It’s A Day Of Observance In Poland, Too-

This blogger is a newer subscriber to Scottie’s, and comments here some. Here is a short bit with info on Poland’s November 11th Independence Day observance and history.

My Chromebook translates these posts for me; I think most computers do that. Just let me know if I should do the copy-paste thing here with this.

Health News Updates

Infant formula botulism cluster, black box warning for HRT, flu is waking up, new blood pressure guidelines, and more by Katelyn Jetelina

This is your weekly Dose. Read on Substack

The shutdown may finally be coming to an end. Our health care costs, unfortunately, will not. I’ll be back on Wednesday with a deep dive into just how spectacularly absurd our health care system has become.

In the meantime, RSV and flu are picking up speed, and a concerning infant formula recall has been linked to a rare botulism cluster, thanks to a small but mighty team in California. The FDA is expected to remove the black box warning from hormone replacement therapy—a move that’s scientifically sound but bound to spark drama from HHS. We also have new blood pressure guidelines that could make prevention a lot more personal. And amidst it all, a few more pieces of genuinely good news to end on a high note.

Let’s dive in!


Disease “weather” report: RSV and flu gaining momentum

It will take some time for the CDC data systems to ramp up again after being offline for over 40 days. For now, we’ll continue to rely on the alternative sources, such as Dr. Caitlin Rivers’ updates and the PopHive dashboards.

RSV continues to climb slowly but steadily, especially among children under five. National growth is still linear—not yet exponential—but that acceleration could occur at any time.

The flu remains relatively low but is beginning to increase, particularly among young children. As Dr. Rivers notes, “Hawaii has moved to moderate activity, Arizona has surpassed its seasonal baseline, and New York cases jumped 49% in the past week.”

Source: New York State Department of Health Respiratory Surveillance Report

U.S. childhood flu vaccination rates have dropped from 62% to 49% over the past five years. Last year saw one of the deadliest seasons on record, with 280 pediatric deaths—the highest since tracking began in 2004. About 90% of those children weren’t fully vaccinated. Our deadliest flu season came at a time of historically low vaccination rates, which can’t be a coincidence. We don’t yet know this season’s coverage, but if it falls further, we could be facing another tragic record.

Covid-19 remains in a lull, though we typically see a winter rise starting in mid-to-late November.

I’m really hoping these three viruses don’t peak simultaneously. Hospitals strain under just a bad flu season; I couldn’t imagine the “big three” all at the same time. Historically, their peaks have staggered, but given how little we truly understand about these overlapping patterns, that may have been more a matter of luck than a rule. Time will tell.

What this means for you: This is the best time to get vaccinated. It’s certainly not too late.


Infant formula outbreak and Listeria in pasta

Over the weekend, a troubling cluster of infant botulism cases was linked to ByHeart Whole Nutrition Infant Formula. Even during a government shutdown and an increasingly challenging environment, outbreak teams have been working around the clock to protect our most vulnerable.

What this is: Infant botulism is extremely rare but serious. It occurs when Clostridium botulinum spores—commonly found in soil, dust, and some foods—germinate in a baby’s intestines and release toxins that can paralyze muscles, interfere with breathing, and require intensive care. In a typical year, the U.S. sees 160–180 cases, often linked to environmental exposure or foods like honey. Even a small cluster of cases is a clear red flag.

What we know: Clostridium botulinum spores have been detected in ByHeart infant formula, resulting in the hospitalization of 13 infants across 10 states. The California Department of Public Health (CDPH) played a key role in identifying this cluster. CDPH is the only source in the world for BabyBIG—the lifesaving antitoxin—and manages all clinician calls and treatment distribution. Their team noticed a spike in requests and discovered that the affected infants all consumed the same formula brand, prompting an alert to CDC. Importantly, ByHeart produces just 1% of U.S. infant formula, so this alone is unlikely to cause a national shortage. (Be sure to sign up for YLE CA for a deeper dive this Thursday.)

What we don’t know: Epidemiologists are investigating whether contamination is truly confined to ByHeart or reflects a broader issue in the manufacturing or ingredient sourcing process.

What to do: Stop using ByHeart Whole Nutrition Infant Formula immediately. Retailers should pull it from shelves, including Amazon, Kroger, Walmart, Whole Foods, Target, and Sam’s Club.

