Public Health Division
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In The News
- CDC is responding to a deadly outbreak of Andes virus, a type of hantavirus, among passengers and crew of a cruise ship in the Atlantic Ocean.
- CDC is working with the U.S. State Department and other U.S. government partners to get Americans on the ship home as quickly and as safely as possible.
- To date, no cases of Andes virus have been reported in the United States as a result of this outbreak.
- At this time, the overall risk to travelers and the American public remains extremely low. Routine travel can continue as normal.
- Andes virus, the type of hantavirus involved in these infections, can cause hantavirus pulmonary syndrome (HPS), a severe and potentially deadly disease that affects the lungs.
The Massachusetts Department of Public Health (DPH) confirmed today that two cases of measles have been diagnosed in Massachusetts residents.
- The first case was reported in a school-aged Massachusetts resident who was exposed and diagnosed out of state and remains out of state during the infectious period. There are no known exposures to others in Massachusetts.
- The second case was diagnosed in an adult who lives in Greater Boston. The individual recently returned from international travel and had an uncertain vaccination history. During their infectious period, the individual visited several locations where exposures to others likely occurred. State and local public health officials are working with these locations to identify and notify those who were potentially exposed.
These two cases of measles in Massachusetts have occurred in the context of a large national outbreak of measles and a very large international outbreak. Although there is no evidence of the spread of measles within Massachusetts at this time, additional cases could occur. View a 10-year table of vaccine-preventable disease reports in Massachusetts.
“Our first two measles cases in 2026 demonstrate the impact that the measles outbreaks, nationally and internationally, can have here at home. Fortunately, thanks to high vaccination rates, the risk to most Massachusetts residents remains low,” said Public Health Commissioner Robbie Goldstein, MD, PhD. “Measles is the most contagious respiratory virus and can cause life-threatening illness. These cases are a reminder of the need for health care providers and local health departments to remain vigilant for cases so that appropriate public health measures can be rapidly employed to prevent spread in the state. This is also a reminder that getting vaccinated is the best way for people to protect themselves from this disease.”
Early symptoms of measles occur 10 days to 2 weeks after exposure and may resemble a cold (cough, runny nose, and red eyes), usually with fever. A rash occurs 2-4 days after the initial symptoms develop. The rash usually appears first on the head and then moves downward. The rash typically lasts a few days and then disappears in the same order. People with measles may be contagious up to four days before the rash appears and four days after the day the rash appears. Measles is a potentially serious illness, with complications occurring in approximately 30 percent of infected individuals, including immune suppression, pneumonia, diarrhea, and encephalitis, which may be life-threatening.
Those who were exposed to measles and develop symptoms should call their health care provider before visiting an office, clinic, or emergency department. Visiting a health care facility without calling in advance may put others at risk and should be avoided. Anyone who has had measles in the past or has received two doses of the vaccine is unlikely to develop measles, even if exposed.
People who have had measles, or who have been vaccinated against measles per the DPH Guidance for Vaccines are considered immune. The Measles-Mumps-Rubella (MMR) vaccine offers the best protection against measles and the serious complications associated with infection. The DPH recommendations for the MMR vaccination are:
- Children: Children should receive their first dose of the MMR vaccine at 12-15 months. School-aged children need two doses of the MMR vaccine.
- Adults: Adults should have at least one dose of the MMR vaccine. Certain groups at high risk need two doses of the MMR vaccine, such as international travelers, health care workers, and college students. Adults born in the U.S. before 1957 are considered immune to measles from past exposures.
People who are exposed to measles and have not been vaccinated are at risk for developing measles and will need to avoid all public activities until they are no longer at risk of developing disease. This means that unvaccinated, exposed people will need to miss daycare, school, work, and other activities. Anyone concerned about measles is advised to contact their health care provider to confirm their immunization status and get vaccinated, if needed.
For additional information, contact your local health department or DPH at 617-983-6800. To learn more about measles, visit the DPH website.
