risk communications support, and other activities related to public health emergency operations. Additional federal appropriations are being considered.

Data updates

Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 3

This number does not include a Massachusetts resident who the Massachusetts Department of Public Health reported as having a presumptive positive test result. This individual went on the Saint Raphael Academy trip to Italy in mid-February.

Number of people who had negative test results at RIDOH's State Health Laboratories: 17

Number of people for whom tests are pending: 13

Number of people who are currently instructed to self-quarantine in Rhode Island because they had direct contact with a person with COVID-19: approximately 210 (RIDOH is sharing an approximate number because this number is subject to change regularly)

Testing in Rhode Island is being done at RIDOH's State Health Laboratories. Confirmatory testing is being done by the Centers for Disease Control and Prevention (CDC). Positive results are considered 'presumptive' if they still need to be confirmed by the CDC.

Key messages for the public

Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

If you were with someone who does not have symptoms, the risk of transmission is very low.

There are many respiratory illnesses circulating in Rhode Island, such as the flu and the common cold. Having respiratory symptoms does not mean that you have COVID-19.

People are at higher risk for COVID-19 if they have symptoms of the virus (cough, fever, shortness of breath) AND if they were a contact of a positive case of COVID-19 (or have traveled to country with community transmission, such as China, Italy, South Korea, Iran, and Japan).

Someone is considered a contact if they have had direct, face-to-face contact with a person with COVID-19.

People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency).

People with general questions about COVID-19 can visit https://www.health.ri.gov/covid or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

Community Meetings Scheduled on Healthcare in Pawtucket and Central Falls

2020-03-06

The Rhode Island Department of Health (RIDOH) and the cities of Pawtucket and Central Falls are organizing two public meetings to gather community input on next steps to ensure access to healthcare services in the areas around the site of the former Memorial Hospital.

The input gathered at the meetings will build upon the recommendations made in an independent report that analyzed the impact of the closure of Memorial Hospital in 2018 on these communities, and on the state's healthcare system as a whole. The report, which was required in RIDOH's decision to allow Care New England to close the hospital, was submitted to RIDOH in February. It is available online (see link below).

The dates, times, and locations of the meetings are:

- Tuesday, March 24th at 6 p.m. at Jenks Jr. High (350 Division St, Pawtucket, RI 02860)

- Wednesday, March 25th at 6pm at Central Falls City Hall Council Chambers (580 Broad St, Central Falls, RI 02863)

The report included a number of significant findings. These included that the closure of Memorial Hospital's emergency department reduced access to emergent/urgent care services for residents in the hospital's service area (including Pawtucket, Central Falls, and a portion of Cumberland) and reduced access to emergency mental health and substance use services. The authors of the report also identified measurable impacts of the closure on other hospitals in the state.

The report calls on a state-led collaborative to take steps to mitigate these impacts. The collaborative will include residents, RIDOH, Care New England (which operated Memorial Hospital), major healthcare providers serving the impacted communities, municipal leaders, insurers, other state agencies, community leaders, the local Health Equity Zone (HEZ), community-based organizations, and philanthropic organizations.

Community and stakeholder input will build upon a series of initial, foundational recommendations made in the report. Those recommendations include having this collaborative:

- Help ensure access to affordable emergent/urgent care that is linked to primary care within the

service area;

- Expand access to affordable, integrated primary care within the service area; and

- Enhance access to affordable substance use disorder services for service area residents.

The report also called on Care New England to take a number of steps. Those steps include promoting their healthcare campus on Brewster Street in Pawtucket or at another location that maintains access to affordable primary care and specialty services within the impacted communities. Care New England was also called upon to maintain their walk-in clinic on the site of the former hospital to ensure walk-in coverage.

At the end of 2017, RIDOH approved Care New England's application to close Memorial Hospital in a decision that included conditions aimed at addressing immediate needs in the areas of emergency medical response capacity, primary care, and health at the community-level. Among other steps, Care New England was required to:

- Expand operations at its Family Care Center and Internal Medicine Clinic to open a walk-in clinic in Pawtucket.

- Provide $300,000 to Pawtucket and $200,000 to Central Falls each year for two years to offset emergency medical services costs associated with transporting patients to other hospitals.

- Put in place a transportation plan for patients and patients' families so that individuals with non-emergency chronic conditions won't have to incur additional costs associated with traveling to receive services that are only offered at another hospital.

- Maintain Memorial Hospital's Family Care and Internal Medicine Centers in Pawtucket at their former hours and staffing levels.

- Invest $100,000 annually in the Pawtucket and Central Falls HEZs.

The 2020 report on the impacts of the closure of Memorial Hospital was developed by John Snow, Inc.

New COVID-19 Response Measures Announced for Rhode Island

2020-03-05

Governor Gina M. Raimondo, the Rhode Island Department of Health (RIDOH), and the Rhode Island Department of Administration (DOA) announced today a set of broad measures to help limit or prevent the spread of coronavirus disease 2019 (COVID-19) in Rhode Island.

"All of the COVID-19 cases in Rhode Island at this point are associated with one trip to Italy. However, because this is an evolving global public health situation, we are putting in place a number of additional preparedness and response initiatives," said Governor Raimondo. "We are taking extensive measures to ensure the health and safety of all Rhode Islanders."

At a press event this morning, the following response measures were announced by Governor Raimondo and Director of Health Nicole Alexander-Scott, MD, MPH:

- Workplace Policy: To help prevent the potential spread of COVID-19, all State employees who have traveled to China, Iran, Italy, South Korea, or Japan in the last 14 days and going forward are being instructed to remain at home until 14 symptom-free days have passed. The Centers for Disease Control and Prevention (CDC) has placed Travel Health Notices on these countries because they are experiencing sustained or community transmission of COVID-19.

(Following federal guidance, all travelers from China are already self-quarantining for 14 days and are self-monitoring for symptoms with public health supervision. Starting today, federal guidance is expanding to include Iran in this program.) State employees who have traveled to China, Iran, Italy, South Korea, or Japan are being directed to contact RIDOH.

- To help prevent the potential spread of COVID-19, RIDOH is encouraging employers throughout Rhode Island to, if possible, ask employees who have traveled to China, Iran, Italy, South Korea, or Japan in the last 14 days and going forward to remain at home until 14 symptom-free days have passed since their return to the US.

- Enhanced response: To ensure that RIDOH is coordinating as closely as possible with CDC officials managing the COVID-19 response at the national level, a five-person team from the CDC's Epidemic Intelligence Service (EIS) has been embedded at RIDOH. EIS is a long-standing, globally recognized fellowship program, renowned for its investigative and emergency response efforts. This unique opportunity will help CDC understand the unique needs of Rhode Islander and bolster the State's response efforts.

- Visitation policies: To help protect the public, RIDOH has worked with healthcare facility partners to develop a policy to limit visitors in hospitals and skilled nursing facilities. This policy restricts people from visiting staff or patients if they are younger than 18 years of age or if they are sick. The policy also includes steps and guidance for further limiting visitation, should that become necessary. RIDOH has developed posters to help facilities communicate about this policy.

- Testing: We are utilizing multiple options for places people can go for specimen collection if they need to be tested, including non-healthcare settings. RIDOH will direct people to these locations for specimen collection as needed. Samples will be sent to the RIDOH State Health Laboratories for testing.

- Public Information: To keep the public as informed as possible, RIDOH has established a dedicated COVID-19 Hotline to answer general questions about COVID-19. That number is 401-222-8022. After 4:30 p.m., anyone with questions about COVID-19 should call 211. Additionally, people can write to RIDOH.COVID19Questions@health.ri.gov or visit https://www.health.ri.gov/covid

Data updates

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 2

This number does not include a Massachusetts resident who the Massachusetts Department of Public Health reported as having a presumptive positive test result. This individual went on the Saint Raphael Academy trip to Italy in mid-February.

- Number of people who had negative test results at RIDOH's State Health Laboratories: 17

- Number of people for whom tests are pending: 8

- Number of people who are currently instructed to self-quarantine in Rhode Island because they had direct contact with a person with COVID-19: approximately 200 (RIDOH is sharing an approximate number because this number is subject to change regularly)

Testing in Rhode Island is being done at RIDOH's State Health Laboratories. Confirmatory testing is being done by the Centers for Disease Control and Prevention (CDC). Positive results are considered 'presumptive' if they still need to be confirmed by the CDC.

Key messages for the public

- Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- If you were with someone who does not have symptoms, the risk of transmission is very low.

- There are many respiratory illnesses circulating in Rhode Island, such as the flu and the common cold. Having respiratory symptoms does not mean that you have COVID-19.

- People are at higher risk for COVID-19 if they have symptoms of the virus (cough, fever, shortness of breath) AND if they were a contact of a positive case of COVID-19 (or have traveled to country with community transmission, such as China, Italy, South Korea, Iran, and Japan).

- Someone is considered a contact if they have had direct, face-to-face contact with a person with COVID-19.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency).

- People with general questions about COVID-19 can visit https://www.health.ri.gov/covid or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

COVID-19 Data Updates; Media Availability Scheduled

2020-03-04

Media Availability

Governor Gina M. Raimondo and Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), will be available tomorrow (March 5th) at 10:30 a.m. in Conference Room 2A at the Department of Administration (1 Capitol Hill, Providence, RI 02908) to provide updates on Rhode Island's response to coronavirus disease 2019 (COVID-19). A Spanish interpreter will be available.

Data updates

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 2

This number does not include a Massachusetts resident who the Massachusetts Department of Public Health reported as having a presumptive positive test result. This individual went on the Saint Raphael Academy trip to Italy in mid-February.

- Number of people who had negative test results at RIDOH's State Health Laboratories: 11

- Number of people for whom tests are pending: 7

- Number of people who are currently instructed to self-quarantine in Rhode Island because they had direct contact with a person with COVID-19: approximately 200 (RIDOH is sharing an approximate number because this number is subject to change regularly)

Testing in Rhode Island is being done at RIDOH's State Health Laboratories. Confirmatory testing is being done by the Centers for Disease Control and Prevention (CDC). Results are considered 'presumptive' if they still need to be confirmed by the CDC.

Key messages for the public

- Although Rhode Island has the testing capacity it needs, people without symptoms should not be tested for COVID-19. Testing individuals with no symptoms is not recommended by CDC.

- If you were with someone who does not have symptoms, the risk of transmission is very low.

- There are many respiratory illnesses circulating in Rhode Island, such as the flu and the common cold. Having respiratory symptoms does not mean that you have COVID-19.

- People are at higher risk for COVID-19 if they have symptoms of the virus (cough, fever, shortness of breath) AND if they were a contact of a positive case of COVID-19 (or have traveled to country with community transmission, such as China, Italy, South Korea, Iran, and Japan).

- Someone is considered a contact if they have had direct, face-to-face contact with a person with COVID-19.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without first calling a healthcare provider (unless they are experiencing a medical emergency).

- People with general questions about COVID-19 can visit https://www.health.ri.gov/covid, write to RIDOH.COVID19Questions@health.ri.gov, or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

Presumptive Positive COVID-19 Case Announced in Mass. has R.I. Connection

2020-03-03

The Rhode Island Department of Health (RIDOH) is advising the public that a third individual associated with the Saint Raphael Academy trip to Italy in mid-February has tested positive for coronavirus disease 2019 (COVID-19). Because this individual is a Massachusetts resident, this testing was done by the Massachusetts Department of Public Health. This person was a female in her 20s. She is recovering at home. This individual is considered a presumptive positive case because the result is pending confirmation at the Centers for Disease Control and Prevention (CDC).

The Massachusetts Department of Public Health is coordinating the contact tracing for this individual and communicating very closely with RIDOH.

There are now four individuals associated with the trip to Italy: a male in his 40s, a teenage girl, a female in her 30s whose test result is pending at RIDOH's State Health Laboratories (she is a staff member at Achievement First Academy in Providence who chaperoned on the trip), and this most recent case.

General COVID-19 updates

- Saint Raphael Academy in Pawtucket remains closed.

- CDC has confirmed the presumptive positive result obtained at RIDOH's State Health Laboratories for the man in his 40s who was announced as Rhode Island's first presumptive positive case over the weekend.

- CDC confirmation is still pending on the second presumptive positive case (the teenage girl from Saint Raphael Academy who is recovering well).

- The result on the tests from the second adult who traveled to Italy from Saint Raphael Academy are still pending at RIDOH's State Health Laboratories. (This individual is a woman in her 30s who was a staff member at Achievement First Academy in Providence.) These results are anticipated this evening.

- Achievement First Academy Hartford (Providence) and Garfield (Cranston) campuses were closed today for cleaning but are expected to open tomorrow.

- Meadowbrook Farms School in East Greenwich was closed today. This was because the sibling of a student developed symptoms after recently returning from a trip abroad. However, the family member who is a student at Meadowbrook Farms School does not have symptoms. The school closed for cleaning out of an abundance of caution.

Data updates

- Number of Rhode Island COVID-19 positive (including presumptive positive) cases: 2

(One of these results has been confirmed by CDC, and one is pending CDC confirmation. These numbers do not include a Massachusetts resident who the Massachusetts Department of Public Health reported as having a presumptive positive test result.)

- Number of tests pending at RIDOH's State Health Laboratories: 4

- Number of people who had negative test results at RIDOH's State Health Laboratories: 6

- Total number of people who have been tested at RIDOH's State Health Laboratories: 12

- Number of people who are currently instructed to self-quarantine in Rhode Island as a part of Rhode Island's COVID-19 response: approximately 60 (RIDOH is sharing an approximate number because this number is subject to change regularly)

Key messages for the public

- There are many respiratory illnesses circulating in Rhode Island, such as the flu and the common cold. Having respiratory symptoms does not mean that you have COVID-19.

- People are at higher risk for COVID-19 if they have symptoms of COVID-19 (cough, fever, shortness of breath) AND if they were a contact of a confirmed positive case of COVID-19 (or have traveled to country with community transmission, such as China, Italy, South Korea, Iran, and Japan).

- Someone is considered a contact if they have had direct, face-to-face contact with a person with COVID-19.

- Testing can only be done on individuals who have symptoms that are consistent with COVID-19. Testing individuals with no symptoms or history of travel can lead to inaccurate results.

- People who think they have COVID-19 should call their healthcare provider. These people should not go directly to a healthcare facility without calling a healthcare provider (unless they are experiencing a medical emergency).

- People with general questions about COVID-19 can visit https://www.health.ri.gov/covid or call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public.

- Everyone can help stop the spread of viruses in Rhode Island.

Get your flu shot, and make sure the people around you do the same.

Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

Stay home from work or school if you are sick.

Avoid touching your eyes, nose, or mouth. Germs spread this way.

Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

RIDOH Announces Second Presumptive Positive COVID-19 Case; Testing a Third Individual

2020-03-01

The Rhode Island Department of Health (RIDOH)'s State Health Laboratories have identified a second presumptive positive case of coronavirus disease 2019 (COVID-19), and a separate person has been tested for COVID-19 today. The presumptive positive case is a teenager. She is at home with mild symptoms. The adult being tested is in her 30s and is also at home with mild symptoms.

These two individuals went on the same trip to Europe in mid-February as the male in his 40s who RIDOH announced this morning as Rhode Island's first presumptive positive case of COVID-19. Saint Raphael Academy, which organized the trip to Europe in mid-February, will be closed for the remainder of this week. The adult whose test results are still pending is a staff member at Achievement First Academy, which has two campuses, one in Providence and one in Cranston. Achievement First Academy Hartford (Providence) and Garfield (Cranston) campuses will be closed for two days, pending the results of the staff member's tests. (The result is expected tomorrow, and the school is closing for an additional day to do environmental cleaning.)

All 38 of the people who went on this trip will be self-monitoring for symptoms at home for 14 days with public health supervision. They have been instructed to not go to school or work and to remain at home for these 14 days.

"All three people went on the same trip to Italy," said Dr. Alexander-Scott. "This is precisely why we are being so aggressive in identifying contacts, ensuring monitoring, and testing people who are symptomatic."

Outreach to the people who were in direct contact with any of these three individuals is on going. These direct contacts will be self-monitoring for symptoms at home for 14 days with public health supervision. The Centers for Disease Control and Prevention (CDC) is managing contact tracing for people on the return flight that these three individuals took back to the United States.

Because human coronaviruses most commonly spread through respiratory droplets, Rhode Islanders are reminded to take the same measures that healthcare providers recommend annually to prevent the spread of the flu and other viruses.

- Get your flu shot, and make sure the people around you do the same.

- Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

- Cough or sneeze into your elbow. Viruses can spread by coughing or sneezing on other people or into your hands.

- Stay home from work or school if you are sick.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

- Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

- Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

The CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory illnesses, including COVID-19. You should only wear a mask if a healthcare professional recommends it. A facemask should be used by people who have COVID-19 and are showing symptoms. This is to protect others from the risk of getting infected.

If you have recently traveled from an area with widespread or ongoing community spread of COVID-19 and you have symptoms of the disease (fever, cough, shortness of breath) reach out to your healthcare provider and call ahead before going to a healthcare facility. The healthcare provider or facility will work closely with RIDOH.

There have been more than 60 US cases of COVID-19 confirmed. Globally, more than 80,000 cases have been confirmed. CDC reported the first US fatality on February 29th.

RIDOH is coordinating with other State agencies and community organizations to support anyone doing self-quarantining to ensure that people who are remaining at home have the support services they need. This includes support with everyday needs, such as prescriptions and groceries. The organizations that have offered support include agencies throughout the Executive Office of Health and Human Services (EOHHS), the Rhode Island Food Bank, the American Red Cross, and other members of Rhode Island's Voluntary Organizations Active in Disasters (VOAD).

The additional preparedness steps that RIDOH has taken include:

- Establishing an Incident Command System response, which is how RIDOH and other State agencies organize to prepare for (or respond to) an urgent situation that requires extensive coordination. It includes staff from the Rhode Island Emergency Management Agency (RIEMA), the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), the Rhode Island Department of Education (RIDE), the Rhode Island Department of Human Services (DHS), the Rhode Island Department of Environmental Management (DEM), the Rhode Island Department of Education (RIDE), and Rhode Island Commerce. It also includes staff from RIDOH's State Health Laboratories, Center for Acute Infectious Disease Epidemiology, Center for Emergency Preparedness and Response, and Center for Public Health Communication, among other areas of RIDOH.

- Regularly communicating with RIDOH's Infectious Disease Epidemiology Advisory Committee (IDEAC) to track any clinical and epidemiological developments related to COVID-19. (IDEAC is a group of infectious disease physicians throughout Rhode Island that provides guidance to RIDOH leadership on emerging infectious disease matters.)

- Maintaining a robust system to receive and follow up on illness reports from Rhode Island healthcare providers.

- Regularly sending to local healthcare providers summaries of the national situation, criteria to guide evaluation of patients, and guidance on specimen collection, testing, and reporting.

- Coordinating closely with healthcare facilities and emergency medical services (EMS) providers to ensure their preparedness.

- Communicating regularly to community partners, such as schools, faith leaders, and municipal officials.

More information about COVID-19 is available in multiple languages at http://health.ri.gov/covid. People with questions about COVID-19 can call 401-222-8022.

First Presumptive Positive Case of COVID-19 Identified at RIDOH's State Health Laboratories

2020-03-01

The Rhode Island Department of Health (RIDOH) is announcing the state's first presumptive positive case of coronavirus disease 2019 (COVID-19). The person is in their 40s and had traveled to Italy in mid-February. RIDOH is coordinating closely with the hospital where this person is currently being treated and all infection control protocols are being followed.

"The Rhode Island Department of Health has been preparing for weeks to ensure that we have a structure in place to, to the best of our ability, limit or prevent the spread of COVID-19 in Rhode Island. We fully anticipated having a first case of COVID-19," said Dr. Alexander-Scott. "We are not seeing widespread community transmission in Rhode Island, and the general level of risk for Rhode Islanders is still low. However, everyone in Rhode Island has a role to play in helping us prevent the spread of viruses, just like the flu. It is very important that people wash their hands regularly, cover their coughs and sneezes, and stay home if they are sick."

Outreach to the people who were in direct contact with this individual has already begun, with extensive efforts underway to ensure that they undergo a period of 14 days of self-monitoring for symptoms at home with public health supervision (quarantine). This individual's immediate family members have been self-quarantining at home since it was determined that, based on this person's travel history and symptoms, the individual met the criteria to be evaluated for COVID-19. The Centers for Disease Control and Prevention (CDC) is managing contact tracing for people on this person's return flight to the United States.

This individual had limited travel in Rhode Island since returning from Italy. This person had not returned to their place of work since returning from Italy.

The science continues to evolve and what we know about this virus is subject to change. However, the latest guidance from CDC is that risk of asymptomatic transmission is very low. (The main way the virus spreads is through respiratory droplets expelled by someone who is coughing.) If someone is not exhibiting any symptoms there is no need to change your daily routine.

In the past few weeks, RIDOH's State Health Laboratories worked to develop the capacity to perform testing for COVID-19 virus. In response to an urgent need, the State Health Laboratories expedited the final steps of implementation to run the test that identified this first case of COVID-19 in Rhode Island this weekend. Previously, all testing for COVID-19 was done at CDC. At this time, each presumptive positive test result must still be confirmed by the CDC Laboratories. This might change in the coming days.

Because human coronaviruses most commonly spread through respiratory droplets, Rhode Islanders are reminded to take the same measures that healthcare providers recommend annually to prevent the spread of the flu and other viruses.

- Get your flu shot, and make sure the people around you do the same.

- Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

- Cough or sneeze into your elbow. Flu is spread through coughing or sneezing on other people or into your hands. Cover your coughs and sneezes to prevent others from getting sick.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

- Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

- Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

The CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory illnesses, including COVID-19. You should only wear a mask if a healthcare professional recommends it. A facemask should be used by people who have COVID-19 and are showing symptoms. This is to protect others from the risk of getting infected.

If you have recently traveled from an area with widespread or ongoing community spread of COVID-19 and you have symptoms of the disease (fever, cough, shortness of breath) reach out to your healthcare provider and call ahead before going to a healthcare facility. The healthcare provider or facility will work closely with RIDOH.

There have been more than 60 U.S. cases of COVID-19 confirmed. Globally, more than 80,000 cases have been confirmed. CDC reported the first U.S. fatality on February 29th.

RIDOH continues to be notified by the federal government of asymptomatic travelers who are coming to Rhode Island after having been in China in the previous 14 days. These people are doing self-monitoring for symptoms for 14 days and are limiting their movement locally. (Passengers who have symptoms or who are coming from Hubei Province are not coming to Rhode Island. They are being quarantined domestically near the international airport where they landed.)

RIDOH is coordinating with other State agencies and community organizations to support anyone doing self-quarantining to ensure that people who are remaining at home have the support services they need. This includes support with everyday needs, such as prescriptions and groceries. The organizations that have offered support include agencies throughout the Executive Office of Health and Human Services (EOHHS), the Rhode Island Food Bank, the American Red Cross, and other members of Rhode Island's Voluntary Organizations Active in Disasters (VOAD).

The additional preparedness steps that RIDOH has taken include:

- Establishing an Incident Command System response, which is how RIDOH and other State agencies organize to prepare for (or respond to) an urgent situation that requires extensive coordination. It includes staff from the Rhode Island Emergency Management Agency (RIEMA), the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), the Rhode Island Department of Education (RIDE), the Rhode Island Department of Human Services (DHS), the Rhode Island Department of Environmental Management (DEM), the Rhode Island Department of Education (RIDE), and Rhode Island Commerce. It also includes staff from RIDOH's State Health Laboratories, Center for Acute Infectious Disease Epidemiology, Center for Emergency Preparedness and Response, and Center for Public Health Communication, among other areas of RIDOH.

- Regularly communicating with RIDOH's Infectious Disease Epidemiology Advisory Committee (IDEAC) to track any clinical and epidemiological developments related to COVID-19. (IDEAC is a group of infectious disease physicians throughout Rhode Island that provides guidance to RIDOH leadership on emerging infectious disease matters.)

- Maintaining a robust system to receive and follow up on illness reports from Rhode Island healthcare providers.

- Regularly sending to local healthcare providers summaries of the national situation, criteria to guide evaluation of patients, and guidance on specimen collection, testing, and reporting.

- Coordinating closely with healthcare facilities and emergency medical services (EMS) providers to ensure their preparedness.

- Communicating regularly to community partners, such as schools, faith leaders, and municipal officials.

More information about COVID-19 is available in multiple languages at http://health.ri.gov/covid. People with questions about COVID-19 should call 401-222-8022.

Director of Health Provides Updates on Coronavirus Disease 2019, Seasonal Illnesses

2020-02-27

Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH), provided an update to reporters today on preparedness efforts underway in Rhode Island related to coronavirus disease 2019 (COVID-19), and discussed general steps people can take to help prevent the spread of seasonal illnesses like the flu.

"Rhode Island has been taking extensive preparedness steps over the last several weeks as the COVID-19 situation has continued to evolve internationally," said Dr. Alexander-Scott. "Although the general level of risk for Rhode Islanders is still low and there have been no confirmed cases in our state, everyone can contribute to our preparedness work by taking simple, everyday steps to limit the spread of viruses. Those steps include washing your hands regularly, covering coughs and sneezes, and staying home when you are sick."

Some of the same steps that can help prevent the spread of coronaviruses can also help prevent the spread of other viruses, such as the flu and norovirus. While there have been no confirmed cases of COVID-19 in Rhode Island, a lot of flu is circulating here right now. The preparations to protect yourself and your loved ones against coronavirus are the same steps people should already be taking to protect against the flu. This flu season in Rhode Island there have been more than 650 flu-related hospitalizations and 11 flu-related deaths.

All Rhode Islanders should:

- Get your flu shot. Flu shots are your best protection against the flu, and they help protect the friends and loved ones around you who may be more at risk of getting very sick because of the flu, such as pregnant women, infants, and older adults. Flu vaccine can also help people avoid flu-related hospitalizations. This allows hospitals to focus on patients with more severe illnesses.

- Wash your hands regularly. When washing your hands, use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

- Cough or sneeze into your elbow. Flu is spread through coughing or sneezing on other people or into your hands. Cover your coughs and sneezes to prevent others from getting sick.

- Stay home from work or school when you are sick.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

- Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

- Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

The Centers for Disease Control and Prevention (CDC) does not recommend that people who are well wear a facemask to protect themselves from respiratory illnesses, including COVID-19. You should only wear a mask if a healthcare professional recommends it. Facemasks are generally used to prevent sick people from getting other people sick.

Business owners can also take a number of steps to create healthy workplaces. They should:

- Actively encourage sick employees to stay home. Employees who have symptoms of acute respiratory illness are recommended to stay out of work until they are free of:

fever (100.4° F [37.8° C] or greater using an oral thermometer),

signs of a fever,

and any other symptoms for at least 24 hours, without the use of fever-reducing or other symptom-altering medicines.

- Ensure that sick leave policies are flexible.

- If possible, maintain flexible policies that permit employees to stay home to care for a sick family member.

- Emphasize respiratory etiquette and hand hygiene by all employees. Employers can do this by displaying posters that encourage cough and sneeze etiquette and hand hygiene.

- Routinely clean all frequently touched surfaces, such as workstations, countertops, and doorknobs. Use the cleaning agents that are usually used in these areas and follow the directions on the label.

Additional guidance for business owners from the CDC is available online. (See link below.)

Since late December there have been more than 80,000 cases of COVID-19 diagnosed and more than 2,700 fatalities worldwide. The vast majority of these cases and fatalities have been in China. As of February 26, there have been 59 U.S. cases. That figure includes travel-related cases, cases of person-to-person spread, and people repatriated from China and other areas of the world.

Given the global dynamics of the COVID-19 outbreak, it is possible that Rhode Island could have a case in the near future. While RIDOH is reminding Rhode Islanders about the health measures they can take to help prevent the spread of virus in the community, Rhode Island is continuing to coordinate with the federal government to limit of prevent the spread of COVID-19. RIDOH is coordinating a process to ensure that anyone who has been in China in the previous 14 days is self-monitoring for symptoms for 14 days and is limiting their movement. (People in this situation are being instructed to not attend work or school, and to avoid public places and gatherings for 14 days.) Once 14 symptom-free days pass since someone's last potential exposure to COVID-19, there is no longer a health concern about that person getting sick or spreading the illness.

RIDOH is partnering with federal officials to implement this monitoring program, which started on February 3, 2020. The U.S. Department of Homeland Security is routing all flights carrying people who have traveled to China within the last 14 days through one of 11 U.S. airports designated to receive and screen travelers. People returning from Hubei Province, which is the center of the outbreak in China, are not continuing their travel; they are being quarantined domestically near the international airport where they landed. People coming from other areas of China are being screened for symptoms at their U.S. arrival airport. People who are symptomatic are being isolated near their arrival airport. People who are not coming from Hubei Province and who are not symptomatic are continuing to their final destinations.

For those whose destination is Rhode Island, RIDOH is notified of their arrival and is coordinating with these travelers so that they understand the self-monitoring guidance and guidance on how to seek medical care if it is needed. 26 people have been a part of this self-monitoring process in Rhode Island since early February. There are currently six people doing self-monitoring (however, the monitoring period for three of those people is ending today).

RIDOH is coordinating with other State agencies and community organizations to ensure that people who are remaining at home after traveling from China have the support services they need. This includes support with everyday needs, such as prescriptions and groceries. The organizations that have offered support include agencies throughout the Executive Office of Health and Human Services (EOHHS), the Rhode Island Food Bank, the American Red Cross, and other members of Rhode Island's Voluntary Organizations Active in Disasters (VOAD).

In addition to coordinating the process for returning travelers, RIDOH has taken a number of other preparedness steps. They include:

- Establishing an Incident Command System response, which is how RIDOH and other State agencies organize to prepare for (or respond to) an urgent situation that requires extensive coordination. It includes staff from the Rhode Island Emergency Management Agency (RIEMA), the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), the Rhode Island Department of Human Services (DHS), and the Rhode Island Department of Environmental Management (DEM). It also includes staff from RIDOH's State Health Laboratories, Center for Acute Infectious Disease Epidemiology, Center for Emergency Preparedness and Response, and Center for Public Health Communication, among other areas of RIDOH.

- Regularly communicating with RIDOH's Infectious Disease Epidemiology Advisory Committee (IDEAC) to track any clinical and epidemiological developments related to COVID-19. (IDEAC is a group of infectious disease physicians throughout Rhode Island that provides guidance to RIDOH leadership on emerging infectious disease matters.)

- Maintaining a robust system to receive and follow up on illness reports from Rhode Island healthcare providers.

- Regularly sending to local healthcare providers summaries of the national situation, criteria to guide evaluation of patients, and guidance on specimen collection, testing, and reporting.

- Coordinating closely with healthcare facilities and emergency medical services (EMS) providers to ensure their preparedness.

- Communicating regularly to community partners, such as schools, and municipal officials.

More information about COVID-19 is available in multiple languages at http://health.ri.gov/covid

Coronavirus Preparedness and Coordination On-Going in Rhode Island

2020-02-20

As efforts are on-going at the federal level to respond to the international coronavirus situation, the Rhode Island Department of Health (RIDOH) is continuing to take extensive preparedness measures locally. These include coordinating closely with other State agencies, community organizations, healthcare providers, healthcare facilities, schools, and colleges and universities, among numerous other partners as a part of readiness planning and to provide education, guidance, and support.

Since late December there have been more than 75,000 cases of Coronavirus Disease 2019 (or COVID-19) diagnosed and more than 2,000 fatalities. The vast majority of these cases and fatalities have been in China. There have been 15 confirmed cases in the United States. There have not been any confirmed cases in Rhode Island.

"We are not seeing widespread community transmission of the virus in the United States. The risk level for Rhode Islanders right now remains low," said Director of Health Nicole Alexander-Scott, MD, MPH. "However, this is an evolving situation. For that reason, we have been taking extensive, comprehensive preparedness steps for several weeks and will continue to do so for the foreseeable future."

Given the global dynamics of the Coronavirus Disease 2019 outbreak, it is possible that Rhode Island could have a case in the near future. This is why RIDOH is coordinating a process, in accordance with federal guidance, to ensure that anyone who has been in China in the previous 14 days is doing self-monitoring for symptoms for 14 days and is limiting their movement locally. (People in this situation are being instructed to not attend work or school, and to avoid public places and gatherings for 14 days.) Once 14 symptom-free days pass since someone's last potential exposure to Coronavirus Disease 2019, there is no longer a health concern about that person getting sick or spreading the illness.

RIDOH is partnering with federal officials to implement this monitoring program, which started on February 3, 2020. The U.S. Department of Homeland Security is routing all flights carrying people who have traveled to China within the last 14 days through one of 11 U.S. airports designated to receive and screen travelers. People returning from Hubei Province, which is the center of the outbreak in China, are not continuing their travel; they are being quarantined domestically near the international airport where they landed. People coming from other areas of China are being screened for symptoms at their U.S. arrival airport. People who are symptomatic are being isolated near their arrival airport. People who are not coming from Hubei Province and who are not symptomatic are continuing to their final destinations.

For those whose destination is Rhode Island, RIDOH is notified of their arrival and is coordinating with these travelers so that they understand the self-monitoring guidance and guidance on how to seek medical care if it is needed.

"People are not traveling to Rhode Island from China if they are coming from the area where the outbreak is centered, and they are not coming to Rhode Island from China if they have symptoms of Coronavirus Disease 2019," said Dr. Alexander-Scott. "Many of the travelers from China are not of Chinese origin. They are international business people. It is important that we all remember that someone's race or ethnicity is not a risk factor for Coronavirus Disease 2019."

RIDOH is coordinating with other State agencies and community organizations to ensure that people who are remaining at home after traveling from China have the support services they need. This includes support with everyday needs, such as prescriptions and groceries. The organizations that have provided support include agencies throughout the Executive Office of Health and Human Services (EOHHS), the Rhode Island Food Bank, the American Red Cross, and other members of Rhode Island's Volunteer Organizations Active in Disasters (VOAD).

In addition to coordinating the process for returning travelers, RIDOH has taken a number of other preparedness steps. They include:

- Establishing an Incident Command System response, which is how RIDOH and other state agencies organize to prepare for (or respond to) an urgent situation that requires extensive coordination. It includes staff from the Rhode Island Emergency Management Agency (RIEMA), the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), the Rhode Island Department of Human Services (DHS), and the Rhode Island Department of Environmental Management (DEM). It also includes staff from RIDOH's State Health Laboratories, Center for Acute Infectious Disease Epidemiology, Center for Emergency Preparedness and Response, and Center for Public Health Communication, among other areas of RIDOH.

- Regularly communicating with RIDOH's Infectious Disease and Epidemiology Advisory Committee (IDEAC) to track any clinical and epidemiological developments related to Coronavirus Disease 2019. (IDEAC is a group of infectious disease physicians throughout Rhode Island that provides guidance to RIDOH leadership on emerging infectious disease matters.)

- Maintaining a robust system to receive and follow up on illness reports from Rhode Island healthcare providers.

- Regularly sending to local healthcare providers summaries of the national situation, criteria to

guide evaluation of patients, and guidance on specimen collection, testing, and reporting.

- Coordinating closely with healthcare facilities and emergency medical services (EMS) providers to ensure their preparedness.

- Communicating regularly to community partners, such as schools, faith leaders, and municipal officials.

Because human coronaviruses most commonly spread through respiratory droplets, Rhode Islanders are reminded to take the same measures that healthcare providers recommend annually to prevent the spread of the flu and other viruses.

- Get your flu shot and encourage the people around you to do the same.

- Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

- Cough or sneeze into your elbow. Flu is spread through coughing or sneezing on other people or into your hands. Cover your coughs and sneezes to prevent others from getting sick.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

- Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

- Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

The CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory illnesses, including Coronavirus Disease 2019. You should only wear a mask if a healthcare professional recommends it.

More information about Coronavirus Disease 2019 is available in multiple languages at http://health.ri.gov/covid

Blendtopia Products Recalled

2020-02-12

The Rhode Island Department of Health (RIDOH) is advising consumers that Blendtopia Products is recalling 29,078 cases of 7-ounce frozen Blendtopia brand Superfood Smoothie Kits because of potential contamination with Listeria monocytogenes.

Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria monocytogenes infection can cause miscarriages and stillbirths among pregnant women.

The smoothie blends affected include: Blendtopia brand "Glow", "Detox", "Energy", "Immunity" and "Strength" Superfood Smoothie Kits. The impacted product is labeled as "Best By July 2021, Best By Oct 2021, and Best By Nov 2021". The products were distributed nationwide, including in Rhode Island, and are sold at select retailers and through online sales.

The company discovered the issue through its quality control processes. There have been no reports of sickness or illness to date associated with this recall.

Consumers who have affected products should not consume them and discard them immediately or return them to the place of purchase. Consumers with questions should contact the company at: 1-844-260-8181 Monday – Friday 9am – 5pm MT or email at support@blendtopia.com

Nuts n' More LLC. Recalls Plain Peanut Butter Spread Because of Possible Health Risk

2020-02-07

The Rhode Island Department of Health (RIDOH) is advising consumers that Nuts n' More LLC. of East Providence is recalling 4143 jars of plain Peanut Spread because it has the potential to be contaminated with Listeria species. (An image of one product label is attached and a description of the jar is below.)

Plain Peanut Spread was distributed to locations in VA, AZ, MA, RI, ME, AL, IN, and FL, as well as in Canada and the UK.

This recall is a result of potential Listeria species in a finished product found through routine testing. The company has ceased the production and distribution of this product as the State of Rhode Island and the company continue their investigation. Testing of the product was performed by a 3rd Party Laboratory. This recall is being conducted with the knowledge of the US Food and Drug Administration.

Listeria monocytogenes is an organism, which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy individuals may suffer only short-term symptoms such as high fever, severe headaches, stiffness, nausea, abdominal pain and diarrhea. Listeria infection can cause miscarriages and stillbirths among pregnant women.

No complaints of illness have been reported to date.

Consumers who have purchased Nuts 'N More Plain Peanut Spread Lot PB91 are urged to return it to the place of purchase for a full refund. Consumers with questions may contact the company at questionsl@nuts-n-more.com.

Jar Description:

Nuts 'N More – Plain Peanut Spread

LOT PB91 (Lot and Exp. Located on the lid)

EXP 03/04/2021

16 oz plastic jar

RIDOH Monitoring Novel Coronavirus Situation, Taking Preparedness Measures

2020-01-28

As federal health officials continue to monitor the outbreak of respiratory illness caused by a new form of coronavirus first detected in Wuhan, China, the Rhode Island Department of Health (RIDOH) is continuing to coordinate closely with healthcare providers throughout Rhode Island.

This coordination has included maintaining a robust system to receive and follow-up on illness reports from Rhode Island healthcare providers. RIDOH has also regularly sent to local healthcare providers summaries of the national situation, criteria to guide evaluation of patients, and guidance on specimen collection, testing, and reporting. Finally, RIDOH has established a Novel Coronavirus Task Force to coordinate the preparedness steps being taken throughout the Department. It includes leadership from the State Health Laboratories, the Center for Acute Infectious Disease Epidemiology, and the Center for Emergency Preparedness and Response, among other areas of RIDOH.

Healthcare providers have been instructed to evaluate patients for possible novel coronavirus infection if they have a fever and symptoms of lower respiratory illness (such as cough or difficulty breathing), and if they have traveled to Hubei Province, China (which includes Wuhan) in the two weeks before symptom onset (or if they had close contact with a person who is being evaluated for coronavirus).

"The CDC believes the risk right now for people in the United States to be low. It is also important for people to remember that someone's risk is closely tied to their recent travel history, and the travel histories of their immediate contacts. Someone's nationality alone is not a risk factor for coronavirus," said Director of Health Nicole Alexander-Scott, MD, MPH. "RIDOH is taking these steps with healthcare providers throughout the state to ensure that we are ready to respond to this evolving situation. Preparedness and collaboration are core functions of public health."

Given the similarities between coronavirus symptoms and flu symptoms, and given that a lot of flu is currently circulating in Rhode Island, RIDOH has followed-up on individual illness reports. However, there have not been any confirmed cases of this new form of coronavirus in Rhode Island.

This new coronavirus strain that public health officials are currently responding to has only occurred in people since December 2019. To date, there have been five cases diagnosed in the United States and several thousand cases diagnosed internationally (the majority of them in China). Experts are still learning about the range of illness from this form of coronavirus. Reported cases have ranged from mild illness (similar to a common cold) to severe pneumonia that requires hospitalization. So far, deaths have been reported mainly in older adults who had other health conditions.

Chinese officials report that person-to-person spread of coronavirus is occurring in China. Person-to-person spread in the United States has not yet been detected. Officials are still learning more about how the novel coronavirus is spreading in China. However, because human coronaviruses most commonly spread through respiratory droplets, Rhode Islanders are reminded to take the same measures that healthcare providers recommend annually to prevent the spread of the flu and other viruses:

- Get your flu shot and encourage the people around you to do the same.

- Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

- Cough or sneeze into your elbow. Flu is spread through coughing or sneezing on other people or into your hands. Cover your coughs and sneezes to prevent others from getting sick.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

- Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

- Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

The CDC has taken a number of steps in response to coronavirus. This has included developing a diagnostic test to detect this virus in clinical specimens and conducting entry screening of passengers on direct and connecting flights from Wuhan, China to five major airports in the United States: Atlanta (ATL), Chicago (ORD), Los Angeles (LAX), New York City (JFK), and San Francisco (SFO). Enhanced screening measures are also in place at 20 other airports. Finally, the CDC is now recommending that travelers avoid all nonessential travel to China.

Coronaviruses are common in many different species of animals, including camels and bats. Rarely, these coronaviruses can evolve and infect humans and then spread between humans. Recent examples of this include Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). Updated information about novel coronavirus is available online at http://health.ri.gov/ncov.

Bat from Portsmouth Tests Positive for Rabies

2020-01-16

The Rhode Island Department of Health (RIDOH) is alerting the public that a brown bat found in the Common Fence Point section of Portsmouth earlier this week has tested positive for rabies. Because rabies is a fatal disease, anyone who may have had contact with this animal is urged to contact RIDOH as soon as possible.

The bat was discovered by an onlooker on January 11th between 8:30 a.m. and 9 a.m. at the intersection of Massachusetts Boulevard and Anthony Road in Portsmouth. The bat, which was acting sickly, was surrounded by a crowd of observers. On January 14th the bat was submitted by a Wildlife Rehabilitation Specialist to RIDOH's State Health Laboratories for rabies testing. (Wildlife Rehabilitation Specialists are permitted by the Rhode Island Department of Environmental Management (DEM).) The positive rabies test was confirmed on January 15th.

Anyone who may have had direct contact with the bat should immediately call RIDOH's Center for Acute Infectious Disease Epidemiology at 401-222-2577 (Monday-Friday 8:30 a.m.-4:30 p.m.) or 401-276-8046 after hours for treatment guidance. RIDOH should also be contacted if a pet may have come into contact with this bat.

The rabies virus infects the central nervous system. If a person does not receive the appropriate medical care after a potential rabies exposure, the virus can cause disease in the brain, ultimately resulting in death. Rabies treatment must be started as soon as possible after exposure.

All dogs, cats and ferrets are required by state law to have current vaccination against rabies. Vaccination of pets prevents them from contracting rabies and prevents people from becoming exposed to rabies through their pets.

RIDOH and DEM make the following recommendations to prevent rabies:

- Make sure all dogs, cats, and ferrets are up to date on rabies vaccination.

- Avoid all contact with and do not feed stray or free-roaming domestic animals.

- Avoid all contact with and do not feed wild animals.

- Do not feed your animals outdoors, as this will attract other animals. This is especially dangerous when feeding large numbers of free-roaming cats.

- Protect your pets by always maintaining control; walk dogs on a leash or let them play in a fenced yard, and do not let pets wander unsupervised.

- Report all animal bites to your city/town's animal control officer.

- Securely cover all garbage cans so wild animals cannot scavenge for food.

For more information, visit https://www.health.ri.gov/diseases/rabies

Public Comment about Drinking Water Infrastructure Projects

2020-01-10

Going forward, the Rhode Island Department of Health (RIDOH) will post all public notices related to Rhode Island's State Revolving Loan Fund online at https://www.health.ri.gov

The State Revolving Loan Fund is a program that RIDOH administers to assist public water systems in ensuring safe drinking water. It provides a financing mechanism for infrastructure projects. The money in the fund is federal capitalization grant money.

Notices will remain online for 30 days, during which time interested parties can provide public comment by contacting Carlene Newman at Carlene.Newman@health.ri.gov, Rhode Island Department of Health, 3 Capitol Hill, Room 209; Providence, RI 02908-5097.

The public was previously notified in print about opportunities to provide comment.

RIDOH to Hold Public Hearing on Flavored E-Cigarette Regulations

2020-01-03

The Rhode Island Department of Health (RIDOH) will hold a public hearing on January 7th to gather comment on proposed regulations on the sale of flavored electronic nicotine-delivery system (ENDS) products (sometimes called e-cigarettes) in Rhode Island.

As a part of efforts to protect young people from the health consequences of ENDS use, RIDOH promulgated emergency health regulations in October banning the sale of flavored ENDS products. Emergency health regulations remain in effect for 120 days, and can be renewed for another 60 days, before they lapse. The proposed regulations on which RIDOH will be gathering comment next week would establish this ban in Rhode Island's standard, standing regulations. Specifically, it would prohibit the distribution or sale (or the possession with intent to distribute or sell) flavored ENDS products to consumers in Rhode Island.

The public hearing will take place on January 7th at 4 p.m. at RIDOH in the auditorium on the lower level. RIDOH's address is 3 Capitol Hill, Providence, RI 02908.

People can submit written or oral comments at the hearing on January 7th. Additionally, written comment can be submitted until January 26, 2020 to: Paula Pullano; Rhode Island Department of Health; 3 Capitol Hill, Room 410; Providence, RI 02908-5097; Paula.Pullano@health.ri.gov.

2019 News

Widespread Flu Activity Prompts Healthcare Worker Masking Requirement

2019-12-26

The Rhode Island Department of Health (RIDOH) is announcing that the flu is now "widespread" in Rhode Island, triggering the requirement for unvaccinated healthcare workers in hospitals and many other healthcare facilities to wear masks during direct patient contact.

"The masking requirement helps protect healthcare workers from catching the flu, and helps protect patients who are often dealing with other serious health issues," said Director of Health Nicole Alexander-Scott, MD, MPH. "For people who have not been vaccinated yet, it is not too late. Flu vaccination is the single best way to keep yourself and the people you love safe from the flu. Getting vaccinated today will still provide you with months of protection."

Unvaccinated healthcare workers must wear masks when involved in direct patient contact at the types of facilities listed below. Examples of direct patient contact are entering a patient's room, serving food to patients, or participating in group patient activities. The requirement also applies to all licensed Emergency Medical Services (EMS) practitioners who have not been vaccinated against the flu.

Widespread is the highest tier in the five-tier system used to measure flu activity. Massachusetts, Connecticut, and many other states throughout the country are also currently experiencing widespread flu.

The healthcare facilities and organizations to which the masking regulation applies are:

• Adult day care programs

• Assisted living facilities

• CVS Minute Clinics

• Free-standing ambulatory care surgical centers

• Free-standing emergency care facilities

• Home care providers

• Home nursing care providers

• Hospice providers

• Hospitals

• Kidney treatment centers

• Nursing facilities

• Organized ambulatory care facilities

• Physician ambulatory surgery centers

RIDOH is also reminding Rhode Islanders about seeking medical care in the most appropriate setting. Many types of illnesses and injuries do not require an emergency department visit, including flu when the symptoms are not so severe. Going to an emergency department for a case of the flu with symptoms that are not severe will likely result in a long wait because emergency departments prioritize more serious injuries and illnesses. Cases of the flu with symptoms that are not severe are often more quickly treated by a primary care provider or in an urgent care facility. RIDOH has information and lists online for urgent care facilities, as well as for community health centers and other express care facilities in the state.

Some cases of the flu, however, should be treated in an emergency department. Warning signs that indicate that someone with the flu does need to go to the emergency department include difficulty breathing or shortness of breath; pain or pressure in the chest; and having flu-like symptoms that improve but then return with fever and worse cough. If someone is not sure if they need to go to the emergency department, they should contact their primary care provider. A primary care provider will be able to provide guidance about the next best step. (Most offices have physicians on-call after hours.)

Everyone older than 6 months of age should be vaccinated against the flu every year. In addition to healthcare workers, vaccination is particularly important for pregnant women, younger children, people over the age of 50, nursing home or group home residents, and people with chronic conditions (such as heart, lung, or kidney disease, diabetes, asthma, anemia, blood disorders, or weakened immune systems). Flu shots are available at doctors' offices and pharmacies throughout Rhode Island.

For general health questions, contact the Health Information Line: 401-222-5960 / RI Relay 711 or visit http://www.health.ri.gov

Trader Joe's Egg Salad and Potato Salad Recalled

2019-12-24

The Rhode Island Department of Health (RIDOH) is advising consumers that Bakkavor Foods USA is recalling Trader Joe's Egg Salad and Trader Joe's Old Fashioned Potato Salad with "USE BY" date codes up through and including 12/27/19 because these products have the potential to be contaminated with Listeria monocytogenes.

Listeria monocytogenes is an organism, which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy individuals may suffer only short-term symptoms such as high fever, severe headaches, stiffness, nausea, abdominal pain and diarrhea. Listeria infection can cause miscarriages and stillbirths among pregnant women.

This recall is taking place due notification by Almark Foods of Gainesville, GA that they supplied certain lots of Broken Egg Whites products in 20-pound pails which may be contaminated with Listeria monocytogenes and its association with a Listeria monocytogenes foodborne illness investigation.

Products were distributed to Trader Joe's retail stores in Rhode Island, Connecticut, Massachusetts, and many other states. The products come in plastic cups and trays with SKU numbers printed on the labels and "USE BY" date codes applied to top or bottom of the containers. Consumers should discard the product immediately or return it to their point of purchase for a full refund. Customers with questions may contact Bakkavor Foods at (855) 312-7504, Monday through Friday 8:00P.M. - 5:00P.M. PST.

Almark Foods Recalling Hard-Boiled Egg Products

2019-12-24

The Rhode Island Department of Health (RIDOH) is advising consumers that Almark Foods is recalling all hard-boiled eggs manufactured at the company's Gainesville, Georgia facility, including all retail, pillow pack, pouch pack, frozen diced, and protein kit products, due to potential contamination with Listeria monocytogenes.

Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, headache, stiffness, nausea, abdominal pain and diarrhea, a Listeria monocytogenes infection can cause miscarriages and stillbirths among pregnant women.

On December 18, 2019 the U.S. Food and Drug Administration notified Almark Foods that the company's Hard-Boiled and Peeled eggs in pails manufactured at the Gainesville facility may be associated with a Listeria monocytogenes outbreak that has been linked to several reported illnesses and one reported death. A more recent FDA sample from the facility also matched the outbreak strain, suggesting the possibility that the strain may have remained present in the facility.

Almark is recalling all product packaged for the retail market manufactured at its Gainesville plant that remains within shelf life. This includes product with "Best If Used By" dates up through March 2, 2020. Almark has also temporarily suspended all production at its Gainesville plant. A full product list if available online. (See link below.)

The affected product can be identified by viewing the printed "Best If Used By" date coding on the product package. If the "Best If Used By" code starts with the prefix "G", the product was manufactured at the company's Gainesville, Georgia facility and is subject to this recall. Products with the prefix "N" or "Y" are not subject to this recall. For Protein Kit products, consumers are advised to check the code on the actual egg package within the kit.

RIDOH and DEM Lifting Blue-Green Algae Advisories

2019-12-24

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are lifting the recreational advisories that have been in place for a number of water bodies throughout Rhode Island because of blue-green algae (also known as cyanobacteria).

The advisories are being lifted for Paradise Pond in Middletown, Sisson Pond in Portsmouth, Slack Reservoir in Smithfield-Johnston, Pond Carbuncle Pond in Coventry, Almy Pond in Newport, Elm Lake in Providence, JL Curran Resevoir in Cranston, Mashapaug in Providence, Pleasure in Providence, Roosevelt in Providence, and Melville in Portsmouth. An advisory is still in place for Watson Reservoir in Little Compton, where there are still visual signs of a cyanobacteria bloom.

These improvements were expected due to seasonal cooling and declining daylight, and they signal a great reduction in risk. However, there is no guarantee that toxins are absent, or that a warm spell might not trigger a bloom during the winter or spring. Seasonal monitoring for cyanobacteria in 2019 is finished, but the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

Contact with water containing blue-green algae toxins can cause irritation of the skin, nose, eyes, and/or throat. Ingestion of water containing blue-green algal toxins can cause stomach ache, diarrhea, vomiting, and nausea. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water.

People who experience the symptoms associated with blue-green algae exposure and who have been swimming or fishing in water or drinking untreated water from a waterbody with a confirmed or suspected cyanobacteria bloom, should contact their healthcare providers. People who come into contact with potentially affected waters should rinse their skin and wash their clothes with clean water as soon as possible. People observing pets exhibiting adverse health symptoms after contact with potentially affected waters should contact their veterinarians. Pets who encounter potentially affected waters should not be allowed to lick water off their fur and should be rinsed with clean water as soon as possible.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

Rhode Islanders Cautioned Against Using Certain Decorative Products on Foods

2019-12-19

The Rhode Island Department of Health (RIDOH) is advising home and commercial bakers to avoid using luster dust products to decorate cakes and other food items unless the products are specifically manufactured to be edible. A "non-toxic" label does not indicate that a product is edible.

The shiny decorations on top of cakes, cupcakes, and candies are commonly made using a decorating powder called luster dust. Luster dust is a term to describe a wide range of decorative powders which can be glittery, a shimmery color, or a metallic shade such as gold and bronze. Other names to describe these products include twinkle dust, sparkle dust, highlighter, shimmer powder, pearl dust, and petal dust.

Nationally, bakeries and home bakers have used these non-edible products on baked goods, thinking that a "non-toxic" label indicates that they are safe to eat. Some non-edible luster dust products labeled as "non-toxic" have been found to contain high levels of lead, copper, and other heavy metals. In 2018, an investigation due to illnesses in Rhode Island found that a "non-toxic" luster dust applied to a cake was made almost entirely of copper powder. Consuming luster dusts may lead to illness which varies based on the heavy metal and may include vomiting, diarrhea, liver damage, kidney damage, neurological complications, and developmental delays.

Many luster dusts are sold online and in craft and bakery supply stores. A variety of online instructional videos, blogs, and articles also promote the use of these glitters and dusts to decorate foods such as cakes, cupcakes, and cake pops.

If you are buying a baked good, talk to your bakery about the types of decorative products that they use. When in doubt, ask to see the labels of the decorative products to ensure they are edible.

Some glitters and dusts are edible and are produced specifically for use on foods. Most edible glitters and dusts state "edible" on the label. Additionally, companies that make edible glitters and dusts are required by law to include a list of ingredients on the label.

For more information on determining if a luster dust is edible is available online. (see link below)

RIDOH Urges Flu Shots for People Not Yet Vaccinated

2019-12-12

With states in New England and across the country seeing elevated levels of flu activity over the last several weeks, the Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders who have not yet been vaccinated that flu shots are your best protection against the flu.

Massachusetts, Connecticut, and more than a dozen other states are now reporting widespread flu, which is the highest tier in the five-tier system used to measure flu activity. The flu in Rhode Island is currently regional (the tier just short of widespread). To date, there has been one flu-related death and 24 flu-related hospitalizations in Rhode Island this flu season. During the 2018-2019 flu season, there were 39 deaths and 1,032 hospitalizations associated with the flu.

"After getting a flu shot, it usually takes someone roughly two weeks to start developing the antibodies that provide protection against the flu. For people who have not been vaccinated and who plan to get together with family and friends for the holidays, now is the perfect time to get vaccinated," said Director of Health Nicole Alexander-Scott, MD, MPH. "A flu shot can help you avoid serious illness, doctor visits, missed work, or missed school, and it can also help you keep the people you love healthy and safe by reducing the spread of the flu."