There is also the ongoing Listeria outbreak associated with frozen pasta dishes, including some sold at Trader Joe’s and other grocery chains. We’ve covered this before, but according to the agency’s ongoing investigation, two more brands of food are linked to the outbreak. There’s a long list of recalled products you can find here. Throw out immediately.

In total, there have been 27 illnesses reported, 25 hospitalizations, and six deaths in 18 states since late September.

Case Count Map Provided by CDC: Image includes map of the United States of America with the following states highlighted as having cases in this outbreak: California, Florida, Hawaii, Illinois, Indiana, Louisiana, Michigan, Minnesota, Missouri, North Carolina, Nevada, Ohio, Oregon, South Carolina, Texas, Utah, Virginia, Washington
Number of cases associated with the pasta Listeria outbreak. Source: CDC

HRT ‘black box’ warning may be gone soon

Word is that the FDA will remove the black box warning from hormone replacement therapy (HRT) this week. (It may now be pushed back with the government reopening.) If this announcement reflects the HRT review conducted at HHS last month, it will likely be messy and riddled with inaccuracies. However, if you look at the science without the drama, removing the black label is not unreasonable.

The black box warning—the strictest warning label, meant for drugs with potentially life-threatening risks—was enacted after a 2002 Women’s Health Initiative study found increased risks of stroke and breast cancer. Since then, research has revealed crucial nuance: risks depend on timing, dose, and delivery. Starting HRT earlier, using low-dose or localized estrogen, and tailoring therapy to each woman can be both effective and safe.

What this story is really about: Menopause is universal, yet too often misunderstood. While the science continues to evolve, the major problem is that clinical practice and training have lagged far behind. Women deserve evidence-based care, informed clinicians, and the freedom to make choices rooted in both science and compassion. We are still far from what is needed for women.

POLL

(snip-poll won’t embed here; go to the Substack page. The question is if readers would like to see a deep dive into HRT. If you wish to vote, click “read on Substack”, above.)

New blood pressure guidelines

Major new blood pressure guidelines dropped for the first time in years.

At the center of the update is an enhanced assessment tool called the PREVENT calculator, developed by the American Heart Association. It’s designed to estimate a person’s 10-year risk of cardiovascular disease using factors like blood pressure, cholesterol, smoking, and diabetes. The model was built using data from 6.5 million U.S. adults aged 30 to 79, making it one of the most representative tools available.

Here’s what stands out:

  • A new threshold for medication. The key number to watch is 7.5%. If your 10-year risk of heart disease is at or above that level, physicians are now encouraged to consider medication even if your blood pressure hovers around 130/80 mmHg. If your risk is below that, lifestyle changes, like healthy eating, exercising, and better stress management, remain the first step.
  • A focus on home monitoring. The guidelines also emphasize checking blood pressure at home. Growing evidence shows that home readings may actually be more accurate predictors of long-term risk than in-office measurements. So spending $45 on an arm monitor if you have hypertension might be a great (even lifesaving!) idea.

What this means for you: This makes heart health more personalized than ever. You can calculate your own 10-year risk using the PREVENT calculator (although you will need some pretty specific numbers from your last blood panel). Regardless, aim for blood pressure readings below 130/80, and use these new tools to guide smarter—and earlier—prevention.


Good news!

Here are some of the great things worth highlighting:

  • The American Academy of Pediatrics (AAP) is standing up for science. The organization filed an updated lawsuit last week against HHS Secretary Robert F. Kennedy, Jr., asking a court to disband a panel (ACIP) appointed by RFK Jr. and to overturn recent decisions made by that panel. Then, to proceed under court supervision. The legal move is a direct push to restore expert-led vaccine policymaking.
  • The Vaccine Integrity Project (VIP) is stepping up on Hep B. With the next ACIP meeting coming up in early December, where the agenda will likely include the Hepatitis B vaccine for infants, the childhood vaccination schedule, and HPV—VIP, an independent group of scientists formed in response to waning trust in RFK Jr.’s ACIP, is conducting an evidence review ahead of what could be a contentious meeting. Their work helps ensure the science remains front and center.
  • Vaping among youth has seen a decline; but we still have a long way to go. A new study has found that the number of U.S. teens vaping has decreased overall. That’s progress. But among those who still do it, vaping is becoming more frequent and harder to quit—signs that use is shifting from experimentation toward dependence for some. If you have a teen who vapes, check out the EX Program, which is a free, anonymous text-messaging program designed specifically for young people who vape. There’s also SmokefreeTXT for Teens.

