[{"_1":2,"_123":-5,"_124":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87,99,111],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6678008,"mediaKeyId","2134556-b1d61a887cf270a6e9d7ab93d2349cfb","parentId",2134556,"title","Health department to mark licensed food vendors as investigations of unpermitted carts rise","audioSeconds",114,"startMs",3786000,"endMs",3900000,"viewUrl","/Search/View?dp=1&key=2134556-b1d61a887cf270a6e9d7ab93d2349cfb&start=3786&end=3900","thumbnailUrl","https://assets.pipeline.soar.com/2134556-b1d61a887cf270a6e9d7ab93d2349cfb/thumbnail_3786000.jpg","articleUrl","/articles/6678008/Cochise-County/Arizona/Health-department-to-mark-licensed-food-vendors-as-investigations-of-unpermitted-carts-rise","mediaUrl","https://secure.pipeline.soar.com/6678008-613e333fe6cc6e2964e022a95458be10/orig.mp4?Expires=1771163554&Signature=JzZAYKy7kHBgbg5OJpWtlNMQGRMbBG0JCly4ND5qXbwswkUEN9fnai4~VPuvoKvr7uIUk9uo099JFFrG2kXJX8eGTvvup2qTk74DlW7vaA-b14Bi-8Jttj5eTckqFXyqgfuSFuOhrlqdSMBVj~~hxxZMfd5Fsa0uJaHmVCWCgoRSZReicBPGlg0TCwpACKS-nS4QIZgFhYhkgXMI9Fwd6vRklIB4aw~OTXhuWq3PFVT5iydGv0hccOtrZMz9A6kJSmfVyGQLt-pg39wf4~CpgYYvEelSjYxE1tphTuI540O4h41rgLV2704lylK1IjWHWEgleNJiKuqKKR19VcuI7Q__&Key-Pair-Id=KUT5TJCACFTXG","author","Cochise County","date","2025-01-21T16:04:32.523Z","article","Environmental health staff briefed the board about a recent rise in unpermitted food vendors and outlined steps to reduce foodborne illness risk.

What staff reported: Axel said the health department has identified more unpermitted, unlicensed food vendors operating at high‑traffic locations. He described common hazards — lack of required permits, poor refrigeration, insufficient handwashing and exposure of food to insects — and warned that these conditions raise the risk of foodborne disease.

Planned response: The department plans a consumer campaign and a visible compliance sticker: “We’re gonna be developing a sticker. It will be bright green and they will have to show that sticker and we're gonna be doing a campaign around that. So if you go to a food cart and you don't see that bright green sticker, buyer beware,” staff said. The department also said it will offer technical assistance to help operators comply with licensing rather than defaulting to enforcement.

Context and outreach: Staff noted the county’s border location and cultural norm of informal vendors and emphasized working with vendors to bring them into compliance. The department also noted the incoming state cottage food rulemaking and that more guidance will follow once the state finalizes rules.

Bottom line: The health department will inspect, seek voluntary compliance and deploy a consumer‑facing green sticker to help buyers identify licensed vendors while providing technical assistance to startup food businesses.","mediaType","Video","parentTitle","20240906 Board of Health Meeting","oneSentenceSummary","Environmental health staff reported more unpermitted food vendors in the county and said the department will introduce a bright green sticker to help consumers identify licensed vendors and will offer technical assistance to vendors seeking compliance.","taxTitle","Cochise County, Arizona","taxId",27859,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6678012,"Board stresses plain-language messaging as health staff expand outreach and workforce efforts",715,2893000,3608000,"/Search/View?dp=1&key=2134556-b1d61a887cf270a6e9d7ab93d2349cfb&start=2893&end=3608","https://assets.pipeline.soar.com/2134556-b1d61a887cf270a6e9d7ab93d2349cfb/thumbnail_2893000.jpg","/articles/6678012/Cochise-County/Arizona/Board-stresses-plain-language-messaging-as-health-staff-expand-outreach-and-workforce-efforts","https://secure.pipeline.soar.com/6678012-693d4de9914a63e3becee7aeaf1f211b/orig.mp4?Expires=1771163554&Signature=MwKPBCjb5SThXy1mKaBkA9xv20CLqxN58~wqw1N2Uy0QbTmF0LkD-I1VinGwiYhtRwbHF23qttmdg56f085ZVdFDr8lyEPOxu4jUVYLh8xb-PoIGPTpDKEQqdf8A3tQevEN1hQhlL8n1DODAs3aI0HrenzKjgDsJjVniSNEw8CDSBjaOKIL4YJASvdYsRPG85nNa4RbWrVDWinMVS1yjFOrGyxq5Uxvr0o1wVOzWaXT25JRtV6R8u-bDefAMPhI2YFgY7Vs6qLP7qOb030efsqM7BYOKJo69ti3C9WeuAxJAAdsNZAbvK~VU5cotW8uaG7~MuERxrlDKR~fPkokDgA__&Key-Pair-Id=KUT5TJCACFTXG","Board members and department leaders discussed messaging strategies and community outreach after technical presentations on vaccines and surveillance.