Everyone older than six months of age should be vaccinated every year. Vaccination is particularly important for certain people, including the elderly, young children, pregnant women, healthcare workers, and people with chronic medical conditions (such as asthma or diabetes). Even if someone is vaccinated and still gets sick, a flu shot can reduce the severity of that person's illness.

RIDOH is also reminding Rhode Islanders about seeking medical care in the most appropriate setting. Many types of illnesses and injuries do not require an emergency department visit, including flu when the symptoms are not so severe. Going to an emergency department for a case of the flu with symptoms that are not severe will likely result in a long wait because emergency departments prioritize more serious injuries and illnesses. Cases of the flu with symptoms that are not severe are often more quickly treated by a primary care provider or in an urgent care facility. RIDOH has information and lists online for urgent care facilities, as well as for community health centers and other express care facilities in the state. (Link below)

Some cases of the flu, however, should be treated in an emergency department. Warning signs that indicate that someone with the flu does need to go to the emergency department include difficulty breathing or shortness of breath; pain or pressure in the chest; and having flu-like symptoms that improve but then return with fever and worse cough. If someone is not sure if they need to go to the emergency department, they should contact their primary care provider. A primary care provider will be able to provide guidance about the next best step. (Most offices have physicians on-call after hours.)

Another common illness this time of year is norovirus, sometimes called the "stomach bug." Norovirus is a highly contagious virus that can cause people to have extreme stomach pain, nausea, vomiting, or diarrhea for 24 to 48 hours. It spreads when people get tiny particles of feces or vomit from an infected person in their mouth. This can happen by eating food or drinking liquids that are contaminated with norovirus; touching surfaces or objects that are contaminated with norovirus; or if an infected person vomits in a public space.

Steps that people should take to keep themselves and communities healthy and safe from the flu, norovirus, and other viruses include:

- Get vaccinated against the flu. By being vaccinated now, you can still get several months of protection.

- Cover your nose and mouth with a tissue when you cough or sneeze, or cough into your elbow. After using a tissue, throw it in the trash and wash your hands.

- Avoid touching your eyes, nose, and mouth. Germs spread this way.

- Wash your hands carefully with soap and water regularly, especially right after using the toilet or changing diapers, taking or giving someone else medicine, and before eating or preparing food.

- Clean and disinfect surfaces and objects that may be contaminated with germs frequently.

- Stay out of work or school if you are sick. If you become sick with a flu-like illness, you should not go back to work or school until you have not had a fever for 24 hours without the use of a fever-reducing medicine.

- If you experience vomiting or diarrhea, stay home until after those symptoms clear completely. Sick workers in restaurants and other food service occupations, schools, child care centers, healthcare facilities, must not return to work for 48 hours after symptoms abate.

White Castle Recalling Certain Frozen Burgers

2019-12-10

The Rhode Island Department of Health (RIDOH) is advising consumers that White Castle is recalling certain frozen six-packs of cheeseburgers, hamburgers, jalapeno cheeseburgers, and certain 16-packs of hamburgers and cheeseburgers because of possible Listeria monocytogenes contamination.

Listeria monocytogenesis an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people may suffer short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea. Listeria infection can cause miscarriages and stillbirths in pregnant women.

The recall impacts products on shelves at select retailers with best by dates ranging from 04 Aug 2020 to 17 Aug 2020. Any product with these dates is being removed from shelves. Any product with a best by date before or after these dates is not included in the recall. Lot codes and other information about the recalled products is available online. (See link below)

To date, no illnesses have been associated with these products.

Customers who may have purchased any of the products are urged to dispose of them or return them to the store where they were purchased for an exchange or full refund. Customers with questions can call White Castle at 1-800-843-2728.

Wild Harvest Flour Being Recalled

2019-12-03

The Rhode Island Department of Health (RIDOH) is advising consumers that UNFI is recalling certain five-pound bags of its Wild Harvest Organic All-Purpose Flour because of the potential presence of E. coli.

The product is unbleached flour with a Code of AA BEST IF USED BY 010820 CC 15:58 and UPC Code 711535509158.

E. coli can cause serious and sometimes life-threatening infections in infants, older people, pregnant women, and people with weakened immune systems. The most common symptoms of E. coli are diarrhea, abdominal cramps, nausea and vomiting, which develop within three or four days of eating contaminated food. The illness usually lasts about a week and most people recover without treatment.

To date, no illness reports have been associated with this recall.

Consumers should check their pantries and dispose of this product, if they have it. Consumers with questions should contact UNFI at 855-423-2630.

Fuji Food Products Recalled

2019-12-03

The Rhode Island Department of Health (RIDOH) is advising consumers that Fuji Food Products, Inc. is recalling ready to eat sushi, salads, and spring rolls because of potential contamination with Listeria monocytogenes.

The products were distrusted in several states, including Rhode Island and Massachusetts. They were sold under the brand names Trader Joe's and Okami. To date, no illnesses have been associated with these products.

Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The problem was discovered in their Brockton Massachusetts facility by a routine inspection conducted by the U.S. Food and Drug Administration (FDA). The company has ceased production and distribution of their products in this facility as FDA and the company continue their investigation.

The products are packed in plastic trays with clear lids and the sell-by dates are on the labels. Consumers who have purchased any of these products should dispose of them.

A complete product list is available online (see link below). Consumers with questions should call 1-888-667-1504.

RIDOH Embraces "Undetectable = Untransmittable" HIV Prevention Model

2019-12-02

The Rhode Island Department of Health (RIDOH) announced today that it is joining other state health departments and organizations worldwide in supporting the international HIV prevention campaign Undetectable = Untransmittable, also known as U=U.

U=U describes the scientific consensus that people living with HIV who take antiretroviral therapy daily and have undetectable levels of HIV in their blood have effectively no risk of transmitting HIV to their sex partners. Routine HIV testing and timely treatment for those who are HIV positive is central to Rhode Island's work to preventing further HIV transmission and ending the HIV epidemic. This concept is known as "treatment as prevention."

"Everyone deserves an equal opportunity to be healthy, regardless of who they are, who they love, or where they live. Unfortunately, for too long factors like stigma and discrimination have been barriers to health for too many people," said Director of Health Nicole Alexander-Scott, MD, MPH. "This campaign is about replacing stigma with science. By taking their medication daily, a person living with HIV can have a long, healthy life without any fear of transmitting HIV to their partner."

"Twenty years ago, we learned treatment would save lives. Today we know that it also prevents transmission to others," said Rhode Island native Bruce Richman, Executive Director of Undetectable = Untransmittable. "This is a gamechanger that underscores the need for everyone to have access to treatment to stay healthy and stop new transmissions."

RIDOH's endorsement of the U=U campaign was announced this morning by RIDOH Consultant Medical Director Philip A. Chan, MD at a World AIDS Day event in Pawtucket, sponsored by the Rhode Island HIV/STI Prevention Coalition. The Rhode Island HIV/STI Prevention Coalition is an umbrella organization of community groups, service providers, and state agencies that are working together to prevent HIV and sexually transmitted infections (STIs) through education, advocacy, partnerships, and public awareness.

Rhode Island measures its HIV progress using the benchmarks of the International 90 90 90 Campaign, which Providence and Rhode Island joined in 2015. This is a campaign to ensure that, by 2020, 90% of people living with HIV know their status; to ensure that 90% of people living with HIV are engaged in care; and to ensure that 90% of people living with HIV have viral suppression. As of 2018, Rhode Island has met the first target (92.3% of people living with HIV know their status). However, the targets for having people engaged in care and achieving viral suppression in Rhode Island have not yet been met.

In the last 10 years, there has been an overall reduction in the number of newly diagnosed cases of HIV in Rhode Island. There were 73 new cases diagnosed in 2018, compared to 117 in 2009. In addition to stigma and discrimination, other community level factors that impact HIV rates and health outcomes for people living with HIV including housing, employment, and community level support.

Rhode Island's work on the community level factors that affect health is bolstered by the Ryan White HIV/AIDS Program at the Executive Office of Health and Human Services (EOHHS). The Ryan White HIV/AIDS Program provides access to HIV/AIDS medications, outpatient healthcare services, oral healthcare, health insurance premium and cost-sharing assistance, housing services, medical nutrition therapy, food bank/home delivered meals, mental health counseling, case management, transportation to medical appointments, and emergency financial assistance. RIDOH and EOHHS partner closely in overseeing HIV work at the state level in Rhode Island.

The theme of the 2019 World AIDS Day is Communities Make the Difference. This theme has prompted organizations across the globe to highlight the efforts of communities in responding to the AIDS epidemic in terms of leadership and advocacy. More information about the Rhode Island HIV/STI Prevention Coalition and the organizations that participated in Rhode Island's World AIDS Day event is available online.

Additional resources:

- Rhode Islanders can learn more about HIV prevention, testing, and treatment options and find health services by visiting health.ri.gov/hiv.

- RIDOH's RIghtTime sexual health app (righttimeapp.com) offers people information, resources, and videos on sexual health topics like healthy relationships; prevention, testing, and treatment of HIV/STDs; sexual health and family planning services and locations; where to find free condoms; information on birth control options; PrEP (pre exposure prophylaxis) and PEP (post exposure prophylaxis), which are medications to prevent HIV, and much more.

- Information about how to access free condoms in Rhode Island can also be found at health.ri.gov/findcondoms. It is very important for sexually active people to use condoms. Condoms are the best way to prevent other sexually transmitted diseases, which continue to surge in Rhode Island and nationwide.

- The Centers for Disease Control and Prevention (CDC) has endorsed the treatment as prevention model. More information from the CDC on this model is available online - https://www.cdc.gov/hiv/risk/art/index.html

Make Health A Part of Your Thanksgiving

2019-11-27

The Rhode Island Department of Health (RIDOH) encourages Rhode Islanders to take steps to make health a part of their holiday this Thanksgiving.

Handling and preparing your food properly can help keep you and your family safe. Be sure to:

- Wash your hands before and after preparing or eating food. This is especially important if you have been handling raw meat.

- Thoroughly wash counters, cutting boards, and utensils with warm, soapy water after they touch raw turkey. Use a separate cutting board for raw turkey and other raw meats if possible. Washing turkey before cooking is not recommended.

- Keep raw meat and their juices away from ready-to-eat food.

- Cook raw turkey thoroughly to kill harmful germs. Turkey breasts, whole turkeys, and ground poultry, including turkey burgers, casseroles, and sausage, should always be cooked to an internal temperature of 165°F to kill harmful germs. Leftovers should be reheated to 165°F. Use a food thermometer to check and place it in the thickest part of the food.

- Cook the stuffing separately from the turkey to ensure it reaches the proper temperature.

- After eating, debone the turkey as soon as possible and divide it into smaller portions to cool quickly under refrigeration.

Try to eat as healthy as possible. To avoid extra calories:

- Eat smaller portions.

- Drink water instead of sugary drinks.

- Don't fill up on snacks.

- Consume alcohol in moderation, if you are going to be drinking.

- Make sure that you have a designated driver, if you are going to be drinking and traveling.

The holidays can sometimes be stressful. To help avoid becoming too stressed, be sure to:

- Give yourself a break if you feel stressed out.

- Ease your obligations, especially if you are piling activities and tasks onto an already full plate. Don't worry about disappointing the people in your life if you cannot be at a certain event or prepare a special dish.

- Put down your phones, get away from the television, and do something interactive with family and friends. Good examples are playing a board game, playing cards, or taking a walk.

- Focus conversation on the positive aspects of your life and what makes you thankful.

Consumers Urged to Avoid Romaine Lettuce from Salinas, California

2019-11-22

The Centers for Disease Control and Prevention (CDC) and the U.S Food and Drug Administration (FDA) are advising people to not eat romaine lettuce harvested from the Salinas, California growing region. The CDC and FDA are investigating a multistate outbreak of E. coli O157:H7 infections linked to romaine lettuce harvested from this growing region.

This advisory pertains to all types of romaine lettuce harvested from Salinas, California, including whole heads of romaine, hearts of romaine, and packages of precut lettuce and salad mixes which contain romaine (including baby romaine, spring mix, and Caesar salad). If romaine lettuce has "Salinas" on the label in any form (whether alone or with the name of another location) do not eat it. If you have romaine lettuce at home that is not labeled with a growing region, don't eat it, and throw it away. To date, 40 cases and 28 hospitalizations have been associated with this outbreak. There are no known illnesses in Rhode Island, Massachusetts, or Connecticut associated with this outbreak.

Romaine lettuce that was harvested outside of the Salinas, California growing area does not appear to be related to the current outbreak. Hydroponically and greenhouse-grown romaine also do not appear to be related to the current outbreak. There is no recommendation for consumers or retailers to avoid using romaine harvested from sources outside Salinas, California.

More information is available online from the CDC and the FDA. (See links below.)

What Do Restaurants and Retailers Need To Do?

Retailers, restaurants, and other food service operators should not serve romaine lettuce from the Salinas, California growing area. If the romaine lettuce is not labeled with a harvest growing region and harvest date, do not buy, serve, sell, or eat it. If you are unable to determine the source of your romaine lettuce, the product should be sent back to your supplier or thrown away.

Restaurants and retailers should always practice safe food handling and preparation measures. It is recommended that food handlers wash hands, utensils, and surfaces with hot, soapy water before and after handling food.

- Wash and sanitize display cases and refrigerators regularly.

- Wash and sanitize cutting boards, surfaces, and utensils used to prepare, serve, or store food.

- Wash hands with hot water and soap following the cleaning and sanitation process.

- Regular, frequent cleaning and sanitizing of food contact surfaces and utensils used in food preparation may help to minimize the likelihood of cross-contamination.

Boil Water Notice Removed for Quonochontaug East Beach Water Association Customers

2019-11-22

The Quonochontaug East Beach Water Association in Charlestown was notified by RIDOH on 11/22/19 that the boil water notice issued to its customers can be removed. RIDOH required this boil water notice on or around 11/14/19 because of the presence of E. coli in the water system.

For more information, customers should refer to the notice provided to them by their water supply officials. Additional information can be found on the RIDOH Center for Drinking Water Quality website at http://www.health.ri.gov/water/for/consumersduringemergency/.

Customers with questions should contact Bob Pompei at 401-741-4042.

Boil Water Notice Issued for Lucky House Restaurant

2019-11-22

The Lucky House restaurant in Ashaway (Hopkinton) is required to issue a boil water notice to its customers because E. coli bacteria was found in the water system. For more information, customers should refer to the notice provided to them by their water supply officials.

Additional information can be found on the RIDOH Center for Drinking Water Quality website at http://www.health.ri.gov/water/for/consumersduringemergency/ (see link below).

Lucky House collected a sample in the water system on November 19, 2019 that had E. coli present, which was confirmed by additional samples collected November 21, 2019. A boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact Danny Zeng at 401-595-0036.

RIDOH Taking Action to Address Antibiotic Resistance

2019-11-21

As a part of ongoing efforts to reduce the improper prescribing of antibiotics and prevent the proliferation of antibiotic resistant bacteria, the Rhode Island Department of Health (RIDOH) is planning a new round of healthcare provider education.

This educational campaign is being launched in the wake of a report issued by the Centers for Disease Control and Prevention (CDC) last week that underscores the need for continued improvement in infection prevention and antibiotic prescribing practices nationwide. According to Antibiotic Resistance Threats in the United States, 2019, antibiotic-resistant bacteria and fungi cause more than 2.8 million infections and 35,000 deaths in the United States each year.

Antibiotics save lives, but any time antibiotics are used, they can cause side effects and can lead to antibiotic resistance. Antibiotic resistance is one of the most urgent public health threats we face today. Antibiotic resistance does not mean the body is becoming resistant to antibiotics; it means bacteria develop the ability to defeat the antibiotics designed to kill them. When bacteria become resistant, antibiotics cannot fight them, and the bacteria multiply. Some resistant bacteria can be hard or impossible to treat and can spread to other people.

RIDOH will be sending targeted educational materials to the top 10% of antibiotic prescribers in Rhode Island. RIDOH's Antimicrobial Stewardship and Environmental Cleaning (AMSEC) Task Force is also continuing its partnership with CDC to educate all Rhode Islanders about how to Be Antibiotics Aware and encourage the proper use of antibiotics. Public health officials throughout the country are taking similar measures to educate the public this week, during Antibiotic Awareness Week.

"Improving the way we prescribe and take antibiotics can help keep us healthy now, help fight antibiotic resistance, and ensure that lifesaving antibiotics will be available for the future," said AMSEC Chair Kerry LaPlante, Pharm.D., FCCP, a Professor at the University of Rhode Island's College of Pharmacy. "Patients, healthcare providers, and healthcare facility administrators all have a role to play in making Rhode Island antibiotics aware."

Despite the challenges that persist, the CDC report also indicated progress in fighting antibiotic resistant infections. Since 2013, prevention efforts have reduced deaths from antibiotic-resistant infections by 18 percent overall and by nearly 30 percent in hospitals. The AMSEC Task Force is working with Rhode Island healthcare providers and facilities to improve infection prevention practices.

CDC and RIDOH advise patients and their families to use antibiotics only when necessary. This will further reduce antibiotic resistance and the spread of superbugs, as well as protect patients from side effects. The Be Antibiotics Aware initiative educates the public about when antibiotics are needed, when they are not, how to take antibiotics appropriately, and potential side effects of antibiotics.

"When someone takes the time out of their day to go to the doctor, they want to walk out with a prescription that is going to make them feel better. But antibiotics are not always the answer," said Director of Health Nicole Alexander-Scott, MD, MPH. "In fact, they can sometimes make things even worse. By taking antibiotics when not appropriate, people put themselves at risk for serious side effects while also undermining our ability to use antibiotics as a life-saving tool for future generations."

CDC and RIDOH encourage patients and families to:

- Get the facts about antibiotics. Antibiotics do not work on viruses, such as those that cause colds, flu, bronchitis, or runny noses, even if the mucus is thick, yellow, or green. When antibiotics aren't needed, they won't help you, and the side effects could still hurt you.

- Ask your doctor, nurse, or pharmacist about alternatives to antibiotics.

- While your body fights off a virus, pain relievers, fever reducers, saline nasal spray or drops, warm compresses, liquids, and rest can help you feel better.

- If you need antibiotics, take them exactly as prescribed. Talk with your doctor if you have any questions about your antibiotics.

- Talk with your doctor if you develop any side effects, especially severe diarrhea, since that could be a Clostridioides difficile (C. difficile or C. diff) infection, which needs to be treated.

- Do your best to stay healthy and keep others healthy by washing hands, covering coughs, staying home when sick, and getting recommended vaccines, such as the flu vaccine.

- Do not share prescription medications.

More information and videos can be found at health.ri.gov/antibiotics and cdc.gov/antibiotic-use.

In addition to these educational efforts, RIDOH helped promote Drug Take Back Day on October 26, 2019 as part of the Department's Antimicrobial Resistance Challenge commitment. The event was coordinated by the U.S. Drug Enforcement Administration and the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH). The Drug Take Back Day event resulted in 4,778 pounds of unused or expired medications, including antibiotics and prescription painkillers, being properly disposed of at 55 locations statewide, including pharmacies and police stations. For a list of locations that accept unused and expired prescription medications for safe disposal, visit https://preventoverdoseri.org/get-rid-of-medicines/.

Boil Water Notice Issued for Quonochontaug East Beach Water Association Customers

2019-11-14

The Quonochontaug East Beach Water Association in Charlestown is required to issue a boil water notice to its customers because E. coli bacteria was found in one of the wells that serves the water supply. For more information, customers should refer to the notice provided to them by their water supply officials.

Additional information can be found on the RIDOH Center for Drinking Water Quality website at http://www.health.ri.gov/water/for/consumersduringemergency/.

The Quonochontaug East Beach Water Association collected a sample at each well on November 12, 2019. E. coli bacteria was present in Well #1 and absent in Well #2. An additional sample will be collected in the distribution system today.

The boil water order will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH notifies the water system officials that the boil water notice can be rescinded.

Customers with questions should contact Bob Pompei at 401-741-4042.

RIDOH and DEM Recommend Avoiding Contact with Three Bodies of Water

2019-11-08

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Watson Reservoir in Little Compton, Sisson Pond in Portsmouth, and Paradise (Nelson's) Pond in Middletown because of blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals.

People should avoid recreation and not ingest untreated water or eat fish from these waters. Since pets can be affected by exposure to algal toxins, owners should not allow pets to drink from or swim in these waters. This advisory will remain in effect until further notice.

Contact with untreated water containing blue-green algae can cause irritation of the skin, nose, eyes, and/or throat. If water containing algal toxins is ingested, health effects can include stomach ache, diarrhea, vomiting, and nausea. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. People who have been swimming in or have otherwise been in contact with the affected waters who experience symptoms should contact their healthcare providers.

Anyone who comes into contact with waters with blue-green algae should rinse their skin with clean water as soon as possible, bathe, and wash their clothes. If a pet comes in contact with this water, the pet should be washed with clean water. Do not let the animal lick algae off of its fur. Call a veterinarian if the pet shows any symptoms of blue-green algae poisoning, which include loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a few days of contact with the water.

While Watson Reservoir is a drinking water source maintained by Newport Water, it is not currently being used to deliver drinking water to customers. Newport Water's primary goal is to provide safe drinking water for all of its customers. As the main drinking water supplier for the residents of Newport, Middletown, and Portsmouth, Newport Water serves nearly 70,000 people. Even when a blue-green algae bloom is present, the treated water that Newport Water distributes to homes is safe. Treatment removes harmful bacteria, including cyanobacteria, before the water is delivered to customers. Newport Water follows all state and federal drinking water testing and monitoring requirements to assure that treatment processes are working correctly and the treated water is safe to drink. Drinking untreated water from any surface water at any time is not recommended.

Sources maintained by Newport Water that are treated to become drinking water may come from nine different surface reservoirs or ponds: St. Mary's Pond, Sisson Pond, Lawton Valley Reservoir, South and North Easton Ponds, Gardiner Pond, and Paradise Pond located on Aquidneck Island, Nonquit Pond in Tiverton, and Watson Reservoir in Little Compton. While RIDOH and RIDEM are now issuing a public health advisory for Watson Reservoir and Gardiner Pond, Newport Water's other water supply ponds also routinely experience cyanobacteria blooms. Most blooms occur in the summer and fall, but they can occur at any time of year.

Newport Water needs all residents and visitors on Aquidneck Island and in Tiverton and Little Compton to help protect these valuable drinking water supplies. State law prohibits both people and animals from swimming and bathing in ponds that are drinking water sources. In addition, Newport Water prohibits fishing, swimming, and boating in these reservoirs, as posted.

Cyanobacteria blooms also occur in other waterbodies in the State. The public should avoid contact with any body of water in Rhode Island that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

Smoked Salmon Recalled

2019-11-08

The Rhode Island Department of Health (RIDOH) is advising consumers that Mill Stream Corp. (Sullivan Harbor Farm) of Hancock, Maine is recalling ten lots of Cold Smoked Salmon because it has the potential to be contaminated with Clostridium botulinum, a bacterium which can cause life-threatening illness or death. Consumers are warned not to use the product even if it does not look or smell spoiled.

The smoked salmon products were sold and distributed in several states, including Rhode Island, Massachusetts, and Connecticut. The products sold were through retail, wholesale and online orders.

The recalled product was sold between March 6, 2019 and September 17, 2019 in vacuum sealed packages in the following sizes: whole salmon side, 2 lb., 1 lb., 8 oz., and 4 oz. The affected product is marked with the following lot numbers marked on the back of the packages: 7049, 7050, 7051, 7052, 7054, 7056, 7058, 7060, 7062, 7066.

Botulism, a potentially fatal form of food poisoning, can cause the following symptoms: general weakness, dizziness, double-vision and trouble with speaking or swallowing. Difficulty in breathing, weakness of other muscles, abdominal distension and constipation may also be common symptoms. People experiencing these problems should seek immediate medical attention.

No illnesses have been reported to date.

Consumers with questions should contact the company at 207-266-0621, Monday-Friday, 8am-5pm EST.

New Data Reveal Alarming Rise in Vaping By Rhode Island High School Students

2019-11-07

The percentage of Rhode Island high school students who report frequent use of vaping products almost tripled in the last two years, and one-in-two Rhode Island high school students now report having tried vaping, according to new data released today by the Rhode Island Department of Health (RIDOH).

According to RIDOH's 2019 Youth Risk Behavior Survey (YRBS), 10.2% of high school students now report frequent use of "electronic vapor products." In 2017, 3.7% of high school students reported frequent use. ("Frequent use" is use on 20 or more days in the 30 days before the survey.) The 2019 YRBS indicated that 48.9% of high school students have ever vaped. Additionally, 30.1% of high school students in 2019 reported that they currently vape. In 2017, 20.1% of Rhode Island high school students reported current use. ("Current use" is use at least once in the last 30 days.) The YRBS is conducted every two years by RIDOH.

"These numbers are a wake-up call for all of us," said Governor Gina M. Raimondo. "Electronic cigarettes are dangerous. They're also responsible for getting more teenagers addicted to nicotine every year, primarily because of products that come in candy-like flavors. That's why I took action this September. Nothing is more important than the health and well-being of our kids."

On September 25, Governor Raimondo signed an Executive Order directing RIDOH to issue emergency health regulations banning the sale of flavored Electronic Nicotine Delivery System (ENDS) products. According to the Centers for Disease Control and Prevention (CDC), most youth e-cigarette users report using flavored products, and flavors are the primary reason youth report using e-cigarettes. RIDOH issued emergency health regulations banning the sale of flavored ENDS products on October 4. The ban is still in place. (On November 5, a Superior Court judge ruled against a request for a restraining order to temporarily block the ban.)

Governor Raimondo's Executive Order also called on RIDOH to convene a Vaping Advisory Committee. That group first met on October 30. It includes healthcare providers, public health professionals, students, school officials, people in the business community, and many others. The group's charge is to monitor state and national vaping developments and provide recommendations on next steps related to vaping to promote public health.

RIDOH staff have been in the community conducting compliance checks and educating retailers about the ban. This face-to-face education in the community complements the communication that RIDOH sent directly to retailers and posted online. RIDOH has also developed a guide for businesses on the ban on flavored ENDS products.

"Every young person in Rhode Island deserves the chance to grow up healthy," said Director of Health Nicole Alexander-Scott, MD, MPH. "To make this possible, we have to act on e-cigarettes now. Our history with traditional, lit cigarettes tells us that targeted, aggressive policies aimed at keeping kids safe can have dramatic impacts on rates of youth use. While putting policies in place related to flavored products, we're working hard to let people know that there are safe, effective resources in Rhode Island for quitting. Help is available today at no cost."

The percentage of middle school students who have ever vaped was 16.4 in 2019, compared to 15.7 in 2017. In 2019, 6.5% of middle school students reported current use of electronic vapor products.

Health risks to young people from vaping include nicotine addiction and learning and memory issues. Nicotine is extremely harmful to the developing brain. Other health issues include lung illnesses, heart problems, injuries resulting from battery explosions, and accidental childhood nicotine poisonings. High school students who vaping are four times more likely to smoke lit cigarettes in the future.

Teenagers who are addicted to vaping nicotine can use the Truth Initiative's This Is Quitting text-based app. They should text HOPE4RI to 88709. Separately, the Rhode Island Nicotine Helpline (1-800-QUIT-NOW/1-800-784-8669) is ready to support any Rhode Islanders older than 13 years old who want help quitting smoking or vaping. Nicotine Replacement Therapy is available at no charge to any Rhode Islander 18 and older, regardless of insurance status.

The YRBS is a collaboration between the CDC, RIDOH, the Rhode Island Department of Education (RIDE), and the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH). The survey is implemented through anonymous questionnaires in Rhode Island public schools. These most recent data were collected between January 2019 and May 2019.

Other topics covered by the YRBS include obesity, physical activity and nutrition, mental health, sexual health, unintentional injuries and violence, and alcohol and drug use. RIDOH is still analyzing the data in these areas. These additional data will be released in the coming weeks.

The YRBS is one of three youth school surveys conducted in Rhode Island. RIDE administers SurveyWorks annually, which is a school climate survey of students in grades 3-5 and 6-12, and parents and teachers. BHDDH conducts the RI Student Survey every other year with middle and high school students. These three surveys together help policy makers, school administrators, social service workers, and public health professionals understand trends in the health behaviors of young people across the state and to create health-related policies that will impact those behaviors.

Mann Packing Co. Recalls Vegetable Products

2019-11-04

The Rhode Island Department of Health (RIDOH) is advising consumers that Mann Packing Co. is recalling a series of vegetable products sold to select retailers throughout the United States. The recall is a response to a notification by the U.S. Food and Drug Administration (FDA) of a potential contamination with Listeria monocytogenes.

The recalled products include broccoli florets, vegetable trays, green beans, and cauliflower. A full product list with product details is available online. The recalled products have "Best If Enjoyed By" date of October 11, 2019 to November 16, 2019.

To date, public health officials have not reported any illness associated with these products. Mann Packing is issuing this recall out of an abundance of caution.

Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

Consumers who believe that they are in possession of any of the products affected by this recall should dispose of them.

For any inquiries or comments, consumers should call 1-844-927-0707 or email consumers@mannpacking.com

RIDOH and DEM Recommend Avoiding Contact with Slack Reservoir in Greenville

2019-11-04

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Slack Reservoir in Greenville (which spans Smithfield and Johnston town line) due to a blue-green algae (cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals. Very high levels of microcystins were detected in water samples taken from the Little Beach area near Terrance Drive. Visual monitoring found another likely blue-green algae bloom in the Green Lake area of the reservoir.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People also should not ingest water or eat fish from Slack Reservoir. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

New Statewide Initiative Addresses Maternal Depression and Related Behavioral Health Needs

2019-11-04

To help perinatal care providers meet the behavioral healthcare needs of pregnant and postpartum women in Rhode Island, the Rhode Island Department of Health (RIDOH) and the Center for Women's Behavioral Health (CWBH) at Women & Infants Hospital have partnered to create the Rhode Island Maternal Psychiatry Resource Network (RI MomsPRN).

This new statewide program provides real-time psychiatric teleconsultation services for healthcare providers, who can call 401-430-2800, Monday through Friday, 8 a.m. to 4 p.m. The telephone service is staffed by a team of perinatal behavioral health experts from CWBH, including a resource and referral specialist, perinatal psychiatrist, and perinatal psychologist. They are available to help with diagnosis, treatment planning, and medication management for pregnant and post-partum patients.

"We want to make sure that all babies, moms, and families in every ZIP code in Rhode Island have an equal opportunity to be healthy," said Director of Health Nicole Alexander-Scott, MD, MPH. "The most common medical complication of childbirth is depression. It is crucial that we equip healthcare providers in Rhode Island with the tools and resources they need to support women during this critical phase. Connection is everything."

An estimated 20% of Rhode Island women experience depression before, during, or after pregnancy. Depression symptoms in the perinatal period can range from a sad mood and loss of interest in activities to feelings of worthlessness, problems in concentrating or making decisions, and changes in eating or sleep. There is also growing evidence that perinatal substance use is increasing. Routine screening for maternal depression and related behavioral health needs throughout the perinatal period is a recommended best practice and results in better outcomes for mother and child.

"Perinatal mood and substance use disorders are highly treatable," said Director of CWBH Margaret Howard, PhD. "Rhode Island is fortunate to have a robust community of perinatal mental health experts, unique programming at CWBH, and services at the Day Hospital at Women & Infants. However, there is still a need for more specialized providers. RI MomsPRN is designed to build provider capacity in treating mild to moderate cases of perinatal mood complications and to prioritize specialty resources for high-risk women with more complex conditions."

The RI MomsPRN team can also help identify community-based resources, such as mental health care, recovery services, support groups, and other case-dependent resources for pregnant and postpartum patients. This program is funded by a five-year grant from the US Health Resources and Services Administration and draws on the successful outcomes of Rhode Island's PediPRN Program at the Emma Pendleton Bradley Hospital that helps pediatricians manage children's psychiatric needs.

To learn more about RI MomsPRN phone consultation service for healthcare providers, visit http://www.womenandinfants.org/services/behavioral-health/ri-momsprn.cfm

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $650,000 with 1% financed with non-governmental sources. The contents included in this news release were prepared by RIDOH and the CWBH and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government.

Tips for a Healthy and Safe Halloween

2019-10-30

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are reminding Rhode Islanders about safety precautions they should take tomorrow if they will be celebrating Halloween.

Be Careful when Trick or Treating

- Use sidewalks instead of walking in the street.

- Carry a flashlight to help yourself see and be seen.

- Remind children that they should never enter homes or apartments unless accompanied by an adult.

- Be aware of obstacles on lawns, steps, and porches, especially candle-lit jack-o-lanterns that may brush against a child's costume.

- Consider using face paint instead of a mask. This can help children see better and avoid dangerous objects such as cars and tripping hazards.

Be a Responsible Driver

- Drive slowly in residential neighborhoods.

- Watch for trick-or-treaters at intersections, medians, and on curbs.

- Enter and exit driveways carefully.

Continue to take measures to prevent mosquito bites

This has been a higher-than-average risk year for mosquito-borne diseases, including Eastern Equine Encephalitis (EEE), in southeastern New England. Rhode Island is still considered to be in mosquito season until the first hard frost of the year, which all of Rhode Island has not had yet. (A hard frost is when temperatures are below 32 degrees for three consecutive hours.) For that reason, Rhode Islanders who will be outdoors on Halloween should continue to take mosquito bite prevention measures. Those include:

- Wearing long-sleeved shirts and long pants.

- Using EPA-approved bug spray with at least 20% DEET. (Information on bug repellant with other types of active ingredients that are also effective is available below.) People should not use bug spray with DEET on infants under two months of age. Children should be careful not to rub their eyes after bug spray has been applied on their skin.

- Putting mosquito netting over baby carriages.

Visit http://www.health.ri.gov/mosquito for additional mosquito prevention tips.

Great Value Pork Sausage and Turkey Sausage Patty Products Recalled

2019-10-21

The Rhode Island Department of Health (RIDOH) is advising consumers that approximately 6,500 pounds of Great Value pork sausage patty products and turkey sausage patty products are being recalled because they may be contaminated with Salmonella. Great Value products are sold at Walmart stores.

The ready-to-eat pork and turkey sausage patty items were produced on April 19, April 27, May 7, and May 9, 2019. The following products are subject to recall:

- 24.92-oz. packages containing "Great Value Fully Cooked Original Pork Sausage Patties" with use by date of 10/16/19 and lot code 1091971894.

- 24.92-oz. packages containing "Great Value Fully Cooked Original Breakfast Turkey Patties" with use by date of 10/24/19 and lot code 1171971897.

- 35.6-oz. packages containing "Family Size Great Value Fully Cooked Original Pork Sausage Patties" with use by date of 11/03/19 and lot code 1271972894 or use by date 11/05/19 and lot code 1291972894.

The products subject to recall bear establishment number "EST. M2206T or P-2260T" printed on the package. These items were shipped to retail locations nationwide.

Consumption of ready-to-eat food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours after eating the contaminated product. The illness usually lasts 4 to 7 days. Most people recover without treatment. In some people, however, the diarrhea may be so severe that the patient needs to be hospitalized. Older adults, infants, and people with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their healthcare provider.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

Questions about this recall can be directed to George's Prepared Foods' Customer Care Line at (800) 471-9665.

Boil Water Notice Issued for 1195 Putnam Pike LLC Customers

2019-10-09

The 1195 Putnam Pike LLC in Chepachet has issued a boil water notice to its customers because E. coli bacteria was found in the water supply. The two businesses located in the building served by this water system are Aegean Pizza and The Computer Store, and the two businesses serve approximately 155 people daily.

All water used for consumption is required to be boiled vigorously for at least one minute. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Alternatively, customers can use bottled water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Boiling kills bacteria and other organisms in the water.

1195 Putnam Pike collected a sample on October 7, 2019, that was positive for E. coli bacteria. In addition, two samples collected in the distribution system were positive for total coliform bacteria (an indicator that disease-causing organisms such as E. coli could be present) on October 8, 2019.

The boil water advisory will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH approves the boil advisory to be lifted.

The presence of E. coli bacteria indicates that the water may be contaminated with human or animal waste. Microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. The EPA has set a drinking water standard for E. coli to reduce the risk of these adverse health effects. Under this standard, drinking water must be free of these bacteria for water to be consumed from a system.

A healthcare provider should be contacted if someone is on this water systems and has diarrhea and any of the following symptoms:

• Fever higher than 101.5° F, measured orally

• Blood in the stool

• Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)

• Signs of dehydration, including a decrease in urination, dry mouth and throat, and feeling dizzy when standing up

• Diarrheal illness that lasts more than three days

Customers with questions should contact Saad Souleiman at 401-568-2725 or 401-243-5200.

Emergency Health Regulations Ban the Sale of Flavored E-Cigarettes in Rhode Island

2019-10-04

In response to Governor Gina M. Raimondo's Executive Order last week on the public health epidemic of youth e-cigarette use, the Rhode Island Department of Health (RIDOH) promulgated today, October 4, 2019, emergency health regulations banning the sale of flavored electronic nicotine-delivery system (ENDS) products in Rhode Island.

"I'm deeply concerned about the rapid increase and effects of e-cigarette use among youth. That's why in Rhode Island we're taking action to ensure that companies can no longer market these products with colorful packaging and candy-based flavors," said Governor Gina M. Raimondo. "This is a public health crisis, and the regulations announced today will help to protect our kids' health."

The use of ENDS products among young people has become a public health epidemic in Rhode Island. Approximately one in five (20%) high school students in Rhode Island reports regularly using an ENDS product, and 15% of middle school students report having experimented with them. A majority of youth e-cigarette users report using flavored products, including mango, cucumber, vanilla, cherry, mint, and cotton candy. Most youth e-cigarette users first start using e-cigarettes with a flavored product, and flavors are the primary reason youth report using e-cigarettes.

Health risks to young people from e-cigarette use include nicotine addiction, learning, memory, and mental health problems, lung illnesses, heart problems, injuries resulting from battery explosions, and accidental childhood nicotine poisonings. High school students who use e-cigarettes are four times more likely to smoke lit cigarettes in the future.

"We know that youth in all communities and in all populations are impacted by this public health epidemic," said Director of Health Nicole Alexander-Scott, MD, MPH. "And we want to prevent youth from immediate nicotine health harms and from becoming cigarette smokers in the future."

Teens addicted to vaping nicotine can use the Truth Initiative's This Is Quitting text-based app. Text HOPE4RI to 88709.

The regulation banning the manufacture, distribution, sale, or offer for sale of, flavored ENDS products takes effect immediately. Compassion centers, which offer THC-based vaping products to registered medical marijuana patients, and licensed cultivators are exempt from this ban. Compassion centers and licensed cultivators registered with the State of Rhode Island are already highly regulated by RIDOH and the Department of Business Regulation. RIDOH will consider taking further action regarding THC-based vaping in conjunction with the advice of the Vaping Advisory Committee being formed pursuant to Governor Raimondo's Executive Order.

These emergency health regulations are in place for 120 days and can then be extended for an additional 60 days. The standard process for promulgating non-emergency health regulations will then be followed.

RIDOH conducted extensive community outreach before promulgating these regulations. That outreach included discussions with the business industry, healthcare providers, community partners, other State agencies, prevention and cessation advocates, parents, youth, and members of the General Assembly.

RIDOH staff has been working closely with staff on the free quitline (1-800-QUIT-NOW/1-800-784-8669) to assure they are ready to support any Rhode Islander, age 13 and older, who wants help to quit smoking or vaping. Nicotine Replacement Therapy (NRT) is available at no charge to any Rhode Islander age 18 and older, regardless of insurance status. NRT should not be used in combination with e-cigarettes.

Dealers and distributors must self-certify, at the time of initial application and every renewal application that none of the electronic nicotine-delivery system products they make, sell, or provide to consumers in Rhode Island are flavored electronic nicotine-delivery system products. Enforcement of these emergency regulations will be an interagency effort using existing inspection processes and resources.

Pursuant to R.I. Gen. Laws § 23-1-57, any distributor or dealer who sells, offers for sale, or possesses with intent to sell, electronic nicotine-delivery system products to consumers in the State of Rhode Island, without the appropriate license, shall be fined in amounts set forth in R.I. Gen. Laws § 23-1-58. Compassion centers and licensed cultivators registered with the State of Rhode Island under R.I. Gen. Laws Chapter 21-28.6 are exempt from this ban.

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E.A. Sween Announces Product Recalls Due to Possible Listeria Contamination

2019-10-04

The Rhode Island Department of Health (RIDOH) is advising consumers that E. A Sween Company is recalling multiple products because of a potential contamination of Listeria monocytogenes.

Listeria monocytogenesis an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, pregnant women and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages, stillbirths and fetal infection among pregnant women.

Tip Top Poultry, Inc., recently issued a recall, and they are an ingredient provider to two of E.A. Sween's suppliers, The Suter Company, Inc. that provides chicken salad products and Baja Foods LLC that provides burritos, to the company. The Food and Drug Administration (FDA) has not received any reported illnesses related to this organism. RIDOH's Center for Food Protection has confirmed that the recalled product was distributed in Rhode Island.

Retailers have been instructed to remove affected products from store shelves and inventory immediately. Customer partners with questions are asked to call our Customer Service hotline at 1-800-328-8184 and select #6 for information and refund instructions.

Affected product could have been delivered in the Continental US, Hawaii and Guam through convenience stores and grocery and mass retail outlets. Consumers may return the affected product to the store where it was purchased for a full refund or exchange.

Two Rhode Island Cases Added to National Investigation into Vaping and Lung Injury

2019-10-03

The Rhode Island Department of Health (RIDOH) is reporting that two Rhode Island cases are now included in the Centers for Disease Control and Prevention (CDC) and U.S. Food and Drug Administration (FDA) investigation into lung injury associated with e-cigarette use, or "vaping."

Both individuals experienced symptom on set in early September and were hospitalized. Both individuals were discharged from the hospital after approximately one week and are recovering. One was in the 18 to 24-year-old age range. The other person was in the 25 to 35-year-old age range. These cases are not linked. Products were obtained from both individuals and were submitted to RIDOH's State Health Laboratories. The State Health Laboratories are coordinating submission to the FDA for testing.

The specific chemical exposures causing lung injury associated with vaping have not yet been identified. Given the unknowns about this lung injury cluster, the CDC is reporting the number of cases in each state using the single designation "confirmed and probable cases." Rhode Island's two cases are among these "confirmed and probable cases."

"While we do not yet know what exactly is causing people to become ill across the country, we do know that these lung injuries are serious, and in some instances even fatal," said Director of Heath Nicole Alexander-Scott, MD, MPH. "E-cigarettes are addictive and dangerous. Children, adolescents, and pregnant women should never vape, and any adult who vapes should strongly consider not doing so until we know more. There are safe, effective resources in Rhode Island to help people quit using e-cigarettes. Help is available today at no cost."

Anyone in need of support for quitting smoking or vaping should contact their healthcare provider or call 1-800-QUIT-NOW (1-800-784-8669). Rhode Island teens can text the Tobacco Free Rhode Island promo code HOPE4RI to 88709 to access This Is Quitting, a new Truth Initiative text-based service for youth.

In August, the CDC and the FDA announced a nationwide investigation into non-infectious severe lung injury among patients who had used e-cigarettes or vaping devices. As of October 2nd, there have been 805 cases reported from 46 states and one U.S. territory. (This figure does not yet include Rhode Island's two cases. CDC data are updated weekly.) Twelve deaths have been confirmed in 10 states. There have been no deaths in Rhode Island. All patients have a history of vaping. The latest findings from the investigation suggest that products containing tetrahydrocannabinol (THC) play a role in the outbreak. THC is a component in cannabis.

RIDOH has been communicating regularly with Rhode Island healthcare providers about the national investigation. Those communications have included instructions on how to report suspect cases. RIDOH held a conference call today to provide updates to physicians likely to encounter lung injury associated with vaping.

Most patients in the national investigation have experienced respiratory symptoms, such as cough, shortness of breath, or chest pain. Some patients have also experienced gastrointestinal symptoms, such as nausea, vomiting, or diarrhea. Other symptoms have included fatigue, fever, and weight loss. Some patients have reported that their symptoms developed over a few days, while others have reported that their symptoms developed over several weeks.

Anyone with trouble breathing or chest pain should seek immediate medical attention. Anyone concerned about their health after vaping should contact a healthcare provider.

E-cigarette products should not be bought off the street, and they should not be modified. People should not use e-cigarette products containing THC.

Most e-cigarettes contain nicotine. Nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s. Young people who use e-cigarettes may be more likely to smoke cigarettes in the future. Parents should talk to their children about these and other dangers of e-cigarette use. The Office of the Surgeon General has guidance online for parents at e-cigarettes.surgeongeneral.gov.

Additional information from RIDOH about vaping can be found online: http://health.ri.gov/healthrisks/tobacco/about/teentargeting

Rhode Island Department of Health Kicks Off Annual Flu Vaccination Campaign

2019-10-03

The Rhode Island Department of Health (RIDOH) launched Rhode Island's annual flu immunization campaign today in collaboration with community partners, including East Bay Community Action Program (EBCAP) and members of the East Providence Health Equity Zone (HEZ) community collaborative. Dr. Ailis Clyne, Medical Director of RIDOH's Division of Community Health and Equity, discussed the dangers of the flu and the importance of flu shots for everyone older than six months of age. Flu vaccinations were also made available to event attendees.

"Year in and year out, a flu shot is the best way to protect yourself and your loved ones against the flu. Limiting the spread of the flu by getting a flu shot is especially important if you spend time with younger children or the elderly, who are more susceptible to the effects of the flu," said Dr. Clyne. "Flu shots are safe, effective, and easy to get in cities and towns across Rhode Island! Even if you don't have health insurance or can't afford a flu shot, there are places in Rhode Island where you can get vaccinated for free, like the public flu clinics that opened this week at schools across the state."

Although doctors recommend flu shots for everyone older than six months of age, flu shots are especially important for certain people. They include the elderly, healthcare workers, younger children, pregnant women, and people with chronic medical conditions. Examples of chronic medical conditions include diabetes, cancer, heart disease, and asthma.

In addition to Dr. Clyne, the event at EBCAP was attended by EBCAP's Chief Medical Officer and 2019 Rhode Island Childhood Immunization Champion Sarah Fessler; EBCAP's Vice President of Family Development Rita Capotosto; and members of the East Providence HEZ Collaborative, including its Project Director Albert Whitaker.

"Why do healthcare providers recommend that almost everyone should get a flu shot every year? Because every year, up to 80,000 people In the United States die of complications of influenza," said Dr. Fessler. "Influenza is a preventable disease, and your best protection is the flu shot."

The flu is a serious virus that can even be deadly. Last year, the flu sent 1,032 Rhode Islanders to the hospital and resulted in 39 deaths.

During the 2018-2019 flu season. Rhode Island had the highest vaccination coverage rate among adults (56.3%) in the nation, and the second highest coverage rate among children (78.0%).* However, RIDOH is working to increase Rhode Island's vaccination rate for the 2019-2020 flu season. A list of evening flu clinics that are located at schools and are open to the entire community is available at http://www.health.ri.gov/flu. Flu shots are also available at other community clinics, doctors' offices, and pharmacies.

After getting a flu shot, some people experience a slight ache or a low-grade fever. This means that the body is developing an immune response to the flu virus. These mild side effects are much less significant than the actual flu, which causes most people to stay in bed for a week. You absolutely cannot get the flu from the flu shot.

In addition to getting vaccinated against the flu, Rhode Islanders can take other steps to stay healthy and safe this flu season.

- Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

- Cough or sneeze into your elbow. Flu is spread through coughing or sneezing on other people or into your hands. Cover your coughs and sneezes to prevent others from getting sick.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

- Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

- Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

- RIDOH recently awarded funding to East Providence to establish a new Health Equity Zone (HEZ). As the backbone organization for the HEZ, EBCAP's primary responsibility will be to support East Providence residents in identifying and leading initiatives to improve their health and wellness.

"East Bay Community Action Program is honored to have been chosen as the backbone agency for the East Providence Health Equity Zone," said Capotosto. "We have received strong support from community members, and we will continue to engage a broad and diverse array of residents, city leaders, business owners, community groups, and religious organizations to ensure that all stakeholders who wish to be involved in building the HEZ have an opportunity to do so. East Bay Community Action Program is in a unique position to facilitate this process, given its long-standing leadership role as a health, education and social service provider in the city. East Providence is a city with many strengths, and we are excited to build upon those strengths as we collaborate with others to determine a health and wellness-focused action plan."

The East Providence HEZ will hold a vaccination clinic on November 7 from 10 a.m. to 1 p.m. at the East Bay Family Health Center, 100 Bullocks Point Avenue, East Providence.

More information is available online:

- List of vaccination clinics and general information about the flu: health.ri.gov/flu

- Information about the flu in Spanish: health.ri.gov/gripe

- Information about Health Equity Zones: health.ri.gov/hez

- People with additional questions can call the Health Information Line at 401-222-5960 / RI Relay 711.

Whole Foods Market Recalling Dorset Cheese

2019-10-02

The Rhode Island Department of Health (RIDOH) is advising consumers that Whole Foods Market stores in the northeast are recalling Dorset cheese because of a potential contamination of Listeria monocytogenes.

Listeria monocytogenesis an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, pregnant women and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages, stillbirths and fetal infection among pregnant women.

The affected product was sold at Whole Foods Market stores in Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, and Rhode Island. The affected product was cut and wrapped in plastic with a Whole Foods Market scale label, identifiable by PLU code 97776 with sell-by dates through 10/30/2019.

No illnesses have been reported to date.

Customers who purchased this product at Whole Foods Market can bring a valid receipt into stores for a full refund. Consumers with additional questions can call 1-844-936-8255 between the hours of 7:00 a.m. and 10:00 p.m. CST, Monday through Friday, or 8:00 a.m. and 6:00 p.m. Saturday through Sunday.

Roland Foods Red Lumpfish Caviar and Black Lumpfish Caviar

2019-09-24

The Rhode Island Department of Health (RIDOH) is advising consumers that Roland Foods is recalling its red and black lumpfish caviar products because they have the potential to be contaminated with Clostridium botulinum, a bacterium which can cause life-threatening illness or death. Consumers are warned not to use the product even if it does not look or smell spoiled.

Botulism, a potentially fatal form of food poisoning, can cause the following symptoms: general weakness, dizziness, double-vision and trouble with speaking or swallowing. Difficulty in breathing, weakness of other muscles, abdominal distension and constipation may also be common symptoms. People experiencing these problems should seek immediate medical attention.

The Red Lumpfish Caviar and Black Lumpfish Caviar, sold in glass jars, were distributed nationwide to retailers and foodservice distributors across the United States. The UPC code is located on the back of the label, under the bar code. A full product list is available online (see below).

No illnesses have been reported to date.

The potential for contamination was noted after routine testing found that the product experienced a processing issue.

Production and distribution of the product has been suspended as the U.S. Food and Drug Administration and the company continue their investigation. Consumers with questions can call 1-800-221-4030 ext. 222.

Two Additional Human EEE Cases Diagnosed in Rhode Island

2019-09-17

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are announcing that two additional Rhode Islanders have been diagnosed with Eastern Equine Encephalitis (EEE) this year. Rhode Island's total case count for human EEE cases for 2019 is now three. These cases were confirmed by tests done at the Centers for Disease Control and Prevention (CDC).

The two people whose diagnoses are being announced today have both been discharged from the hospital and are recovering. Based on the time of symptom onset, it is believed that both people contracted EEE in late August. The first person is a child younger than 10 years old who lives in Coventry. The second person is in their 50s from Charlestown. On September 9th, the first person who was diagnosed with EEE this year in Rhode Island passed away. That person lived in West Warwick. All three people contracted the illness before areas of critical risk for EEE were aerially sprayed with pesticide between September 8th and September 10th.

In addition to these human diagnoses, EEE was confirmed in a deer from Exeter this week.

"This has been a year with significantly elevated EEE activity, and mosquitoes will remain a threat in Rhode Island until our first hard frost, which is still several weeks out," said RIDOH's Deputy Director Ana Novais. "Personal mosquito-prevention measures remain everyone's first defense against EEE. If possible, people should limit their time outdoors at sunrise and sunset. If you are going to be out, long sleeves and pants are very important, as is bug spray."

"Spraying effectively reduces the risk of mosquito-borne disease but if does not eliminate the risk completely," said DEM Director Janet Coit. "Personal protection always is essential to further minimize the risk, and we hope that Rhode Island's #FightTheBite campaign helps raise public awareness about how important it is to avoid being bitten by mosquitoes."

DEM and RIDOH are considering the next steps in Rhode Island's EEE response. Those steps could include additional aerial spraying based on information about human cases, cases in other mammals, mosquito activity, and findings in neighboring states. Broad and targeted notification will be done in advance of any additional aerial spraying.

The four critical risk areas that were previously sprayed were (1) an area in northern Rhode Island (parts of Burrillville, North Smithfield, and Woonsocket); (2) parts of Westerly, Hopkinton, and Charlestown; (3) all of West Warwick and parts of Coventry, Cranston, Scituate, Warwick, East Greenwich, and West Greenwich; and (4) all of Central Falls, Pawtucket, and North Providence and parts of Providence, East Providence, Smithfield, Lincoln, and Cumberland.

To date this year, EEE has been detected by RIDOH's State Health Laboratories in six mosquito pools: two from Central Falls, three from Westerly, and one from Block Island. Additionally, one horse from Westerly has tested positive for EEE. RIDOH and DEM had previously announced that two deer had tested positive for EEE (one from Coventry and one from Richmond). A third deer from Exeter has been diagnosed this week. Deer, like horses, cannot transmit EEE to humans. However, they are an indication that infected mosquitoes are present in the area and people need to continue to take precautions.

All Rhode Islanders are urged to continue to #FightTheBite by taking mosquito-prevention measures until the first hard frost of the year (typically mid to late October in Rhode Island).

Protect yourself

- Put screens on windows and doors. Fix screens that are loose or have holes.

- At sunrise and sundown (when mosquitoes that carry EEE are most active), consider rescheduling outdoor activities that occur during evening or early morning. If you must be outside, wear long-sleeved shirts and long pants and use bug spray.

- Use EPA-approved bug spray with one of the following active ingredients: DEET (20-30% strength); picaridin, IR3535; and oil of lemon eucalyptus or paramenthane. Always read the label and follow all directions and precautions.

- Do not use bug spray with DEET on infants under two months of age. Children should be careful not to rub their eyes after bug spray has been applied on their skin. Wash children's hands with soap and water to remove any bug spray when they return indoors.

- Put mosquito netting over playpens and baby carriages.

Get rid of mosquito breeding grounds

- Get rid of anything around your house and yard that collects water. Just one cup of water can produce hundreds of mosquitoes; an unused tire containing water can produce thousands of mosquitoes.

- Clean your gutters and downspouts so that they can drain properly.

- Remove any water from unused swimming pools, wading pools, boats, planters, trash and recycling bins, tires, and anything else that collects water, and cover them.

- Remove or treat any shallow water that can accumulate on top of a pool cover. Larvicide treatments, such as Mosquito Dunks can be applied to kill immature mosquitoes. This environmentally-friendly product is available at many hardware and garden stores and on-line.

- Change the water in birdbaths at least two times a week and rinse out birdbaths once a week.

Consumers Advised to Avoid Carancis Bread Products

2019-09-13

The Rhode Island Department of Health (RIDOH) is advising the public to not consume any products manufactured by Dupras Baking Co. of Woonsocket, Rhode Island. Dupras makes rolls and bread products and sells them under the brand name Carancis.

This advisory is being issued due to potential contamination of foods produced at Dupras' location. The problem was discovered on September 12, 2019 while RIDOH staff were performing an inspection. Evidence of rodents and insanitary conditions was observed. Consumers are asked to check their homes and dispose of any Carancis products made by Dupras.

There have been no confirmed reports of illness due to consumption of these products. Anyone concerned about a reaction should contact a healthcare provider.

Mosquito Spraying Planned for a Second Night in Areas of Critical EEE Risk

2019-09-09

The dispersal of aerial mosquito treatments in four areas that state officials have determined to be at critical risk for the Eastern Equine Encephalitis (EEE) virus will continue Monday night after a successful first phase of the spraying plan Sunday night.