Question grab bag: You ask, we answer!

How long does the Covid-19 vaccine last? I got mine in September, do I need to get another?

study published last week confirmed what we’ve consistently seen: protection against Covid-19 wanes over time. A study of more than 1.8 million Americans from the previous season showed protection against infection and severe disease declined after 4-5 months. The findings underscore the benefit of getting a Covid-19 vaccine every six months, especially for adults over 65, who accounted for nearly 80% of hospitalizations in the study.


In case you missed it

  • Help shape our AI + Health conversation. Thanks to everyone who responded to our survey last week! We’re running the AI and health survey to hear your thoughts on using tools like ChatGPT, Claude, Copilot, and PerplexityAI to get health information. If you missed it, take the survey here.
  • New York YLE’s Marisa discussed the state reaching a historic low in youth tobacco use.
  • California YLE Matt discussed the impact of ICE raids on access to healthcare.

Have a wonderful week!

Love, YLE (snip)

I have seen this name, around and about. Good info:

“Apparently, Sunday night is the new big news night.”

The Overnight News by Joyce Vance
Read on Substack

Apparently, Sunday night is the new big news night. To keep us up to date on today’s developments, it’s a rare Monday morning update.

Late last night, Trump issued pardons. However, it’s an unusual list that leaves us reading tea leaves, because these aren’t individuals being prosecuted by the federal government or even people who are at risk of being prosecuted, given the current administration—those are the people who usually want and need a pardon. These pardons don’t apply to ongoing state prosecutions of fake slates of electors in places like Arizona and Nevada.

These names still don’t appear on the White House’s official pardon list. News of the pardons came from a tweet made by Trump’s man at DOJ, Ed Martin. And it wasn’t subtle: “No MAGA left behind.”

The list names a cast of familiar characters, including Rudy Giuliani, Boris Epshteyn, John Eastman, Mark Meadows, Sidney Powell, Ken Chesebro, Michael Roman, Christina Bobb, Kelli Ward, and Jenna Ellis. They are all people who advanced Trump’s effort to claim victory after losing the 2020 election. But that’s not the full extent of it. The document Martin posted purports to be a broad pardon, akin to those following the Civil War that pardons everyone involved (although here, there is no requirement to take a loyalty oath to the United States as there was following the war). It’s part of Trump’s ongoing effort to rewrite the history of January 6 and the insurrection and a signal that anyone who serves him will be protected and rewarded.

Late last night, the First Circuit rejected the administration’s request for a stay of a lower court order requiring it to make SNAP payments from emergency funds. That left the ball in the Supreme Court’s hands. Justice Jackson promptly issued a briefing schedule that requires both sides, as well as any amici, to file their briefs on the matter today. This proceeding is limited to the question of whether the district court’s order that the administration must proceed with November SNAP payments should be stayed (paused) while the lawsuit proceeds.

The First Circuit panel made the stakes plain in its opinion: 42 million people, or one in every eight Americans, rely on these benefits to keep hunger at bay.

From the First Circuit’s decision

First thing Monday morning, Justice Jackson issued a briefing order requiring the DOJ to file its response to the First Circuit’s decision by 4:00 p.m. and giving the plaintiffs until 8:00 a.m. Tuesday morning to respond. The government is “the applicant” at this stage of the case.

Federal Law enforcement abuses in Chicago. The Justice Department filed a notice of appeal over Chicago federal Judge Sara Ellis’ preliminary injunction restricting the use of force against protesters and journalists. If you stop for just a moment and zoom out, the utter lunacy here comes into focus. The government is fighting for the right to use excessive force against peaceful protesters. Why not take the obvious position that while it disagrees with the Judge’s assessment of the facts, it intends to fully comply with the law regarding treatment of people exercising their First Amendment rights? But that is not the government’s view of the matter.