The Massachusetts Department of Public Health (DPH) is issuing this notification to inform clinicians of a change in recommended reference materials for pediatric immunization schedules.
DPH has a longstanding and ongoing commitment to promoting evidence-based immunization practices that protect communities from vaccine preventable illnesses. Following a review of recent changes to the Centers for Disease Control and Prevention (CDC) pediatric immunization schedule, DPH now recommends that clinicians in Massachusetts use the American Academy of Pediatrics (AAP) Recommended Child and Adolescent Immunization Schedule as the primary reference for the routine immunization of infants, children, and adolescents.
DPH recognizes the importance of clear, consistent, and evidence-based guidance to facilitate safe and effective vaccination practices. AAP is a national professional organization representing pediatric physicians, and its immunization schedule is developed by pediatric experts and updated regularly to reflect current evidence and clinical best practices for immunizing children and adolescents. The AAP immunization schedule aligns with science-backed pediatric standards of care and provides detailed guidance that supports clinical decision-making in pediatric settings.
Clinicians should continue to follow all applicable state requirements, including the immunization requirements for school and camp entry (aligned with AAP recommendations), and reporting obligations, including documentation of administered immunizations in the Massachusetts Immunization Information System (MIIS).
DPH will continue to monitor national immunization policy updates and will communicate any additional guidance as needed. Thank you for your continued commitment to protecting the health of Massachusetts children and families.
Resources
- The American Academy of Pediatrics Recommended Child and Adolescent Immunization Schedule
- Massachusetts Immunization Requirements for School and Camp Entry
- Massachusetts Immunization Information System (MIIS)
- AAP Communicating with Families and Promoting Vaccine Confidence
- DPH recommended guidance for vaccines
The Massachusetts Department of Public Health (DPH) is reporting very high and rising levels of influenza activity statewide as the Commonwealth moves through peak flu season. Thousands of residents have become ill, forcing them to miss work, school, and other activities. Many are experiencing serious complications, leading to increased visits to urgent care centers and emergency departments, and high levels of hospitalization.
The current widespread burden of illness underscores the importance of taking preventive measures, especially vaccination, to reduce severe disease and protect individuals, families, and communities.
Tragically, influenza has already been reported to be associated with the deaths of three pediatric patients in Massachusetts during recent weeks. In addition, there have been 29 adult influenza deaths reported so far this season. While COVID-19 and respiratory syncytial virus (RSV) rates currently remain low, cases of both illnesses are beginning to rise. DPH is reviewing two possible COVID-19-associated deaths and one RSV-associated death in individuals younger than 18 years.
“This is a moment for clarity, urgency, and action,” said Public Health Commissioner Robbie Goldstein, MD, PhD. “These viruses are serious, dangerous, and life-threatening. We are seeing children who are seriously ill, families grieving devastating losses, and hospitals under capacity strain. There is a simple, effective, and available way to address these concerns: vaccines. They can prevent serious illness and hospitalization. And they save lives. If you have not yet been vaccinated against flu or COVID-19 this season, now is the time. It is not too late. Choosing vaccination is choosing to protect yourself, your family, your friends, your colleagues, and your community.”
Hospitals across Massachusetts are continuing to see high numbers of patients seeking care for respiratory illness. Each day last week, there were nearly 9,000 emergency department visits statewide, with approximately one-quarter of those related to acute respiratory illness, including flu, COVID-19, and RSV. Some regions in the state reported challenging hospital capacity levels exceeding 90% in medical-surgical units, largely related to influenza.
DPH urges everyone 6 months of age and older to stay up to date on flu and COVID-19 vaccinations. These annual shots can be given at the same visit and are available from local boards of health, community health centers, pharmacies, and many health care providers.
Vaccination is especially important for people at higher risk of severe disease, including adults age 65 years and older, children between 6 months and 2 years old, people with chronic respiratory conditions or heart disease, individuals who are immunocompromised, and people who are pregnant. Vaccination also helps protect family members, coworkers, and others in the community who may be more vulnerable to serious illness.