Board feedback and messaging approach: Some board members said technical slides showing variant lineages are hard for the general public to interpret and requested clearer, practical guidance: “If somebody goes to that site, they're curious, but it needs to mean something to them,” one member said. In response, health department staff said public‑facing materials will use simplified language and emphasize “how do you stay safe?” rather than variant names; staff described a local campaign called “Be Well, stay well.”

Workforce development and community partnerships: The health director summarized recent workforce development efforts, including two forums and formation of four committees focused on social determinants, career pathways, workforce attraction and information/collaboration. She said the committees will meet starting Sept. 27 at Cochise College and that the county received a $10,000 grant from the Community Foundation to support a “keep care local” campaign encouraging primary care in Cochise County.

Public‑facing materials: Staff said they will post simple, actionable graphics on rabies, lice and flu prevention, provide clinic schedules and lists of vaccine locations, and use the vaccine equity team for outreach at public events.

Bottom line: The board emphasized translation of technical surveillance and variant information into direct, nontechnical guidance about risk reduction and where to get vaccines and care; staff described concrete outreach and workforce steps to support those goals.","Board members urged simpler public communications on variants and urged broad vaccine messaging while county staff described a 'Be Well' campaign and workforce development committees to strengthen local health services.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6678015,"Health staff report increases in some bacterial infections, Legionella fatalities and ongoing COVID presence",878,2011000,2889000,"/Search/View?dp=1&key=2134556-b1d61a887cf270a6e9d7ab93d2349cfb&start=2011&end=2889","https://assets.pipeline.soar.com/2134556-b1d61a887cf270a6e9d7ab93d2349cfb/thumbnail_2011000.jpg","/articles/6678015/Cochise-County/Arizona/Health-staff-report-increases-in-some-bacterial-infections-Legionella-fatalities-and-ongoing-COVID-presence","https://secure.pipeline.soar.com/6678015-a4b69a5b7ed9483e50771911969b6c3e/orig.mp4?Expires=1771163554&Signature=YrJnNqu2pDwr9vmXdYg0Lzgoy0Y~TysWG9J2aBqKR3vX7frafRy-NG3ggZJgs5p7xj5M9Izr3mlTS2QcKWxAgqRH2511jhvvdx8fKvVhg1hGg1LQpmHHiHghIAxotIYiWvSsDKSu~K4UaRDdNGV5APQb-UCkkzFwElsn6piYHDn0GWkdaTP~EFpx8mPOoxKiT2rcX7iKxaMLyuCB-tKUlX3-qHyid4lzX5RW0j7IreFxUZf7HAPx-UctGQs4-TxCNWxmJFp~BPNRNxYnmVHPExFkVWVlUVeIgoTiDVOElXc5EuzPoQskmUOGPZz0VeAOrZUMshgeKDwAsiIjA3~Zzw__&Key-Pair-Id=KUT5TJCACFTXG","Axel, presenting Cochise County surveillance data, told the board that 2024 case counts remain provisional and that several trends warrant attention.

Enteric infections: Axel reported campylobacter case counts differ substantially from 2023 and that salmonellosis detection likely underestimates community burden because surveillance captures only a fraction of infections. He said salmonella clusters across counties can affect Cochise counts.

Antibiotic resistance and healthcare‑associated infections: The county recorded 10 carbapenem‑resistant Enterobacterales cases in 2024 versus nine in 2023; compared with a 2018–2022 five‑year average, current CRE counts were about seven times higher than expected. Axel said this pattern signals growing antibiotic‑resistant colonization among patients and elevated attention to infection prevention is needed.

Legionella and mortality: Axel cautioned that Legionnaires’ disease has a high case‑fatality rate. The county had two Legionella cases this year and five last year; when accounting for mortality, that condition “gets really close to 60% of those cases ending up passing away,” making prevention and early detection important, he said.

Other conditions and COVID: Valley fever (coccidioidomycosis) was described as “about what we would expect.” MRSA cases have declined this year, which Axel attributed to improved infection‑prevention and hand hygiene. On COVID, Axel showed modest but persistent detection and said the county saw low summer incidence that began to rise as schools returned; recent weeks had about 60–80 detected cases, “widespread” across the county. He discussed variant naming and sequencing work used to inform vaccine formulation.

Mpox status: Axel said Cochise County had no mpox cases in 2023 or 2024 and only two cases in 2022. The department had 13 mpox vaccine doses remaining that were close to expiry; state distribution remained under discussion.