On Sunday night and early Monday morning, spraying was done in all of West Warwick and parts of Coventry, Cranston, Warwick, East Greenwich, and West Greenwich; as well as all of Central Falls, Pawtucket, and North Providence and parts of Providence, East Providence, Smithfield, Lincoln, and Cumberland. Spraying in northern Rhode Island (parts of Burrillville, North Smithfield, and Woonsocket) was not completed on Sunday night due to falling temperatures. (The effectiveness of spraying is limited when the temperature falls below 58 degrees.) Spraying in these northern areas, and parts of southern Rhode Island (parts of Westerly, Hopkinton, and Charlestown) is planned for tonight. Spraying will start at dusk tonight and will be completed by 4:30 a.m. Tuesday. The Rhode Island Department of Environmental Management (DEM) will provide more details on the timing when the flight plan is finalized. A link to a map with the areas that have been sprayed, and that will be sprayed, is below.

EEE is a rare, but serious illness that spreads when people are bitten by infected mosquitoes. On August 30th the Rhode Island Department of Health (RIDOH) announced the state's first human case of EEE since 2010 in an individual in their 50s from West Warwick. At that time, it was announced that this individual was in critical condition. This individual passed away on September 8th. This was Rhode Island's first fatal human EEE case since 2007.

Two mosquito detections of EEE have occurred in Central Falls and two have occurred in Westerly. A horse was also diagnosed with EEE in Westerly. In addition, several EEE cases and positive mosquitoes have been detected in Connecticut and Massachusetts, some in areas that border Rhode Island. Generally, spraying in Rhode Island is occurring in four-mile radiuses around positive samples and cases.

The pesticide that is being applied, Anvil 10+10, is being used at very low concentrations. Spraying will not occur over fish hatcheries, certified organic farms, surface drinking water supplies, and other open water bodies and coastal areas. Massachusetts officials used the same product in recent aerial spraying in Bristol, Plymouth, Worcester, and other counties. Anvil is registered by the US Environmental Protection Agency (EPA) and in Rhode Island and Massachusetts for this use.

The product being sprayed is being used at very low concentrations. No adverse health risks are expected with its use for mosquito control. Nonetheless, while spraying is occurring, it is best to err on the side of caution and limit time outdoors and keep windows closed. It is generally good for people to limit their exposure to pesticides. More information on health and spraying is available here. For FAQs on the impact of spraying on pets and livestock, click here.

Personal mosquito prevention measures remain everyone's first defense against mosquito-borne illnesses, such as EEE. All Rhode Islanders (both people who live in areas being sprayed, and people who live in areas not being sprayed) are urged to continue taking these measures until the first hard frost of the year (typically mid to late October in Rhode Island).

Protect yourself

- Put screens on windows and doors. Fix screens that are loose or have holes.

- At sunrise and sundown (when mosquitoes that carry EEE are most active), consider rescheduling outdoor activities that occur during evening or early morning. If you must be outside, wear long-sleeved shirts and long pants and use bug spray.

- Use EPA-approved bug spray with one of the following active ingredients: DEET (20-30% strength); picaridin, IR3535; and oil of lemon eucalyptus or paramenthane. Always read the label and follow all directions and precautions.

- Do not use bug spray with DEET on infants under two months of age. Children should be careful not to rub their eyes after bug spray has been applied on their skin. Wash children's hands with soap and water to remove any bug spray when they return indoors.

- Put mosquito netting over playpens and baby carriages.

Get rid of mosquito breeding grounds

- Get rid of anything around your house and yard that collects water. Just one cup of water can produce hundreds of mosquitoes; an unused tire containing water can produce thousands of mosquitoes.

- Clean your gutters and downspouts so that they can drain properly.

- Remove any water from unused swimming pools, wading pools, boats, planters, trash and recycling bins, tires, and anything else that collects water, and cover them.

- Remove or treat any shallow water that can accumulate on top of a pool cover. Larvicide treatments, such as Mosquito Dunks can be applied to kill immature mosquitoes. This environmentally-friendly product is available at many hardware and garden stores and on-line.

- Change the water in birdbaths at least two times a week and rinse out birdbaths once a week.

Blue-Green Algae Bloom in Little Pond in Warwick

2019-09-06

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Little Pond (also known as Sandy Pond) in Warwick due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins that can harm humans and animals.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from Little Pond. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 401-222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

RIDOH Confirms First Human Case of Eastern Equine Encephalitis (EEE); DEM Ramps up Mosquito Testing and Control Measures

2019-08-30

Today the Rhode Island Department of Health (RIDOH) announced the state's first human case of Eastern Equine Encephalitis (EEE) in a person over the age of 50 from West Warwick. This is the first human case of EEE in Rhode Island since 2010. The Centers for Disease Control and Prevention (CDC), which performs the EEE testing, notified RIDOH today of the positive result.

This announcement comes a day after the Rhode Island Department of Environmental Management (DEM) issued an announcement about a horse in Westerly that had tested positive for the disease. Over the past few weeks, mosquitoes carrying the disease have been found in Westerly and Central Falls. This is a higher-than-average risk summer for mosquito-borne diseases in southeastern New England. Massachusetts has announced four human cases of EEE and seven cases in horses. Connecticut also has found EEE and West Nile Virus in mosquitoes and two cases in horses.

"In Rhode Island, we have confirmed EEE in both a horse and a human, which indicates that there is a high risk for transmission of disease to humans through mosquito bites," said Ana Novais, Deputy Director of RIDOH. "EEE is a rare, but very serious disease. We strongly recommend that people everywhere in Rhode Island protect themselves and their families by using insect repellent, minimizing outdoor exposure at dusk and dawn, and wearing long sleeves and pants when outdoors at those times. People must also reduce opportunities for mosquitoes to breed by eliminating standing water around their homes."

To respond to the elevated risk, the Department of Environmental Management (DEM) is adding traps to capture and test more mosquitoes statewide. Typically, DEM sets between 25 and 30 traps in Westerly, Charlestown, South Kingstown, North Kingstown, Exeter, Warwick, Cranston, Johnston, Providence, Central Falls, Pawtucket, East Providence, Barrington, Warren, Bristol, Tiverton, Portsmouth, and Newport. DEM will add traps in West Warwick and the northern Rhode Island communities of Burrillville, North Smithfield, Woonsocket, and Cumberland. This step will allow scientists from DEM and the University of Rhode Island to optimize other response measures, such as the aerial spraying of pesticide, to continually assess mosquito species, volume, and infection and, working with RIDOH, minimize the risk of further human disease.

The state will target eliminating both mosquito larvae - small organisms just hatched from eggs living in freshwater bodies - and adult biting mosquitoes. Larvicide is a targeted approach to killing the larvae before they mature. It often consists of applying a naturally occurring bacteria in solid granule form from a helicopter onto mosquito breeding grounds such as swamps. For example, because of Chapman Swamp's history as a breeding ground for mosquitoes that carry EEE, the Town of Westerly has applied a larvicide called Bti in the swamp since 1997. It is an environmentally friendly product and does not pose a risk to human health.

The state is taking all necessary preparations for conducting aerial spraying to kill adult biting mosquitoes. RIDOH and DEM are actively evaluating options and will continue to provide updates. The state will release a spraying schedule before any spraying occurs.

Previous recommendations from RIDOH are still in effect. On Monday of this week, RIDOH recommended to schools and municipal leaders that games, practices, and other outdoor activities scheduled to occur during early morning or dusk hours be rescheduled to earlier in the afternoon or relocated to an indoor venue. The "smart scheduling" of events is intended to help minimize the risk of mosquito bites for players, coaches, and spectators. RIDOH recommends that smart scheduling stay in effect for the remainder of the mosquito season, which typically ends in mid-October (after the first hard frost).

In addition to following this smart scheduling recommendation, there are other measures that Rhode Islanders should take to protect themselves from mosquito bites, and to help minimize mosquito breeding.

Protect yourself

• Put screens on windows and doors. Fix screens that are loose or have holes.

• At sunrise and sundown (when mosquitoes that carry EEE are most active), consider rescheduling outdoor activities that occur during evening or early morning. If you must be outside, wear long-sleeved shirts and long pants and use bug spray.

• Use EPA-approved bug spray with one of the following active ingredients: DEET (20-30% strength); picaridin, IR3535; and oil of lemon eucalyptus or paramenthane. Always read the label and follow all directions and precautions.

• Do not use bug spray with DEET on infants under two months of age. Children should be careful not to rub their eyes after bug spray has been applied on their skin. Wash children's hands with soap and water to remove any bug spray when they return indoors.

• Put mosquito netting over playpens and baby carriages.

Get rid of mosquito breeding grounds

• Get rid of anything around your house and yard that collects water. Just one cup of water can produce hundreds of mosquitoes; an unused tire containing water can produce thousands of mosquitoes.

• Clean your gutters and downspouts so that they can drain properly.

• Remove any water from unused swimming pools, wading pools, boats, planters, trash and recycling bins, tires, and anything else that collects water, and cover them.

• Remove or treat any shallow water that can accumulate on top of a pool cover. Larvicide treatments, such as Mosquito Dunks can be applied to kill immature mosquitoes. This environmentally-friendly product is available at many hardware and garden stores and on-line.

• Change the water in birdbaths at least two times a week and rinse out birdbaths once a week.

Best practices for horse owners

Horses are particularly susceptible to WNV and EEE. Horse owners are advised to vaccinate their animals early in the season and practice the following:

• Remove or cover areas where standing water can collect.

• Avoid putting animals outside at dawn, dusk, or during the night when mosquitoes are most active.

• Insect-proof facilities where possible and use approved repellents frequently.

• Monitor animals for symptoms of fever and/or neurological signs (such as stumbling, moodiness, loss of appetite) and report all suspicious cases to a veterinarian immediately. If you are unsure if your horse is properly vaccinated, you should consult with your veterinarian.

Visit http://www.health.ri.gov/mosquito for additional mosquito prevention tips, videos, and local data. For more information about DEM divisions and programs, visit http://www.dem.ri.gov. Follow us on Facebook at www.facebook.com/RhodeIslandDEM or on Twitter (@RhodeIslandDEM) for timely updates.

Consumers Advised to Avoid Unsealed Food from We Share Hope

2019-08-29

The Rhode Island Department of Health (RIDOH) is advising consumers to avoid eating food products that are not commercially sealed from We Share Hope of Warren and East Providence, RI because it has the potential to be contaminated with Listeria monocytogenes.

Various food products were distributed to soup kitchens and food pantries in Rhode Island and possibly other states or may have been purchased at the We Share Hope facility at 624 Main Street, Warren. No one should purchase or obtain food from the Warren or East Providence facilities until further notice. These products were distributed from a facility that previously had environmental samples that tested positive for Listeria monocytogenes. At this time, there have not been any reports of illnesses associated with these products.

When consumed in food, Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

Consumers who have purchased or received any products that were not commercially sealed from We Share Hope are urged to properly dispose of them, and to thoroughly wash, rinse, and sanitize any surfaces that may have come into contact with these products.

Listeria monocytogenes can spread from one surface to another. Thoroughly wash food preparation surfaces by scrubbing with warm, soapy water. Rinse off soapy water and sanitize all surfaces. You can make your own sanitizer by combining 1 teaspoon of unscented bleach to one 1 quart of water, flooding the surface and letting it stand for 10 minutes. Then rinse with clean water. Let surfaces air dry or pat them dry with fresh paper towels.

RIDOH Recommends 'Smart Scheduling' For Outdoor Activities

2019-08-26

The Rhode Island Department of Health (RIDOH) recommended to schools and municipal leaders today that games, practices, and other outdoor activities scheduled to occur during early morning or dusk hours be rescheduled to earlier in the afternoon or relocated to an indoor venue. The 'smart scheduling' of events is intended to help minimize the risk of mosquito bites for players, coaches, and spectators.

This year in Rhode Island there have been two findings of Eastern Equine Encephalitis (EEE) in mosquitoes. The mosquitoes were trapped in Central Falls. There have been no findings of West Nile Virus (WNV) in mosquito samples in Rhode Island this year. People can get EEE virus or WNV when they are bitten by an infected mosquito. Mosquitoes are most active early in the morning and at dusk.

This is a higher-than-average risk summer for mosquito-borne diseases in southeastern New England. There have been a number of positive EEE and WNV mosquito pools in Massachusetts, and Massachusetts has announced four human cases of EEE, including one death. There have been multiple findings of both EEE and WNV in mosquitoes from eastern Connecticut.

EEE is a rare, but serious disease. In some cases, it can lead to swelling of the brain (encephalitis). Cases of EEE that do not involve encephalitis can result in symptoms including chills, fever, and malaise. WNV is the leading cause of mosquito-borne disease in the U.S. Most people with WNV do not have any symptoms. However, in some instances it can lead to conditions affecting the central nervous system.

RIDOH recommends that smart scheduling stay in effect for the remainder of the mosquito season, which typically ends mid-October (after the first hard frost).

There are other measures that all Rhode Islanders should take to protect themselves from mosquito bites, and to help minimize mosquito breeding.

Protect yourself

- Put screens on windows and doors. Fix screens that are loose or have holes.

- At sunrise and sundown (when mosquitoes that carry EEE are most active), consider rescheduling outdoor activities that occur during evening or early morning. If you must be outside, wear long-sleeved shirts and long pants and use bug spray.

- Use EPA-approved bug spray with one of the following active ingredients: DEET (20-30% strength); picaridin, IR3535; and oil of lemon eucalyptus or paramenthane. Always read the label and follow all directions and precautions.

- Do not use bug spray with DEET on infants under two months of age. Children should be careful not to rub their eyes after bug spray has been applied on their skin. Wash children's hands with soap and water to remove any bug spray when they return indoors.

- Put mosquito netting over playpens and baby carriages.

Get rid of mosquito breeding grounds

- Get rid of anything around your house and yard that collects water. Just one cup of water can produce hundreds of mosquitoes; an unused tire containing water can produce thousands of mosquitoes.

- Clean your gutters and down spouts so that they can drain properly.

- Remove any water from unused swimming pools, wading pools, boats, planters, trash and recycling bins, tires, and anything else that collects water, and cover them.

- Remove or treat any shallow water that can accumulate on top of a pool cover. Larvicide treatments, such as Mosquito Dunks can be applied to kill immature mosquitoes. This environmentally-friendly product is available at many hardware and garden stores and on-line.

- Change the water in birdbaths at least two times a week and rinse out birdbaths once a week.

Visit http://www.health.ri.gov/mosquito for additional mosquito prevention tips, videos, and local data. RIDOH and the Rhode Island Department of Environmental Management also remind Rhode Islanders to take precautions to avoid mosquito bites when traveling to Zika-affected countries. Pregnant women and women who are considering becoming pregnant should not travel to countries with active transmission of Zika.

CDC and FDA Investigating Cluster of Pulmonary Illnesses and E-cigarette Use

2019-08-26

August 26, 2019--The Rhode Island Department of Health (RIDOH) is advising the public that the Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) are investigating a cluster of pulmonary illnesses possibly related to e-cigarette use, or "vaping."

From June 28, 2019 to August 22, 2019, 193 possible cases have been reported in 22 states, including Connecticut. One adult death has been reported. No cases have been reported in Rhode Island. Most illness reports have been for adolescents and young adults.

In many cases, patients reported a gradual start of symptoms including breathing difficulty, shortness of breath, and/or chest pain before hospitalization. Some cases involved mild to moderate gastrointestinal illness including vomiting and diarrhea and fatigue as well. Many patients have reported vaping cannabis products, including tetrahydrocannabinol (THC) and cannabidiol (CBD) oils. THC and CBD are found in marijuana.

Rhode Islanders who experience difficulty breathing or chest pain should seek immediate medical attention.

"There are still some unknowns when it comes to e-cigarettes, but one thing is very clear: e-cigarettes are not safe, particularly for young people and for pregnant women," said RIDOH Deputy Director Ana Novais. "In addition to being unhealthy, teenagers often transition from using e-cigarettes to traditional, lit cigarettes-the deadliest of all tobacco products. Free resources are available for Rhode Islanders of any age who are looking for help quitting e-cigarette use."

If you are using e-cigarettes and are looking for help quitting, you can call 1-800-QUIT-NOW for free resources. Additionally, parents should talk to their children about the dangers of e-cigarettes and vaping. The Office of the Surgeon General has guidance online for parents.

Although Rhode Island has not had any reported cases, RIDOH has sent a communication to healthcare providers with an overview of the national situation, a description of symptoms, and instructions on how to report cases.

While some cases are similar and appear to be linked to e-cigarette use, more information is needed to determine what is causing the illnesses. Investigators have not identified any specific product or compound that is linked to all cases. The FDA is working with CDC and state health officials to gather information on any products or substances used.

Young people should not use vaping or e-cigarette products of any kind. The long-term health impacts for children and teenagers using these products are unknown. Patients with a history of vaping who are experiencing breathing problems should seek medical care.

* This press release was originally published August 26, 2019. The resource links listed below were updated on September 12, 2019.

Rhode Island Seeing Increase in Non-Fatal Overdoses

2019-08-21

In light of recent increases in opioid overdose-related emergency department visits, the Rhode Island Department of Health (RIDOH) is cautioning all Rhode Islanders that law enforcement is reporting an increase in the circulation of counterfeit pills that contain fentanyl.

Hospitals in Rhode Island are required to report all suspected, non-fatal opioid overdoses within 48 hours to RIDOH. RIDOH and the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH) review weekly opioid overdose data and issue a warning to first responders and city and town leadership in a region if that region's weekly overdose threshold has been exceeded. (Weekly thresholds are based on historic overdose data and population data.) Rhode Island's threshold as a whole is 42 overdoses per week.

Between August 12th and August 18th, there were 44 reports of suspected, non-fatal opioid overdoses in Rhode Island. The statewide average for opioid overdose-related emergency department visits for the first six months of 2019 has been 31 per week. Of the 44, there were 18 opioid overdoses in Providence, where the overdose threshold is 16. There were eight reported opioid overdoses in the region that includes Cranston, West Warwick, and Coventry. The threshold for this region is eight overdoses.

While RIDOH has noted these increases, Rhode Island law enforcement agencies have reported an increase in the circulation of counterfeit pills in the illegal drug market. These counterfeit pills are sold illegally and look identical to opioid prescription pain medications (such as Percocet®, OxyContin®, and Vicodin®), and may contain lethal amounts of illegally-made fentanyl. Twenty-one of the 44 people who overdosed received initial toxicology screenings. Of those 21 people, 19 were positive for fentanyl.

"There is no such thing as a clean drug. When you use an illegal drug, you never know what substance or substances you are putting into your body. One pill can kill," said RIDOH Deputy Director Ana Novais. "If you think someone is overdosing, no matter what drug you believe they took, call 9-1-1 as soon as possible. Rhode Island's Good Samaritan Law protects people who call to get help for someone they think is overdosing."

People who use drugs should:

- Reach out and get help. Treatment and recovery support services are available 24 hours a day, seven days a week in English and Spanish through BH Link. To get help for yourself or a loved one, call the BH Link Crisis Hotline at 401-414-LINK (5465), or go to the BH Link Walk-In Center located at 975 Waterman Avenue, East Providence.

- Carry the overdose reversal medicine naloxone. Naloxone is available at every Rhode Island pharmacy, and it is as easy to administer as a nasal spray.

- Never use drugs alone.

In 2018, 72% of all Rhode Island drug overdose deaths involved fentanyl. Fentanyl is colorless and odorless. You cannot tell if pills or other forms of drugs contain illegally-made fentanyl by looking at them or tasting them. Illegally-made fentanyl is 100 times more potent than morphine and 50 times more potent than heroin.

Grained Salmon Caviar Recalled

2019-08-16

The Rhode Island Department of Health (RIDOH) is advising consumers that Awers is recalling Grained Salmon Caviar 95g (Sockeye Salmon Caviar) with "BEST BEFORE OCT 07 2020" because it has the potential to be contaminated with Clostridium botulinum, a bacterium which can cause life-threatening illness or death. Consumers are warned not to use the product even if it does not look or smell spoiled.

Botulism, a potentially fatal form of food poisoning, can cause the following symptoms: general weakness, dizziness, double-vision and trouble with speaking or swallowing. Difficulty in breathing, weakness of other muscles, abdominal distension and constipation may also be common symptoms. People experiencing these problems should seek immediate medical attention. Grained Salmon Caviar 95g was distributed in California, New York, Oregon, Washington and product may have further distributed to other states and Canada.

Product is packed in a metal tin with Cyrillic lettering. The tin is green, with red and white writing with an easy open pull lid. The "BEST BEFORE OCT 07 2020" is printed on the bottom on the tin. No illnesses have been reported to date.

The product was reviewed by the Canadian Food Inspection Agency (CFIA) and sent to a lab for testing. The analysis showed a lower than normal salt content, which can foster an anaerobic environment which is necessary to breed the Clostridium botulinum bacteria. No Clostridium botulinum bacteria was detected in product.

RIDOH and DEM Recommend Avoiding Contact with Carbuncle Pond in Coventry and Additional Bodies of Water

2019-08-16

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) advise people to avoid contact with Carbuncle Pond in Coventry because of potential risks from blue-green algae. The advisories that RIDOH and DEM have issued for several other bodies of water in Rhode Island are still in place. These bodies of water are:

- Almy Pond in Newport

- Sisson Pond in Portsmouth

- JL Curran Reservoir in Cranston

- Mashapaug Pond in Providence

- Melville Ponds in Portsmouth

- Polo Lake in Roger Williams Park in Providence

- Japanese Gardens in Roger Williams Park in Providence

- Pleasure Lake in Roger Williams Park in Providence

- Roosevelt Lake in Roger Williams Park in Providence

- Elm Lake in Roger Williams Park in Providence

With the exception of Deep Spring Lake, the ponds in Roger Williams Park are all interconnected. Visitors should remain alert for potential bloom conditions in any area of the park.

Samples collected from Georgiaville Pond in Smithfield indicate that blue-green algae are currently at low levels, but the public is advised that conditions may change quickly and that waters that are cloudy, green or with surface scums should be avoided.

Blue-green algae can produce toxins, including microcystins, that can harm humans and animals. All recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest water or eat fish from these waters. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Sisson Pond is a drinking water source maintained by Newport Water. Newport Water's primary goal is to provide safe drinking water for all of its customers. As the main drinking water supplier for the residents of Newport, Middletown, and Portsmouth, Newport Water serves nearly 70,000 people. Even when a cyanobacteria bloom is present in a pond, the treated water that Newport Water distributes to homes is safe. Treatment removes harmful bacteria, including cyanobacteria, before the water is delivered to customers. Newport Water follows all state and federal drinking water testing and monitoring requirements to assure that treatment processes are working correctly and the treated water is safe to drink. Drinking untreated water from any pond at any time is not recommended. Newport Water may deliver treated drinking water from nine potential surface reservoirs or pond sources including: St. Mary's Pond, Sisson Pond, Lawton Valley Reservoir, South and North Easton Ponds, Gardiner Pond, and Paradise Pond located on Aquidneck Island, Nonquit Pond in Tiverton, and Watson Reservoir in Little Compton. While RIDOH and RIDEM are now issuing a public health advisory for Sisson Pond, Newport Water's other water supply ponds also routinely experience blue-green algae (cyanobacteria) blooms.

State law prohibits both people and animals from swimming and bathing in ponds that are drinking water sources. In addition, Newport Water prohibits fishing, swimming, and boating in these reservoirs, as posted. It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. Most algae blooms occur in the summer and fall, but they can occur at any time of year.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov If possible, send a photograph to accompany the reported condition.

Boil Water Notice Issued for Central Beach Fire District Customers

2019-08-16

The Central Beach Fire District in Charlestown has issued a boil water notice to its customers because E. coli bacteria was found in the water supply. The water system serves approximately 166 homes.

All water used for consumption is required to be boiled vigorously, for at least one minute. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Alternatively, customers can use bottled water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Boiling kills bacteria and other organisms in the water. Additional guidance is available online. (See link below.)

Central Beach Fire District collected a sample from Well #2 on 8/15/2019 that was positive for E. coli bacteria. In addition, several samples collected in the distribution system were positive for total coliform bacteria (an indicator that disease-causing organisms such as E. coli could be present) on 8/13/2019 and 8/15/2019. Well #2 has been turned off until it can be inspected and disinfected and bacteria samples come back absent. Well #1, which is absent of E. coli bacteria but contains total coliform bacteria, will supply the water system. Residents should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil water advisory will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH approves the boil advisory to be lifted.

The presence of E. coli bacteria indicates that the water may be contaminated with human or animal waste. Microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. The EPA has set a drinking water standard for E. coli to reduce the risk of these adverse health effects. Under this standard, drinking water must be free of these bacteria for water to be consumed from a system.

A healthcare provider should be contacted if someone is on this water systems and has diarrhea and any of the following symptoms:

- Fever over 101.5° F, measured orally

- Blood in the stool

- Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)

- Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up

- Diarrheal illness that lasts more than 3 days

Customers with questions should contact Vincent Reppucci at 646-355-8880.

Health Advisory for Berkley Jensen Pig Ears Dog Chews

2019-08-16

The Rhode Island Department of Health (RIDOH) is advising the public to not feed Berkley Jensen Pig Ears Dog Chews packed for BJ's Wholesale Club with lot codes G1 0319 and G1 3548 to their pets.

This advisory is being issued due to the potential presence of Salmonella, which was discovered during sampling of these products at RIDOH's State Health Laboratories. This advisory is limited to these specific lot codes. Consumers who have purchased these products should dispose of them.

The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) are now advising people to not buy or feed any pig ear dog treats to pets as a result of an ongoing multistate Salmonella outbreak. People can get sick after handling the treats or caring for dogs who ate the treats. Dogs might get sick after eating them. For more information about Salmonella infections linked to contact with pig ear dog treats is available online (link below).

Most people infected with Salmonella develop diarrhea, fever, and stomach cramps 12 to 72 hours after being exposed to the bacteria. The illness usually lasts 4 to 7 days, and most people recover without treatment. Children younger than 5 years, adults 65 years and older, and people with weakened immune systems are more likely to have a severe illness. If you have symptoms of a Salmonella infection talk to your healthcare provider.

Product Information

Berkley Jensen Pig Ears Dog Chews, 30 ears

- Package Lot Number - G1 3548

- Best If Used By Date - December 2021

Berkley Jensen Pig Ears Dog Chews, 30 ears

- Package Lot Number - G1 0319

- Best If Used By Date - January 2022

RIDOH and DEM Recommend Avoiding Contact with Roger Williams Park Ponds and Additional Bodies of Water

2019-08-15

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) advise people to avoid contact with Polo Lake and the Japanese Gardens in Roger Williams Park in Providence because of potential risks from blue-green algae. Georgiaville Pond in Smithfield and Carbuncle Pond in Coventry are currently being investigated for potential blue-green algae blooms The ponds are not under advisories at this time, but the public is asked to avoid any waters that are cloudy and green, or that have surface scum.

The advisories that RIDOH and DEM have issued for several other bodies of water in Rhode Island is still in place. These bodies of water are:

• Almy Pond in Newport

• Sisson Pond in Portsmouth

• JL Curran Reservoir in Cranston

• Mashapaug Pond in Providence

• Melville Ponds in Portsmouth

• Pleasure Lake in Roger Williams Park in Providence

• Roosevelt Lake in Roger Williams Park in Providence

• Elm Lake in Roger Williams Park in Providence

With the exception of Deep Spring Lake, the ponds in Roger Williams Park are all interconnected. Any area of the park's waters could develop a bloom, and visitors should avoid any areas that are green and discolored.

Blue-green algae can produce toxins, including microcystins, that can harm humans and animals. All recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest water or eat fish from these waters. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Sisson Pond is a drinking water source maintained by Newport Water. Newport Water's primary goal is to provide safe drinking water for all of its customers. As the main drinking water supplier for the residents of Newport, Middletown, and Portsmouth, Newport Water serves nearly 70,000 people. Even when a cyanobacteria bloom is present in a pond, the treated water that Newport Water distributes to homes is safe. Treatment removes harmful bacteria, including cyanobacteria, before the water is delivered to customers. Newport Water follows all state and federal drinking water testing and monitoring requirements to assure that treatment processes are working correctly and the treated water is safe to drink. Drinking untreated water from any pond at any time is not recommended. Newport Water may deliver treated drinking water from nine potential surface reservoirs or pond sources including: St. Mary's Pond, Sisson Pond, Lawton Valley Reservoir, South and North Easton Ponds, Gardiner Pond, and Paradise Pond located on Aquidneck Island, Nonquit Pond in Tiverton, and Watson Reservoir in Little Compton. While RIDOH and RIDEM are now issuing a public health advisory for Sisson Pond, Newport Water's other water supply ponds also routinely experience blue-green algae (cyanobacteria) blooms.

State law prohibits both people and animals from swimming and bathing in ponds that are drinking water sources. In addition, Newport Water prohibits fishing, swimming, and boating in these reservoirs, as posted. It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. Most algae blooms occur in the summer and fall, but they can occur at any time of year.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov If possible, send a photograph to accompany the reported condition.

Consumers Warned to Not Drink Miracle or Master Mineral Solution Products

2019-08-13

The Rhode Island Department of Health (RIDOH) is advising consumers that they should not drink products marketed as Miracle or Master Mineral Solution, or other sodium chlorite products. The U.S. Food and Drug Administration (FDA) has received many reports that these products, sold online as "treatments," have made consumers sick.

The FDA first warned consumers about the products in 2010. However, they are still being promoted on social media and sold online by many independent distributors. In addition to Miracle and Master Mineral Solution, other product names are Miracle Mineral Supplement; MMS; Chlorine Dioxide (CD) Protocol; and Water Purification Solution (WPS). When mixed according to package directions, they become a strong chemical that is used as bleach.

Some distributors are making false-and dangerous-claims that Miracle Mineral Supplement mixed with citric acid is an antimicrobial, antiviral, and antibacterial liquid that is a remedy for autism, cancer, HIV/AIDS, hepatitis, flu, and other conditions. There is no research showing that these products are safe or effective for treating any illness.

Websites selling Miracle Mineral Solution describe the product as a liquid that is 28 percent sodium chlorite in distilled water. Product directions instruct people to mix the sodium chlorite solution with a citric acid, such as lemon or lime juice, or another acid before drinking. In many instances, the sodium chlorite is sold with a citric acid "activator." When the acid is added, the mixture becomes chlorine dioxide, a powerful bleaching agent. Both sodium chlorite and chlorine dioxide are the active ingredients in disinfectants and have additional industrial uses. They are not meant to be swallowed by people.

The FDA has received reports of consumers who have suffered from severe vomiting, severe diarrhea, life-threatening low blood pressure caused by dehydration, and acute liver failure after drinking these products. In general, the more concentrated the product, the more severe the reactions.

If anyone has a negative reaction to one of these products, they should consult a healthcare professional immediately.

RIDOH and DEM Recommend Avoiding Contact with Seven Waterbodies, Including Three in Roger Williams Park due to Blue-green Algae

2019-08-09

The Department of Health and the Department of Environmental Management advise people to avoid contact with seven waterbodies because of potential risks from blue-green algae. These include:

Almy Pond, Newport

Sisson Pond, Portsmouth

JL Curran Reservoir, Cranston

Mashapaug Pond. Providence

and the following lakes within Roger Williams Park in Providence:

Pleasure Lake

Roosevelt Lake

Elm Lake

Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest water or eat fish from these waters. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

Note that Sisson Pond is a drinking water source maintained by Newport Water. Newport Water's primary goal is to provide safe drinking water for all of its customers. As the main drinking water supplier for the residents of Newport, Middletown, and Portsmouth, Newport Water serves nearly 70,000 people. Even when a cyanobacteria bloom is present in a pond, the treated water that Newport Water distributes to homes is safe. Treatment removes harmful bacteria, including cyanobacteria, before the water is delivered to customers. Newport Water follows all state and federal drinking water testing and monitoring requirements to assure that treatment processes are working correctly and the treated water is safe to drink. Drinking untreated water from any pond at any time is not recommended.

Newport Water may deliver treated drinking water from nine potential surface reservoirs or pond sources including: St. Mary's Pond, Sisson Pond, Lawton Valley Reservoir, South and North Easton Ponds, Gardiner Pond, and Paradise Pond located on Aquidneck Island, Nonquit Pond in Tiverton, and Watson Reservoir in Little Compton. While RIDOH and RIDEM are now issuing a public health advisory for Sisson Pond, Newport Water's other water supply ponds also routinely experience blue-green algae (cyanobacteria) blooms.

Newport Water needs all residents and visitors on Aquidneck Island and in Tiverton and Little Compton to help protect these valuable drinking water supplies. State law prohibits both people and animals from swimming and bathing in ponds that are drinking water sources. In addition, Newport Water prohibits fishing, swimming, and boating in these reservoirs, as posted.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. Most algae blooms occur in the summer and fall, but they can occur at any time of year.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov If possible, send a photograph to accompany the reported condition.

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RIDOH and DEM Recommend Lifting Restrictions for Blue-green Algae in Georgiaville Pond

2019-08-02

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) recommend lifting the advisory restricting recreational activities at Georgiaville Pond in Smithfield. The advisory was put in place because of high levels of blue-green algae, also known as cyanobacteria.

Recent consecutive surveys and sample analysis confirmed that blue-green algae has been present but at acceptably low levels and that cyanotoxin is not present in detectable concentrations.

Blue-green algae conditions can change quickly, and it is possible that blooms may affect Georgiaville Pond again, or other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact RIDEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov

Lennox Recalling Pig Ears Dog Treats

2019-07-31

The Rhode Island Department of Health (RIDOH) is advising consumers that the company Lennox is recalling its Natural Pig Ears dog treats because they have the potential to be contaminated with Salmonella. Salmonella can affect animals eating the product and there is risk to humans from handling contaminated products, especially if they have not thoroughly washed their hands after having contact with the products.

The recalled products affected where shipped to nationwide distributors and retail stores from November 1, 2018 to July 3, 2019. The product comes in an 8-pack branded pouch under UPC 742174 995163, 742174994166 or packaged individually shrink wrapped under UPC 0385384810, and 742174P35107. All UPC codes are located on the front label of the package. Individually shrink-wrapped packages may be labelled with "Lennox" or without brand information.

Healthy people infected with Salmonella should monitor themselves for some or all of the following symptoms: nausea, vomiting, diarrhea or bloody diarrhea, abdominal cramping and fever. Rarely, Salmonella can result in more serious ailments, including arterial infections, endocarditis, arthritis, muscle pain, eye irritation, and urinary tract symptoms. Consumers exhibiting these signs after having contact with this product should contact their healthcare providers.

Pets with Salmonella infections may be lethargic and have diarrhea or bloody diarrhea, fever, and vomiting. Some pets will have only decreased appetite, fever and abdominal pain. Infected but otherwise healthy pets can be carriers and infect other animals or humans. If your pet has consumed the recalled product and has these symptoms, please contact your veterinarian.

To date, Lennox is aware of cases of human illness related to an ongoing Salmonella outbreak in which several people identified Lennox pig eat treats as the brand they purchased. Individually shrink-wrapped product tested by FDA tested positive for Salmonella. Lennox's pig ears are also sold bulk unwrapped.

Consumers who have purchased the product and have proper receipt may return product or contact 800-538-8980 Monday to Friday 9-5 PM or contact us at usaoffice@lennoxpets.com for refund and additional information.

RIDOH Advancing Viral Hepatitis Efforts

2019-07-26

As states across the country respond to hepatitis A outbreaks and steep increases in the number of new hepatitis C infections, the Rhode Island Department of Health (RIDOH) continues to advance several strategies to prevent new cases and eliminate viral hepatitis in Rhode Island.

Hepatitis is an inflammation of the liver. When the liver is inflamed or damaged, its ability to process nutrients, filter blood, and fight infections is decreased. In the United States, the most common types of viral hepatitis are hepatitis A, B and C. Many people living with hepatitis B and C, which can lead to cirrhosis (scarring of the liver), liver failure, and liver cancer, do not know they have it because often there are no symptoms. Hepatitis A does not cause chronic (ongoing) infection.

Hepatitis A usually spreads when people consume food or water that has been contaminated by the fecal matter of an infected person. Hepatitis B is spread when body fluids (such as semen or blood) from a person infected with the hepatitis B virus enter the body of someone who is not infected. Hepatitis C is spread through contact with the blood of an infected person, primarily through sharing needles, syringes, or other injection drug equipment.

"There are many factors in our communities that contribute significantly to viral hepatitis, including homelessness and unstable housing, lack of access to employment opportunities, and stigma and discrimination," said RIDOH Deputy Director Ana Novais. "To effectively address viral hepatitis, we need to get at these underlying determinants of health, and make sure that every community in Rhode Island is supporting health and wellness. Everyone in Rhode Island deserves an equal opportunity to be healthy and thrive."

With World Hepatitis Day approaching on July 28th, RIDOH has several initiatives in place to help prevent hepatitis transmission in Rhode Island. They include:

- Convening a Hepatitis A Task Force to implement a Statewide action plan to prevent an outbreak, given the hepatitis A outbreaks in other states (including Massachusetts). The work of the Task Force has included organizing 27 clinics this year, in partnership with the Rhode Island Medical Reserve Corps, to vaccinate people at high risk of contracting hepatitis A, such as people experiencing homelessness and people who use drugs. Approximately 850 people have been vaccinated at these clinics in 10 different municipalities (Providence, Cranston, Newport, Westerly, Woonsocket, Middletown, Pawtucket, South Kingstown, Central Falls, and Richmond). Vaccination efforts will continue through August in additional cities and towns, including East Providence, West Warwick, Pawtucket, Bristol, and Warwick.

- Launching a multimedia campaign encouraging Baby Boomers to "Get Checked for Hep C." Most people in the United States who are living with hepatitis C were born between 1945 and 1965 and Baby Boomers have a 1 in 30 chance of infection.

- Providing brand new needles and other injecting equipment along with harm-reduction counseling for people who inject drugs, in order to prevent the spread of hepatitis B and C, as well as HIV. This work is done in partnership with ENCORE, Rhode Island's needle-exchange program, which is administered by AIDS Care Ocean State.

- Supporting the Rhode Island Department of Corrections' work to enhance hepatitis C screening among inmates with a history of injection drug use at the Adult Correctional Institutions (ACI). A $50,000 funding award from the Association of State and Territorial Health Officials (ASTHO) is helping advance this work (in addition to other initiatives in Rhode Island).

- Revisiting the core components of Rhode Island's strategic plan to eliminate hepatitis C, given recent medical advances that have made elimination a viable goal for Rhode Island. The plan is a collaborative effort among RIDOH, the Executive Office of Health and Human Services' Medicaid Program, and the Rhode Island Department of Corrections. One outcome of this work is that Rhode Island's Medicaid program now covers hepatitis C medication for all Rhode Island Medicaid beneficiaries living with the disease.

Since a new wave of hepatitis A outbreaks were identified in the United States in 2016, 25 states have reported a total of 22,295 cases; 13,184 hospitalizations; and 216 deaths. There have not been any outbreak-associated hepatitis A cases in Rhode Island. However, viral hepatitis remains a serious health concern here. In 2014, among Rhode Islanders, there were 102 known deaths associated with hepatitis C. This represents a five-fold increase when compared to the previous decade, and mirrors national trends. While Baby Boomers are particularly at risk for hepatitis C, the virus has also begun to affect younger Americans as the opioid crisis has worsened.

All Rhode Islanders are invited to support viral hepatitis elimination by attending a 'C is for Cure: A WaterFire Lighting for RI Defeats Hep C' on Saturday, August 3rd. Festivities and performances will begin at 7 p.m. at WaterFire Basin. Free, rapid hepatitis C screening will be available. The event is being organized by RI Defeats Hep C, with support from RIDOH and other organizations.

More information about viral hepatitis, free hepatitis C community testing sites, and a link to the Centers for Disease Control and Prevention (CDC)'s viral hepatitis risk assessment may be found at health.ri.gov/hep and health.ri.gov/hepc.

RIDOH Urges Precautions to Prevent Heat-related Illness

2019-07-18

The Rhode Island Department of Health (RIDOH) urges all Rhode Islanders to take certain precautions over the coming days to keep themselves, their loved ones, and their neighbors safe during the extreme heat.

"Extreme heat can be a serious health concern for anyone. However, extreme heat can be particularly dangerous for younger children, older adults, and people with chronic medical conditions, such as heart disease or high blood pressure," said RIDOH Deputy Director Ana Novais. "With the temperatures that are forecast for the next few days, people should be checking on each other, staying well hydrated, limiting their exposure to the heat, and watching for signs of heat-related illness."

To protect yourself and your family from heat-related illness, take the following precautions:

- Drink more fluids than usual, and don't wait until you are thirsty to drink more fluids. Avoid alcohol or liquids that contain high amounts of sugar.

- Check on friends and neighbors, particularly older adults and those who are caring for young children.

- Stay in air-conditioned buildings as much as possible. If you don't have air conditioning at home, see the Rhode Island Emergency Management Agency (RIEMA)'s list of cooling centers (Link below).

- Wear lightweight, light-colored clothing. Add a hat if you must be outside.

- Limit outdoor activities, especially at mid-day. If you exercise outdoors, move your workout to a morning or evening time.

- If you work outside, wear sunscreen, pace your activity, stay hydrated, and check on co-workers.

- Take cool showers or baths to cool down, particularly if you're unable to be in an air-conditioned location.

- Avoid turning on your oven, if possible. It will make your house hotter.

- Never leave young children or pets in parked cars, even with the windows down.

- If you have special healthcare needs, consider enrolling in the Rhode Island Special Needs Emergency Registry (RISNER). Enrolling in RISNER lets police, fire, and other first responders in your community better prepare for and respond to your needs during an emergency. When enrolling in the registry, a person provides information about their healthcare needs (for example, information about mobility issues, information about a visual or hearing impairment, information about the use of a life support system, such as a respirator). For more information or to enroll, visit health.ri.gov/emregistry or call 211/RI Relay 711.

About heat exhaustion:

Heat exhaustion symptoms include heavy sweating; weakness; cold, pale, or clammy skin; a fast or weak pulse; nausea or vomiting; and fainting. Individuals who have symptoms of heat exhaustion should move to a cooler location, lie down, loosen clothing, sip water, and apply cool, wet cloths to help cool the body down. Seek medical attention if vomiting begins, or if symptoms get worse or last longer than one hour.

About heat stroke:

Heat stroke symptoms include high body temperature (above 103 degrees F) combined with hot, red, dry, or moist skin; rapid and strong pulse; confusion; and loss of consciousness. Heat stroke is a medical emergency. 911 should be called immediately. Individuals experiencing heat stroke symptoms should also be moved to a cooler environment. Apply cool cloths or place the person into a cool bath to lower body temperature. Fans and ice packs can also be used to cool someone. Ice packs should be placed on the neck, under the armpit, or in the groin area (because these are the areas where large arteries are closest to the surface of the skin).

More information about heat stroke and heat exhaustion is available online, as are additional summer safety tips.

Bison Burgers and Ground Bison Recalled

2019-07-17

The Rhode Island Department of Health (RIDOH) is advising consumers that Northfork Bison Distributions is recalling bison burgers and ground bison because they have the potential to be contaminated with E. coli: O121 and O103.

This form of E. coli may cause diarrheal illness. Although most healthy adults can recover completely within a week, some people can develop a form of kidney failure called Hemolytic Uremic Syndrome (HUS). HUS is most likely to occur in young children and the elderly. The condition can lead to serious damage and even death. Illnesses have been reported in association with this recall.

Pictures of the labels are available online (see below).

The institutions that have bison burgers and ground bison in their inventories with production dates from February 22, 2019 to April 30, 2019 should contact their distributor for a full refund. For retail outlets, the bison burgers in question have an expiration date up to October 8th, 2020, and can be clearly identified by their blue boxes with the Northfork Bison logo. Consumers who have purchased these bison burgers are urged to return them to the place of purchase for a full refund.

Hummus Products Recalled Because of Listeria Concerns

2019-07-17

The Rhode Island Department of Health (RIDOH) is advising consumers that Pita Pal Foods is recalling certain hummus products due to Listeria monocytogenes concerns.

The products were made between May 30, 2019 and June 25, 2019. They were sold under the brand names Bucee's, Fresh Thyme, Harris Teeter, Lantana, Lidl, Pita Pal, Reasor's, Roundy's, Schnucks, and 7-Select. A full product list with UPCs and Use By dates is available online (see below). These products were distributed nationwide.

Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy individuals may suffer only short-term symptoms such as high fever, severe headaches, stiffness, nausea, abdominal pain, and diarrhea. Listeria infection can cause miscarriages and stillbirths among pregnant women. No illnesses have been reported to date for these products. The company is issuing this recall out of an abundance of caution.

Consumers who have purchased recalled products are urged to return them to the place of purchase for a full refund. Consumers with questions may contact the company at products@pitapal.com.

Blue-Green Algae Bloom in Georgiaville Pond in Smithfield

2019-07-10

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Georgiaville Pond in Smithfield due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from Georgiaville Pond. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Rhode Islanders Urged to Take Precautions in Potter Pond

2019-07-05

The Rhode Island Department of Health (RIDOH) is advising members of the public to take precautions when in Potter Pond in South Kingstown after five people were treated in the emergency department over the past three days for jellyfish stings.

Patients' symptoms and their descriptions of the jellyfish suggest that they could have been stung by clinging jellyfish (Gonionemus vertens). This is a species that can have a very powerful sting.

People wading through the pond, especially near aquatic vegetation, should wear boots or waders, and protective clothing. Clinging jellyfish are not known to inhabit ocean beaches or other sandy areas. They tend to attach themselves to submerged aquatic vegetation and algae in back bays, coastal ponds, and estuaries. These are not areas where people regularly swim.

Clinging jellyfish are difficult to spot in water. Adult clinging jellyfish are about the size of a dime and are marked with an orange-brown cross on their transparent bodies. They have sticky pads on their tentacles that allow them to cling to seagrasses and seaweeds.

Last year, RIDOH and the Rhode Island Department of Environmental Management (DEM) received reports about clinging jellyfish in Point Judith Pond in South Kingstown and the Narrow River in Narragansett. They also have been found on Long Island and throughout New Jersey.

People react differently to stings from clinging jellyfish. Symptoms range from no discomfort to severe pain, redness at the sting site, and respiratory and/or neurological problems. Symptoms last roughly three to five days. If someone is stung by a clinging jellyfish, they should:

- Put white vinegar on the sting site to stop any remaining stinging cells.

- Remove any remaining tentacles with fine tweezers. Be sure to wear gloves to prevent additional stings to your hands.

- Soak the skin in hot water (110° - 113°F) or take a hot shower for 20-45 minutes.

If symptoms do not go away or pain gets worse, contact a healthcare provider.

Pet Supplies Plus Recalling Pig Ear Products

2019-07-05

The Rhode Island Department of Health (RIDOH) is advising pet owners that Pet Supplies Plus is recalling bulk pig ear products due to the potential for Salmonella contamination. Salmonella can affect animals eating the products and there is risk to humans from handling contaminated pet products, especially if they have not thoroughly washed their hands after having contact with the products or any surfaces exposed to these products.

The bulk pig ears were distributed to locations in more than two dozens states, including Rhode Island and Massachusetts. The bulk pig ears were stocked in open bins. Prepackaged branded pig ears are not included in this recall.

Symptoms of Salmonella include: nausea, vomiting, diarrhea or bloody diarrhea, abdominal cramping and fever. Rarely, Salmonella can result in more serious ailments, including arterial infections, endocarditis, arthritis, muscle pain, eye irritation, and urinary tract symptoms. Consumers exhibiting these signs after having contact with this product should contact their healthcare providers.

Pets with Salmonella infections may be lethargic and have diarrhea or bloody diarrhea, fever, and vomiting. Some pets will have only decreased appetite, fever, and abdominal pain. Infected but otherwise healthy pets can be carriers and infect other animals or humans. If your pet has consumed the recalled product and has these symptoms, please contact your veterinarian.

Testing by the Michigan Department of Agriculture and Rural Development revealed that aging bulk pig ear products in a Pet Supplies Plus store tested positive for Salmonella.

Simmons Farm Recalling Certain Cheese Products

2019-07-03

The Rhode Island Department of Health (RIDOH) is advising consumers that Simmons Organic Farm is recalling all flavors and sizes of Chevrie goat cheese and cow's milk cheddar dated on or after June 1, 2019 because of potentially improper pasteurization. Simmons Organic Farm is located in Middletown, Rhode Island.

All products were sold at the farm in Middletown, at the Hope Street Farmers Market in Provbidence, and at Aquidneck Growers Market. People who purchased these products are urged to discard them.

The issue was identified on July 2nd during a routine inspection.

At this time there have been no reports of illnesses.

Pasteurization of milk helps prevent foodborne illnesses, including tuberculosis, brucellosis, salmonellosis, scarlet fever, and listeriosis. While most healthy people recover from foodborne illnesses in a short time, some people may develop symptoms that are chronic, severe, or even life-threatening.

Symptoms of foodborne illnesses may include:

- vomiting

- diarrhea

- abdominal pain

- fever

- headache

- body aches

RIDOH and DEM Recommend Avoiding Contact with Melville Pond

2019-07-02

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Melville Pond in Portsmouth due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the pond. All recreation, including fishing, boating, and kayaking, should be avoided. Pets can also be affected by exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with Melville Pond and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Growers Express Recalls Multiple Fresh Vegetable Products

2019-07-02

The Rhode Island Department of Health (RIDOH) is advising consumers that Growers Express is recalling several select fresh vegetable products, including packaged varieties of butternut squash, cauliflower, zucchini, and a butternut squashed based veggie bowl. This recalling was issued because these products could be contaminated with Listeria monocytogenes.

The products were distributed to numerous states, including Connecticut, Massachusetts, and Rhode Island. The product being recalled in Rhode Island is Trader Joe's Butternut Squash Spirals. A full list of the products being recalled by state is available online (see link below). Most of the affected products are labeled with a "Best If Used By" Date of June 26 - June 29, 2019.

There are no reported illnesses associated with this recall.

Listeria is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer short-term symptoms such as high fever, severe headaches, stiffness, nausea, abdominal pain and diarrhea. Listeria infection can cause miscarriages and stillbirths among pregnant women.

Consumers who purchased any of these products are urged not to consume them and to throw the products away.

Rhode Islanders Advised to Not Eat Papayas from Mexico

2019-06-28

The Rhode Island Department of Health (RIDOH) is advising consumers to not eat any whole, fresh papayas from Mexico. The Centers for Disease Control and Prevention (CDC) has sent out an alert with the same message for consumers in Connecticut, Massachusetts, New Jersey, New York, and Pennsylvania.

This alert is connected to an investigation of on outbreak of Salmonella. Sixty-two people infected with the outbreak strain of Salmonella Uganda have been reported from eight states, including one case in Rhode Island. Illnesses started on dates ranging from January 14, 2019 to June 8, 2019. Most illnesses have occurred since April 2019. Twenty-three people have been hospitalized. No deaths attributed to Salmonella have been reported.

People should throw away papayas from Mexico, even if some of them were eaten and no one has gotten sick.

Additional guidance:

- Do not eat fruit salads or other mixes that include papayas from Mexico.

- If you aren't sure the papaya you bought is from Mexico, you can ask the place of purchase. When in doubt, don't eat the papaya. Throw it out.

- Wash and sanitize places where papayas were stored: countertops and refrigerator drawers or shelves.

Symptoms of Salmonella infection:

- Most people infected with Salmonella develop diarrhea, fever, and stomach cramps 12 to 72 hours after being exposed to the bacteria.

- The illness usually lasts 4 to 7 days, and most people recover without treatment.

- In some people, the illness may be so severe that the patient needs to be hospitalized. Salmonella infection may spread from the intestines to the bloodstream and then to other places in the body.

- Children younger than 5 years, pregnant women, adults 65 and older, and people with weakened immune systems are more likely to have a severe illness.

Anyone who experiences the symptoms of Salmonella after eating papaya should contact their healthcare provider.

Cities and Towns Examine Local Overdose Prevention and Response Plans

2019-06-25

Municipal officials, first responders, and treatment and recovery specialists were among the more than 300 people from throughout the state who gathered today to learn from the overdose prevention and response work happening in Rhode Island's cities and towns.

Convened by Governor Gina M. Raimondo's Overdose Prevention and Intervention Task Force, the Community Overdose Engagement Summit: Bending the Curve, highlighted locally responsive overdose plans developed by 34 Rhode Island municipalities. The local plans align with the Task Force's overarching strategic plan. These local plans were developed by communities to respond to their specific resources, strengths, and challenges. They were supported by grant funding from the Rhode Island Department of Health (RIDOH), and were informed by community-level data compiled, analyzed, and shared by RIDOH.

"The overdose epidemic affects every community in our state, and it's critical that we focus prevention and recovery efforts both at the state and local level," said Governor Raimondo, who attended the event. "Some of the most effective strategies in this fight have come from the front lines-from first responders, harm reduction workers and behavioral health specialists in individual communities. My administration is committed to working with local leaders and experts to prevent overdoses and save lives in every city and town in Rhode Island."

The event was also attended by Tom Coderre, Senior Advisor to Governor Raimondo; Rebecca Boss, the Director of the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH); and Ana Novais, the Deputy Director of RIDOH.

Examples of initiatives in cities' and towns' local overdose response plans include:

• Richmond's and Hopkinton's municipal officers partnered with the Rhode Island State Police on the Heroin-Opioid Prevention Effort (HOPE) Initiative to learn techniques on post-overdose outreach.

• Portsmouth, Tiverton, and Little Compton's fire and Emergency Medical Services (EMS) personnel trained in Mental Health First Aid with a Bradley Hospital staff member and implemented Safe Stations on Aquidneck Island. Safe Stations helps connect people in crisis to local treatment and recovery support services.

• Providence collaborated with the non-profit organization Project Weber/RENEW (http://www.weberrenew.org/) to conduct outreach in areas of the city where overdoses most commonly occur. Peer recovery specialists from Project Weber/RENEW distributed hundreds of safer drug use resources, such as sterile syringes and fentanyl test strips, to individuals at higher risk for overdose.

"The overdose crisis is a local crisis," said Michelle McKenzie, Director of Preventing Overdose and Naloxone Intervention (PONI) at The Miriam Hospital. "Communities need data and support to implement programs we know can prevent overdoses and save lives in the neighborhoods we serve every day. That is what our Street Outreach and Safer Drug Use/Harm Reduction work in Providence is all about, and that is what the Community Overdose Engagement Summit is all about."

After seeing our number of drug overdose deaths increase for almost a decade, Rhode Island has started to make some progress. The state saw a 6.5% reduction in overdose deaths in the last two years (336 in 2016, versus 314 in 2018).

In addition to municipal officials, first responders, and treatment and recovery specialists, attendees included pharmacists, behavioral health counselors, family and youth substance use prevention organization members, and representatives from Rhode Island's Centers of Excellence, Health Equity Zones (HEZs), and Regional Prevention Coalitions.

Cities and towns first started working on local overdose prevention and response plans in 2017 at the first Community Overdose Engagement Summit. RIDOH made grant funding of up to $5,000 available to the 25 municipalities that started creating plans at that time. Those municipalities were: Barrington, Bristol, Burrillville, Central Falls, Charlestown, Coventry, East Providence, Exeter, Hopkinton, Little Compton, Narragansett, Newport, North Kingstown, Pawtucket, Portsmouth, Providence, Richmond, South Kingstown, Tiverton, Warren, Warwick, West Greenwich, West Warwick, Westerly, and Woonsocket.

The nine additional cities and towns that have since developed local overdose plans are Cranston, East Greenwich, Glocester, Johnston, Lincoln, Middletown, New Shoreham, North Providence, and Smithfield.

Additionally, 20 cities and towns from the first cohort applied for and received additional funding from RIDOH to further focus on one of their main initiatives.