Finally, marriage equality is safe, at least for now. The Supreme Court issued its list of grants and denials on cases from Friday’s conference this morning. The case I wrote to you about last night, involving Kentucky court clerk Kim Davis, who objected to issuing marriage licenses to same sex couples, was on the denial list, so the Court will not hear Davis’ appeal. That means there were not four Justices who wanted to hear the case, which, as I mentioned, doesn’t have particularly attractive facts for undoing longstanding precedent. This denial doesn’t tell us anything about whether the Court might be interested in undoing gay Americans’ rights if the “right” case comes along.

Last night, I started the newsletter by writing, “It’s going to be another blockbuster, high-stakes legal week. If you feel a bit overwhelmed, like I did Friday night at dinner when legal opinions were breaking out everywhere while I tried to have a meal with friends, remember that I’ll be here for you all week to try and keep things organized and understandable.” I didn’t expect it to be this soon, but the courts, for a change, are moving at lightning speed. Thank you for being here with me and reading Civil Discourse.

We’re in this together,

Joyce

We’ve Probably Already Heard It,

but just in case, some decent news:

Supreme Court rejects long-shot effort to overturn same-sex marriage ruling

The court turned away an appeal filed by Kim Davis, a former county clerk in Kentucky who was sued after refusing to issue a marriage license to a gay couple.

By Lawrence Hurley

WASHINGTON — The Supreme Court on Monday turned away a long-shot attempt to overturn the landmark 2015 ruling that legalized same-sex marriage nationwide.

Without comment, the justices rejected an appeal brought by Kim Davis, a former county clerk in Kentucky who was sued in 2015 for refusing to issue marriage licenses because of her opposition to same-sex marriage based on her religious beliefs.

Her latest appeal in the case, brought a decade later, had attracted considerable attention amid fears that the court could overturn the 2015 same-sex marriage decision, Obergefell v. Hodges, in the aftermath of the 2022 ruling that overturned the landmark abortion rights decision, Roe v. Wade. (snip-MORE, with video on the page)

https://www.nbcnews.com/politics/supreme-court/supreme-court-rejects-long-shot-effort-overturn-sex-marriage-ruling-rcna241113

Top Democratic Officials Target Their Most Vulnerable Constituents In New Strategy Document

https://www.erininthemorning.com/p/top-democratic-officials-target-their?utm_source=post-email-title&publication_id=994764&post_id=177659051&utm_campaign=email-post-title&isFreemail=true&r=2r5nx6&triedRedirect=true&utm_medium=email

Top Democratic officials put out a new guide, entitled “Deciding to Win,” that encourages Democrats to be a little more like Republicans on “identity and cultural issues.”

Sometimes we all need help, knowing how to help the best ways is also important as wanting to help.

Nearly Two-Thirds of Young Americans Are Thinking About Getting the Heck Out of Here

Nearly Two-Thirds of Young Americans Are Thinking About Getting the Heck Out of Here

America’s biggest export might soon be its own citizens. According to the American Psychological Association’s Stress in America 2025 survey, 63% of adults ages 18 to 34 have considered leaving the country this year because of “the state of the nation.” Among parents, more than half—53%—say the same.

These aren’t impulsive fantasies about Parisian cafés or permanent vacation visas. The study, conducted between August 4 and 24 among more than 3,000 adults, found that stress about the country’s future has hit a historic high. Seventy-five percent of Americans say they’re more worried about the direction of the nation than they used to be, and 76% call that fear a “significant source of stress.”

The anxiety isn’t limited to politics. Half of all adults reported feeling lonely, and 69% said they needed more emotional support this year than they received. “People are overwhelmed by societal division, technology, and uncertainty about what’s next,” said APA chief executive Arthur C. Evans Jr. “It’s affecting how they relate to each other and themselves.”

Almost Two-Thirds of Young Americans Are Thinking About Ditching the U.S. for Good

That division has started to show up physically. Among adults who named it a major stressor, 83% experienced physical symptoms in the past month, like headaches, fatigue, or anxiety, compared to 66% of those who didn’t. The same group was more likely to lose patience with family, cancel plans, or struggle to plan ahead.

AI is also creeping into the collective stress index. Fifty-seven percent of adults now say the rise of artificial intelligence adds to their anxiety, up from 49% last year. Among students, that number has nearly doubled to 78%. As automation expands and misinformation spreads, Americans are increasingly uneasy about how technology will reshape work, privacy, and even identity.

