During July 2021, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) B.1.617.2 variant infections, including vaccine breakthrough infections, occurred after large public gatherings in Provincetown, Massachusetts, USA, prompting a multistate investigation. Public health departments identified primary and secondary cases by using coronavirus disease surveillance data, case investigations, and contact tracing. A primary case was defined as SARS-CoV-2 detected <14 days after travel to or residence in Provincetown during July 3-17. A secondary case was defined as SARS-CoV-2 detected <14 days after close contact with a person who had a primary case but without travel to or residence in Provincetown during July 3-August 10. We identified 1,098 primary cases and 30 secondary cases associated with 26 primary cases among fully and non-fully vaccinated persons. Large gatherings can have widespread effects on SARS-CoV-2 transmission, and fully vaccinated persons should take precautions, such as masking, to prevent SARS-CoV-2 transmission, particularly during substantial or high transmission.

The tip-over of scissor lifts in operation has frequently resulted in the death and/or severe injuries of workers. The objective of this study is to enhance the understanding of its major mechanisms and factors influencing scissor lift stability. Both experimental and modeling approaches were used in this study. Two series of experiments were performed under possible tip-over scenarios: curb impact and pothole depression. Based on the dynamic characteristics identified from the experimental results, a lumped-parameter model of the scissor lift was developed. It was applied to investigate the effect of scissor structure flexibility on the tip-over potential of the lift, to understand tip-over mechanisms, and to explore preventive strategies. This study found that the fundamental natural frequencies of the lift were generally in a range of 0.30 - 2.08 Hz, which are likely related to the tip-over. Increasing flexibility of the lift structure generally increased the tip-over potential. The tip-over threshold was also a function of both ground slope and tilt speed of the lift. The results suggest that the lift should not be elevated on largely deformable and/or uneven surfaces such as bridged wood board or a soft soil base. The worker on the lift platform should avoid any large continuous periodic movement or forceful action in the horizontal plane, especially when the lift is fully elevated. Besides the tilt angle of the lift, the tilt speed should be monitored to help prevent the tip-over.

Host feeding patterns were examined for four species of Culex mosquitoes collected from 18 sites in or adjacent to East Baton Rouge Parish, LA, from November 2002 to October 2004. Host DNA from 37 bloodfed Culex coronator Dyar and Knab, 67 bloodfed Cx. salinarius Coquillett, 112 bloodfed Cx. nigripalpus Theobald, and 684 bloodfed Cx. quinquefasciatus Say were identified. The percentages of bloodmeals containing mammalian DNA were 94.6% for Cx. coronator, 82.1% for Cx. salinarius, 66.1% for Cx. nigripalpus, and 40.1% for Cx. quinquefasciatus. Human DNA was detected in 7% of the bloodmeals from Cx. quinquefasciatus and 2.7% of the bloodmeals from Cx. nigripalpus. The northern cardinal was the most frequent avian host of Cx. quinquefasciatus and Cx. nigripalpus. In 2003 and 2004, there was no significant relationship from May through October between the proportion of Cx. quinquefasciatus feeding on mammalian hosts and the date of collection. Of the six avian species most frequently fed on by Cx. quinquefasciatus, the northern cardinal, northern mockingbird, common grackle, and brown thrasher were fed on more frequently than expected based on their abundance. House sparrows were fed on less frequently than expected based on their abundance. These data support the conclusions of previous studies that Cx. quinquefasciatus is the most important vector for both the enzootic amplification and transmission of West Nile virus to humans in southern Louisiana.