A video that highlights the innovative work of five Rhode Island municipalities that developed comprehensive overdose response plans is available online. (https://www.youtube.com/watch?v=1jMtLUTBVgA&feature=youtu.be)

The data used to inform the local overdose prevention and response plans were compiled and analyzed by RIDOH using reports from emergency departments and hospitals in Rhode Island. Emergency departments are required to report suspected opioid overdoses to RIDOH within 48 hours. RIDOH, BHDDH, and the Rhode Island State Fusion Center use these weekly data to monitor increases in opioid overdose activity. (The Rhode Island Fusion Center is a law enforcement partnership.) Alerts about increases in overdose activity within a seven-day period are sent to local leaders, first responders, treatment providers, and other community stakeholders.

RIDOH and DEM Remind Rhode Islanders About Algae Blooms

2019-06-21

With the weather turning warmer and recreational activities on Rhode Island's lakes, ponds, and rivers increasing, the Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are reminding everyone to be on the lookout for harmful algae blooms on these bodies of water.

Harmful algae blooms caused by blue-green algae, also known as cyanobacteria, are characterized by shades of bright to dark green and may have dense, floating algal mats on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. Increased temperatures, slow moving water, and excessive amounts of nutrients cause the cyanobacteria to grow quickly and can create colonies of growth called a bloom. Harmful algae blooms are capable of producing toxins, which have the potential to negatively impact humans and animals.

During a harmful algae bloom, all recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest untreated water or eat fish from affected bodies of water. Pets should not be allowed to drink or swim in this water.

Contact with water containing blue-green algae can cause irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing blue-green algae include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. If you come into contact with water affected by a harmful algae bloom, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. If your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water.

People who have had contact with water with algae blooms and who experience the symptoms described above should contact a healthcare provider and call RIDOH at 401-222-7727 to report illness associated with a blue-green algae bloom.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 401-222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

UNFI Recalling Woodstock Frozen Organic Grilled Red Peppers

2019-06-19

The Rhode Island Department of Health (RIDOH) is advising consumers that UNFI is recalling its 10-ounce packages of Woodstock frozen Organic Grilled Red Peppers because they have the potential to be contaminated with Listeria monocytogenes.

The product comes in a 10-ounce plastic package marked with a UPC code 4256301714, lot #60B, and a best by date of April 2020 stamped on the back of the package.

This lot of frozen red peppers is being recalled after routine surveillance sampling at RIDOH's State Health Laboratories found that a sample of this product was positive for Listeria monocytogenes. At this time, there have not been any reports of illnesses associated with this recall.

When consumed in food, Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

Consumers who have purchased 10-ounce packages of Woodstock frozen Organic Grilled Red Peppers with the indicated lot code above, are urged to dispose of the product properly and to contact the company at ResponseTeam@bluemarblebrands.com with any questions.

RIDOH Helps Prepare Long-Term Care Facilities with Evacuation Exercise

2019-06-19

To help nursing homes, assisted living communities, and other long-term care facilities prepare for and respond to a natural disaster, the Rhode Island Department of Health (RIDOH) and the Healthcare Coalition of Rhode Island (HCRI) conducted evacuation exercises at facilities throughout the state yesterday and today.

At 113 facilities and communities, residents or volunteers playing the parts of residents had their personal items and medications packed and were moved to holding areas where they waited to be transported to receiving facilities. Although rare, the evacuation of a healthcare facility is a complex event requiring significant coordination within the municipality and the State. The exercise involved staff from the nursing homes and assisted living communities, local police and fire departments, emergency medical services (EMS) agencies, emergency management agencies, RIDOH, and HCRI.

"Preparedness is a core function of public health," said RIDOH Deputy Director Ana Novais. "We have carefully studied previous evacuations, such as one related to the Aquidneck Island gas outage earlier this year, and are incorporating lessons learned. Our aim is to help facilities and the State as a whole be as prepared as possible to support residents, patients, and employees in advance of our next emergency."

Annual evacuation exercises are designed to test the Rhode Island Long-Term Care Mutual Aid Plan, which helps nursing homes and assisted living communities prepare for, respond to, and recover from disasters. Initiated in 2013 following Hurricane Irene and Superstorm Sandy, Rhode Island's Long-Term Care Mutual Aid Plan provides a network of support for nursing homes and assisted living communities that allows them to efficiently share resources and receive displaced residents following a facility's or community's evacuation.

Within the past year, the Rhode Island Long-Term Care Mutual Aid Plan has been used to support an assisted living community evacuation due to loss of air conditioning during a heatwave, a partial nursing home evacuation due to a burst pipe, and the nursing home and assisted living community evacuation from St. Clare Home-Newport during the Aquidneck Island gas outage in January.

"We recognized that the training and exercises that we conducted as part of the Long-Term Care Mutual Aid Plan were so important when we had to evacuate our facility," said Mary Beth Daignault, the Administrator at St. Clare Home-Newport. "The staff had the opportunity to fill out the forms and practice the processes just months before we had to perform them in a real-world event. This week's exercise reinforced the lessons we learned and will help us continue to grow and improve."

The Healthcare Coalition of Rhode Island is a forum for healthcare organizations, public health, EMS, and emergency management agencies to develop a networked plan for interaction and collaboration in disaster-related planning, mitigation, response, and recovery efforts that address Rhode Island's healthcare system. Previous years' exercises have focused on one or two nursing homes and assisted living communities evacuating, while the other facilities and communities accepted their residents. In 2018, the scenario was designed so that each facility and community had the opportunity to test its procedures for evacuation, instead of receipt of residents. Based on the lessons learned from the real-world evacuations, the exercises conducted this week once again forced the evacuation of each facility and community to allow them to build on lessons learned from the 2018 exercises and to emphasize the processes that needed more attention during the real-world evacuations.

RIDOH, the Healthcare Coalition of Rhode Island, and RPA (a Jensen-Hughes company that provides fire and emergency management consultation services) helped plan the exercise.

Pillsbury Bread Flour Being Recalled

2019-06-17

The Rhode Island Department of Health (RIDOH) is advising consumers that certain Pillsbury Best 5 lb. Bread Flour products are being recalled due to a potential presence of pathogenic E. coli.

The following products are affected:

- UPC code - 0 5150020031 5; Lot code - 8 342; Use-by date - JUN 08 2020

- UPC code - 0 5150020031 5; Lot code - 8 343; Use-by date - JUN 09 2020

Approximately 4,620 cases of impacted Pillsbury Best 5 lb. Bread Flour were distributed to a limited number of retailers and distributors across the following 10 states: Connecticut, Delaware, Maryland, Maine, New Hampshire, New Jersey, New York, Ohio, Pennsylvania and Virginia.

The severity of E. coli infections vary among people and often include several symptoms, including severe stomach cramps, diarrhea (often bloody) and vomiting. People usually develop symptoms and get sick three to four days after ingesting the germ, and most recover within a week. In some cases, individuals may develop a serious illness called hemolytic uremic syndrome (HUS), which can result in kidney failure, stroke, and even death. Young children, elderly individuals, pregnant women and those who are immunocompromised are more susceptible to foodborne illness. If you feel ill or are at all concerned about an illness, please contact your physician.

People who have the affected product in their homes or businesses should not consume it. It should be discarded or returned to the retail location it was purchased from for a refund.

There have been no reports of illnesses associated with this product. Hometown Food Company has been informed by ADM Milling Co., that certain wheat used to make these two lots of Pillsbury Best 5 lb. Bread Flour has been linked to E. coli illnesses associated with other flour products produced at the ADM mill in Buffalo.

Flour is made from wheat, which is a raw product that is minimally processed. Flour is not a ready-to-eat product. It is an ingredient for baked, fried and cooked recipes, and these heating processes, along with proper handling, ensure the safety of consuming flour. All surfaces and utensils should be properly cleaned after contact with flour or uncooked dough or batter. Consumers should wash their hands after handling flour or uncooked dough or batter. Consumers should not eat uncooked dough or batter made with raw flour.

King Arthur Flour Recalling Unbleached All-Purpose Flour

2019-06-14

The Rhode Island Department of Health (RIDOH) is advising consumers that King Arthur Flour, Inc. is recalling 14,218 cases of 5 lb. Unbleached All-Purpose Flour due to the potential presence of Escherichia coli bacteria (E. coli).

The recalled Unbleached All-Purpose Flour (5 lb.) was distributed through retailers and distributors nationwide. The products affected by this recall have the following "best used by" dates and lot codes:

BEST USED BY 12/07/19 LOT: L18A07C

BEST USED BY 12/08/19 LOTS: L18A08A, L18A08B

BEST USED BY 12/14/19 LOTS: L18A14A, L18A14B, L18A14C

E. coli causes a diarrheal illness often with bloody stools. Although most healthy adults can recover completely within a week, some people can develop a form of kidney failure called Hemolytic Uremic Syndrome (HUS). HUS is most likely to occur in young children and the elderly. The condition can lead to serious kidney damage and even death.

No illnesses have been reported to date in connection with King Arthur flour.

Consumers who have any of these affected products should not consume them and should throw them away or return them to the place of purchase for credit or refund.

Consumer should remember that flour is not ready-to-eat, and anything made with flour must be baked before eating. Consumers are also reminded to wash their hands, work surfaces, and utensils thoroughly after contact with raw dough products or flour, and to never eat raw dough or batter.

Rhode Islanders Reminded About Food Safety Precautions

2019-06-07

With the summer approaching, the Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders to help keep themselves and their family members healthy and safe by taking certain precautions when storing and preparing food.

"Healthy eating is not only about choosing nutritious foods, but also about eating foods that are manufactured, stored, and prepared safely," said Director of Health Nicole Alexander-Scott, MD, MPH. "It is going to be a beautiful weekend in Rhode Island. If your plans include barbecuing or sharing a meal with family and friends in any other way, there are a few simple steps you can take to help keep yourself and your loved ones safe."

Rhode Islanders should remember to:

- Thoroughly wash their hands after using the restroom and before any food preparation.

- Thoroughly cook meat, such as hamburgers and chicken. Do not wash poultry (just thoroughly cook it). Washing poultry tends to spread Salmonella, Campylobacter, and other dangerous bacteria.

- Not prepare food for others if you are sick with a gastrointestinal illness (sometimes called a "stomach bug").

- Not let food sit out at room temperature if it requires temperature control. Food that requires temperature control should be refrigerated as soon as possible.

The World Health Organization (WHO) and the U.N. Food and Agriculture Organization (FAO) have declared June 7th as World Food Safety Day. This is the first time this declaration has been made. Globally, an estimated 600 million people (almost 1 in 10 people in the world) fall ill after eating contaminated food every year and 420,000 people die every year because of contaminated food. Children younger than 5 years old carry 40% of the foodborne disease burden.

Whole Foods Market Recalling Basil and Tomato Pesto

2019-06-06

The Rhode Island Department of Health (RIDOH) is advising consumers that Whole Foods Market stores in the northeast are recalling the retailer's specialty made in-house basil pesto and specialty made in-house sundried tomato pesto because the products may contain undeclared milk and tree nuts (walnuts and pine nuts). People who have an allergy or severe sensitivity to these allergens run the risk of serious or life-threatening allergic reaction if they consume these products.

The products were available in individual clear plastic containers and on antipasti bars with sell-by dates from June 7, 2019 - June 26, 2019. The specialty basil pesto was sold by the pound and can be identified by the PLU code beginning with 255926, and the specialty sundried tomato pesto was sold by the pound and can be identified by the PLU code beginning with 256009. Both sell-by dates and PLU codes are printed on the product scale labels. All affected products have been removed from store shelves. One allergic reaction has been reported to date. The issue was discovered after a customer alerted the store.

The pesto products were sold between May 17, 2019 and June 4, 2019 at 41 Whole Foods Market stores in Connecticut, Maine, Massachusetts, New Hampshire, and Rhode Island.

Customers who purchased this product at Whole Foods Market can bring a valid receipt into stores for a full refund. Consumers with additional questions can call 1-844-936-8255 between the hours of 7:00 a.m. and 10:00 p.m. CST, Monday through Friday, or 8:00 a.m. and 6:00 p.m. Saturday through Sunday.

ADM Milling Co. and ALDI Recall All Purpose Flour from Northeastern US: RIDOH Contributes to Multi-State Investigation

2019-05-24

The Rhode Island Department of Health (RIDOH) is advising consumers that ADM Milling Co. and ALDI have recalled five-pound bags of Bakers Corner All Purpose Flour sold at retail locations in the northeastern United States because it may be contaminated with E. coli.

This is an update to a previous press announcement made by RIDOH. On May 22nd, RIDOH advised people to not eat flour from five-pound bags of Bakers Corner All Purpose Flour with lot code L18A02B and a "best if used by" date of December 02, 2019. This product was sourced from an ADM Milling Co. production facility in Buffalo, N.Y. and was distributed to select ALDI stores in 11 states: Connecticut, Delaware, Massachusetts, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont and West Virginia. The Bakers Corner All Purpose Flour affected by the ADM Milling Co. recall is sold in a 5 lb. bag with the following UPC code: 041498130404. Out of an abundance of caution, ALDI has recalled all "best if used by" dates and all lots of Bakers Corner All Purpose Flour products produced by ADM Milling Co. in Buffalo, N.Y. from store shelves in these states. People are now advised to not consume this flour.

This advisory has been expanded because the Centers for Disease Control and Prevention (CDC), public health officials in several states, and the U.S. Food and Drug Administration (FDA) are investigating a multi-state outbreak of E. coli infections likely linked to flour. Seventeen cases have been reported in eight states, including one case in Rhode Island.

Investigators with RIDOH's Center for Food Protection collected records and flour samples at a bakery where an ill person reported eating raw dough. Records indicated that the bakery used Bakers Corner All Purpose Flour from ALDI. The outbreak strain was isolated at the RIDOH State Health Laboratories from an unopened bag of Bakers Corner All Purpose Flour collected at the bakery. Whole genome sequencing results showed that the E. coli strain identified in the Bakers Corner All Purpose Flour sample was closely related genetically to the E. coli strain identified in ill people in several states. The food source of the E.coli strain cultured from the remaining cases remains under investigation.

The symptoms of E. coli infections vary among people but often include severe stomach cramps, diarrhea (often bloody), and vomiting. People usually get sick 3 to 4 days after swallowing the germ. Most people recover within a week. However, some people may develop a serious type of illness called hemolytic uremic syndrome (HUS), which can result in kidney failure, stroke, and even death. Young children, elderly people, individuals who are immunocompromised, and pregnant women are particularly susceptible to foodborne illness. Any consumers concerned about an illness should contact a physician.

Consumers are reminded to not consume any raw products made with flour. Flour is an ingredient that comes from milling wheat, something grown outdoors that carries with it risks of bacteria which are rendered harmless by baking, frying, or boiling. Consumers are reminded to wash their hands, work surfaces, and utensils thoroughly after contact with raw dough products or flour, and to never eat raw dough or batter. More information about the risks of consuming raw dough is online at https://www.cdc.gov/features/no-raw-dough/index.html.

Health Advisory About Baker's Corner Flour

2019-05-22

The Rhode Island Department of Health (RIDOH) is advising people to not consume flour from five-pound bags of Baker's Corner All Purpose Flour packed for ALDI with lot code L18A02B and a "best if used by" date of December 02, 2019.

This advisory is being issued because of the potential presence of E. coli, which was discovered during testing of a five-pound bag of Baker's Corner All Purpose Flour at RIDOH's State Health Laboratories. This advisory only affects this one lot code of Baker's Corner All Purpose Flour five-pound bags. All other types of Baker's Corner flour are not affected. Consumers are asked to check their pantries and dispose of the product.

Product information:

- 5 lb. Baker's Corner All Purpose Flour

- Package Lot Number - L18A02B

- Best If Used By Date - 12/02/19

The symptoms of E. coli infections vary among people but often include severe stomach cramps, diarrhea (often bloody), and vomiting. People usually get sick 3 to 4 days after swallowing the germ. Most people recover within a week. However, some people may develop a serious type of illness called hemolytic uremic syndrome (HUS), which can result in kidney failure, stroke, and even death. Young children, elderly people, individuals who are immunocompromised, and pregnant women are particularly susceptible to foodborne illness. Any consumers concerned about an illness should contact a physician.

Consumers are reminded to not consume any raw products made with flour. Flour is an ingredient that comes from milling wheat, something grown outdoors that carries with it risks of bacteria which are rendered harmless by baking, frying, or boiling. Consumers are reminded to wash their hands, work surfaces, and utensils thoroughly after contact with raw dough products or flour, and to never eat raw dough or batter.

Karawan Brand Tahini Recalled

2019-05-17

A recall has been issued for Karawan brand Tahini sold in 16-ounce jars and 39-pound buckets that were imported from Palestine between December 2018 and January 2019. These products have the potential to be contaminated with Salmonella, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems.

Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Karawan brand Tahini was directly distributed to New York and Texas. Distributors then shipped the product to Massachusetts and Virginia. Specific information on how to identify the product includes:

a. Name of product: Tahini

b. Brand name: Karawan Tahini

c. Unit size: Jar: 450g (15.87oz) and Buckets: 17kg (599.6 oz)

d. Storage conditions: No refrigeration storage needed.

e. Expiration Date (s): Two years from the production. The expiration date is located on the lid of the containers.

Four illnesses have been reported to date.

This recall has been initiated due to New York City Department of Health and Mental Hygiene laboratory results from two samples of Karawan brand tahini testing positive for Salmonella. Brodt Zenatti Holding LLC has ceased the importation and distribution of the product as FDA and Brodt Zenatti Holding LLC continue their investigation as to what caused the problem.

Consumers who have purchased Karawan brand tahini are urged to destroy it or return it to the place of purchase for a full refund. Consumers with questions may contact Brodt Zenatti Holding LLC at 305-570-9050, Monday through Friday, from 9:00 am to 5:00 pm.

RIDOH Announces New Health Equity Zones

2019-05-06

The Rhode Island Department of Health (RIDOH) today announced that it is expanding support and funding to three new communities to establish Health Equity Zones. East Providence, Cranston, and Providence's West End neighborhood were chosen through a competitive process that drew nearly 20 applicants from communities across the State. These new communities will share approximately $1.4 million in funding with seven existing Health Equity Zones receiving support to continue their work in local communities.

RIDOH's Health Equity Zone initiative is an innovative, place-based approach that brings people together to build healthy, resilient communities across Rhode Island. The initiative is grounded in research that shows up to 80% of health outcomes are determined by factors outside clinical settings, such as access to affordable, healthy foods; high-quality education; employment opportunities; and safe neighborhoods. The model encourages and equips community members and partners to collaborate to address factors like these and create healthy places for people to live, learn, work, and play.

"We are thrilled to expand our Health Equity Zones initiative to additional Rhode Island communities," said Director of Health Nicole Alexander-Scott, MD, MPH. "With plans for strong mentorship from existing Health Equity Zones, these communities are taking the forces that shape their health and well-being into their own hands. I can't wait to see what they accomplish over the next few years as we continue to lift up this initiative as a national model of how such an infrastructure led by community members can create the conditions needed for every person to thrive."

Each successful application was submitted by a municipal or nonprofit, community-based organization that will serve as the "backbone agency" for the local Health Equity Zone. These agencies, which include East Bay Community Action Program, Comprehensive Community Action Plan, and West Elmwood Housing Corporation, will facilitate a community-led process to organize a collaborative of community partners, conduct a needs assessment, and implement a data-driven plan of action to address the obstacles to health and well-being in local neighborhoods. RIDOH will provide seed funding and support to ensure that communities ground their work in public health principles and best practices, so that measurable outcomes are reached and evaluated.

Existing Health Equity Zone Collaboratives include residents, diverse community-based organizations, youth-serving organizations, educators, business leaders, health professionals, transportation experts, and people in many other fields who are coming together to address the most pressing health concerns in their neighborhoods.

The initial year-long contract period will begin in approximately July 2019 and may be renewed for up to four additional 12-month periods based on HEZ performance outcomes evaluated and based on the availability of funds.

To learn more about how to partner with RIDOH to support the Health Equity Zone model in Rhode Island, write to: Ana.Novais@health.ri.gov.

Rhode Island Teens Kick Butts with Zombie Walk and State House Rally

2019-05-02

Dressed as zombies representing smokers risen from the dead, dozens of Rhode Island teenagers held a Kick Butts Day Zombie Walk at the Rhode Island State House today to warn the living about the dangers of tobacco and e-cigarette use.

The event culminated with a rally where the teens called on leaders to resist tobacco and vaping industry practices that target youth, to raise the minimum legal age for all tobacco product sales to 21, and to support communities working to prevent tobacco-related disease and deaths. The teens were joined by Nicole Alexander-Scott, MD, MPH, Director of the Rhode Island Department of Health (RIDOH) and Gustavo Torres from the national Campaign for Tobacco Free Kids.

"We're standing up to the vaping and tobacco industry to say 'raise the age or we'll rage!' to stop selling and pushing your unsafe e-cigarettes and vaping devices to kids and teens," said Thyandra Martinez, a senior who attends West Warwick High School. "Big Tobacco is lining up teens as 'new customers' with candy-flavored e-cigarettes and vaping, even though nicotine can ruin our brains, our education, and our lives. Don't be fooled, underage teens! Vape is not the answer, smoking causes cancer!"

"E-cigarettes are highly addictive and they are very dangerous, especially for young people," said Dr. Alexander-Scott. "I commend every one of these teenagers for stepping up and fighting back. We need to follow their lead and do everything we can to prevent youth tobacco and e-cigarette use, with a focus on the vulnerable communities where companies continue to push their shameless marketing tactics most aggressively. Every person in every community in Rhode Island deserves an equal opportunity to be healthy, without marketing harmfully targeting their community."

In Rhode Island, 20% of high school teens reported current use of e-cigarettes in 2017 according to the State's Youth Risk Behavior Survey (YRBS) facilitated by the Rhode Island Department of Health (RIDOH).

The human brain continues forming important connections until roughly 26 years of age. Nicotine exposure for kids, teens, and young adults can "prime" the brain for addictions to tobacco, alcohol, and other drugs, stunt brain growth, and cause problems with learning, memory, mood, impulse control, and decision-making, according to the U.S. Surgeon General. The FDA recently began to investigate links between e-cigarette use and seizures after receiving reports involving primarily teens and young adults.

Despite state and federal laws that prohibit sales to people younger than 18 years of age, tobacco addiction is primarily established during adolescence, followed by early adulthood. Ninety percent of adult smokers first light up as a kid or teen, and less than 1% begin smoking after age 26.

An estimated 16,000 more teenagers alive today in Rhode Island will one day die from smoking-related illnesses. Tobacco use remains the leading cause of premature death in the United States and Rhode Island. Over the last three years, 12 states have passed tobacco-to-21 laws to address this issue, including Massachusetts and Maine.

"For decades, Big Tobacco has skirted laws and carved out loopholes to market and sell to young people because they understand the science of how teen brains grow and how lifelong customers first get addicted to nicotine," said Gustavo Torrez of Campaign for Tobacco Free Kids. "Not surprising, the cigarette and e-cigarette industries in recent years have joined forces, and we now see that teens who use e-cigarettes are more likely to smoke deadly lit cigarettes. More can be done to protect youth from the growing predatory tobacco industries, and that's why we're seeing many more states and cities raising the tobacco sale age to 21 and banning kid-friendly, candy-like flavored tobacco products."

Kick Butts Day activities are held nationally and are sponsored by the Campaign for Tobacco Free Kids to showcase teen creativity that demonstrates how tobacco and nicotine use can quickly addict young people, harm brain development, cause chronic disease, disfigure, and kill.

Teens also took to social media to get their messages out more widely, using hashtags #iKickButts, #RIEndGame, and #BeTheFirst. Four teen groups also continued to share the home-grown videos they had produced for a Tobacco Free Teen Alliance PSA Challenge. The PSA challenge winners were: Best Overall Winner - West Warwick Public Schools STAAND Chapter; Fan Favorite Winner - East Bay Regional Coalition; and Runners Up - AS220-Providence and Blackstone Valley Region-Central Falls.

Free support is available to quit smoking. The Rhode Island Smoker's Helpline provides counseling by phone, nicotine replacement products, online and digital support tools, local referrals, and more. In addition to adult smokers, teens who use e-cigarettes or nicotine in any form may also call the Rhode Island Smoker's Helpline for free age-appropriate quit counseling and other support. All services are supported by RIDOH. Call 1-800-QUIT NOW (1-800-784-8669).

The Rhode Island "Kick Butts Day Zombie Walk" was sponsored by the RIDOH Tobacco Control Program, Office of Rural Health, and Campaign for Tobacco Free Kids, in partnership with Tobacco Free Teen Alliance from the following communities: Barrington, Bristol, Burrillville, Central Falls, Cumberland, East Providence, Providence (AS220), West Warwick, Warren, Woonsocket, and more.

Flu No Longer Widespread in Rhode Island

2019-04-25

The Rhode Island Department of Health (RIDOH) has alerted healthcare providers that the flu is no longer widespread in Rhode Island, which means that healthcare workers who have not been immunized against the flu are no longer required to wear surgical masks during direct patient contact.

The flu had been declared widespread in Rhode Island on January 2, 2019. 'Widespread' is the highest tier in the five-tier system that RIDOH uses to categorize flu activity in the state.

"Although the flu is no longer widespread in Rhode Island, it is still present in the state. Anyone who has not been vaccinated yet should be vaccinated as soon as possible," said Director of Health Nicole Alexander-Scott, MD, MPH. "When you get a flu shot, you are not just protecting yourself. You are also protecting the ones you love by preventing the spread of the flu. Year in and year out, flu vaccine is your best protection against the flu."

Flu vaccination is recommended for everyone older than 6 months of age. It is especially important for healthcare workers, pregnant women, senior citizens, young children, and people with chronic medical conditions, such as heart disease, diabetes, cancer, and asthma.

The flu spreads when an infected person coughs or sneezes near another person. The flu may also spread when people touch something covered with infected droplets and then touch their eyes, mouth, or nose.

Beyond vaccination, there are other measures that Rhode Islanders should take prevent the spread of the flu. They include:

- Hand washing often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

- Coughing or sneeze into your elbow. Flu is spread through coughing or sneezing on other people or into your hands. Cover your coughs and sneezes to prevent others from getting sick.

- Avoid touching your eyes, nose, or mouth. Germs spread this way.

- Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.

- Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

RIDOH Launches New Opioid Public Awareness Campaign

2019-04-10

The Rhode Island Department of Health (RIDOH) today launched Over the Dose RI, a multi-channel education campaign designed to reduce the misuse and abuse of opioid pain medications by Rhode Islanders ages 18 to 50. The announcement was made at the monthly meeting of Governor Gina Raimondo's Overdose Prevention and Intervention Task Force. The campaign is closely aligned with the Task Force's Strategic Plan to reduce overdose deaths.

The campaign is adapted from Over the Dose VT, a successful, data-driven campaign developed by Rescue Agency Public Benefit for the Vermont Department of Health. Educational content features information on the risks of opioids, how they affect the body, and how they interact with substances like alcohol.

The campaign includes social and digital media as well as a website, OvertheDoseRI.org, which uses simple language to explain the science of opioid dependence, addiction, and withdrawal. An animated video Public Service Announcement (PSA) and educational modules motivate user-engagement by introducing interactive elements.

"Opioids are appropriate medication for some people in certain situations. But for most people, non-opioid pain management alternatives are much safer and are just as effective," said Director of Health Nicole Alexander-Scott, MD, MPH. "Our aim is to empower people to be informed participants in the decision-making process about how to manage their pain, and how to heal as safely as possible."

Non-opioid pain management alternatives include (but are not limited to) chiropractic care, physical therapy, acupuncture, massage therapy, and over-the-counter pain relievers, such as ibuprofen (Advil) and acetaminophen (Tylenol).

Formative research conducted for Over the Dose VT and Rescue Agency revealed that high-risk young adults ages 18 to 25 perceived opioids as carrying little to no risk for occasional, recreational use because they did not know what opioids are or how opioids could harm them. Research participants believed that overdoses only happen in extreme cases; some participants did not perceive the serious consequences of mixing opioids with other substances.

Over the Dose RI aims to expand this educational messaging to Rhode Islanders up to age 50. The paid social media and digital campaign uses interest-based targeting and dynamic content to capture a wide range of audiences.

The Over the Dose RI social and digital media campaign will continue through mid-June 2019. Ads will run on Facebook and Instagram, which have been selected for their reach to 18 to 50-year-olds. The strategic social media campaign will direct people to OvertheDoseRI.org [health.us5.list-manage.com] and to resources on the State's overdose data dashboard and website, PreventOverdoseRI.org [health.us5.list-manage.com].

Rhode Islanders can call the 24/7 crisis hotline - 401-414-LINK (5465) - to learn more about statewide treatment and recovery support services for opioid use disorder. English and Spanish-speaking counselors are available to help answer questions and offer connection to local resources.

FDA Reports Some E-cigarette Users Are Having Seizures

2019-04-03

The U.S. Food and Drug and Administration (FDA) has become aware that some people who use e-cigarettes have experienced seizures, with most reports involving young people.

The FDA and poison control centers receive voluntary adverse experience reports about tobacco products. After examining reports between 2010 and early 2019, the FDA determined that there were 35 reported cases of seizures mentioning use of e-cigarettes within that timeframe. Due to the voluntary nature of these case reports, there may be more instances of seizure in e-cigarette users than have been reported.

Seizures have been reported among first-time e-cigarette users and experienced users. In a few situations, e-cigarette users reported a prior history of seizure diagnosis. A few reported cases indicated seizures in association with use of other substances such as marijuana or amphetamines. Seizures have been reported as occurring after a few puffs or up to one day after use. Most of the self-reported data that the FDA has received does not contain any specific brand or sub-brand information about the e-cigarette.

The FDA is seeking more information about seizures following e-cigarette use to identify common risk factors and understand if any e-cigarette product attributes such as nicotine content or formulation may contribute to seizures. If you or someone you know experiences any unexpected health or safety issues with any tobacco product, please report it through the online Safety Reporting Portal.

Rhode Islanders should recognize the wide range of symptoms that may be associated with e-cigarette use. Most e-cigarettes contain nicotine, which has known health effects. Nicotine is highly addictive, and can harm adolescent brain development, which continues into the early to mid-20s. Additionally, nicotine is very dangerous for pregnant women and their developing babies.

Parents, teachers, and other concerned adults should be aware that many youth are using e-cigarettes that closely resemble a USB flash drive, have high levels of nicotine and emissions that are hard to see. Youth and young adult users should also be aware that some e-cigarettes (also called vapes) can contain high levels of nicotine, even as much nicotine as a pack of regular cigarettes. Teens who vape may end up addicted to nicotine faster than teens who smoke. Vapes may be used more frequently because they are easier to hide and may expose users to more nicotine. There are no safe tobacco products.

Seizures result from sudden, abnormal electrical activity in the brain. Though often associated with convulsions in which a person's entire body shakes uncontrollably, not all seizures show full-body shaking. Other possible signs of seizures include a lapse in awareness or consciousness, which may look like a person is staring blankly into space for a few seconds or suddenly stops moving. The person may or may not fall down. Most seizures end in a few seconds or minutes, and the person may seem fine, sleepy, confused or have a headache afterwards. If you think a person is having a seizure, call 911 and seek immediate medical help. For exposures with less serious visible effects or if you have questions, call poison control at 800-222-1222.

Teens, parents, and others who use e-cigarettes should ask their doctor or counselor about age-appropriate, safe, and effective treatment for nicotine addiction or call 1-800-QUIT NOW (1-800-784-8669). The Rhode Island Smoker's Helpline can provide free quit support from trained tobacco treatment specialists, guidance for parents, and referrals to local tobacco cessation services.

Media Advisory: Rhode Island's Cross-Campus Learning Collaborative Kicks Off Sexual Assault Awareness Month with Photo-documentary Event at the State House

2019-04-03

On Friday, April 5th at 3:00pm, the Cross-Campus Learning Collaborative will host a free event at the State House to mark Sexual Assault Awareness Month. The event will showcase Rhode Island native, Kate Ryan's Signed, X, a photographic documentary of the lives of survivors of sexual violence. Ryan, a New York City-based human rights journalist and photographer, will be featured as a discussion panelist alongside other survivors, advocates, and local artists.

Young adults, parents, and adults who work with young people are encouraged to attend and learn about the prevalence of sexual violence and intimate partner violence are in Rhode Island, and to make a personal connection by reading survivors' candid stories, which reveal the long-term and rippling impacts of sexual violence.

From depression and post-traumatic stress disorder, to substance use disorders and other addictions, these are issues that all communities face. Attendees can expect to gain a deeper understanding of trauma, ways that they can more effectively support survivors, and how to prevent sexual violence. Survivors may also find it helpful to see that they are not alone in their healing from the trauma of sexual violence.

The event was organized by the RI Cross-Campus Learning Collaborative, a group of sexual violence prevention staff from 11 Rhode Island colleges, with support from Day One and the Rhode Island Department of Health. It is sponsored by The Deborah DeBare Domestic Violence Prevention Fund, administered by the Rhode Island Coalition Against Domestic Violence and established by the Rhode Island General Assembly (R.I.G.L. § 12-29-12).

This event is free, open to the public, and refreshments will be provided. Please register at https://bit.ly/2K1vEgJ.

WHO

-State Representative Theresa Tanzi

-Kate Ryan, NYC-based human rights journalist and photographer, and creator of the Signed, X project

-Jane Johnson, co-owner of SurvivorsSpeakRI, a legislative advocacy and education organization

-Melina Freeman, leader of the RI Student Collaborative for Sexual Violence Prevention

-Somali DaSilva, domestic violence and housing advocate, Sojourner House

WHERE

Rhode Island State House

State Room

82 Smith St, Providence, Rhode Island

WHEN

April 5, 2019

3 p.m. (Panel to begin at 3:45 p.m.)

Additional resources for sexual violence:

Rhode Island Student Collaborative: https://riscinitiative.wixsite.com/risc

Centers for Disease Control and Prevention: https://www.cdc.gov/violenceprevention/sexualviolence/prevention.html

Rhode Island Department of Health: http://www.health.ri.gov/violence/about/sexual/

Day One: https://www.dayoneri.org

RI Coalition Against Domestic Violence: http://www.ricadv.org/

PFAS Sampling to Start on Select Water Systems in Rhode Island

2019-03-21

As a part of efforts to ensure the health and safety of Rhode Island's drinking water supply, the Rhode Island Department of Health (RIDOH) and researchers from Brown University will begin sampling at approximately 50 water systems throughout the state next week to collect data on a group of chemicals called per- and polyfluoroalkyl substances (PFAS).

PFAS are man-made chemicals used in a variety of products and applications that are resistant to water, grease, or stains, including non-stick cookware, carpets, upholstered furniture, clothing, and food packaging. The majority of PFAS have been phased out in the United States because of concerns about health effects. Examples of facilities that have the potential to still contain these chemicals due to use or disposal include industrial factories, airports, firefighting facilities, and landfills.

"Sampling for PFAS is one of the many forms of rigorous, frequent testing that is done on Rhode Island's water supply," said Director of Health Nicole Alexander-Scott, MD, MPH. "Although exposure to PFAS from everyday consumer products is common, research suggests that prolonged exposure at high levels may be unhealthy for some people. This water sampling initiative will help us identify any sources of PFAS in Rhode Island and partner with water systems to ensure that customers are notified and treatment plans are put in place right away."

The sampling to start next week is a follow-up to previous rounds of sampling. Between 2013 and 2015, all public water systems in Rhode Island serving more than 10,000 people were tested for PFAS. In 2017, RIDOH and Brown sampled 41 smaller public water systems and licensed child care facilities near potential sources of PFAS after the Environmental Protection Agency (EPA) lowered the health advisory for these chemicals. These additional 50 systems are being tested to further assess the situation in Rhode Island and because new information is available about potential sources of PFAS. States throughout the country have done, and are doing, similar sampling. The data gathered will help state and local agencies (such as RIDOH, Rhode Island Department of Environmental Management, and town planners) understand the occurrence of these chemicals in Rhode Island.

In previous rounds of sampling, one water system in Rhode Island exceeded the EPA health advisory level. (This water system - Oakland Association, located in a section of Burrillville - is in the process of connecting to a municipal water system.) PFAS was detected in 11 other public water systems, but at levels below the EPA's health advisory level.

The water sampling to start next week will take place through June for public wells and licensed child care facility wells located within a half mile of a fire station and for all schools that are stand-alone public water systems that have not yet been sampled. In addition, re-sampling will occur at water systems serving over 10,000 people.

Two specific types of PFAS are perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS). The EPA health advisory level is 70 parts per trillion (ppt) for PFOA or PFOS, or a combination of PFOA and PFOS. Before 2016, the health advisory level had been 200 ppt for PFOA and 400 ppt for PFOS.

Researchers are still learning about the health effects of exposure to PFAS. However, the EPA's health advisory levels are developed to include a margin of protection to prevent exposure to water at levels that could be harmful to more vulnerable populations. Scientists believe that pregnant women and children could be more vulnerable to PFAS. Studies indicate that exposure to PFAS at levels higher than the health advisory level could result in adverse health effects, including developmental effects to fetuses during pregnancy or to breastfed infants. Other potential health effects are cancer and damage to the liver, immune system, and thyroid.

With the support of federal resources, RIDOH is funding the sample analysis. Sampling will be conducted by researchers from the Brown University Superfund Research Program (more information at the link below) in collaboration with Texas Tech University and RIDOH's Center for Drinking Water Quality. The samples will be tested by the RIDOH State Health Laboratories. These Brown University staff and graduate students have been trained in the specific protocol for collecting the water samples.

Raw Turkey Products Recalled

2019-03-15

The Rhode Island Department of Health (RIDOH) is advising consumers that Butterball, LLC is recalling 78,164 pounds of raw ground turkey products that may be contaminated with Salmonella Schwarzengrund.

The prepacked raw ground turkey was produced on July 7, 2018. The following products are subject to recall:

- 48-oz. plastic wrapped tray containing "BUTTERBALL everyday Fresh Ground Turkey WITH NATURAL FLAVORING (85% LEAN/15% FAT)" with sell or freeze by date of 7/26/18, lot code 8188, and UPC codes 22655-71555 or 22655-71557 represented on the label.

- 48-oz. plastic wrapped tray containing "BUTTERBALL everyday Fresh Ground Turkey WITH NATURAL FLAVORING (93% LEAN/7% FAT)" with sell or freeze by date of 7/26/18, lot code 8188 and UPC code 22655-71556 represented on the label.

- 16-oz. plastic wrapped tray containing "BUTTERBALL everyday Fresh Ground Turkey WITH NATURAL FLAVORING (85% LEAN/15% FAT)" with sell or freeze by date of 7/26/18, lot code 8188 and UPC code 22655-71546 represented on the label.

- 16-oz. plastic wrapped tray containing "BUTTERBALL everyday Fresh Ground Turkey WITH NATURAL FLAVORING (93% LEAN/7% FAT)" with sell or freeze by date of 7/26/18, lot code 8188 and UPC codes 22655-71547 or 22655-71561 represented on the label

- 48-oz. plastic wrapped tray containing "Kroger GROUND TURKEY FRESH 85% LEAN - 15% FAT" with sell or freeze by date of 7/26/18, lot code 8188, and UPC code 111141097993 represented on the label.

- 48-oz. plastic wrapped tray containing "FOOD LION 15% fat ground turkey with natural flavorings" with sell or freeze by date of 7/26/18, lot code 8188 and UPC code 3582609294 represented on the label.

The products subject to recall bear establishment number "EST. P-7345" inside the USDA mark of inspection. These items were shipped to institutional and retail locations nationwide.

Federal officials and officials in Wisconsin have been investigating a multistate outbreak of Salmonella Schwarzengrund illnesses involving five case patients from two states. Wisconsin collected three intact Butterball brand ground turkey samples from a residence where four of the case patients live. The case patients and ground turkey Salmonella Schwarzengrund isolates are closely related, genetically.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours after eating the contaminated product. The illness usually lasts four to seven days. Most people recover without treatment. In some people, however, the diarrhea may be so severe that the patient needs to be hospitalized. Older adults, infants, and persons with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their health care provider.

These products could be frozen and in consumers' freezers. Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase. Consumers with questions should call (800) 288-8372.

Pillsbury Unbleached All-Purpose Flour Being Recalled

2019-03-13

The Rhode Island Department of Health (RIDOH) is advising consumers that the Hometown Food Company is recalling two lot codes of its five-pound bags of Pillsbury Unbleached All-Purpose Flour because they may be contaminated with Salmonella.

Roughly 12,245 cases of impacted products were distributed through retailers and distributors nationwide. Only 'Best If Used By Dates' APR 19 2020 and APR 20 2020 are impacted. More details about the recalled products are available online [see link below]. Recalled products should be thrown out or returned to the store where they were purchased.

There have been no reports of any illnesses associated with this recall.

Salmonella is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting, and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis, and arthritis.

Flour is made from wheat that is minimally processed. Flour should not be considered a ready-to-eat product. It is an ingredient for baked, fried, and cooked products, and these heating processes ensure the safety of flour with proper handling. All surfaces and utensils should be properly cleaned after contact with flour or uncooked dough or batter. Consumers should wash their hands after handling flour or uncooked dough or batter. Consumers should not eat uncooked dough or batter made with raw flour. If you think you became sick from a food containing flour as an ingredient, call your healthcare provider.

New EMS Data Indicate Continued Need for Community Naloxone Use

2019-03-11

New Rhode Island Department of Health (RIDOH) data indicate that more than a third of the opioid overdose calls to which Emergency Medical Services (EMS) responded in Rhode Island in 2018 occurred in public places. Public health leaders are again urging all Rhode Islanders who are comfortable doing so to carry naloxone, the overdose reversal medication.

The data, published on March 1, 2019 in the Rhode Island Medical Journal, indicate that 34.2% of the opioid overdoses that EMS responded to in 2018 occurred in public places. That figure was 29.6% in 2016. Examples of public places include streets, parking lots, restaurants, stores, and beaches.

"Naloxone can be purchased over the counter at pharmacies throughout Rhode Island, and it is as easy to use as nasal spray," said Director of Health Nicole Alexander-Scott, MD, MPH. "We are starting to make some progress in addressing the drug overdose crisis. However, as this report demonstrates, this is a changing epidemic. With so many overdoses happening in everyday places, and sometimes in plain sight, everyone can play a role in preventing overdoses and saving lives."

For the first 10 months of 2018, Rhode Island saw a 6.1% decrease in opioid-related overdose deaths, compared to the first 10 months of 2017. A total of 324 Rhode Islanders died due to drug overdose in all of 2017. Rhode Island's 2018 overdose data should be finalized in the coming weeks, as toxicology results are still pending for many of the deaths that occurred in November and December.

"When someone overdoses on an opioid, they need help immediately. If naloxone is administered quickly, it can reverse the overdose effects, usually within minutes," said Jason Rhodes, MPA, AEMT-C, Chief of the Center for Emergency Medical Services at RIDOH. "By carrying naloxone and using it when it is needed, everyone has the ability to be a first responder and save a life."

A Good Samaritan law in Rhode Island protects people from legal liability if they are making a good faith effort to assist a person in a medical emergency, including a suspected overdose.

The lead authors of the study published in the Rhode Island Medical Journal were Leanne Lasher, MPH, the Program Manager of Opioid Overdose Surveillance at RIDOH; Jason Rhodes, MPA, AEMT-C, Chief of the Center for Emergency Medical Services at RIDOH; and Samara Viner-Brown, MS, Chief of the Center for Health Data Health Data and Analysis and Public Health Informatics at RIDOH.

Governor Gina Raimondo's Overdose Prevention and Intervention Task Force distributed more than 16,000 naloxone kits in 2018, more than double the number in 2017. The steps taken to expand naloxone availability throughout Rhode Island include:

- Partnering with outreach organizations and peer recovery specialists to get naloxone to people at highest risk. Examples of outreach organizations include The Providence Center's Anchor Recovery Mobile Outreach Recovery Efforts (MORE), Project Weber/RENEW, AIDS Care Ocean State's ENCORE Needle Exchange Program, and Rhode Island Communities for Addiction Recovery Efforts (RICARES).

- Implementing a new regulation that requires prescribers of controlled substances to co-prescribe naloxone to patients who are at a higher risk of overdose.

- Working with city and town law enforcement to make naloxone available to all officers.

- Funding (through an RIDOH mini-grant) the development of NaloxBoxes, a mountable container that includes naloxone and all the necessary life-saving supplies to reverse a suspected overdose. Rhode Islanders can go online to locate public NaloxBoxes (see link below).

Governor Raimondo's Overdose Prevention and Intervention Task Force is co-chaired by Dr. Alexander-Scott, Director Rebecca Boss of the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), and Tom Coderre, Senior Advisor to Governor Raimondo.

The data in the article were compiled as a result of updated regulations for EMS agencies that were enacted in January 2019. EMS professionals now must upload patient care reports from EMS incidents within two hours of completing a call. RIDOH is working to create a real-time automated overdose outbreak detection system with web-based dashboards and alerts.

The complete article, titled Identification and Description of Non-Fatal Opioid Overdose Using Rhode Island EMS Data, 2016-2018, is available online (see link below).

Thrive Market Recalling Nut Butters

2019-01-28

The Rhode Island Department of Health (RIDOH) is advising consumers that Thrive Market is recalling all unexpired lots of the Thrive Market brand nut butters listed below due to the potential for contamination with Listeria monocytogenes.

- Thrive Market Organic Creamy Almond Butter

- Thrive Market Non-GMO Creamy Almond Butter

- Thrive Market Organic Crunchy Almond Butter

- Thrive Market Non-GMO Crunchy Almond Butter

- Thrive Market Organic Crunchy Peanut Butter

- Thrive Market Organic Creamy Peanut Butter

- Thrive Market Sesame Tahini

- Thrive Market Creamy Cashew Butter

- Thrive Market Organic Coconut Butter

- Thrive Market Sunflower Butter

Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in pregnant women, young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

These products were distributed nationwide through Thrive Market's ecommerce subscription service to its members, as well as other online retailers.

These products should be thrown away. Consumers with questions should write to help@thrivemarket.com

Rhode Islanders Urged to Seek Medical Care in the Most Appropriate Setting

2019-01-28

With Rhode Island seeing increases in cases of the flu and other seasonal viruses, the Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders to seek medical care in settings where they will be most appropriately treated. People who do not need emergency care should avoid going to emergency departments.

Many illnesses and injuries do not require an emergency department visit, including routine cases of the flu in people who are not at risk of developing flu-related complications from underlying medical conditions. These cases of the flu are often more quickly (and just as effectively) treated by a primary care provider or in an urgent care facility than in an emergency department. However, some people are more likely to get complications from the flu that should be treated in an emergency department. A list of those at high-risk of developing flu-related complications can be found on the website of the Centers of Disease Control and Prevention (CDC) (see link below). Emergency warning signs of flu sickness that indicate a need to go to the emergency department include difficulty breathing or shortness of breath; pain or pressure in the chest; and having flu-like symptoms that improve but then return with fever and worse cough. A full list of emergency warning signs of flu sickness in infants, children, and adults can be found on the CDC's website (see link below).

If someone is not sure if they need to go to the emergency department, they should contact their primary care provider. A primary care provider can give you guidance about the next best step for you or your child, and most offices have physician on-call after hours. RIDOH has a list of primary care providers online (see link below).

"Emergency departments are perfect for emergency situations. If someone is experiencing a serious health issue, they should absolutely call 911 or go to an emergency department right away. However, emergency departments treat patients with the most serious health issues first, which means that people with less severe conditions may experience long waits," said Director of Health Nicole Alexander-Scott, MD, MPH. "Keep the phone number for your primary care provider handy and know where your nearest urgent care facility is. An urgent care facility, or other type of express care facility is often a more convenient, less expensive option."

RIDOH has information and lists online [health.us5.list-manage.com] for urgent care facilities, community health centers, and other express care facilities in the state.

Examples of health issues that are often better treated by a primary care provider or in an urgent care facility include:

- Less severe cases of the flu

- Back pain

- Minor cuts

- Sore throats

- Low-grade fevers

- Most cases of norovirus

Norovirus is a highly contagious stomach illness that can cause people to have extreme vomiting or diarrhea for 24-28 hours. Norovirus is found in the stool and vomit of an infected person and can spread by eating food or drinking liquids that are contaminated with norovirus; touching surfaces or objects that are contaminated with norovirus; or if an infected person vomits in a public space.

Other steps that people should take to keep themselves healthy and safe from the flu, norovirus, and other viruses include:

- Get vaccinated against the flu. The flu is in Rhode Island every year through the end of the spring. By being vaccinated now, you can still get several months of protection.

- Cough or sneeze into your elbow.

- Wash your hands carefully with soap and water, especially after using the toilet and changing diapers, and always before eating or preparing food.

- Stay home if you are sick and keep children home from school if they are sick.

- After an episode of illness that involves vomiting or diarrhea, immediately clean and disinfect contaminated surfaces by using a bleach-based household cleaner as directed on the product label or a solution made by adding 5-25 tablespoons of household bleach to one gallon of water.

- If you have norovirus, do not prepare food for other people until three days after your symptoms clear.

For more information, people can call 401-222-5960 or visit http://www.health.ri.gov

Baby Spinach Recall Affects Prepared Food Items from Whole Foods

2019-01-25

In response to a recall by Satur Farms, Whole Foods Market is recalling various prepared foods items containing baby spinach because of a potential contamination of Salmonella. The products being recalled in Rhode Island include:

- Chicken Florentine Panini

- Golden Beet & Tangerine Salad

- Locavore Cheese Steak Wrap

- Mediterranean Stuffed Salmon

- Quinoa with Dark Leafy Greens

- Roasted Vegetables Panini

- Salad Spring Berry Power

- Smoked Turkey with Apple & Cheddar Sandwich

- Spinach and Vegetable Quinoa Salad

- Spinach Ravioli Salad with Lemon, Tomato, and Parmesan

- Strawberry Balsamic Quinoa

- Tofu Shawarma Wrap

- Turkey Avocado Sandwich (Turkado Sandwich)

- Turkey with Spinach & Feta Sandwich

- Vegan Spinach Almond Ricotta Pizza

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis, and arthritis.

No illnesses have been reported at this time.

Recalled products should be thrown away. Customers who purchased these products can bring a valid receipt into stores for a full refund. Consumers with additional questions can call 1-844-936-8255.

RIDOH Calls for Proposals to Build Healthy, Resilient Communities

2019-01-25

The Rhode Island Department of Health (RIDOH) is soliciting proposals from qualified municipalities and non-profit community-based organizations to expand its Health Equity Zone (HEZ) initiative to additional communities. RIDOH will distribute approximately $1.4 million through this funding opportunity. Existing Health Equity Zones, and new communities seeking to create Health Equity Zones, can both apply for funding.

RIDOH's Health Equity Zone initiative is an innovative, place-based approach that brings people together to build healthy, resilient communities across Rhode Island. The initiative is grounded in research that shows up to eighty percent of health outcomes are determined by factors outside clinical settings, such as access to affordable, healthy foods; high-quality education; employment opportunities; and safe neighborhoods. The model encourages and equips community members and partners to collaborate to address factors like these and create healthy places for people to live, learn, work, and play.

"Every Rhode Islander, in every ZIP code, should have the opportunity to live the healthiest life possible, in the healthiest community possible," said Director of Health Nicole Alexander-Scott, MD, MPH. "A key feature of our Health Equity Zone initiative is that it puts the community's voice front and center, since residents understand the challenges facing their communities the best. Public health leaders across the country are highlighting Health Equity Zones as a national model and a novel approach to funding and delivering public health services by building leadership capacity and effective coordination of communities to sustain long-term system and policy improvements. We are thrilled to expand this opportunity to additional communities here in Rhode Island."

Rhode Island currently has nine Health Equity Zones in communities across the State. Existing Health Equity Zone Collaboratives include residents, diverse community-based organizations, business people, transportation and planning experts, youth-serving organizations, educators, health professionals, and people in many other fields who are coming together in their distinct communities to address the most pressing concerns in their neighborhoods.

"What makes our HEZ strong is that it's a collaborative effort with more than 40 agencies involved who provide insight and expertise - it's not one organization doing the work," says Linda Weisinger, Executive Director of Pawtucket Central Falls Development (PCFD), a non-profit community development organization in the Pawtucket-Central Falls Health Equity Zone. "As a team, we are much stronger, more productive and work with each other to achieve concrete goals that work for our neighborhoods."

The Harvest Kitchen Cafe in Pawtucket serves as one example of this work in action. "The Harvest Kitchen Cafe has blossomed with the support of the HEZ," said Jen Stott, Harvest Kitchen Program Director. "Through PCFD we have the perfect location for our local foods Cafe and culinary job training program for youth, and the HEZ partnerships have provided resources for continued success. Our HEZ partner at Southside Community Land Trust is a source of fresh produce through their new local community gardens. Catering opportunities and collaborative learning opportunities for our trainees from supportive community partners like Agnes Little Elementary allow us to tap into programs like the Pawtucket Homework Diner. These collaborations allow Harvest Kitchen to operate successfully and create healthy food options in an area where there had been little choice. This important community hub would not have become this successful without the HEZ bringing together many partners to get it done."

Through a collaborative process, funded communities will conduct a needs assessment to build and implement a data-driven plan of action to address the factors that keep people in their neighborhoods from achieving their full potential. RIDOH will provide seed funding and support to ensure communities implement the HEZ model in line with core public health principles.

Letters of intent from communities seeking to create new Health Equity Zones are due by February 1, 2019. Full proposals from all applicants are due to the State by March 15, 2019. The initial contract period will begin in approximately July 2019 and continue for one year. Contracts may be renewed for up to four additional 12-month periods, similar to the previous four years, based on vendor performance and the availability of funds.

To learn more about RIDOH's Health Equity Zone initiative, visit http://www.health.ri.gov/hez [health.us5.list-manage.com].

General Mills Recalling Unbleached Flour

2019-01-24

The Rhode Island Department of Health (RIDOH) is advising consumers that General Mills is recalling five-pound bags of its Gold Medal Unbleached Flour with a 'better if used by' date of April 20, 2020. The recall is being issued because of the potential presence of Salmonella which was discovered during sampling of the five-pound bag product.

This voluntary recall includes the following code date:

Gold Medal Unbleached All Purpose 5LB Flour

Package UPC: 000-16000-19610-0

Recalled Better if Used by Date: 20APR2020KC

Consumers are asked to check their pantries and dispose of the product affected by this recall. Consumers who have had to discard products covered by this recall may contact General Mills Consumer Relations at 1-800-230-8103 or visit www.generalmills.com/flour [health.us5.list-manage.com].

This recall only affects this one date code of Gold Medal Unbleached Flour five-pound bags. All other types of Gold Medal Flour are not affected by this recall.General Mills has not received any direct consumer reports of confirmed illnesses related to this product.

Guidance from the Food and Drug Administration [health.us5.list-manage.com] (FDA) and the Centers for Disease Control and Prevention (CDC) continues to warn that consumers should refrain from consuming any raw products made with flour. Salmonella is killed by heat through baking, frying, sauteing or boiling products made with flour. All surfaces, hands and utensils should be properly cleaned after contact with flour or dough.

Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

RXBAR Recalls Certain Varieties of Bars Due to a Potential Undeclared Peanut Allergen

2019-01-18

The Rhode Island Department of Health (RIDOH) is advising consumers that RXBAR is recalling certain varieties of bars because they may contain undeclared peanuts. People who have peanut allergies run the risk of serious or life-threatening allergic reactions if they consume this product.

Varieties being recalled are:

- RXBAR: Apple Cinnamon, Blueberry, Chocolate Chip, Chocolate Hazelnut, Chocolate Sea Salt, Coconut Chocolate, Coffee Chocolate, Mango Pineapple, Maple Sea Salt, Mint Chocolate, Mixed Berry, Pumpkin Spice

- RXBAR Kids: Apple Cinnamon Raisin, Berry Blast, Chocolate Chip

UPC codes for all recalled products are available online (see link below). No other RXBAR flavors or RXBAR products are affected by the recall.