Still, the survey found that most people haven’t given up. Seventy-seven percent say they have some control over their personal futures, and 84% believe they can build good lives despite national instability. Family, friendships, and health remain top sources of meaning.

But optimism has its limits. Sixty-six percent of adults think they’ve sacrificed more than previous generations, and many feel the country isn’t keeping up its end of the bargain. For young Americans, especially, the American dream feels more like a relocation plan.

As stress levels rise and passports renew, the question hanging in the air isn’t whether they love their country, it’s whether they can still live in it.

ICE Barbie and ‘Lover’ Hatched Bonkers Plan to Buy Fleet of Jets

https://www.thedailybeast.com/ice-barbie-fails-to-turbocharge-deportations-in-wild-scheme/

Kristi Noem is feeling the heat from the White House—so she’s pushing to militarize ICE.

Homeland Security Secretary Kristi Noem and her alleged lover Corey Lewandowski ordered 10 Spirit Airlines jets before realizing the planes had no engines.

Officials warned the pair that purchasing the jets—which they said would be used to increase deportations and for their own travel—was impractical, and that simply hiring additional flight contractors would be far less costly, The Wall Street Journal reported

Corey R. Lewandowski holds a poster of Kristi Noem during the Conservative Political Action Conference CPAC held at the Hyatt Regency Orlando on Saturday, Feb 27, 2021 in Orlando, FL.
Corey Lewandowski and Kristi Noem, who are both married, deny reports that they are having an affair.Jabin Botsford/The Washington Post via Getty Images

But Noem and Lewandowski went ahead and blew through the funds allocated by Congress. Officials realized the pair’s blunder when they looked deeper into their spending spree and realized that Spirit—which has filed for bankruptcy twice—didn’t own the planes in the first place, and that the engines would have to be purchased separately, according to the Journal.

Noem and her shopping partner then purchased two Gulfstream jets for $200 million. However, shortly after, DHS notified the Democrats on the House Appropriations Committee that the project to increase deportation flights had been paused.

U.S. Secretary of Homeland Security Kristi Noem (C) speaks with officials following a press conference
Noem looks pensive after a press conference held to discuss the “Midway Blitz” immigration enforcement operation in Chicago.Jamie Kelter Davis/Getty Images

Lewandowski—whose alleged relationship with Noem has been described as D.C.’s “worst-kept secret”—has been referred to as Noem’s “gatekeeper,” operating as a special government employee who travels with her, weighs in on personnel, and shapes enforcement.

He has also spearheaded efforts to replace ICE leaders across the country with Border Patrol veterans to impose a more heavy-handed, military-style approach to Trump’s immigration crackdown, such as the hostile situation dubbed “Midway Blitz,” unfolding in Chicago.

U.S. Border Patrol Cmdr. Gregory Bovino leaves the Dirksen U.S. Courthouse
Gregory Bovino has a background in chasing migrants and drug smugglers through border terrain.Chicago Tribune/Brian Cassella/Chicago Tribune/Tribune News Service via Getty Images

Led by Border Patrol Chief Gregory Bovino, the operation’s militarized enforcement tactics and aggressive approaches have sparked public outcry. Footage and testimony have shown federal officers firing pepper-ball rounds and tear gas—even near children—while clashing with protesters. ICE agents have also been spotted roaming quiet neighborhoods, questioning landscapers and decorators.

Still, the militant approach hasn’t appeased the White House or met its steep daily deportation quotas.

ICE and Border Protection agents had made 3,000 arrests in Chicago over two months as of late October—the same number the White House has demanded they make in a single day, the Journal reported.

Noem’s methods—and the mounting pressure from the White House—have sparked infighting among DHS officials as they grapple with Lewandowski’s informal authority.

Secretary of Homeland Security Kristi Noem and Border Patrol Commander Greg Bovino visits with U.S. Immigration and Customs Enforcement officers at the ICE facility in Chicago to observe enforcement operations, Oct. 3, 2025.
Kristi Noem and Greg Bovino visit the ICE facility in Chicago in October.DHS photo by Tia Dufour

Border czar Tom Homan and ICE Director Todd Lyons favor an old-school, less hostile approach, including using police research to develop target lists and focusing on those with criminal histories, sources told the Journal. But while Homan is influential in the White House, Noem has the final say.

Trump, however, is on the side of aggression, saying in a 60 Minutes interview last week that ICE officials “haven’t gone far enough” in Chicago.