For RSV, one-time immunization is recommended for adults age 75 and older, those aged 50-74 who have conditions that put them at increased risk, and people who are pregnant. For infants and children, parents should talk with their child’s health care provider about RSV immunization. It is recommended that infants younger than 8 months be immunized if the birth parent did not receive the RSV shot during pregnancy. Children between 8 and 19 months who are at increased risk because of certain pulmonary or immune system disorders should also be immunized.
In Massachusetts, vaccines are covered by insurance and are available at no cost for almost all adults. All vaccines for individuals younger than 18 years are supplied free of charge to health care providers through the state’s universal childhood immunization program.
For those who begin to experience flu symptoms – which include high fever, chills, muscle aches, headache, extreme fatigue, cough, sore throat, and congestion – antiviral medications, such as oseltamivir (Tamiflu), are available by prescription. When started early, these medications can significantly reduce the severity of illness. Parents are encouraged to seek medical advice promptly if they or their children develop flu-like symptoms.
Spending time indoors and around larger groups increases the likelihood of exposure to respiratory viruses. The following everyday measures can help prevent illness:
- Stay up to date on flu and COVID-19 vaccinations
- Wash hands frequently with soap and water
- Stay home when sick
- Cover coughs and sneezes
- Consider wearing a mask in crowded indoor settings, especially if you or a loved one is at higher risk.
DPH continues to closely monitor respiratory activity and hospital capacity across Massachusetts. Up-to-date data are available on the DPH respiratory virus dashboard.
Despite some improvements, drought conditions have continued in most of Massachusetts. The Cape and Islands Regions and Millers Basin are at Level 2-Significant Drought, while the Connecticut River Valley, Central and Northeast Regions are at Level 1–Mild Drought. The Western and Southeast Regions are at normal condition.
How can the general public help?
- Conserve overall water use, especially indoors
- Shut off/winterize sprinkler systems, disconnect hoses, and wrap spigots/backflows
- Limit any remaining watering to one day a week
- Identify and stop any water leaks inside your home
- Avoid removing outlet boards/stop logs that manage pond and lake levels
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The North Suffolk Public Health Collaborative conducts a Community Health Needs Assessment (CHNA) for the communities of Revere, Chelsea, and Winthrop. The 2025 CHNA can be accessed here.
BOSTON (November 11, 2025) — The Massachusetts Department of Public Health (DPH) is advising parents, caregivers, and health care providers that ByHeart Inc. is recalling its infant formula because it may be contaminated with the bacteria Clostridium botulinum that can make infants sick. No cases of infant botulism have been identified in Massachusetts.
On November 8, 2025, the Centers for Disease Control and Prevention (CDC) and U.S. Food and Drug Administration (FDA) posted that they were investigating an outbreak of infant botulism linked to ByHeart powdered infant formula. As a result of the investigation, ByHeart Inc. on November 11 voluntarily recalled all lots of powdered Whole Nutrition Infant Formula. ByHeart products are distributed online and nationwide. Caregivers are advised not to use ByHeart formula.
Formula from ByHeart Whole Nutrition Infant Formula should be thrown away immediately or returned to the store where they were purchased. Before disposing of any ByHeart formula, write down or take pictures of the lot numbers, which can be found on the bottom of the cans. Check for any formula you may have removed from the original can and placed in another container. Wash all items and surfaces that may have touched the recalled formula using hot soapy water or a dishwasher.
Infant botulism is a rare and serious illness that is caused when infants inhale or swallow the spores produced by Clostridium botulinum bacteria. Under certain conditions, the spores can grow inside the infant and produce toxins that can make infants very sick. Symptoms can take anywhere from several days to several weeks to appear.
Most infants with infant botulism may develop constipation, poor feeding (sucking and swallowing), loss of head control, and difficulty swallowing. Other symptoms may include decreased facial expression, a weak or altered cry, or other signs of muscle weakness. Infants with botulism must be treated quickly to stop symptoms from progressing to flaccid (floppy) paralysis and breathing difficulties.