RXBAR identified the potential for peanut in two varieties - Chocolate Sea Salt and Coconut Chocolate - in December and initiated a recall of those varieties. The recall is being expanded out of an abundance of caution after recent consumer reports regarding allergic reactions to additional varieties.

People who have purchased affected product and who have peanut allergies should discard the product and contact their local retailer or RXBAR for replacement or a full refund. Consumers can contact the RXBAR consumer service team at info@rxbar.com or 1-312- 624-8200.

Boil Water Advisory Lifted for the Village on Chopmist Hill in Glocester

2019-01-04

The Boil Water Advisory that had been in place for the Village on Chopmist Hill in Glocester has been lifted. Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online (see the link below).

RIDOH Cautions about Potential Risks of Traveling Abroad for Medical Care

2019-01-03

The Rhode Island Department of Health (RIDOH) is reminding Rhode Islanders to be mindful of the potential risks associated with traveling to another country for medical care.

Rhode Island hospitals have seen an increase in the number of Rhode Islanders who have traveled to other countries for medical procedures and returned with serious, antibiotic-resistant infections that require months to years of treatment. These infections have been associated with wounds that are painful, slow to heal, and often require draining. Such infections can also lead to permanent disfigurement.

Although people travel to many countries to receive medical care, several patients with recent complications had procedures done in the Dominican Republic. Common procedures associated with traveling for healthcare include breast augmentation, abdominoplasty (tummy tucks), liposuction, eyelid surgery, rhinoplasty (nose jobs), oral surgery, and heart procedures.

Some people opt to have procedures done abroad because they are less expensive in other parts of the world, or because they prefer to have procedures done in their home countries.

"There are talented doctors who provide quality care in every country. However, various factors can sometimes make traveling for a procedure risky," said Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH). "When it comes to procedures that are done for the sake of appearance, instead of to treat health needs, it's often not worth the risk. But if someone does need to have a procedure done in another country, they should first have a conversation with a local healthcare provider to understand the issues that could arise."

The challenges associated with medical tourism could include:

- Varied standards of care in different countries;

- Healthcare providers abroad not having your complete medical records;

- Medications being counterfeit or of poorer quality;

- Risk of blood clots related to flying after surgery;

- Varied standards regarding the sterility of equipment used for medical procedures;

- Antibiotic resistance, which is higher in many other countries; and

- Communication issues. (Receiving care at a facility where you do not speak the language fluently increases the chances that misunderstandings will arise about your care.)

Although the RIDOH discourages Rhode Islanders from traveling to other countries for elective medical procedures, people who are still considering getting medical procedures abroad should:

- Consult a local healthcare provider at least four to six weeks before the trip to discuss general information for healthy travel and to learn about specific risks related to the procedure.

- Ask a local healthcare provider to check the qualifications of the providers who will be doing the procedure and the credentials of the facility where the procedure will be done.

- Have a written agreement with the healthcare facility defining what treatments, supplies, and care are covered by the costs of the trip.

- Determine ahead of time how you will communicate with your doctor and other people who are caring for you (if you are not a native speaker).

- Bring copies of your medical records that include the lab and other studies done related to the condition for which you are obtaining care and any allergies you may have.

- Bring copies of all your prescriptions and a list of all the medicines you take, including their brand names, generic names, manufacturers, and dosages.

- Arrange for follow-up care with your local healthcare provider before you leave.

- Before planning vacation activities, such as sunbathing, drinking alcohol, swimming, or taking long tours, find out if those activities are permitted after surgery.

- Get copies of all your medical records before you return home.

More information is available online from the Centers for Disease Control and Prevention (CDC) - see link below.

Flu Activity Prompts Healthcare Worker Masking Requirement, Health Department Reminds Rhode Islanders of the Best Settings for Care

2019-01-02

The Rhode Island Department of Health (RIDOH) announced today that the flu is "widespread" in Rhode Island, triggering the State's requirement for unvaccinated healthcare workers in hospitals and many other types of healthcare facilities to wear masks during direct patient contact.

"The masking requirement helps protect healthcare workers from catching the flu, and helps protect patients who are often dealing with other serious health issues," said Director of Health Nicole Alexander-Scott, MD, MPH. "For people who have not been vaccinated yet, it is not too late. Flu vaccine is the single best way to keep yourself and the people you love safe from the flu. Getting vaccinated today will provide you with months of protection."

Unvaccinated healthcare workers must wear masks when involved in direct patient contact at the types of facilities listed below. Examples of direct patient contact are entering a patient's room, serving food to patients, or participating in group patient activities. The requirement also applies to all licensed Emergency Medical Services (EMS) practitioners who have not been vaccinated against the flu.

RIDOH uses five tiers to categorize flu activity in Rhode Island: no activity, sporadic activity, local activity, regional activity, and widespread activity.

The healthcare facilities and organizations to which the masking regulation applies are:

- Adult day care programs

- Assisted living facilities

- CVS Minute Clinics

- Free-standing ambulatory care surgical centers

- Free-standing emergency care facilities

- Home care providers

- Home nursing care providers

- Hospice providers

- Hospitals

- Kidney treatment centers

- Nursing facilities

- Organized ambulatory care facilities

- Physician ambulatory surgery centers

RIDOH is also reminding Rhode Islanders about seeking medical care in the appropriate setting. Many types of illnesses and injuries usually do not require an emergency department visit, including less severe cases of the flu. Going to an emergency department for a less severe case of the flu will likely result in a long wait because emergency departments prioritize more serious injuries and illnesses. Less severe cases of the flu are often more quickly treated by a primary care provider or in an urgent care facility.

However, some cases of the flu should be treated in an emergency department. Emergency warning signs that indicate that someone with the flu does need to go to the emergency department include difficulty breathing or shortness of breath; pain or pressure in the chest; and having flu-like symptoms that improve but then return with fever and worse cough. If someone is not sure if they need to go to the emergency department, they should contact their primary care provider. A primary care provider will be able to provide guidance about the next best step. (Most offices have physicians on-call after hours.)

Everyone older than 6 months of age should be vaccinated against the flu every year. In addition to healthcare workers, vaccination is particularly important for pregnant women, younger children, people over the age of 50, nursing home or group home residents, and people with chronic conditions (such as heart, lung, or kidney disease, diabetes, asthma, anemia, blood disorders, or weakened immune systems). Flu shots are available at doctors' offices and pharmacies throughout Rhode Island.

2018 News

Jennie-O Recalling Raw Ground Turkey Products

2018-12-26

The Rhode Island Department of Health (RIDOH) is advising consumers that Jennie-O Turkey Store Sales is recalling 164,210 pounds of raw ground turkey products that may be contaminated with Salmonella. The raw ground turkey items were produced on October 22, 2018 and October 23, 2018. The following products are subject to recall:

  • 3-lb. packages of "Jennie-O GROUND TURKEY 93% LEAN | 7% FAT" with "Use or freeze by" dates of 11/12/18 and 11/13/18 on the side of the trays.
  • 1-lb. packages of "Jennie-O GROUND TURKEY 93% LEAN | 7% FAT" with "Use or freeze by" dates of 11/12/18 on the side of the trays.
  • 1-lb. packages of "Jennie-O TACO SEASONED GROUND TURKEY" with "Use or freeze by" dates of 11/12/18 on the side of the trays.
  • 1-lb. packages of "Jennie-O ITALIAN SEASONED GROUND TURKEY" with "Use or freeze by" dates of 11/12/18 on the side of the trays.
  • 3-lb. packages of "Jennie-O Ground Turkey 85% LEAN | 15% FAT" with a "Use or freeze by" date of 11/13/18 on the side of the trays.
  • 2.5-lb. packages of "Jennie-O Ground Turkey 93% LEAN | 7% FAT" with a "Use or freeze by" date of 11/13/18 on the side of the trays.
  • 3-lb. packages of "STATER BROS. 85% LEAN | 15% FAT ALL NATURAL Ground Turkey" with a "Use or freeze by" date of 11/12/18 on the side of the trays.

The products subject to recall bear establishment number "EST. P-579" inside the United States Department of Agriculture (USDA) mark of inspection or on the side of the tray. These items were shipped to retail locations nationwide.

Federal and state health officials have been conducting traceback activities for a sample of Jennie-O brand ground turkey in an intact, unopened package from a case-patient's home. The patient tested positive for Salmonella and the samples from the case-patient and from the ground turkey are closely related genetically.

This investigation is part of a larger effort related to an illness cluster involving 216 case-patients in 38 states and the District of Columbia. Patients have reported eating different types and brands of turkey products purchased from many different stores, handling raw turkey pet food and/or raw turkey, or working with live turkeys or living with someone who handled live turkeys.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours after eating the contaminated product. The illness usually lasts 4 to 7 days. Most people recover without treatment. In some people, however, the diarrhea may be so severe that the patient needs to be hospitalized. Older adults, infants, and persons with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their healthcare provider.

All consumers should safely prepare their raw meat products, including fresh and frozen, and only consume raw poultry product that has been cooked to a temperature of 165°F. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. You can't see, smell, or taste harmful bacteria that may cause illness. In every step of food preparation, follow the four guidelines to keep food safe:

  • Clean? Wash hands and surfaces often.
  • Separate? Separate raw meat from other foods.
  • Cook? Cook to the right temperature.
  • Chill? Refrigerate food promptly.

Consumers with questions regarding the recall can contact Hormel Consumer Engagement, at (800) 621-3505. Media with questions regarding the recall can contact Media Relations at, media@hormel.com or (507) 434 6352.

Del Monte Fiesta Corn Recalled

2018-12-12

The Rhode Island Department of Health (RIDOH) is advising consumers that Del Monte Foods is recalling 64,242 cases of Fiesta Corn Seasoned with Red & Green Peppers due to under-processing. This under-processing could result in contamination by spoilage organisms or pathogens, which could lead to life-threatening illness.

The products subject to recall are 15.25-ounce (432g) cans with the UPC number 24000 02770 printed on the label. The product will also have one of the following "Best if Used By" dates stamped on the bottom of the can:

  • August 14, 2021
  • August 15, 2021
  • August 16, 2021
  • September 3, 2021
  • September 4, 2021
  • September 5, 2021
  • September 6, 2021
  • September 22, 2021
  • September 23, 2021

The product was distributed to multiple distributors and retail locations in 25 states, including Connecticut. No reports of illnesses have been associated with these products to date. No other production codes or products are affected by this recall.

If consumers have any product with the indicated UPC code and "Best if Used By" dates, they should return it to the place of purchase for a full refund or exchange. Consumers with questions may contact the company by calling 1-800-779-7035.

RIDOH and RIDEM Lift Remaining Blue-Green Algae Advisories

2018-12-07

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (RIDEM) are lifting the remaining blue-green algae advisories for bodies of water in Rhode Island. Recent visual surveys of locations under advisory found that there were no blooms of blue-green algae, also known as cyanobacteria.

Advisories are lifted for the following bodies of water:

  • Little Compton: Watson Reservoir
  • Middletown: Gardiner Pond
  • Newport: Almy Pond
  • Portsmouth: Sisson Pond
  • Providence: Mashapaug Pond, Roger Williams Park (Japanese Gardens, Roosevelt Lake)
  • Portsmouth: Melville Ponds

These improvements were expected due to seasonal cooling and declining daylight, and they signal a great reduction in risk. However, there is no guarantee that toxins are absent, or that a warm spell might not trigger a bloom during the winter/spring season. Seasonal monitoring for cyanobacteria in 2018 is finished, but the public is reminded to avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

Contact with water containing blue-green algae toxins can cause irritation of the skin, nose, eyes, and/or throat. Ingestion of water containing blue-green algal toxins can cause stomach ache, diarrhea, vomiting, and nausea. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water.

People who experience the symptoms associated with blue-green algae exposure and who have been swimming or fishing in water or drinking untreated water from a waterbody with a confirmed or suspected cyanobacteria bloom, should contact their healthcare providers. People who come into contact with potentially affected waters should rinse their skin and wash their clothes with clean water as soon as possible. People observing pets exhibiting adverse health symptoms after contact with potentially affected waters should contact their veterinarians. Pets who encounter potentially affected waters should not be allowed to lick water off their fur and should be rinsed with clean water as soon as possible.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

Tris Pharma Issues Voluntary Nationwide Recall of Infants' Ibuprofen Concentrated Oral Suspension, USP (NSAID) 50 mg per 1.25 mL, Due to Potential Higher Concentrations of Ibuprofen

2018-12-06

The Rhode Island Department of Health is alerting consumers that Tris Pharma, Inc. has voluntarily recalled three lots of Infants' Ibuprofen Concentrated Oral Suspension, USP (NSAID) 50 mg per 1.25 mL, to the retail level. The recalled lots of the product have been found to potentially have higher concentrations of ibuprofen.

Adverse effects that may be experienced are nausea, vomiting, epigastric pain, or more rarely, diarrhea. Tinnitus, headache and gastrointestinal bleeding are also possible adverse effects. To date, Tris Pharma, Inc. has not received any reports of adverse events related to the lots of product that are the subject of this recall and there have been no reports of related illness in Rhode Island.

The product is used as a pain reliever/fever reducer and was packaged in 0.5 oz. bottles sold at Wal-Mart, CVS Pharmacy, and Family Dollar Services, Inc. For a listing of the recalled lots and photos of the packaging, view the recall from Tris Pharma .

Wholesalers and retailers of the product should stop further distribution of the affected lots of Ibuprofen Concentrated Oral Suspension, USP (NSAID) 50 mg per 1.25 mL, which are being recalled.

Consumers with questions regarding this recall can contact Tris Customer Service at 732-940-0358 (Monday through Friday, 8:00am ET- 5:00pm PT) or via email at Customer Service Email . Consumers should contact their physician or healthcare provider if they have experienced any problems that may be related to taking or using this drug product.

Adverse reactions or quality problems experienced with the use of the product lots subject to this recall may be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax.

Complete and submit the report Online: www.fda.gov/medwatch/report.htm

Regular Mail or Fax: Download form www.fda.gov/MedWatch/getforms.htm or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178

This recall is being conducted with the knowledge of the U.S. Food and Drug Administration.

Achdut Recalls Multiple Brands of Tahini

2018-11-29

The Rhode Island Department of Health (RIDOH) is advising consumers that the company Achdut is recalling its Tahini products of all packages and sizes produced from April 7, 2018 to May 21, 2018 because they may be contaminated with Salmonella, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

The recalled Tahini was distributed internationally in retail stores and through mail orders.

The tahini products are Tahini, Whole Tahini, Organic Tahini and Seasoned Tahini. Container sizes: 15oz, 16oz, 17.6oz, 635 oz (428g, 454g, 500g, 18Kg), with lot numbers 18-097 to 18-141 or with expiration dates April 7th to May 21st 2020. The brand names of the products are: Achdut, Baron's, S&F, Pepperwood, Soom and Achva.

Achdut is collaborating with health officials in connection with a positive finding of Salmonella in a US import sample of Achdut Tahini linked to a Salmonella outbreak that is currently being investigated by FDA and public health officials. Consumers who purchased this product should discard it, or return it to the place of purchase.

Update from FDA on Outbreak of E. coli Infections Linked to Romaine Lettuce

2018-11-28

Based on new information, the Food and Drug Administration (FDA) have narrowed their warning to consumers. (Initial warning issued November 20.)

Consumers, retailers, and restaurants should not serve romaine lettuce from the Central Coast growing regions of northern and central California. If the romaine lettuce is not labeled with a harvest growing region and harvest date, do not buy, serve, sell, or eat it. If you are unable to determine the source of your romaine lettuce, the product should be thrown away.

Romaine lettuce that was harvested outside of the Central Coast growing regions of northern and central California does not appear to be related to the current outbreak. Hydroponically and greenhouse-grown romaine also does not appear to be related to the current outbreak. There is no recommendation for consumers or retailers to avoid using romaine harvested from these sources.

FDA recommends consumers should always practice safe food handling and preparation measures. It is recommended that they wash hands, utensils, and surfaces with hot, soapy water before and after handling food.

Boil Water Advisory Lifted for Mr. Z's Restaurant by the Lake

2018-11-28

The Boil Water Advisory that had been in place for tMr. Z's Restaurant by the Lake in Chepachet (Glocester) has been lifted. Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Precautionary Boil Water Notice Issued for The Village on Chopmist Hill

2018-11-26

The Village on Chopmist Hill, located at 40 Hemlock Drive in Glocester, has proactively issued precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. The Village on Chopmist Hill will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at The Village on Chopmist Hill will be evaluated by an RI licensed Certified Operator. Customers should refer to the notice provided by the water system for further instructions and information relating to the corrective actions. The boil notice will not be lifted until corrective actions occur, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Kevin Kitson at 401-567-8888.

Precautionary Boil Water Advisory Lifted for Chimera Inc. (Davis Mobile Home Park) in Glocester

2018-11-23

The Precautionary Boil Water Advisory that had been in place for Chimera Inc. (Davis Mobile Home Park) in Glocester has been lifted. Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Boil Water Advisory Lifted for Quonochontaug East Beach Water Association in Charlestown

2018-11-23

The Boil Water Advisory that had been in place for the Quonochontaug East Beach Water Association in Charlestown has been lifted. Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Make Health A Part of Your Thanksgiving

2018-11-21

The Rhode Island Department of Health (RIDOH) encourages Rhode Islanders to take steps to make health a part of their holiday this Thanksgiving.

Handling and preparing your food properly can help keep you and your family safe. Be sure to:

  • Wash your hands before and after preparing or eating food. This is especially important if you have been handling raw meat.
  • Thoroughly wash counters, cutting boards, and utensils with warm, soapy water after they touch raw turkey. Use a separate cutting board for raw turkey and other raw meats if possible. Washing turkey before cooking is not recommended.
  • Keep raw meat and their juices away from ready-to-eat food.
  • Thaw turkey in the refrigerator, in a sink of cold water that is changed every 30 minutes, or in the microwave. Never thaw your turkey by leaving it out on the counter.
  • Cook raw turkey thoroughly to kill harmful germs. Turkey breasts, whole turkeys, and ground poultry, including turkey burgers, casseroles, and sausage, should always be cooked to an internal temperature of 165°F to kill harmful germs. Leftovers should be reheated to 165°F. Use a food thermometer to check and place it in the thickest part of the food.
  • Cook the stuffing separately from the turkey to ensure it reaches the proper temperature.
  • Debone the turkey as soon as possible and divide it into smaller portions to cool quickly under refrigeration.

Try to eat as healthy as possible. To avoid extra calories:

  • Eat small portions.
  • Don't add extra butter or salt.
  • Drink water instead of sugary drinks.
  • Don't fill up on snacks.
  • Consume alcohol in moderation, if you are going to be drinking.
  • Make sure that you have a designated driver, if you are going to be drinking and traveling.

The holidays can sometimes be stressful. To help avoid becoming too stressed, be sure to:

  • Give yourself a break if you feel stressed out.
  • Ease your obligations, especially if you are piling activities and tasks onto an already full plate. Don't worry about disappointing the people in your life if you cannot be at a certain event or prepare a special dish.
  • Put down your phones, get away from the television, and do something interactive with family and friends. Good examples are playing a board game, playing cards, or taking a walk.
  • Focus conversation on the positive aspects of your life and what makes you thankful.

CDC Advises Consumers, Retailers, and Restaurants to Discard All Romaine Lettuce

2018-11-20

The Rhode Island Department of Health (RIDOH) is alerting consumers that the Centers for Disease Control and Prevention (CDC) is advising people to not eat any romaine lettuce, and is advising retailers and restaurants to not serve or sell any romaine lettuce. The CDC is putting out this alert as it investigates a multi-state E. coli outbreak. To date, 32 cases and 13 hospitalizations have been associated with the outbreak.

Consumers who have any type of romaine lettuce in their home should not eat it and should throw it away, even if some of it was eaten and no one has gotten sick. This advice includes all types or uses of romaine lettuce, such as whole heads of romaine, hearts of romaine, and bags and boxes of pre-cut lettuce and salad mixes that contain romaine, including baby romaine, spring mix, and Caesar salad.

If you do not know if the lettuce is romaine or whether a salad mix contains romaine, do not eat it and throw it away. Wash and sanitize drawers or shelves in refrigerators where romaine was stored. Restaurants and retailers should not serve or sell any romaine lettuce, including salads and salad mixes containing romaine.

Boil Water Notice Issued for Quonochontaug East Beach Water Association

2018-11-16

The Quonochontaug East Beach Water Association in Charlestown has issued a boil water notice to its customers because E. coli bacteria was found in the water supply. The water system serves approximately 112 homes. The neighboring Central Beach Fire District is not affected by this boil water advisory.

All water used for consumption is required to be boiled vigorously, for at least one minute. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Alternatively, customers can use bottled water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Boiling kills bacteria and other organisms in the water. Additional guidance is available online. (See link below.)

Quonochontaug East Beach Water Association collected a sample from Well #1 on 11/15/2018 that was positive for E. coli bacteria. This well has been turned off until it can be inspected and disinfected and bacteria samples come back absent. Well #2, which is absent of bacteria, will supply the water system. Residents should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The health advisory will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and the Rhode Island Department of Health (RIDOH) approves the boil advisory to be lifted.

The presence of E. coli bacteria indicates that the water may be contaminated with human or animal waste. Microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. The EPA has set a drinking water standard for E. coli to reduce the risk of these adverse health effects. Under this standard, drinking water must be free of these bacteria for water to be consumed from a system.

A healthcare provider should be contacted if someone is on this water systems and has diarrhea and any of the following symptoms:

  • Fever over 101.5° F, measured orally
  • Blood in the stool
  • Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)
  • Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up
  • Diarrheal illness that lasts more than 3 days

Customers with questions should contact Bob Pompei at 401-741-4042.

Pictsweet Company Recalls Steam'ables Asparagus Spears

2018-11-16

The Rhode Island Department of Health (RIDOH) Is advising consumers that the Pictsweet Company has recalled 1,872 cases of Pictsweet Farms 8-ounce Steam'ables Asparagus Spears because they have the potential to be contaminated with Listeria monocytogenes. Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems.

Healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea. Listeria infection can cause miscarriages and stillbirths among pregnant women.

The recall affects only Pictsweet Farms 8-ounce Steam'ables Asparagus Spears identified by UPC code 0 70560 97799 9 with production codes beginning with the following six digits: 2138XD and a "BEST BY AUG 1, 2020."

No illnesses have been reported to date and no other Pictsweet Farms products are impacted by this recall.

The states in which the product was distributed are as follows: Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin and the Commonwealth of Puerto Rico.

The company initiated this recall after it was notified by the manufacturer that product suspected of containing Listeria monocytogenes was inadvertently shipped to The Pictsweet Company.

Consumers who have purchased Pictsweet Farms 8 ounce Steam'ables Asparagus Spears with the code listed above may contact our consumer affairs line at 1-800-527-0986 from 9am to 5pm Central Standard Time, Monday – Friday or return the product to the place of purchase for a full refund.

Ground Turkey Products Recalled

2018-11-16

The Rhode Island Department of Health (RIDOH) is advising consumers that Jennie-O Turkey Store Sales is recalling 91,388 pounds of raw ground turkey products that may be associated with an illness outbreak of Salmonella.

The raw ground turkey products items were produced on September 11, 2018. The following products are subject to recall:

  • 1-lb. packages of "Jennie-O GROUND TURKEY 93% LEAN | 7% FAT" with "Use by" dates of 10/01/2018 and 10/02/2018.
  • 1-lb. packages of "Jennie-O TACO SEASONED GROUND TURKEY" with a "Use by" date of 10/02/2018.
  • 1-lb. packages of "Jennie-O GROUND TURKEY 85% LEAN | 15% FAT" with a "Use by" date of 10/02/2018.
  • 1-lb. packages of "Jennie-O ITALIAN SEASONED GROUND TURKEY" with a "Use by" date of 10/02/2018.

The products subject to recall bear establishment number "P-190" inside the USDA mark of inspection. These items were shipped to retail locations nationwide.

The Centers for Disease Control and Prevention (CDC) has been conducting traceback activities for a sample of Jennie-O brand ground turkey in an intact, unopened package from a case-patient's home. The patient tested positive for Salmonella Reading and the sample from the ground turkey matches the outbreak strain.

CDC has been investigating an illness cluster involving 164 case-patients in 35 states. Patients have reported eating different types and brands of turkey products purchased from many different stores, handling raw turkey pet food and/or raw turkey, or working with live turkeys or living with someone who handled live turkeys. There have been no illnesses in Rhode Island.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours after eating the contaminated product. The illness usually lasts 4 to 7 days. Most people recover without treatment. In some persons, however, the diarrhea may be so severe that the patient needs to be hospitalized. Older adults, infants, and persons with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their health care provider.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

All consumers should safely prepare their raw meat products, including fresh and frozen, and only consume raw poultry product that has been cooked to a temperature of 165°F. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. You can't see, smell, or taste harmful bacteria that may cause illness. In every step of food preparation, follow the four guidelines to keep food safe:

  • Clean? Wash hands and surfaces often.
  • Separate? Separate raw meat from other foods.
  • Cook? Cook to the right temperature.
  • Chill? Refrigerate food promptly.

Precautionary Boil Water Notice Issued for Chimera Inc.(Davis Mobile Home Park) in Glocester

2018-11-09

Chimera Inc. (Davis Mobile Home Park), located at Everson Drive in Glocester, is issuing a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Chimera Inc. will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Chimera Inc. will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Anthony Salvatore at 401-783-4538.

Boil Water Advisory in Place for Mr. Z's Restaurant by the Lake in Glocester

2018-11-08

A boil water advisory is in place for Mr. Z's Restaurant by the Lake at 2400 Putnam Pike Chepachet (Glocester) because E. coli bacteria was found in the water supply.

Customers should boil vigorously, for at least one minute, all water used for consumption. Alternatively, customers can use bottled water. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Additional guidance is available online. (See related links below.)

The water system collected a routine coliform bacteria sample on 11/5 that was positive for total coliform bacteria. One of four repeat samples collected on 11/6 was positive for E. coli bacteria. RIDOH will be inspecting the water system on Friday 11/9. The health advisory will remain in effect until RIDOH and the water system investigate the source of the bacteria, the water system completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH approves the boil advisory to be lifted. (The three days of sampling doesn't start until after disinfection, flushing, and any other corrective action is completed.).

The presence of E. coli bacteria indicates that the water may be contaminated with human or animal waste. Microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. The EPA has set a drinking water standard for E. coli to reduce the risk of these adverse health effects. Under this standard, drinking water must be free of these bacteria for water to be consumed from a system.

A healthcare provider should be contacted if someone is on this water system and has diarrhea and any of the following symptoms:

  • Fever over 101.5° F, measured orally
  • Blood in the stool
  • Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)
  • Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up
  • Diarrheal illness that lasts more than 3 days

Customers with questions should contact Nikolas Zarokostas at 401-680-3132.

Update on Blue-Green Algae Advisories

2018-11-07

Health advisories that were put in place for several bodies of water earlier this year have been lifted, while others remain in place, the Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (RIDEM) announced today. Rhode Islanders had been advised to avoid contact and recreational activities on these bodies of water because of blue-green algae blooms. Blooms of blue-green algae, also known as cyanobacteria, can produce toxins that are harmful to humans and animals.

The health advisories on the following bodies of water have been lifted:

  • Cranston: Blackamore Pond
  • East Providence: Central Pond, Omega Pond, Ten Mile River, Turner Reservoir
  • Greenville (Smithfield-Johnston): Slack's Reservoir
  • North Smithfield: Tarkiln Pond
  • Providence: Roger Williams Park (Pleasure Lake, Willow Pond, Edgewood Pond)
  • Warwick: Little Pond

Health advisories remain in place for these waterbodies:

  • Little Compton: Watson Reservoir
  • Middletown: Gardiner Pond
  • Newport: Almy Pond
  • Portsmouth: Sisson Pond
  • Providence: Mashapaug Pond, Roger Williams Park (Japanese Gardens, Roosevelt)
  • Portsmouth: Melville Ponds
  • Cranston: Spectacle Pond

Contact with water containing blue-green algae can cause irritation of the skin, nose, eyes, and/or throat. Ingestion of water containing blue-green algal toxins can cause stomach ache, diarrhea, vomiting, and nausea. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water.

The public is reminded to avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

People who experience the symptoms associated with blue-green algae exposure and who have been swimming or fishing in water, or drinking untreated water from a waterbody with a confirmed or suspected cyanobacteria bloom, should contact their healthcare providers. People who come into contact with potentially affected waters should rinse their skin and wash their clothes with clean water as soon as possible. People observing pets exhibiting adverse health symptoms after contact with potentially affected waters should contact their veterinarians. Pets who encounter potentially affected waters should not be allowed to lick water off their fur and should be rinsed with clean water as soon as possible.

Seasonal cooling and declining daylight are expected to cause blue-green algae to subside.

During the week of December 3rd, RIDEM plans to re-visit waterbodies under continued advisory. If blue-green algae have subsided, a status update will be issued at that time.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

Duncan Hines Cake Mix Being Recalled Due to Potential Presence of Salmonella

2018-11-07

The Rhode Island Department of Health (RIDOH) is advising consumers that several varieties of Duncan Hines cake mix are being recalled because of a positive finding of Salmonella in a retail sample of Duncan Hines Classic White cake mix. The positive finding may be connected to a Salmonella outbreak that is currently being investigated by the Center for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA). While it has not been definitively concluded that this product is linked to the outbreak and the investigation is still ongoing, Conagra (Duncan Hines' parent company) is recalling Duncan Hines Classic White, Classic Butter Golden, Signature Confetti, and Classic Yellow cake mix out of an abundance of caution.

Five occurrences of illnesses due to Salmonella are being researched by CDC and FDA as part of this investigation. Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Several of the individuals reported consuming a cake mix at some point prior to becoming ill, and some may have also consumed these products raw and not baked. Consumers are reminded not to consume any raw batter. Cake mixes and batter can be made with ingredients such as eggs or flour which can carry risks of bacteria that are rendered harmless by baking, frying or boiling. Consumers are reminded to wash their hands, work surfaces, and utensils thoroughly after contact with raw batter products, to follow baking instructions, and to never eat raw batter.

The products covered by this recall were distributed for retail sale throughout the U.S., including Rhode Island.

Consumers who have purchased these items are advised not to consume them and to return them to the store where originally purchased. Consumers with questions should call 1-888-299-7646 or visit www.duncanhines.com.

Rhode Island Leads the Nation for Childhood Flu Vaccination; Sees Decline Among Adults

2018-11-01

Rhode Island children had the highest flu vaccination coverage rate in the country during the 2017-2018 flu season, an increase of two percentage points from the previous season, according to new data from the Centers for Disease Control and Prevention (CDC). However, Rhode Island also saw a decrease in the flu immunization rate for adults during this period.

"Flu vaccination is the single best way to protect yourself against the flu," said Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH). "The flu can have serious health consequences for anyone, including young, otherwise healthy adults. Getting our adult flu vaccination rate as high as our childhood flu vaccination rate is critical to preventing flu-related hospitalizations and deaths in Rhode Island. When someone gets a flu shot, they are not only protecting themselves. They are also protecting the people they love by preventing the spread of the flu at home. We all have a role to play in keeping those around us and our community healthy and safe."

During the 2017-2018 flu season, 76% of Rhode Island children were vaccinated against the flu, compared to the national average of 58%. Among adults, Rhode Island had a 44% flu vaccination rate, compared to the previous year, when 51% of adults were immunized against the flu. Younger adults (people from 18 to 49 years of age) had the lowest flu vaccination rate among all adults. The year-to-year decrease in Rhode Island mirrors a national trend. Between the 2016-2017 flu season and the 2017-2018 flu season, the national flu vaccination rate for adults decreased from 43% to 37%.

Last flu season was the most severe that Rhode Island has experienced in almost a decade. The flu sent 1,390 Rhode Islanders to the hospital and resulted in 60 deaths, compared to 1,216 hospitalizations and 33 deaths the previous year. The CDC estimates that last flu season, 960,000 people were hospitalized and 79,000 people died because of the flu.

Everyone six months of age and older should get a flu shot every year. Vaccination is particularly important for the elderly, young children, pregnant women, healthcare workers, and people with chronic medical conditions (such as asthma, diabetes, or cancer).

Rhode Islanders can get vaccinated at a doctor's office, a school or community clinic, or a pharmacy (adults only). For a list of school clinics, visit health.ri.gov/flu or health.ri.gov/gripe (Spanish).

These data were gathered through the National Immunization Survey and the Behavioral Risk Factor Surveillance System (BRFSS). The coverage rates produced by the National Immunization Survey and BRFSS are estimates. Because a random sample of telephone numbers is taken, these rates have a margin of error. Due to statistical uncertainty (i.e. sampling error) in the estimates, Rhode Island's true vaccination rates may be slightly higher or lower.

Boil Water Advisory in Place for Michaels Shell Station/Food Mart and Deli in Charlestown

2018-10-26

A boil water advisory is in place for Michael's Shell Station at 5680 Post Road in Charlestown because E. coli bacteria was found in the water supply.

Customers should not drink any water from the faucets. The deli in the station is required to boil vigorously, for at least one minute, all water used for consumption. Alternatively, customers and the deli can use bottled water. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Additional guidance is available online. (See related links below.)

The station collected a routine coliform bacteria sample on 10/22 that was positive for E. coli bacteria. Two of four repeat samples collected on 10/24 were positive for total coliform bacteria. The Rhode Island Department of Health (RIDOH) will be inspecting the water system on Monday 10/29. The health advisory will remain in effect until RIDOH and the water system investigate the source of the bacteria, the water system completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH approves the boil advisory to be lifted. (The three days of sampling doesn't start until after disinfection, flushing, and any other corrective action is completed.).

The presence of E. coli bacteria indicates that the water may be contaminated with human or animal waste. Microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. The EPA has set a drinking water standard for E. coli to reduce the risk of these adverse health effects. Under this standard, drinking water must be free of these bacteria for water to be consumed from a system.

A healthcare provider should be contacted if someone is on this water systems and has diarrhea and any of the following symptoms:

  • Fever over 101.5° F, measured orally
  • Blood in the stool
  • Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)
  • Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up
  • Diarrheal illness that lasts more than 3 days

Customers with questions should contact Paul Fazio at 401-322-1889.

Jenny Craig Chicken Products Recalled Due to Possible Contamination

2018-10-23

The Rhode Island Department of Health (RIDOH) is advising consumers that SK Food Group is recalling 174,207 pounds of Jenny Craig chicken wrap products that contain vegetables that may be contaminated with Salmonella and Listeria monocytogenes.

The frozen, fully cooked chicken wrap items were produced on various dates from Oct. 15, 2017 through Oct. 15, 2018. The following products are subject to recall:

4.5-oz. plastic packages containing "Jenny Craig Chicken Wrap with BBQ Sauce," with lot codes WO0096753S10, WO0097880S10, WO0098216S10, WO0098565S10, WO0098923S10, WO0100691S10, WO0100692S10, WO0101746S10, WO0101861S10, WO0102176S10, WO0102469S10, WO0102758S10, WO0103920S10, WO0104247S10, WO0104353S10, WO0104615S10, WO0104995S10, WO0106312, WO0106312S10, WO0106945S10, WO0107556S10, WO0108694S10, WO0108695S10, WO0096753S02, WO0097880S02, WO0098216S02, WO00982416S02, WO0098565S02, WO0098923S02, WO0100691S02, WO0100692S02 and WO0101746S02.

The products subject to recall bear establishment number "EST. 45367" or "EST. 20552" stamped on the product centerfold. These items were shipped directly to consumers through catalog sales in California, Colorado, Florida, Hawaii, Idaho, Illinois, Maryland, Michigan, North Carolina, Oregon, Pennsylvania, and Texas.

The problem was discovered on Oct. 14, 2018, when SK Food Group received notification that the vegetables used in the production of their chicken wrap products were being recalled by their vegetable supplier due to Listeria monocytogenes and Salmonella concerns.

There have been no confirmed reports of adverse reactions due to consumption of these products. Anyone concerned about an injury or illness should contact a healthcare provider.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours after eating the contaminated product. The illness usually lasts 4 to 7 days. Most people recover without treatment. In some people, however, the diarrhea may be so severe that the patient needs to be hospitalized. Older adults, infants, and people with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their health care provider.

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, persons with weakened immune systems, and pregnant women and their newborns. Less commonly, people outside these risk groups are affected.

Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections in older adults and persons with weakened immune systems. Listeriosis is treated with antibiotics. People in the higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell the health care provider about eating the contaminated food.

Consumers and members of the media with questions regarding the recall can contact Steve Sposari, SK Food Group CEO, at (206) 957-6225.

Ready-to-Eat Meat and Poultry Products Being Recalled

2018-10-22

The Rhode Island Department of Health (RIDOH) is advising consumers that Bakkavor Foods USA is recalling 795,261 pounds of ready-to-eat meat and poultry products that contain an onion ingredient that may be contaminated with Salmonella and Listeria monocytogenes.

The ready-to-eat meat and poultry items were produced from Sept. 27, 2017 through Oct. 15, 2018. The following products are subject to recall:

  • 16-oz. plastic-wrapped with paperboard sleeve packages containing HARRIS TEETER FRESH FOODS MARKET DELI-BAKERY brand "BBQ STYLE CHICKEN ARTISAN PIZZA," with "Use By" dates from 01/07/19 through 04/11/19 (inclusive) printed on the case packaging.
  • 8-oz. butcher-paper wrapped packages containing HARRIS TEETER FRESH FOODS MARKET DELI-BAKERY brand "CHICKEN SAUSAGE, EGG WHITE and CHEESE BREAKFAST BURRITO," with "Use By" dates from 01/24/18 through 10/25/18 (inclusive) printed on the case packaging.
  • 8-oz. butcher-paper wrapped packages containing HARRIS TEETER FRESH FOODS MARKET DELI-BAKERY brand "BACON, EGG and CHEESE BURRITO," with "Use By" dates from 01/24/18 through 10/25/18 (inclusive) printed on the case packaging.
  • 10-oz. butcher-paper wrapped packages containing "TRADER JOE'S CARNITAS WITH SALSA VERDE Burrito," with "Use By" dates from 10/08/17 through 10/24/18 (inclusive) printed on the retail packaging.

The products subject to recall bear establishment numbers "EST. 19198," "P-19198," "EST. 46937" or "EST. 45335," inside the USDA mark of inspection. These items were shipped to retail locations nationwide.

The problem was discovered on Oct. 16, 2018, when Bakkavor Foods USA received notification that the onion used in the production of their ready-to-eat meat and poultry products was being recalled by their onion supplier due to Listeria monocytogenes and Salmonella concerns. There have been no confirmed reports of adverse reactions due to consumption of these products. Anyone concerned about an injury or illness should contact a healthcare provider.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours after eating the contaminated product. The illness usually lasts 4 to 7 days. Most people recover without treatment. In some persons, however, the diarrhea may be so severe that the patient needs to be hospitalized. Older adults, infants, and people with weakened immune systems are more likely to develop a severe illness.

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, persons with weakened immune systems, and pregnant women and their newborns. Less commonly, people outside these risk groups are affected.

Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections in older adults and persons with weakened immune systems. Listeriosis is treated with antibiotics. Persons in the higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell the health care provider about eating the contaminated food.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

Consumers with questions regarding the recall can contact the Bakkavor Foods USA Corporate Recall Line at 1-855-312-7504. Members of the media with questions regarding the recall can contact Shawn Stevens, Bakkavor Foods USA's media representative, at (262) 271-1522.

RIDOH and DEM Recommend Avoiding Contact with Watson Reservoir in Little Compton and Gardiner Pond in Middletown

2018-10-12

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (RIDEM) are advising people to avoid contact with Watson Reservoir in Little Compton and Gardiner Pond in Middletown because of blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins that can harm humans and animals.

Health advisories remain in place for the following waterbodies:

  • Cranston: Spectacle Pond, Blackmore Pond
  • East Providence: Central Pond, Ten Mile River, and Omega Pond
  • Newport: Almy Pond
  • North Smithfield: Tarkiln Pond
  • Portsmouth: Melville Ponds, Sisson Pond
  • Providence: Roosevelt, Willow, Edgewood, and Pleasure Lakes, Japanese Gardens (all in Roger Williams Park), Mashapaug Pond
  • Rumford: Turner Reservoir
  • Smithfield-Johnston: Slack Reservoir
  • Warwick: Little Pond

People should avoid recreation and not ingest untreated water or eat fish from these waters. Since pets can be affected by exposure to algal toxins, owners should not allow pets to drink from or swim in these waters. This advisory will remain in effect until further notice.

Contact with untreated water containing blue-green algae can cause irritation of the skin, nose, eyes, and/or throat. If water containing algal toxins is ingested, health effects can include stomach ache, diarrhea, vomiting, and nausea. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. People who have been swimming in, or have otherwise been in contact with the affected waters who experience symptoms should contact their healthcare providers.

Anyone who comes into contact with waters with blue-green algae should rinse their skin with clean water as soon as possible, bathe, and wash their clothes. If a pet comes in contact with this water, the pet should be washed with clean water. Do not let the animal lick algae off of its fur. Call a veterinarian if the pet shows any symptoms of blue-green algae poisoning, which include loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a few days of contact with the water.

While Watson Reservoir and Gardiner Pond are drinking water sources maintained by Newport Water, they are not currently being used to deliver drinking water to customers. Newport Water's primary goal is to provide safe drinking water for all of its customers. As the main drinking water supplier for the residents of Newport, Middletown, and Portsmouth, Newport Water serves nearly 70,000 people. Even when a blue-green algae bloom is present, the treated water that Newport Water distributes to homes is safe. Treatment removes harmful bacteria, including cyanobacteria, before the water is delivered to customers. Newport Water follows all state and federal drinking water testing and monitoring requirements to assure that treatment processes are working correctly and the treated water is safe to drink. Drinking untreated water from any surface water at any time is not recommended.

Sources maintained by Newport Water that are treated to become drinking water may come from nine different surface reservoirs or ponds: St. Mary's Pond, Sisson Pond, Lawton Valley Reservoir, South and North Easton Ponds, Gardiner Pond, and Paradise Pond located on Aquidneck Island, Nonquit Pond in Tiverton, and Watson Reservoir in Little Compton. While RIDOH and RIDEM are now issuing a public health advisory for Watson Reservoir and Gardiner Pond, Newport Water's other water supply ponds also routinely experience cyanobacteria blooms. Most blooms occur in the summer and fall, but they can occur at any time of year.

Newport Water needs all residents and visitors on Aquidneck Island and in Tiverton and Little Compton to help protect these valuable drinking water supplies. State law prohibits both people and animals from swimming and bathing in ponds that are drinking water sources. In addition, Newport Water prohibits fishing, swimming, and boating in these reservoirs, as posted.

Cyanobacteria blooms also occur in other waterbodies in the State. The public should avoid contact with any body of water in Rhode Island that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

Boil Water Advisory in Place for Prudence Island (Portsmouth) Water District

2018-10-05

A boil water advisory is in place for the Prudence Island Water District because E. coli bacteria was found in the water supply.

A list of streets that are affected is available at the link below. The entire water district is affected by the boil water advisory. Residents on private wells or on Prudence Park Water Coop are not affected. As many as 700 residents are impacted by this boil water advisory.

Customers should boil vigorously, for at least one minute, all water used for consumption. Alternatively, customers can use bottled water. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Additional guidance is available online. (See related links below.)

The water district collected repeat samples on Monday, October 1st. Three of these samples were positive for total coliform. The health advisory will remain in effect until the water system investigates the source of the bacteria, completes corrective actions including disinfection of the water system, collects three consecutive days of absent bacteria samples, and RIDOH approves the boil advisory to be lifted. (The three days of sampling doesn't start until after disinfection, flushing, and any other corrective action is completed.)

The presence of E. coli bacteria indicates that the water may be contaminated with human or animal waste. Microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. The EPA has set a drinking water standard for E. coli to reduce the risk of these adverse health effects. Under this standard, drinking water must be free of these bacteria for water to be consumed from a system.

A healthcare provider should be contacted if someone is on this water systems and has diarrhea and any of the following symptoms:

  • Fever over 101.5° F, measured orally
  • Blood in the stool
  • Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)
  • Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up
  • Diarrheal illness that lasts more than 3 days

Customers with questions should contact the water district at 401-285-6192 or info@pih2o.org.

Public Health, Healthcare Leaders Kick Off Annual Flu Vaccination Campaign

2018-10-05

Coming off the most severe flu season that Rhode Island has seen in almost a decade, public health and healthcare leaders launched the state's annual flu vaccination campaign today with reminders about how critical flu shots are for everyone six months of age and older.

"A flu shot is the single best way to protect yourself and the ones you love against the flu. When you get a flu shot you are not only protecting yourself, you are also protecting the people in your life by limiting the spread of the flu. This is especially important if you spend time with younger children or the elderly, who are more susceptible to the effects of the flu," said Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH). "Even if you don't have health insurance or can't afford a flu shot, there are places in Rhode Island where you can get vaccinated for free. Earlier this week, public flu clinics opened at schools throughout the state and clinics will be happening in different cities and towns for the next two months. Flu shots are safe, effective, and easier to get than ever before."

Last year, the flu sent 1,390 Rhode Islanders to the hospital and resulted in 60 deaths (compared to 1,216 hospitalizations and 33 deaths the previous year). Rhode Island saw more flu during the 2017-2018 flu season than during any flu season since the 2009-2010 season, when the state experienced the H1N1 flu pandemic.

Although doctors recommend flu shots for everyone six months of age and older, flu shots are especially important for certain people. They include the elderly, healthcare workers, younger children, pregnant women, and people with chronic medical conditions. Examples of chronic medical conditions include diabetes, cancer, heart disease, and asthma.

The event at the West Warwick Senior and Community Center was attended by Ana Novais, Executive Director of RIDOH; Jeanne LaChance, President/CEO of Thundermist Health Center; James E. Fanale, MD, President and CEO of Care New England; Latha Sivaprasad, MD, Senior VP and Chief Medical Officer for Rhode Island Hospital and Hasbro Children's Hospital; Kimberly O'Connell, VP and Chief Strategy Officer for South County Health; and John Holiver, CEO of CharterCARE Health Partners.

"Thundermist Health Center is proud to partner with the Rhode Island Department of Health and West Warwick Health Equity Zone to kick off flu vaccinations in Rhode Island," said Jeanne LaChance, president/CEO of Thundermist Health Center. "We encourage everyone, especially those most at risk, to get vaccinated right away."

"We at Lifespan are proud to partner in this statewide effort to increase awareness, promote immunization and decrease the spread of influenza and other viral respiratory illnesses," said Latha Sivaprasad, M.D., senior vice president and chief medical officer of Rhode Island Hospital and its Hasbro Children's Hospital. "Our healthcare providers are on the front lines of identifying, treating and containing influenza. Through efforts like enhancing our visitor screenings this year, rapidly identifying new patients with respiratory viral symptoms, and providing immunizations to our staff members, our hospitals intend to suppress the spread of flu this season."

"We know that the best way to protect against the flu virus is for people to get vaccinated every year. But it is also important for people to see their primary care providers regularly rather than waiting and going to the ER when they think they might have the flu," said James E. Fanale, MD, president and CEO, Care New England. "By getting vaccinated, healthcare workers not only protect themselves, but also help protect the vulnerable patients they care for. We are proud that Care New England has exceeded the Healthy People 2020 goal of having 90 percent of our workforce vaccinated. Moreover, our goal is to reach and sustain staff vaccination rates greater than 95 percent system-wide. We know this is crucial to the health and well-being of our workforce and also of the communities we serve."

"As CEO of CharterCARE and board chairman of the Hospital Association of Rhode Island, I can tell you that this issue is one that hospitals in Rhode Island take seriously. It is well known that vaccination is your best protection against the flu," said John Holiver, CEO of CharterCARE Health Partners. "Flu clinics – like the one today and the more than 30 that CharterCARE is conducting over the next couple months – are a great way to help protect vulnerable Rhode Islanders. I encourage everyone to seek out a clinic or visit a flu vaccine provider to make themselves, their family, and their co-workers safer during this flu season."

Approximately 480,000 Rhode Islanders were vaccinated last year. Rhode Island had the highest flu vaccination rate among children in the nation last year (76%). However, RIDOH is working to increase Rhode Island's vaccination rate for the 2018-2019 flu season. A list of evening flu clinics that are located at schools and are open to the entire community is available at http://www.health.ri.gov/flu. Flu shots are also available at other community clinics, doctors' offices, and pharmacies.

After getting a flu shot some people experience a slight ache or a low-grade fever. This means that the body is developing an immune response to the flu virus. These mild side effects are much less significant than the actual flu, which causes most people to stay in bed for a week. You absolutely cannot get the flu from the flu shot.

In addition to getting vaccinated against the flu, Rhode Islanders can take other steps to stay healthy and safe this flu season.

  • Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.
  • Cough or sneeze into your elbow. Flu is spread through coughing or sneezing on other people or into your hands. Cover your coughs and sneezes to prevent others from getting sick.
  • Avoid touching your eyes, nose, or mouth. Germs spread this way.
  • Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods.
  • Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.

Thundermist Health Center is the backbone agency of the West Warwick Health Equity Zone (HEZ). HEZs are community-led collaboratives in nine regions throughout the state that are working to address the underlying factors in communities that have the greatest impact on health outcomes. These underlying, community-level factors include things like access to fresh fruits and vegetables, transportation, quality education, job opportunities, social supports, and healthy housing. Each of Rhode Island's nine HEZs have a backbone agency. More information about the HEZs is available at http://www.health.ri.gov/hez

People with additional questions can call 401-222-5960 / RI Relay 711.

Precautionary Boil Water Advisory Lifted for Castle Rock Condominiums in Charlestown

2018-10-01

The Precautionary Boil Water Advisory that had been in place for Castle Rock Condominiums in Charlestown has been lifted. Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Precautionary Boil Water Notice Issued for Castle Rock Condominiums in Charlestown

2018-09-24

The Castle Rock Condominiums, located at 1C West Castle Way in Charlestown, is issuing a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Castle Rock Condominiums will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Castle Rock Condominiums will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Karen Andersen at 401-203-0300.

RIDOH and RIDEM Recommend Avoiding Contact with Little Pond; Lift Restrictions for Georgiaville Pond

2018-09-21

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (RIDEM) are advising the public to avoid contact with Little Pond in Warwick, while lifting an advisory for Georgiaville Pond in Smithfield. The advisories relate to high levels of blue-green algae, also known as cyanobacteria.

At Georgiaville Pond, recent consecutive surveys and samples confirmed absence of blue-green algae and cyanotoxin, allowing the advisory to be lifted. Health advisories remain in place for the following waterbodies:

  • Cranston: Spectacle Pond
  • Cranston: Blackamore Pond
  • East Providence: Central Pond
  • East Providence: Ten Mile River
  • East Providence: Omega Pond
  • Newport: Almy Pond
  • North Smithfield: Tarkiln Pond
  • Portsmouth: Melville Ponds
  • Portsmouth: Sisson Pond
  • Providence: Mashapaug Pond
  • Providence: Roosevelt, Willow, Edgewood, and Pleasure Lakes, Japanese Gardens (all in Roger Williams Park)
  • Rumford: Turner Reservoir
  • Smithfield-Johnston: Slack Reservoir

Contact with water containing blue-green algae can cause irritation of the skin, nose, eyes, and/or throat. If water containing algal toxins is ingested, health effects can include stomach ache, diarrhea, vomiting, and nausea. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. People who have been swimming in, or have otherwise been in contact with these ponds, who experience symptoms, should contact their healthcare providers.

Anyone who comes into contact with water that is under an advisory should rinse their skin with clean water as soon as possible, bathe, and wash their clothes. If a pet comes in contact with this water, the pet should be washed with clean water. Do not let the animal lick algae off of its fur. Call a veterinarian if the pet shows any symptoms of blue-green algae poisoning, which include loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a few days of contact with the water.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. The public should avoid contact with any body of water that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact RIDEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

RIDOH Health Equity Summit Focuses on Building Healthy and Resilient Communities

2018-09-20

More than 700 community members, legislators, municipal leaders, members of the business community, and representatives from fields including public health, healthcare, law enforcement, and education gathered today at the Rhode Island Department of Health (RIDOH)'s third annual Health Equity Summit to discuss how to build healthier, more resilient communities, and a healthier, more resilient Rhode Island.

In more than 60 different workshops, attendees examined how certain health issues affect specific communities differently, and how to partner with communities to address those health issues in ways that improve health and economic opportunities for all Rhode Islanders. The workshops at the Summit included sessions on healthy aging, transgender health, healthy housing, climate change, mental health, infant mortality, and gentrification, among dozens of other topics. The theme of the Summit was Building Healthy and Resilient Communities.

"Rhode Island is a place that embraces diversity, tolerance, and equal opportunity for everyone," said Governor Gina M. Raimondo. "An important part of ensuring that all Rhode Islanders have an equal opportunity to thrive is to address the underlying issues that determine whether people and communities are healthy, such as job opportunities, housing, and education. I applaud everyone at today's Health Equity Summit for rolling up their sleeves and contributing their time and talent, and for helping build a healthier Rhode Island."

"No matter what you look like, what you sound like, where you live, or who you love, everyone deserves the chance to be as healthy as possible and to live in as healthy a community as possible," said Director of Health Nicole Alexander-Scott, MD, MPH. "To make this a reality, we need to work together to build healthy and resilient communities that bounce forward after adverse events, such as those related to climate change, and that support healthy living for everyone. Today's Health Equity Summit was a critical step in this process, and in coming together to put action to our talk about building a healthier, more resilient Rhode Island."

Different health outcomes for different communities, also referred to as health disparities, exist throughout Rhode Island. For example:

  • Teenagers living in rural areas of Rhode Island report some of the highest rates of drug, alcohol, and cigarette use in the state;
  • Individuals who identify as lesbian, gay, or bisexual are diagnosed with depression at double the rate of Rhode Islanders who do not identify this way (44% have ever had a diagnosis of depression, versus 22%);
  • The infant mortality rate for African-American Rhode Islanders is almost double the state average (11.2 per 1,000 live births, as opposed to 6.6); and
  • More than half of Native American children in Rhode Island (54%) live in poverty.

Differences in health outcomes like these are the result of different community-level factors, such as exposure to marketing of unhealthy products, access to transportation and health services and care, education, job opportunities, social supports, housing, and discrimination. Factors such as these are described as the socioeconomic and environmental determinants of health.

Because health outcomes are overwhelmingly determined by these community-level factors, many of RIDOH's public health interventions are now focused in communities, led by our communities. The most prominent example is Rhode Island's Health Equity Zones (HEZs). HEZs are community-led Collaboratives in nine regions throughout the state that are working to address these underlying, community-level determinants of health. For example, the Washington County HEZ has worked to address mental health concerns among residents by providing evidence-based, mental health first aid and suicide prevention training to more than 1,000 police officers, clergy members, teachers, parents, and staff of youth-serving organizations. As a result of the HEZ infrastructure pulling the community together the Substance Abuse Mental Health Services Association awarded the Washington County HEZ, Healthy Bodies Healthy Minds a $2 million grant to reach zero suicides. A second example is the work of the Pawtucket and Central Falls HEZ to revitalize a dilapidated city building in Pawtucket to create affordable housing units, a job training program for youth, and a market and kitchen space with locally-grown fresh fruits and vegetables and healthy prepared foods, called Harvest Kitchen.

"It's amazing to see so many partners working together to improve opportunities for Rhode Island families and neighborhoods," said Brent Kermen, Principal of William D'Abate Elementary School and a member of the Olneyville HEZ Collaborative who participated in the Summit as a panelist. "I see the impact of this work on a daily basis. The HEZ initiative is providing community members in my neighborhood with a sense that others care about them and believe in them – making them want to give more and more to their community. That alone makes a tremendous difference."

All nine of the HEZs were represented at the Summit.

The keynote speaker at the Summit was Edward P. Ehlinger, MD, MSPH, a former Minnesota Health Commissioner. In addition to the breakout sessions and speaking portions, the Health Equity Summit featured a poster session, resource tables, and performances by the Inner City Rhythm Drummers, AS220 Youth ZuKrewe, and the musician Kim Trusty.