Bottom line: Surveillance shows mixed trends — declines in some conditions (MRSA), increases or clusters in others (campylobacter, CRE, sporadic Legionella) — and continued low but present COVID transmission across the county.","County epidemiology staff reviewed 2024 surveillance: higher campylobacter variability, more antibiotic‑resistant enterobacterales compared with a five‑year average, two Legionella cases this year (high fatality risk), and continued low but present COVID activity.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6678020,"Cochise County to prioritize flu clinics, refer COVID and RSV shots to pharmacies amid limited adult funding",434,1443000,1877000,"/Search/View?dp=1&key=2134556-b1d61a887cf270a6e9d7ab93d2349cfb&start=1443&end=1877","https://assets.pipeline.soar.com/2134556-b1d61a887cf270a6e9d7ab93d2349cfb/thumbnail_1443000.jpg","/articles/6678020/Cochise-County/Arizona/Cochise-County-to-prioritize-flu-clinics-refer-COVID-and-RSV-shots-to-pharmacies-amid-limited-adult-funding","https://secure.pipeline.soar.com/6678020-5cd2b9868ec5ee0b11c520c9abcf16ad/orig.mp4?Expires=1771163554&Signature=UaFylP695H~ERiU-puLe3EfSo~QfbOJIfRaROj~uRmA-pAAJJY8LRejU3oBkLoUT48W1yT44K-mplSVXSyv3j4tJ-ylywgSLifE6jyo6xyMcPlUzveR1u2P9IjHHkPp5zR11nPavJGIAT80vtsGckPB3EzWgX8llnaQpx82ltWcde95598ci0L223BZgBt~1KMPlYttRGDc0urFIsI3hijw83KQJt1~EV1VTWZFpP11v9mDJEpY7NG7i3l7MO3nrbs7ldTNYdcLoDvP4n7d1pyK9jfhcAyyjjuwkyi~B02WEyOKVqRWxnJAHks1lvaN3TbwlS0-C7lz19Ew5Hjw3ig__&Key-Pair-Id=KUT5TJCACFTXG","Tomany (clinical services staff for the Cochise County Health Department) reviewed the county’s vaccine funding streams, recent expenditures and how the department plans to allocate limited resources for the 2024–25 season.

Tomany told the board the county uses three funding sources: private billing (insurance), Section 317 adult public funding for ages 19–64, and the Vaccines for Children program for ages 0–18. She said last year three children’s clinics each used “over $50,000 worth of vaccines” and that countywide adult funding across five sites totaled $36,000 last year. She also reported that private funding yielded roughly $9,000 in collections against $7,000 in costs last year.

Distribution plan and services: Because adult public funding is constrained, Tomany said the department will continue to provide seasonal influenza clinics from October through December but will “really direct people to use their pharmacies for their COVID and their RSV vaccines this year.” She asked the board and staff to support prevention, education and resource distribution — including a county vaccine‑locations list and social‑media outreach — and described a vaccine equity team that will assist at public events.

She also described ongoing work to reach birthing hospitals and obstetric providers to encourage maternal RSV vaccination at 32–36 weeks, and said the department aims to have hospitals vaccinate newborns within five days where recommended by CDC/ACIP. Tomany summarized the county stance: “We're going to do prevention, education, and provide resources for the public to know where they're going to get their vaccines from.”

Local supply and next steps: Tomany said the county expects its formal 2024 financial allotment in October; she reported the health department will retain a small COVID supply for uninsured or underinsured adults and children. She said the department will post clinic dates, coordinate with pharmacies and continue outreach through the vaccine equity program.

