Latest / In Focus with Carolyn Hutcheson / Measles, Cyclosporiasis, and Food Safety - TPR's In Focus - August 13, 2026
Transcript
- 0:00Support comes from the Janice Hawkins Cultural Arts Park on
- 0:04the main campus of Troy University, featuring the International Arts
- 0:08Center, the Fred Noll Hollis Museum,
- 0:12and the Hua Bao Zhu Gallery. More information at troy.edu/artspark.
- 0:22From Troy Public Radio, this is In
- 0:26Focus, and I'm Carolyn Hutcheson. With all the news about
- 0:30cyclosporiasis and salmonella,
- 0:33State Health Officer Dr. Scott Harris joins us
- 0:37with an update on these foodborne illnesses,
- 0:40and he shares the latest on the resurgence and spread of
- 0:44measles.
- 0:49Dr. Scott Harris, it is a real pleasure to welcome you back
- 0:52to Troy Public Radio. Thank you, Carolyn. It's really good to be with
- 0:56you again. Dr. Harris, so much is in the news
- 1:00about measles,
- 1:01cyclosporiasis, jalapeño peppers,
- 1:05school vaccines. I need your help to straighten
- 1:09all of this out with the listeners. Where do you want to start? What a
- 1:14crazy summer it's been so far. So cyclosporiasis
- 1:18is a parasite that causes intestinal infections.
- 1:22The germ itself is called Cyclospora, and the disease is
- 1:25called cyclosporosis. We always have cases every
- 1:29year in probably just about every state. I know certainly in Alabama
- 1:33we see a couple of dozen cases every year. That's true for
- 1:37really all southern states. But as you know, what happened 6 or 8 weeks ago
- 1:41is, is a really large outbreak that started in
- 1:45the upper Midwest— Michigan, Ohio, West Virginia, Kentucky.
- 1:49But now it's shown up in many different parts of the country, and there
- 1:53are over 10,000 cases that have been documented, but probably
- 1:57many thousands of cases also that we don't even know about.
- 2:01We've had some of those outbreak cases here in Alabama.
- 2:05That's also true for all of our surrounding sister states
- 2:09in Florida and Georgia and other states next to us. But we are finally
- 2:13starting to see those numbers go down just a little bit.
- 2:17The best information we have is that the big outbreak was linked
- 2:21to a certain type of lettuce that was used in fast food restaurants.
- 2:25I'm sure you've heard that story. But, you know, not all the cases were— some
- 2:29of the cases can't really be explained by that. And so it's
- 2:33still a little unclear how all this happened all at once. But thankfully,
- 2:36it is improving a little bit. So is there a way we
- 2:40can defend ourselves against this parasite? Those of
- 2:44us who are the end consumer, if you will, just remember that eating
- 2:48raw food that comes out of the ground is going to put you at risk,
- 2:52right? So be careful about raw fruits and vegetables
- 2:56that you may consume at home. Make sure you wash them very carefully if
- 3:00you can. The contaminated lots of lettuce that were associated with
- 3:05this outbreak in the beginning, we know now are all past their sell-by
- 3:09date. So, you really shouldn't be able to find
- 3:13those on grocery shelves anymore. Ideally, grocers are getting rid of those,
- 3:17but certainly some people may have products still in their home. And so,
- 3:21we would ask you to take a look at your refrigerator,
- 3:24compare those lot numbers with what's been posted, or if you just aren't
- 3:28sure, go ahead and toss that and start over. But normally, with all
- 3:32of these types of outbreaks, when people start being more careful about
- 3:36washing things and about what they eat, then we do see them go away,
- 3:39and that seems to be what's happening now. The latest is about
- 3:43jalapeños carrying Salmonella. Would your advice
- 3:47still hold about being careful about jalapeño peppers at this time?
- 3:51Yeah, that's exactly the same. What we see now with jalapeños
- 3:55and Salmonella infections is not that unusual to
- 3:59see. We certainly do see things like that in most years. I think there's
- 4:02a lot of increased interest in food-related intestinal infections
- 4:07because of the cyclosporin outbreak we've had. And so this
- 4:10salmonella story has gotten a lot of airtime, but I would say it's
- 4:14actually not unusual. We do see food-related outbreaks from salmonella all
- 4:19the time, and it's just one of the risks that you get from eating
- 4:22foods that are eaten raw, particularly if somehow they're not washed.
- 4:26Dr. Harris, let's switch gears. School is starting.
- 4:30Now we hear conflicting information out of the White House
- 4:34about childhood vaccinations. What can you tell
- 4:38us? We're still trying to review the executive order that the president had and
- 4:42figure out how that applies to us. Generally speaking,
- 4:45it doesn't sound like it'll make a difference in our state anyway.