In addition to the wide range of communities and fields represented at the Summit, representatives from several State agencies participated in dialogues about how to improve health outcomes for the Rhode Islanders they serve. Those agencies included the Executive Office of Health and Human Services; the Rhode Island Department of Environmental Management; the Rhode Island Office of Veterans Affairs; the Rhode Island Department of Corrections; the Rhode Island Department of Children, Youth, and Families; the Rhode Island Department of Education; the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals; the Office of the Health Insurance Commissioner; and Health Source RI.

The Health Equity Summit was also an opportunity for Dr. Alexander-Scott to launch the 2019 President's Challenge for the Association of State and Territorial Health Officials (ASTHO). As Rhode Island's Director of Health, Dr. Alexander-Scott's yearlong term as the President of ASTHO, which is the national organization for state health directors, begins this month, giving the opportunity to elevate Rhode Island's leadership in health equity under Governor Raimondo. The theme of the President's Challenge mirrors the theme of the Health Equity Summit: Building Healthy and Resilient Communities. ASTHO will be working over the coming year with state and territorial health departments to help them implement initiatives that, similar to the HEZ initiative in Rhode Island, are focused on addressing the factors in people's communities that most significantly impact health outcomes. The challenge is aligned with the National Association of County and City Health Officials (NACCHO) and the U.S. Surgeon General's focus on community health and economic prosperity.

Ground Beef Products Recalled

2018-09-20

The Rhode Island Department of Health (RIDOH) is advising consumers that Cargill Meat Solutions is recalling 132,606 pounds of ground beef products in connection with an E. coli investigation.

The products subject to the recall bear establishment number "EST. 86R" inside the U.S. Department of Agriculture (USDA) mark of inspection. These items were shipped to retail locations nationwide. RIDOH is working to ensure that these products are removed from shelves in Rhode Island.

On Aug. 16, 2018, USDA's Food Safety and Inspection Service (FSIS) was notified of an investigation of E. coli O26 illnesses. It was determined that raw ground beef was the probable source of the reported illnesses. The epidemiological investigation identified 17 illnesses and one death with illness onset dates ranging from July 5 to July 25, 2018.

Illnesses associated with this kind of E. coli can result in diarrhea (often bloody) and vomiting. Some illnesses last longer and can be more severe. Infection is usually diagnosed by testing of a stool sample. Rehydration and other supportive care is the usual treatment. Most people recover within a week, but rarely, some develop a more severe infection. Hemolytic uremic syndrome (HUS), a type of kidney failure, can also occur. HUS can occur in people of any age but is most common in children younger than 5 years old, older adults, and people with weakened immune systems. It is marked by easy bruising and decreased urine output. People who experience these symptoms should seek emergency medical care immediately.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

Media with questions regarding the recall can contact Michael Martin, Cargill Meat Solutions communications director, at (316) 291-2126 or at michael_martin@cargill.com. Consumers with questions regarding the recall can call 1-844-419-1574.

RIDOH Accepting Laboratory Applications for Sampling and Testing Medical Marijuana

2018-09-17

As part of work to ensure patient safety, the Rhode Island Department of Health (RIDOH) is now accepting applications for analytical laboratories in Rhode Island that want to be licensed to sample and test medical marijuana. Application instructions and the application form are available at http://www.health.ri.gov/applications/MMTestingLabPreliminary.pdf

Licensed laboratories will collect, sample, and analyze medical marijuana products cultivated and/or manufactured by registered compassion centers and licensed cultivators. They will test to verify the THC content of products and check for contaminants such as metals, pesticides, bacteria, other microbiological content, and solvents used in the preparation of medical marijuana products.

By licensing independent laboratories to do this work, RIDOH will be able to ensure that the analysis of medical marijuana is conducted using validated, standardized analytical methods with appropriate instrumentation. These steps are critical to establishing the quality assurance standards needed for medical marijuana so that RIDOH can continue to ensure its safety and appropriate labeling in Rhode Island.

The standards for licensing these analytical laboratories were laid out in regulations promulgated earlier this year.

Final Boil Water Advisory Lifted in Narragansett and South Kingstown

2018-09-10

All of the boil water advisories that had been in place since August 31st for customers of five water systems in Narragansett and South Kingstown have been lifted. The final advisory, on the Narragansett – North End water system, was lifted today. Advisories on the Suez, Narragansett – Point Judith, South Kingstown – South Shore, and South Kingstown – Middlebridge water systems were lifted on September 8th.

All five systems had samples on three consecutive days that were absent coliform bacteria, including E. coli bacteria. A sample taken early in the day on September 7th in the Narragansett – North End system indicated the presence of coliform bacteria. However, the system did flushing and treatment that afternoon and drew three additional samples that day. That second set of samples on September 7th, as well as samples drawn on September 8th and September 9th, were absent coliform bacteria, including E. coli bacteria. The test results by day are available at http://www.health.ri.gov. The systems will continue to be tested regularly for E. coli and other contaminants.

"Ensuring the safety and quality of Rhode Island's drinking water is one of the core functions of the Rhode Island Department of Health," said Director of Health Nicole Alexander-Scott, MD, MPH. "Our team worked almost around the clock since these advisories went into place to get safe water coming out of people's taps again as soon as possible, to educate residents and business owners on the boil water guidance, and to monitor the region for any drinking water-related illnesses. However, this could not have happened without the partnership of dozens of leaders at the state and local levels. We will continue to build on these collaborations to ensure that people continue to have safe water to drink, safe and healthy food to eat, clean air to breathe, and healthy communities to call home, regardless of their ZIP code."

Although customers of these five water systems no longer need to boil their water there are certain steps that people should take before using their water again to make sure that it is safe. People should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and run all faucets and taps for 10 minutes. Additional guidance, including guidance for schools, food establishments, and healthcare facilities, is available at www.health.ri.gov.

Although several potential sources were evaluated, the source of the contamination has yet to be identified. Indications are that this was an isolated instance of contamination (as opposed to contamination from an on-going issue).

If customers have questions, who should they contact?

Customers with questions should continue to call the contact numbers designated for their water systems.

  • Suez Water: 401-789-0271 (primary) or 401-316-2201 (secondary)
  • Narragansett-Point Judith: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • Narragansett-North End: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • South Kingstown-South Shore: 401-789-9331 (South Kingstown Town Hall)
  • South Kingstown-Middlebridge: 401-789-9331 (South Kingstown Town Hall)

What has RIDOH been doing in response to boil water advisory?

  • Worked closely with the water systems to find and eliminate any potential sources of contamination.
  • Provided guidance and updates to the press and public in the form of press releases, social media posts, maps, streets lists, and Frequently Asked Questions documents.
  • Issued clinical guidance on symptoms, reporting procedures, and status updates to healthcare providers throughout Rhode Island.
  • Coordinated closely with water system managers, local town administrators, state legislators, and other key stakeholders.
  • Provided technical assistance to the drinking water systems for drinking water treatment.
  • Sent guidance and making calls to each hospital, nursing home, assisted living community, and dialysis center in the affected area to ensure that they understand the boil water guidance, and to ensure they are able to provide safe water to residents and patients. RIDOH staff also visited all the nursing homes and assisted living sites in the area.
  • Communicated with restaurants, grocery stores, and food establishments by email, fax, phone, and direct visits to ensure that they understand the boil water guidance.
  • Communicated with school leadership in Narragansett and South Kingstown about food service, water procurement, and hand washing.
  • Partnered with the Rhode Island Department of Elderly Affairs to provide specific information to seniors about how to get bottled, should any senior be unable to. This outreach was done through churches, non-profits organizations, and other community groups.
  • Investigated all reports of gastrointestinal illness in Narragansett or South Kingstown.

For more information, see http://www.health.ri.gov or call 401-222-5960.

RIDOH and DEM Recommend Avoiding Contact with Spectacle Pond in Cranston

2018-09-10

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Spectacle Pond in Cranston due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating, and kayaking, should be avoided. People should not ingest water or eat fish from Spectacle Pond. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Boil Water Advisory Lifted for Four of Five Water Systems

2018-09-08

The boil water advisory that has been in place since August 31st for customers of the Suez Water, Narragansett – Point Judith, South Kingstown – South Shore, and South Kingstown – Middlebridge water systems has been lifted. The boil water advisory is still in place for customers of the Narragansett – North End water system.

Updated test results and resources are available at http://www.health.ri.gov

Samples taken on September 5th, 6th, and 7th from the Suez Water, Narragansett – Point Judith, South Kingstown – South Shore, and South Kingstown – Middlebridge systems were absent bacteria. Because the Narragansett – North End water system samples have not been bacteria free for three days, the advisory for that system is still in place. Samples collected on September 5th and September 7th contained coliform bacteria. Rhode Island Department of Health (RIDOH) staff is continuing to work with Narragansett – North End staff to inspect the system and evaluate possible sources of contamination.

Information for Narragansett – North End water system customers

  • A map and street list are online to help residents determine whether they live in the area served by the Narragansett – North End water system.
  • Customers continue to boil vigorously, for at least one minute, all water used for consumption. Alternatively, customers can use bottled water. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water.

Information for customers of the Suez Water, Narragansett – Point Judith, South Kingstown – South Shore, and South Kingstown – Middlebridge systems

  • Customers of these systems no longer need to boil their water. However, there are certain steps that people should take before using their water again to make sure that it is safe. People should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and run any faucets or taps that were not used during the boil advisory for 10 minutes. Additional guidance, including guidance for schools and healthcare facilities, is available at http://www.health.ri.gov.
  • These systems will continue to be tested regularly for E.Coli and other contaminants.

RIDOH is continuing to investigate any reports of gastrointestinal illness (which is the illnesses associated with E. Coli infection). While an isolated cluster of diarrheal illnesses was identified, the thorough investigation that RIDOH has been conducting, does not suggest that it was water-related.

Frequently Asked Questions

Who should be contacted with questions?

Consumers with questions should continue to call the contact numbers designated for their water systems.

  • Suez Water: 401-789-0271 (primary) or 401-316-2201 (secondary)
  • Narragansett-Point Judith: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • Narragansett-North End: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • South Kingstown-South Shore: 401-789-9331 (South Kingstown Town Hall)
  • South Kingstown-Middlebridge: 401-789-9331 (South Kingstown Town Hall)

How can the elderly, people with disabilities, or others who are unable to leave their homes get bottled water?

Narragansett residents in need of assistance for these reasons should contact 401-789-1091.

Where can people fill bottles of water?

The location where Narragansett and South Kingstown residents who are affected by the current boil water advisory can get bottles filled with clean water is West Kingston Park, located at 3840 Kingstown Road, in West Kingston. Residents from both Narragansett and South Kingstown are welcome at this filling station from 8:30 am to 5 p.m.

What are the symptoms of E. Coli, and when should a healthcare provider be contacted?

A healthcare provider should be contacted if someone is on one of these five water systems and has diarrhea and any of the following symptoms:

  • Fever over 101.5° F, measured orally
  • Blood in the stool
  • Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)
  • Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up
  • Diarrheal illness that lasts more than 3 days

For further guidance and links to RIDOH's previous press releases, visit http://www.health.ri.gov.

Updated Water Sample Results Posted Online

2018-09-07

The Rhode Island Department of Health (RIDOH) homepage, http://www.health.ri.gov, now includes water sample test results for the boil water advisory, which is still in place in parts of Narragansett and South Kingstown.

This information will be updated regularly to allow residents and business owners in the affected area to easily access the test results, the map and addresses included in the affected area, as well as RIDOH's standard guidance about boil water advisories. Guidance about what people and businesses should do after the advisories are lifted will also be posted on this webpage once the water has been deemed absent of bacteria for three days in a row.

Since August 31st, a boil water advisory has been in place for customers of the Suez Water, Narragansett-Point Judith, Narragansett-North End, South Kingstown-South Shore, and South Kingstown-Middlebridge water systems. The advisory was put in place because E. coli bacteria was found in the water supply. E. coli is an indicator of fecal contamination. There is currently no change to the advisory. All customers of these systems should continue to boil water until the advisory is lifted.

Test results showing the absence of bacteria in the water are required every day for three days in a row before RIDOH can lift the advisory. Because the systems are all being sampled separately, a boil water advisory on one system can be lifted before the others. However, because the Suez Water system impacts all other system, a change in the results from Suez would impact the other water systems. The water systems began collecting samples on September 5th. It takes between 24 and 48 hours for samples to be analyzed.

Results for samples collected on September 5th:

  • Suez Water - absent coliform bacteria, including E. coli
  • South Kingstown-South Shore - absent coliform bacteria, including E. coli
  • South Kingstown-Middlebridge - absent coliform bacteria, including E. coli
  • Narragansett-Point Judith - absent coliform bacteria, including E. coli
  • Narragansett-North End - absent E. Coli, but coliform bacteria was present

Results for samples collected on September 6th:

  • Suez Water - absent coliform bacteria, including E. coli
  • South Kingstown-South Shore - results still pending
  • South Kingstown-Middlebridge - absent coliform bacteria, including E. coli
  • Narragansett-Point Judith - absent coliform bacteria, including E. coli
  • Narragansett-North End - absent coliform bacteria, including E. coli

Because of the coliform bacteria finding in the Narragansett-North End system that was taken on September 5th, that system's boil water advisory will be in place for at least one additional day. (The boil water advisory for the Narragansett-North End system at this point would continue through Sunday evening, if all subsequent test results are absent of bacteria for three days in a row).

The water systems have submitted a treatment plan to RIDOH and are treating the water, which includes adjusting the chlorine levels in the water. Larger drinking water systems use chlorine, even when there is no contamination issue, because chlorine disinfects and kill germs. The levels of chlorine in the five systems are being increased to further disinfect the pipes. Using or drinking water with small amounts of chlorine does not cause harmful health effects and provides protection against waterborne illnesses. Federal limits are set on how much chlorine can be added to water. The water systems in South County are staying well below this level.

Although several potential sources have been evaluated, the source of the contamination has yet to be identified. Indications are that this was an isolated instance of contamination (as opposed to contamination from an on-going issue). Regardless, members of the public should strictly adhere to the boil water advisory until it is lifted.

What has RIDOH been doing in response to boil water advisory?

  • Working closely with the water systems to find and eliminate any potential sources of contamination.
  • Providing guidance and updates to the press and public in the form of press releases, social media posts, maps, streets lists, and Frequently Asked Questions documents.
  • Issuing clinical guidance on symptoms, reporting procedures, and status updates to healthcare providers throughout Rhode Island.
  • Coordinating closely with water system managers, local town administrators, state legislators, and other key stakeholders.
  • Providing technical assistance to the drinking water systems for drinking water treatment.
  • Sending guidance and making calls to each hospital, nursing home, assisted living community, and dialysis center in the affected area to ensure that they understand the boil water guidance, and to ensure they are able to provide safe water to residents and patients. RIDOH staff also visited all the nursing homes and assisted living sites in the area.
  • Communicating with restaurants, grocery stores, and food establishments by email, fax, phone, and direct visits to ensure that they understand the boil water guidance.
  • Communicating with school leadership in Narragansett and South Kingstown about food service, water procurement, and hand washing.
  • Partnering with the Rhode Island Department of Elderly Affairs to provide specific information to seniors about how to get bottled, should any senior be unable to. This outreach was done through churches, non-profits organizations, and other community groups.
  • Continuing to investigate any reports of gastrointestinal illness in Narragansett or South Kingstown.

Frequently asked questions

What should customers of the affected water systems do?

The five systems' customers should boil vigorously, for at least one minute, all water used for consumption. Alternatively, customers can use bottled water. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Additional guidance is available online. Separate guidance is available for restaurants and other food establishments. Food establishments with additional questions can call the RIDOH Center for Food Protection at 401-222-2749 or 401-222-2750.

Who should be contacted with questions?

Consumers with questions should continue to call the contact numbers designated for their water systems.

  • Suez Water: 401-789-0271 (primary) or 401-316-2201 (secondary)
  • Narragansett-Point Judith: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • Narragansett-North End: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • South Kingstown-South Shore: 401-789-9331 (South Kingstown Town Hall)
  • South Kingstown-Middlebridge: 401-789-9331 (South Kingstown Town Hall)

How can the elderly, people with disabilities, or others who are unable to leave their homes get bottled water?

Narragansett residents in need of assistance for these reasons should contact 401-789-1091. South Kingstown residents in need of assistance for these reasons should contact 401-789-9331. Individuals who live in the affected areas of Narragansett and South Kingstown are also encouraged to check on their neighbors and friends who may need assistance.

Where can people fill bottles of water?

The location where Narragansett and South Kingstown residents who are affected by the current boil water advisory can get bottles filled with clean water is West Kingston Park, located at 3840 Kingstown Road, in West Kingston. Residents from both Narragansett and South Kingstown are welcome at this filling station from 8:30 am to 5 p.m.

What are the symptoms of E. Coli, and when should a healthcare provider be contacted?

A healthcare provider should be contacted if someone is on one of these five water systems and has diarrhea and any of the following symptoms:

  • Fever over 101.5° F, measured orally
  • Blood in the stool
  • Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)
  • Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up
  • Diarrheal illness that lasts more than 3 days

For further guidance and links RIDOH's previous press releases, visit http://www.health.ri.gov.

Resampling Underway in Water Systems Under Boil Water Advisory

2018-09-06

The five water systems serving parts of South Kingstown and Narraganset that are under a boil water advisory began resampling yesterday to determine whether the water from those systems is again safe to drink. Test results showing the absence of bacteria in the water are required every day for three days in a row before the Rhode Island Department of Health (RIDOH) can lift the advisory. Yesterday's test results will not be available until later this afternoon.

Since August 31st, a boil water advisory has been in place for customers of the Suez Water, Narragansett-Point Judith, Narragansett-North End, South Kingstown-South Shore, and South Kingstown-Middlebridge water systems. The advisory was put in place because E. Coli bacteria was found in the water supply. E. Coli is an indicator of fecal contamination. There is currently no change to the advisory. All customers of these systems should continue to boil water until the advisory is lifted.

"Staff at Rhode Island Department of Health, and throughout State government, have remained vigilant throughout this process because E. Coli can cause serious illness," said Dr. Alexander-Scott. "We have been working since the boil water advisory began to ensure that restaurants, schools, healthcare and long-term care facilities, other food service providers, and town officials all have the guidance they need to respond to the advisory. Our Center for Drinking Water and Center for Food Protection staff were out in the communities throughout the holiday weekend conducting inspections and providing on-site assistance, as needed, and continue to be available to answer questions as they arise."

The water systems have submitted a treatment plan to RIDOH and have begun treating the water, which includes adjusting the chlorine levels in the water. Larger drinking water systems use chlorine, even when there is no contamination issue, because chlorine disinfects and kill germs. The levels of chlorine in the five systems are being increased to further disinfect the pipes. Using or drinking water with small amounts of chlorine does not cause harmful health effects and provides protection against waterborne illnesses. Federal limits are set on how much chlorine can be added to water. The water systems in South County are staying well below this level.

Using computer modeling, field inspection and sampling, the water systems and RIDOH are continuing to evaluate different potential sources of the issue. Common causes of E. coli contamination include broken pipes and backflow into the water system. The water systems will continue to be tested regularly for E. Coli and other contaminants.

What should customers of the affected water systems do?

The five systems' customers should boil vigorously, for at least one minute, all water used for consumption. Alternatively, customers can use bottled water. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Additional guidance is available online [link below]. Separate guidance [link below] is available for restaurants and other food establishments. Food establishments with additional questions can call the RIDOH Center for Food Protection at 401-222-2749 or 401-222-2750.

Who should be contacted with questions?

Consumers with questions should continue to call the contact numbers designated for their water systems.

  • Suez Water: 401-789-0271 (primary) or 401-316-2201 (secondary)
  • Narragansett-Point Judith: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • Narragansett-North End: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • South Kingstown-South Shore: 401-789-9331 (South Kingstown Town Hall)
  • South Kingstown-Middlebridge: 401-789-9331 (South Kingstown Town Hall)

How can the elderly, people with disabilities, or others who are unable to leave their homes to get bottled water?

Narragansett residents in need of assistance for these reasons should contact 401-789-1091. South Kingstown residents in need of assistance for these reasons should contact 401-789-9331. Individuals who live in the affected areas of Narragansett and South Kingstown are also encouraged to check on their neighbors and friends who may need assistance.

Where can people fill bottles of water?

The location where Narragansett and South Kingstown residents who are affected by the current boil water advisory can get bottles filled with clean water is West Kingston Park, located at 3840 Kingstown Road, in West Kingston. Residents from both Narragansett and South Kingstown are welcome at this filling station from 8:30 am to 5 p.m.

What are the symptoms of E. Coli, and when should a healthcare provider be contacted?

A healthcare provider should be contacted if someone is on one of these five water systems and has diarrhea and any of the following symptoms:

  • Fever over 101.5° F, measured orally
  • Blood in the stool
  • Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)
  • Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up
  • Diarrheal illness that lasts more than 3 days

If you have already contacted your water system and still have questions, visit http://www.health.ri.gov

Location of Bottle Filling Station Moved in Area Impacted by Boil Water Advisory

2018-09-04

The location where Narragansett and South Kingstown residents who are affected by the current boil water advisory can get bottles filled with clean water has been moved from the Kingston Fire Station on Bills Road to West Kingston Park, located at 3840 Kingstown Road, in West Kingston. Residents from both Narragansett and South Kingstown are welcome at this filling station from 8:30 am to 5 p.m. This location change is being made so that water will be available at a more accessible site.

Assistance is available for the elderly, people with disabilities, or others who are unable to leave their homes to get bottled water. Narragansett residents in need of assistance for these reasons should contact 401-789-1091. South Kingstown residents in need of assistance for these reasons should contact 401-789-9331. Individuals who live in the affected areas of Narragansett and South Kingstown are also encouraged to check on their neighbors and friends who may need assistance.

Since August 31st, a boil water advisory has been in place for customers of five public water systems serving parts of Narragansett and South Kingstown (Suez Water; Narragansett-Point Judith; Narragansett-North End; South Kingstown-South Shore; South Kingstown-Middlebridge). The advisory was put in place because E. coli bacteria was found in the water supply. There is no change to the advisory, and all customers should continue to boil water until the advisory is lifted. The Rhode Island Department of Health (RIDOH) has not seen an unusual amount of gastrointestinal illness ( the type of illness associated with E. coli) in Narragansett and South Kingstown.

In addition to monitoring for illness, RIDOH and other state agencies have taken a number of steps to support residents and business owners. These have included working with school leadership to ensure the availability of water for students, visiting restaurants and other food establishments to ensure that food service managers have the most up-to-date information, and coordinating with nursing homes and other community contacts for the elderly.

The water systems are conducting an investigation to find the source of the contamination and will take corrective action to fix the problem once it is identified. The systems originally expected to have the investigation and corrective actions completed by Wednesday. This process is proceeding on schedule, and RIDOH anticipates that resampling will begin on Wednesday. Test results showing the absence of bacteria in the water are required every day for three days in a row before RIDOH can lift the advisory.

What should consumers do?

The five systems' customers should boil vigorously, for at least one minute, all water used for consumption. Alternatively, customers can use bottled water. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Additional guidance is available online. Separate guidance is available for restaurants and other food establishments. Food establishments with additional questions can call the RIDOH Office of Food Protection at 401-222-2749 or 401-222-2750.

Who should be contacted with questions?

Consumers with questions should continue to call the contact numbers designated for their water systems.

  • Suez Water: 401-789-0271 (primary) or 401-316-2201 (secondary)
  • Narragansett-Point Judith: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • Narragansett-North End: Call Town Hall at 401-782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, call 401-789-1091 for the Narragansett Police dispatch line.
  • South Kingstown-South Shore: 401-789-9331 (South Kingstown Town Hall)
  • South Kingstown-Middlebridge: 401-789-9331 (South Kingstown Town Hall)

Updated Information for Boil Water Advisory in Place for Five Public Water Systems Serving Parts of Narragansett and South Kingstown

2018-09-02

Since Aug. 31, a boil water advisory has remained in place for customers of five public water systems serving parts of Narragansett and South Kingstown because E. coli bacteria was found in the water supply. There is no change to the advisory, and all customers should continue to boil water until the advisory is lifted.

The water systems are conducting an investigation to find the source of the contamination and will take corrective action to fix the problem once identified. At this time, the systems expect to have the investigation and corrective actions completed by Wednesday. If that is accomplished effectively, the necessary follow-up water testing may begin. Test results showing the absence of bacteria in the water are required every day for three days in a row before RIDOH can lift the advisory. Water system administrators and municipalities are continuing to alert customers about this advisory and will alert customers when it is lifted.

Consumers with questions should continue to call the contact numbers designated for their water systems. Please note that as of Sept. 2, contact information for the affected water systems and communities has been updated as follows:

  • Suez Water: 401-789-0271 (primary) or 401-316-2201 (secondary)
  • Narragansett-Point Judith: Call Town Hall at (401) 782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, please call 401-789-1091 for the Narragansett Police dispatch line.
  • Narragansett-North End: Call Town Hall at (401) 782-0639 during open business hours, M-F, 8:30 a.m. to 4:30 p.m. After hours and holidays, please call 401-789-1091 for the Narragansett Police dispatch line.
  • South Kingstown-South Shore: 401-789-9331 (South Kingstown Town Hall)
  • South Kingstown-Middlebridge: 401-789-9331 (South Kingstown Town Hall)

The five systems' customers should boil vigorously, for at least one minute, all water used for consumption. Alternatively, customers can use bottled water. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Additional guidance is available online at health.ri.gov/publications/instructions/HouseholdBoilWaterGuidance.pdf. The Rhode Island Department of Health (RIDOH) has also provided guidance to restaurants and other food establishments (link: health.ri.gov/publications/instructions/FoodServiceBoilWater.pdf) and will conduct outreach visits to ensure that the establishments in the area have received copies of the guidance, answer questions, and support them. RIDOH is also working with the Rhode Island Department of Education (RIDE) and will hold a call with the superintendents on Monday morning to ensure the communities' schools receive proper guidance.

Additionally, customers served by the five water districts should be aware of the following updates in their communities:

South Kingstown:

  • The Kingston Fire Station, which is not affected by the boil water advisory, invites customers from the affected communities to fill water bottles at the station as needed. To do so, please bring clean water bottles to the Kingston Fire District station, 35 Bills Rd, Kingston, RI 02881 (map) between the business hours of 8:30 am to 5 p.m.
  • The Town of South Kingstown is being assisted by the Rhode Island Emergency Management Agency (RIEMA) to provide bottled water to schools on Monday (approx. 10 pallets), as well as to Public Housing Authority residents (beginning Tuesday), and the Senior Center (Tuesday).
  • Home-bound or other residents in need of assistance in securing water should contact South Kingstown Town Hall at 401-789-9331.

Narragansett:

  • A 24-hour hotline has been established at 401-789-1091. The elderly, people with disabilities, or others who are unable to leave their homes may call to request water delivered at no charge by officers of the Town of Narragansett Police Department.
  • The Town of Narragansett has sent automated messages to constituents enrolled in the Code RED notification system, as well as to other vulnerable populations to alert them about the boil water advisory in effect.
  • The Town of Narragansett is being assisted by the Rhode Island Emergency Management Agency (RIEMA) to provide bottled water to schools on Monday (approx. 10 pallets).

For all customers affected by the boil water advisory:

Posted online are a map of the affected areas and a list of the streets in Narragansett and South Kingstown that are affected. (For more complete information about the areas covered, customers should contact the individual water systems.) Additionally, people can check their water bills to determine what system provides their water. Approximately 38,000 residents are impacted by this boil water advisory.

The E. coli finding was made during routine sampling by Suez Water, which sells water to the other systems. There have been no illnesses associated with these systems.

E. coli is bacteria whose presence indicates that the water may be contaminated with human or animal waste. Microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. EPA has set a drinking water standard for E. coli to reduce the risk of these adverse health effects. Under this standard, drinking water must be free of these bacteria for water to be consumed from a system.

A healthcare provider should be contacted if someone is on one of these five water systems and has diarrhea and any of the following symptoms:

  • Fever over 101.5° F, measured orally
  • Blood in the stool
  • Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)
  • Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up
  • Diarrheal illness that lasts more than 3 days

The University of Rhode Island's main campus is not on any of these systems. However, the University of Rhode Island's Bay Campus is impacted by this advisory. Ninigret Park in Charlestown, which is hosting the Rhythm & Roots music festival this weekend, in not impacted.

If you have already contacted your water system and still have questions, visit http://www.health.ri.gov.

Boil Water Advisory in Place for Five Public Water Systems Serving Parts of Narragansett and Parts of South Kingstown

2018-08-31

A boil water advisory is in place for the customers of five public water systems serving parts of Narragansett and South Kingstown because E. coli bacteria was found in the water supply. The affected water systems are:

  • Suez Water (customers with questions should contact Chris Jacobs at 401-316-2201)
  • Narragansett – Point Judith (customers with questions should contact the Police Department at 401-789-1091 or John Soetbeer at 401-265-3515)
  • Narragansett – North End (customers with questions should contact the Police Department at 401-789-1091 or John Soetbeer at 401-265-3515)
  • South Kingstown – South Shore (customers with questions should contact the Police Department at 401-783-3321)
  • South Kingstown – Middlebridge (customers with questions should contact the Police Department at 401-783-3321)

Posted online are a map of the affected areas and a list of the streets in Narragansett and South Kingstown that are affected. (See related links below.) (For more complete information about the areas covered, customers should contact the individual water systems.) Additionally, people can check their water bills to determine what system provides their water. Approximately 38,000 residents are impacted by this boil water advisory.

The five systems' customers should boil vigorously, for at least one minute, all water used for consumption. Alternatively, customers can use bottled water. These recommendations pertain to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Additional guidance is available online. (See related links below.) The Rhode Island Department of Health (RIDOH) is communicating guidance to restaurants and other food establishments in the area. (Guidance for food establishments is also available online at http://health.ri.gov/publications/instructions/FoodServiceBoilWater.pdf)

The E. coli finding was made during routine sampling by Suez Water, which sells water to the other systems. There have been no illnesses associated with these systems.

This health advisory will remain in effect until corrective actions are completed, three consecutive days of satisfactory bacteria results are obtained, and RIDOH approves the lifting of the advisory. Water systems administrators are currently alerting customers about this advisory and will alert customers when it is lifted.

E. coli is bacteria whose presence indicates that the water may be contaminated with human or animal waste. Microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. EPA has set a drinking water standard for E. coli to reduce the risk of these adverse health effects. Under this standard, drinking water must be free of these bacteria for water to be consumed from a system.

A healthcare provider should be contacted if someone is on one of these five water systems and has diarrhea and any of the following symptoms:

  • Fever over 101.5° F, measured orally
  • Blood in the stool
  • Prolonged vomiting that prevents keeping liquids down (which can lead to dehydration)
  • Signs of dehydration, including a decrease in urination, a dry mouth and throat, and feeling dizzy when standing up
  • Diarrheal illness that lasts more than 3 days

The University of Rhode Island's main campus is not on any of these systems. However, the University of Rhode Island's Bay Campus is impacted by this advisory. Ninigret Park in Charlestown, which is hosting the Rhythm & Roots music festival this weekend, is not impacted.

If you have already contacted your water system and still have questions, visit http://www.health.ri.gov.

Precautionary Boil Water Notice Issued for Frontier Camper Park (in Ashaway)

2018-08-30

The Frontier Camper Park, located at 180A Maxson Hill Road in Ashaway, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Frontier Camper Park will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Frontier Camper Park will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Dorothy Thompson at 401-377-4510.

Rhode Island a National Leader in Immunizations for Adolescents

2018-08-24

Immunization rates for teenagers in Rhode Island are among the highest in the country, according to new data released by the Centers for Disease Control and Prevention (CDC).

"Immunization prevents disease," said Nicole Alexander-Scott, MD, MPH, Director of the Rhode Island Department of Health (RIDOH). "Timely immunization is important for people of all ages – from infancy to adulthood – and helps build safe, healthy, and strong communities. Rhode Island's consistently high vaccination rates means that we are preventing the serious health consequences and significant healthcare costs associated with many illnesses and are helping give everyone in our state the opportunity to be as healthy as possible, regardless of their ZIP code."

The data were gathered through a version of the CDC's National Immunization Survey that focuses on children from 13 to 17 years old. Surveyors made randomized telephone calls to parents and guardians. The information they provided was confirmed with the child's vaccination provider. The study revealed that:

  • 88.5% of Rhode Island girls and 88.7% of Rhode Island boys received at least one dose of Human papillomavirus (HPV) vaccine, the second-highest rates in the country, and much higher than the national averages for the first dose of HPV vaccine: 68.6% for girls and 62.6% for boys. HPV is a very common virus that can lead to cancer in males and females.
  • 94.6% of Rhode Island teens received the combined vaccine called Tdap, which protects against tetanus, diphtheria, and acellular pertussis. This was the fifth-highest rate in the nation.
  • 94.1% of Rhode Island teens received at least one dose of Meningococcal Conjugate vaccine, the third-highest rate in the country.

A separate survey by the CDC indicated that Rhode Island had the highest overall flu vaccination rate in the nation during the 2016-2017 flu season.

Vaccines are provided to all children in Rhode Island at no cost to the child's family or the child's healthcare provider through funding provided by insurers and funding from the federal government. In addition to the accessibility of vaccines, other factors in Rhode Island's immunization success include the hard work of all Rhode Island healthcare providers and public health practitioners; KIDSNET, a statewide health information system managed by RIDOH; and Vaccinate Before You Graduate, a vaccination catch-up program offered in all Rhode Island middle and high schools.

According to a CDC study published in 2014, childhood vaccines prevented 21 million hospitalizations nationally and resulted in $295 billion savings in direct medical costs nationally between 1994 and 2013.

* Coverage rates produced by the National Immunization Survey are estimates - often referred to as point estimates. Because a random sample of telephone numbers is taken, these rates have an associated statistical margin of error. Due to statistical uncertainty (i.e. sampling error) in the estimates, Rhode Island's true vaccination rates may be slightly higher or lower.

RIDOH and DEM Recommend Avoiding Contact with Pleasant Lake in Providence

2018-08-21

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are extending the advisory to avoid contact with certain waters in Roger Williams Park to now include Pleasant Lake due to blue-green algae (or cyanobacteria) blooms. Advisories are already in place for Roosevelt Lake, Willow Pond, the Japanese Gardens and Edgewood Lake in Roger Williams Park. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People also should not ingest water or eat fish from these waterbodies. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Blue-Green Algae Bloom in Georgiaville Pond in Smithfield

2018-08-17

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Georgiaville Pond in Smithfield due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from Georgiaville Pond. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

RIDOH and DEM Recommend Avoiding Contact with Slack Reservoir in Greenville

2018-07-31

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Slack Reservoir in Greenville (spans Smithfield and Johnston town line) due to a blue-green algae (cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals. Very high levels of microcystins were detected in water samples taken from the "Little Beach" area near Terrance Drive.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People also should not ingest water or eat fish from Slack Reservoir. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

RI Sets National Example in Protecting Public Housing Residents from Secondhand Smoke

2018-07-31

The Rhode Island Department of Health (RIDOH) recognizes all 25 public housing authorities (PHAs) in the state for achieving 100 percent state compliance with a new federal rule that will protect nearly 15,000 multi-unit housing residents from toxic secondhand smoke indoors.

One-hundred percent of Rhode Island's PHAs have implemented smoke-free policies that meet or exceed a new rule from the U.S. Department of Housing and Urban Development (HUD), which takes effect July 31, 2018 to protect all housing residents, visitors, and staff from lit secondhand cigarette smoke. Under the new federal rule, no smoking is allowed indoors anywhere; outdoors, cigarettes may not be smoked within 25 feet of buildings to help prevent smoke from drifting indoors through windows and doors.

"Everyone in every community deserves to breathe clean air where they live and work," said Nicole Alexander-Scott, MD, MPH, Director of the Rhode Island Department of Health. "We applaud all of our state's Public Housing Authorities staff who worked with their residents closely in recent years to meet HUD's new requirements. Many of our forward-thinking PHAs have exceeded HUD's minimum requirements to protect residents from more toxic chemicals from other products, and have taken extra steps to listen to smokers' concerns and help connect those who want to quit to no-cost cessation services. This is a big step in our collective efforts to build more just, equitable communities in every corner of Rhode Island."

Residents who smoke are not banned from living within a PHA residence, but are asked to smoke outdoors beyond established buffer zones.

In recent years, some PHAs have elected to adopt even stronger "clean air" policies, by setting larger outdoor buffer zones, banning all outdoor smoking entirely, and/or restricting the use of burned products such as incense, hookah, and e-cigarettes. Such "no burn" policies are typically detailed in residents' leases. Any residents with questions should contact their housing manager or refer to their signed lease.

Smoke-free and tobacco-free policies help maintain healthier living conditions for residents, visitors, workers, and pets. Other benefits of smoke-free building policies may include reduced fire hazards, lower operating and maintenance costs, and fewer neighbor disputes. PHAs in other states have also realized lower insurance premiums.

The new HUD rule takes effect following several years of discussions and a public comment period that addressed the serious and often deadly health effects of secondhand smoke. Tobacco smoke contains more than 70 known cancer-causing particles and can trigger severe asthma attacks. According to the U.S. Surgeon General, no amount of cigarette smoke exposure is safe to anyone, anywhere, at any time. Secondhand smoke is especially harmful to people with chronic health conditions, the elderly, women who are pregnant, babies, children, as well as people with respiratory illnesses, weakened immune systems, and disabilities. People with chronic health conditions who live in public housing often do not have adequate access to health services or health insurance, while illnesses caused by secondhand smoke can cause great financial strain on individuals, regardless of their financial situations.

This new HUD rule will protect close to two million Americans nationwide from being exposed to secondhand smoke in their homes, including 690,000 children.

The new HUD rule also takes effect shortly after Rhode Island has included e-cigarettes or electronic nicotine delivery systems (ENDS) in the state's long-established Public Places and Workplace Safety Act. For PHA buildings, this means that Rhode Island state law also prohibits e-cigarettes from being used in any indoor or enclosed public common areas such as hallways, elevators, staircases, offices, laundry rooms, and recreation areas.

To learn more about or to receive free technical assistance on adopting smokefree, tobacco-free, and clean air policies for multi-housing properties, please contact the RIDOH Tobacco Control Program Live Smokefree Program at (401) 222-7637.

In Rhode Island, regardless of insurance or ability to pay, anyone who wants to quit smoking can get free cessation support services and free nicotine replacement therapy (NRT) products by calling the Rhode Island Smokers' Helpline at 1-800-QUIT-NOW (1-800-784-8669).

Statement from Dr. Alexander-Scott on the Work Stoppage at Rhode Island Hospital and Hasbro Children's Hospital

2018-07-27

The following statement can be attributed to Nicole Alexander-Scott, MD, MPH, Director of the Rhode Island Department of Health:

"As a part of our commitment to patient safety, Rhode Island Department of Health (RIDOH) staff were at Rhode Island Hospital and Hasbro Children's Hospital day and night throughout this week. We were at the hospitals again this afternoon to monitor the transition back from the replacement healthcare workers to the facilities' regular healthcare workers. We will remain actively engaged with the hospitals throughout the weekend, assessing the return to normal operations. Current indications are that this work stoppage concluded without any major patient care incidents. This was the result of the vigilance and persistence of staff at RIDOH before the strike and throughout, the flexibility and cooperation of the leadership of the other Rhode Island hospitals, and the tremendous dedication of the healthcare providers throughout the state this week."

"It is in the interest of patients, other healthcare facilities and providers, and the healthcare system as a whole for Lifespan and the local United Nurses & Allied Professionals (UNAP) chapter to come together and arrive at a resolution to this labor dispute so that we can all ensure the safety of patients and the quality of care long-term."

WaterFire Lighting Organized to Support Efforts to Eliminate Hepatitis C

2018-07-27

The Rhode Island Department of Health (RIDOH) and RI Defeats Hep C invite all Rhode Islanders to attend the 'C is for Cure' WaterFire lighting on July 28th – World Hepatitis Day – to rally support to eliminate hepatitis C in Rhode Island. The lighting will take place at 8 p.m. in downtown Providence. Festivities and performances begin at 7 p.m. at WaterFire Basin.

RI Defeats Hep C is a comprehensive program to prevent, screen, diagnose, evaluate, cure, and eliminate hepatitis C in Rhode Island.

"Community events, such as the 'C is for Cure' WaterFire Lighting, and collaborations in the areas of education, prevention, diagnosis, and treatment are at the heart of our work to eliminate hepatitis C in Rhode Island," said Director of Health Nicole Alexander-Scott, MD, MPH. "This work is especially important in communities where we see higher rates of hepatitis C, such as among Baby Boomers, and among people who have used injection drugs in the past. By focusing resources and efforts where they are needed most, we absolutely can make hepatitis C a thing of the past."

In a major step forward in Rhode Island's fight against hep C, the state's Executive Office of Health and Human Services announced this month that Medicaid will cover hepatitis C medication for all Rhode Island Medicaid beneficiaries living with the disease. Previously, only medication for Medicaid recipients in advanced stages of hep C were covered.

"This new policy goes to the heart of what Medicaid exists to do: ensure people, regardless of life circumstance, have the medical care and supports they need," said Medicaid Director Patrick Tigue. "Few policies have this type of direct, immediate impact on people's lives. I am thankful for the partnership that made this possible and the leadership our state continues to demonstrate in implementing responsible public health policies that put Rhode Islanders first."

RIDOH continues to work to end the epidemic in Rhode Island. RIDOH funds community partners to provide free and confidential rapid hepatitis C screening to anyone who thinks they may have been exposed to hepatitis C. In addition, RIDOH works closely with ENCORE, the state's needle-exchange program, to provide brand new needles and other injecting equipment and harm-reduction counseling for people who use injection drugs.

Recent advances in medications that can cure hepatitis C have made hepatitis C elimination a viable goal for Rhode Island. To achieve this goal, RIDOH is taking steps to re-visit the core components of its strategic plan to eliminate hepatitis. These core components include:

  • Preventing hepatitis C virus transmission and new infections;
  • Screening every Rhode Islander for hepatitis C at least once in their lifetime, and diagnosing every case of hepatitis C
  • Linking every case of hepatitis C to a clinician who can evaluate and treat hepatitis C;
  • Ensuring equitable access to hepatitis C treatment for all individuals who are living with hepatitis C; and
  • Curing as many patients of hepatitis C as possible.

Hepatitis C is a liver infection caused by the hepatitis C virus, a blood-borne virus that is not spread through casual contact. It is not a classic sexually transmitted infection. Hepatitis C is only spread when blood from another person who has hepatitis C, gets put in to the bloodstream of another person. Some people acquired hepatitis C via a blood transfusion before 1992, or via hemodialysis. Others become infected with the hepatitis C virus by sharing needles or other equipment used to inject drugs.

For some people, hepatitis C is a short-term illness, but for 70%?85% of people who become infected, it becomes a long-term, chronic infection. Chronic hepatitis C is a serious disease than can result in long-term health problems, even death. Most people who are infected with hepatitis C virus do not know it because they have no symptoms until very late in the disease. There is no vaccine for hepatitis C. However, hepatitis C can be prevented by avoiding behaviors that can spread the disease, such as avoiding injection and intranasal drug use.

Of the more than three million people in the United States who are living with hepatitis C, 75% were born between 1945 and 1965. Baby boomers have a 1 in 30 chance of infection.

People for whom testing is extremely important include anyone who:

  • Is a Baby Boomer;
  • Has HIV infection;
  • Was born to a woman with hepatitis C;
  • Currently injects drugs;
  • Has ever injected drugs, including anyone who injected drugs once or a few times many years ago;
  • Has a history of intranasal (through the nose, or snorting) drug use, including those who snorted only once many years ago. An example is snorting cocaine.
  • Received clotting factor concentrates produced before 1987;
  • Has ever had long-term hemodialysis;
  • Has persistently elevated liver blood tests -- elevated alanine aminotransferase (ALT) levels;
  • Has been notified they received blood from a donor who later tested positive for HCV infection; or
  • Received a blood transfusion, blood components, or an organ transplant before July 1992.

RIDOH and DEM Recommend Avoiding Contact with Roosevelt Lake and Mashapaug Pond in Providence

2018-07-25

The Rhode Island Department of Health (RIDOH) and the Department of Environmental Management are advising people to avoid contact with Roosevelt Lake (part of the Roger Williams Park Ponds) and Mashapaug Pond in Providence due to blue-green algae (or cyanobacteria) blooms. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People also should not ingest water or eat fish from Roosevelt Lake and Mashapaug Pond. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Pepperidge Farm Recalling Four Varieties of Goldfish Crackers

2018-07-24

The Rhode Island Department of Health (RIDOH) is advising consumers that Pepperidge Farm is recalling four varieties of Goldfish crackers. A seasoning that is applied to these crackers has been the subject of a recall due to the potential presence of Salmonella. The products were distributed throughout the United States. No illnesses have been reported. No other Pepperidge Farm products in the U.S. are subject to this recall.

The following four varieties are subject to this recall:

  • Flavor Blasted Xtra Cheddar
  • Flavor Blasted Sour Cream & Onion
  • Goldfish Baked with Whole Grain Xtra Cheddar
  • Goldfish Mix Xtra Cheddar + Pretzel

Salmonella is a microorganism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Consumers who have purchased these products should not eat them. Recalled product should be discarded or may be returned to the place of purchase for a full refund. Consumers with questions may call 800-679-1791.

Ritz Cracker Sandwiches and Ritz Bits Being Recalled

2018-07-23

The Rhode Island Department of Health (RIDOH) is advising consumers that Mondelez Global is recalling certain Ritz Cracker Sandwiches and Ritz Bits product. These products contain whey powder as an ingredient, which the whey powder supplier has recalled due to the potential presence of Salmonella.

Salmonella is a microorganism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis. There have been no complaints of illness reported to Mondel?z Global to date in connection with these products. The company is conducting this recall as a precaution, based on the ingredient supplier's recall.

Consumers who have these products should not eat them, and should discard any products they may have. Consumers can contact the company at 1-844-366 -1171, 24 hours a day to get more information about the recall, and Consumer Relations specialists are available Monday – Friday, 9am to 6pm EST.

This recall is being conducted with the knowledge of the U.S. Food and Drug Administration.

RIDOH Working to Ensure Patient Safety During Hospitals' Strike

2018-07-20

The Rhode Island Department of Health (RIDOH) is coordinating directly with Rhode Island Hospital and Hasbro Children's Hospital leadership, and is working closely with healthcare providers and healthcare facilities throughout the state to ensure that safe, quality care continues to be delivered during the work stoppage scheduled for next week.

The United Nurses and Allied Professional (UNAP) Local 5098 has announced a strike of approximately 2,400 healthcare providers at Rhode Island Hospital and Hasbro Children's Hospital. The union represents nurses, technologists, therapists, and support staff, among others. The work stoppage is anticipated to last for four days, starting Monday afternoon.

"The Rhode Island Department of Health's absolute priority during this work stoppage is patient safety and the quality of care," said Dr. Alexander-Scott. "We prepare year-round for a wide range of challenges at Rhode Island hospitals, and we have been preparing for this particular situation for weeks. Department of Health staff will be at the hospitals throughout the strike, and we will be in constant communication with healthcare facilities throughout the state to ensure that all patients continue to receive premium services and care."

Steps being taken by RIDOH in advance of and during the strike include:

  • Reviewing a plan from Rhode Island Hospital and Hasbro Children's Hospital for how they intend to ensure safe, quality care for patients. (RIDOH is providing feedback and input on this plan.)
  • Expediting the process of issuing licenses to more than 1,000 replacement healthcare providers who will be at the hospitals. In anticipation of a potential work stoppage, RIDOH began the process of getting these individuals licensed on June 1.
  • Working with the leadership at all other Rhode Island hospitals, as well as EMS providers, to ensure their readiness for any additional patients. RIDOH is also coordinating with other nearby hospitals outside of Rhode Island.
  • Being on-site at the hospitals throughout the work stoppage.

Licensed healthcare professionals who are not part of the strike are expected to fulfill their professional obligations and work any previously scheduled shifts next week.

Precautionary Boil Water Advisory Lifted For Wilbur and McMahon School in Little Compton

2018-07-19

The Precautionary Boil Water Advisory that had been in place for Wilbur and McMahon School in Little Compton has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it was performing pump repairs.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Blue-Green Algae Bloom Advisory in East Providence Expanded

2018-07-16

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with water from Central Pond, Turner Reservoir, Omega Pond, and the portion of Ten Mile River that flows from Turner Reservoir to Omega Pond in East Providence due to a blue-green algae (or cyanobacteria) bloom. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from these waters. Pets can also be affected by exposure to the toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

RIDOH Recommends Closing Goddard Park State Beach in Warwick for Swimming

2018-07-13

The Rhode Island Department of Health (RIDOH) recommends closing Goddard Park State Beach in Warwick for swimming because of high bacteria counts.

When a beach closure is recommended, water quality analysis is conducted by RIDOH's laboratory or a state-certified laboratory. The status of a beach may change on a daily basis. The most up-to-date beach information is available through a recorded message on RIDOH's beaches telephone line (401-222-2751).

RIDOH and DEM Recommend Avoiding Contact with Turner Reservoir in East Providence

2018-07-13

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Turner Reservoir in East Providence due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins, including microcystins, that can harm humans and animals.

All recreation, including swimming, fishing, boating and kayaking, should be avoided. People should not ingest water or eat fish from Turner Reservoir. Pets can also be affected by exposure to the algal toxins and thus owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with these ponds and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Precautionary Boil Water Advisory Lifted for Church Woods

2018-07-13

The Precautionary Boil Water Advisory that had been in place for Church Woods (Charlestown) has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Rhode Island's Pain Management Regulations Updated to Ensure Safer Opioid Prescribing

2018-07-09

Rhode Island's updated pain management regulations now require healthcare providers who are writing opioid prescriptions:

  1. to have a conversation with their patients on the risks of taking an opioid prescription,
  2. indicate the diagnosis code(s) on the prescription.
  3. to co-prescribe naloxone to patients at higher risk for overdose.

The regulations apply to anyone who can prescribe a controlled substance including physicians, dentists, physician assistants, and advanced practice registered nurses (APRNs).

In communications about the regulation changes, Rhode Island Department of Health (RIDOH) officials also firmly reiterated to healthcare providers that effective, non-opioid pain management treatments are available with much less risk to patients, and that these treatments should be considered before opioids. These alternatives include non-prescription ibuprofen (i.e., Advil, Motrin) and/or acetaminophen i.e., Tylenol), physical therapy, chiropractic care, acupuncture, massage, exercise, and cognitive behavioral therapy, among other modalities.

1. The regulations allow for patient education to happen either through a conversation with the patient or in writing. The patient education must include a conversation that includes:

  • Risks of developing dependence and the potential of overdose or death.
  • Risks related to the concurrent use of opioids and alcohol or benzodiazepines. (Benzodiazepines are sedatives, such as Xanax and Valium.)
  • The effect of opioids on one's ability to safely operate any motor vehicle.
  • Patient's responsibility to safeguard all opioid medications in a secure location.
  • Alternative treatments for managing pain (non-opioid and/or non-pharmacologic options).
  • Risks of relapse for those who are in recovery from substance dependence.

RIDOH has provided material to healthcare providers in English and Spanish that they can use to guide conversations with patients about the risks of opioids.

"Honest, direct conversation from healthcare providers about risks is a critical part of providing safe, quality care for patients who are prescribed opioids," said Director of Health Nicole Alexander-Scott, MD, MPH. "Rhode Island has made significant strides in reducing the number of opioids being prescribed, and in making sure that those prescriptions are being written and filled safely. These newest updates to our pain management regulations will keep us moving in that direction, and will continue to reduce the number of overdoses in our state that are associated with prescription pain medication, while maintaining compassionate care for patients who deal with chronic pain. Prescribers, patients, and all Rhode Islanders have a role to play in saving lives."

2. The requirement that healthcare providers include the diagnosis code on the prescription allows the pharmacists to understand why the controlled substance in being dispensed to the patient. Pharmacists are then able to use this information to have follow-up conversations with prescribers or patients to ensure that patients are being treated with the appropriate medication.

Ensuring the safe prescribing of opioids is a key effort within the prevention strategy of the Strategic Plan of Governor Gina M. Raimondo's Overdose Prevention and Intervention Task Force. The other three strategies are treatment, rescue, and recovery. The Task Force is chaired by Dr. Alexander-Scott; Rebecca Boss, the Director of the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH); and Tom Coderre, a Senior Advisor to Governor Raimondo.

"Addiction and overdose are claiming lives, destroying families, and undermining the quality of life across Rhode Island," stated BHDDH Director Rebecca Boss. "Updating the Pain Management Regulations is a necessary step as we cannot fight the overdose epidemic without the support and assistance of our medical community. Education by a trusted provider, and co-prescribing Naloxone to those at risk for dependence on opioids, is crucial in this fight to save lives."

3. Naloxone, with a brand name, Narcan, is a medication that can reverse the effects of an overdose Prescribers must co-prescribe naloxone in these three different clinical scenarios:

  • When prescribing an opioid individually or in combination with other medications that is more than or equal to 50 morphine milligram equivalents (MMEs) per day.
  • When prescribing any dose of an opioid when a benzodiazepine has been prescribed in the past 30 days or will be prescribed at the current visit.
  • When prescribing any dose of an opioid to a patient with a prior history of opioid use disorder or overdose. Prescribers must also document in the patient's medical record the medical necessity of prescribing an opioid to this high-risk individual and explain why the benefit outweighs the risk, given the patient's previous history.

Opioid prescription pain medications are a type of medicine used to relieve pain. Some of the common names include oxycodone and acetaminophen (Percocet); oxycodone, (OxyContin); and hydrocodone and acetaminophen (Vicodin).

Rhode Island's pain management regulations were last updated in March 2017. Among other changes, those updates required that initial prescriptions for acute pain be limited to 20 doses and no more than 30 MMEs per day; prohibited long-acting or extended-release opioids for initial prescriptions for acute pain; and required continuing medical education training for prescribers on topics such as appropriate prescribing for pain, pharmacology, potential for dependence, and alternatives to opioids for pain management.

The number of new opioid prescriptions has been steadily declining in Rhode Island, particularly as the pain management regulations have been updated. In first quarter of 2018, 34,564 people received new opioid prescriptions, down from 43,373 in the first quarter of 2017. Rhode Island has also seen a decline in the number of people co-prescribed opioids and benzodiazepines. In 2017, 32,609 people were co-prescribed opioids and benzodiazepines, down from 46,452 in 2014.

The most recent updates to Rhode Island's pain management regulations come two weeks after RIDOH and BHDDH hosted a second Community Overdose Engagement (CODE) Summit with more than 300 attendees. The event celebrated the success of 25 Rhode Island cities and towns that committed to developing comprehensive, local overdose response plans.

Additional resources:

  • Rhode Island's Hope and Recovery Support Line is available to connect people in crisis with treatment and recovery support. To access services through an English and/or Spanish-speaking counselor who is licensed in chemical-dependency and available 24 hours a day, seven days a week, people should call (401)-942-STOP.
  • Overdose data and treatment and recovery resources are available at Rhode Island's overdose dashboard and website: PreventOverdoseRI.org.

RIDOH Urges Precautions to Prevent Heat-related Illness

2018-06-29

The Rhode Island Department of Health (RIDOH) urges all Rhode Islanders to protect themselves against the elevated heat indexes forecasted for the coming week with a few simple health precautions. Heat indexes above 90 degrees are expected from Sunday through the 4th of July.

"Extreme heat can be quite dangerous, particularly for our young and elderly Rhode Islanders," said Director Health Nicole Alexander-Scott, MD, MPH. "It's important to check on each other, stay well hydrated, limit exposure to heat, and to be vigilant for signs of heat-related illness."