Bottom line: County staff concluded limited adult public funding constrained county provision of the new COVID and RSV vaccines, prompting a plan to concentrate county resources on seasonal flu clinics and public education while directing most COVID/RSV demand to local pharmacies and partner clinics.","County public‑health staff outlined funding limits for adult vaccine programs, said COVID and RSV vaccines will be directed to pharmacies this season, and described outreach plans and clinic schedules for influenza shots.",{"_33":112,"_35":36,"_37":38,"_39":113,"_41":114,"_43":115,"_45":116,"_47":117,"_49":118,"_51":119,"_53":120,"_55":56,"_57":58,"_59":121,"_61":62,"_63":64,"_65":122,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6678024,"County physician urges vaccination as updated COVID, influenza and RSV shots roll out",1436,6000,1442000,"/Search/View?dp=1&key=2134556-b1d61a887cf270a6e9d7ab93d2349cfb&start=6&end=1442","https://assets.pipeline.soar.com/2134556-b1d61a887cf270a6e9d7ab93d2349cfb/thumbnail_6000.jpg","/articles/6678024/Cochise-County/Arizona/County-physician-urges-vaccination-as-updated-COVID-influenza-and-RSV-shots-roll-out","https://secure.pipeline.soar.com/6678024-0b05c7b860d0b4e57d4e693e9be557ce/orig.mp4?Expires=1771163554&Signature=fZrYQ~knzwX6rUKFEbzPyDy0JXicxBYzmE0A31xswt38~sVsovgwEmApVaAP9XpxYVswOQSms1GFvjzxY~zwlGdCsaoptW~N9yeTt0Q0CR2oDC-R9aiSv6ovzu4mBppA-tBl4V8Qg2THHqVWN47DnV2KTGWtkmTSFh6UD1lLm7ApXaTaFfPlKlCc562uZm1o4d0QpjVqiRT3Yh9VAVhSB9ITeeaZlxdniAOWuIZvxRWnG6w9~Lq1ZJZwNk-g6aP2xU~W8KVQmiyDYmD7JlGVZgkr0nAw6zq8CigxprRwA9OKJ5NhqN26y7v2TfkfVa7880gJ4nEfe4McZ7gZ-6JeDw__&Key-Pair-Id=KUT5TJCACFTXG","Dr. Eric McLaughlin, a physician presenting for the Cochise County Health Department, reviewed this season’s updated vaccines for COVID-19, influenza and respiratory syncytial virus (RSV) and urged residents to be vaccinated to prevent severe illness.

Dr. McLaughlin said the 2024 COVID-19 vaccine targets the JN1 lineage and the KP2 strain and that for people ages 5 through 65 and older the guidance this season is “1 dose regardless of prior vaccine status.” He told the meeting that children 6 months to 4 years who are previously unvaccinated should receive two doses of Moderna or three doses of Pfizer, and that “65 and older…an additional updated vaccine following the 2023–24 dose.”

Why it matters: McLaughlin stressed that while vaccines do not always prevent mild symptomatic infection, they reduce severe outcomes. He cited efficacy figures presented during the meeting — “54% against symptomatic SARS CoV‑2” and reductions in mortality of about 57% for ages 70–79, 54% for ages 60–69 and 52% for ages 50–59 — and said the vaccines are intended to “keep you out of the hospital, and keep you out of the morgue.”

On influenza, McLaughlin said the seasonal adult vaccine for 2024–25 will be trivalent (H1N1, H3N2 and B Victoria) and remain a single annual dose for most people; previously unvaccinated children should get two doses four weeks apart for their first season. He described influenza vaccine effectiveness as variable and dependent on data collection methods but noted prior-year ranges presented at the meeting (for children, 52–67%; for adults, 27–79%).

On RSV, McLaughlin emphasized that “RSV is a leading cause of infant hospitalization in the United States” and recommended vaccination strategies for multiple groups. He said infants under eight months receive a single dose by weight, some children 8–19 months with risk factors may need additional doses, and adults aged 60 and older are advised to receive a one‑time dose. He highlighted maternal immunization at 32–36 weeks’ gestation, saying vaccinating pregnant people “gives across the placenta transplacental protection to that infant.” He also reported high effectiveness numbers against serious RSV outcomes: “RSV vaccine in adults 60 and over reduce symptomatic, lower respiratory tract infection by 80 to 90%” and “90% effective in preventing hospitalization in infants.”

Audience questions and logistics: Attendees asked about timing and supply. McLaughlin said manufacturers had produced vaccines and that distribution logistics could cause short delays; he expected supply to be widely available within days to weeks. A participant, identified as “Moe,” asked whether people under 65 with comorbidities should get additional doses; McLaughlin recommended discussing individual risk with a primary care clinician and, if needed, obtaining a clinician’s order for pharmacies that require it. Health director Barbara (Barb) reported local pharmacies in Sierra Vista already had supply: “It started on Wednesday. So there is a supply currently.”

Bottom line: McLaughlin framed vaccination as prevention and risk reduction: “We want to prevent rather than treat…If we can't prevent you from getting the disease, we want to keep you out of the hospital, and we want to keep you out of the morgue.”","A Cochise County Health Department physician reviewed this season’s COVID-19, influenza and RSV vaccine recommendations, effectiveness data and dosing by age, and urged vaccination and prenatal RSV immunization to protect infants.","actionData","errors"]

Article not found

Health department to mark licensed food vendors as investigations of unpermitted carts rise

Board stresses plain-language messaging as health staff expand outreach and workforce efforts

Health staff report increases in some bacterial infections, Legionella fatalities and ongoing COVID presence

Cochise County to prioritize flu clinics, refer COVID and RSV shots to pharmacies amid limited adult funding

County physician urges vaccination as updated COVID, influenza and RSV shots roll out