Public Health Division

Due to WNV human case in Suffolk County and multiple reoccurring WNV positive mosquito samples collected in the region, the risk for WNV (West Nile Virus) in Revere has been raised to HIGH as determined by the State of Massachusetts Department of Public Health. Residents are encouraged to protect themselves from being bitten by mosquitoes until hard frost*.  For more information on WNV in Massachusetts please visit https://www.mass.gov/info-details/west-nile-virus-wnv

• Residents may find more information for protection on our website https://www.nemassmosquito.org/home/pages/protect-yourself
• Printable brochures HERE

If you have any questions or concerns regarding virus, surveillance or mosquitoes please reach out to  kimberly.foss@mass.gov .

Contact 978-971-7689 or Jennifer.sforza@mass.gov  for any barrier, ULV, toolbox or other BMP related activities questions and concerns.

*Hard or killing frost = two consecutive hours of temperatures below 28 degrees Fahrenheit or three hours below 32 degrees. This will occur at different times for different communities, and there may even be variation within communities based on local geography.

• Outshine Strawberry Fruit Bars, six-count package of 2.5-ounce bars
  UPC: 041548610047
• Outshine Grape Fruit Bars, six-count package of 2.5-ounce bars
  UPC: 041548244044
• Outshine Watermelon Fruit Bars, six-count package of 2.5-ounce bars
  UPC: 041548413624
• Outshine Black Cherry Fruit Bars, six-count package of 2.5-ounce bars
  UPC: 041548000121
• Outshine Tangerine Fruit Bars, six-count package of 2.5-ounce bars
  UPC: 041548612041
• Outshine Variety Pack Fruit Bars, 24-count package of 2.5-ounce bars
  UPC: 041548816678

• Check your freezer for recalled Outshine Fruit Bars
• Review the UPC, batch code, and best-before date printed on the bottom of the package
• Do not eat products included in the recall
• Throw away recalled products (listed above) or return them to where they were purchased
• Contact a health care provider immediately if you are concerned about a possible injury
• Check the FDA recall announcement for the most current product information, batch codes, best-before dates, and product photographs

• Check shelves, freezers, inventory, online listings, and other points of sale for recalled Outshine Fruit Bars
• Remove recalled products from sale and distribution
• Ensure that returned recalled products are removed from inventory and are not resold
• Segregate and clearly label recalled products while awaiting instructions for their return, disposal, or other disposition
• Inform staff about the recall and instruct them not to restock affected products
• Follow instructions from Dreyer’s Grand Ice Cream or their distributor for returning or disposing of recalled products

• FDA: Updated – Dreyer’s Grand Ice Cream, Inc. Issues Voluntary Recall on Select Outshine Fruit Bars Due to Possible Foreign Matter Contamination

Due to multiple reoccurring West Nile Virus positive mosquito samples in the Boston/Suffolk County region, the risk for WNV (West Nile Virus) in Revere has been raised to MODERATE as determined by the State of Massachusetts Department of Public Health. Residents are encouraged to protect themselves from being bitten by mosquitoes until hard frost*.  For more information on WNV in Massachusetts please visit https://www.mass.gov/info-details/west-nile-virus-wnv

This year, the CDC is reporting a large number of domestically acquired cyclosporiasis cases in multiple states.  Some of these cases are associated with a large multistate outbreak occurring in at least five midwestern states including Michigan, Ohio, Indiana, West Virginia, and Kentucky.  This outbreak has been linked to iceberg lettuce from Taylor Farms de Mexico.  At this time, Massachusetts does not have evidence of a significantly unusual number of Cyclospora cases compared to previous years.  

Recalled iceberg lettuce implicated in the Midwest outbreak was distributed in Massachusetts.  When a recall occurs, the Division of Food Protection collects distributor information and will conduct recall effectiveness checks with the distributors to confirm implicated products have been removed for sale.  

People can take steps to reduce their risk of Cyclospora infection.  

• Monitor reports from DPH, FDA, and CDC for announcements regarding specific foods that are linked to current outbreaks that consumers should avoid.
• Consider the following when consuming fresh produce during the summer:
  • Wash hands with soap and water for at least 20 seconds before and after handling or preparing raw fruits and vegetables.
  • Rinse fresh produce under clear running water, even if it is labeled as pre-washed.  Use a clean vegetable brush to scrub firm produce like melons and cucumbers.  Produce that can be peeled should be washed prior to peeling.  Do not use soap or bleach to rinse produce.  Rinsing is an important first step but does not reliably eliminate the parasite.
  • For produce that can be cooked, cook to a temperature of at least 158 degrees Fahrenheit.  

People who develop symptoms of Cyclospora should contact their doctor for evaluation. 

• Hard or no bowel movements (constipation)
• Poor feeding/Not eating well
• Trouble swallowing
• Weak or different sounding cry
• Droopy eyelids
• Loss of head control/Unable to hold head up
• Trouble breathing
• Respiratory arrest (stopping breathing)

• Monitor infants who consumed Nara Organics infant formula and seek medical care immediately if signs or symptoms of infant botulism develop.
• Do not use recalled Nara Organics formula. Thoroughly wash and sanitize bottles and kitchenware that came into contact with the formula.
• Throw away or return any unopened containers of Nara Organics formula.
• Save any opened containers of any Nara Organics formula, record the lot information, and label it “DO NOT USE.”  After 30 days, if no symptoms have developed, discard the product unless otherwise directed by DPH.
• Follow safe infant formula preparation and storage steps from CDC: Infant Formula Preparation and Storage.

• All recalled Nara Organics formula products are removed from shelves.
• Returned Nara Organics formula products are also removed from inventory and not resold.
• Staff are informed about the recall and instructed not to restock affected products.
• Wash and sanitize items and surfaces that may have touched the recalled formula.

• CDC outbreak advisory: Infant Botulism Outbreak Linked to Powdered Infant Formula, June 2026
• FDA public health advisory: Outbreak Investigation of Infant Botulism: Powdered Infant Formula (June 2026)
• FDA company recall announcement: Nara Organics Recalls All Lots of Nara Infant Formula Because of Possible Health Risk
• CDC: Infant Formula Preparation and Storage
• Information on the Prevention and Treatment of Infant Botulism from the California Department of Public Health
• Consumers can report a complaint or adverse event to FDA through the FDA Safety Reporting Portal or by calling 1-888-INFO-FDA.

• 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.