To protect yourself and your family from heat-related illness, take the following precautions:

  • Drink more fluids than usual, and don't wait until you're thirsty to drink more fluids.
  • Avoid alcohol or liquids that contain high amounts of sugar.
  • Check on friends and neighbors, particularly those who are caring for young children and those who are elderly.
  • Stay in air-conditioned buildings as much as possible. If you don't have air conditioning at home, head to a community-based cooling center, such as a shopping mall or library, if possible.
  • Stay out of the sun. Find a shaded area where you can sit and relax, particularly during the hottest parts of the day.
  • Wear lightweight, light-colored clothing. Add a hat if you must be outside.
  • Limit outdoor activities, especially at mid-day. If you exercise outdoors, move your workout to a morning or evening time, take it indoors to an air-conditioned environment, or try swimming, which is a great summer exercise. If you work outside, wear sunscreen (re-apply frequently), pace your activity, stay hydrated, and check on co-workers.
  • Take cool showers or baths to cool down, particularly if you're unable to be in an air-conditioned location.
  • Avoid turning on your oven, if possible. It will make your house hotter.
  • Never leave young children or pets in parked cars, even with the windows down.?

Heat-related illness, including heat exhaustion and heat stroke, are of particular concern during periods of extreme heat. Heat exhaustion symptoms include heavy sweating, weakness, cold, pale or clammy skin, a fast or weak pulse, nausea or vomiting, and fainting. Individuals who have symptoms of heat exhaustion should move to a cooler location, lie down, loosen clothing, sip water, and apply cool, wet cloths to help cool the body down. Seek medical attention if vomiting begins, or if symptoms get worse or last longer than one hour.

Heat stroke symptoms include high body temperature (above 103 degrees F), combined with hot, red, dry or moist skin, rapid and strong pulse, confusion, and losing consciousness (passing out). Heat stroke is a medical emergency and 911 should be called immediately. Individuals experiencing heat stroke symptoms should also be moved to a cooler environment. Apply cool cloths or place the person into a cool bath to lower body temperature.

Precautionary Boil Water Notice Issued for Wilbur and McMahon School

2018-06-28

The Wilbur and McMahon School, located at 28 Commons in Little Compton, is required to issue a precautionary boil water notice to its customers because the water system is performing pump repairs. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water. This notice also applies to the additional buildings served by the school well: the town maintenance barn, Odd Fellow Grange Hall, Community Center, and Town Hall.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Wilbur & McMahon School will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Wilbur & McMahon School will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Christopher Osborne, Sr., at 401-835-8884.

RIDOH and DEM Recommend Avoiding Contact with Almy Pond and Melville Ponds

2018-06-27

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are advising people to avoid contact with Almy Pond in Newport and Melville Ponds in Portsmouth due to a blue-green algae (or cyanobacteria) bloom in the pond. Blue-green algae can produce toxins that can harm humans and animals.

People should also be careful not to ingest water or eat fish from the ponds. All recreation, including fishing, boating, and kayaking, should be avoided. Pets can also be affected by exposure to the algal toxins, so owners should not allow pets to drink or swim in the water. The advisory will remain in effect until further notice.

Skin contact with water containing blue-green algae commonly causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing algal toxins include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at a particular risk for health effects associated with algal toxins. People who have had contact with Almy or Melville Pond and experience those symptoms should contact their healthcare provider.

If you come into contact with the water, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. Similarly, if your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning, including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People are cautioned that toxins may persist in the water after the blue-green algae bloom is no longer visible.

It is possible that blue-green algae blooms may be affecting other waterbodies in Rhode Island. People are advised to avoid contact with waterbodies that exhibit bright green coloration in the water or at the water surface and/or dense floating algal mats that form on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese. To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Survey Gives Voice to RI Youth; Reveals a Mix of Health Behavior Trends

2018-06-27

Results from a comprehensive youth health survey released today suggest that middle and high school students in Rhode Island have made improvements in health behaviors over the past 10 years in many areas, including seat belt use, sexual activity, and alcohol and illegal prescription drug use. However, through the survey, the voices of Rhode Island youth revealed some concerning trends, including trends related to mental health, e-cigarette use, and marijuana use.

The Youth Risk Behavior Survey is a collaboration between the Centers for Disease Control and Prevention (CDC), the Rhode Island Department of Health (RIDOH), the Rhode Island Department of Education (RIDE), and the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH). The survey, which is administered every two years, is implemented through anonymous questionnaires in Rhode Island public schools. These most recent data were collected from January 2017 to May 2017. The data are used to help policy makers, school administrators, social service workers, and public health professionals understand trends in the health behaviors of young people across the state and to create health-related policies that will impact those behaviors. By participating, schools make sure their students' voices are heard and can get resources with the support needed to help solve pressing challenges, like student stress, substance abuse, and bullying.

"Supporting the healthy development of middle school and high school students requires us to have an accurate, comprehensive understanding of the issues they face. The Youth Risk Behavior Survey is an invaluable tool in our work to develop such an understanding, by making sure we can hear directly from students themselves, and to do all we can to help Rhode Island kids be healthy and safe," said Director of Health Nicole Alexander-Scott, MD, MPH. "The Youth Risk Behavior Survey also helps us learn from the voices of our young people to understand how students are disproportionately affected by different health issues. Understanding these disparities allows us to better address the factors at the community-level that affect students' decisions and behaviors. All students in Rhode Island deserve an equal opportunity to be heard, so they can access what they need to be healthy and thrive."

"Like SurveyWorks, Rhode Island's school culture and climate survey, the Youth Risk Behavior Survey puts student voice at the center of policymaking and allows young people to share their experiences in a safe, anonymous way," said Ken Wagner, Commissioner of Elementary and Secondary Education. "When we amplify student voice, we are better positioned to foster safe, supportive, and inclusive learning environments that empower all students and put them on a path to success."

"Rhode Island leads the nation in adolescent immunizations and we have the third highest insured rate for youth. Yet, data trends related to mental health, substance use, and physical activity from this YRBS survey, especially highlighting certain important populations, show that we have more work to do to support our youth as they face complex challenges every day," said EOHHS Secretary Eric J. Beane. "I am pleased to see these federal and state agencies come together and administer this survey, which allows our youth to tell us about their own experiences, and guide us in how we can best serve them."

"BHDDH is committed to utilizing data-driven decision making as the basis for our programming directed towards youth and young adults. For the most comprehensive understanding of what supports our schools and families need to address the challenges that Rhode Island middle and high-school students face, we depend on our three state school surveys to amplify their voice: BHDDH's Rhode Island Student Survey, RIDE's SurveyWorks, and YRBS data through RIDOH, which allows for comparisons to other states," said BHDDH Director Rebecca Boss. "Since we work in conjunction with RIDOH and RIDE, new results, such as what we've learned from the YRBS survey given to our youth population, are critical in developing services that will have the optimal impact."

Rhode Island YRBS data overview

Examples of health behavior improvements

  • Tobacco, illegal prescription drug, and alcohol use: 5% of middle school students have ever tried cigarette smoking, down from 16% in 2007. In 2017, 6.1% of high school students currently smoke, a decline from 15% in 2007. 7% of high school students reported having ever misused a prescription drug, a decrease from 14% in 2011. The percentage of high school students who currently drink alcohol was almost cut in half in 10 years (43% in 2007 to 23% in 2017).
  • Driving: High school students who reported that they rode with a driver who had been drinking decreased from 28% in 2007 to 14% in 2017. In 2007, 14% of students reported rarely or never wearing a seat belt when riding in the car driven by someone else. This decreased to 7% in 2017.
  • Sex: The percentage of middle school students who have ever had sex decreased from 15% in 2009 to 8% in 2017. The percentage of high school students who have ever had sex decreased from 46% in 2007 to 36% in 2017.

Some concerning trends

  • Mental health: 23% of middle school and 29% of high school students were so sad or hopeless almost every day for two weeks or more that they stopped usual activities. 12% of Rhode Island high school students considered suicide in the past year in 2007, compared to 16% in 2017. In 2017, 14% of high schoolers said they had made a suicide plan in the past year. The percent of high school students who reported attempting suicide in their lifetime increased from 9% in 2007 to 11% in 2017.
  • Smoking electronic cigarettes: 16% of middle school students have ever tried e-cigarettes and 6% currently use e-cigarettes. 40% of high school students have tried an electronic vapor product, and 20% have done so in the past 30 days.
  • Marijuana use: Rates of marijuana use have not decreased in the last 10 years. In 2017, 23% of Rhode Island high school student smoked marijuana in the past 30 days, the same percentage from 2007. 9% of middle school and 37% of high school students report having ever used marijuana.

Examples of health disparities

  • Mental health: The prevalence of sadness and suicide risk behaviors are two to four times higher among students who identify as lesbian, gay, or bisexual, compared to their heterosexual peers. Mental health issues were more common among female and Hispanic high school and middle school students. In addition, students with disabilities had a significantly higher rate of sadness and four times the prevalence of suicide ideation and suicide attempts compared to students without disabilities.
  • Bullying: 17% of students were bullied on school property, and 14% were cyber-bullied in the past year. Students who identify as lesbian, gay, or bisexual (31% for both types of bullying) and students with a disability (30% at school, 25% cyber) experienced bullying at higher rates than their peers. Hispanic and Caucasian high school students were more likely to be bullied at school and online, compared to African American students. Female high school students experienced higher rates of cyber-bullying than males.
  • Smoking: 34% of students who identify as lesbian, gay, or bisexual have ever smoked cigarettes, compared to 18% of students who identify as heterosexual. 52% of students who identify as lesbian, gay, or bisexual have ever used e-cigarettes, compared to 39% of students who identify as heterosexual. The rate of current cigarette smoking and e-cigarette use is higher among Caucasian high school students, compared to African American students. Current e-cigarette use is higher among male high school students than females.
  • Marijuana use: Hispanic middle school students had a higher prevalence of use than Caucasian students. Males were more likely than female middle school students to try marijuana before age 11.
  • Physical activity: 32% of students with disabilities were physically active for at least 60 minutes five days a week, compared to 44% of students without a disability.

Additional Youth Risk Behavior Survey data on other health trends are available online. Only statewide data are available. (Data are not available by city and town.) However, comparisons between Rhode Island and other states are available online.

At RIDOH, data from the Youth Risk Behavior Survey are used to develop health programs for teenagers throughout Rhode Island. For example, RIDOH's Youth Suicide Prevention Program uses the data to examine the co-occurrence of suicidal thoughts with answers to other survey questions to help those in the suicide prevention field address suicide risk and protective factors specific to youth. Additionally, RIDOH's Sexually Transmitted Disease and HIV Prevention Programs implemented a comprehensive, youth-focused social media campaign partially in response to Youth Risk Behavior Survey data. In addition to this work, the Rhode Island Department of Behavioral Health, Developmental Disabilities and Hospitals (BHDDH) uses Youth Risk Behavior Survey data to better understand and address substance use among youth in Rhode Island.

The Youth Risk Behavior Survey data are collected in a safe, confidential way. It has been conducted nationally since 1991, with validated methodologies and effectiveness. CDC confirms that there is no evidence that asking students about health behaviors will encourage them to experiment with those behaviors. Results are secure and anonymous. Because no identifiable information is collected about students (such as names or dates of birth), there is no way to link responses to individual students, and students who participated cannot be tracked. Additionally, all parents are informed before the survey is administered that the survey is optional.

The process for the 2019 YRBS spring data collection will begin at the end of this year. Through coordination of YRBS of behalf of RIDOH, along with RIDE's SurveyWorks and BHDDH's Rhode Island Student Survey, the state will continue to work to ensure that students' voices are heard and that they have the resources they need for success in school and beyond.

RIDOH Announces Awards to Strengthen Healthcare Workforce and Narrow Health Disparities

2018-06-26

The Rhode Island Department of Health (RIDOH) and the Health Professional Loan Repayment Board announced $680,000 in loan repayment awards today aimed at strengthening the healthcare workforce and narrowing health disparities in Rhode Island by increasing the number of providers in medically underserved communities.

The awards went to 25 healthcare professionals, including physicians, dentists and oral healthcare providers, nurses, and behavioral healthcare providers. In accepting their loan repayment awards, the recipients have committed to practicing in medically underserved communities in Rhode Island for at least two years.

"All Rhode Islanders in every zip code deserve access to high-quality health services and care," said Nicole Alexander-Scott, MD, MPH, Director of Health and Chair of the Health Professional Loan Repayment Board. "The Health Professional Loan Repayment Program helps make health and medical education – and the pathway to a career in primary care in Rhode Island – more affordable for more students and new healthcare providers. It also helps ensure that all communities have the opportunity to benefit from some of the most talented, dedicated members of our healthcare workforce."

Funding for the program comes from the federal government and from various health and community organizations. The Rhode Island Health Center Association solicited matching funds from many of these organizations.

"The loan repayment program is a critical tool in recruiting and retaining the best clinicians to serve all communities and to assure that all Rhode Islanders have access to accessible and comprehensive primary, behavioral health and oral health services."

Contributions to the Health Professional Loan Repayment Fund were made by the Rhode Island Foundation ($200,000), Neighborhood Health Plan of Rhode Island ($50,000), the Rhode Island Health Center Association ($50,000), Delta Dental of Rhode Island ($50,000), Landmark Medical Center ($50,000), CharterCARE Health Partners ($50,000), Blue Cross/Blue Shield of Rhode Island ($30,000), and UnitedHealthcare Community Plan ($25,000). Several of these organizations, including the Rhode Island Foundation, the Rhode Island Health Center Association, Delta Dental of Rhode Island, Neighborhood Health Plan of Rhode Island, and Blue Cross/Blue Shield of Rhode Island have contributed funding for several consecutive years or have increased their contributions over time. Additionally, $175,000 in federal matching funds were contributed by U.S. Health Resources & Services Administration (HRSA) through a grant to RIDOH.

More information about the Health Professional Loan Repayment Program, including a definition of a medically underserved community, is available online (link below).

Health Professionals Loan Repayment Program Award Recipients

Blackstone Valley Community Health Center:

  • Cameron Lang – Physician
  • Pedro Ochoa – Dentist
  • Ann Bisland – Advanced Practice Registered Nurse
  • Yuli Roldan – Registered Dental Hygienist

Center for Primary Care (Rhode Island Hospital clinic):

  • Rahul Vanjani – Physician

Community Care Alliance:

  • Sarah Csizmesia – Registered Nurse

Eleanor Slater Hospital:

  • Nadia McGovern – Licensed Professional Counselor

Family Service of Rhode Island:

  • Eileen D'Eletto – Licensed Professional Counselor

Planned Parenthood of Southern New England:

  • Danika Severino Wynn – Certified Nurse Midwife

Providence Community Health Centers:

  • Karla Arango – Registered Nurse
  • Natasha Bica – Physician
  • Marileni Espinal – Registered Nurse
  • Sarah Gambell – Licensed Clinical Social Worker
  • Jennifer Logigian – Dentist
  • Mark Pfeiffer – Licensed Clinical Social Worker
  • Eileen Pinheiro – Registered Nurse
  • Emily White – Physician
  • Jennifer Willoughby – Licensed Clinical Social Worker

Samuels Sinclair Dental Center:

  • Elizabeth Benz – Dentist
  • Eileen Danaher – Dentist

The Providence Center:

  • Julie Caraballo – Registered Nurse
  • Sandrine Guilherme – Licensed Clinical Social Worker
  • Patrick Ofori-Appiah – Licensed Clinical Social Worker

Thundermist Health Center:

  • Anna Slanda – Registered Nurse

WellOne Primary Medical and Dental Care

  • Kanchan Pande – Dentist

NOW Health Group Inc. Recalls NOW Real Food Zesty Sprouting Mix

2018-06-21

The Rhode Island Department of Health (RIDOH) is advising consumers that NOW Health Group, Inc. is recalling its NOW Real Food Zesty Sprouting Mix – Product Code 7271, Lot #3031259 and Lot #3038165 – because its primary ingredient, Crimson Clover Seeds, has the potential to be contaminated with Salmonella.

Salmonella can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with Salmonella often experience fever, diarrhea, nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis, and arthritis.

Approximately 10,000 units of Zesty Sprouting Mix were distributed online and in retail stores nationwide since December 2017.

No other products are affected or are involved in this recall. No illnesses have been reported to date.

NOW has provided information on this recall to all its retailers who purchased this product and has encouraged retailers to make every effort to contact their customers to facilitate the return of affected products.

Consumers who have purchased the recalled Zesty Sprouting Mix should stop using the product immediately and return it to place of purchase for a full refund. Receipt is not required for refund.

Consumers with questions regarding this recall can contact NOW's Customer Service Department by phone at 888-NOW-FOODS (888-669-3663) Monday through Friday, 8:00 a.m. to 6:00 p.m. Central time.

Precautionary Boil Water Notice Issued for Church Woods (located in Charlestown)

2018-06-21

Church Woods located at 4150 Old Post Road in Charlestown, is required to issue a precautionary boil water notice to its customers because of a water main break and the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Church Woods will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally.

Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Church Woods will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Ronald Russo at 401-364-6368.

Precautionary Boil Water Advisory Lifted for Meadowlark, Inc.

2018-06-19

The Precautionary Boil Water Advisory that had been in place for Meadowlark, Inc. (located in Middletown) has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

State Recognizes Cities and Towns for Leadership on Overdose Prevention and Response; Convenes hundreds of partners for second statewide Community Overdose Engagement Summit

2018-06-19

On behalf of her Overdose Prevention and Intervention Task Force, Governor Gina M. Raimondo joined Health and Human Services Secretary Eric J. Beane and the Task Force Co-Chairs, Tom Coderre, Senior Policy Advisor to the Governor, and Dr. Nicole Alexander-Scott and Rebecca Boss, Directors of the Rhode Island Departments of Health (RIDOH) and Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), to recognize 25 cities and towns for their leadership in developing comprehensive overdose prevention response plans.

The cities and towns received the Overdose Leadership Designations as more than 300 leaders were convened for the second statewide Community Overdose Engagement Summit to collaboratively address the overdose epidemic. The Summit served as a follow up to a convening in December 2017 to assist municipalities in developing local overdose response plans.

"Over the six months since we were last here, Rhode Island has had incredible momentum in implementing innovative programs to combat this overdose crisis," said Raimondo. "Some of the best ideas come from the people with their boots on the ground in our communities. I congratulate the cities and towns recognized today for their leadership in tackling this crisis. When we work together, we can save lives."

"The overdose crisis is destroying lives and tearing families apart in all corners of the state," said Health and Human Services Secretary Eric J. Beane. "Turning things around in Rhode Island means facing our challenges and choices head on and committing to action. That's why I am so pleased to see 25 different communities from across our state develop comprehensive overdose prevention response plans."

Summit participants included municipal leaders, public health practitioners, healthcare providers, pharmacists, behavioral health counselors, law enforcement personnel and other first responders, people in the recovery and treatment communities, prevention coalition members, family and youth substance use prevention organization members, and representatives from Rhode Island Centers of Excellence and RIDOH's Health Equity Zones (HEZs).

"Thanks to Jonathan Goyer's success story of recovery, we know that the opposite of addiction is connectedness," said Director of Health Nicole Alexander-Scott, MD, MPH. "This Community Overdose Engagement Summit built on the connections made during our first convening in December, and provided the opportunity for a wide range of partners to share the innovative approaches they have developed to prevent and respond to overdoses in their communities. We are fulfilling this year's theme for the Governor's Overdose Prevention and Intervention Task Force that is all about our Communities Coming Together, because everyone plays a role in changing perceptions about addiction to support each other, regardless of the zip code we're from."

"The incredible turnout for today's Summit shows that leaders across the State are committed to supporting community members struggling with substance use disorder," said BHDDH Director Rebecca Boss. "To address Rhode Island's overdose crisis, we must focus on prevention and rescue, and we must also help people gain access to treatment and the resources needed to be successful in recovery. The development of these comprehensive plans at the city and town level is a critical step in our collective efforts to prevent overdoses and save lives."

At the first statewide Community Overdose Engagement Summit in December 2017, RIDOH and BHDDH challenged Rhode Island cities and towns to develop comprehensive overdose response plans based on the Governor's statewide Overdose Prevention and Intervention Task Force Action Plan. RIDOH made grant funding of up to $5000 available to municipalities to assist them in completing these plans.

Cities and towns recognized for the development of comprehensive overdose prevention response plans include:

  • Town of Burrillville
  • Town of Charlestown
  • Town of Richmond
  • Town of Hopkinton
  • Town of Narragansett
  • Town of South Kingstown
  • Town of Warren
  • Town Bristol
  • Town of Barrington
  • City of East Providence
  • City of Warwick
  • City of Providence
  • Town of Portsmouth
  • Town of Little Compton
  • Town of Tiverton
  • Town of Coventry
  • Town of North Kingstown
  • City of Pawtucket
  • City of Newport
  • Town of West Greenwich
  • Town of Westerly
  • Town of West Warwick
  • City of Woonsocket
  • Town of Exeter
  • City of Central Falls

A video that highlights the innovative work of five Rhode Island municipalities that developed comprehensive overdose response plans is available at https://vimeo.com/274566500/536fef29cf.

Since March 2014 hospitals and emergency departments have been required to report any suspected opioid overdoses to RIDOH within 48 hours. These data have allowed RIDOH to look at overdose activity in each community on a weekly basis and identify data trends and abnormalities. Through this data analysis, thresholds for local warnings were established and a system for alerting local leaders was developed. Rhode Island Overdose Action Area Response (ROAAR) public health advisories are sent to first responders and municipal leaders to alert them of an increase in overdose activity within a seven-day period. In addition, when RIDOH observes an increase in a specific geographical area three times within a six-week period, RIDOH, BHDDH, and the Rhode Island Fusion Center hold a local Community Overdose Engagement meeting with those leaders to examine the community's customized data, discuss their unique challenges, and form solutions. Today's Summit was the second statewide Community Overdose Engagement meeting, designed to bring communities together to learn from one another and develop local overdose response plans.

Kellogg Company Voluntarily Recalls Honey Smacks Cereal Due to Possible Health Risk

2018-06-15

The Rhode Island Department of Health (RIDOH) is advising consumers that Kellogg Company today announced it is voluntarily recalling 15.3 oz. and 23 oz. packages of Kellogg's® Honey Smacks® cereal (with code dates listed below) because these products have the potential presence of Salmonella. No other Kellogg products are impacted by this recall.

Nationwide, there have been 75 cases of Salmonella in 31 states, including two cases in Rhode Island, associated with the investigation that led to this recall. RIDOH's State Health Laboratory has begun testing the product locally from shelves and RIDOH's Center for Food Protection will be communicating directly with licensed vendors about the recall.

Kellogg launched an investigation with the third-party manufacturer who produces Honey Smacks immediately after being contacted by the Food & Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) regarding reported illnesses.

Use or consumption of products contaminated with Salmonella may result in serious illness. It can also produce serious and sometimes fatal infections in young children, frail or elderly people and others with weakened immune systems. Healthy individuals infected with Salmonella can experience fever, diarrhea, nausea, vomiting and abdominal pain. The illness usually lasts four to seven days, and most persons recover without treatment. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses. Anyone experiencing symptoms of Salmonella should call his or her doctor.

HOW TO IDENTIFY THE RECALLED PRODUCT

The affected product includes the following varieties distributed across the United States as well as limited distribution in Costa Rica, Guatemala, Mexico, the Caribbean, Guam, Tahiti and Saipan. The BEST if Used By Date can be found on the top of the cereal box, and the UPC code can be found on the bottom of the box.

Honey Smacks (with limited distribution outside the U.S.) UPC: 3800039103 Size: 15.3 oz Best if Used by Date: JUN 14, 2018 through JUN 14, 2019

Honey Smacks UPC: 3800014810 Size:23 oz

Best if Used by Date:JUN 14, 2018 through JUN 14, 2019

Kellogg is asking that people who purchased potentially affected product discard it and contact the company for a full refund. Consumers seeking more information, including images of these products, can visit kelloggs.com/honeysmacksrecall or call 1-800-962-1413 from Monday – Friday, from 9 a.m. to 6 p.m. ET as well as Saturday and Sunday from 10 a.m. – 4 p.m. ET.

Rhode Island Launches Campaign to Prevent Opioid Addiction; State Collaborated with Truth Initiative on National, Research-Informed Effort Targeting Youth

2018-06-13

The Governor's Overdose Prevention and Intervention Task Force announced today a local launch of a multi-channel, public prevention and education campaign called The Truth About Opioids. Using research partially conducted in Rhode Island, and created by Truth Initiative®, the campaign launched nationally last week, in partnership with the Office of National Drug Control Policy and the Ad Council. The comprehensive campaign aims to prevent and reduce misuse of opioids among youth and young adults. The first wave of ads, which feature true stories of young Americans with opioid use disorder, will begin running in Rhode Island through an extensive, state-specific media buy later this month.

The ads can be viewed at:

Amy's story

https://www.youtube.com/watch?v=u_tXPFJ6WbM

Chris's story

https://www.youtube.com/watch?v=XOkuM8_SMN8

Kyle's story

https://www.youtube.com/watch?v=E__3hlpVqn0

Joe's story

https://www.youtube.com/watch?v=qMIQn8sFROo

Under the leadership of Governor Gina Raimondo and her Overdose Prevention and Intervention Task Force, the Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH) partnered with Truth Initiative® on the campaign research and a robust, local implementation of the nationwide campaign.

"The opioid epidemic continues to be our most urgent public health crisis. The proliferation of these narcotics has had a devastating impact on our state," said Governor Gina Raimondo. "It is vitally important that we talk openly and often about the dangers to prevent opioid misuse and ensure all are able to get the help they need."

Rhode Island is currently the only state to invest in a significant local media buy to ensure greater reach and frequency of these campaign messages. Through this partnership with Truth Initiative®, Rhode Island was chosen as a site for some of the formative research used to develop the campaign. This involved focus groups and pre-testing of concepts with Rhode Islanders to measure attitudes about prescription opioid misuse and dependence. In addition, Rhode Island will be instrumental in the evaluation of the national campaign to determine whether the messages are shifting knowledge and attitudes about prescription opioids. Truth Initiative surveyed 18 to 34-year-olds in Rhode Island to measure knowledge and attitudes before the campaign launch, and will survey people in this age group again after the campaign has played in our local media market for about nine months.

The campaign ads address the significant role prescription medications have played in the overdose epidemic and were designed to achieve four targeted outcomes: to get people to talk about the epidemic with friends and family; to encourage people to seek more information about prescription opioids and the epidemic; to impact young people's perception of risk for misuse; and to impact their intentions to share or misuse prescription opioids.

"Rhode Island is proud to be partnering with Truth Initiative to allow the valuable information we are gathering here about substance use disorder to help address and prevent this chronic disease across the country.," said Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH). "As we do everything we can to get treatment and recovery resources to those living with substance-use disorder, it is critical that we communicate to individuals, families, and communities about what they can do to prevent prescription opioid misuse and dependence. Something as simple as a conversation can be powerful enough to save a life."

"Substance use disorder has an impact on the affected individual as well as their family and the community at large," said Rebecca Boss, MA, the Director of the Department of Behavioral Healthcare, Developmental Disabilities & Hospitals. "This campaign on opioid misuse clearly demonstrates the devastating impact of this epidemic. We are hopeful that it provides one more prompt which reminds those affected that addiction is disease, recovery is possible, and treatment is available."

The campaign will begin running in Rhode Island later this month and will continue through the end of February 2019. Ads will run on a variety of TV and social media outlets, which have been chosen to best reach the target audience of 18 to 34-year-olds. The campaign in Rhode Island will drive people to additional resources through Truth Initiative (opioids.thetruth.com) and to information on the State's main overdose prevention website, PreventOverdoseRI.org.

The local implementation of the campaign is supported through federal funds and donations from the Del Prete Family Foundation, Rhode Island Foundation, and the Pfizer Foundation.

"Ensuring that people have the resources they need in order to live healthy lives is one of our priorities. We are very pleased to support this effort aimed at substance use prevention, as part of the state's broader response strategy," said Neil D. Steinberg, president and CEO of the Rhode Island Foundation.

Truth Initiative, through its truth® campaign, offers an unmatched expertise and record of success in public education programs targeted to youth and young adults. Since it began in 2000, the truth campaign has prevented over one million youth and young adults from smoking. In its nearly 20 years of work in this field, Truth Initiative has engaged youth and young adults in conversations about the risks of addiction and enlisted them to not only modify their own behavior but to influence the cultural norms of peers within their social communities

The campaign was developed using a data-driven approach with extensive formative research to inform the message development. The research included extensive national surveys and focus groups among youth, including research in Rhode Island to bring a local perspective to the campaign.

Rhode Island has a 24-7 Hope and Recovery Hotline to get people connected to treatment and recovery resources. By calling 401-942-STOP, Rhode Islanders can talk to a licensed counselor in English or Spanish. No insurance is required. More information about treatment and recovery, as well as overdose data, is available at PreventOverdoseRI.org.

Middletown, RI: Precautionary Boil Water Notice Issued for Meadowlark Inc.

2018-06-11

Meadowlark, Inc., located at 132 Prospect Avenue in Middletown, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Meadowlark, Inc., will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation.

Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Meadowlark, Inc., will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH.

People with questions should contact Diana Prue at 401-849-3803.

Venda Recalls Meat Ravioli

2018-06-09

The Rhode Island Department of Health (RIDOH) is advising consumers that Venda Ravioli recalled approximately 672 pounds of frozen meat ravioli products on Friday. The recall was announced by the U.S. Department of Agriculture (USDA) (link to announcement below).

The frozen meat ravioli items were produced and packaged on various dates between February 22, 2018 and June 7, 2018. The recalled products include:

  • 16 oz. sealed trays of "VENDA RAVIOLI, PASTA FRESCA, COSTANTINO'S, MEAT RAVIOLI," and a lot code and case code of 05318, 05418, 05518, 05618, 05718, 05818, and 05918.
  • 16 oz. sealed trays of "VENDA RAVIOLI, PASTA FRESCA, COSTANTINO'S, Italian Sausage Ravioli."
  • 16 oz. sealed trays of "VENDA RAVIOLI, PASTA FRESCA, COSTANTINO'S, Prosciutto & Provolone Ravioli," and a lot code and case code of 05318, 05418, 05518, 05618, 05718, 05818, and 05918.
  • 16 oz. sealed trays of "VENDA RAVIOLI, PASTA FRESCA, COSTANTINO'S, OSSO BUCO RAVIOLI."

The Meat Ravioli and Prosciutto & Provolone products subject to recall bear establishment number "EST.9501" inside the USDA mark of inspection. The Italian Sausage Ravioli and Osso Bucco Ravioli products do not have the USDA mark of inspection on the packaging. These items were shipped to retail locations in Massachusetts and Rhode Island.

The USDA stated that the food was produced without the benefit of federal inspection. There have been no confirmed reports of adverse reactions due to consumption of these products.

Consumers who purchased these products should not consume them. These products should be thrown away or returned to the place of purchase.

RIDOH and DEM Recommend Avoiding Contact with Sisson Pond in Portsmouth

2018-06-08

The Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (RIDEM) are advising people to avoid contact with Sisson Pond in Portsmouth because of blue-green algae (or cyanobacteria) blooms in that pond. Blue-green algae can produce toxins that can harm humans and animals.

People should also not ingest untreated water or eat fish from Sisson Pond. Since pets can be affected by exposure to algal toxins, owners should not allow pets to drink this water or swim in the water. This advisory will remain in effect until further notice.

Contact with untreated water containing cyanobacteria can cause irritation of the skin, nose, eyes, and/or throat. If water containing algal toxins is ingested, health effects can include stomach ache, diarrhea, vomiting, and nausea. Young children and pets are at greater risk than adults, due to their size and because they are more likely to drink contaminated water. Other health effects, which are rarer, include dizziness, headache, fever, liver damage, and nervous system damage. People who have been swimming in, or have otherwise been in contact with, Sisson Pond who experience symptoms should contact their healthcare providers.

Anyone who comes into contact with untreated water from Sisson Pond should rinse their skin with clean water as soon as possible, bathe, and wash their clothes. If a pet comes in contact with this water, the pet should be washed with clean water. Do not let the animal lick algae off of its fur. Call a veterinarian if the pet shows any symptoms of blue-green algae poisoning, which include loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a few days of contact with the water.

Note that Sisson Pond is a drinking water source maintained by Newport Water. Newport Water's primary goal is to provide safe drinking water for all of its customers. As the main drinking water supplier for the residents of Newport, Middletown, and Portsmouth, Newport Water serves nearly 70,000 people. Even when a cyanobacteria bloom is present in a pond, the treated water that Newport Water distributes to homes is safe. Treatment removes harmful bacteria, including cyanobacteria, before the water is delivered to customers. Newport Water follows all state and federal drinking water testing and monitoring requirements to assure that treatment processes are working correctly and the treated water is safe to drink. Drinking untreated water from any pond at any time is not recommended.

Water that is treated to become drinking water comes from nine different surface reservoirs or ponds: St. Mary's Pond, Sisson Pond, Lawton Valley Reservoir, South and North Easton Ponds, Gardiner Pond, and Paradise Pond located on Aquidneck Island, Nonquit Pond in Tiverton, and Watson Reservoir in Little Compton - all owned and maintained by Newport Water. While RIDOH and RIDEM are now issuing a public health advisory for Sisson Pond, Newport Water's other water supply ponds also routinely experience blue-green algae (cyanobacteria) blooms. Most algae blooms occur in the summer and fall, but they can occur at any time of year.

Newport Water needs all residents and visitors on Aquidneck Island and in Tiverton and Little Compton to help protect these valuable drinking water supplies. State law prohibits both people and animals from swimming and bathing in ponds that are drinking water sources. In addition, Newport Water prohibits fishing, swimming, and boating in these reservoirs, as posted.

Cyanobacteria blooms also occur in other waterbodies in the state. The public should avoid contact with any body of water in Rhode Island that is bright green or has a dense, floating algal mat on the water's surface. Blue-green algae blooms may look like green paint or thick pea soup. Toxins may persist in the water after a blue-green algae bloom is no longer visible.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 222-4700 or DEM.OWRCyano@dem.ri.gov.

RIDOH Announces Consent Agreement with Rhode Island Hospital

2018-06-08

The Rhode Island Department of Health (RIDOH) and Rhode Island Hospital have entered into a Consent Agreement, in lieu of regulatory action, that will result in the healthcare facility implementing a series of system improvement measures over the coming year.

The agreement follows a review by RIDOH of four reported incidents involving Rhode Island Hospital patients during February and March 2018. The incidents involved patient identification and procedure verification.

"Whenever preventable errors occur in hospital settings, it is essential that we scrutinize those errors carefully and that facilities make the systems changes needed to ensure that they do not occur again," said Director of Health Nicole Alexander-Scott, MD, MPH. "Rhode Island is home to some of the preeminent healthcare facilities in the region and the country. Inspections and regulatory work by the Department of Health are critical to ensuring that our hospitals maintain that status, and to ensuring that the healthcare system as a whole continues to provide quality patient care."

The steps to be taken by Rhode Island Hospital outlined in the Consent Agreement include:

  • Requesting and implementing the recommendations of the national hospital accrediting body, known as the Joint Commission, and putting in place process improvement methodologies developed by the Joint Commission.
  • Conducting facility-wide training on patient identification and procedure verification.
  • Scheduling a series of meetings with community emergency medical service (EMS) leadership and emergency department staff (among other staff) to identify opportunities for improvement related to patient identification.
  • Submitting to RIDOH policies and procedures related to access to electronic medical records, with a focus on policies related to the number of patients records a user can access simultaneously.
  • Hiring an external compliance organization to provide monitoring and oversight for at least one year.

Rhode Island Hospital has agreed to invest a minimum of $1 million in these and other improvement efforts that RIDOH required through this Consent Agreement.

Hospitals are required to report to RIDOH incidents that fall within more than two dozen categories. Examples of such categories include blood transfusion errors; unforeseen complications that result in extended patient stays; medication errors that require medical interventions; and electricity failures. The actions announced today are in response to the number of incidents that occurred at Rhode Island Hospital during this period (February and March 2018).

Federal health privacy laws prevent the release of information about the incidents, beyond what is in the Consent Agreement. (See link below.)

RIDOH, DEM Remind Rhode Islanders to Be Prepared for Algae Blooms

2018-06-07

With the weather turning warmer and recreational activities on the state's lakes, ponds, and rivers set to increase, the Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Environmental Management (DEM) are reminding all Rhode Islanders to be on the lookout for harmful algae blooms. Waters affected by harmful algae blooms will be bright to dark green in color and have dense, floating algal mats on the water's surface. The water may look like green paint, thick pea soup, or green cottage cheese.

The harmful algae blooms are caused by blue-green algae, also known as cyanobacteria, which are naturally present in bodies of water. Increased temperatures, slow moving water, and excessive amounts of nutrients cause the cyanobacteria to grow quickly and can create colonies of growth called a bloom. These harmful algae blooms are capable of producing toxins, which have the potential to negatively impact humans and animals.

During a harmful algae bloom, all recreation, including swimming, fishing, boating, and kayaking, should be avoided. People also should not ingest untreated water or eat fish from affected waterbodies. Pets can also be affected by harmful algae blooms, so owners should not allow pets to drink or swim in this water. State and local officials work to post advisories around bodies of water when harmful algae blooms are present. However, members of the public should be on the lookout for these harmful algae blooms and know to avoid affected waters, should they encounter a bloom before advisories have been posted.

Skin contact with water containing blue-green algae often causes irritation of the skin, nose, eyes, and/or throat. Common health effects associated with ingesting water containing blue-green algae include stomach ache, diarrhea, vomiting, and nausea. Rarer health effects include dizziness, headache, fever, liver damage, and nervous system damage. Young children and pets are at particular risk for health effects associated with harmful algae blooms (because they are more likely to swallow water when in or around bodies of water).

If you come into contact with water affected by a harmful algae bloom, rinse your skin with clean water as soon as possible and, when you get home, take a shower and wash your clothes. If your pet comes into contact with the water, immediately wash your pet with clean water. Do not let the animal lick algae off its fur. Call a veterinarian if your animal shows any symptoms of blue-green algae poisoning including loss of energy, loss of appetite, vomiting, diarrhea, or any unexplained sickness that occurs within a day or so after being in contact with water. People who have had contact with water with algae blooms and who experience the symptoms described above should contact a healthcare provider.

To report suspected blue-green algae blooms, contact DEM's Office of Water Resources at 401-222-4700 or DEM.OWRCyano@dem.ri.gov and if possible, send a photograph of the reported algae bloom.

Rhode Island Recognized Nationally for Top Immunization Rates

2018-06-06

The Centers for Disease Control and Prevention (CDC) celebrated Rhode Island for having immunization rates that are among the highest in the country for several vaccines in different age groups at their most recent National Immunization Conference.

"Our tremendous immunization success is directly attributable to the dedication of Rhode Island's healthcare provider community, including doctors, school nurses, pharmacists, and community partners, as well as to KIDSNET, a statewide health information system that helps children be as well vaccinated as possible," said Nicole Alexander-Scott, MD, MPH, Director of the Rhode Island Department of Health (RIDOH). "Prevention is a fundamental principle of public health. By vaccinating Rhode Island children so well, we are preventing the serious health consequences that are associated with many illnesses and are helping give everyone in our state the opportunity to be as healthy as possible."

The CDC's annual National Immunization Conference brought together more than 1,500 local, state, and federal officials to explore science, policy, education, and planning issues related to immunization and vaccine-preventable diseases. Rhode Island received four individual awards:

  • The highest flu vaccination coverage rate in the nation among children six months to 17 years of age during the 2016-2017 flu season (74%);
  • The second highest flu vaccination coverage rate in the nation for adults during the 2016-2017 flu season (51%);
  • Outstanding immunization rates for the vaccines routinely administered to adolescents. For example, among adolescents, Rhode Island had the highest HPV (Human papillomavirus) vaccination rate for males and females, the highest meningococcal vaccination rate, and the second highest Tdap vaccination rate. Tdap protects people against tetanus, diphtheria, and pertussis;
  • Outstanding immunization rates for each of the nine vaccines routinely administered to children 19 to 35 months of age, such as measles, mumps, and rubella (MMR) vaccine, rotavirus vaccine, and Hepatitis A vaccine.

In addition to preventing the health effects of many vaccine-preventable diseases, vaccines substantially reduce disease-associated healthcare expenses. According to a CDC study published in 2014, childhood vaccines prevented 21 million hospitalizations nationally and resulted in savings of $295 billion in direct medical costs nationally between 1994 and 2013.

The data were collected using the National Immunization Survey, which is a CDC program that generates vaccination estimates through calling randomly selected phone lines and following up with people's healthcare providers (if permission is granted). The rankings above are best estimates. Data are not collected on every individual, so the true vaccination rates (and therefore rankings) could be slightly higher or lower. Vaccination rates in Rhode Island and other states are evaluated against Healthy People 2020 goals, which are national health targets set by various federal health agencies, including CDC.

An additional factor in Rhode Island's immunization success is its Universal Vaccine Policy. This Universal Vaccine Policy allows healthcare providers to order all vaccines from the state for children from birth through 18 years of age, and most recommended vaccines for adults, at no cost.

Public Health, Environmental Leaders Launch Lyme Disease Prevention Campaign

2018-06-05

Amid reports at the national level and in Rhode Island of increases in Lyme disease diagnoses, state public health and environmental officials gathered on Tuesday to remind Rhode Islanders about the tick prevention measures that everyone should take when outdoors in the coming months.

Between 2016 and 2017, Rhode Island saw a 22% increase in the number of cases of Lyme disease reported by healthcare providers to the Rhode Island Department of Health (RIDOH) (927 cases in 2016, versus 1,132 cases in 2017). Rhode Island has the fourth highest rate of Lyme disease in the nation. In May, the Centers for Disease Control and Prevention (CDC) issued a report (https://www.cdc.gov/mmwr/volumes/67/wr/mm6717e1.htm) stating that the number of cases of diseases that are transmitted by ticks, mosquitoes, and other insects more than tripled between 2004 and 2016 (27,388 cases in 2004, versus 96,075 cases in 2016).

"While enjoying our beautiful parks, forests, and other outdoor spaces in the coming months, Rhode Islanders should reduce exposure to ticks, check their bodies for ticks, and remove ticks whenever they are found to help protect against Lyme disease," said Director of Health Nicole Alexander-Scott, MD, MPH. "Lyme disease is a common but frequently misunderstood illness that, if not diagnosed early and treated properly, can cause very serious health problems. But the first step is prevention. All Rhode Islanders can help keep themselves and their family members safe by being tick aware this year!"

Lyme disease is caused by a bacterium transmitted to humans through the bite of an infected tick. An infected tick usually needs to be attached to a person for at least 24 hours to transmit Lyme disease. The ticks that carry Lyme disease can be found in parks, playgrounds, and backyards, but they are most common in very grassy areas and the woods. Ticks can be as small as a poppy seed.

"Climate change – with its elevated temperatures and increased precipitation patterns – could make conditions more hospitable for ticks in the Northeast," said Department of Environmental Management Director Janet Coit. "That's why public education is so important?people need to know how to avoid contact with ticks, how to check their body and remove any ticks that are found, and the common symptoms of tick-borne diseases. The attractive, informative materials produced by RIDOH are a wonderful resource, and we're pleased to make them available for our park and campground visitors."

The prevention measures reiterated at the event at Scarborough State Beach Pavilion on Tuesday were repel, check, and remove.

Repel - Keep ticks off you, your children, and pets:

  • Avoid wooded and brushy areas with high grass and leaves. If you are going to be in a wooded area, walk in the center of the trail to avoid contact with overgrown grass, brush, and leaves at the edges of the trail. You can also spray your clothes with permethrin to keep ticks away. Make sure to not spray this on your skin.
  • Wear long pants and long-sleeve shirts when outside.
  • Tuck your pants into your socks so ticks do not crawl under your clothes.
  • Wear light colored clothing so you can see the ticks more easily.

Check - Check yourself, your children, and pets, for ticks:

  • Take a shower as soon as you come inside if you have been in grassy or wooded areas.
  • Do a full-body tick check using a mirror; parents should check their kids for ticks and pay special attention to the area in and around the ears, in the belly button, behind the knees, between the legs, around the waist, and in their hair.
  • Check your pets for ticks as well since they can bring ticks into the home.

Remove - Remove ticks from your body, as well as from children and pets, if you find them:

  • Use a set of tweezers to remove the tick. Grasp the tick as close to the skin as possible and pull straight up.
  • If you don't have tweezers, use your fingers with a tissue or rubber gloves.

Most people who get Lyme disease get a rash anywhere on their body, though it may not appear until long after the tick bite (70-80% of people with Lyme disease will develop a rash, according to CDC). At first, the rash looks like a red circle, but as the circle gets bigger, the middle changes color and seems to clear, so the rash looks like a target bull's-eye. Some people don't get a rash, but feel sick, with headaches, fever, body aches, and fatigue. Over time, they could have swelling and pain in their joints and a stiff, sore neck; or they could become forgetful or have trouble paying attention. A few people may even have heart problems. A healthcare provider can help evaluate symptoms that are related to Lyme disease for appropriate diagnosis and treatment options.

Public health officials state that the recent increases in Lyme diagnoses could be attributable to many factors. These factors include increased testing because of increased awareness about Lyme disease, more accurate case reporting by healthcare providers, and an expansion of the areas where people are at higher risk for tick exposure. An additional, possible contributor could be an increase in the number of ticks in Rhode Island, due to a variety of environmental factors, such as increased temperatures and rainfall.

Rhode Island's Lyme disease prevention work is part of larger efforts toward building greater community resilience, which will help communities prepare for, respond to, and recover from the adverse health effects of climate change.

Other speakers at the event, in addition to Director Coit and Dr. Alexander-Scott, were Jeanine Silversmith from the Rhode Island Environmental Education Association, and Mary Lorusso-DiBara from the Lyme Newport Support Group.

Speakers at the event promoted RIDOH's Tick Free Rhode Island media campaign. The campaign, which includes ads on television, radio, and social media, features three new animated Tick Free Rhode Island videos (https://www.youtube.com/watch?v=qZGW-MaBM0E&list=PLJvP6pW6mcXqN6jlFtK9_NuIZnO4CqM6i). The videos show how to repel both ticks and mosquitoes, how to check for ticks, and how to properly remove a tick from the skin. To view the videos and get more information on Lyme disease and other tick-borne diseases visit http://www.health.ri.gov/ticks.

Precautionary Boil Water Advisory Lifted for W. Alton Jones Campus (URI) Whispering Pines

2018-06-01

The Precautionary Boil Water Advisory that had been in place for the W. Alton Jones Campus – URI – Whispering Pines (located in West Greenwich) has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Precautionary Boil Water Advisory Lifted for Wilbur and McMahon School (Little Compton)

2018-05-31

The Precautionary Boil Water Advisory that had been in place for the Wilbur and McMahon School (Little Compton) has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

RIDOH Awards Grants for Projects to Address Public Health and Climate Change

2018-05-31

The Rhode Island Department of Health (RIDOH) has awarded $42,000 in grants to 10 local groups to work on projects related to climate change education and community resilience, all aimed at helping communities prepare for, respond to, and recover from the adverse health effects of climate change.

The grants will fund 10 projects across the state. The work of the awardees will focus on various communities, including the Cape Verdean community, people who are incarcerated, young people, senior citizens, and residents more vulnerable to heat and flooding.

"The wide ranging public health effects of climate change impacting Rhode Islanders include harm to our food and water supply; increases in diseases transmitted by mosquitoes, ticks, and other insects; and increases in extreme weather events. Worse yet, certain communities will bear a disproportionate burden of the increases in injuries and diseases that we expect, and are already seeing in some cases. These communities include lower income Rhode Islanders, the elderly, and people with chronic medical conditions," said Director of Health Nicole Alexander-Scott, MD, MPH. "The Department of Health is funding these 10 innovative projects because public health is most successful when it is grassroots and community-driven. The entire state needs to mobilize together if we want to create a healthy, sustainable, and resilient future for all Rhode Islanders."

Grantees will work to build communities that are better prepared for disasters, and that are able to recover in ways that address the socioeconomic and environmental factors that make some individuals more vulnerable to climate change to begin with. Examples of these socioeconomic and environmental factors include transportation, education, employment opportunities, safe and healthy housing, and access to healthy food.

The awardees and grants were:

  • The Town of Barrington: Barrington Emergency Preparedness Week: Health Risks in a Changing Climate. Barrington will provide a series of workshops that will raise awareness and discuss specific steps residents can take to prevent or mitigate health threats from a variety of climate related events.
  • Bristol Fire Department: Know Your Neighbor Campaign. This project will present several workshops to seniors throughout the community to improve emergency preparedness within the first 72 hours of an emergency event, and to provide information about temperature extremes and floods.
  • Garden Time: Climate Change Education through Inmate Programming. Garden Time provides garden programs for incarcerated men and women at the Rhode Island Adult Correction Institutions. Garden Time students will conduct an environmental messaging campaign within the prison and beyond.
  • Groundwork RI: Educating Green Team Youth about Climate Resiliency. Groundwork RI will engage Green Team members in learning and communicating about climate resiliency and tick-borne illnesses and will develop a workshop to present to young audiences.
  • Neighborworks Blackstone Valley: Engaging Youth to Increase Knowledge of Emergency Preparedness. Ten "Resiliency Ambassadors" will learn about resiliency and emergency preparedness and will design creative strategies to reach families in Northern Rhode Island.
  • NobidadeTV: New Challenges, New Media, New Conversations: Cape Verdeans Talk Climate Change in Rhode Island's Urban Cores. NobidadeTV is the longest-running Cape Verdean television program in the United States, started in Rhode Island in 1988. NobidadeTV will use their programming to deepen public awareness and knowledge of climate related issues through video productions that will run on television, YouTube and Twitter.
  • Providence Housing Authority: Senior Resiliency Education and Integration. The Providence Housing Authority will integrate best practices from the Senior Resiliency Project into its Emergency Operations Manual and will reduce their residents' vulnerability to extreme heat by providing educational materials and air conditioning brackets.
  • Smithfield Emergency Management Agency: Monitoring and Responding to Extreme Heat Events. This project will allow the Smithfield Emergency Management Agency to develop a portable cooling center, create a road race event alert system to monitor weather, and to assess residents' food safety after a power loss.
  • Woonasquatucket River Watershed Council: Bringing New Voices to the Water Table: Olneyville Resists Sea Level Rise with Resilience. A new initiative, "New Voices at the Water Table" will build residents' confidence in their ability to keep families safe from flooding and will engage residents at "Nature at Work" tours and local events.
  • Young Voices: Youth Outreach on Summer Heat. For 11 years, Young Voices has empowered more than 650 low-income youth to achieve, succeed, and become confident civic leaders. Youth Voices will advocate for policy change related to summer air quality alert days and will conduct an education campaign about summer hydration.

Members of the media can write to joseph.wendelken@health.ri.gov for the contact information of organizers with specific organizations.

The funding for these grants originated with the Centers for Disease Control and Prevention (CDC).

Hormel Foods Corporation Recalls Canned Pork and Chicken Products

2018-05-29

The Rhode Island Department of Health (RIDOH) is advising consumers that Hormel Food Corp. is recalling 228,614 pounds of canned pork and chicken products that may be contaminated with foreign matter, specifically pieces of metal.

The canned pork and chicken products were produced on February 8 through February 10, 2018. The following products are subject to recall:

  • 12-oz. metal cans containing "SPAM Classic" with a "Best By" February 2021 date and production codes: F020881, F020882, F020883, F020884, F020885, F020886, F020887, F020888 and F020889. These products were shipped throughout the United States.
  • 12-oz. metal cans containing "Hormel Foods Black-Label Luncheon Loaf" with a "Best By" February 2021 date and production codes F02098 and F02108. These products were shipped to Guam only.

The products subject to the recall bear establishment number "EST. 199N" on the bottom of the can. These items were shipped throughout the United States and to Guam.

The problem was discovered after the firm received four consumer complaints stating that metal objects were found in the canned products. There have been reports of minor oral injuries associated with consumption of the products.

Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase. Consumers with questions about the recall can contact Hormel Foods, at (800) 523-4635.

Stop and Shop Recalling Frozen Broccoli

2018-05-23

The Rhode Island Department of Health (RIDOH) is advising consumers that Stop and Shop is recalling their Stop and Shop brand frozen broccoli florets. This product is being recalled because the Connecticut Department of Consumer Protection, Food & Standards pulled a store sample that tested positive for Listeria Monocytogenes.

Listeria monocytogenes an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, pregnant women, and others with weakened immune systems. Healthy individuals may experience short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain, and diarrhea. Listeria infection can also cause miscarriages, stillbirths, and fetal infection in pregnant women. People experiencing these problems should seek immediate medical attention.

This product should not be consumed. Customers can return this product for a full refund.

Boil Water Notice Issued for W. Alton Jones Campus (URI) Whispering Pines Conference Center

2018-05-21

The Whispering Pines Conference Center at URI's W. Alton Jones Campus (located in West Greenwich) has issued a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. The Whispering Pines Conference Center at URI's W. Alton Jones Campus will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at the Whispering Pines Conference Center will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Maria DiSano at 401-874-8000 or by mail at Carlotti Admin Building, Kingston, RI 02881.

Bottled Water Being Provided at Charlestown Elementary School

2018-05-17

Charlestown Elementary School will be providing bottled water to students and staff because high lead levels were detected in drinking water samples collected at the school on May 16th. The exceedances were identified at two taps in the school. Bottled water will be provided until corrective actions are completed. The school district is communicating this information directly to parents and guardians, and will issue a public notice when bottled water is no longer required.

The Rhode Island Department of Health (RIDOH) and Charlestown Elementary School are partnering closely to identify the source of the lead exceedances. Routine monitoring for lead was last conducted in November 2017. There were no exceedances at that time.

Because Charlestown Elementary School has an independent water system, these results are specific to the school.

Lead is common metal found in the environment. The main sources of lead exposure are lead-based paint and lead-contaminated dust or soil. Drinking water is also a possible source of lead exposure. Most lead gets into drinking water after the water leaves the local well or treatment plant and comes into contact with plumbing materials containing lead. These include lead pipes, lead solder (commonly used until 1986), as well as faucets, valves, and other components made of brass.

Lead can cause serious health problems if too much enters your body from drinking water or other sources. The greatest risk of lead exposure is to pregnant women, infants, and young children. For younger children, long-term impacts could include learning disabilities, loss of IQ, and reduced attention span. If you are concerned about exposure, you should contact your healthcare provider to find out how you can get your child's blood lead level tested.

For more information, contact the Chariho School District at 401-364-7575 or RIDOH at 401-222-5960. For more information on reducing lead exposure around your home and the health effects of lead, visit EPA's web site at www.epa.gov/lead, call the National Lead Information Center at 800-424-LEAD, or contact your healthcare provider.

Precautionary Boil Water Advisory Lifted for URI W. Alton Jones Campus

2018-05-07

The Precautionary Boil Water Advisory that had been in place for the University of Rhode Island's W. Alton Jones Campus (West Greenwich) has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Pinnacle Foods Inc Recalls Beef Products Due to Possible Processing Deviation

2018-04-30

The Rhode Island Department of Health (RIDOH) is advising consumers that Pinnacle Foods Inc. is recalling approximately 32,479 pounds of their Armour brand heat-treated, shelf-stable beef products due to a possible processing deviation that may have led to staphylococcal enterotoxin and clostridial toxin contamination. These products are sold at Walmart locations in Rhode Island. Consumers who have purchased these products should not consume them. These products should be thrown away or returned to the place of purchase.

The ready-to-eat, dried, sliced beef items were produced on Jan. 2, 2018 and April 9, 2018. The products have a shelf life of three years. The following products are subject to recall: (A link to the product photo is included below).

  • 2.25 oz. glass jars containing "ARMOUR GROUND & FORMED SLICED Dried Beef" with best by dates of JAN-07-21, JAN-08-21, JAN-09-21, JAN-10-21, JAN-11-21, APR-15-21, APR-16-21, APR-17-21, APR-18-21 and APR-19-21 and lot codes 0707011Y11, 0708011Y11, 0709011Y11, 0710011Y11, 0711011Y11, 0715041Y11, 0716041Y11, 0717041Y11, 0718041Y11 and 0719041Y11 .
  • 4.5 oz. glass jars containing "ARMOUR GROUND & FORMED SLICED Dried Beef" with best by dates of JAN-23-21, JAN-24-21, JAN-25-21 and APR-22-21 and lot codes 0723011Y11, 0724011Y11, 0725011Y11 and 0722041YW1.