The Daily Beast has reached out to DHS and ICE for comment. A spokesperson for DHS denied there were divisions in the department in a statement to the Journal, adding that Trump’s administration is on pace to “shatter records and deport 600,000 people by the end of Trump’s first year.”

Noem’s shake-up comes even as a federal judge on Thursday accused Bovino, 55, of lying to her in court as she imposed sweeping limits on a hardline anti-migrant crackdown in Illinois.

Bovino previously claimed he was hit in the head with a rock before he lobbed gas at anti-ICE protesters in Chicago—a claim he later admitted was false after DHS could not produce evidence to support it.

In an oral ruling, U.S. District Judge Sara Ellis said, “I find the government’s evidence to be simply not credible,” after weeks of tear-gassings, pepper-ball strikes, and hard takedowns against journalists, clergy, and residents during “Operation Midway Blitz,” with excessive violence that, she said, “shocks the conscience.”

Laura Esposito

(Updated with link & my apologies) Protest Art, & Stagecoach Mary, From “The Saturday Evening Post”

Considering History: Protest Art and Art as Protest in American History

Art has been integral to the foundational American story of protest.

Ben Railton

This series by American studies professor Ben Railton explores the connections between America’s past and present.

It’s hard to describe our current moment as a golden age for much of anything in America, but we are indeed amidst a renaissance of protest art. Portland’s inflatable resistance frogs have morphed into a consistent presence of life-size artistic costumes at protests, including at the massive #NoKings rallies on October 18th.

People dressed in inflatable duck costumes at the Indianapolis No Kings protest on October 18, 2025 (Photo courtesy of J. Bortel)

And public and street art has likewise become a consistent space for expressions of protest and resistance, as illustrated by this graffiti quotation from the 14th Amendment found on the wall of an abandoned Dunkin Donuts near my university in Fitchburg, Massachusetts.

Protest graffiti in Fitchburg, Massachusetts (Photo courtesy of Ben Railton)

Those examples comprise two distinct but interconnected categories: protest art — artworks present at or directly representing collective actions; and art as protest — artworks that themselves comprise an expression and form of resistance. Both types are part of a long, rich history, as art has been integral to the foundational American story of protest. Here I’ll highlight just a few examples of each category from across our history. (snip-MORE-click through on the title)

=====

Missing in History: Stagecoach Mary Broke Barriers (and a Few Noses)

America’s first Black female mail carrier defied bias, bandits, and bad weather to deliver the mail on time in Montana.

Nancy Rubin Stuart

Mary Fields ca. 1895 (Wikimedia Commons)

“I like to be rough. I like to be rowdy. I also like to be loving….I like to baby sit.”

Mary Fields

Mary Fields was as beloved as she was feared. Few people dared challenge the six-foot-tall, 200-pound former slave who carried a gun, drank, and had a hot temper. Despite her formidable image, Fields loved children, helped others, and carried the mail through the blizzards of northern Montana.

Born into slavery around 1832 in Hickman County, Tennessee and freed after the Civil War, Fields later found work as a chambermaid on the Mississippi steamboat Robert E. Lee. There she met Judge Edmund Dunne, who hired her as a servant in his household. After his wife’s death,  Dunne sent Fields and his five children to live with his sister, Sara, or Mary Amadeus, Mother Superior of the Ursuline convent in Toledo, Ohio around 1874. There the former slave and the nun became fast friends. According to the Toledo Blade, legend has it that when Fields arrived in Toledo, Mother Amadeus asked if she needed anything, to which her friend replied, “Yes, a good cigar and a drink.”

Mary Fields ca. 1895 (Wikimedia Commons)

The following year, Mother Amadeus was sent to Montana Territory to establish a school for indigenous girls at St. Peter’s Mission, west of the town of Cascade. When Fields learned that Mother Amadeus was stricken with pneumonia, she moved to Montana and nursed the nun back to health. After that, the 52-year-old Fields volunteered at the convent, hauling stones to build the school, fetching supplies from nearb y towns, washing the convent’s laundry, tending to its many chickens, managing the kitchen, and maintaining the mission’s garden and grounds. (While she lived at the convent, Fields refused to be paid for her work, preferring to come and go as she pleased.) (snip-MORE-click through on the title)