Caregivers should seek immediate medical care for their infant if they consumed ByHeart Whole Nutrition Infant Formula and develop any symptoms of infant botulism. Health care providers should immediately report any cases of suspected infant botulism to their local health department or DPH 24/7 at (617) 983-6800.
Infants who consumed the recalled infant formula should be monitored for symptoms for 30 days after their last exposure to the formula. There is no testing or treatment recommended for infants who consumed the recalled formula but who do not have symptoms of infant botulism.
Caregivers should contact their infant’s pediatrician or health care provider if they have any questions about their infant’s health. Individuals with questions about the recall may contact FDA at the link below or the DPH Division of Food Protection at fpp.dph@mass.gov or (617) 983-6712. Updates to the national investigation are expected to be posted on the CDC’s and FDA’s webpages as they become available:
Infant Botulism Outbreak Linked to Infant Formula, November 2025 | CDC
Outbreak Investigation of Infant Botulism: Infant Formula (November 2025) | FDA
In Response to a Broader FDA Investigation, ByHeart Initiates a Voluntary Recall of Two Batches of Infant Formula | FDA Includes pictures of the recalled product and how to find lot code information.
According to FDA, ByHeart Whole Nutrition Infant Formula makes up an estimated less than 1% of all infant formula sold in the United States, and this outbreak does not currently create any concerns of a possible shortage in infant formula.
The Revere Fire Department and Revere Emergency Preparedness Manager are teaming up with the National Fire Protection Association (NFPA) - the official sponsor of Fire Prevention Week (FPW) for more than 100 years - to promote this years' FPW campaign, "Charge into Fire Safety: Lithium-Ion Batteries in Your Home." It highlights how important it is to buy, charge, and recycle lithium-ion batteries safely.
Most of the electronics we use in our homes every day - smartphones, tablets, power and lawn tools, laptops, e-cigarettes, headphones, and toys - are powered by lithium-ion batteries. In fact, most everything that's rechargeable uses this type of battery.
If not used correctly or if damaged, lithium-ion batteries can overheat, start a fire, or even explode. To reduce these risks, look around your home - it's important to know which devices are powered by them.
Buy only listed products.
- When buying a product that uses a lithium-ion battery, take time to research it. Look for a stamp from a nationally recognized testing lab on the packaging and product, which means that it meets important safety standards.
- Many products sold online and in stores may not meet safety standards and could increase the risk of fire.
Charge devices safely.
- Always use the cords that came with the product to charge it. Follow the instructions from the manufacturer.
- If you need a new charger, buy one from the manufacturer or one that the manufacturer has approved.
- Charge your device on a hard surface. Don’t charge it under a pillow, on a bed, or on a couch. This could cause a fire.
- Don’t overcharge your device. Unplug it or remove the battery when it’s fully charged.
Recycle batteries responsibly.
- Don’t throw lithium-ion batteries in the trash or regular recycling bins because they could catch fire.
- Recycling your device or battery at a safe battery recycling location is the best way to dispose of them. Visit call2recycle.org to find a recycling spot near you.
Come to Revere's Fire Prevention Open House on Saturday, October 11, 2025 from 11:00 AM - 2:00PM at Revere Central Fire Station on 400 Broadway. Free Pizza and Giveaways. Touch-A-Truck with Water Spray will happen at 11:30 and A Ladder Truck demonstration will happen at 12:30. All are welcome!

Mon. 8:15 am – 5 pm
Tues. 8:15 am – 5 pm
Wed. 8:15 am – 5 pm
Thur. 8:15 am - 5 pm
Fri. 8:15 am - 12:15 pm
Director, Department of Public Health
(781) 485-8486
Substance Use Disorder and Homelessness Initiative Office Program Manager
781-485-8486