The products subject to recall bear establishment number "EST. 2AD" inside the USDA mark of inspection. These items were shipped to retail locations nationwide.

There have been no confirmed reports of adverse reactions due to consumption of these products. Anyone concerned about an injury or illness should contact a healthcare provider. Staphylococcal enterotoxins and clostridial toxins can lead to very serious gastrointestinal illness with symptoms such as nausea, vomiting, abdominal cramps, and diarrhea.

Consumers with questions about the recall can call the Pinnacle Foods Consumer Care office at (888) 299-7646. Members of the media with questions about the recall can contact Janice Monahan, Pinnacle Foods' director of corporate communications, at (973) 541-8620.

Consumers with food safety questions can "Ask Karen," the FSIS virtual representative available 24 hours a day at AskKaren.gov or via smartphone at m.askkaren.gov. The toll-free USDA Meat and Poultry Hotline 1-888-MPHotline (1-888-674-6854) is available in English and Spanish and can be reached from 10 a.m. to 6 p.m. (Eastern Time) Monday through Friday. Recorded food safety messages are available 24 hours a day. The online Electronic Consumer Complaint Monitoring System can be accessed 24 hours a day at: https://www.fsis.usda.gov/reportproblem.

Flu No Longer Widespread in Rhode Island

2018-04-26

The Rhode Island Department of Health (RIDOH) has alerted healthcare providers that the flu is no longer widespread in Rhode Island, which means that healthcare workers who have not been immunized against the flu are no longer required to wear surgical masks during direct patient contact.

The flu had been declared widespread in Rhode Island on January 3, 2018. 'Widespread' is the highest tier in the five-tier system that RIDOH uses to categorize flu activity in the state.

"Although the flu is no longer widespread in Rhode Island, it is still present in the state. Anyone who has not been vaccinated yet should be vaccinated as soon as possible. There is still time to get vaccinated," said Director of Health Nicole Alexander-Scott, MD, MPH. "When you get a flu shot, you are not just protecting yourself. You are also protecting the ones you love by preventing the spread of the flu."

Flu vaccination is recommended for everyone older than 6 months of age. It is especially important for healthcare workers, pregnant women, senior citizens, young children, and people with chronic medical conditions, such as heart disease, diabetes, cancer, and asthma.

Although the masking requirement has been lifted for healthcare workers, should a flu outbreak occur in an individual healthcare facility, the Director of Health may require unvaccinated healthcare workers in that facility to wear masks when engaged in direct patient contact.

For more information about the flu, visit http://www.health.ri.gov/flu.

E-Cigarette Company Recalling Power Units

2018-04-16

The Rhode Island Department of Health (RIDOH) is advising consumers that R.J. Reynolds Vapor Company is recalling all of its Vuse Vibe power units. The recall was initiated after the company received complaints about malfunctioning batteries, which may cause the power unit to overheat and create a fire risk.

Approximately 2.6 million power units have been sold. The e-cigarette company is investigating the cause of the incidents. No injuries have been reported.

All consumers who have Vuse Vibe vapor products should stop using the product and not charge the power unit. Please call 1-800-369-8200 or visit https://vusevapor.com/pub/media/wysiwyg/viberecallfaq.pdf for information on how to return Vuse Vibe power units and receive a refund. Vuse Solo and Vuse Ciro, which use different battery components, are not included in this recall.

There are resources in Rhode Island to help people stop using tobacco. Smokers with or without insurance can call the Rhode Island Smoker's Helpline at 1-800-QUITNOW (1-800-784-8669) to receive free counseling by phone and up to six-week supplies of free nicotine replacement therapy (NRT) gum, patch, or lozenges.

Amid National E. Coli Investigation, Rhode Islanders Urged to Take Precautions Related to Lettuce

2018-04-16

The Rhode Island Department of Health (RIDOH) is advising consumers, food establishment managers, and retailers to take specific precautions related to lettuce as the Centers for Disease Control and Prevention (CDC) continues to respond to a multi-state E. Coli outbreak.

Evidence collected to date indicates that chopped romaine lettuce from the Yuma, Arizona growing region is the likely source of this outbreak.

Guidance for consumers

  • Consumers who have store-bought chopped romaine lettuce at home, including salads and salad mixes containing chopped romaine lettuce, should not eat it and should throw it away, even if some of it was eaten and no one has gotten sick. If you do not know if the lettuce is romaine, do not eat it and throw it away.
  • Before purchasing romaine lettuce at a grocery store or eating it at a restaurant, consumers should confirm with the store or restaurant that it is not chopped romaine lettuce from the Yuma, Arizona growing region. If you cannot confirm the source of the romaine lettuce, do not buy it or eat it.
  • Guidance for food establishments and retailers
  • Restaurants and retailers should not serve or sell any chopped romaine lettuce, including salads and salad mixes containing chopped romaine lettuce, from the Yuma, Arizona growing region.
  • Restaurants and retailers should ask their suppliers about the source of their chopped romaine lettuce.

The 11-state outbreak has involved 35 confirmed E. coli cases with 22 hospitalizations. There have not been any illnesses reported in Rhode Island. No deaths have been reported.

At this time, no common grower, supplier, distributor, or brand has been identified.

Precautionary Boil Water Notice Issued for Wilbur and McMahon School

2018-04-13

The Wilbur and McMahon School, located at 28 Commons in Little Compton, is required to issue a precautionary boil water notice to its customers because the water system is performing repairs on the pipes. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water. This notice also applies to the additional buildings served by the school well: the town maintenance barn, Odd Fellow Grange Hall, Community Center, and Town Hall.

This health advisory will remain in effect until repairs are completed and satisfactory bacteria results are obtained. Wilbur and McMahon School will issue a public notice when this requirement is lifted.

Pipe repair means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Wilbur and McMahon will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Chris Osborne Sr. at 401-835-8884.

Precautionary Boil Water Advisory Lifted for Lakeview Charlestown Early Learning Center in Charlestown

2018-04-11

The Precautionary Boil Water Advisory that had been in place for Lakeview Charlestown Early Learning Center, located in Charlestown, has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

RIDOH Issues Health Warning About Two Jarred Products

2018-04-06

The Rhode Island Department of Health (RIDOH) is advising people to not consume two specific jarred products because of processing, storage, and control issues.

  • Jarred, stuffed cherry peppers from 1302 Marketplace (1302 Atwood Avenue, Johnston) should not be consumed. The cherry peppers are packaged in clear glass jars and do not contain labels or any identifying information. These products were not processed or stored properly.
  • Jarred, pure pork sausage from Silver Lake Sausage Shop (80 Ethan Street, Providence) should not be consumed. These products were not processed with the proper controls and approvals to ensure food safety.

Inadequate processing allows for the survival of the toxin that can cause Botulism. Botulism can cause weakness, dizziness, double vision and trouble speaking, swallowing, or breathing. People experiencing these symptoms should seek medical attention.

These products should be discarded.

No illnesses have been associated with these products.

Precautionary Boil Water Advisory Lifted for Sunset Cove Recreation Area Water System

2018-04-05

The Precautionary Boil Water Advisory that had been in place for the Sunset Cove Recreation Area water system (located in West Glocester) has been lifted. This system was required to issue a Precautionary Boil Water Advisory because the water system lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Rhode Island Teens "Kick Butts" with Anti-Tobacco Zombie Walk & State House Rally

2018-04-03

Hundreds of Rhode Island teenagers held a Kick Butts Zombie Walk across downtown Providence today to call on leaders to raise the minimum legal age for all tobacco product sales to 21 and to take additional steps to help prevent tobacco-related disease and deaths.

The event culminated with a rally led by the group Tobacco Free Teens inside the Rhode Island State House. Teenagers from communities throughout Rhode Island used their creativity to show how tobacco and nicotine use can quickly addict young people, harm adolescent brain development, cause chronic diseases, disfigure people, and kill people.

"We're thankful to live in a community that stands up to the tobacco industry to tackle the root causes of deadly tobacco and nicotine addiction head-on," said Kennedy Chartier, of North Smithfield, who attends Beacon Charter High school in Woonsocket. "Leveling the playing field is the best way to stop tobacco addiction from killing more people. Nine out of ten adult smokers first light up as a kid or teen?when the human brain can get hooked on nicotine so quickly. That makes us easy prey for tobacco products in any and all forms. An estimated 16,000 more teens alive today in Rhode Island will one day die from smoking, and we do not accept that. Our end game is to be the first tobacco-free generation."

"Every single young person in Rhode Island, no matter their ZIP code, race, ethnicity, sexual orientation, or gender identity, deserves the opportunity to live long, reach high, and breathe free," said Nicole Alexander-Scott, MD, MPH, Director of the Rhode Island Department of Health (RIDOH). "I commend every one of these teenagers for stepping up and fighting back as big tobacco looks for its next generation of victims. Their energy and enthusiasm are inspirations to us all to do everything we can to prevent youth tobacco use, with a particular focus on the communities that tobacco companies have targeted for their shameless marketing tactics most aggressively."

Higher rates of tobacco use exist among low-income earners, people who identify as LGBTTQQ, Native Americans, people with military experience, and people with behavioral health issues.

Tobacco use remains the leading cause of premature death in the United States and Rhode Island. While 18 is the minimum legal tobacco purchase age in most states, more than 90% of adult smokers started before age 18. Over the last two years, five states have passed tobacco-to-21 laws to address this issue head on: California, Hawaii, Maine, New Jersey, and Oregon. Other states are considering similar measures.

Teens also took to social media to get their messages out more widely today, using the hashtags #RIEndGame and #BeTheFirst to emphasize their overarching goal to become the first tobacco-free generation.

Many sounded their alarm over candy-flavored tobacco products and e-cig juices that can lure kids and quickly hook developing adolescent brains on nicotine. Teens also emphasized that e-cigarettes and vaping device aerosols have been found to contain cancer-causing agents and other harmful chemicals. For this reason, and because they can lead to lit cigarette use, the U.S. Surgeon General has stated that young people should not use e-cigarettes or nicotine in any form.

All of this advocacy work comes after some of the nation's largest tobacco companies were found guilty in federal court in 2017 of racketeering and other charges that revealed a long history of reportedly lying to lawmakers and the public about tobacco products' health risks. It was also determined that they used marketing practices that targeted communities' vulnerable populations, including youth. Court-ordered Corrective Statement ads are scheduled to run throughout 2018 as primetime national television spots and through other media.

On Kick Butts Day, Rhode Island teens also celebrated successes in their own communities. Central Falls and Barrington have passed tobacco-to-21 laws, while Central Falls, Johnston, Middletown, Providence, West Warwick, and Woonsocket, have passed local ordinances requiring retailers to be licensed to sell tobacco products. Central Falls has also banned e-cigarettes and flavored tobacco product sales, restricted the number of tobacco retail licenses (based on population density), and restricted tobacco retailers' proximity to schools. Additionally, a growing number of Rhode Island and cities and towns have established 100% tobacco free zones in municipal parks, beaches, playgrounds, recreation fields, and other public spaces.

A complete list of communities with tobacco control policies is online.

The Rhode Island Kick Butts Day Zombie Walk was postponed from March 21st because of inclement weather. Kick Butts Day is a national awareness day sponsored by the Campaign for Tobacco Free Kids. The walk in Rhode Island was sponsored by RIDOH, Tobacco Free Rhode Island, CVS Health Foundation, and Campaign for Tobacco Free Kids, in partnership with Tobacco Free Youth from the following communities: Barrington, Bristol, Central Falls, Charlestown, Cranston, East Providence, Hopkinton, Johnston, Middletown, Pawtucket, Providence, Richmond, Tiverton, West Warwick, Warren, Woonsocket, and more.

Precautionary Boil Water Advisory Lifted for Chimera Inc. (DBA Davis Mobile Home Park, in Glocester)

2018-04-03

The Precautionary Boil Water Advisory that had been in place for the Chimera Inc. (DBA Davis Mobile Home Park, located in Glocester) water system has been lifted. This system was required to issue a Precautionary Boil Water Advisory because the water system lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Precautionary Boil Water Advisory Lifted for Coventry National Guard

2018-03-29

The Precautionary Boil Water Advisory that had been in place for the Coventry National Guard water system has been lifted. This system was required to issue a Precautionary Boil Water Advisory because the water system lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Precautionary Boil Water Advisories Lifted for Clark Memorial Library (Carolina) and The Village on Chopmist Hill (Glocester)

2018-03-28

The Precautionary Boil Water Advisories that had been in place for Clark Memorial Library in Carolina and The Village on Chopmist Hill in Glocester have been lifted. These systems were required to issue Precautionary Boil Water Advisories because they lost pressure.

Before consuming water from these systems again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Delizza Belgian Custard Cream Mini Eclairs Recalled

2018-03-28

The Rhode Island Department of Health (RIDOH) is advising consumers that Delizza Belgian Custard Cream Mini Eclairs are being recalled because they have the potential to be contaminated with Listeria monocytogenes. This product was sold at Price Rite locations in Rhode Island.

Recalled products were packaged in containers of 30 eclairs. On the lid of the containers are the following lot number and expiration date: L1M1018 Best Before 09/09/19.

Listeria monocytogenes can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short term symptoms such as fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The recall was a result of a routine sampling program. The company did not release any product that tested positive for Listeria monocytogenes. These products are being recalled as a precautionary measure. No illnesses or adverse health effects resulting from these events have been reported to date.

Consumers who have purchased or received any of the products described below should immediately discontinue use of the product and return it to the place of purchase for a full refund. Consumers with questions may contact the company at info@delizza.us or 252-442-4016, Attention: Heather Aycock, Quality Assurance, Monday through Friday between 9am-5pm EST.

Precautionary Boil Water Advisory Lifted for South Shore Mental Health Center, Inc. in Charlestown

2018-03-26

The Precautionary Boil Water Advisory that had been in place for South Shore Mental Health Center, Inc., located in Charlestown, has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitation can be found online.

Raw Diet Cat Food Recalled Because of Listeria Risk

2018-03-22

The Rhode Island Department of Health (RIDOH) is advising consumers that Radagast Pet Food, Inc. is recalling raw diet free-range chicken cat food and raw diet free-range turkey recipe cat food because they have the potential to be contaminated with Listeria monocytogenes. Listeria monocytogenes can affect animals eating the products and there is risk to humans from handling contaminated pet products, especially if they have not thoroughly washed their hands after having contact with the products or any surfaces exposed to these products.

The recalled products were distributed in several states across the country, including Rhode Island.

Pet owners should not feed raw food diets to pets because of the potential presence of pathogens such as Listeria and Salmonella. No reports of pet or human illness have been associated with this recall.

The recalled Rad Cat Raw Diet Free-Range Chicken (Lot 62762) cat food has the following UPCs:

  • 8oz UPC 8 51536 00103 6
  • 16oz UPC 8 51536 00104 3
  • 24oz UPC 8 51536 00105 0

The recalled Rad Cat Raw Diet Free-Range Turkey Recipe (Lot 62926) cat food has the following UPCs:

  • 8oz UPC 8 51536 00100 5
  • 16oz UPC 8 51536 00101 2
  • 24oz UPC 8 51536 00102 9

Any products with these lot codes should be returned for a full refund. Consumers with questions should contact Radagast Pet Food, Inc. at 503-736-4649.

Healthy people exposed to Listeria monocytogenes should monitor themselves for the following symptoms: nausea, vomiting, diarrhea, abdominal cramping, and fever. Consumers exhibiting these signs after having contact with these products should contact their healthcare providers.

Listeria monocytogenes can affect animals as well. Animals exposed to Listeria monocytogenes can display symptoms such as diarrhea, fever, and muscular or respiratory abnormalities. If your pet has consumed the recalled product and exhibits these symptoms, contact your veterinarian.

Precautionary Boil Water Advisories Lifted for Rockville Mill Community Water System (Hopkinton) and North Smithfield Air National Guard

2018-03-20

The Precautionary Boil Water Advisories that had been in place for Rockville Mill Community Water System in Hopkinton and North Smithfield Air National Guard have been lifted. Both systems were required to issue Precautionary Boil Water Advisories because they lost pressure.

Before consuming water from these systems again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitization can be found online.

Cookies Sold at Trader Joe's Recalled Due to Undeclared Peanuts

2018-03-20

The Rhode Island Department of Health (RIDOH) is advising consumers that Chris's Cookies has recalled one lot of its Trader Joe's Chocolate Chip Cookie 12 Oz (340g) Bags (Barcode#: 0068 0752) after a report that Peanut Butter Chocolate Chip Cookies were discovered in a Chocolate Chip Cookie Bag. People who have an allergy to peanuts run the risk of serious or life-threatening allergic reactions if they eat cookies containing peanut butter.

The recalled product was distributed to Trader Joe's stores in Rhode Island, as well as Connecticut, Delaware, Massachusetts, Maryland, Maine, New Hampshire, New Jersey, New York, Northern Virginia, Pennsylvania, Vermont, and Washington D.C. The affected products have stickers on the side of the bag with Lot CODE: 2060 and date codes SELL BY 031218 through 031818.

No allergic reactions or illnesses have been reported to date. All of the affected cookies have been removed from sale. Consumers who have purchased the affected product and have a peanut allergy should not eat it. Discard the product or return it to the place of purchase for a full refund. Consumers can contact the company at 201-288-8881 with any questions.

Precautionary Boil Water Advisory Lifted for Famous Pizza

2018-03-19

The Precautionary Boil Water Advisory that had been in place for Famous Pizza (located in Scituate) has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitization can be found online.

Precautionary Boil Water Advisory Lifted for Border Hill Mobile Home Park

2018-03-15

The Precautionary Boil Water Advisories that had been in place for Border Hill Mobile Home Park (located in Charlestown) has been lifted. The system was required to issue a Precautionary Boil Water Advisory because it lost pressure.

Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitization can be found online.

Precautionary Boil Water Notice Issued for the Coventry National Guard water system; Notice Lifted for Rhode Island Welcome Center

2018-03-14

The Coventry National Guard, located at 570 Read School House Road in Coventry, is required to issue a Precautionary Boil Water Notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water. The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below ("Household Boil Water Guidance").

This notice will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Coventry National Guard will issue a public notice when this requirement is lifted.

The Precautionary Boil Water Notice that had been in place for Rhode Island Welcome Center has been lifted. Before consuming water from this system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitization can be found at the link below ("Household Cleaning and Sanitizing").

In Advance of Winter Storm, Rhode Islanders Reminded to Take Health Precautions

2018-03-12

The Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders about steps they should take to help keep themselves healthy and safe before, during, and immediately after the coming storm.

Snow Shoveling

  • Talk to your doctor if you have a history of heart trouble to make sure it is safe for you to shovel snow.
  • Drink plenty of water. You can get dehydrated in cold weather too.
  • Dress warmly, and dress in several layers so you can remove a layer if needed.

Once you are outside shoveling:

  • Listen to your body. Stop if you feel tired or feel tightness in your chest.
  • Take it slow, pace yourself, and take breaks.
  • Don't pick up too much snow at once. Use a smaller shovel, or only fill the shovel part way if you use a large shovel.
  • Protect your back. Bend from the knees, and lift with your legs bent.

Never bedshare with babies, even if the heat is lost

Babies should always sleep alone, even if the heat is lost in a home. Bedsharing is extremely dangerous. A parent can roll over and prevent the baby from breathing, or the baby can get trapped between the wall and the bed. Babies typically need one more layer of clothing than adults. If your baby seems cold, the baby should be swaddled in a blanket, or dressed in an additional outfit. If you lose power and it is too cold inside your house, go to a friend or family member's home, or go to a warming center. Call 211 for a list of warming centers.

Carbon Monoxide (CO) Poisoning

Carbon monoxide is invisible and odorless. It can cause loss of consciousness or death. The most common symptoms of CO poisoning are headache, dizziness, weakness, nausea, vomiting, chest pain, and confusion.

  • Never use a gas range or oven to heat your house. Do not use a charcoal grill, hibachi, lantern, or portable camping stove inside your house.
  • If you need to use a generator, make sure it is properly installed and vented.
  • If you lose power and it is too cold inside your house, go to a friend or family's home or go to a warming center. Call 211 for a list of warming centers.

Food Safety During and After Power Outages

During power outages, the foods items that are of greatest concern are moist, perishable foods. Bacteria can easily grow on this food.

If you believe that you could lose power:

  • Turn the refrigerator and freezer to the coldest setting.

During power outages:

  • Keep refrigerator and freezer doors closed as much as possible.
  • If practical, group packages of cold food together to reduce heat gain.

Once power has been restored:

  • Power outages of more than four hours may be hazardous to food. If the food temperature is greater than 41 degrees Fahrenheit, or you do not know the food temperature, it is best to throw it out. In other words, when in doubt, throw it out.

Precautionary Boil Water Notice Issued for North Smithfield Air National Guard

2018-03-09

The North Smithfield Air National Guard, located at 274 Old Oxford Road in North Smithfield, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. North Smithfield Air National Guard will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at North Smithfield Air National Guard will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact SSgt Nicole Rodrigues at 401-267-3357 or Katie Quimby at 401-667-7463 ext. 104.

Precautionary Boil Water Advisories Lifted for North Scituate Elementary School, Alpine Nursing Home, and Trinity Lutheran Preschool

2018-03-09

The Precautionary Boil Water Advisories that had been in place for North Scituate Elementary School, Alpine Nursing Home (Coventry), and Trinity Lutheran Preschool (Hopkinton) have been lifted. These systems were required to issue Precautionary Boil Water Advisories because they lost pressure.

Before consuming water from these systems again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitization can be found online.

Several Rhode Island water systems were similarly required to issue Precautionary Boil Water Advisories after the storm on March 2nd. The systems with Precautionary Advisories still in place are:

  • URI Alton Jones Whispering Pines Conf. Center
  • Famous Pizza
  • Davis Mobile Home Park (Chimera, Inc.)
  • Sunset Cove Recreation Area
  • Border Hill Mobile Home Park
  • Rhode Island Welcome Center
  • The Village on Chopmist Hill
  • Lakeview Charlestown Early Learning Center
  • Rockville Mill Community Water System
  • South Shore Mental Health Center, Inc.
  • Briggs-Boesch Farm
  • Clark Memorial Library

Precautionary Boil Water Advisory Lifted for South County Business Park; Other Advisories Remain in Place

2018-03-08

The Precautionary Boil Water Advisory that had been in place for South County Business Park has been lifted. South County Business Park, located at 567 South County Trail in Exeter, was required to issue a Precautionary Boil Water Advisory because the water system lost pressure.

Before consuming water from the system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitization can be found online.

Several Rhode Island water systems were similarly required to issue Precautionary Boil Water Advisories after the storm on March 2nd. The systems with Precautionary Advisories still in place are:

  • URI Alton Jones Whispering Pines Conf. Center
  • Famous Pizza
  • Trinity Lutheran Preschool
  • Davis Mobile Home Park (Chimera, Inc. )
  • Sunset Cove Recreation Area
  • Border Hill Mobile Home Park
  • North Scituate Elementary School
  • Rhode Island Welcome Center
  • The Village on Chopmist Hill
  • Lakeview Charlestown Early Learning Center
  • Rockville Mill Community Water System
  • South Shore Mental Health Center, Inc.
  • Briggs-Boesch Farm
  • Alpine Nursing Home
  • Clark Memorial Library

J.M. Smucker Company Withdrawing Certain Dog Food Products

2018-03-07

The Rhode Island Department of Health (RIDOH) is advising pet owners that the J.M. Smucker Company is withdrawing certain canned dog food products from its Gravy Train, Kibbles 'N Bits, Ol' Roy, and Skippy brands due to the potential for pentobarbital contamination.

The withdrawn products were distributed to retailers nationwide. These products should not be given to pets. The specific products being withdrawn are:

  • Gravy Train with T-Bone Flavor Chunks, 13.2-ounce can, UPC 7910052541
  • Gravy Train with Beef Strips, 13.2-ounce can, UPC 791052542
  • Gravy Train with Lamb & Rice Chunks, 13.2-ounce can, UPC 7910052543
  • Gravy Train with Chicken Chunks, 13.2-ounce can, UPC 7910034418
  • Gravy Train with Beef Chunks, 13.2-ounce can, UPC 7910034417
  • Gravy Train with Chicken Chunks, 22-ounce can, UPC 7910051645
  • Gravy Train with Beef Chunks, 22-ounce can, UPC 7910051647
  • Gravy Train Chunks in Gravy with Beef Chunks, 13.2-ounce can, UPC 7910034417
  • Kibbles 'N Bits 12-can Variety Pack – Chef's Choice American Grill Burger Dinner with Real Bacon & Cheese Bits in Gravy, Chef's Choice Bistro Tender Cuts with Real Turkey Bacon & Vegetables in Gravy, 12 pack of 13.2-ounce cans, UPC 7910010377, 7910010378
  • Kibbles 'N Bits 12-Can Variety Pack – Chef's Choice Bistro Hearty Cuts with Real Beef, Chicken & Vegetables in Gravy, Chef's Choice Homestyle Meatballs & Pasta Dinner with Real Beef in Tomato Sauce, 12 pack of 13.2-ounce cans, UPC 7910010382, 7910048367, 7910010378
  • Kibbles 'N Bits 12-Can Variety Pack – Chef's Choice Homestyle Tender Slices with Real Beef, Chicken & Vegetables in Gravy, Chef's Choice American Grill Burger Dinner with Real Bacon & Cheese Bits in Gravy, Chef's Choice Bistro Tender Cuts with Real Beef & Vegetables in Gravy, 12 pack of 13.2-ounce cans, UPC 7910010380, 7910010377, 7910010375
  • Kibbles 'N Bits Chef's Choice Bistro Tender Cuts with Real Beef & Vegetables in Gravy, 13.2-ounce can, UPC 7910010375
  • Kibbles 'N Bits Chef's Choice Bistro Tender Cuts with Real Turkey, Bacon & Vegetables in Gravy, 13.2-ounce can, UPC 7910010378
  • Kibbles 'N Bits Chef's Choice Homestyle Tender Slices with Real Beef, Chicken & Vegetables in Gravy, 13.2-ounce can, UPC 7910010380
  • Ol' Roy Strips Turkey Bacon, 13.2-ounce can, UPC 8113117570
  • Skippy Premium Chunks in Gravy Chunky Stew, 13.2-ounce can, UPC 79100502469
  • Skippy Premium Chunks in Gravy with Beef, 13.2-ounce can, UPC 7910050250
  • Skippy Premium Strips in Gravy with Beef, 13.2-ounce can, UPC 7910050245

Pentobarbital is a barbiturate drug that is most commonly used in animals as a sedative, anesthetic, or for euthanasia. The U.S. Food and Drug Administration (FDA)'s preliminary evaluation of the testing results of Gravy Train samples indicates that the low level of pentobarbital present in the withdrawn products is unlikely to pose a health risk to pets. However, any detection of pentobarbital in pet food is a violation of the Federal Food, Drug, and Cosmetic Act. The FDA is investigating to learn the potential source and route of the contamination.

Ready-To-Eat Meat Products Recalled

2018-03-07

The Rhode Island Department of Health (RIDOH) is advising consumers that Olli Salumeria Americana is recalling 3,946 pounds of ready-to-eat meat products because of possible Listeria monocytogenes contamination. The products were sold at Whole Foods locations in Rhode Island. They were sold under the brand names Gusto and Olli.

The specific products being recalled are:

  • 6 oz. packages of "Gusto Napoli Applewood-Smoked Salame," lot code 1000012821.
  • 6 oz. packages of "Gusto Chorizo Smoked Paparika," lot code 1000012812.
  • 6 oz. packages of "Gusto Sopressata Black Peppercorn Salame," lot code 1000012811.
  • 6 oz. packages of "Gusto Toscano Fennel Pollen Salame," lot code 1000012805.
  • 6 oz. packages of "Gusto Pepperoni Classically American," lot code 1000012804.
  • 175 gram packages of "Olli Molisana Pepper and Garlic Salami," lot code 1000012808.
  • 175 gram packages of "Olli Napoli Applewood-Smoked Salami," lot code 1000012810.
  • 175 gram packages of "Olli Calabrese Spicy Salami," lot code 1000012807.

The recalled products have establishment number "M-45334" inside the USDA mark of inspection.

The issue was discovered when the Canadian Food Inspection Agency performed routine Listeria monocytogenes sampling. There have been no confirmed reports of adverse reactions due to consumption of these products.

Consumption of food contaminated with Listeria monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, people with weakened immune systems, and pregnant women and their newborns. Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance, and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections in older adults and persons with weakened immune systems. Listeriosis is treated with antibiotics.

Consumers who have purchased these products should not consume them. These products should be thrown away or returned to the place of purchase. Consumers with questions can write to oliviero@olli.com.

Precautionary Boil Water Notice Issued for The Village on Chopmist Hill

2018-03-06

The Village on Chopmist Hill, located at 40 Hemlock Drive in Glocester, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. The Village on Chopmist Hill will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at The Village on Chopmist Hill will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Victoria Szamocki at 800-624-2327.

Precautionary Boil Water Notice Issued for The Village on Chopmist Hill

2018-03-06

The Village on Chopmist Hill, located at 40 Hemlock Drive in Glocester, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. The Village on Chopmist Hill will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at The Village on Chopmist Hill will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Victoria Szamocki at 800-624-2327.

Precautionary Boil Water Notice Issued for South Shore Mental Health Center

2018-03-06

The South Shore Mental Health Center, located at 4705A Old Post Road in Charlestown, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. The South Shore Mental Health Center will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at the South Shore Mental Health Center will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Ann Rogan at 401-606-6731.

Precautionary Boil Water Notice Issued for Lakeview Charlestown Early Learning Center

2018-03-06

The Lakeview Charlestown Early Learning Center, located at 4605 Old Post Road in Charlestown, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. The Lakeview Charlestown Early Learning Center will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Lakeview Charlestown Early Learning Center will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by RIDOH. People with questions should contact Victoria Szamocki at 800-624-2327.

Precautionary Boil Water Notice Issued for Alpine Nursing Home in Coventry

2018-03-05

The Alpine Nursing Home, located at 557 Weaver Hill Road in Coventry, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Alpine Nursing Home will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Alpine Nursing Home will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Rod Gauvin at 401-397-5001.

Precautionary Boil Water Notice Issued for Clark Memorial Library in Carolina

2018-03-05

The Clark Memorial Library, located at 7 Pinehurst Drive in Carolina, RI, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Clark Memorial Library will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Clark Memorial Library will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Lynn Thompson at 401-364-6100.

Precautionary Boil Water Notice Issued for Rockville Mill Community Water System in Hopkinton

2018-03-05

The Rockville Mill Community Water System, located at 332 Canonchet Road in Rockville (Hopkinton), is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Rockville Mill will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Rockville Mill will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Ingrid Teeple at 401-334-2802 ext. 20.

Precautionary Boil Water Notice Issued for Border Hill Mobile Home Park in Charlestown

2018-03-05

The Border Hill Mobile Home Park, located at South County Trail (Rt. 112 & Rt. 2) in Charlestown, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Border Hill Mobile Home Park will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Border Hill Mobile Home Park will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Eric Treaster at 860-536-6240.

Precautionary Boil Water Notice Issued for South County Business Park in Exeter

2018-03-05

The South County Business Park, located at 567 South County Trail in Exeter, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. South County Business Park will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at South County Business Park will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Richard Marcello at 401-295-0300.

Precautionary Boil Water Notice Issued for North Scituate Elementary School

2018-03-05

The North Scituate Elementary School, located at 46 Institute Lane in Scituate, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. North Scituate Elementary School will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at North Scituate Elementary School will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Robert Corrente at 401-647-4100.

Precautionary Boil Water Notice Issued for Chimera Inc (Davis Mobile Home Park) in Chepachet

2018-03-05

Chimera Inc. (Davis Mobile Home Park), located on Everson Drive in Chepachet, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Chimera Inc. (Davis Mobile Home Park) will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Chimera Inc. (Davis Mobile Home Park) will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Anthony or Maggie Salvatore at 401-783-4538.

Precautionary Boil Water Notice Issued for Sunset Cove Recreation Area in West Glocester

2018-03-05

The Sunset Cove Recreation Area, located at 2267 Putnam Pike (Rt. 44) in West Glocester, is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Sunset Cove Recreation Area will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Sunset Cove Recreation Area will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Deborah Charron at 401-568-9114.

Precautionary Boil Water Notice Issued for Trinity Lutheran Pre-School in Hopkinton

2018-03-05

Trinity Lutheran Pre-School, located at 110 High Street in Ashaway (Hopkinton), is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Trinity Lutheran Pre-School will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Trinity Lutheran Pre-School will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Stephen Dietrich at 401-377-4340.

Precautionary Boil Water Notice Issued for Famous Pizza in North Scituate

2018-03-05

Famous Pizza in North Scituate is required to issue a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. Famous Pizza will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at Famous Pizza will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact John Lang at 401-934-0278.

Precautionary Boil Water Notice Issued for URI W. Alton Jones Campus, Whispering Pines Conference Center

2018-03-05

The Whispering Pines Conference Center at URI's W. Alton Jones Campus has issued a precautionary boil water notice to its customers because the water system lost pressure. Customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. The Whispering Pines Conference Center will issue a public notice when this requirement is lifted.

Loss of pressure in water systems means that the system is at risk of becoming contaminated with bacteria and other organisms. Bacteria, such as E. coli, can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found in the link below.

The water system at the Whispering Pines Conference Center will be disinfected. Customers should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until disinfection occurs, a bacteria sample is absent, and these actions are approved by the Rhode Island Department of Health. People with questions should contact Maria DiSano at 401-874-8000 or by mail at Carlotti Admin Building, Kingston, RI 02881.

Drinking Water Warning Issued for Westerly Water Department Customers

2018-02-13

The Westerly Water Department has issued a drinking water warning to its customers because a treatment equipment failure sent excess treatment chemicals into the water supply on Thursday, February 8th and Friday, February 9th. Westerly Water Department customers who have not used their faucets since Friday should not drink or use the water before flushing. These customers should perform a one-time flush of household faucets for three to five minutes to discharge water with potentially high concentrations of chemicals from interior plumbing. Faucets that have been in regular use since Friday have already been flushed of these chemicals.

These chemicals resulted in an increased level of pH in the water. Exposure to very high pH values can result in irritation to the eyes, skin, lips, mouth, nasal passages, and other mucous membranes. In sensitive individuals, gastrointestinal irritation may also occur. If a Westerly Water Department customer experiences these symptoms, and if these symptoms persist, the attention of a healthcare provider should be sought.

The Westerly Water Department sells water to customers throughout the Town of Westerly and to customers in Pawcatuck, Connecticut. People with questions should call the Westerly Water Department at 401-348-2561.

Only customers billed by the Westerly Water Department are affected by this warning. Areas in Pawcatuck, Connecticut not affected by this drinking water warning are customers:

  • South of Rt. 1 in Connecticut beyond Greenhaven Road
  • North of Rt. 2 in Connecticut beyond 300 feet past Route 617
  • North of Rt. 49 in Connecticut beyond Stop and Shop Shopping Plaza
  • West of Peqqot Trail in Connecticut (Rt. 234) beyond Billings Street
  • South of River Road in Connecticut beyond 200 feet beyond Crestview Avenue
  • Elm Ridge Road in Connecticut beyond Fairview Avenue

RIDOH Investigating Allergic-Type Reactions Among Students

2018-02-09

The Rhode Island Department of Health (RIDOH) is investigating the occurrence of allergic-type reactions in school students today that are associated with the consumption of kiwi fruit.

RIDOH received reports of approximately 34 students experiencing symptoms, including itching of the lips and mouth, hives and tongue swelling. Fresh kiwi fruit was consumed immediately prior to onset of these reactions. Some of the students were treated in the school setting, and a few at the emergency department, with antihistamines (such as Diphenhydramine or Benadryl®) and all improved. The cause of the reaction is unknown at this time. Reports have been confirmed from the following schools:

  • Blackstone Valley Prep 1, Cumberland
  • Blackstone Valley Prep 2, Cumberland
  • Blackstone Valley Prep 3, Cumberland
  • Vartan Gregorian, Providence
  • Southside Elementary Charter, Providence
  • Globe Park School, Woonsocket
  • Illuminar at ACH 1st, Providence
  • Highlander, Providence
  • Frank Spaziano Annex, Providence
  • Times 2 Academy, Providence
  • Nathaniel Greene, Pawtucket
  • Anges Hennessey, East Providence
  • Silver Springs, East Providence
  • Orlo Avenue, East Providence

The fruit was cut and bagged at Roch's Fresh Foods in West Greenwich. Roch's has been very cooperative as RIDOH works with schools to ensure that all the fresh fruit from this distributor is discarded. In addition, the distribution of kiwis from Roch's Fresh Foods has been suspended. Because fruit had also been distributed to Massachusetts, RIDOH is coordinating with the Massachusetts Department of Public Health.

It is very unlikely that any delayed allergic reaction will occur from consuming these kiwis. All of the reported allergic reactions happened immediately after consuming the fruit. However, if any student does experience these symptoms, parents should contact their healthcare providers for advice and guidance.

Warwick Stop and Shop Issues Consumer Alert on Deli Sliced Meat and Cheese

2018-02-04

The Rhode Island Department of Health (RIDOH) is advising consumers that Stop & Shop in Warwick is issuing a consumer alert regarding deli sliced meat and cheese because of potential exposure to Listeria monocytogenes.

This alert pertains to deli sliced meat and cheese sold between January 18th and February 2rd. Customers who purchased deli sliced meat and cheese at this store during this period should discard these products and bring their receipts to Stop & Shop for full refunds.

The deli is temporarily closed while it is being professionally cleaned. (The rest of the store is still open.)

There have been no confirmed illnesses associated with this issue to date. Consumption of food contaminated with Listeria monocytogenes can cause listeriosis, an uncommon but potentially fatal disease. Healthy people rarely contract listeriosis. However, listeriosis can cause high fever, severe headache, neck stiffness and nausea. Listeriosis can also cause miscarriages and stillbirths, as well as serious and sometimes fatal infections in those with weakened immune systems, such as infants, the elderly and people with HIV infection or people undergoing chemotherapy.

Consumers looking for additional information on this consumer alert can visit the store at 300 Quaker Lane in Warwick, or call Stop & Shop customer service at 800-767-7772. Press inquiries for Stop & Shop should be directed to Phil Tracey (617-774-4434 | philip.tracey@stopandshop.com).

Boil Water Advisory Lifted for Quonochontaug East Beach Water Association

2018-02-02

The Rhode Island Department of Health (RIDOH) and the Quonochontaug East Beach water system have lifted the boil water advisory that was in place between January 25, 2018 and February 2, 2018 because of an E. coli bacteria finding. Samples taken by the Quonochontaug East Beach water system on January 30th, 31st, and February 1st were all absent of bacteria.

Before consuming water from the system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitization can be found online.

The Quonochontaug East Beach water system was disinfected with chlorine and then flushed before collecting a total of three samples throughout the distribution system and three at Well #2. Routine sampling of the water system will continue and Well #1 will remain offline until it is confirmed safe to use..

Consumers with questions should contact Bob Pompei at 401-741-4042.

Panera Bread Recalls Cream Cheese Products

2018-01-29

The Rhode Island Department of Health (RIDOH) is advising consumers that Panera Bread is recalling all varieties of two ounce and eight ounce cream cheese products sold in its U.S. bakery-cafes. This recall was initiated after samples of one variety of two ounce cream cheese showed a positive result for the presence of Listeria monocytogenes. The recalled products have an expiration date on or before 4/2/18.

Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

Affected 2 ounce cream cheese varieties: Plain Cream Cheese, Reduced- Fat Plain Cream Cheese, Reduced-Fat Chive & Onion Cream Cheese, Reduced-Fat Honey Walnut Cream Cheese, Reduced-Fat Wild Blueberry Cream Cheese.

Affected 8 ounce cream cheese varieties: Plain Cream Cheese, Reduced- Fat Plain Cream Cheese, Reduced-Fat Chive & Onion Cream Cheese, Reduced-Fat Honey Walnut Cream Cheese, Reduced-Fat Wild Blueberry Cream Cheese.

Consumers in possession of these products should discard them immediately and contact Panera Bread Customer Service at 1-855-6-PANERA for a full refund.

Boil Water Notice Issued for Quonochontaug East Beach Water Association

2018-01-25

The Quonochontaug East Beach Water Association has issued a boil water notice to its customers because E. coli bacteria was found in the water supply. Quonochontaug East Beach Water Association customers should boil vigorously for at least one minute all water used for human consumption, including drinking and cooking. Alternatively, customers can use bottled water.

This health advisory will remain in effect until corrective actions are completed and satisfactory bacteria results are obtained. The Quonochontaug East Beach Water Association will issue a public notice when this requirement is lifted.

E. coli is bacteria whose presence indicates that the water may be contaminated with human or animal wastes. Microbes in these wastes can cause short-term health effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They pose a special health risk for infants, young children, and people with severely compromised immune systems. EPA has set a drinking water standard for E. Coli to reduce the risk of these adverse health effects. Under this standard, drinking water must be free of these bacteria for water to be consumed from a system.

The recommendation to boil for one minute pertains to water used for drinking, cooking, making ice, brushing teeth, washing dishes, and food preparation. Boiling kills bacteria and other organisms in the water. Infants and young children should not be bathed in this water because they may swallow it accidentally. Anyone else using this water for bathing or showering should be careful to avoid swallowing the water. Further guidance can be found online (see link below).

Quonochontaug East Beach Water Association serves approximately 112 homes and 200 customers. The neighboring Central Beach Fire District is not affected. E. Coli was detected in a routine sample taken at Quonochontaug East Beach's Well #1 on 1/23/18. This well has been turned off until it can be inspected and disinfected, and bacteria samples come back absent. Well #2, which is absent of bacteria, will supply the water system. The water system will be disinfected the night of 1/25/18 and flushed on 1/26/18. Residents should refer to the notice provided by the water system for further instructions and information relating to the disinfection of the water lines. The boil notice will not be lifted until three consecutive days of samples are absent of bacteria and approved by RIDOH. People with questions should Ken Andrew at 860-377-6202.

Federal shutdown not expected to have any immediate impact on WIC

2018-01-20

At this time, the Rhode Island Department of Health (RIDOH) does not expect the shutdown of the federal government to have any immediate impact on local WIC services.

The Special Supplemental Nutrition Program for Women, Infants, and Children (better known as the WIC Program) is a federal program that serves to safeguard the health of low-income pregnant, postpartum, and breastfeeding women, infants, and children up to age 5 who are at nutritional risk by providing nutritious foods to supplement diets, information on healthy eating including breastfeeding promotion and support, and referrals to healthcare.

Any updates about WIC services will be posted at http://www.health.ri.gov.

Rhode Islanders Reminded About Appropriate Settings for Medical Care

2018-01-12

With hospital emergency departments throughout the state seeing high volumes of patients, the Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders about the need to seek medical care in the most appropriate setting.

Since the start of January, Rhode Island has seen significant increases in the number of cases of norovirus, flu, and other respiratory illnesses. RIDOH maintains several systems to monitor flu-related illnesses, outbreaks, hospitalizations, and deaths that validate these increases.

Many types of illnesses and injuries usually do not require an emergency department visit, including back pain, sprains, minor cuts, colds, sore throats, low-grade fevers, and most cases of norovirus. Norovirus is a highly contagious stomach illness that can cause people to have extreme vomiting or diarrhea for 24-28 hours. Norovirus is found in the stool and vomit of an infected person and can spread by eating food or drinking liquids that are contaminated with norovirus; touching surfaces or objects that are contaminated with norovirus; or if an infected person vomits in a public space. Going to an emergency department for most cases of norovirus and the other health issues listed above will likely result in long waits because emergency department staff prioritize more serious injuries and illnesses.

Additionally, less severe cases of the flu are often better treated by a primary care provider or in an urgent care facility than in an emergency department. However, some cases of the flu should be treated in an emergency department. Emergency warning signs that indicate that someone with the flu does need to go to the emergency department include difficulty breathing or shortness of breath; pain or pressure in the chest; and having flu-like symptoms that improve but then return with fever and worse cough.

If someone is not sure if they need to go to the emergency department, they should contact their primary care provider. A primary care provider will be able to give you guidance about the next best step for you or your child. (Most offices have physicians on-call after hours.)

Tips to avoid catching and spreading illnesses:

  • Get vaccinated against the flu. The flu is in Rhode Island every year through the end of the spring. By being vaccinated now, you can still get several months' worth of protection.
  • Cough or sneeze into your elbow.
  • Wash your hands carefully with soap and water, especially after using the toilet and changing diapers and always before eating or preparing food.
  • Stay home if you are sick and keep children home from school if they are sick.
  • After an episode of illness that involves vomiting or diarrhea, immediately clean and disinfect contaminated surfaces by using a bleach-based household cleaner as directed on the product label or a solution made by adding 5?25 tablespoons of household bleach to one gallon of water.
  • If you have norovirus, do not prepare food for other people. After you no longer have the symptoms of norovirus, still do not prepare food for other people for three days.

Hundreds Expected at Community Event to Rewrite the End to RI's Overdose Epidemic

2018-01-12

The Rhode Island Department of Health (RIDOH) and the organization Creating Outreach About Addiction Support Together (COAAST) will be hosting a free, community event on Monday, January 15th from 6 p.m. to 9 p.m. at the Veterans Memorial Auditorium in Providence called Owning Our Story: About the Opioid Overdose Epidemic. (An art installation and resource tables will be in place beginning at 6 p.m. The performances and speaking program will begin at 7 p.m.)

The event, which is expected to draw hundreds of Rhode Islanders, will be a chance to rewrite the ending to Rhode Island's overdose crisis. It will feature TED Talk-style presentations from local speakers, interactive skits, and small scenes from COAAST's acclaimed play, Four Legs to Stand On, about a family in crisis over an adult child's drug addiction. Featured speakers will include:

Josiah Rich, MD, MPH, Professor at the Warren Alpert Medical School of Brown University; Expert Advisor to Governor Gina M. Raimondo's Overdose Prevention and Intervention Task Force

Paul S. Kandarian, an Army combat veteran in active recovery; and

Alyssa Sullivan, yoga teacher and author who will discuss suffering and how to create authentic connection and joy.

"There are stories of love behind every single person who we have lost to addiction, and there are stories of hope and redemption behind every person living in recovery," said Director of Health Nicole Alexander-Scott, MD, MPH. "This event on January 15th will allow some of those stories to be voiced, and it will allow us to send the message together that there is zero shame in stepping forward and saying that you need help. We have lost more than 1,200 lives to drug overdoses in the last five years alone. We owe it to each one of those precious souls, and to their families, to do anything and everything we can to prevent any more overdoses and deaths."

Along with Director Rebecca Boss of the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), Dr. Alexander-Scott co-chairs Governor Raimondo's Overdose Prevention and Intervention Task Force.

COAAST is a Rhode Island-based organization that is working to end the opioid overdose epidemic through arts-based educational performances and events. The organization specializes in drama therapy, which is the use of drama and theater processes to achieve therapeutic goals. More information is available at coaast.org.

"The mission of Owning Our Story is to educate Rhode Islanders about addiction as a chronic disease, create healing around loss from overdose, rally around recovery, and shed conversational light on the stigma, pain, and shame of the disease," said Ana Bess, COAAST Founder, Executive Director, and playwright. "Drama therapy allows clients to practice healthy interpersonal skills, foster relationships, express their emotions, explore a drug-free future, and act out negative behaviors associated with the disease to consider the harmful impact in a concrete way. We cannot escape the stories that shape our lives, no matter how painful. Only in bringing them into the light can we re-write their endings."

View the Owning Our Story Facebook event page at bit.ly/OOS-RI. For Rhode Island opioid overdose data and local treatment and recovery resources, people can visit PreventOverdoseRI.org or call 401-942-STOP (7867).

Boil Water Advisory Lifted for Centre of New England - Boulevard

2018-01-11

The Rhode Island Department of Health (RIDOH) and the Centre of New England – Boulevard water system (New London Turnpike entry point) have lifted the boil water advisory that was in place between December 29, 2017 and January 11, 2018 because of an E. coli bacteria finding. Samples taken by the Centre of New England – Boulevard water system (New London Turnpike entry point) on January 8th, 9th, and 10th were all absent of bacteria. No sections of Centre of New England, which is located in Coventry, are on a boil-water advisory at this time.

Before consuming water from the system again, people should clean and sanitize refrigerators with water dispensers and/or ice machines, replace any water treatment filter cartridges, and flush any faucets or taps not used during the boil advisory for 10 minutes. Guidance on refrigerator sanitization can be found online.

The Centre of New England – Boulevard water system (New London Turnpike entry point) was disinfected with an increased level of chlorine and then flushed to normal chlorine levels before collecting a total of seven samples throughout the distribution system. Routine sampling of the water system will continue.

Consumers with questions should contact attorney Matthew McGowan at 401-274-0300 Ext. 217 or mmcgowan@smsllaw.com.

Orange Cream Bars and Chocolate-Coated Vanilla Ice Cream Bars Recalled

2018-01-10

The Rhode Island Department of Health (RIDOH) is advising consumers that Fieldbrook Foods Corporation is recalling certain orange cream bars and chocolate-coated vanilla ice cream bars.

One of Fieldbrook's more popular brands is Hood. Fieldbrook products were sold at several Rhode Island retailers. More information about the recalled products is available online. (See below.)

The orange cream bars and chocolate-coated vanilla ice cream bars are being recalled due to the possibility that they may be contaminated with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short- term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The potential for contamination was noted after routine industry testing revealed the presence of Listeria monocytogenes in only a few ice cream bar samples of many tested. The expansion of the recall is out of precaution for consumer health and food safety after a few additional samples tested positive for the presence of Listeria monocytogenes. There is no evidence of any contamination prior to October 31, 2017, but the company has issued the recall back to January 1, 2017 through an abundance of caution and in full cooperation with the FDA. The company has suspended production and distribution of all products produced on this production line while it cooperates with the FDA to fully investigate the source of the problem.

Consumers who have purchased these products are urged to return them to the place of purchase for a full refund. Consumers with questions may contact the company at 1 800/333-0805 x2270.

Amid Increases in Seasonal Illnesses, Rhode Islanders Urged to Practice Good Health Habits

2018-01-10

The Rhode Island Department of Health (RIDOH) is urging everyone to practice good health habits to prevent the spread of illnesses, which includes getting vaccinated against the flu if you have not yet been vaccinated. In the last ten days Rhode Island has seen significant increases in the amount of norovirus, flu, and other respiratory illnesses circulating throughout the state.

"The flu is a very serious virus that can send someone to the hospital, and norovirus can be dangerous for some people too," said Director of Health Nicole Alexander-Scott, MD, MPH. "Both viruses spread very easily. However, by taking a few simple preventive steps, you can help keep both yourself and people around you healthy and safe."

Flu vaccine is the best protection against the flu. The flu is in Rhode Island most years through the end of the spring. By being vaccinated now, people can still get several months of protection. Flu shots are available in pharmacies and doctors' offices. Unvaccinated healthcare workers are currently required to wear masks when engaged in direct patient care. If taken within 48 hours of getting symptoms of the virus, antiviral drugs like oseltamivir and zanamivir may reduce some of the symptoms.

Norovirus is a highly contagious stomach illness that can cause people to have extreme vomiting or diarrhea for 24-28 hours. (It is often called by other names, such as viral gastroenteritis, stomach flu, and food poisoning.) Norovirus is found in the stool and vomit of an infected person. People can become infected by eating food or drinking liquids that are contaminated with norovirus; touching surfaces or objects that are contaminated with norovirus, and then placing their hand in their mouth; if an infected persons prepares food; or if an infected person vomits in a public space.

Ways to Prevent Catching and Spreading the Flu

  • Get a flu shot.
  • Stay home if you are sick and keep children home from school if they are sick.
  • Cough or sneeze into your elbow.
  • Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel.

Ways to Prevent Catching and Spreading Norovirus

  • Wash your hands carefully with soap and water, especially after using the toilet and changing diapers and always before eating or preparing food.
  • Stay home if you are sick and keep children home from school if they are sick.
  • After an episode of illness, such as vomiting or diarrhea, immediately clean and disinfect contaminated surfaces by using a bleach-based household cleaner as directed on the product label or a solution made by adding 5?25 tablespoons of household bleach to 1 gallon of water.
  • Do not prepare food while infected. People who are infected with norovirus should not prepare food for others while they have symptoms and for 3 days after they recover from their illness.

If you get sick with flu symptoms and are at high risk of flu complications or you are concerned about the severity of your own or your child's illness, call your healthcare provider for advice.

Rhode Islanders Reminded to Take Health Precautions When Shoveling Snow

2018-01-06

The Rhode Island Department of Health (RIDOH) is reminding all Rhode Islanders to take precautions to stay healthy and safe when shoveling snow. Because shoveling can cause sudden increases in blood pressure and heart rate, it can causes heart attacks. Shoveling can also cause shoulder and back injuries.

Before shoveling

  • Talk to your doctor if you have a history of heart trouble to make sure it is safe for you to shovel snow.
  • Drink plenty of water.
  • Dress warmly, and dress in several layers.
  • Avoid alcohol, caffeine, and nicotine.
  • Warm up the muscles in your arms and legs. Walk around for a few minutes and stretch your arms and legs.

While shoveling

  • Take it slow, pace yourself, and take breaks.
  • Don't pick up too much snow at once. Use a smaller shovel, or only fill the shovel part way if you use a large shovel.
  • Protect your back. Bend from the knees, and lift with your legs bent. Stand with your feet about hip width apart for good balance, and keep the shovel close to your body.
  • Try not to twist. If you need to move snow to one side, move your feet to face the direction you are throwing the snow.
  • Listen to your body. Stop if you feel tired or feel tightness in your chest.
  • Call 911 if you or someone you are with is experiencing the symptoms of a heart attack (chest pain or pressure; sweating; shortness of breath; nausea or vomiting; pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms; lightheadedness or sudden weakness; a fast or irregular heartbeat).

'Widespread Flu' in Rhode Island Prompts Activation of Masking Requirement

2018-01-03

The Rhode Island Department of Health (RIDOH) announced today that the flu is "widespread" in Rhode Island, triggering the state's requirement for unvaccinated healthcare workers in hospitals and many other types of healthcare facilities to wear surgical masks.

"The masking requirement is critical in protecting healthcare workers from catching the flu, and also in protecting patients who are often dealing with other serious health issues," said Director of Health Nicole Alexander-Scott, MD, MPH. "For people who have not been vaccinated yet, it is not too late. Flu vaccine is the best way to keep yourself and the people you love safe from the flu."

The healthcare facilities and organizations to which this regulation applies are:

  • Adult day care programs
  • Assisted living facilities
  • CVS Minute Clinics
  • Free-standing ambulatory care surgical centers
  • Free-standing emergency care facilities
  • Home care providers
  • Home nursing care providers
  • Hospice providers
  • Hospitals
  • Kidney treatment centers
  • Nursing facilities
  • Organized ambulatory care facilities
  • Physician ambulatory surgery centers

Unvaccinated healthcare workers in these facilities must wear surgical masks when involved in direct patient contact. Direct patient contact is considered routinely anticipated face-to-face contact with patients, such as entering a patient's room, serving food to patients, or participating in group patient activities.

In addition to the healthcare workers in these facilities, all licensed EMS practitioners who have not been vaccinated against the flu must wear masks when engaged in direct patient contact.

Everyone older than 6 months of age should be vaccinated against the flu every year. In addition to healthcare workers, vaccination is particularly important for pregnant women, people over the age of 50, nursing or group home residents, and people with chronic conditions (such as heart, lung, or kidney disease, diabetes, asthma, anemia, blood disorders, or weakened immune systems).

Symptoms of the flu can include fever, cough, head and body aches, fatigue, and runny nose. Some people also have vomiting and diarrhea.

Flu shots are available at doctors' offices and pharmacies throughout Rhode Island.