- 4:50Parents in this state have a right to receive vaccine exemptions
- 4:54if they choose to do that for their children, and they just come to the
- 4:58health department and request that, and that's provided without them having to prove anything
- 5:02or why they're doing that. The executive order talked about
- 5:06breaking up these combination shots, like a measles,
- 5:09mumps, rubella shot, into individual shots.
- 5:13That's certainly something that people are studying. They're trying to figure
- 5:17out if that would be feasible or kids would require more visits to
- 5:21get more shots. The main fact, though, really delaying anybody adopting
- 5:24this is that those individual vaccines that are only a
- 5:29measles vaccine or only a mumps vaccine aren't actually manufactured
- 5:33in this country. They're only— the combination MMR product is being manufactured.
- 5:37And so in order to have what we would call a monovalent
- 5:41vaccine or a single vaccine like measles vaccine,
- 5:45it would require a vaccine company to manufacture that, to put it in clinical
- 5:49trials, perhaps certainly to have approval by the FDA.
- 5:53And those things can take quite a long time. So at this point,
- 5:56the White House EO has not discouraged anybody from taking any
- 6:00of the usual vaccines. It hasn't changed those recommendations,
- 6:03and we are just waiting to see how this plays out and if
- 6:07there will be these single-component vaccines available someday
- 6:11in the future. It sounds like you're recommending talking with your pediatrician.
- 6:15That's always the right answer, Carolyn. In public health, we make these recommendations
- 6:20that we say are population health recommendations. We know
- 6:24that if a population takes the MMR, then you don't
- 6:28have the same measles transmission or whooping cough transmission.
- 6:31Our patient at the health department is the population as a whole,
- 6:34but that really doesn't say anything about any given individual
- 6:38patient, right? A parent and their child and their pediatrician
- 6:42make the right decision about what's correct for that child to receive,
- 6:46and some children are allergic to certain vaccines, or some children may
- 6:50have another reason they don't require it or shouldn't receive it. So, there are always
- 6:54those individual-level clinical decisions that have to be made.
- 6:58You know, that's always the right answer. If you need information about
- 7:02your health or your child's health, talk to the healthcare provider that knows you and
- 7:06your child the best. You mentioned measles and the news stories continue
- 7:10to explode. What are your observations there?
- 7:15Yeah, unfortunately, we're in the midst of the biggest measles outbreak
- 7:18that our country has seen since the year 2000 or so.
- 7:22We now have approaching 2,500 documented
- 7:26cases of measles in 2026. So far this year. We are
- 7:30on the lookout for that here in our own state. I know the state
- 7:34of Florida and the state of Georgia have seen some measles transmission in those states.
- 7:38In Alabama, we have not had any transmission from one person to
- 7:43another of measles, although we have an Alabama resident who was
- 7:46living out of state who contracted the measles and sort of
- 7:50counts towards Alabama's totals. It put us on the map, but that was not actually
- 7:54a case in a person who was residing here in the state at the time.
- 7:57We do want to make sure that parents again remember to talk to
- 8:01their pediatricians about what to do. The measles vaccine has been around for a long
- 8:06time. It was created before I was even born, and you know,
- 8:09I'm a gray-haired guy, and it's been safe and
- 8:13effective for a long time. So we would just encourage people to talk to their
- 8:16doctors, make sure they're making the right decision for their children.
- 8:20And for adults who were vaccinated as children, are they
- 8:24still protected? In most cases, the recommendation for measles
- 8:27is that for those of us who were born in the year 1956
- 8:32or earlier, you are considered immune and you don't need any
- 8:35additional shots. And that's because measles was so widespread
- 8:39until the mid-'50s that virtually everybody caught it. And once
- 8:43you catch it once, you basically never catch it again. Starting in 1957,
- 8:48when certain vaccines came out, people do have immunity,
- 8:52that some of the early forms of the measles vaccine were
- 8:55not as long-lasting or effective as the kind that we use today.
- 8:59So again, it's a good idea to talk to your doctor about that,
- 9:02but generally speaking, if you've received 2 measles vaccines
- 9:06of the modern measles vaccine that we use, which has been around
- 9:11since the late 1960s, then you're not going to need any additional measles vaccines.
- 9:15Well, Dr. Harris, thank you for sharing the latest updates with us from
- 9:19the Alabama Department of Public Health. It's great to
- 9:23speak with you, Carolyn. It's always nice to join you. That was
- 9:26State Health Officer Dr. Scott Harris,
- 9:29and more information about the topics he discussed can be found at
- 9:34the alabamapublichealth.gov website.
- 9:37Thanks for joining us for In Focus, which is a podcast available
- 9:42wherever you get your podcasts, and feel free to get
- 9:46in touch at infocus@troy.edu.
- 9:49I'm Carolyn Hutcheson, and this is listener-supported
- 9:53Troy Public Radio.